1987 Ed.]
Electoral Provisions (Procedure) Regulations
[CAP. 367
B 43
FORM 12
[reg. 64.]
ELECTORAL PROVISIONS (PROCEDURE) REGULATIONS
DECLARATION OF SECRECY
ELECTION OF AN URBAN COUNCIL MEMBER/A REGIONAL COUNCIL MEMBER/A DISTRICT BOARD MEMBER
for the
Xin LN426/49. Date of Election:
Constituency . District.
1. I, (Name) of (residential address) solemnly promise and declare that, at the above election, I will not do anything forbidden by regulation 65 of the Electoral Provisions (Procedure) Regulations, which has been read to me.
Date (Signature)
2. Regulation 65 of the Electoral Provisions (Procedure) Regulations has been read to the declarant by me and the above declaration was made before me.
* Delete whichever is inapplicable.
Note:
Signature of *a Justice of the Peace/Returning Officer/Commissioner for Oaths
Name in Block Letters of *a Justice of the Peace/Returning Officer/Commissioner for Oaths
Date
[Subsidiary]
65 of 1984, s. 29. 41 of 1985, s. 24.
A note on regulation 65 of the Electoral Provisions (Procedure) Regulations and how to complete this form will be issued separately.
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