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Home ♦ GAZETTE 5F5BA ♦ Page 0FFCD

The Representation of the People ( Amendment of Second Schedule) Regulation, 2011

Jamaica

Birth TT Jo OD Hanth Year Hale Female Feet

Name Name Parish

RRC

Electar Registration Record Card

Electoral Office of lamaica Parta-Deciaration Egumaration Certificate

CTT

User Name of Enumerator User Name of Scrutineer 1 User Name of Sautineer Signature of Scrutineer 3 Slgnatura of Scrutineer 4 Signature of Scrutineer 5 User Name of Scrubineec 3

Kame of Senatineer 4 User Name of Scrutineer 5 PartB-Resldonce Verlficaticn

TT SiowtseolEeaor Signature of Sceutineer

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