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Office Use Only WESTMINSTER CITY COUNCIL PD No. PROXY VOTE APPLICATION FORM Only ONE form per person. Please read the notes carefully before completing this form. If you need help filling in this form please phone 02076412730 Please write in BLACK INK and use BLOCK LETTERS 1. Address where you are registered to vote 5. Name and address of appointed proxy First name s in full Surname Title Mr Mrs Ms Miss Dr Other Address 2. About you Relationship to you if any Daytime or mobile telephone or...
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