O-7.2, r. 1 - Regulation respecting the procedure for designating certain members of the board of directors of integrated health and social services centres and unamalgamated institutions

Schedule Disposition versions

2015-04-08

SCHEDULE VI

(Section 25)

POLL IN PERSON

Declaration of the member who votes

Institution(s):_______________________________________________________

Designation college: _________________________________________________

DECLARATION

I hereby declare that

- I am part of the above-mentioned designation college;

- I have not voted in another polling location for the above institution.

__________________________________

Name

__________________________________

Signature

__________________________________

Date

SCRUTINEER: __________________________________

M.O. 2015-005, Sch. VI.