Document ID: chunk:federal_register_of_legislation:F2006C00692:body:0:p18
Version: federal_register_of_legislation:F2006C00692
Segment Type: other
Provision Reference: 
Character Range: 42176–45084

name has been omitted in error; and
    (d) is not disqualified under section 67 of the Local Government Act 1960 (W.A.) (C.I.) from being elected.

I attach the candidate's authorisation for me to nominate *him/*her.

Dated: (insert date).

(insert signature of candidate)
Agent

Witnessed by me, (insert full name of witness), on: (insert date)

(insert signature of witness)
Witness

* Delete if not applicable.

Form F Ballot paper for election of councillors in 1992
(subsection 93 (1))

BALLOT PAPER FOR ELECTION OF COUNCILLORS IN 1992

Local Government Act 1960 (W.A.)(C.I.)

Shire of Christmas Island

INSTRUCTIONS TO ELECTORS

Please complete the ballot paper by placing the number 1 in the square opposite the name of the candidate for whom you vote as your first preference, the number 2 in the square opposite the name of the candidate for whom you vote as your second preference, and so on to indicate your preference for all candidates.

Your vote will be invalid if you place any other mark on the paper.

If you make a mistake in your marking your preferences, please ask the electoral officer for a fresh ballot paper.

Names of Candidates Preference

Form G Declaration by returning officer
(paragraph 103 (1) (a))

DECLARATION BY RETURNING OFFICER

Local Government Act 1960 (W.A.)(C.I.)

I, (insert full name), of (insert address), Returning Officer for the Shire of Christmas Island, declare that:
    (a) I will faithfully perform the duties of Returning Officer to the best of my understanding and ability; and
    (b) I will not attempt improperly to discover, or directly or indirectly assist another person to discover, the vote of an elector; and
    (c) I will, unless legally bound to reveal it, keep secret any knowledge obtained in the course of my duties about an elector's vote.

(insert signature of Returning Officer)
Returning Officer

Declared before me on (insert date)

(insert signature of Justice of the Peace)
Justice of the Peace

Form H Declaration by *Deputy Returning Officer/*Presiding Officer/*Poll Clerk/*electoral officer appointed to issue early voting papers
(paragraph 103 (1) (b))

DECLARATION BY *DEPUTY RETURNING OFFICER/*PRESIDING OFFICER/*POLL CLERK/*ELECTORAL OFFICER APPOINTED TO ISSUE EARLY VOTING PAPERS

Local Government Act 1960 (W.A.)(C.I.)

I, (insert full name), of (insert address), *Deputy Returning Officer/ *Presiding Officer/*Poll Clerk/*officer appointed to issue early voting papers for the election to be held on (insert election date) in the Shire of Christmas Island, declare that:
    (a) I will faithfully perform the duties of my office to the best of my understanding and ability; and
    (b) I will not attempt improperly to discover, or directly or indirectly assist another person to discover, the vote of an elector; and
    (c) I will, unless legally bound to reveal it, keep secret any knowledge obtained