Ballot Paper

Veterinary Surgeons Board [1]

Number 3 boxes from 1 to 3 in the order of your choice.
[2]You may then show as many further preferences as you wish by writing numbers from 4 onwards in other boxes.

Election of 3 registered veterinary surgeons to the Veterinary Surgeons Board

		[3]

		[3]

		[3]

Remember, number at least 3 boxes from 1 to 3 in the order of your choice.

This form is Approved Form AF2017-185    under section 61 of the Veterinary Surgeons Regulation 2015.

Notes:
1.	
1.	Insert year of election 
2.	Omit this sentence where the number of candidates is one more than the number of vacancies
3.	Insert name of candidate