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do solemnly swear (or, if he be one of the persons permitted by law to affirm in civil cases, do solemnly affirm) that I will act faithfully in my capacity of Poll Clerk, and also in that of Deputy Returning Officer if required to act as such, according to law, without partiality, fear, favour, or affection. So help me God.

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Certificate of the Poll Clerk having taken the Oath.

I, the undersigned, hereby certify that on the of the month of

I. J., Poll Clerk, for the

polling district, No. of the Electoral District of

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day

took and subscribed before me the oath (or affirmation) of office required of a Poll Clerk in such cases by section 31 of "The Dominion Elections Act, 1874."

In testimony whereof, I have delivered to him this certificate under my hand.

(Signature,)

C. D.,

Justice of the Peace.

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Commission of a Poll Clerk by a Poll Clerk acting as Deputy Returning Officer.

To

of (insert his residence and legal addition)

Know you, that in my capacity of Acting Deputy Returning Officer for the polling district No.

of

of the electoral district

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in consequence of the decease (or incapacity to act as the case may be) of the Deputy Returning Officer for the said polling district whose Poll Clerk I was, I have appointed, and do hereby appoint you to be Poll Clerk for the said polling district, No. said Electoral District.

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of the

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this

(Signature,)

day of

P. C.

Poll Clerk, Acting as Deputy Returning Officer.

The oath and certificate of its having been taken will be the same as in the case of a Poll Clerk appointed by the Deputy Returning Officer.

N.

Oath of Agent of a Candidate, or of Elector representing a
Candidate, under Section 36.

I, the undersigned, G. H., Agent for (or Elector representing) J. K., one of the candidates at the election now pending for the electoral district of solemnly swear (or if he be one of the persons permitted by law to affirm in civil cases, solemnly affirm) that I will keep secret the names of the candidates for whom any of the voters at the polling station in the polling district, No. , may have marked his ballot paper in my presence at this election. So help me God.

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NOTE.-The qualification need not be inserted except where

there are no Provincial lists of voters.

Voters voting after others voted in their names.

97

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P.

Oath of identity by voter receiving a ballot paper and envelope, after another has voted in his name.

I solemnly swear, (or if he be one of the persons permitted by law to affirm in civil cases, solemnly affirm) that I am A. B., of (as on the voters' list) whose name is entered on the voters' list now shown me. So help me God.

PP.

Oath of Messenger sent to collect the Ballot Boxes.

EI, A. B., of

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, messenger appointed by C. D., Returning Officer, for the Electoral District of in the Province of do solemnly swear that the several boxes to the number of now delivered by me to the said Returning Officer have been handed to me by the several Deputy Returning Officers at the present election for the said Electoral District (or by-here insert the names of the Deputy Returning Officers who have delivered said boxes), that they have not been opened by me, nor any other person, and that they are in the same state as they were when they came into my possession. (Should any change have taken place the deponent shall vary his deposition by fully stating the circumstances.

(Signature,) A.B.

Sworn (or affirmed) and subscribed before me, at

day of

this

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Oath of the Deputy Returning Officer after the closing of the

Poll.

I, the undersigned, Deputy Returning Officer for the polling district No. of the Electoral District of

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do solemnly swear (or, if he be one of the persons permitted by law to affirm in civil cases, do solemnly affirm) that to the

best of my knowledge and belief, the voters' list kept for the said polling district, under my direction, hath been so kept correctly; and that the total number of votes polled in the said list is and that, to the best of my knowledge and belief, it contains a true and exact record of the votes given at the polling station in the said polling district, as the said votes were taken thereat; that I have faithfully counted the votes given for each candidate, in the manner by law provided, and performed all duties required of me by law, and that the report, packets of ballot papers, and other documents required by law to be returned by me to the Returning Officer, have been faithfully and truly prepared and placed within the ballot box, as this oath (or affirmation) will be, to the end that the said ballot box being first carefully sealed with my seal may be transmitted to the Returning Officer according to law.

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Oath of the Poll Clerk after the closing of the Poll.

I, the undersigned, Poll Clerk for the polling district No. of the Electoral District of do solemnly swear (or if he be one of the persons permitted by law to affirm in civil cases, do solemnly affirm) that the voters' list in and for the said (as the case may be), under the direction of G.H., who has acted as Deputy Returning Officer therein, has been so kept by me under his direction as aforesaid, correctly and to the best of my skill and judgment; that the total number of votes polled in the said list is

;

and that to the best of my knowledge and belief, it contains a true and exact record of the votes given at the polling station in the said polling district, (as the case may be) as the said votes were taken at the said poll by the said Deputy Returning Officer.

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Return after a Poll has been taken.

I hereby certify that the member (or members) elected for the Electoral District of in pursuance of the within written writ, as having received the majority of votes lawfully given, is (or are) A.B., &c., (names &c., as in the nomination papers.)

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Preamble,

Members of a
Provincial
Legislature

not eligible as
Members of

36 VICT. CAP. 2.

An Act to render Members of the Legislative Councils and Legislative Assemblies of the Provinces now included, or which may hereafter be included within the Dominion of Canada, ineligible for sitting or voting in the House of Commons of Canada.

HE

[Assented to 3rd May, 1873.]

ER Majesty, by and with the advice and consent of the
Senate and House of Commons of Canada, enacts as

follows:

1. After the dissolution of the present Parliament of Canada, no person who is a Member of any Legislative Council or of any Legislative Assembly of any Province now included, or which may hereafter be included within the Dominion of Canada, sha ! be eligible as a Member of the House of Commons, or shall be Election to be capable of sitting or voting in the same; and if any one so declared ineligible is, nevertheless, elected and returned as a Men

the House of Commons.

void.

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