THE SCHEDULE
FORM 1
Regulations 4, 5 and 8
PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

PARLIAMENTARY ELECTIONS
(REGISTRATION OF OVERSEAS ELECTORS)
REGULATIONS

APPLICATION TO BE OVERSEAS ELECTOR
To:Registration Officer
 Elections Department
 11 Prinsep Link
 Singapore 187949
 SINGAPORE
 http://www.elections.gov.sg
From:
_________________________________
                 Name of Applicant
_________________________________
_________________________________
_________________________________
                   Overseas Address
PART I
1.PERSONAL PARTICULARS
 NAME: _____________________________
 DATE OF BIRTH
 DOB.jpg
    Day       Month        Year
  NRIC NO.
NRIC.jpg
*S or T                                        Ref
2.CORRESPONDENCE PARTICULARS
 Handphone No.: _______________
 Telephone No.: ________________
Fax No.: _________________________
E-mail: __________________________
PART II
 
3.APPLICATION TO BE AN OVERSEAS ELECTOR
 I wish to apply to be registered as an overseas elector. 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 __________________ viz. the prescribed date referred to in section 5 of the Parliamentary Elections Act (Cap. 218). The periods I resided in Singapore are —
 from ___________________ to ___________________
 from ___________________ to ___________________
 from ___________________ to ___________________
 from ___________________ to ___________________
 from ___________________ to ___________________
(if space is insufficient, complete by attaching additional paper)
PART III
4.OVERSEAS POLLING STATION
 If my application is approved, I wish to vote at
 ________________________________________________________
 (Select from the list of overseas polling stations which is available on request)
PART IV
5.NOT DISQUALIFIED FROM REGISTRATION
 I confirm that —
(a)I have not done any of the following:
(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;
(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;
(iii)taken any oath or made any declaration or acknowledgment of allegiance, obedience or adherence to any foreign power or state; or
(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;
(b)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 any such sentence;
(c)I have not been found or declared to be of unsound mind under any written law;
(d)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 aforementioned Acts or by reason of a conviction under section 55 of the Parliamentary Elections Act or section 37 of the Presidential Elections Act;
(e)I am not a serving member on full pay of any naval, military or air force not maintained out of moneys provided by Parliament of Singapore unless I possess a domicile in Singapore;
(f)My name has not been expunged from the register of electors under sections 13(3) and 43(5) of the Parliamentary Elections Act or under section 26(5) of the Presidential Elections Act. If my name has been expunged from the register, I have applied to restore my name to the register under section 43(8) or (8A) of the Parliamentary Elections Act or section 26(8) of the Presidential Elections Act;
(g)I am not serving a sentence of imprisonment (by whatever name called) in any prison, jail or other place of detention outside Singapore;
(h)I am not accused of an offence against any written law of Singapore punishable with imprisonment for a term exceeding 12 months and there is no warrant of arrest by a court in Singapore authorising my apprehension in relation to that offence in force; and
(i)I have not been convicted by any court in Singapore of any offence punishable with imprisonment for a term exceeding 12 months and there is no warrant of arrest by a court in Singapore authorising my apprehension in relation to that offence in force.
PART V
6.DECLARATION
 I, ___________________________, NRIC No. _________________ hereby declare that —
(a)I am the applicant for registration as an overseas elector;
(b)I am a citizen of Singapore and not less than 21 years of age; and
(c)the particulars set out in Parts I, II and IV of this application are true, correct and complete to the best of my knowledge.
_________________________
Date
________________________
Signature
FORM 2
Regulations 7(1), (3) and (4) and 8
PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

PARLIAMENTARY ELECTIONS
(REGISTRATION OF OVERSEAS ELECTORS)
REGULATIONS

APPLICATION TO CANCEL REGISTRATION AS OVERSEAS ELECTOR/CHANGE ALLOTTED OVERSEAS POLLING STATION/
CHANGE CORRESPONDENCE PARTICULARS
To:Registration Officer
 Elections Department
 11 Prinsep Link
 Singapore 187949
 SINGAPORE
 http://www.elections.gov.sg
From:
_________________________________
                 Name of Applicant
NRIC NO.
NRIC2.jpg
*S or T                                       Ref
_________________________________
_________________________________
       Allotted Overseas Polling Station
PART I
1.APPLICATION TO CANCEL REGISTRATION AS OVERSEAS ELECTOR
 (tick appropriate box)
I wish to cancel my registration as an overseas elector.
PART II
2.APPLICATION TO CHANGE ALLOTTED OVERSEAS POLLING STATION
I wish to change my allotted overseas polling station to
 ____________________________________________________________
 (Select from the list of overseas polling stations which is available on request)
PART III
3.NOTIFICATION OF CHANGE OF OVERSEAS CORRESPONDENCE PARTICULARS
My correspondence particulars have been changed as follows:
 Overseas Address: _____________________________________________
 Handphone No.: ___________
 Telephone No.: ___________
 Fax No.: ___________________
 E-mail: ____________________
PART IV
 
4.DECLARATION
 I am the person filing this application, and I declare that the particulars set out in Part III of this application are true.
________________________
Date
________________________
Signature