I-8, r. 15 - Regulation respecting elections to the board of directors of the Ordre des infirmières et infirmiers du Québec

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SCHEDULE VII
(s. 24)
STATEMENT OF THE POLL
Election to the office of president of the Ordre des infirmières et infirmiers du Québec
Region (where applicable) ___________________________________________________________
Number of electors _________________________________________________________________

__________________________________________________________________
| | |
| Number of valid ballots | |
|_______________________________________________________|__________|
| | |
| Number of rejected ballots | |
|_______________________________________________________|__________|
| | |
| Number of outer envelopes rejected | |
|_______________________________________________________|__________|
| | |
| Number of inner envelopes rejected | |
|_______________________________________________________|__________|
| | |
| TOTAL | |
|_______________________________________________________|__________|
| | |
| Number of ballots cast for | |
|_______________________________________________________|__________|
| | |
| Number of ballots cast for | |
|_______________________________________________________|__________|
| | |
| Number of ballots cast for | |
|_______________________________________________________|__________|
| | |
| Number of ballots cast for | |
|_______________________________________________________|__________|
Signature of scrutineers: _____________________________________________________________
_____________________________________________________________
_____________________________________________________________
Given under my signature, at __________________________, this ____________________________ day of __________(month)__________, 20__________
___________________________________________
Signature of election secretary
O.C. 1367-92, Sch. VII.