姓名 : _____________Name: _____________年齡 Age: _____________職業 : _____________Occupation: _____________政治聯繫 : _____________Political Affiliation: _____________電郵地址/網址

E-mail Address/ Website: _____________

選舉信息 Electoral Message: 候選人編號 Candidate Number

Q05_YU T N_DC2019_single.indd 1 17/10/2019 下午7:27

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