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Acts Affecting Native Lands, Etc. (In English and Maori), Passed by the General Assembly, Session 1892, 1893, 1897, 1898, 1899.

The under-mentioned person is entitled to vote at the election of a member of the House of Representatives for the Maori Electoral District:—

Ko to Ingoa Iriiri, Maori hold, o te Tangata Pooti. Christian Name and Surname of Elector.	Iwi. Tribe.	Hapu. Hapu.	Kainga. Abode.

Tangata e pootitia ana:

Kai-titiro:

Candidate voted for:

Witness:

R.O., Returning Officer.