C-26, r. 230 - Regulation respecting elections to the board of directors of the Ordre professionnel des techniciens et techniciennes dentaires du Québec

Schedule Disposition versions

2012-09-01

SCHEDULE VII

(s. 18)

OATH CERTIFYING THAT A BALLOT PAPER WAS DAMAGED, SPOILED, LOST OR NOT RECEIVED

(Date) ______________________________________________________________________________

I, the undersigned, ______________________________, a member in good standing of the Ordre professionnel des techniciens et techniciennes dentaires du Québec, swear that I ______________________________ (damaged, spoiled, lost, or did not receive) my ballot paper for the election for the office of ______________________________ (president or director) of the Ordre professionnel des techniciens et techniciennes dentaires du Québec and that another ballot paper was issued to me by the secretary of the Order.

In witness whereof, I have signed at ______________________________, this __________ day of ______________________________ 20__________

_______________________________ or (where applicable) ________________________________

Signature of member Signature of member

Sworn before me, at _____________________, this __________ day of ________________________ 20__________

______________________________________________________________________________

Commissioner for oaths for the judicial district of ______________________________________

__________________________________________

Signature of secretary

O.C. 825-91, Sch. VII.