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Postal Ballot Registration Form – for distribution to Postal Voters based in Thimphu Dzongkhag

1. Permanent Address (as per Civil Registry) 5. Postal Address

1.1 Full Name: If you have chosen to vote via the Conventional Postal
…………………………………...…………… Ballot System, please provide your correct Postal
1.2 CID/VPIC No: Address below (your Postal Ballot package will be sent
|__|__|__|__|__|__|__|__|__|__|__| to this address)
………………………………………...……….………
1.3 Sex: Male Female ………………………..……………………..…………
………............................................................................
1.4 Dzongkhag: ……………………………………. ………………………………………............................
1.5 Gewog/Thromde: ………………………….........
1.6 Mobile/Phone No: ……………………………... 6. Postal Ballot Facilitation Booth

If you have chosen to vote at PBFB, please select a


2. Occupation (Please tick only one)
location that is most suitable to you:

2.1 Civil Servant


Dechenchholing HSS
2.2 Member of Armed Force
Taba (Nima HSS)
2.3 Student/Trainee
Kawajangsa (Democracy House)
2.4 Spouse/Dependent
Motithang HSS
2.5 Others: (Please specify)
Changlimithang Car Park
……………………………………………. Changjiji (Loselling MSS)
Chang Rigphel LSS
3. Details of whom you are Dependent Simtokha (RIM Auditorium)
Royal Thimphu College
If your occupation is listed as 2.4 Spouse/Dependent in
occupation category, please reflect the details of whom Khasadrupchhu MSS
you are dependent as below:

3.1 CID |__|__|__|__|__|__|__|__|__|__|__| 7. Declaration


3.2 Full Name: …………………………...…………
3.3 Working Agency……............................................ I understand and affirm that upon submitting this Form
3.4 Relation: ……...…………………………………. for Postal Ballot Registration, I shall vote via the Postal
Ballot Facility indicated herein and not in the Polling
Station of my civil registration.
4. Choice of Postal Ballot Facility
I hereby affirm that the details provided on this form
Choice only for Occupation 2.1, 2.2 and 2.3. Its are true and accurate.
mandatory for 2.4 Spouses/Dependents and 2.5 Others
to vote via the Postal Ballot Facilitation Booth [PBFB]
Conventional Postal Ballot System i.e. through
the Bhutan Post Service
OR
SIGNATURE/THUMB IMPRESSION
Postal Ballot Facilitation Booth [PBFB]

Post Box No.: 2008, Kawajangsa, Thimphu: Bhutan


334851, 334852 (PABX), 334762 (EA to CEC), Fax: 334763
Website: www.ecb.bt E-mail: pbinfo@ecb.bt
Let’s Vote in NA Elections 2018

Instructions for Registration as a Postal Voter


If you are a Registered Voter, eligible to be a Postal Voter as per Section 331 of the
Election Act of the Kingdom of Bhutan, 2008 and wish to avail the Postal Ballot
Facility to vote in the upcoming Third Parliamentary Elections, you must use this
Registration Form to register with the Election Commission of Bhutan (ECB).

Completing this Registration Form


Ensure information and personal details you provide are clear and correct.
Please tick the appropriate “Occupation” check box and the “Choice of Postal Ballot
Facility”
You must provide your current address where you would like to receive the ballot
papers if you have opted to vote through the Conventional Postal Ballot System or
tick your preferred Postal Ballot Facilitation Booth (PBFB) in the appropriate check
box provided.

Returning this Registration Form


The completed and signed Form with any supporting documents may be submitted
to either your HRO/Focal Persons or the nearest Dzongkhag Election Office.
Registration Form without signature shall not be accepted.

Check your Enrollment Status


Once you submit this Form to register with the ECB as a Postal Voter, you must
check your enrollment status at:
Postal Ballot Unit for NA Elections 2018,
Election Commission of Bhutan
Democracy House
Kawajangsa, Thimphu
Post Box No. 2008
Phone No. 02-334851/334852
Fax No. 02-334763
Email: pbinfo@ecb.bt
Website: www.ecb.bt
OR

Call Toll Free at 2008 (during office hours)


More Information
For further information or Registration Forms for other Dzongkhags, please contact
at any of the above address.

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