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Voter ID Correction Declaration

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VOTER ID CORRECTION DECLARATION

I, __________, __________, resident of __________, holding __________, ordinarily resident within __________ (the "Deponent" or "I"), do hereby solemnly declare as follows:

1. THE CORRECTION

2. SUPPORTING DOCUMENT

3. HOW THIS DECLARATION IS BEING FILED

4. DECLARATION

4.1 Every statement made above is true to my own knowledge and belief. I have not sought this correction to assume a false identity or to defeat any law, and I have concealed no material fact.

4.2 I am aware that the Electoral Registration Officer may verify this declaration and the supporting document, may make an enquiry at my address, and may ask for a further document, and that furnishing false particulars for the electoral roll is an offence.

VERIFICATION

DEPONENT

Signature: ______________________________
__________

ATTESTATION (where the office requires it)

Notary Public / Oath Commissioner
Registration No. and seal: ____________________

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