Example: stock market

RFA 2 REGISTER OF ELECTORS Application for inclusion in ...

Non-Directed form amended September 2017 REGISTER OF ELECTORSA pplication for inclusion intheSupplementtothe2018/2019 REGISTER ofElectorsPlease read the notes carefully before completing the :(block letters)[Please include other details such as Snr., Jnr., othername or an initial if there is anotherperson with the same first name and surname living at the same address.] :(block letters) of did you take up ordinaryresidence at the above address? were you ordinarily residentimmediately prior to your currentaddress?(block letters) you were ordinarily resident at anyother address(es) since1 September2016(besides those given at2 and5),please give tick ( )one box onlyto indicate whether you are: a Citizen of Ireland a British citizen a national of another EUMemberState (other than UK) a national of anon-EU country 8.

Non-Directed form amended September 2017 REGISTER OF ELECTORS Application for inclusion in the Supplement to the 2018/2019 Register of Electors Please read the notes carefully before completing the form.

Tags:

  Form, Applications, Inclusion, Registers, Electro, Register of electors application for inclusion, Register of electors

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Other abuse

Transcription of RFA 2 REGISTER OF ELECTORS Application for inclusion in ...

1 Non-Directed form amended September 2017 REGISTER OF ELECTORSA pplication for inclusion intheSupplementtothe2018/2019 REGISTER ofElectorsPlease read the notes carefully before completing the :(block letters)[Please include other details such as Snr., Jnr., othername or an initial if there is anotherperson with the same first name and surname living at the same address.] :(block letters) of did you take up ordinaryresidence at the above address? were you ordinarily residentimmediately prior to your currentaddress?(block letters) you were ordinarily resident at anyother address(es) since1 September2016(besides those given at2 and5),please give tick ( )one box onlyto indicate whether you are: a Citizen of Ireland a British citizen a national of another EUMemberState (other than UK) a national of anon-EU country 8.

2 (a)Please tick ( )one box onlyto indicate whether you: were formerly registered as an elector arecurrently registered as an elector were never registered as an elector RFA28.(b)If you are/were registered as an elector,please state address of registration:(blockletters) REGISTER :If you wish to beexcludedfrom the edited REGISTER , pleasetick ( )the opt-out box:Opt out If you wish to beincludedinthe edited REGISTER , pleasetick ( ) theopt-inbox:(if neither box is ticked it will be assumed to be an opt-out option)Optin section must be signed in the presence of a member of the Garda S och na fromtheapplicant slocal Garda Station (section 11(a)) or, if that is not possible, in the presence of aRegistration Authority Official (section 11(b)), or if neither option is possible section 11(c)should be believe the information I have supplied to be true and I apply to be included in theSupplement to the REGISTER of of Applicant:Date.

3 Daytime/Mobile PhoneNumber:E-Mail:11.(a)Certificate of IdentityThissectionshould becompleted by a member of the Garda S och na fromthe applicant slocal Garda certify that I have satisfied myself as to the identity of the applicant who has signedsection 10 in my presenceorI certify that I have satisfied myself that the applicant whohas signed section 10 in my presence is known to the immigration authorities in Ireland as:First nameof Applicant:(block letters)Surnameof Applicant:(block letters)Signature of Garda:Station StampNameof Garda:(block letters)Rank:Garda Number:Telephone:Date:11.(b)Thissections hould becompletedonlyif you are unable to comply with 11(a) why form could notbe completed by a member of the Garda Sioch na from yourlocal Garda Station:-Signature of RegistrationAuthority official:Registration AuthorityStampNameof RegistrationAuthority Official:(block letters)Grade:Date:11.

4 (c)Thissectionshould becompleted by a medical practitioneronlyif you are unable tocomply with 11(a) or 11(b) above due to physical illness or physical CertificateNature and extent of physical illness or physical disability:Expected duration ofillness or disability:Signature of RegisteredMedical Practitioner:Nameof RegisteredMedical Practitioner:(block letters)Address:(block letters)Eircode:Date:NOTESTO FORMRFA2 Application for inclusion intheSupplement totheRegister of purpose of this form is to facilitate eligible voters who are not included inthe current REGISTER of ELECTORS and who wish to be included in the supplementto theregister of ELECTORS so that they can vote at elections and referendumstaking place before the coming into force of the next REGISTER of there are no restrictions on when the form may be completed and sentto the registration authority,only those forms received before the 14thdaybefore polling day (excluding Sundays, Public Holidays and Good Friday)

5 Atan election or referendum, may be considered for entry onto the supplementfor that applications will not be processed untilafter polling be included in the supplement, you must be:(a)18 years of age (see note 3);(b)ordinarily resident at the address at which you wish to be registered;and(c)not already registered as an elector-except in the case of a change ofaddress(see 11below) ora change in voter statushaving acquiredIrishcitizenship (see 12 below). relation to 2(a) above, a person will be eligible for entry in the supplement tothe REGISTER on or after the day on which the person reacheseighteen years ofage including such day that falls within the period beginning on the last day forthe receipt of applications and ending on polling day. It would be of assistancein considering an Application from a person reaching 18 years if the form isaccompanied by a copy of a birth certificate or similar separate form must be completed and signed by each person applying forinclusion in the supplement.

6 The form must be sent or delivered by theapplicant directly to the registration authority. To avoid delay in processingyour Application , make sure to complete the form fully and return it by post ordeliver it to the City, CountyorCity andCounty Council for the area in whichyou the national postcode systemfor Ireland and comprises a unique 7-digit postcode which has been allocated to every address in REGISTER -Two versions of the RegisterRegistration authorities are required to publish two versions of the REGISTER -the full REGISTER and the edited Registerlists everyone whois entitled to vote and can only be used for an electoral or other Registercontains the names and addresses of persons whosedetails can be used for a purpose other than an electoral or other statutorypurpose for direct marketing use by a commercial or other youdo notwant your details to be included on the edited REGISTER , youshould tick( )

7 Theopt-out want yourdetails to be included on theedited REGISTER , you should tick( )theopt-in these boxesare leftblank it will be assumed to be anopt-outoption. not appear onthe of Identity(a)The declaration at section 10of the Application form must be signed inthe presence of a member of the GardaS och nafromyour local the Gardais satisfied as to your identity,he or shewill sign,date and stamp section 11(a) of the form . If necessary, photographicidentification( passport, driving licence etc.)may be required andyou shouldbe able to presentsuch identification and other supportingidentification to assist the Garda.(b)If you are unable toproceed as at 7(a) above, the form maybewitnessed at the offices of the registration authority and in such casessection 11(b) of the form must be completed.

8 You must state, in writing,whythe form could not be completed by a member of the GardaS och na fromyour local Garda should bring photographicidentification and other supporting identification documentationto theregistration authority.(c)Ifyou are unable to proceed as at (a) or (b) abovedue to physicalillness or physical disability you must have section 11(c) of the formcompleted by a medical will be notified as quickly as possible of the ruling on your your Application isrefused, you will have the right to appeal against theruling to the county supplement willbe published in the periodimmediately before the polling day at an election or contact details are being sought in case the registration authority needsto contact you to clarify any details of the is an offence to fail to give the registration authority or county registrar anyinformation required for the purpose of their duties or to knowingly give not use this formif you are on the REGISTER of ELECTORS and have movedresidence from one D ilconstituencyor localelectoral areato another.

9 If youwish toapply for entry to the supplementfor the constituency/localelectoralarea for where you are nowresidentaseparate form is available from yourregistration authority for this purpose (FormRFA3 Change of Address). not use this formif you are already on the REGISTER of ELECTORS as a Local,European or D il elector and you have acquired Irish citizenshipand wish tobe registered to voteinall elections and referendums. If you wish toapply forentry tothe supplement to the registeron this basisa separate form isavailable from your registration authority for this purpose (FormRFA5).


Related search queries