R E C O R D S

OF THE ELECTORAL COMMITTEE OPERATION IN IMPLEMENTING THE ELECTIONS AND IN DETERMINING THE RESULTS OF VOTING FOR ELECTION OF MEMBERS OF THE PARLIAMENT

1.The Electoral Committee for the polling place number ____, ______

(name of the polling place)

In the municipality/town / correctional facility / foreign state ______

(name of municipality/town/facility/foreign state )

met on ______2016 at ______hours.

(time)

1.1. The following members and alternate members of the Electoral Committee were present:

______

______

______

______

______

2.Before the polling place was opened, the electoral committee have checked and found:

2.1.that at the polling place and at a distance of up to 50 meters from the polling place there were no displayed symbols of the political parties or other election campaign materials,

2.2.that the premise where voting will take place is organized in accordance with law, and that secrecy of voting is ensured,

2.3athat complete and non-defective election materials necessary for the conduct of voting at the polling place were received from the working body / coordinator of the Republic Electoral Commission,

2.3bthat from the working body / coordinator of the Republic Electoral Commission were received the election materials, upon the checking of which the following was found as missing: ______

______

______

______

of which the electoral body immediately notified the working body / coordinator of the Republic Electoral Commission[1].

3.The electoral committee opened the polling place at _____ hours.

4.Electoral committee checked appropriate state of the ballot box in the presence of the elector who was the first to come to the polling place ______, entered in the (name and surname of first elector)

extract from the electoral roll for voting in the election for members of the Parliament under ordinal number ____.

As it was found that the ballot box was in appropriate condition and empty, the check list, signed by the electoral committee members and the voter who came first to the polling place, was inserted in the ballot box which was immediately sealed in the presence of the first voter, and voting started thereafter..

  1. With the help of another person (assistant), the number of persons, entered in the extract from

the electoral roll under ordinal numbers ______

______

was ______

(number)

  1. The number of persons who voted outside the polling place was ______, all of them having

(number)

been entered in the extract from the electoral roll under ordinal numbers ______

______

7aVoting unfolded smoothly all the time.

7bIn the course of voting the following took place:

(List the events influencing on the voting, particularly the reasons and the duration of possible break of voting. A broader description needs to be given, if necessary, in a separate attachment that will be an integral part of these Records.

______

______

______

8aDomestic and/or foreign observers were not present at the polling place.

8bDomestic and/or foreign observers from the following organizations were present at the polling place:

______

______

______.

9. The polling place was closed and voting concluded at ______hours.

10. After the polling place was closed, the electoral committee started determining the voting results as follows:

10.1.it established the number of non-used ballots,

10.2.it established the total number of electors who voted by counting the encircled ordinal numbers in the extract from the electoral roll, possible list of subsequent changes in the electoral roll, and the special extract from the electoral roll;

10.3.it opened the ballot box in which it FOUND – DID NOT FINDthe check list;

10.4.it started separating valid from invalid voting ballots, and established the number of invalid voting ballots;

10.5.it established the number of valid voting ballots and the number of votes that each list of candidates received.

11. After the counting, non-used ballots, invalid ballots and those valid were put in separate envelopes that were sealed.

12. The electoral committeedetermined that at the polling place …………………...______

(number)

in the municipality/town/correctional facility/foreign country

______

(name of municipality/town/facility/foreign state ) (code)

the voting results were as follows:

12.1. that according to the extract from the electoral roll, possible list of subsequent

changes in the electoral roll, and special extract from the electoral roll

THE NUMBER OF TOTAL REGISTERED VOTERS WAS ………………………… ______;

(number)

12.2.that the number of RECEIVED voting ballots was …………………………………. ______;

(number)

12.3.that the number of NON-USEDvoting ballots was ………………..…………………. ______;

(number)

12.4.that total number of ELECTORS WHO VOTED (encircled ordinal number in the extract

from the electoral roll and special extract from the electoral roll)was ……...…. ______;

(number)

12.5.that the number of VOTING BALLOTSin the BALLOT BOX is ……….……… ______;

(number)

12.6. that the number of INVALID voting ballots was ………………………….. .______;

(number)

12.7. that the number of VALID voting ballots is ………………………………………………______;

(number)

12.8. that the number of votes received by EACH LIST OF CANDIDATES was:

No. / Name of Lost of Candidates / Number of votes received by the List of Candidates
1.
(Quote all Lists of Candidates. According to their order on the ballot)

13aMembers of the electoral committee DID NOT HAVE any objection to the conduct of voting at the polling place.

13bThe following members of the electoral committee had objections to the conduct of voting at the polling place: ______

______

______

(objections to be listed in a separate enclosure which is an integral part of these Records)

14. The conclusion that was drawn was that the first copy of these Records, together with the election material, be immediately submitted to the working body / coordinator of the Republic Electoral Commissionfor the purpose of which have been designated the chairperson and the following members of the electoral committee: ______

______.

15.TheElectoral committee immediately displayed the second copy of these Records at the polling place, and representatives of the submitters of four Lists of Candidates, which had won the largest number of votes at the polling place, were each given one copy of these Records, namely:

15.1. ______

(name and surname, and signature of the member of the electoral committee in expanded composition)

15.2. ______

(name and surname, and signature of the member of the electoral committee in expanded composition)

15.3. ______

(name and surname, and signature of the member of the electoral committee in expanded composition)

15.4. ______

(name and surname, and signature of the member of the electoral committee in expanded composition)

16.Electoral committee concluded its work on______2016 at ______hours.

(day and month)

ELECTORAL COMMITTEE:

1. ______

(name, surname and signature of the chairperson, and/or deputy chairperson of the Electoral Committee)

2. ______

(name, surname and signature of the member and/or alternate member of the Electoral Committee)

(Provide the names of all members of the Electoral Committee, as under 2)

1

[1]If it is found that a certain number of voting ballots is missing, or that all types of Records оf the electoral committee's operation are not complete, the electoral committee needs to open the polling place and the missing material will be received during the voting.