1964_LEGISLATIVE_COUNCIL_(ELECTORAL_PROVISIONS)_(PROCEDURE)_REGULATIONS — Page 28

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B 28

[Subsidiary]

CAP. 381] Legislative Council (Electoral Provisions)

(Procedure) Regulations

[1988 Ed.

3. I hereby further declare that to the best of my knowledge and belief I am not disqualified from being nominated or elected by reason of any disqualification contained in section 21 of the Legislative Council (Electoral Provisions) Ordinance.

4. This form was signed in my presence.

Name of Witness

(Signature of Candidate)

Date

Hong Kong Identity Card Number

Residential Address

Signature of Witness

* Delete words which do not apply.

Note: A note on the qualifications (including examples of a substantial connection with a constituency) and disqualifications for candidates and on how to complete this form will be issued separately.

FORM 4

LEGISLATIVE COUNCIL (ELECTORAL PROVISIONS) (PROCEDURE) REGULATIONS

WITHDRAWAL OF CANDIDATURE

ELECTION OF A LEGISLATIVE COUNCIL MEMBER for the

Constituency (L.N. 190/88)

Date of Election:

1. I,

Name in English and Chinese

(if applicable) as on

Nomination Paper

Hong Kong Identity Card Number

* Electoral College/Functional Electoral Division.

[reg. 9]

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

Date

(Signature of Candidate)

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B 28 [Subsidiary] CAP. 381] Legislative Council (Electoral Provisions) (Procedure) Regulations [1988 Ed. 3. I hereby further declare that to the best of my knowledge and belief I am not disqualified from being nominated or elected by reason of any disqualification contained in section 21 of the Legislative Council (Electoral Provisions) Ordinance. 4. This form was signed in my presence. Name of Witness (Signature of Candidate) Date Hong Kong Identity Card Number Residential Address Signature of Witness * Delete words which do not apply. Note: A note on the qualifications (including examples of a substantial connection with a constituency) and disqualifications for candidates and on how to complete this form will be issued separately. FORM 4 LEGISLATIVE COUNCIL (ELECTORAL PROVISIONS) (PROCEDURE) REGULATIONS WITHDRAWAL OF CANDIDATURE ELECTION OF A LEGISLATIVE COUNCIL MEMBER for the Constituency (L.N. 190/88) Date of Election: 1. I, Name in English and Chinese (if applicable) as on Nomination Paper Hong Kong Identity Card Number * Electoral College/Functional Electoral Division. [reg. 9] 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 Date (Signature of Candidate)
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B 28 [Subsidiary] CAP. 381] Legislative Council (Electoral Provisions) (Procedure) Regulations [1988 Ed. 3. I hereby further declare that to the best of my knowledge and belief I am not disqualified from being nominated or elected by reason of any disqualification contained in section 21 of the Legislative Council (Electoral Provisions) Ordinance. 4. This form was signed in my presence. Name of Witness (Signature of Candidate) Date Hong Kong Identity Card Number Residential Address Signature of Witness * Delete words which do not apply. Note: A note on the qualifications (including examples of a substantial connection with a constituency) and disqualifications for candidates and on how to complete this form will be issued separately. FORM 4 LEGISLATIVE COUNCIL (ELECTORAL PROVISIONS) (PROCEDURE) REGULATIONS WITHDRAWAL OF CANDIDATURE ELECTION OF A LEGISLATIVE COUNCIL MEMBER for the Constituency (L.N. 190/88) Date of Election: 1. I, Name in English and Chinese (if applicable) as on Nomination Paper Hong Kong Identity Card Number * Electoral College/ Functional Electoral Division. [reg. 9] 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 Date (Signature of Candidate) ཅཱ་
2026-05-04 22:45:16 · Baseline
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B 28

[Subsidiary]

CAP. 381] Legislative Council (Electoral Provisions)

(Procedure) Regulations

[1988 Ed.

3. I hereby further declare that to the best of my knowledge and belief I am not disqualified from being nominated or elected by reason of any disqualification contained in section 21 of the Legislative Council (Electoral Provisions) Ordinance.

4. This form was signed in my presence.

Name of Witness

(Signature of Candidate)

Date

Hong Kong Identity Card Number

Residential Address

Signature of Witness

* Delete words which do not apply.

Note: A note on the qualifications (including examples of a substantial connection with a constituency) and disqualifications for

candidates and on how to complete this form will be issued separately.

FORM 4

LEGISLATIVE COUNCIL (ELECTORAL PROVISIONS) (PROCEDURE) REGULATIONS

WITHDRAWAL OF CANDIDATURE

ELECTION OF A LEGISLATIVE COUNCIL MEMBER for the

Constituency (L.N. 190/88)

Date of Election:

1. I,

Name in English and Chinese

(if applicable) as on

Nomination Paper

Hong Kong Identity Card Number

* Electoral College/ Functional Electoral Division.

[reg. 9]

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

Date

(Signature of Candidate)

ཅཱ་

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