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FORM F.

Nomination Paper. (Sec. 15.)

We, the undersigned electors of the Electoral District of hereby nominate (name, residence and addition of the person nominated and present location if absent from the Electoral District) as a candidate at the election now about to be held of a member to represent the said Electoral District in the Legislative Assembly of the North-West Territories. (If the person nominated is absent from the Electoral District it must be stated here.)

Witness our hands this

day of

1

(Signature with residence and additions.) Signed by the above subscribing electors before me

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I, the said C. D., nominated in the foregoing nomination paper hereby consent to such nomination.

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The persons qualified to vote are male British subjects by birth or naturalization (other than unenfranchised Indians) who have attained the full age of twenty-one years and who have resided in the North-West. Territories for at least the twelve months and in the Electoral District for at least the three months, respectively, immediately preceding the time of voting.

An elector can vote only at the polling place for the polling division in which he resides.

The voter is to vote only for one candidate.

The voter after receiving his ballot paper and the pencils provided for marking the said ballot paper from the deputy returning officer will go into the inner room of the polling place, select from the pencils provided the one of the colour representing the candidate for whom he desires to vote and bearing his name, and with such pencil shall make a mark in the form of an X on the blank face of the ballot paper.

The voter will then fold the ballot paper at the crease thereon so that the mark made by him will be folded inwards. He will then moisten the gum or mucilage on the ballot paper and press the gummed end to the end against which it is folded; causing it to adhere thereto. The voter will then deliver the ballot paper with the aforesaid pencils to the deputy returning officer who will place the paper in the ballot box. The voter will then forthwith quit the polling station :

If a voter inadvertently spoils a ballot paper he may return it to the proper officer who, on being satisfied of the fact, will give him another.

If a voter votes for more candidates than he is entitled to vote for or more than once for any candidate his vote will be void and cannot be counted, and he shall be liable to a fine of $100.

Any voter who attempts to violate the secrecy of the ballot by marking his ballot paper in a peculiar manner, or by showing it to any person after marking it, and any person who instigates any voter so to mark his ballot or to show such ballote after being marked shall be liable to a fine of $100.

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FORM H.

Oath of Deputy Returning Officer.

I, the undersigned G.H., appointed Deputy Returning Officer for the polling division No. of the Electoral District solemnly swear (or, being one of the persons permitted by law to affirm in civil cases, solemnly affirm) that I will act faithfully in my said capacity of Deputy Returning Officer without partiality, fear, favour or affection. So help me God.

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I, the undersigned, I.J., appointed Poll Clerk for the polling division No. of the Electoral District of

do solemnly swear (or, if he is one of the persons permitted by law to affirm in civil cases, do solemnly affirm) that I will act faithfully in my capacity of Poll Clerk, and

also in that of Deputy Returning Officer if required to act as such according to law, without partiality, fear, favour or affection. So help me God.

Sworn before me, etc.

(Signature of officer administering oath.)

I.J.,

Poll Clerk.

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FORM K.

(Sections 41, 42, 50, 52.)

No. 1.

Statement of Voter.

, do hereby state that I am a male British subject by birth or naturalization; that I ain not an unenfranchised Indian; that I am of the full age of twenty-one years; that I have resided in the North-West Territories for at least the twelve months and in this Electoral District for at least the three months immediately preceding the present time; that I am a resident of this polling division and that I have not voted at this election either at this or any other polling place.

I,

No. 2.

Statement of Voter.

do hereby state that I have not received anything nor has anything been promised me, nor have I asked for anything directly or indirectly, either to induce me to vote at this election, or for loss of time, travelling expenses, hire of team or for any other service connected therewith, and that in the casting of my vote at this election I am not impelled or influenced by fear or by expectation of favour.

No. 3.

Statement of Deputy Returning Officer, Poll Clerk, Candidate, Agent, etc.

I, A.B., hereby state that I am a male British subject by birth or naturalization; that I am not an unenfranchised Indian; that I am of the full age of twenty-one years; that I have resided in the North-West Territories for at least the twelve months and in this Electoral District for at least the three months immediately preceding the present time; that I am now residing in polling division number of this Electoral District; that I have not voted at this election either at this or at any other polling place; and that I am a candidate at this election (or that I am acting as Deputy Returning Officer or Poll Clerk or Agent or Scrutineer for

as the case may be, at this polling station.)

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