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 receive, except for any salary paid to me by the Ordre des infirmières et infirmiers 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 of the counting of the votes.
In witness whereof, I have signed at _______________________ , this _________________________ day of __________(month)__________ __________(year)__________
___________________________________________
(Signature)
Sworn before me, at __________________________
this ___________ day__________of 20__________
___________________________________________
Commissioner for oaths for the judicial
district of __________________________________
___________________________________________
Signature of secretary