B 34

CAP. 367]

Electoral Provisions (Procedure)

[1987 Ed.

[Subsidiary]

41 of 1985, s. 24.

Regulations

FORM 7

[regs. 15(1) & (3).]

ELECTORAL PROVISIONS (PROCEDURE) REGULATIONS

APPOINTMENT OF ELECTION AGENT

ELECTION OF A*AN URBAN COUNCIL MEMBER/A RE-GIONAL COUNCIL MEMBER/A DISTRICT BOARD MEMBER

for the

L/N424/90.

* in

Date of Election:

Constituency District.

1. I hereby appoint the following person to act as my election agent at the above election:-

Name of Election Agent

Hong Kong Identity Card Number

Telephone Number

Residential Address

Candidate's Signature

Candidate's Name in Block Letters

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 the appointment of an election agent generally and how to complete this form will be issued separately.

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