OVF No. 1D APPLICATION FOR REINSTATEMENT IN THE NATIONAL REGISTRY OF OVERSEASVOTERS ______________ (Date) THE RESIDENT ELECTION REGISTRATION BOARD ______________________________________________________________________________________ Dear Sir: May I request that my name, which has been inadvertently omitted in the National Registry of Overseas Voters (NROV), be reinstated/included therein. __________________________________(Signature Above Printed Name) Birth Date: ________________________ Last name:_________________________ First name: ________________________ Maternal name:_____________________ SUBSCRIBED AND SWORN TO before me this ___day of ____________ 201__. ________________________ Administering Officer ACTION OF THE OFOV CHAIRMAN [ ] Approved [ ] Disapproved because: ___________________ As verified by : ____________________ ( In-charge of Records) __________________________ OFOV CHAIRMAN