Assertion: voter's form | /r/CapableOf | write date of birth
Facets:
value: on a form
type: OTHER
Source sentences:
text: Any other preprinted form of identification which shows the elector's name and either the elector's address, signature or photograph Elector shall, on a form prescribed by the Secretary of the State, write the elector's residential address and date of birth, print the elector's name and sign a statement under penalty of false statement that the elector is the elector whose name appears on the official checklist.