30th Imperial Diet, National and Providence Representatives
A bespectacled official of the Ministry of Civil Affairs approaches you, pushing a ballot into your hand. It is for the Imperial Diet Election in the Empire.

"Are you registered to vote in in the Empire, citizen? If so, you can fill out this ballot and take it to your local office of the Ministry of Civil Affairs"

In taking this ballot you acknowledge that you are an Imperial citizen over the age of 18 registered to vote in the Empire, and hence accepted by the electoral roll. All your responses must be compliant with what you have registered with the Imperial census of 1855 - 1865. If they are not, your vote will be invalidated.
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First Name *
Last Name *
Year of Birth *
You must list a year of birth according to the Imperial Calendar, which is current year in the 'Second Age' plus 1796 (for example, Second Age 26 is the year 1822 in the Imperial Calendar).
Residence *
((Minecraft IGN?)) *
Please select all candidates of whom you approve for the PROVIDENCE representatives. *
You may select any number of candidates. The top three candidates who receive the most votes will sit in the Imperial Diet
Required
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