Schedule 1

FIRST SCHEDULEFORM 1Section 24(2)PARLIAMENTARY ELECTIONS ACT 1954______________WRIT OF ELECTION ByPresident of the Republic of SingaporeTo: RETURNING OFFICER WHEREAS section 24(1) of the Parliamentary Elections Act 1954 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 must 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 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 1954, 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 1954. 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 SCHEDULEPlace of nomination (Nomination centre)Electoral Division(Set out address or addresses of nomination centre or centres) (Set out Electoral Division or Divisions) FORM 2[Deleted by S 231/2019]FORM 3Section 11(2)PARLIAMENTARY ELECTIONS ACT 1954 ______________FORM OF CLAIM BY PERSON WHOSE NAME HAS BEEN OMITTED OR EXPUNGED FROM THE REGISTERTo:THE REGISTRATION OFFICER Elections DepartmentElectoral Division of………………………For Official Use Registration No.IPARTICULARS OF CLAIMANT AS SHOWN IN IDENTITY CARDTelephone (Home/Work) NRIC No.SexDate of BirthTelephone (Mobile) Date Citizenship Acquired (if applicable)* Name (in block letters and underline surname)Date of Report onChange of Address(if applicable)** AddressPostal Code I, the abovenamed person, certify that to the best of my knowledge and belief the above information given by me is true and I am applying to have my name inserted/retained in the Register of Electors on the following grounds:…………………Date ……………………………………………….…………..(Signature or thumb mark of Claimant)* Applicable to a person who makes this application on the ground that he or she has recently acquired Singapore citizenship.** Applicable to a person who makes this application on the ground that his or her address has changed.IIACTION 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)………………………SignatureIIIACTION BY ELECTIONS DEPARTMENT ARO’S COMMENTSTYPE OF DECISIONSARO’S DECISION INITIALDATE Change of Address Change of ParticularsName Sex Restored Voter New Voter No Action Disallowed REMARKS FORM 4Section 11(5)PARLIAMENTARY ELECTIONS ACT 1954 ______________FORM OF OBJECTIONTo:THE REGISTRATION OFFICERElections DepartmentElectoral Division of…………………………………………………..……………………………………………………..………PARTICULARS OF PERSON MAKING OBJECTIONName (in block letters)NRIC No. Address (as shown in NRIC)Polling District Serial No. I, the abovenamed person, 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 TOGrounds of ObjectionPolling DistrictNameAddress 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 5Section 11(6)PARLIAMENTARY ELECTIONS ACT 1954 ______________FORM OF OBJECTION AGAINST CLAIMANTTo:THE REGISTRATION OFFICERElections DepartmentElectoral Division of……………………………………………………………………………………………………………………PARTICULARS OF PERSON MAKING OBJECTIONName (in block letters)NRIC No. Address (as shown in NRIC)Polling District Serial No. I, the abovenamed person, 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 TOGrounds of ObjectionName of Claimant Objected toAddress 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 6Section 11(8A)PARLIAMENTARY ELECTIONS ACT 1954______________NOTICE TO PERSONS OBJECTED TOTAKE 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 7Sections 13(1) and 20A(2)PARLIAMENTARY ELECTIONS ACT 1954______________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 8Section 25PARLIAMENTARY ELECTIONS ACT 1954NOTICE OF ELECTION FOR *THE ELECTORAL DIVISION OF __________________ *ALL ELECTORAL DIVISIONS TAKE NOTICE that the President having issued the 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:

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

for each nominee, an election deposit of $_________;

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

a political donation certificate issued to the nominee in respect of the election;

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 1954. 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.[Act 28 of 2021 wef 29/12/2023]FORM 9Section 27(2) PARLIAMENTARY ELECTIONS ACT 1954Symbol of candidate to be allotted by Returning Officer NOMINATION PAPER SECTION A: TO BE COMPLETED BY PERSONS NOMINATING DETAILS OF NOMINEE NAME (as stated in NRIC and in block letters)NRIC NO.OCCUPATION SEX (Please circle)M / F DETAILS OF PERSONS NOMINATING We, the persons specified below, being registered in the register of electors for the electoral division of ……………......., nominate the above person as candidate for election as a Member of Parliament for that electoral division: NAME (as stated in NRIC and in block letters)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 —

I am duly qualified to be elected as a Member of Parliament for the electoral division of ……………....;

I consent to this nomination as candidate for election as a Member of Parliament for that electoral division; and*(c)I am a member of and am standing for (state name of political party) ………………………………………*(c)I am an independent candidate.And I make this solemn declaration by virtue of the Oaths and Declarations Act 2000, 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 ................................. 20...... Before Me …………………………………..…Name of Commissioner for Oaths/Justice of the Peace (as stated in NRIC and in block letters)………………………………………Signature of Commissioner for Oaths/Justice of the Peace SECTION C: NAME OF CANDIDATE FOR BALLOT PAPER Complete this section only if you want your name on the ballot paper to be different from your name as stated in your NRIC. If you leave this section blank, your name as stated in your NRIC will be used for the ballot paper. NAME (in block letters) Please be informed that under section 105(2) of the Parliamentary Elections Act 1954, I wish to have my name printed on the ballot paper as given above. *Delete whichever is inapplicable [S 448/2024 wef 14/06/2024]FORM 9ASection 27B(2) PARLIAMENTARY ELECTIONS ACT 1954Symbol of candidate to be allotted by Returning Officer NOMINATION PAPER SECTION A: TO BE COMPLETED BY PERSONS NOMINATING DETAILS OF NOMINEES NAME (as stated in NRIC and in block letters)NRIC NO.OCCUPATION Nominee 1 SEX (Please circle)M / F Nominee 2 SEX (Please circle)M / F Nominee 3 SEX (Please circle)M / F Nominee 4 SEX (Please circle)M / F Nominee 5 SEX (Please circle)M / F Nominee 6 SEX (Please circle)M / F DETAILS OF PERSONS NOMINATING We, the persons specified below, being registered in the register of electors for the electoral division of ......………………, nominate the above group of persons as candidates for election as Members of Parliament for that electoral division: NAME (as stated in NRIC and in block letters)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 —

we are each duly qualified to be elected as a Member of Parliament for the electoral division of ………....;

we each consent to this nomination as candidate for election as a Member of Parliament for that 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.And we each make this solemn declaration by virtue of the Oaths and Declarations Act 2000, 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 1Signature of Nominee 2Signature of Nominee 3 ____________________________________________________________ Signature of Nominee 4Signature of Nominee 5Signature of Nominee 6 Dated................................. 20...... Before Me …………………………………..…Name of Commissioner for Oaths/Justice of the Peace (as stated in NRIC and in block letters)………………………………………Signature of Commissioner for Oaths/Justice of the Peace SECTION C: NAMES OF CANDIDATES FOR BALLOT PAPER Complete this section only if you want your name on the ballot paper to be different from your name as stated in your NRIC. If you leave this section blank, your name as stated in your NRIC will be used for the ballot paper. NAME (in block letters) 1. 2. 3. 4. 5. 6. Please be informed that under section 105(2) of the Parliamentary Elections Act 1954, we wish to have our names printed on the ballot paper as given above. *Delete whichever is inapplicable [S 448/2024 wef 14/06/2024]FORM 10[Deleted by Act 18 of 2005]FORM 11Sections 34(6) and 34A(6) PARLIAMENTARY ELECTIONS ACT 1954 NOTICE OF CONTESTED ELECTION FOR THE ELECTORAL DIVISION OF ________________ Notice is given under section *34(6)/*34A(6) of the Parliamentary Elections Act 1954 that a poll will be taken for the election in the above electoral division. The candidates for the election are as follows: CandidateSymbolProposerSeconder 2. The poll in Singapore will be held on __________. *No/*A direct recording electronic voting system will be used at the poll. (If a direct recording electronic voting system will be used, give a brief description of the system.) The locations of the ordinary polling stations are as follows: Ordinary polling stationsPolling districts 3. The poll at the following overseas polling stations will be held on the date and at the times specified opposite the overseas polling station: Overseas polling stationDateTime 4. The poll at the following special polling stations will be held on __________. The poll will open and close at the times specified opposite the special polling station: Special polling stationTime during which votes may be cast at special polling station Opening of pollClosing of poll ___________________ Returning Officer,Singapore *Delete as appropriate [S 448/2024 wef 14/06/2024]FORM 12Section 40(3A)PART 1FACE OF BALLOT PAPERPART 2FACE OF BALLOT PAPER FOR GROUP REPRESENTATION CONSTITUENCY[S 448/2024 wef 14/06/2024]FORM 13[Deleted by S 231/2019]FORM 14[Deleted by S 231/2019]FORM 15Sections 44(1) and 56B(2) PARLIAMENTARY ELECTIONS ACT 1954 DECLARATION BY VOTER PARTICULARS OF VOTER Name (as stated in NRIC and in block letters)NRIC No. Address (as stated in NRIC)Polling district and serial number of voter shown in the register of electors Polling districtVoter serial no. I, the abovenamed person, declare that I am the same person whose name appears as ………………………………………………………… in the register of electors for the electoral division of ………….………………………………………… and that I have not already voted either here or elsewhere, or by the postal voting method, at this election. ..................................................Signature or thumb mark of Voter. Declared before me on .............................…. ..................................................Name of Presiding Officer (in block letters)..................................................Signature of Presiding Officer [S 448/2024 wef 14/06/2024]FORM 16Section 46(1) PARLIAMENTARY ELECTIONS ACT 1954 OATH OF IDENTITY PARTICULARS OF VOTER Name (as stated in NRIC and in block letters)NRIC No. Address (as stated in NRIC)Polling district and serial number of voter shown in the register of electors Polling districtVoter serial no. I, the abovenamed person, swear/affirm that I am the same person whose name appears as ………………………………………………………… in the register of electors for the electoral division of ………………………………………………… and that I have not already voted either here or elsewhere, or by the postal voting method, at this election. .......................................................Signature or thumb mark of Voter. Sworn/Affirmed before me on .............................…. ..................................................Name of Presiding Officer (in block letters)..................................................Signature of Presiding Officer [S 448/2024 wef 14/06/2024]FORM 16ASection 49(7A)(b)PARLIAMENTARY ELECTIONS ACT 1954RECORD OF COUNTINGElectoral Division: GARO Centre: Counting Centre: Counting Place No.: For counting of votes cast at the following Polling Station(s):Number of Ballot Papers Issued for the Poll at the above Polling Station(s) Number of Ballot Papers cast forName(s) of Candidate/ Candidates in GroupSymbolCountRecount(if applicable) 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 from the above Polling Station(s) Total Number of Electors in the Register of Electors used at the Poll at the above Polling Station(s) Date and time of announcement of results to candidate(s)/counting agent(s) in attendance:CountRecount (if applicable)Date: ………………. Time: ………..Date: ………………. Time: ………..I certify that the above record of counting of votes is correct.I certify that the above record of recounting of votes is correct. ..……………………….......………………………..Name of Assistant Returning Officer..…………………………..............…………….…Name of Assistant Returning Officer ..……………………........………….…….……..…Signature of Assistant Returning Officer..……………………….................……………..…Signature of Assistant Returning OfficerDate: ……………….Date: ……………….FORM 17Section 51 PARLIAMENTARY ELECTIONS ACT 1954 STATEMENT OF POLL ELECTORAL DIVISION OF 1.Total number of electors in the register of electors for electoral division used at the Poll 2.Ballot papers for electoral division a.Number of ballot papers issued b.Number of ballot papers found in the ballot boxes c.Number of unused ballot papers undetached from the books d.Number of spoilt ballot papers1 3.Postal ballot papers for electoral division a.Number of persons to whom postal ballot papers were issued b.Number of return envelopes received by the Returning Officer within the time prescribed by or under the Act c.Number of postal ballot papers accepted for counting 4.Votes cast in electoral division a.Number of votes cast2 b.Number of votes cast for Name of candidatePartyNo. of votes c.Total number of votes cast for the above candidates d.Number of rejected ballot papers and postal ballot papers 1A spoilt ballot paper means a ballot paper that —

is found by the presiding officer to be spoilt or improperly printed and has not been handed by the presiding officer to an elector; or

has been handed by the presiding officer to an elector to cast his or her vote and has been delivered to and cancelled by the presiding officer in accordance with section 45 of the Parliamentary Elections Act 1954.2This number accounts for the votes cast in all polling stations and via the postal voting method for the election in the electoral division. I certify that the above statement is correct. Dated ................................. 20...... _________________ Returning Officer,Singapore. [S 448/2024 wef 14/06/2024]FORM 18Section 56(1) PARLIAMENTARY ELECTIONS ACT 1954 OATH OF SECRECY RETURNING OFFICERElectoral division of Elections Department…………………………………… …………………………………… PARTICULARS OF PERSON TAKING THE OATH Name (as stated in NRIC and in block letters)NRIC No. Address (as stated in NRIC) I, the abovenamed person, am aware of and understand section 56 of the Parliamentary Elections Act 1954 (printed in this form) and swear/affirm that I will not at this election do anything forbidden by that section. ……………………………….….…Signature of Person taking the Oath Sworn/Affirmed before me on .............................…. ……………………..……………….Signature of Justice of the Peace/Commissioner for Oaths.…………….…………….……Name (in block letters). For reference Section 56 of Parliamentary Elections Act 1954 Maintenance of secrecy at elections 56.—

Every officer, clerk, interpreter, candidate and agent authorised to attend at a polling station under section 39(4) or every other person so authorised under regulations made under section 47C(1)(d), or at the counting of the votes, must, before so attending, make an oath of secrecy, substantially in Form 18 in the First Schedule. (2) The Returning Officer has power to administer any oaths required to be taken under subsection (1). (3) Subject to subsection (3A), every officer, clerk, interpreter, candidate and agent authorised under section 39(4) and every person authorised under regulations made under section 47C(1)(d) in attendance at a polling station must maintain, and aid in maintaining, the secrecy of the voting in the station, and must 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 the candidate’s agent authorised to attend at the polling station. (4) Every officer, clerk, interpreter, candidate or agent, and every person must not —

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 must maintain, and aid in maintaining, the secrecy of the voting, and must not —

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, is to communicate or attempt to communicate with any voter after the voter has received a ballot paper and before the voter 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 or her vote and before the voter marks or records his or her 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. For reference [S 448/2024 wef 14/06/2024]FORM 18ASection 73A PARLIAMENTARY ELECTIONS ACT 1954 POST-ELECTION DECLARATION I, ........................................................... (NRIC No. ........................), declare that, to the best of my knowledge and belief —

no foreigner has been authorised by me or my election agent under section 83(2) of the Parliamentary Elections Act 1954 to conduct any election activity for the purpose of procuring *my electoral success / *the electoral success of the group of candidates to which I belong, at the election; (b)the conduct of any election activity by me or my election agent for the purpose of procuring *my electoral success / *the electoral success of the group of candidates to which I belong, at the election, was not undertaken by me or my election agent pursuant to any impermissible arrangement as defined by section 73A(7) of the Parliamentary Elections Act 1954; and (c)the conduct of any election activity for the purpose of procuring *my electoral success / *the electoral success of the group of candidates to which I belong, at the election, was not authorised by me or my election agent pursuant to any impermissible arrangement as defined by section 73A(7) of the Parliamentary Elections Act 1954. .................................Date......................................Signature of Candidate *Delete as appropriate [S 448/2024 wef 14/06/2024]FORM 19Sections 74(1) and (2) and 74A(1) PARLIAMENTARY ELECTIONS ACT 1954 RETURN RESPECTING ELECTION EXPENSES AND DECLARATIONS BY CANDIDATE AND ELECTION AGENT ELECTORAL DIVISION NAME (in block letters)NRIC NO. 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 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 my election expenses at that election. This return respecting election expenses shows —

all payments made by the election agent; (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 sitting in the General Division of the High Court; and (e)all donations (including the provision otherwise than on commercial terms, of any services by any person) accepted by the election agent or the 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 the expenses set out in this return, no other expenses of any nature have been incurred in, or for the purpose of, the candidate’s candidature at that election. ________________________________________ Signature of Election AgentDate I, the above candidate for election in the above electoral division, have examined this return respecting election expenses in respect of my candidature at that election and I declare to the best of my knowledge and belief that —

this return is complete and correct as required by law; (b)except for the expenses set out in this return, no other election expenses have been incurred in respect of my candidature at that election; and (c)the election expenses in respect of my candidature at that election have not been paid using any donation from a person who is not a permissible donor as defined by section 3(1) of the Foreign Interference (Countermeasures) Act 2021. ________________________________________ Signature of CandidateDate *Delete whichever is inapplicable. SECTION A: EXPENSES (Fill in the total amount of expenses for each category, in Singapore dollars, rounded up to the nearest dollar. Write NIL if there is no expense to declare.) Description$ (a)Election advertising expenses: (i)Online election advertising (ii)Non-online election advertising (b)Election meeting expenses: (i)For rallies (ii)For assembly centres (c)Transport expenses (d)Office rental, office equipment and supplies expenses (e)Allowances for election agent, polling agent(s) and counting agent(s) (f)Other expenses (g)Personal expenses of candidate TOTAL SECTION B: DISPUTED AND UNPAID CLAIMS (Fill in the total amount of claims for each category, in Singapore dollars, rounded up to the nearest dollar. Write NIL if there is no claim to declare. If there is insufficient space in any section, attach a separate sheet containing the details.) (1)DISPUTED CLAIMS Name (in block letters) and description of claimantSubject matter of claim$ 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 sitting in the General Division of the High Court) Name (in block letters) and description of claimantSubject matter of claim$ TOTAL SECTION C: NON-RECORDABLE DONATIONS1 (Provide details of non-recordable donations accepted and particulars of their donors, in chronological order according to the date each donation is received. Write NIL if there is no donation 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 containing the details and particulars.) Donor’s name2 (in block letters) and unique identification number3Donor’s address4Date of receipt of donation5 and recipient’s name (in block letters) (e.g. “01/01/24 by (NAME)”)Value of donation5 (in Singapore dollars, rounded up to the nearest dollar)Description of donation5 TOTAL 1Donations that need not be recorded in a donation report under the Foreign Interference (Countermeasures) Act 2021 where a candidate is concerned. 2Donor’s name means (a) where the donor is an individual, the donor’s name as stated in the donor’s NRIC; or (b) where the donor is a company, the donor’s registered name under the Companies Act 1967. 3Donor’s unique identification number means (a) where the donor is an individual, the donor’s NRIC number; or (b) where the donor is a company, the company’s registration number under the Companies Act 1967. 4Donor’s address means (a) where the donor is an individual, the donor’s address as stated in the donor’s NRIC; or (b) where the donor is a company, the address of the donor’s registered office in Singapore. 5The expression “donation” has the meaning given by the definition of “political donation” in section 51 of the Foreign Interference (Countermeasures) Act 2021, and “value” in relation to a donation has the meaning given by sections 15 and 51 of that Act where a candidate is concerned. SECTION D: RECORDABLE DONATIONS (Provide details of single and multiple recordable donations accepted and particulars of their donors, in chronological order according to the date each donation is received. Write NIL if there is no donation 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 containing the details and particulars.) (1)SINGLE RECORDABLE DONATIONS (Recordable donation means a donation required to be recorded in a donation report under the Foreign Interference (Countermeasures) Act 2021. A single recordable donation means a single donation of $10,000 or more.) Donor’s name1 (in block letters) and unique identification number2Donor’s address3Date of receipt of donation4 and recipient’s name (in block letters) (e.g. “01/01/24 by (NAME)”)Value of donation4 (in Singapore dollars, rounded up to the nearest dollar)Description of donation4 TOTAL 1Donor’s name means (a) where the donor is an individual, the donor’s name as stated in the donor’s NRIC; or (b) where the donor is a company, the donor’s registered name under the Companies Act 1967. 2Donor’s unique identification number means (a) where the donor is an individual, the donor’s NRIC number; or (b) where the donor is a company, the company’s registration number under the Companies Act 1967. 3Donor’s address means (a) where the donor is an individual, the donor’s address as stated in the donor’s NRIC; or (b) where the donor is a company, the address of the donor’s registered office in Singapore. 4The expression “donation” has the meaning given by the definition of “political donation” in section 51 of the Foreign Interference (Countermeasures) Act 2021, and “value” in relation to a donation has the meaning given by sections 15 and 51 of that Act where a candidate is concerned. (2)MULTIPLE RECORDABLE DONATIONS (Recordable donation means a donation required to be recorded in a donation report under the Foreign Interference (Countermeasures) Act 2021. A multiple recordable donation means a donation which, when added to any other donation made by the same donor during the same reporting period under the Foreign Interference (Countermeasures) Act 2021, amounts to an aggregate of $10,000 or more.) Donor’s name1 (in block letters) and unique identification number2Donor’s address3Date of receipt of donation4 and recipient’s name (in block letters) (e.g. “01/01/24 by (NAME)”)Value of donation4 (in Singapore dollars, rounded up to the nearest dollar)Description of donation4 Sub-total Sub-total Sub-total TOTAL 1Donor’s name means (a) where the donor is an individual, the donor’s name as stated in the donor’s NRIC; or (b) where the donor is a company, the donor’s registered name under the Companies Act 1967. 2Donor’s unique identification number means (a) where the donor is an individual, the donor’s NRIC number; or (b) where the donor is a company, the company’s registration number under the Companies Act 1967. 3Donor’s address means (a) where the donor is an individual, the donor’s address as stated in the donor’s NRIC; or (b) where the donor is a company, the address of the donor’s registered office in Singapore. 4The expression “donation” has the meaning given by the definition of “political donation” in section 51 of the Foreign Interference (Countermeasures) Act 2021, and “value” in relation to a donation has the meaning given by sections 15 and 51 of that Act where a candidate is concerned. [S 448/2024 wef 14/06/2024]FORM 19A[Deleted by S 443/2020]FORM 20[Deleted by S 443/2020]FORM 20A[Deleted by S 443/2020]FORM 21[Deleted by Act 18 of 2005]FORM 22Sections 61K(3), 61L(3) and 83(2) PARLIAMENTARY ELECTIONS ACT 1954 AUTHORISATION BY CANDIDATE To:From: RETURNING OFFICER Elections Department…………………………………...(Name of candidate in block letters) …………………..………………….(Political party)….………….………………………(Contesting electoral division)…………………….….……………(Mobile no. of candidate) Part A: Authorisation I, the abovenamed candidate for election in the abovementioned electoral division, authorise the person specified in Part B to do the following (tick (√) all boxes that apply): □publish, or cause to be published, on my behalf at any time during the election period of the election, online election advertising, the production or publication of which is paid for in money or money’s worth, under section 61K(3) of the Parliamentary Elections Act 1954; □publish or cause to be published, or publicly display or cause to be publicly displayed, any non-online election advertising on my behalf at any time during the election period of the election, under section 61L(3) of the Parliamentary Elections Act 1954; □conduct election activities on my behalf, under section 83(2) of the Parliamentary Elections Act 1954. 2. To the best of my knowledge and belief, the undermentioned person is not prohibited under the Parliamentary Elections Act 1954 from conducting any activity authorised above. Part B: Details of authorised person Name (as stated in NRIC and in block letters)NRIC No. Address (as stated in NRIC) EmailMobile No. ………………………..Date.………………………………….Signature of candidate. [S 448/2024 wef 14/06/2024]FORM 23Sections 61K(3), 61L(3) and 83(2) PARLIAMENTARY ELECTIONS ACT 1954 AUTHORISATION BY ELECTION AGENT OF CANDIDATE To:From: RETURNING OFFICER Elections Department…………………………………...(Name of candidate in block letters) …………………..……………….(Political party)….………….………………………(Contesting electoral division)……………………………………...(Name of election agent in block letters)……………………..……………(Mobile no. of election agent) Part A: Authorisation I, the election agent of the abovenamed candidate for election in the abovementioned electoral division, authorise the person specified in Part B to do the following (tick (√) all boxes that apply): □publish, or cause to be published, on the candidate’s behalf at any time during the election period of the election, online election advertising, the production or publication of which is paid for in money or money’s worth, under section 61K(3) of the Parliamentary Elections Act 1954; □publish or cause to be published, or publicly display or cause to be publicly displayed, any non-online election advertising on the candidate’s behalf at any time during the election period of the election, under section 61L(3) of the Parliamentary Elections Act 1954; □conduct election activities on behalf of the candidate, under section 83(2) of the Parliamentary Elections Act 1954. 2. To the best of my knowledge and belief, the person specified in Part B is not prohibited under the Parliamentary Elections Act 1954 from conducting any activity authorised above. Part B: Details of authorised person Name (as stated in NRIC and in block letters)NRIC No. Address (as stated in NRIC) EmailMobile No. ………………………..Date.………………………………….Signature of election agent. [S 448/2024 wef 14/06/2024][18/2005; 40/2019; S 3/2019; S 231/2019; S 443/2020]