Information for PersonationCANADA,Province of Québec,District of The information of A. B., of ...............................,taken this ......................... day of ................... ..................., in the year ............................,before the undersigned, a deputy returning officer at a pollingstation in ........................ ward of the city of .......................... (or town of ....................... ...............), for a municipal election being there held. The said informant says that he believes that T. U. (or thata person whose name is to the informant unknown but who is nowdetained in the said polling station under the order of thedeputy returning officer, or as the case may be) on this day atthe said polling station did commit the offence of personationby (describing the offence). A. B. Taken, signed and sworn before me at the said pollingstation, the day and year above mentioned. G. H. Deputy Returning Officer.