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

Full text
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.