Form 3 Rule 8 (2) List Petition (Title) To the Court of Appeal of New Zealand THE petition of A.B., the Secretary of the [State name of registered political party for which the petitioner is party secretary] (and C.D., the Secretary of the [State name of registered political party for which the petitioner is party secretary]), whose name is (or names are) subscribed hereto, shows--- 1. An election for members of Parliament from lists submitted pursuant to section 127 of the Electoral Act 1993 was held on the.... day of ...... 19.. 2. At that election the [Here state names of the parties listed in the part of the ballot paper for the election that relates to the party vote] were the parties listed in the part of the ballot paper for that election that relates to the party vote, and the list of candidates submitted by each party pursuant to section 127 of the Electoral Act 1993 is set out in the First Schedule to this petition [In the First Schedule list under the heading of each party the list of candidates submitted by it pursuant to section 127 of the Electoral Act 1993]. 3. The Chief Electoral Officer has, pursuant to section 193 (5) of the Electoral Act 1993, declared elected the candidates set out in the Second Schedule to this petition [In the Second Schedule list under the heading of each party the candidates of each party declared elected by the Chief Electoral Officer]. 4. Your petitioner, A.B., is the Secretary of [Here state name of party], a political party registered under Part IV of the Electoral Act 1993 that was listed in the part of the ballot paper for the general Parliamentary election held on the .... day of ...... 19.. that relates to the party vote. 5. Your petitioner, C.D. [Here state in like manner the right of each petitioner]. 6. Your petitioner(s) say(s) that [Here state in numbered subparagraphs the facts on which the petitioner relies]. 7. The specific grounds on which your petitioner('s)(s') complaint is founded are as follows: [Here state the grounds either expressly or by reference to numbered subparagraphs of paragraph 6]. 8. [If the case so requires] Your petitioner(s) complains (or complain) of the conduct of [Name], the Chief Electoral Officer, who, by operation of section 258 (3) of the Electoral Act 1993, is a respondent to this petition. The petitioner(s) pray(s) that it may be determined that the declaration of election made pursuant to section 193 (5) of the Electoral Act 1993, so far as it relates to [State the name(s) of the candidates(s) whose election is challenged], is invalid and the election of that (those) candidate(s) void (or that [State the name(s) of the candidate(s) whose election is sought], not named in the declaration of election made pursuant to section 193 (5) of the Electoral Act 1993, is (are) elected as a member(s) of Parliament or as the case may be). Dated this .... day of .......... 19.. Signature(s) of Petitioner(s) .................... This petition is filed by the above-named petitioner in person. The address for service of the above-named petitioner is or This petition is filed by A.B., solicitor for the above-named petitioner, of the firm of X.Y.Z. The address for service of the above-named petitioner is Documents for service on the above-named petitioner may be left at that address for service or may be--- (a) Posted to the solicitor at [Insert Post Office box address]; or (b) Left for the solicitor at a document exchange for direction to [Insert document exchange box number]; or (c) Transmitted to the solicitor by facsimile to [Insert facsimile number]. or This petition is filed by A.B., solicitor for the above-named petitioner, of the firm of X.Y.Z., whose postal address is The solicitor's agent in the proceeding is The address for service of the above-named petitioner is Documents for service on the above-named petitioner may be left at that address for service or may be--- (a) Posted to the solicitor at [Insert Post Office box address]; or (b) Left for the solicitor at a document exchange for direction to [Insert document exchange box number]; or (c) Transmitted to the solicitor by facsimile to [Insert facsimile number]. ----