OATH OF OFFICE AND DISCRETION
I, ______________________________ , swear that I will carry out the duties of my office with honesty, impartiality and fairness, and that I will not accept (except for any salary paid to me by the Ordre des chimistes du Québec, where applicable), any sum of money or consideration whatever for what I have done or may do in carrying out the duties of my office, for the purpose of favouring a candidate directly or indirectly.
I further swear that I will not reveal or make known, without authorization by law, the name of the candidate for whom any person voted, if that information comes to my knowledge at the time the votes are counted.
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)