The result of the election of the evaluation board for the execution of the procedures related to the percentages in our workplace where the percentage procedure is applied is stated below. Date

                                                                                              Authorized Signature

Election date:

Number of votes cast:

Number of valid votes:

                                                                       Name Surname            Received Vote

Participants and distribution of votes:

                                                                       Name Surname            Received Vote              Duty

Elected Worker representative: