资助的申索ClaimforFinancialAssistance.pdf

資助的申索 CLAIM FOR FINANCIAL ASSISTANCE 《選舉管理委員會（立法會選舉及區議會選舉資助）（申請及支付程序）規例》（第541N 章）第3 條 Section 3 of the Electoral Affairs Commission (Financial Assistance for Legislative Council Elections and District Council Elections) (Application and Payment Procedure) Regulation (Cap. 541 N) 2018 年立法會補選 2018 LEGISLATIVE COUNCIL BY-ELECTION （*地方選區／功能界別名稱） (Name of *Geographical/Functional Constituency) 補選日期 ：2018 年 3 月 11 日 Date of By-election: 11 March 2018 ［附註：請用正楷填寫此表格及參閱《填寫資助的申索表格說明》（“說明 ”）。］ [Note: Please use BLOCK LETTERS in completing this form and read the “Notes on Completion of Claim for Financial Assistance” ( “Note(s) ”) .] （此表格須由候選人填寫及簽署。 ） (This form must be completed and signed by the candidate.) 致： 總選舉事務主任 To: Chief Electoral Officer 1. 我現就上述補選提交資助的申索及明白須付予我的資助款額為以下款額中的最低者 ： I hereby lodge a claim for financial assistance in connection with the above-mentioned by-election and understand that the amount payable as financial assistance is the lowest of the following amounts: (a) （如屬有競逐的補選 ）投予我的有效選票總數乘以指明的資助額所得的款額，或 （如屬無競逐的補選 ）有關*地方選區／功能界別的登記選民數目的50%乘以指明 的資助額所得的款額 （見說明第 6 項 ）： (If the by-election is contested) the amount obtained by multiplying the total number of valid votes cast for me by the specified rate or (if the by-election is uncontested) the amount obtained by multiplying 50% of the number of registered electors for the *geographical/functional constituency concerned by the