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Appendix 1
SIGNATURE LIST
We, the undersigned, support the candidate [the first, middle and last name], born [day, month, year], working as [position, occupation] and residing at __________________ , who was nominated by [an electoral association (branch of an electoral association) or electoral bloc or directly by voters] in the electoral district No. ___ .
No.Series and number of passport or equivalent identity paper
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Signature and date
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I hereby certify the signature list:
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(first, middle and last name, place of residence, series and number of passport or equivalent identity paper of the signature collector)
I hereby certify the signature list:
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(first, middle and last name of the authorized representative of the electoral association (electoral bloc) which nominated the candidate or first, middle and last name of the candidate nominated directly by voters)
(Signature and date)
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