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1. PROXY STATEMENT:

This is to certify that I

Follower of Sikh Religion, Resident of:

2. Hereby Assign Proxy To:

Name of Relative/Friend: *

Country: *

Mobile/Whatsapp#

Email Address:

I Authorize My Proxy To Contact "Sikhs For Justice" (SFJ) And Register And Enroll My And Family Members' Vote(s) For Khalistan Referendum.

I Am Giving The Proxy For Registering My Vote Because Personally Registering Vote For Punjab Independence Referendum Could Put Me And My Family At Risk At The Hands Of Indian Officials And Non-Governmental, Anti-Democratic, Extremist And Violent Elements In India.
Issued By:
Sikhs For Justice
Shaheed Bhindranwale Khalistan Referendum Headquarters
529 14th St NW, Suite 1111,
Washington, DC 20045.
Web: www.referendum2020.org