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©copyright
R A Bellamy 2000-01
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A
Community Information Site
Provided As A Public Service
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Application
to vote by post
Elections
Officer, Law and Democratic Services. Municipal Offices,
Town Hall Square, Grimsby.Telephone: (01472) 324160
Only one person per form please.
If more forms are needed, please reprint,
Please use BLOCK LETTERS. |
FOR
OFFICE USE ONLY |
Polling
District |
Elector
No. |
1
About you
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Surname
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First
names (in full) |
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Your
address (where you are registered to vote) |
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Postcode
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2
How long do you want a postal vote?
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I want to vote
by post at all elections (tick one box)
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until
further notice |
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for
the election(s) held on |
(date)
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for
the period from |
(date)
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to
(date) |
3
Address for ballot paper
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Please
send my ballot paper to (tick one box)
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my
address where I am registered to vote (see Part 1 above)
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the
following address |
Ballot
papers will be sent out between one to two weeks before election day.
Each
person has to sign their own form. The form will be returned if it is not signed.
It is an offence to make a false statement on this form -
maximum fine £5000.
Applications
must be received no later than 5pm on the sixth working day prior
to election day.
In
case we have a query, please give
Daytime
telephone number |
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Email
address |
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