oksv nsus ds fy, uke ntz djokb¸ks - elections bc and is punishable by a fine of up to $20,000, or...

vf/kd tkudkjh ds fy, bysDkal chlh ls lEidZ djsa VkWy h ua-% 1-800-661-8683 VhVhokbZ% 1-888-456-5448

Mkd dk irk%PO Box 9275 Stn Prov GovtVictoria BC V8W 9J6

Q+ksu% 250-387-5305Q+SDl% 250-387-3578VkWy h Q+SDl% 1-866-466-0665

bZ&esy% [email protected]% www.elections.bc.ca

827b (12/12) Register to vote [Hindi]

oksV nsus ds fy, uke ntZ djokbks

A non-partisan Oce of the Legislature


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D;k vkids dksbZ u gSa\ VkWy h ucj-% 1-800-661-8683@

VhVhokbZ% 1-888-456-5448 ij Q+ksu djsaA

[email protected] ij bZ&esy djsa] vFkok

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viuh ernkrk iathdj.k lwpuk dks geskk v|ru j[ksaA

oksV nsus ds fy, uke ntZ djokbks

OFFICE USE ONLY

VOTER INFORMATION (Fields marked are mandatory)LAST NAME FIRST NAME MIDDLE NAME(S) BIRTHDATE (YYYY/MM/DD)

GENDER BC DRIVERS LICENCE BCID LAST 6 DIGITS OF PHN LAST 6 DIGITS OF SIN TELEPHONE NUMBER

HOME ADDRESS Is your mail delivered to this address? YES NOAPT NUMBER BUILDING NUMBER STREET NAME CITY / TOWN POSTAL CODE

MAILING ADDRESS (If your mail is not delivered to your home address)CITY / TOWN POSTAL CODE

IF YOU ARE CHANGING YOUR VOTER RECORD (Please complete all fields above)PREVIOUS NAME (If you are changing your name on your voter record)LAST NAME FIRST NAME MIDDLE NAME(S)

PREVIOUS HOME ADDRESS (If you have moved from the address on your voter record)APT NUMBER BUILDING NUMBER STREET NAME CITY / TOWN POSTAL CODE

APPLICATION TO REGISTER OR UPDATE A PROVINCIAL VOTER REGISTRATION

Personal information collected on this form will be used to register voters or to update voter information as authorized under the Election Act and the Freedom of Information and Protection of Privacy Act. Any unauthorized use of this information is a violation of Section 275 of the Election

Act and is punishable by a fine of up to $20,000, or imprisonment for up to two years, or both.

200A (16/06)

By submitting this form, you are confirming that you meet the following requirements: You are a Canadian citizen You have been a resident of B.C. for the past six months You are 18 years of age or older or, if an election is currently in progress in your electoral district, you will be turning 18 years of age on or before General Voting Day You are not disqualified from voting

You may only apply for yourself - you may not apply for someone elseWARNING: It is an offence to make a false statement under the Election Act.

PLEASE PRINT IN BLOCK LETTERS


Please submit your registration application to Elections BC:Mailing Address: PO Box 9275 Stn Prov Govt, Victoria, BC V8W 9J6Fax: 250-387-3578 / Toll-free Fax: 1-866-466-0665Email: [email protected]: www.elections.bc.ca

If you have questions about registering to vote, please call Elections BC Voter Services at 250-356-9325 or toll-free at 1-800-661-8683.

Access to the voters list is restricted under the Election Act to protect the privacy rights of individuals. If you have questions about privacy,

email [email protected]

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ELPMAS

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chlh Mkboj ykblsal


residence rules (election Act, section 32) Aavas inym

([lEKxn \K! sEKxn 32)

242 (08/08)[Hindi]

ko] Vyi kha~ rhta hE iniXct krne ke Aavas inym

32. (1) vh S&an kha~ hE jha~ Vyi ka Aavas hE, inMn inym [s kanUn ke {eXyo= ko iniXct krte hE= ik

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(bI) [s kanUn ke {eXyo= ke Anusar Vyi \k smy me= \k S&an ka hI invasI ho skta hE

(sI) Vyi jha~ ka invasI hE vh S&an nhI= bdlta jb tk ik {ske pas nya S&an n ho jha~ ka vh invasI hE

(#I) kevl AS&ayI {eXyo= ke kar% vh S&an +o# dene pr wI vh Vyi {s S&an ka invasI hona smaPt nhI= krta |

(2) {pwag (1) (#I) ko sIimt ik\ ibna, {s {pwag ke A&R ke ANtgRt ib/i!x koliMbya se AnupiS&t hone ke AS&ayI {eXy xaiml hE

(\) jbik Vyi ib/i!x koliMbya ya kEne#a kI nOkrI kr rha hE,

(bI) Vyi ke pit-pTnI ke :p ke me=, jo ik (\) pirC+ed me= vi%Rt hE, ya

(sI) bCce ke mata-ipta ke :p me= Vyi ijska hvala pirC+ed (\) ya (bI) me= idya gya hE t&a jo {s Vyi ka [s kar% se sa& de rha hE |

(3) {pwag (1) ke Apvad ke :p me=, iksI xE

vf/kd tkudkjh ds fy,] bysDkal chlh ls laidZ djsa fukqYd% 1-800-661-8683 mRrjh vesfjdk ds HkhrjVhVhokbZ% 1-888-456-5448

Mkd dk irk%PO Box 9275 Stn Prov GovtVictoria BC V8W 9J6

fukqYd% 250-387-5305QSDl% 250-387-3578fukqYd QSDl% 1-866-466-0665

bZ&esy% [email protected]% www.elections.bc.ca

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3009 (16/11)[Hindi]


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John Doe5218 Main RoadVictoria, BC V9O 2T8

Membership Card

John Doe

0000 0000 0000 0000

IDENTIFICATION CARD British Columbia, Canada

1984-APR-20

BCID#0123456789DOE, JOHN JAMES

Issued: 2001-SEPT-17Expires: 2006-SEPT-17

5218 MAIN RDVICTORIA, BC V9O 2T8

8484

Indian and NorthernAairs Canada

Aaires indienneet du Nord Canada

CERTIFICATE OF INDIAN STATUS CERTIFICAT DE STATUT DINDIEN

DOE

JANE

123456

123456

..


, : : 1-800-661-8683 ( )TTY: 1-888-456-5448

:PO Box 9275 Stn Prov GovtVictoria BC V8W 9J6

: 250-387-5305: 250-387-3578- : 1-866-466-0665

-: [email protected]: elections.bc.ca

8013 (16/08)[Hindi]

.. :

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elections.bc.ca , ,

4 ,

8

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elections.bc.ca 1-800-661-8683

4

?1-800-661-8683 | elections.bc.ca


8 : 8

( )

MAY


350 (09/01)[Hindi]Marking the Ballot

mtp` pr icNh lgana

1. \k {MmIdvar cune=

2. {MmIdvar ke nam ke sa& sfed (ere me= X ya ka icNh lgaye=e=

mt-p` kI ifr se th lgaye=

3.

4. th ikya huAa mt-p` cunav AiDkarI ko vaps kre= |

COUNTERFOIL

98765

CANDIDATE A

CANDIDATE B

CANDIDATE C

CANDIDATE D

Registered Political Party

Independent

Registered Political PartyS AM

P LEVoter Number:


AiDk jankarI ke ilye

!ol-I 1-800-661-8683 !I !I va] 1-888-456-5448

ya [lEKxn bI sI se sMpkR kre=

#ak wejne ka pta PO Box 9275 Stn Prov Govt

Victoria BC V8W 9J6

fon 250-387-5305 fEKs 250-387-3578

!ol-I fEKs 1-866-466-0665

]mel [email protected] vEbsa[! www.elections.bc.ca

ilqkr idya jane vala cunav mtp`

gopnIyta ka ilfafa

{MmIdvaro= kI sUcI

FROM

URGENTElection material enclosed

CReturn Envelope357(16/11)

vapsI ka ilfafa

yid yh pEkej Aapko {MmIdvaro= ka nama=kn smy smaPt hone se phle weja gya hE to [sme= {MmIdvaro= kI sUcI xaiml nhI= hogI |

yid [s pEkej me= se ko] wI samg/I AnupiS&t hE, to jha~ se yh pEkej weja gya hE {s ijla cunav kayaRly se sMpkR kre= |

826 (17/01)[Hindi]

p/dan kI g]= ANy ivzy vStuye=

#ak ara mtdan - Aiw>an pcaR (367A)

mtdata ke p=jIkr% ke ilye p/ma% (366V)

ALTERNATIVEABSENTEE VOTING

SECTION 106

352 (17/01)

ENVELOPE SIGNATURE OF VOTER

B DATE (YYYY / MM / DD)SIGNATURE OF WITNESS

PUT CE LABEL HERE

CERTIFICATION ENVELOPE

Declaration

I, the named voter, declare that: my name and residential address are correct as shown I am a Canadian citizen I have been a resident of B.C. for the six months before General Voting Day I am or will be 18 years of age or older on General Voting Day I am registered to vote or am registering for the electoral district I am not from voting I am eligible for alternative absentee voting under section 102 of the Election Act I have not previously voted in this election and will not vote again in this election

IT IS AN OFFENCE TO MAKE A FALSE STATEMENT UNDER THE ELECTION ACT

This information is collected under the authority of the Election Act and the Freedom of Information and Protection of Privacy Act. The information will be used to administer provisions under the Election Act. Questions can be directed to: at 1-800-661-8683, [email protected] or PO Box 9275 Stn Prov Govt Victoria, BC V8W 9J6.

1111111111111111111111111111111111111111111111111111111111111111111111111111

Cooper, Robert

1871 Main St Noman

1111111111111111111111111111111111111111111111111111111111111111111111111111

B O O K

1111111111111111111111111111111111111111111111111111111111111111111111111111

2017/05/09Cooper, Robert1871 Main St Noman

1111111111111111111111111111111111111111111111111111111111111111111111111111

C E

p/ma%Ikr% ka ilfafa

AnupiS&t mtdata ka vEkiLpk mtdan indeRx

#ak ara mtdan#ak ara mtdanpEkej kI ivzy-vStu

ABSENTEE VOTINGSECTIONS 99, 100, 101

356 (16/10)

PUT CE LABEL HERE


VOTER SIGNATURE



DeclarationI, the named voter, declare that: my name and residential address are correct as shown I am a Canadian citizen I have been a resident of B.C. for the six months before General Voting Day I am or will be 18 years of age or older on General Voting Day I am registered to vote or am registering for the electoral district I have not previously voted in this election and will not vote again in this election

1111111111111111111111111111111111111111111111111111111111111111111111111111

Cooper, Robert

1871 Main St Noman

1111111111111111111111111111111111111111111111111111111111111111111111111111

B O O K

1111111111111111111111111111111111111111111111111111111111111111111111111111


1111111111111111111111111111111111111111111111111111111111111111111111111111

C E

1. yid Aapko p=jIkr% krvane ya mtdata ke nvIntm bnane kI AavXykta hE

, (B) ,

3. ilqe jane vale cunav mtp` pr icNh lgaye=

19 , 2017

4. Apne mtp` ko b=d kre=

Apne mtp` kI th lgaye= | {Nhe= gopnIyta ilfafe (A) me= rqe= v [s ilfafe ko b=d kre= | yid Aapne icNh lgana nhI= wI caha, to wI mtp` ko ilfafe me= #ale= |

ALTERNATIVEABSENTEE VOTING

SECTION 106

352 (17/01)

ENVELOPE SIGNATURE OF VOTER

B DATE (YYYY / MM / DD)SIGNATURE OF WITNESS

PUT CE LABEL HERE


Declaration

I, the named voter, declare that: my name and residential address are correct as shown I am a Canadian citizen I have been a resident of B.C. for the six months before General Voting Day I am or will be 18 years of age or older on General Voting Day I am registered to vote or am registering for the electoral district I am not from voting I am eligible for alternative absentee voting under section 102 of the Election Act I have not previously voted in this election and will not vote again in this election



1111111111111111111111111111111111111111111111111111111111111111111111111111

Cooper, Robert

1871 Main St Noman

1111111111111111111111111111111111111111111111111111111111111111111111111111

B O O K

1111111111111111111111111111111111111111111111111111111111111111111111111111


1111111111111111111111111111111111111111111111111111111111111111111111111111

C E

6. p/ma%Ikr% ilfafe pr hSta


AiDk jankarI ke il\, [lEKx=j bIsI se sMpkR kre=

!ol-I 1-800-661-8683 ({rI Ameirka ke wItr) !I !I va] 1-888-456-5448

#ak wejne ka pta PO Box 9275 Stn Prov Govt

Victoria BC V8W 9J6

fon 250-387-5305 fEKs 250-387-3578 !ol-I 1-866-466-0665

]mel [email protected] vEbsa[! www.elections.bc.ca

367a (16/10)[Hindi}

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oksv nsus ds fy, uke ntz djokb¸ks - elections bc and is punishable by a fine of up to $20,000, or...

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