Form Mv-44edl - Application For Enhanced Or Real Id Permit, Driver License Or Non-Driver Id Card (Chinese) Page 3

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第 3 页，共 3 页
Información en español: si le interesa obtener
este formulario de registro del votante en
español, llame al 1-800-367-8683
纽约州选民登记申请表
只需在通过选举委员会登记投票或变更地址或其他信息时填写。
如登记投票，您的完整选民登记申请表将会直接送交选举委员会。如果您拒绝登记，我们将为您的决定保密。在您的选民登记申请表处理完毕后，您所在郡的选举
委员会将会通知您。
o
o
o
o
选举当日或选举日期前，您是否年满 18 周岁？
如果选择“否”，您将无法登记投票，除非在本年度结束时能够符合 18 周岁的年龄限制条件。
电话号码（可选）
您是否为美国公民？
是
否
是
否
如果选择“否”，您将无法登记投票
o
o
您以往是否有过投票经历？
需要变更的投票信息：
您的曾用名
您之前所在的州或
是
否
如投票信息未发生变更或未曾
纽约州下辖郡县：
您之前的地址
是在哪一年？
有过投票经历，可忽略此项。
o
政党
我希望加入一个政党：
宣誓：本人宣誓并确认
民主党 (Democratic party)
o
l
必须选择一个政党。可选
本人是美国公民。
共和党 (Repunlican party)
选举日截止，本人在此郡、市或村已居住至少 30 天。
o
l
择是否加入政党，但如要
保守党 (Conservative party)
o
l
参与某一政党的初选，除
本人符合在纽约州登记投票的所有要求。
绿党 (Green party)
o
l
非州政党规定允许，否则
工作家庭党 (Working Families party)
下方横线上是我本人的签名或标记。
以上信息均属实。本人了解，如有信息失实，本人可能会被定罪并处最高 5,000 美元罚款和/或最长四年监禁。
o
l
选民必须加入该政党。
独立党 (Independence party)
o
女性平等党 (Women’s Equality party)
o
改革党 (Reform party)
o
_________________
X
其他
o
我不希望参加政党
MV-44EDLCH (9/17)
签名
日期
无政党

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