Please refer overleaf for the names of the functional constituency and Election Committee subsector .

请參照背页之功能界别及选举委员会界别分组的名称。

I am not appointed as an authorized representative by any other Election Committee subsector corporate voter or applicant;

本人没有获任何其他选举委员会界别分组团体投票人或申请人委任为获授权代表；

The completed form must reach the Electoral Registration Officer 14 days before the polling date for the functional constituency or the subsector concerned.

已填妥的表格必须在有关功能界别或有关界别分组的投票日期十四天前送抵选举登记主任。