[F1SECTION 4AE APPLICATION FOR A POSTAL VOTE
Textual Amendments
F1Section 4A inserted by S.I. 1989/2094, para. 17(6)
Parish of
I (Full Christian name and surname)
of (Full postal address)
declare that my name is entered on the church electoral roll of the above parish and I hereby make application for a postal vote in any elections to which postal voting applies to be held at the forthcoming annual parochial church meeting for the parish. The voting paper should be sent or delivered to me at the above address OR *at the following address
Dated ............................19
Signed
*delete as appropriate]