C-15, r. 8 - Regulation respecting elections to the board of directors of the Ordre des chimistes du Québec

Schedule Disposition versions

2012-09-01

SCHEDULE VII

(s. 19)

OATH CERTIFYING THAT A BALLOT PAPER HAS BEEN DAMAGED, SPOILED OR LOST, OR HAS NOT BEEN RECEIVED, OR THAT AN ENTRY THEREON HAS BEEN STRUCK OUT

(date) ______________________________________

I, the undersigned, ______________________________ , member in good standing of the Ordre des chimistes du Québec, swear that I ______________________________ (damaged, spoiled, lost, did not receive or struck out an entry on) my ballot paper for the election to the office of ______________________________ (president or director) of the Ordre des chimistes du Québec and request that another ballot paper be issued to me by the secretary of the Order.

In witness whereof, I have signed at ______________________________ , this __________ day of ______________________________ .

___________________________________________

(signature of member)

Sworn before me (or, as the case may be) Received before me

at ______________________, at ______________________,

this __________ day of this __________ day of

________________________ . ________________________.

(month) (year) (month) (year)

______________________________________________________________________________

Commissioner for oaths for the judicial district of _____________________________________

---

(signature of secretary)

O.C. 1692-93, Sch. VII.