OVF No.

33-A

COMMISSION ON ELECTIONS
OFFICE FOR OVERSEAS VOTING
NATIONAL AND LOCAL ELECTIONS
May 13, 2019

RECORD OF CHALLENGE/PROTEST

Instructions: Prepare in three copies. Give one copy to the SBEI and one copy to the individual against whom the
challenge or protest is made. The challenger shall retain the third copy.

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SBEI No. Embassy/Post/Consulate/Country

To the members of the SBEI:

I hereby make the following challenge/protest:

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In witness whereof this _____ day of _____________________, 2019.

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Challenger/Protester
(Signature above printed name)

SUBSCRIBED AND SWORN to before me this ____ day of ____________, 2019.

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Chairperson/Poll Clerk/Member
(Signature above printed name)