Section 5: I wish to draw your attention to section 9 (2) of the Act, whereby a person who

5. I wish to draw your attention to section 9 (2) of the Act, whereby a person who fails to complete the said return or knowingly gives information which is false in any material particular, shall commit an offence and shall, on conviction, be liable to a fine not exceeding 500 rupees. Date ................................. .......................................................... Electoral Commissioner RETURN BY HOUSEHOLDER OF ADULT RESIDENTS ELECTORAL COMMISSIONER’S OFFICE Canvass Year ................. House No. .................................................... Constituency No. ............ Street .......................................................... Reg. Area ...................... Locality ........................................................ Canvass Area ................. H. Hold No. ................................................... Sheet No. ...................... After Sheet No. ............................................. Elector’s National Surname, other name Age Remarks Number Identity Card (Maiden Name) No. 2 4 6 8 10 I certify that the above information is correct to the best of my knowledge Date ............................. .............................................. Signature of Householder or Thumb or finger print of Householder Please complete this return as soon as possible after reading carefully the notes on the verso as well as the attached letter (Form B). An Assistant Registration Officer will collect it within 2 days. R20 – 39 [Issue 1] Representation of the People Act FORM B—continued Verso of Return Notes of Guidance for filling this Return