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Annex 1 Signature Sheet
Election of the President of the Russian Federation
_________________________, _____________
_______________________________________________________
(name of the Subject of the Russian Federation; if signatures of citizens of the Russian Federation are collected outside its territory,
indicate the name of the foreign state)
No. of the registration certificate:
We, the undersigned, support nomination by the initiative voters' group of the Russian Federation citizen _____________________________________, born _____________, working as _________________, residing at _______________________________________, as candidate for the office of President of the Russian Federation.
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First, middle, last name
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Year of birth (for the age of 18 years, also the day and month of birth)
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Address of the place of residence
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Series, number, date of issuance of the passport or equivalent identity paper
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Signature
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Signing date
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2
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I hereby certify the signature list:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_______________________________________________________
(first, middle and last name, address of the place of residence, series, number, date of issuance of the passport or equivalent identity paper of the signature collector, the collector's autograph signature and date)
Authorized representative of the initiative voters' group:
_______________________________________________________
(first, middle and last name, autograph signature and date)
Note. If a candidate has a conviction that has not expired or has not been cancelled, the signature sheet shall indicate the number (numbers) and the name (names) of the article (articles) of the Criminal Code of the Russian Federation on the basis of which the candidate was convicted and the article (articles) of the criminal code adopted in accordance with the Fundamental Criminal Legislation of the USSR and the Union republics, the article (articles) of the law of a foreign state and the name of the law, if the candidate was convicted under these legislative acts for actions qualified as crimes by the current Criminal Code of the Russian Federation. If the candidate has Russian Federation and foreign citizenship, the signature sheet shall indicate this fact along with the name of the corresponding foreign state.
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