Third Schedule — GENERAL ELECTIONS ACT

(Article 23)

Form of Corrections or Transfers

To the Electoral Commission

I (1) ........................... legally valid identification document

number ........................ formerly residing at (2) ........................... ,

do hereby give notice that I have transferred my residence to (3)

Date ....................................

Signature or mark of applicant (4)

Signature and legally valid identification

document number of witness

Address of witness ........................................................................

(1)

Name and surname (also nickname, if any)

(2)

Former address as shown on Electoral Register

(3)

Present address

(4)

Should applicant be unable to write, the person filling in the

form is to affix his or her signature and furnish his or her full

address and legally valid identification document number

below applicant’s mark.

GENERAL ELECTIONS

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