Application To Vote By Proxy Form - Tonbridge And Malling Borough Council Page 2

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Guidance notes – completing a Proxy Vote Application Form
Section 1
Enter your address, if it has not already been pre-printed (if pre-printed, please correct any
mistakes).
Section 2
Enter your full name, title and telephone number if they have not already been pre-printed (if pre-
printed, please correct any mistakes)
Section 3
You need to decide if you wish to have a proxy vote:-
for all elections until you tell us otherwise;
-
for all elections that you already know will be held on a particular date;
-
for all elections held between two dates (you may be on holiday or otherwise unable to vote
-
in person at a polling station between these dates.
Section 4
You can choose to vote by proxy at all types of elections, for parliamentary elections only, or for
local elections only. If you are unsure, then we would recommend that you choose to vote at ‘All’
elections as you may lose your right to vote for one type of election if multiple elections are held on
the same day.
Section 5
Enter the name and address of your proxy and state their relationship to you (if any).
Section 6
You must enter your date of birth in the format DD/MM/YYYY and then sign the form. Please note
that your date of birth and signature must be kept within the borders provided. Failure to do so will
mean this application will not be valid.
Section 7
You must give a reason for you application. Depending on the reason you may need to get
someone qualified to support that what you say on your application is correct. If you are applying
just for one election (Section 7A) for whatever reason, or in receipt of
a higher rate of mobility component of a disability living allowance
the enhanced rate of the mobility component of the personal independence payment
an armed forces independence payment
(Section 7B(i) and (ii)), then you do not need to get anyone to support your application.
If you are otherwise applying because of a physical incapacity you need to get a doctor, registered
nurse or Christian Science practitioner to support your application.
If you are applying due to the nature of your occupation or employment, of if you are attending an
educational establishment, your application must be supported by someone authorised to sign on
behalf of an employer or the educational institution concerned. If you are self-employed, someone
who knows you, is not related to you, and who is over 18 years of age can support the application.

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