2

FOURTH SCHEDULE

Form of Declaration of Acceptance of

Office by a Councillor

131

(Sec. 24(1))

I, A.B.

of

having been elected (nominated,

or appointed) to the office of a member of the Hong Kong

Municipal Council hereby declare that I take the said office

upon myself and will duly and faithfully fulfil the duties

thereof according to the best of my judgment and ability.

Dated this

day of

$

Signature

This declaration was made and subscribed before us

Members of the

Hong Kong Municipal

Council

Delete words that are inappropriate.

If the declaration is made and subscribed before the Clerk of the Council, a justice of the peace or magistrate or a commissioner appointed to administer oaths in the Supreme Court, adapt form accordingly.

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