Oath or Affirmation of Elector I swear (or solemnly affirm) that my name is (state name) andthat I am the person designated (or who is intended to bedesignated) by the name entered as follows (name of elector asentered on list) on the electoral list for the pollingsubdivision (designate subdivision), that I was of full age onthe date of publication of the notice of election, that I was aCanadian citizen on such date and that I still am, that I havebeen domiciled in the municipality for at least twelve monthsbefore such date or (in the case of a person not domiciled inthe municipality), that I was entered on the valuation roll inforce as (owner of an immovable, or tenant of a store,counting-house, shop, office or place of business) in themunicipality for at least twelve months before such date, that Ihave not yet voted today at this election, that no promise hasbeen made to me or to my consort or to any of my relations orfriends, or to any one else, to induce me to vote or not to voteat this election, that I have not received anything for myself,for my consort, for a member of my family or in any other mannerto induce me to vote at this election, or in connection with myvote at this election, that I am not acting, have not acted anddo not intend to act in the interest of any candidate at thiselection, as agent or otherwise, with the view of obtaininganything and thereby being influenced as to my vote, that I havenot been guilty of or participated in any corrupt practice whichdisqualifies me from voting at this election. ................................ Elector