CHALLENGE BEFORE

THE BOARD OF ELECTION INSPECTORS

(Illiterate and Person with Disability Voter)

_______________
Date
___________
Time

THE BOARD OF ELECTION INSPECTORS

Precinct No. _______________________
Barangay _______________________
Municipality ___________________

Please make of record that the undersigned who is the Party/Candidate Watcher of the
precinct herein above indicated is objecting to the assistance of Mr./Ms.
__________________________ on the following grounds: (Palihug ibutang sa record nga
ang nagpirma sa ubos, nga usa ka Party/Candidate Watcher sa precinto nga nakasulat sa
taas, supak sa pagtabang ni Mr./Ms. ________________________________, tungod ning
musunod:)

______ the voter is not an illiterate or a person with disability as indicated in the
EDCVL (ang botante dili makita sa EDCVL isip usa ka illiterate o usa
ka person with disability);

______ he/she is not a relative within the fourth civil degree of consanguinity or
affinity (siya dili paryente sa botante diha sulod sa fourth civil degree of
consanguinity o affinity);

______ he/she is not authorized by the illiterate or person with disability to assist
(siya dili gina tugutan sa illiterate or person with disability nga maoy
magtabang);

______ he/she has assisted an illiterate or a person with disability more than
3 times, and he/she is not a member of the BEI (siya nagtabang na sa usa
ka illiterate o person with disability sa sobra na katulo ka beses, ug siya
dili usa kay membro sa BEI);

______ Others: ____________________________________________

____________________________________________

Respectfully submitted.

_____________________________
Poll Watcher