Section 4. The ballots which shall be used in the election for the approval of said amendments shall be printed in English and Pilipino and shall be in the size and form prescribed by the Commission on Elections: Provided, However, That at the back of said ballot there shall be printed in full Resolutions of Both Houses of Congress Numbered One and three, both adopted on March sixteen, nineteen hundred and sixty-seven, proposing the amendments; Provided, Further, That the questionnaire appearing on the face of the ballot shall be as follows:

Are you in favor of the proposed amendment to Section five of Article VI of our Constitution printed at the back of this ballot?

Are you in favor of the proposed amendment to Section sixteen of Article VI of our Constitution printed at the back of this ballot?

To vote for the approval of the proposed amendments, the voter shall write the word “Yes” or its equivalent in Pilipino or in the local dialect in the blank space after each question; to vote for the rejection thereof, he shall write the word “No” or its equivalent in Pilipino or in the local dialect.