Form of application and declaration required by regulation 4(1)U.K.
6.—(1) An application under this regulation may be made by a relevant citizen of the Union (“the applicant"), shall be signed and dated by him and shall state—
(a)the full name of the applicant;
(b)the address in respect of which the applicant claims to be registered and whether he is resident there on the relevant date;
(c)in the case of an application in Northern Ireland, that the applicant was resident in Northern Ireland for the whole of the period of three months ending on that date;
(d)if the applicant is not resident on the relevant date at the address in respect of which he claims to be registered, whether he has made a declaration of local connection;
(e)if the applicant is a merchant seaman on the relevant date, that fact; and
(f)either that the applicant is aged 18 or over or, if not, the date of his birth.
(2) An application under this regulation shall include a declaration stating—
(a)the nationality of the applicant;
(b)the applicant’s address in the United Kingdom, if different from the address given under paragraph (1)(b) above;
(c)where the applicant’s name has been entered in a register of electors in a locality or constituency in the Member State of which he is a national, the name of the locality or constituency where, so far as he knows, his name was last so entered; and
(d)that the applicant will exercise any right which he has to vote at European Parliamentary elections at any such election only in the United Kingdom during the period for which any entry in the register of electors made in pursuance of this application remains in force.
(3) The registration officer shall supply free of charge as many copies of forms for use in connection with applications and declarations under paragraphs (1) and (2) above as appear to that officer reasonable in the circumstances to any person who satisfies that officer of his intention to use the forms in connection with the registration of relevant citizens of the Union as European Parliamentary electors.
(4) An application under paragraph (1) above and a declaration under paragraph (2) above shall be of no effect unless they are received by the registration officer concerned within the period of three months beginning with the date on which they are made.
(5) In any case where the registration officer is not required to notify the applicant of the result of the application under the regulations applied by regulation 9 below, he shall so notify the applicant under this paragraph.
(6) In this regulation—
“locality or constituency" has the same meaning as it has in the directive of the Council of the European Commissioners No. 93/109/EC; and
“relevant date" has the same meaning as in regulation 4 above.