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027+(5¶6 0$,'(1 1$0( / ( Ç } µ o ] } v ] ] } À U Ç } µ } Ç ... · City/Municipality Lungsod/Bayan RESIDENCE ABROAD COMPLETE MAILING ADDRESS FOR PURPOSES OF VOTING Province

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MOTHER’S MAIDEN NAMEPangalan ng ina noong dalaga

If your applicaon is disapproved, you or your authorized representave may file a moon for reconsideraon with the RERB. Kung ang inyong aplikasyon ay hindi naaprobahan, ikaw o anginyong kinatawan ay maaring maghain ng karampatang moon for reconsideraon sa RERB.