To: | Registration Officer Elections Department |
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PART 1 — APPLICANT’S PARTICULARS |
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Full Name: ___________________________ |
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PART 2 — APPLICATION TO BE REGISTERED AS OVERSEAS ELECTOR |
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(a) | I am applying to be registered as an overseas elector. |
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(b) | I am currently not residing in Singapore but have resided in Singapore for an aggregate of 30 days during the period of 3 years immediately preceding ____________ (the prescribed date mentioned in section 5 of the Parliamentary Elections Act). |
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(c) | If my application is approved, I wish to vote at: |
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| ___________________________________________________________ |
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| (Select from the list of overseas polling stations available on the Elections Department’s Internet website at http://www.eld.gov.sg) |
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PART 3 — APPLICANT’S OVERSEAS CONTACT PARTICULARS |
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Overseas correspondence address: ___________________________________ |
_______________________________________________________________ |
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*Telephone/Handphone No.: _____________ |
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PART 4 — NOT DISQUALIFIED FROM REGISTRATION |
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(a) | I have not done any of the following: |
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(i) | acquired or applied to acquire by registration, naturalisation or other voluntary and formal act (other than marriage) the citizenship of any country outside Singapore; |
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(ii) | voluntarily claimed and exercised any rights available to me under the law of any country outside Singapore being rights accorded exclusively to the citizens or nationals of that country, such as voting at any national, state or provincial election, or at any election for the local government of any metropolitan or urban area, of a foreign state or territory; |
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(iii) | taken any oath or made any declaration or acknowledgment of allegiance, obedience or adherence to any foreign power or state; |
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(iv) | applied to the authorities of a place outside Singapore for the issue or renewal of a passport or used a passport issued by such authorities as a travel document; |
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(b) | I have not been found or declared to be of unsound mind under any written law; |
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(c) | I am not incapable of being registered by reason of a conviction of a corrupt or illegal practice under the Parliamentary Elections Act (Cap. 218) or the Presidential Elections Act (Cap. 240A), or by reason of the report of an Election Judge in accordance with the provisions of the Parliamentary Elections Act or the Presidential Elections Act, or by reason of a conviction under section 55 of the Parliamentary Elections Act or section 37 of the Presidential Elections Act; |
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(d) | *I am not a serving member on full pay of any naval, military or air force that is not maintained out of moneys provided by Parliament of Singapore/I am a serving member on full pay of a naval, military or air force that is not maintained out of moneys provided by Parliament of Singapore and I possess a domicile in Singapore; |
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(e) | *my name has not been expunged from the register of electors under section 13(3) or 43(5) of the Parliamentary Elections Act/my name was expunged from the register of electors under section 43(5) of the Parliamentary Elections Act and has been restored to the register under section 43(8) or (8A) of the Parliamentary Elections Act; |
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(f) | *my name has not been expunged from the register of electors under section 26(5) of the Presidential Elections Act/my name was expunged from the register of electors under section 26(5) of the Presidential Elections Act and has been restored to the register under section 26(8) of the Presidential Elections Act; |
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(g) | I am not serving a sentence of imprisonment (by whatever name called) imposed by any court in or outside Singapore for an offence punishable with imprisonment for a term exceeding 12 months, or under sentence of death imposed by any such court or serving a sentence of imprisonment awarded in lieu of execution of a death sentence; |
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(h) | I am not serving a sentence of imprisonment (by whatever name called) in any prison, jail or other place of detention outside Singapore; and |
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(i) | I do not have any warrant of arrest issued against me by a court in Singapore in relation to an offence punishable with imprisonment for a term exceeding 12 months. |
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I am the person described in Part 1 and I declare that — |
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(a) | I am a citizen of Singapore and not below 21 years of age; and |
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(b) | all the particulars and information provided in Parts 1 to 4 are true to the best of my knowledge and I have not wilfully suppressed any material fact. |
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| _____________________________ Signature of Applicant |
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* Delete whichever is inapplicable. |
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