B 28
CAP. 367]
Electoral Provisions (Procedure)
[1987 Ed.
Regulations
[Subsidiary]
41 of 1985, s. 24.
CN 426/90.
FORM 4
ELECTORAL PROVISIONS (PROCEDURE) REGULATIONS
CANDIDATE'S CONSENT TO NOMINATION AND DECLARATION OF QUALIFICATIONS
[reg. 8(a).]
ELECTION OF AN URBAN COUNCIL MEMBER/A REGIONAL COUNCIL MEMBER/A DISTRICT BOARD MEMBER for the
.... Constituency
in
Date of Election:
1. I,
Name as on Nomination Paper
Hong Kong Identity Card Number
Residential Address
.... District.
hereby consent to my nomination as a candidate at the above election.
2. I hereby declare that I am qualified under section 18 of the Electoral Provisions Ordinance for nomination as a candidate and for election.
3. I hereby further declare that to the best of my knowledge and belief I am not disqualified from being nominated or elected by reason of any disqualification contained in section 19 of the Electoral Provisions Ordinance.
(Signature of Candidate)
Date
4. This form was signed in my presence.
Name of Witness
Hong Kong Identity Card Number
Residential Address
Signature of Witness
* Delete whichever is inapplicable.
Note:
A note on the qualifications and disqualifications for candidates and on how to complete this form will be issued separately.