Document ID: chunk:federal_register_of_legislation:F2006C00282:body:0:p12
Version: federal_register_of_legislation:F2006C00282
Segment Type: other
Provision Reference: 
Character Range: 31637–35050

informed the Chief Electoral Officer that my place of living is the Territory of the Cocos (Keeling) Islands more than 71 days before the election; and
 (c) I have attained the age of 18 years.

 Choice 2
 (a) I am the owner of rateable property in the Cocos (Keeling) Islands; and
            (b)  I am an Australian citizen
              I am not an Australian citizen, but I am ordinarily resident in Australia; and
 (c) I have attained the age of 18 years.

 Choice 3
 (a) I am the occupier of rateable property in the Cocos (Keeling) Islands; and
            (b)  I am an Australian citizen
              I am not an Australian citizen, but I am ordinarily resident in Australia; and
 (c) I have attained the age of 18 years.

....................................................
SIGNATURE OF CLAIMANT

Declared before me,...................................................on..................... .
    (Name of electoral officer)    (Date)

........................................................................
SIGNATURE OF ELECTORAL OFFICER
Form 9 Application and declaration for an early vote
          (subsection 115 (2))

Local Government Act 1960 (W.A.) (C.K.I.)

I,..................................................................................…….........................
  (Name in full)

of...............................................................................……...........................
  (Address)

1. I apply for an early vote for the election to be held on .............…….

                  (Date)

  [INSTRUCTIONS:  Pick 1 or more of the following choices by putting a tick [] in the box next to that choice.]

2. I declare that:

    Choice 1
  I have reason to believe that I will be unable to vote on polling day because throughout the hours of the polling I will be more than 20 kilometres from any polling place.

    Choice 2
  I have reason to believe that I will be prevented by my employment commitments or by illness or infirmity from attending any polling place on polling day.

    Choice 3
  I have reason to believe that I will be prevented by my approaching maternity from attending any polling place on polling day.

    Choice 4
  my religious beliefs prevent me from casting a vote on polling day.
................................................

SIGNATURE OF ELECTOR

Declared before me,.....................................................…. on ...……........ .
    (Name of electoral officer)    (Date)
.......................................................................
SIGNATURE OF ELECTORAL OFFICER

Form 10 Application for postal voting papers
          (subsection 122 (1))

Local Government Act 1960 (W.A.) (C.K.I.)

I,....................................................................................…….......................
(Name in full)

of................................................................................……..........................
(Address)

1. I apply for a postal vote for the election to be held on ……............. .
            (Date)

  [NOTE:  Pick 1 or more of the following choices by putting a tick [] in the box next to that choice.]

2. I declare that:

 Choice 1
  I have reason to believe that I will be unable to vote on polling day because throughout the hours of the polling I will be more than 20 kilometres from any polling place.

  Choice 2
  I have reason to believe that I