S-4.2, r. 21 - Regulation respecting the designation procedure for certain members of the board of directors of a public institution

Schedule Disposition versions

2012-09-01

SCHEDULE VI

(s. 24)

DESIGNATION

Vote Count Report

Designation college: __________________________________________________________________

Institution(s): ________________________________________________________________________

In accordance with the polling notice, the vote count took place on ___________________________, in ____________________

Envelopes with voter identified: __________

Envelopes containing no vote envelopes: __________

Envelopes containing more than one vote envelope: __________

Vote envelopes counted: __________

Uncounted vote envelopes: __________

(1) Vote Count Report

Candidates Number of votes

(1) ____________________ ____________________

(2) ____________________ ____________________

(3) ____________________ ____________________ Valid ballots __________

(4) ____________________ ____________________ Rejected ballots __________

(5) ____________________ ____________________ Total __________

(2) Draw results

The following candidates received the same number of votes:

______________________________

______________________________

______________________________

______________________________

A random draw was held on ____________________, in ____________________

The following candidate’s name was drawn:

______________________________

Signed in ____________________, on ____________________

______________________________

Signature

______________________________________

Name of designation officer

______________________________________

______________________________________

______________________________________

Name(s) of scrutineer(s)

M.O. 2006-015, Sch. VI.