Form 69.19-B 
 
Form of application for leave to withdraw election petition 
 
Representation of the People Act 1983 
 
Parliamentary [or European 
Parliament1 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.)