No. S 3
Parliamentary Elections Act
(CHAPTER 218)
Parliamentary Elections Act
(Amendment of First Schedule)
Regulations 2019
In exercise of the powers conferred by sections 102 and 107 of the Parliamentary Elections Act, the Prime Minister makes the following Regulations:
Citation and commencement
1.  These Regulations are the Parliamentary Elections Act (Amendment of First Schedule) Regulations 2019 and come into operation on 2 January 2019.
Amendment of First Schedule
2.  Form 3 of the First Schedule to the Parliamentary Elections Act is deleted and the following Form substituted therefor:
FORM 3
Section 11(2)
PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)
______________
FORM OF CLAIM BY PERSON WHOSE NAME HAS BEEN
OMITTED OR EXPUNGED FROM THE REGISTER
To:THE REGISTRATION OFFICER
 Elections Department
Electoral Division of

………………………
For Official Use
Registration No.
I
PARTICULARS OF CLAIMANT AS SHOWN IN IDENTITY CARD
Telephone (Home/Work)
 
NRIC No.
Sex
Date of Birth
Telephone (Mobile)
 
 
 
 
Date Citizenship Acquired
(if applicable)*
 
Name (in block letters and underline surname)
Date of Report on
Change of Address
(if applicable)**
 
Address
Postal Code
 
                    I, the abovenamed person, certify that to the best of my knowledge and belief the above information given by me is true and I am applying to have my name inserted/retained in the Register of Electors on the following grounds:

…………………
Date
 

……………………………………………….…………..
(Signature or thumb mark of Claimant)
* Applicable to a person who makes this application on the ground that he has recently acquired Singapore citizenship.
** Applicable to a person who makes this application on the ground that his address has changed.
II
ACTION BY INSPECTION CENTRE CLERK:
 
 
The ground of claim is (please tick below)
 
 
Name omitted from Register of Electors
 
 
Change of address
 
 
Change of name
 
 
Other ground
 
 
 

…………………
Date

……………………………
Name (in block letters)

………………………
Signature
 
III
ACTION BY ELECTIONS DEPARTMENT
 
 
ARO’S COMMENTS
TYPE OF DECISIONS
ARO’S DECISION
 
 
 
 
INITIAL
DATE
 
 
 
Change of Address
 
 
 
 
 
Change of Particulars
Name
 
 
 
 
 
 
Sex
 
 
 
 
 
Restored Voter
 
 
 
 
 
New Voter
 
 
 
 
 
No Action
 
 
 
 
 
Disallowed
 
 
 
 
REMARKS
 
”.
Made on 31 December 2018.
LEO YIP
Permanent Secretary,
Prime Minister’s Office,
Singapore.
[ELD(A)4-17; AG/LEGIS/SL/218/2015/6 Vol. 1]