The affidavit of religious exemption shall be in the following form:
| AFFIDAVIT OF RELIGIOUS EXEMPTION |
| Name: ____________________ |
| Domicile Address: ____________________ |
| Date of birth: _______________ |
| I hereby swear or affirm that because of my religious beliefs, I object to having my photograph taken and that I do not possess a form of identification that meets the requirements of the election laws of this state showing my photograph. |
| I hereby swear or affirm, under the penalties for voting fraud set forth below, that I am the identical person whom I represent myself to be and that to the best of my knowl
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