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AECEF281-a
Division
Polling place or team
Issuing point
Ballot paper tracking form
DECLARATION VOTE ISSUING OFFICER
SA
Additional copies are required to be produced by the Divisional Office – one EF281-a per declarationissuing point. The Declaration Issuing Officer at each point is required to complete this form.
House of Representatives
SA division
Allocation 1
Allocation 2
Allocation 3
Totalallocated
Spoilt
Unused
Votesissued
Counterfoiltotal
Adelaide
Barker
Boothby
Grey
Hindmarsh
Kingston
Makin
Mayo
Spence
Sturt
Open
Total
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
+
+
=
−
−
=
Senate
Allocation 1
Allocation 2
Allocation 3
Totalallocated
Spoilt
Unused
Votesissued
+
+
=
−
−
=
Referendum
Allocation 1
Allocation 2
Allocation 3
Totalallocated
Spoilt
Unused
Votesissued
+
+
=
−
−
=
Issuing officer name
Signature
Date
/
/
Australian Electoral Commission 100818 EF281-a