Form 69.19-B Form of application for leave to withdraw election petition Representation of the People Act 1983 Parliamentary [or European
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Parliament or Scottish Parliament] constituency [or region] of IN THE ELECTION COURT APPLICATION TO WITHDRAW by [A.B.] [and [C.D.]] (designation and addresses) Petitioner[s] in the PETITION of [A.B.] [and [C.D.]] (designation and addresses) Petitioner against [E.F.] (designation and address) First Respondent [G.H.] (designation and address) Second Respondent The petitioner [A.B.], with the consent of the petitioner [C.D.], applies for leave to withdraw his petition on the following grounds: (state grounds in numbered paragraphs), and prays that a day may be appointed for hearing his application. Dated the day of (To be signed by the applicant and consenter, if any, or their respective solicitors, who shall each append to their signatures a statement of whether they sign as or on behalf of an applicant or a consenter.)