- Complete Questions -
Answer
the check box questions located at the top-middle right. These
include whether this card is for a new registration, for a change of
registration, or for a replacement of registration. The
questions also ask if you are a United States Citizen, 18 years of age
before the election day, and if you are interested in serving as an
election worker. Continue to the part below to complete
application.
- Name -
Give your full name including
Last, First, Middle, and Former Name (if applicable).
- Residence Address-
Include street address,
apartment number (if applicable), city,
state, and zip code. If you do not have a street address, give a description of the
location of where you live. (Do not include P.O. Box or Rural
Rt.)
- Mailing Address -
Include
Address, City, State, and Zip. (If mail cannot be
delivered to your residence address).
- Date of Birth
-
Give the Month, Day, Year you were born.
- Gender
- This is
optional. Check whether you are Male or Female.
- Tx Driver's License No. or Personal I.D. No.
-
Give your Texas Driver's License Number or a Personal I.D. Number
(issued by the Department of Public Safety). If you have neither
one, give the last 4 digits of your Social Security Number. IF
YOU DO NOT HAVE ANY OF THE ID'S MENTIONED ABOVE, CHECK THE BOX BELOW
STATING THE SAME.
- Telephone Number
- This is optional. Give your Telephone Number including
the area code.
- Sign Your Name -
Read
the affirmations, Date and Sign the Registration Card.
|