B 30
CAP. 367]
Electoral Provisions (Procedure) Regulations
[1987 Ed.
[Subsidiary]
41 of 1985, s. 24.
40426190
[reg. 10.]
FORM 5
ELECTORAL PROVISIONS (PROCEDURE) REGULATIONS
WITHDRAWAL OF CANDIDATURE
ELECTION OF AN URBAN COUNCIL MEMBER/A REGIONAL COUNCIL MEMBER/A DISTRICT BOARD MEMBER for the......
*
in
Date of Election:
Constituency District.
1. I,
Name as on
Nomination Paper
Hong Kong Identity Card Number
Residential Address
am a duly nominated candidate at the above election. However, I do not now wish to be nominated as such candidate and I hereby withdraw my consent to nomination dated
(Signature of Candidate)
Date
2. 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 how to complete this form will be issued separately.
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