‘THE CONSTITUTION OF THE REPUBLIC OF SINGAPORE NOMINATED MEMBER OF PARLIAMENT. PROPOSAL FORM ‘A person who is propose asa nominee and persons who are the proposer, Seconder and sssentor must be persons whose names appear in the current Register of Electors, PARTICULARS OF FERSON PROPOSED. LNAME In Chines chaetes Cnbock tates) applicable) 2. SEX (MF) 3. NRIC 4, OCCUPATION 5. ADDRESS (or conesponienes) EMAIL, PARTICULARS OF PROFOSER AND: ‘We, the undersigned, cing episersd evo lo Rey propose th sbovemntonal pasonas aT and pepar pasion wo senvesea -atinsted Member of Pariament and we cri tht othe bes of ur ble hese quae to be nceinted a such a Mente, NAME RIC SIGNATURE: PROPOSER SECONDER PARTICULARS OF ASSENTORS (not less shan 4 asentors) We, the undersigned, beng restore in the Reiser of Electors, hereby assent othe foregoing propos WRI NAME SIGNATURE ASSENTORS {he porson proposed inthis Fon, bsing registered inthe Register of Elects, hereby onsen to being considered by the Special Setet Commitee for romination as # nominated’ Member of Parliament, sid cle tha Iam wot lisquaified fom being so nominated. My curseulum vite is attached Signed on (ate) Fhe pe pole rane of Sign oon ges Name of Witness NRIC Wo Signature of Witness Note: Section (2) of te Fou Sebel te Contos ofthe Reps of Sigapeve proider ta penne w be monte by the Spc Sekt Cote a minted Mees of Ravina sal be sron who have wend traits puble Seve o wi have pow Ron: Te Republi oF whe ve ‘Sains thonaeher th el fr! os euler de een, bse nye lel, e commun vie eho Mat nee PARLINMP/Apr 2009