electo ral message: m 1

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選舉信息 Electoral Message: 姓名 : Name : 年齡 Age : 職業 : Occupation : 政治聯繫 : Political Affiliation : 電郵地址 Email Address : 網址 Website : M 1

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選舉信息 Electoral Message:

姓名 :

Name :

年齡 Age :

職業 :

Occupation :

政治聯繫 :

Political Affiliation :

電郵地址 Email Address :

網址 Website :

我已細閱、明白並同意後頁的「須知事項」。 (請在方格內填上「✓」號。) I have read, understood and agreed to the “Important Notes” overleaf. (Please 「✓」 the box.)

候選人簽名 Signature of Candidate

:

候選人姓名(正楷) Name of Candidate (Block Letters)

: 供選舉主任專用 For Returning Officer’s use only 收妥及核對人 Received and Checked By

選區或選舉界別類別 Category of Constituency :

*地方選區/功能界別/選舉委員會界別 *Geographical Constituency / Functional

Constituency / Election Committee Constituency 職員簽名 Signature of Officer :

*地方選區/功能界別名稱 (如適用) Name of *Geographical Constituency/ Functional Constituency (if applicable)

職員姓名 Name of Officer :

聯絡電話 Telephone Number

:

日期 Date

:

職位/職級 Post/ Rank : 日期

Date :

*請刪去不適用者 Please delete whichever is inapplicable

功能組別 _FC_M_旅遊界CYAN MAGENTA YELLOW BLACKM_Ma Y C.indd 1M_Ma Y C.indd 1 13/11/2021 10:00 AM13/11/2021 10:00 AM

選舉信息 Electoral Message:

姓名 :

Name :

年齡 Age :

職業 :

Occupation :

政治聯繫 :

Political Affiliation :

電郵地址 Email Address :

網址 Website :

我已細閱、明白並同意後頁的「須知事項」。 (請在方格內填上「✓」號。) I have read, understood and agreed to the “Important Notes” overleaf. (Please 「✓」 the box.)

候選人簽名 Signature of Candidate

:

候選人姓名(正楷) Name of Candidate (Block Letters)

: 供選舉主任專用 For Returning Officer’s use only 收妥及核對人 Received and Checked By

選區或選舉界別類別 Category of Constituency :

*地方選區/功能界別/選舉委員會界別 *Geographical Constituency / Functional

Constituency / Election Committee Constituency 職員簽名 Signature of Officer :

*地方選區/功能界別名稱 (如適用) Name of *Geographical Constituency/ Functional Constituency (if applicable)

職員姓名 Name of Officer :

聯絡電話 Telephone Number

:

日期 Date

:

職位/職級 Post/ Rank : 日期

Date :

*請刪去不適用者 Please delete whichever is inapplicable

功能組別 _FC_M_旅遊界CYAN MAGENTA YELLOW BLACKM_Yiu P L.indd 1M_Yiu P L.indd 1 12/11/2021 4:58 PM12/11/2021 4:58 PM

採用環保油墨及取材自可再生林木的紙張及由政府物流服務署印製Printed by the Government Logistics Department with environmentally friendly ink on paper madefrom wood-pulp derived from sustainable forests

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M 1

M 2

功能組別 _FC_M_旅遊界FC_M_Platform.indd 2FC_M_Platform.indd 2 18/11/2021 10:38 PM18/11/2021 10:38 PM