THE SCHEDULE
FORM A
Regulations 9 and 16
PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)
APPLICATION FOR CERTIFICATE OF
MALAY COMMUNITY COMMITTEE
PARTICULARS OF APPLICANT (as shown in NRIC)
Name (in block letters)
NRIC No.
 
 
Place of birth
Date of birth
(DD/MM/YYYY)
Race
 
 
 
OTHER PARTICULARS OF APPLICANT
Religion
Language(s) spoken
 
 
Address
(for correspondence)
Contact Number
Email address
(for correspondence)
 
 
 
ADDITIONAL INFORMATION
An applicant may submit additional information to support the application. The additional information must be set out in a statutory declaration made by the applicant. The statutory declaration must not exceed 2 pages and must be submitted together with the application.
     In accordance with section 27A(5) of the Parliamentary Elections Act, I am applying to the Malay Community Committee for a certificate certifying that I am a person belonging to the Malay community.
     My application *is/is not accompanied by a statutory declaration containing additional information in support of my application.
 
 
.....................................
Date
..............................................................
Signature of Applicant
*Delete whichever is inapplicable.
FORM B
Regulation 11
PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)
CERTIFICATE OF MALAY COMMUNITY COMMITTEE
To:
 (Name of Applicant)
From:
 Chairman,
Malay Community Committee
     In accordance with section 27A(6) of the Parliamentary Elections Act, the Malay Community Committee certifies, for the purposes of the election immediately following the issue of a writ on ______________, that the abovenamed applicant is a person belonging to the Malay community.
 
.....................................
Date
..............................................................
For and on behalf of the
Malay Community Committee
[S 235/2019 wef 01/04/2019]