<div data-bbox="165 101 284 116" data-label="Page-Header">
<p>제16101호(그2)</p>
</div>
<div data-bbox="433 100 456 115" data-label="Page-Header">
<p>관</p>
</div>
<div data-bbox="542 100 565 114" data-label="Page-Header">
<p>보</p>
</div>
<div data-bbox="667 101 833 116" data-label="Page-Header">
<p>2005.10.10. (월요일)</p>
</div>
<div data-bbox="120 118 875 876" data-label="Form">
<table border="1">
<tr>
<td colspan="7">1. 신고의무자</td>
</tr>
<tr>
<td>소속</td>
<td>김천시선거관리위원회</td>
<td>직위</td>
<td>국장</td>
<td>성명</td>
<td>김철한</td>
<td></td>
</tr>
<tr>
<td colspan="7">2. 신고대상자</td>
</tr>
<tr>
<td>본인과의 관계</td>
<td>성명</td>
<td>생년월일</td>
<td>별</td>
<td>역</td>
<td>사</td>
<td>항</td>
</tr>
<tr>
<td>본인</td>
<td>김영한</td>
<td>52.07.19</td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>①</td>
<td>①</td>
<td>①</td>
<td>①</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>본인</td>
<td>법</td>
<td>역</td>
<td>사</td>
</tr>
<tr>
<td></td>
<td></td>
<td></td>
<td>�