English

version.

Chinese

veradon

(ilmar).

32

FORM 4.

[reg. 5.]

URBAN COUNCIL ELECTIONS (PROCEDURE) REGULATIONS, 1955.

Nomination Paper.

Forм 5.

38

[reg. 8(a)]

URBAN COUNCIL ELECTIONS (PROCEDURE) REGULATIONS, 1955.

Consent of Candidate to Nomination.

THE URBAN COUNCIL

THE URBAN COUNCIL.

of

Annual Extraordina

Election of

be held on the

day of We, the undersigned, being electors for the said election, do hereby nominate the undermentioned person as a candidate at the said election.

elected member(s) to

19.

(hame da on nomination paper)

bondeation paper)

(address na On

Cocopalias an ex nomination paper)

k

+

Election to 611 Urban Council to be bold on the

Dated this

hereby consent to my nomination sa a Candidate at the * Dztrordoty vacancy(ies) for elected members of the

day of

Annuat

19 +

day of

10

|

Candidate's Surname

Other NamEK In Full

Place of

Residence

Description

(Signature)

Bigned by the raid

Anda dalal DONADOG TALAGANGT

condemnectoreserempeteretu

Proposer

Seconder

Signatures

We, the undersigned being electors for the said election do hereby assent to the foregoing nomination.

1.

2.

1.

4.

5+

6.

7.

3.

In the presence of

(One Witness)

Signature

Address

Occupation

Place of Residence

Electoral Number

* Delete whichever la inapplicable.

† (if any)

Form 6.

• Delete whichever be inapplicable.

† Delete în respect of any election bell after the year 1956.

L

(reg. 8(4).]

URBAN COUNCIL ELECTIONS (PROCEDURE) REGULATIONS, 1955.

Declaration of Candidate as to Qualifications.

THE URBAN Councpt.

[

of

(name as du cotination paper)

notina paper)

(address A ON

(occupation se da nomination' pmperf Election to All

Annual Futrondinkes

a candidate at the * vacancy(ies) for elected members of the Urban Council to be held on the

day of

19 do hereby declare that I am qualified in accordance with section 9 of the Urban Council Ordinance. 1955, and am not disqualified by section 8 of the said Ordinance from being elected as an elected member of the Urban Council.

T

Dated this

day of

(Signature)

19

+

This declaration was made and subscribed before me a *Justice of the Peace/Magistrate/Commissioner for Oatha.

• Delete whichever is inapplicable.

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