DESIGNATION
Vote Count Report
Institution(s): _______________________________________________________
Designation college: __________________________________________________
In accordance with the polling notice, the vote count took place on:
Date: ___________________________________
Time: ___________________________________
Place: ___________________________________
Mail poll:
Envelopes identified: ___________
Envelopes containing no vote envelopes: ___________
Envelopes containing more than one vote envelope: ___________
Vote envelopes counted: ___________
Uncounted vote envelopes: ___________
Poll in person:
Valid ballots: ___________
Rejected ballots: ___________
Candidates Number of votes
(1) __________________________ ______________________
(2) __________________________ ______________________
(3) __________________________ ______________________
(4) __________________________ ______________________
(5) __________________________ ______________________
Signed in __________________________, on____________________________
___________________________________
Signature
______________________________________________________________
Name of designation officer or assistant officer
______________________________________________________
______________________________________________________
Name(s) of scrutineer(s)