_____________________ [name of the party]
Party for the people, of the people and by the people. Vote for us.
_______________ [address of the party office]
_______________ [party office contact number]
________________ [party office fax number]
[Image of the person standing for election]
Vote for: _______________ [name of the candidate standing for election]
Standing for: _________________ [the position for which the electoral candidate is standing]
Address: Street address: ___________ Name of city: ____________
State: _________________ Postal code: ____________
Date of birth: ___________
Contact number: _____________
Email number: __________
__________________________
Signature of the candidate
Date issued on: _________________