FORM 17 [See rule 49 (3) (f)] Tendered Ballot Paper Election to the .......... from the ............. Constituency. Serial Number of ballot paper.......................... Polling Station ............................... Name of elector............................. Serial Number of elector ......... in part number .......... of the electoral roll. Address of elector.......................... Name of candidate in whose favour vote is tendered ............. Date .......... *Appropriate particulars of the election to be inserted here.