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C-27.1 - Municipal Code of Québec

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FORM 9
(Repealed).
1982, c. 31, s. 133; 1987, c. 57, s. 772.
9
(Article 361)

Declaration under oath or solemn affirmation of an electorŠwishing to vote in the advance poll because he will be absent orŠunable to vote on polling dayŠŠMunicipality of ...............................................ŠŠI, ............................................................Š given name surnameŠŠ ..............................................................Š occupationŠŠ ..............................................................Š addressŠŠdeclare that I have reason to believeŠŠ( ) that I shall be absent from the municipality on polling day;ŠŠ ORŠŠ( ) that I shall be unable to vote on polling day.ŠŠI, therefore, wish to vote in the advance poll.ŠŠ ...................Š ElectorŠŠDeclared under oathŠ(or solemnly affirmed)Šbefore me,Šat ............., this .........ŠŠ ...................Š Presiding OfficerŠŠ----------------Š1982, c. 31, s. 133.
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