Key Benefits:
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By
Prime Minister of the Republic of Singapore |
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Given under my hand and the seal of the Republic of Singapore this day of
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Prime Minister
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NOTICE OF ELECTION OF
PRESIDENT OF THE REPUBLIC OF SINGAPORE
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___________________
Returning Officer, Singapore. |
*A sum equal to 3 times the amount of deposit referred to in section 28 (1) of the Parliamentary Elections Act (Chapter 218).
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PRESIDENTIAL ELECTIONS ACT
(CHAPTER 240A)
NOMINATION PAPER
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SECTION A: TO BE COMPLETED BY PERSONS NOMINATING
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DETAILS OF NOMINEE
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NAME (in block letters)
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NRIC NO.
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SEX
(Please circle) |
OCCUPATION
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DETAILS OF PERSONS NOMINATING
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We, the undersigned registered electors, do hereby nominate the abovenamed person to be a candidate for election as the President of the Republic of Singapore:
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NAME
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NRIC NO.
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SIGNATURE
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PROPOSER
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SECONDER
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ASSENTOR 1
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ASSENTOR 2
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ASSENTOR 3
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ASSENTOR 4
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ASSENTOR 5
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ASSENTOR 6
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ASSENTOR 7
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ASSENTOR 8
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SECTION B: DECLARATION TO BE COMPLETED BY NOMINEE
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I, the person nominated in Section A, do solemnly and sincerely declare that —
(a)
I am duly qualified to be elected as the President of the Republic of Singapore;
(b)
I consent to this nomination as candidate for election as the President of the Republic of Singapore; and
(c)
I am not a member of any political party.
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And I make this solemn declaration by virtue of the Oaths and Declarations Act (Cap. 211), and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular.
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.................................................................................
Signature of Nominee |
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Dated this ............ day of ............................................................ 20......
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Before Me
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……………………………………………………...
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Name of Commissioner for Oaths/Justice of the Peace
(in block letters) |
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Signature of Commissioner for Oaths/Justice of the Peace
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I, the nominee, can be contacted at
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Address:
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Telephone Number:
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Candidate
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Symbol
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Proposer
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Seconder
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Polling Stations
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Electoral Divisions and Polling Districts
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Overseas Polling Station
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Date
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Time
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___________________
Returning Officer, Singapore. |
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PARTICULARS OF DECLARANT
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Name (in block letters)
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NRIC No.
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Address (as shown in NRIC)
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Distinguishing Letters and Serial Number of Elector shown in the Register of Electors
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Letters
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Serial No.
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Signature or thumb mark of Voter. |
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Signature of Presiding Officer. |
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Name and No. of Polling Place. |
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PARTICULARS OF DECLARANT
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Name (in block letters)
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NRIC No.
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Address (as shown in NRIC)
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Distinguishing Letters and Serial Number of Elector shown in the Register of Electors
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Letters
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Serial No.
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Signature or thumb mark of Voter. |
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Signature of Presiding Officer. |
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Name and No. of Polling Place. |
Counting Place: ____________________________________
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Counting Place No.: ________________________________
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For counting of votes cast at the following Polling Station(s):
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(1) ________________________________
(2) ________________________________
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Number of Ballot Papers Issued for the Poll at the above Polling Station(s).
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Number of Ballot Papers cast for
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Name of Candidate
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Symbol
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Number of Ballot Papers
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Total Number of Ballot Papers cast for the above Candidates
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Number of Rejected Ballot Papers
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Total Number of Ballot Papers found in the ballot boxes of above Polling Station(s)
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Total Number of Electors in the Register of Electors used at the Poll at the above Polling Station(s)
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………………………...
Returning Officer. |
ALL POLLING STATIONS FOR THE REPUBLIC OF SINGAPORE
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Number of Ballot Papers Issued
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Number of Ballot Papers cast for
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Name of Candidate
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Symbol
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No. of Ballot Papers
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Total number of Ballot Papers cast for the above Candidates
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Number of *Rejected Ballot Papers
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Total Number of Ballot Papers found in the ballot boxes
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Number of Unused Ballot Papers undetached from the books
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Number of †Spoilt Ballot Papers
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TOTAL
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*A Rejected Ballot Paper means a ballot paper which has been handed by the presiding officer to an elector to cast his vote but which, at the close of the poll, has been found in the ballot box unmarked or so improperly marked it cannot be counted.
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†A Spoilt Ballot Paper means a ballot paper which, on polling day, has not been deposited in the ballot box, but has been found by the presiding officer to be spoilt or improperly printed or which has been handed by the presiding officer to an elector to cast his vote, and (a) has been spoilt in marking by the elector, and (b) has been handed back to the presiding officer and exchanged for another.
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Total Number of Electors in the Register of Electors used at the Poll
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___________________
Returning Officer, Singapore. |
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RETURNING OFFICER
Elections Department
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Electoral Division of
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PARTICULARS OF PERSON TAKING THE OATH
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Name (in block letters)
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NRIC No.
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Address (as shown in NRIC)
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Signature of Person taking the Oath. |
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Signature of Justice of the Peace/ Commissioner for Oaths. |
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Name (in block letters). |
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Note:
Section 36 of the Presidential Elections Act (printed overleaf) must be read to the person taking the Oath. No stamp fee is required.
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NAME (in block letters)
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NRIC NO.
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ADDRESS (as shown in NRIC)
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CANDIDATE
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PRINCIPAL ELECTION AGENT
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Date: _____________
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Signature of Principal Election Agent: ___________
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SECTION A: EXPENSES AND PAYMENTS
(Fill in below the total amount of expenditure and payments for each category, in Singapore dollars and inclusive of GST (if any), rounded to the nearest dollar. Write NIL if you have no expenses to declare. Include only election expenses. If there is insufficient space in any section, attach a separate sheet with the details. Every payment should be vouched for by a bill stating the particulars and by a receipt or payment voucher except as provided by section 47 of the Presidential Elections Act. All payment vouchers must be duly dated/approved and signed by the recipients. Where payment is made by cheque, the cheque number and the amount paid by cheque should be indicated under the appropriate item of expenditure.)
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Description
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$
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Total
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SECTION B: DISPUTED AND UNPAID CLAIMS
(Fill in below the total amount of claims for each category, in Singapore dollars and inclusive of GST (if any), rounded to the nearest dollar. Write NIL if you have no claims to declare. Include only claims for election expenses. If there is insufficient space in any section, attach a separate sheet with the details.)
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Name and description of Claimant
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Set out the goods, work or other matter on the ground of which the claim is based
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$
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Total
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Name and description of Claimant
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Set out the goods, work or other matter on the ground of which the claim is based
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$
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Total
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SECTION C: NON-RECORDABLE DONATIONS*
(Show below details of the donations and particulars of donors of non-recordable donations accepted in chronological order according to the date the donation is received. Write NIL if you have no donations to declare. Include only donations given, spent, lent or provided (whether before or after the candidate became a candidate) for the purposes of the candidate’s election. If there is insufficient space in any section, attach a separate sheet with the details.)
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Name of donor
(as in NRIC) and NRIC number/registered company name and RCB registration number |
Address of donor
(as in NRIC or registered address, if company) |
Date of receipt of donation and recipient’s name
(e.g. 28/08/00 by (name)) |
Value of donation1
(in Singapore dollars, to the nearest dollar) |
Description of donation
(e.g. provision of tentage, loans at discounted interest rates, cash, cheque, labour costs) |
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1
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2
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3
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4
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5
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6
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7
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8
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TOTAL
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*Donations that need not be declared in a donation report under the Political Donations Act (Cap. 236).
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1“donation” and the “value of donation” are as defined under sections 3, 4 and 5 of the Political Donations Act. For donations-in-kind, the value of the donation should be the value of the item at the date of receipt of the item.
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SECTION D: RECORDABLE DONATIONS
(Show below details of the donations and particulars of permissible donors of single and multiple recordable donations accepted in chronological order according to the date the donation is received. Write NIL if you have no donations to declare. Include only donations given, spent, lent or provided (whether before or after the candidate became a candidate) for the purposes of the candidate’s election. If there is insufficient space in any section, attach a separate sheet with the details.)
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Name
(as in NRIC) and NRIC number/registered company name and RCB registration number |
Address of donor
(as in NRIC or registered address, if company) |
Date of receipt of donation and recipient’s name
(e.g. 28/08/00 by (name)) |
Value of donation1
(in Singapore dollars, to the nearest dollar) |
Description of donation
(e.g. provision of tentage, loans at discounted interest rates, cash, cheque, labour costs) |
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1
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2
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3
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4
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5
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6
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7
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8
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9
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10
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TOTAL
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1“donation” and the “value of donation” are as defined under sections 3, 4 and 5 of the Political Donations Act (Cap. 236). For donations-in-kind, the value of the donation should be the value of the item at the date of receipt of the item.
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Name
(as in NRIC) and NRIC number/ registered company name and RCB registration number |
Address of donor
(as in NRIC or registered address, if company) |
Date of receipt of donation and recipient’s name
(e.g. 28/08/00 by (name)) |
Value of donation1
(in Singapore dollars, to the nearest dollar) |
Description of donation
(e.g. provision of tentage, loans at discounted interest rates, cash, cheque, labour costs) |
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1
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Sub-total
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2
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Sub-total
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3
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Sub-total
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4
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Sub-total
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TOTAL
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1“donation” and the “value of donation” are as defined under sections 3, 4 and 5 of the Political Donations Act (Cap. 236). For donations-in-kind, the value of the donation should be the value of the item at the date of receipt of the item.
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PARTICULARS OF CANDIDATE
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Name (in block letters)
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NRIC No.
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Address (as shown in NRIC)
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Contact Telephone/Pager/Fax No.
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I was the abovenamed candidate for election as the President of the Republic of Singapore.
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I have examined the accompanying Return respecting Election Expenses in respect of my candidature that is about to be delivered to the Returning Officer by the person who is my principal election agent and declare, to the best of my knowledge and belief that —
(a)
it is a complete and correct Return as required by law; and
(b)
except the expenses set out in the Return, no other expenses of any nature have been incurred in, or for the purpose of, my candidature at the said election.
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___________________________
Signature of Candidate. |
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___________________________
Date. |
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To:
RETURNING OFFICER
Elections Department
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From:
……………………..…….………………
(Name of Candidate)
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(Address)
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Name (in block letters)
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NRIC No.
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Address (as shown in NRIC)
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………………………..
Date. |
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Signature of Candidate. |
To:
RETURNING OFFICER
Elections Department
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From:
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(Name of Election Agent)
…………………….…….………………
(Address)
…………………….…….………………
…………………….…….………………
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Name (in block letters)
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NRIC No.
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Address (as shown in NRIC)
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………………………..
Date. |
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Signature of Election Agent. |
LEGISLATIVE HISTORY
This Legislative History is provided for the convenience of users of the Presidential Elections (Forms and Fees) Regulations. It is not part of these Regulations.
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1.
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G. N. No. S 118/1993—Presidential Elections (Forms and Fees) Regulations 1993
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Date of commencement
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16 April 1993
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2.
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1994 Revised Edition—Presidential Elections (Forms and Fees) Regulations
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Date of operation
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30 March 1994
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3.
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G. N. No. S 327/1999—Presidential Elections (Forms and Fees) (Amendment) Regulations 1999
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Date of commencement
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16 July 1999
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4.
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2000 Revised Edition—Presidential Elections (Forms and Fees) Regulations
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Date of operation
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31 January 2000
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5.
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G. N. No. S 391/2005—Presidential Elections (Forms and Fees) (Amendment) Regulations 2005
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Date of commencement
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17 June 2005
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6.
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G. N. No. S 504/2005—Presidential Elections (Forms and Fees) (Amendment No. 2) Regulations 2005
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Date of commencement
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29 July 2005
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7.
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G.N. No. S 448/2011—Presidential Elections (Forms and Fees) (Amendment) Regulations 2011
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Date of commencement
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2 August 2011
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