Singapore Statutes Online - 218 - Parliamentary Elections Act

FORM 1

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

WRIT OF ELECTION

By
President of the Republic of Singapore

To: RETURNING OFFICER

WHEREAS section 24(1) of the Parliamentary Elections Act provides that for the purposes of every general election of Members of Parliament, and for the purposes of the election of Members to supply vacancies caused by death, resignation or otherwise, the President shall issue writs under the public seal, addressed to the Returning Officer:

*AND WHEREAS I think it is expedient that a writ should now be issued for the election of Members to serve in Parliament:

†AND WHEREAS the seat of the Elected Member/**seats of the Elected Members for the Electoral Division of has/**have become vacant.

NOW, therefore, I, , the President, do hereby require that, after notice of the time and place or places fixed for the nomination of candidates has been given in accordance with the Parliamentary Elections Act, you do on (date) at the respective places specified in the Schedule to this Writ, cause election or elections to be made according to the Act for the election of the Member for the Electoral Division/**the Members for the Electoral Division/*the Members for the Electoral Divisions specified opposite that place in the Schedule to this Writ, and that, if necessary, you do cause a poll or polls to be taken on the date required to be notified under section 34(6)(d)/**section 34A(6)(d) of the Parliamentary Elections Act.

The place/*places of nomination of candidates for the Electoral Division/*respective Electoral Divisions is/*are given in the Schedule to this Writ.

	Given under my hand and the seal of the Republic of Singapore this day of .
	President.

*to be retained in a writ for a general election.

†to be retained in a writ for a by-election.

**to be retained in a writ for an election in a Group Representation Constituency.

THE SCHEDULE

Place of nomination (Nomination centre)	Electoral Division
(Set out address or addresses of nomination centre or centres)	(Set out Electoral Division or Divisions)

FORM 2

Section 9(1)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

Electoral Division of .....................................

BOUNDARIES OF POLLING DISTRICTS

TAKE NOTICE that the Polling Districts and distinguishing letters thereof are as follows:

Name and Distinguishing Letters of Electoral Division	POLLING DISTRICT
Name and Distinguishing Letters of Electoral Division	Distinguishing Letters and Numbers	Boundaries

	………………………………………. Registration Officer.

	Date ………………………………

FORM 3

Section 11(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

FORM OF CLAIM BY PERSON WHOSE NAME HAS BEEN
OMITTED OR EXPUNGED FROM THE REGISTER

To:

THE REGISTRATION OFFICER
Elections Department

Electoral Division of

……………………………

I

PARTICULARS OF CLAIMANT AS SHOWN IN IDENTITY CARD

Telephone (Home)

For Official Use Registration No.

NRIC No.

Sex

Date of Birth

Telephone (Office)

Name (in block letters and underline surname)

Address

Postal Code

Date of Report on Change of Address

I, the abovenamed person, hereby certify that to the best of my knowledge and belief the above information given by me is true and I hereby apply to have my name inserted/retained in the Register of Electors on the following grounds:

…………………

…………………………………………..

Date

(Signature or thumb mark of Claimant)

II

ACTION BY INSPECTION CENTRE CLERK:

The ground of claim is (please tick below)

Name omitted from Register of Electors

Change of address

Change of name

Other ground

…………………

……………………………

………………………

Date

Name (in block letters)

Signature

III

ACTION BY ELECTIONS DEPARTMENT

ARO’S COMMENTS

TYPE OF DECISIONS

ARO’S DECISION

INITIAL

DATE

Change of Address

Change of Particulars

Name

Sex

Restored Voter

New Voter

No Action

Disallowed

REMARKS

FORM 4

Section 11(5)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

FORM OF OBJECTION

To:

THE REGISTRATION OFFICER
Elections Department

Electoral Division of

…………………………………………………..……

………………………………………………..………

PARTICULARS OF PERSON MAKING OBJECTION

Name (in block letters)

NRIC No

Address (as shown in NRIC)

Polling District

Serial No.

I, the abovenamed person, hereby declare that my name appears in the Register of Electors and that I wish to object to the name of the person mentioned and described below being included in the Register of Electors for the abovementioned Electoral Division. The grounds of my objection are specified below.

PARTICULARS AS APPEAR IN THE REGISTER OF ELECTORS OF PERSON OBJECTED TO

Grounds of Objection

Polling District

Name

Address

Serial No.

Dated this ............... day of ................................. .........


	…….………………………………………… Signature or thumb mark of Objector.

Signed or marked by the abovenamed objector in my presence,


………………..……..	…………………………..	……………………..
Signature of Witness.	Name of Witness.	Address of Witness.

FORM 5

Section 11(6)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

FORM OF OBJECTION AGAINST CLAIMANT

To: THE REGISTRATION OFFICER Elections Department		Electoral Division of ………………………………………………………… …………………………………………………………
PARTICULARS OF PERSON MAKING OBJECTION
Name (in block letters)			NRIC No

Address (as shown in NRIC)				Polling District

				Serial No.

I, the abovenamed person, hereby declare that my name appears in the Register of Electors and that I wish to object to the name of the claimant mentioned and described below being entered/retained in the Register of Electors for the abovementioned Electoral Division. The grounds of my objection are specified below.
PARTICULARS AS APPEAR IN THE CLAIMANTS LIST OF PERSON OBJECTED TO				Grounds of Objection
Name of Claimant Objected to	Address

Dated this .............. day of .................................. .........


	…….………………………………………… Signature or thumb mark of Objector.

Signed or marked by the abovenamed objector in my presence,


………………..……..	…………………………..	……………………..
Signature of Witness.	Name of Witness.	Address of Witness.

FORM 6

Section 11(8A)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

NOTICE TO PERSONS OBJECTED TO

TAKE NOTICE that I have received objections to the inclusion of your name and address in the proposed list of electors for Polling District No. …………….. of the Electoral Division of ………………….. and that a public inquiry will take place on the ............... day of ................................ ………. between the hours of ............... and ...............

AND FURTHER TAKE NOTICE that unless you appear before me and show cause why your name (should not be deleted from) (should be included in) the list of electors, your name (may be deleted therefrom) (may not be included therein).

The grounds of objections are ………………………………………………



	………………………………… Registration Officer.

Date ………………………

(Reverse side of Form)

(FORM 6)

(Frank)

TO BE SENT TO ALL PERSONS OBJECTED TO

……………………………………………………...

(Name and address)

FORM 7

Sections 13(1) and 20A(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

CERTIFICATE OF REGISTRATION OFFICER

I, …………………………………………….., Registration Officer, certify that this is the Register of Electors for the Electoral Division of …………………… ……………………………………………………..

Dated this ................. day of ........................................... …………


	…………………………….. Registration Officer.

FORM 8

Section 25

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

NOTICE OF ELECTION FOR
*THE ELECTORAL DIVISION OF __________________
*ALL ELECTORAL DIVISIONS

TAKE NOTICE that the President having issued his Writ *for the election of *a Member/*Members of Parliament for the Electoral Division of ________________/ *for the general election of Members of Parliament for all Electoral Divisions, the Returning Officer will be holding the election as follows.

Nomination papers of persons seeking election must be delivered to the Returning Officer on (specify date), between 11 a.m. and 12 noon (both times inclusive) at the place of nomination specified in the Schedule to the Writ against the Electoral Division concerned.

Every nomination paper must be signed by at least 6 electors qualified to vote in the Electoral Division in which the nominee or group of nominees, as the case may be, is seeking election.

A nomination paper will not be valid or acted upon by the Returning Officer unless it is accompanied by the following:

(a)

the written consent of the nominee or nominees, as the case may be;

(b)

for each nominee, an election deposit of $_________ in cash or in the form of a bank draft or a certified cheque for the amount;

(c)

a statutory declaration by each nominee to the effect that he is qualified to be elected;

(d)

a political donation certificate issued to the nominee from the Registrar of Political Donations under section 18(4) of the Political Donations Act (Cap. 236); and

(e)

if the Electoral Division is a Group Representation Constituency, the certificate required to be delivered by a nominee in the group under section 27B(3)(c) of the Parliamentary Elections Act.

Forms of nomination papers may be obtained after the date of this Notice from the office of the Returning Officer between _________ and _________ daily (except Sunday and public holidays), and between _________ and _________ on Saturdays. The office of the Returning Officer is situated at __________________.

If the election in an Electoral Division is not contested, the Returning Officer will immediately declare the sole nominated candidate or group of candidates for the Electoral Division to be elected as the Member or Members of Parliament, as the case may be, for that Electoral Division.

If, however, the election in an Electoral Division is contested, a poll will be held.

Dated this day of .


	Returning Officer, Singapore.

*Delete whichever is inapplicable.

FORM 9

Section 27(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

NOMINATION PAPER

SECTION A: TO BE COMPLETED BY PERSONS NOMINATING

DETAILS OF NOMINEE

NAME (in block letters)

NRIC NO.

SEX (Please circle)

OCCUPATION

M

F

DETAILS OF PERSONS NOMINATING

We, the persons specified below, being registered in the register of electors for the Electoral Division of ……………….., hereby nominate the above person as candidate for election as a Member of Parliament for the said Electoral Division:

NAME

NRIC NO.

SIGNATURE

PROPOSER

SECONDER

ASSENTOR 1

ASSENTOR 2

ASSENTOR 3

ASSENTOR 4

ASSENTOR 5

ASSENTOR 6

ASSENTOR 7

ASSENTOR 8

SECTION B: DECLARATION TO BE COMPLETED BY NOMINEE

I, the person nominated in Section A, do solemnly and sincerely declare that —

(a)

I am duly qualified to be elected as a Member of Parliament for the Electoral Division of ………………;

(b)

I consent to this nomination as candidate for election as a Member of Parliament for the said Electoral Division; and

*(c)

I am a member of and am standing for (state name of political party) ………………………………………

*(c)

I am an independent candidate.

*Delete whichever is inapplicable

And I make this solemn declaration by virtue of the Oaths and Declarations Act (Cap. 211), and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular.

.................................................................................
Signature of Nominee

Dated this ............ day of ............................................................ 20......

Before Me

……………………………………………………...

…………………………………………………………

Name of Commissioner for Oaths/Justice of the Peace (in block letters)

Signature of Commissioner for Oaths/Justice of the Peace

I, the nominee, can be contacted at

Address:

Telephone number:

FORM 9A

Section 27B(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

NOMINATION PAPER

SECTION A: TO BE COMPLETED BY PERSONS NOMINATING

DETAILS OF NOMINEES

NAME (in block letters)

NRIC NO.

SEX (Please circle)

OCCUPATION

1

M

F

2

M

F

3

M

F

4

M

F

5

M

F

6

M

F

DETAILS OF PERSONS NOMINATING

We, the persons specified below, being registered in the register of electors for the Electoral Division of ……………….., hereby nominate the above group of persons as candidates for election as Members of Parliament for the said Electoral Division:

NAME

NRIC NO.

SIGNATURE

PROPOSER

SECONDER

ASSENTOR 1

ASSENTOR 2

ASSENTOR 3

ASSENTOR 4

ASSENTOR 5

ASSENTOR 6

ASSENTOR 7

ASSENTOR 8


SECTION B: DECLARATION TO BE COMPLETED BY NOMINEES
We, the persons nominated in Section A, do each solemnly and sincerely declare that — (a) We are each duly qualified to be elected as a Member of Parliament for the Electoral Division of ………....; (b) We each consent to this nomination as candidate for election as a Member of Parliament for the said Electoral Division; and (c) We are each a member of and are standing for (state name of political party) ………………………………. (c) We are standing as a group of independent candidates. *Delete whichever is inapplicable And We each make this solemn declaration by virtue of the Oaths and Declarations Act (Cap. 211), and subject to the penalties provided by that Act for the making of false statements in statutory declarations, conscientiously believing the statements contained in this declaration to be true in every particular.
................................................................................. Signature of Nominee 1

................................................................................. Signature of Nominee 2

................................................................................. Signature of Nominee 3

................................................................................. Signature of Nominee 4

................................................................................. Signature of Nominee 5

................................................................................. Signature of Nominee 6

Dated this ............ day of ............................................................ 20......

Before Me

…………………………………………………………		……………………………………………………….…
Name of Commissioner for Oaths/Justice of the Peace (in block letters)		Signature of Commissioner for Oaths/Justice of the Peace
We, the nominees, can be contacted at	Address:
	Telephone Number:

FORM 10

[Deleted by Act 18 of 2005]

FORM 11

Sections 34(6) and 34A(6)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

NOTICE OF CONTESTED ELECTION
FOR THE ELECTORAL DIVISION OF __________________

NOTICE is hereby given to the electors of the above Electoral Division that a Poll will be held for the Electoral Division as follows:

POLL IN SINGAPORE

The Poll in Singapore will be held on (specify date). The Poll will open at 8 a.m. and close at 8 p.m. at the Polling Stations in the Electoral Division below:

Polling Stations	Polling Districts

OVERSEAS POLL

The Poll at the following overseas polling stations will be held on the date and at the times specified below opposite the overseas polling station:

Overseas Polling Station	Date	Time

The candidates for election in the above Electoral Division and their symbols, and their respective proposers and seconders are as follows:

Candidate	Symbol	Proposer	Seconder

Dated this day of .


	Returning Officer, Singapore.

FORM 13

Section 44(1)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

DECLARATION

PARTICULARS OF DECLARANT
Name (in block letters)	NRIC No.

Address (as shown in NRIC)	Distinguishing Letters and Serial Number of Elector shown in the Register of Electors
	Letters	Serial No.

I, the abovenamed person, hereby declare that I am the same person whose name appears as ………………………………………………………………… in the Register of Electors now in force for the Electoral Division of …………. ………………………………………………………………………………….…


……………………………………..… Signature or thumb mark of Voter.

Declared before me, this ................ day of ............................... ……….


…………………………………………. Signature of Presiding Officer.	………………………………………… Name and No. of Polling Place.

FORM 14

Section 44(1)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

DECLARATION BY VOTER

PARTICULARS OF DECLARANT
Name (in block letters)	NRIC No.

Address (as shown in NRIC)	Distinguishing Letters and Serial Number of Elector shown in the Register of Electors
	Letters	Serial No.

I, the abovenamed person, hereby declare that I have not already voted either here or elsewhere at this election.


……………………………………..… Signature or thumb mark of Voter.

Declared before me, this ................ day of ............................... ……….


…………………………………………… Signature of Presiding Officer.	………………………………………… Name and No. of Polling Place.

FORM 15

Section 44(1)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

DECLARATION BY VOTER
(When the election is a General Election)

PARTICULARS OF DECLARANT
Name (in block letters)	NRIC No.

Address (as shown in NRIC)	Distinguishing Letters and Serial Number of Elector shown in the Register of Electors
	Letters	Serial No.

I, the abovenamed person, hereby declare that I am the same person whose name appears as ………………………………………………………………… in the Register of Electors now in force for the Electoral Division of ………….………………………………………………………………………… and that I have not already voted either here or elsewhere at this election.


……………………………………..… Signature or thumb mark of Voter.

Declared before me, this ................ day of ............................... ……….


…………………………………………… Signature of Presiding Officer.	………………………………………… Name and No. of Polling Place.

FORM 16

Section 46(1)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

OATH OF IDENTITY

PARTICULARS OF DECLARANT
Name (in block letters)	NRIC No.

Address (as shown in NRIC)	Distinguishing Letters and Serial Number of Elector shown in the Register of Electors
	Letters	Serial No.

I, the abovenamed person, swear that I am the same person whose name appears as ………………………………………………………………….…… in the Register of Electors now in force for the Electoral Division of …………. ………………………………………………………………………………….…


……………………………………..… Signature or thumb mark of Voter.

Sworn before me, this ................ day of ............................... ……….


…………………………………………… Signature of Presiding Officer.	………………………………………… Name and No. of Polling Place.

FORM 17

Section 51

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

STATEMENT OF THE POLL AFTER COUNTING THE BALLOTS

ELECTORAL DIVISION OF
‡Number of Ballot Papers Issued
Number of Ballot Papers cast for
Name of Candidate	Party	‡Number of Ballot Papers

‡Total Number of Ballot Papers cast for the above Candidates
Number of *Rejected Ballot Papers
Total Number of Ballot Papers found in the ballot boxes
Number of Unused Ballot Papers undetached from the books
Number of †Spoilt Ballot Papers
			‡TOTAL

*A Rejected Ballot Paper means a ballot paper which has been handed by the presiding officer to an elector to cast his vote but which, at the close of the poll, has been found in the ballot box unmarked or so improperly marked it cannot be counted.

†A Spoilt Ballot Paper means a ballot paper which, on polling day, has not been deposited in the ballot box, but has been found by the presiding officer to be spoilt or improperly printed or which has been handed by the presiding officer to an elector to cast his vote, and (a) has been spoilt in marking by the elector, and (b) has been handed back to the presiding officer and exchanged for another.

‡The numbers in this statement account for the votes cast in all local and overseas polling stations for the electoral division.

Total Number of Electors in the Register of Electors used at the Poll

I hereby certify that the above statement is correct.

Dated this day of .


	Returning Officer, Singapore.

FORM 18

Section 56(1)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

FORM OF OATH OF SECRECY

RETURNING OFFICER Elections Department	Electoral Division of …………………………………… ……………………………………
PARTICULARS OF PERSON TAKING THE OATH
Name (in block letters)		NRIC No.

Address (as shown in NRIC)

I, the abovenamed person, swear that I will not at this election in the abovementioned Electoral Division do anything forbidden by section 56 of the Parliamentary Elections Act which has been read to me.


……………………………………..… Signature of Person taking the Oath..

Sworn before me, this ................ day of ............................... ……….


……………………………………………. Signature of Justice of the Peace/ Commissioner for Oaths.	…………………………………………… Name (in block letters).

Note: Section 56 of the Parliamentary Elections Act (printed overleaf) must be read to the person taking the Oath. No stamp fee is required.

56.—(1) Every officer, clerk, interpreter, candidate and agent authorised to attend at a polling station, or at the counting of the votes, shall, before so attending, make an oath of secrecy, substantially in Form 18 in the First Schedule.

(2) The Returning Officer shall have power to administer any oaths required to be taken under subsection (1).

(3) Subject to subsection (3A), every officer, clerk, interpreter, candidate and agent in attendance at a polling station shall maintain, and aid in maintaining, the secrecy of the voting in the station, and shall not communicate, except for some purpose authorised by law, before the poll is closed, to any person any information as to the name or number on the register of electors of any elector who has or has not applied for a ballot paper or voted at that station, or as to the official mark.

(3A) The total number of voters who have voted at any station at any time before the poll is closed may, in the discretion of the presiding officer, be divulged to the candidate or his agent authorised to attend at the polling station.

(4) No such officer, clerk, interpreter, candidate or agent, and no person shall —

(a)

attempt to obtain in the polling station information as to the candidate or group of candidates, for whom any voter in the station is about to vote or has voted; or

(b)

communicate at any time to any person any information obtained in a polling station as to the candidate or group of candidates, for whom any voter in the station is about to vote or has voted, or as to the number on the back of the ballot paper given to any voter at the station.

(5) Every officer, clerk, interpreter, candidate and agent in attendance at the counting of the votes shall maintain, and aid in maintaining, the secrecy of the voting, and shall not —

(a)

attempt to ascertain at the counting the number on the back of any ballot paper; or

(b)

communicate any information obtained at the counting as to the candidate or group of candidates, for whom any vote is given by any particular ballot paper.

(6) No person, except a presiding officer acting for a purpose authorised by this Act or a person authorised by the presiding officer and acting for that purpose, shall communicate or attempt to communicate with any voter after the voter has received a ballot paper and before he has placed it in a ballot box, or after the voter has been authorised to use an approved DRE voting machine to mark or record his vote and before he marks or records his vote at the machine, as the case may be.

(7) Every person who acts in contravention of this section shall be guilty of an offence and shall be liable on conviction to a fine not exceeding $1,500 or to imprisonment for a term not exceeding 9 months or to both.

FORM 19

Section 74(1) and (2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

RETURN OF ELECTION EXPENSES

ELECTORAL DIVISION

NAME (in block letters)	NRIC NO.	ADDRESS (as shown in NRIC)
CANDIDATE
ELECTION AGENT

*I, the above duly appointed election agent of the above candidate for election in the above Electoral Division, make this Return respecting Election Expenses of the said candidate at that election.

*I, the above candidate for election in the above Electoral Division and acting as my own election agent, make this Return respecting Election Expenses at that election.

This Return respecting Election Expenses shows —

(a)

all expenses and payments incurred and paid by the election agent on account or in respect of the management of that election;

(b)

the amount of personal expenses, if any, paid by the candidate;

(c)

the disputed claims so far as the election agent is aware of;

(d)

all unpaid claims, if any, of which the election agent is aware in respect of which application has been made or is about to be made to an Election Judge or a Judge of the High Court; and

(e)

all donations accepted by the election agent or candidate for the purpose of expenses incurred or to be incurred on account or in respect of the management of that election.

I declare to the best of my knowledge and belief that this is a complete and correct Return as required by law, and that except for the expenses set out in this Return, no other expenses of any nature have been incurred in, or for the purpose of, the above candidate’s candidature at the said election.


Date: ________________		Signature of Election Agent: ____________

*Delete whichever is inapplicable.

SECTION A: EXPENSES AND PAYMENTS

(Fill in below the total amount of expenditure and payments for each category, in Singapore dollars and inclusive of GST (if any), rounded to the nearest dollar. Write NIL if you have no expenses to declare. Include only election expenses. If there is insufficient space in any section, attach a separate sheet with the details. Every payment should be vouched for by a bill stating the particulars and by a receipt or payment voucher except as provided by section 66 of the Parliamentary Elections Act. All payment vouchers must be duly dated/approved and signed by the recipients. Where payment is made by cheque, the cheque number and the amount paid by cheque should be indicated under the appropriate item of expenditure.)

(1) PERSONAL EXPENSES OF CANDIDATE

Description		$



	Total

(2) EXPENSES BY ELECTION AGENT IN RESPECT OF THE CONDUCT OR MANAGEMENT OF ELECTION

Description	Receipt/Payment Voucher/Cheque No.		$
(a) Remuneration of election agent, polling agents, counting agents, etc.



		Sub-Total
(b) Advertising and printing of promotional materials



		Sub-Total
(c) Transport



		Sub-Total
(d) Stationery, office supplies and postage




		Sub-Total
(e) Fax machines, telephone and other means of communication




		Sub-Total
(f) Furniture and equipment rental e.g. public address system, etc.




		Sub-Total
(g) Office rental and utilities for election meeting, committee room, etc. (Please state address)




		Sub-Total
(h) Food, refreshments and accommodation




		Sub-Total
(i) Miscellaneous expenses (Please provide details)




		Sub-Total
		TOTAL

SECTION B: DISPUTED AND UNPAID CLAIMS

(Fill in below the total amount of claims for each category, in Singapore dollars and inclusive of GST (if any), rounded to the nearest dollar. Write NIL if you have no claims to declare. Include only claims for election expenses. If there is insufficient space in any section, attach a separate sheet with the details.)

I am aware of the following disputed and unpaid claims:

(1) DISPUTED CLAIMS

Name and description of Claimant	Set out the goods, work or other matter on the ground of which the claim is based		$



		Total

(2) UNPAID CLAIMS in respect of which application has been made or is about to be made to an Election Judge or a Judge of the High Court.

Name and description of Claimant	Set out the goods, work or other matter on the ground of which the claim is based		$



		Total

SECTION C: NON-RECORDABLE DONATIONS* (Show below details of the donations and particulars of donors of non-recordable donations accepted in chronological order according to the date the donation is received. Write NIL if you have no donations to declare. Include only donations given, spent, lent or provided (whether before or after the candidate became a candidate) for the purposes of the candidate’s election. If there is insufficient space in any section, attach a separate sheet with the details.)

Name (as in NRIC) and NRIC number/ registered company name and RCB registration number of donor	Address of donor (as in NRIC or registered address, if company)	Date of receipt of donation and recipient’s name (e.g. 28/08/00 by (name))		Value of donation¹ (in Singapore dollars, to the nearest dollar)	Description of donation (e.g. provision of tentage, loans at discounted interest rates, cash, cheque, labour costs)
1
2
3
4
5
6
7
8
			TOTAL

*Donations that need not be declared in a donation report under the Political Donations Act (Cap. 236).

¹“donation” and the “value of donation” are as defined under sections 3, 4 and 5 of the Political Donations Act. For donations-in-kind, the value of the donation should be the value of the item at the date of receipt of the item.

SECTION D: RECORDABLE DONATIONS

(Show below details of the donations and particulars of permissible donors of single and multiple recordable donations accepted in chronological order according to the date the donation is received. Write NIL if you have no donations to declare. Include only donations given, spent, lent or provided (whether before or after the candidate became a candidate) for the purposes of the candidate’s election. If there is insufficient space in any section, attach a separate sheet with the details.)

1. SINGLE RECORDABLE DONATIONS

A Single Recordable Donation means a single donation of $10,000 or more.

Name (as in NRIC) and NRIC number/ registered company name and RCB registration number of donor	Address of donor (as in NRIC or registered address, if company)	Date of receipt of donation and recipient’s name (e.g. 28/08/00 by (name))		Value of donation¹ (in Singapore dollars, to the nearest dollar)	Description of donation (e.g. provision of tentage, loans at discounted interest rates, cash, cheque, labour costs)
1
2
3
4
5
6
7
8
9
10
			TOTAL

¹“donation” and the “value of donation” are as defined under sections 3, 4 and 5 of the Political Donations Act (Cap. 236). For donations-in-kind, the value of the donation should be the value of the item at the date of receipt of the item.

2. MULTIPLE RECORDABLE DONATIONS

A Multiple Recordable Donation means a donation from a donor,
which when added to any other donation made by that same donor during
the reporting period, the aggregate amount of the donations is $10,000 or more.

Name (as in NRIC) and NRIC number/ registered company name and RCB registration number of donor	Address of donor (as in NRIC or registered address, if company)	Date of receipt of donation and recipient’s name (e.g. 28/08/00 by (name))		Value of donation¹ (in Singapore dollars, to the nearest dollar)	Description of donation (e.g. provision of tentage, loans at discounted interest rates, cash, cheque, labour costs)
1


			Sub-total
2


			Sub-total
3


			Sub-total
4


			Sub-total
			TOTAL

¹“donation” and the “value of donation” are as defined under sections 3, 4 and 5 of the Political Donations Act (Cap. 236). For donations-in-kind, the value of the donation should be the value of the item at the date of receipt of the item.

FORM 19A

Section 74(1A) and (2A)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

CONSOLIDATED RETURN OF ELECTION EXPENSES
INCURRED BY SUB-AGENTS OF ELECTION AGENTS

ELECTORAL DIVISION

PRINCIPAL ELECTION AGENT	Name	NRIC No.


CANDIDATE	Name
ELECTION AGENT	Name
SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

CANDIDATE	Name
ELECTION AGENT	Name
SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

CANDIDATE	Name
ELECTION AGENT	Name
SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

CANDIDATE	Name
ELECTION AGENT	Name
SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

CANDIDATE	Name
ELECTION AGENT	Name
SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

CANDIDATE	Name
ELECTION AGENT	Name
SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

I, the duly appointed principal election agent of the above group of candidates standing for election in the abovementioned Electoral Division, make this consolidated Return respecting Election Expenses of the said candidates at that election.

This consolidated Return respecting Election Expenses shows —

(a)

all expenses and payments incurred and paid by the sub-agent(s) authorised under section 62(6) of the Parliamentary Elections Act on account or in respect of the management of that election for the said group of candidates;

(b)

the disputed claims so far as the sub-agent(s) is(are) aware of;

(c)

all unpaid claims, if any, of which the sub-agent(s) is(are) aware in respect of which an application has been made or is about to be made to an Election Judge or a Judge of the High Court; and

(d)

the amount of those expenses and payments, disputed and unpaid claims, apportioned to each candidate.

I declare to the best of my knowledge and belief that this is a complete and correct Return as required by law, and that except the expenses set out in this Return, no other expenses of any nature have been incurred by any sub-agent in, or for the purpose of, the above candidates’ candidature at the said election.


Date: _____________		Signature of Principal Election Agent: _____________

SECTION A: EXPENSES AND PAYMENTS

1.

Fill in below the total amount of expenditure and payments for each category, in Singapore dollars and inclusive of GST (if any), rounded to the nearest dollar. Include only election expenses. All payments should be vouched for by a bill stating the particulars and by a receipt referred to in section 66(1) of the Parliamentary Elections Act. Where payment is made by cheque, the cheque number and the amount paid by cheque should be indicated under the appropriate item of expenditure.

2.

Please indicate clearly the amount apportioned to each candidate for every item of expenditure reported and attach supporting evidence showing how the amount of expenditure was apportioned.

3.

Attach a separate sheet if there is not enough room on the page to list all items of spending.

Expenditure		Receipt/Payment Voucher/Cheque No.	Incurred by (Name of sub-agent)	Amount ($)	Name of Candidate and Apportioned Amount ($)
Expenditure		Receipt/Payment Voucher/Cheque No.	Incurred by (Name of sub-agent)	Amount ($)	1. Candidate	2. Candidate	3. Candidate	4. Candidate	5. Candidate	6. Candidate
(a) Remuneration of election agents, polling agents and counting agents, etc.
Item 1:
Item 2:
Item 3:
(b) Advertising and printing of promotional materials
Item 1:
Item 2:
Item 3:
(c) Transport
Item 1:
Item 2:
Item 3:
(d) Stationery, office supplies and postage
Item 1:
Item 2:
Item 3:
(e) Fax machines, telephone and other means of communication
Item 1:
Item 2:
Item 3:
(f) Furniture and equipment rental e.g. public address system, etc.
Item 1:
Item 2:
Item 3:
(g) Office rental and utilities for election meeting, committee room, etc.
Item 1:
Item 2:
Item 3:
(h) Food, refreshments and accommodation
Item 1:
Item 2:
Item 3:
(i) Miscellaneous expenses
Item 1:
Item 2:
Item 3:
	Total Amount Apportioned to Candidate ($)

SECTION B: DISPUTED AND UNPAID CLAIMS

1.

Fill in below the total amount of claims for each category, in Singapore dollars and inclusive of GST (if any), rounded to the nearest dollar. Include only claims for election expenses. Please indicate clearly the amount of disputed and unpaid claims apportioned to each candidate.

2.

If there is insufficient space in any section, attach a separate sheet with the details.

(1) DISPUTED CLAIMS

Name and description of Claimant	Set out the goods, work or other matter on the ground of which the claim is based	Committed by (Name of sub-agent)	Amount ($)	Name of Candidate and Apportioned Amount ($)
				1. Candidate	2. Candidate	3. Candidate	4. Candidate	5. Candidate	6. Candidate
1.
2.
3.
		Total Amount Apportioned to Candidate ($)

(2) UNPAID CLAIMS in respect of which an application has been made or is about to be made to an Election Judge or a Judge of the High Court.

Name and description of Claimant	Set out the goods, work or other matter on the ground of which the claim is based	Committed by (Name of sub-agent)	Amount ($)	Name of Candidate and Apportioned Amount ($)
				1. Candidate	2. Candidate	3. Candidate	4. Candidate	5. Candidate	6. Candidate
1.
2.
3.
		Total Amount Apportioned to Candidate ($)

FORM 20

Section 74(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

DECLARATION BY CANDIDATE

ELECTORAL DIVISION

PARTICULARS OF CANDIDATE
Name (in block letters)		NRIC No.

Address (as shown in NRIC)		Contact Telephone/ Pager/Fax No.

I was the abovenamed candidate for election in the above Electoral Division.

I have examined the accompanying Return respecting Election Expenses in respect of my candidature that is about to be delivered to the Returning Officer by the person who is my election agent and declare, to the best of my knowledge and belief that —

(a)

it is a complete and correct Return as required by law; and

(b)

except for the expenses set out in the Return, no other expenses of any nature have been incurred in, or for the purpose of, my candidature at the said election.


___________________________ Signature of Candidate.		___________________________ Date.

FORM 20A

Section 74(2A)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

DECLARATION BY PRINCIPAL ELECTION AGENT
AND SUB-AGENTS

ELECTORAL DIVISION

PRINCIPAL ELECTION AGENT	Name	NRIC No.


ELECTION AGENT	Name	NRIC No.

SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

ELECTION AGENT	Name	NRIC No.

SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

ELECTION AGENT	Name	NRIC No.

SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

ELECTION AGENT	Name	NRIC No.

SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

ELECTION AGENT	Name	NRIC No.

SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

ELECTION AGENT	Name	NRIC No.

SUB-AGENTS
Name		NRIC No.
1.
2.
3.
4.
5.

We were the election agents for the abovenamed candidates for election in the above Electoral Division.

We have examined the accompanying consolidated Return respecting Election Expenses that is about to be delivered to the Returning Officer and declare, to the best of our knowledge and belief that —

(a)

it is a complete and correct Return as required by law; and

(b)

except for the expenses set out in the Return, no other expenses of any nature have been incurred by us at the said election.

Dated this _________ day of __________________ 20 ___



_________________ Signature of Principal Election Agent	__________________ Signature of Sub-Agent 1	_________________ Signature of Sub-Agent 2

_________________ Signature of Sub-Agent 3	__________________ Signature of Sub-Agent 4	_________________ Signature of Sub-Agent 5

_________________ Signature of Sub-Agent 6

FORM 21

[Deleted by Act 18 of 2005]

FORM 22

Section 83(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

AUTHORITY TO CONDUCT ELECTION ACTIVITY

To:

RETURNING OFFICER

Elections Department

From:

………………………………………
(Name of Candidate)

….………….……………………………
(Contesting Electoral Division)

……….…………………………

…………………….…….………………
(Address)

…………………..………………………
(Political Party)

I, the abovenamed candidate for election in the Electoral Division of …………………………, do hereby authorise the undermentioned person to conduct election activities on my behalf.

2. To the best of my knowledge and belief the undermentioned person is not prohibited under section 83 of the Parliamentary Elections Act to conduct any election activity.

Name (in block letters)		NRIC No.

Address (as shown in NRIC)



………………………..	……………………………….
Date.	Signature of Candidate.

FORM 23

Section 83(2)

PARLIAMENTARY ELECTIONS ACT
(CHAPTER 218)

______________

AUTHORITY TO CONDUCT ELECTION ACTIVITY

To:

RETURNING OFFICER

Elections Department

From:

………….……………………………
(Name of Election Agent)

…………………..………………………
(Contesting Electoral Division)

………….………………………

.………………….………………………
(Address)

……………..……………………………
(Political Party)

I, being the election agent of …………………………………………………,

(Name of Candidate)

a candidate for election in the abovementioned Electoral Division, hereby authorise the undermentioned person to conduct election activities on behalf of the said candidate.

2. To the best of my knowledge and belief the undermentioned person is not prohibited under section 83 of the Parliamentary Elections Act to conduct any election activity.

Name (in block letters)		NRIC No.

Address (as shown in NRIC)


………………………..	……………………………….
Date.	Signature of Election Agent.

[18/2005; S 528/96; S 522/2001; S 389/2005; S 232/2006; S 141/2011]