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(7.) That you have not voted before at this election, either at this polling place, (and if a general election add) or in any other Electoral Division in this Province.

(8.) That you have not accepted of any promise made to you or, to your knowledge, to your wife, or to any of your relations, friends or other persons to induce you to vote at this election.

(9.) That neither yourself nor, to your knowledge, your wife, nor any member of your family, nor any of your friends, nor any other person, on your behalf, have received anything to induce you to vote at this election or in relation to your vote at this election.

(10.) That you are not acting, nor have acted, nor do intend to act, in the interests of any candidate at this election, either as a paid carter or cabman or paid canvasser, with the view of obtaining anything for your trouble.

(11.) That you have not been paid or indemnified, or promised to be paid or indemnified, directly or indirectly, for your loss of time, travelling expenses, hire of vehicle, or any other service connected with this election; and

(12.) That you have not been guilty of any act of corruption disqualifying you from voting at this election: So help you God. (Last four words to be omitted if party

affirms.)

NOTE.-(a) If the voter is a person who may, by law, affirm in civil cases, then for "swear" substitute "solemnly affirm.'

(6) Insert here the day of the first sitting held for the registration of Manhood Suffrage voters, on which the poll book is based.

SCHEDULE A.

FORM 3.

(Referred to in Section 21.)

FORM OF OATH TO BE ADMINISTERED TO A VOTER IN UNORGANIZED TERRITORY WHERE THERE

IS NO ASSESSMENT ROLL.

1. You swear—(a)

(1.) That you are the person named, or intended to be named, by the name of

list of voters in the poll book now shown to you.

in the

(2.) That you are a British subject, by birth or naturalization; (if a British subject by naturalization, add): and that you were entered as an elector upon the revised lists of voters for the Province of Manitoba in the lists finally revised and corrected in and for the said Province in the year 1899, and were then a British subject and entitled to vote at elections for the Legislative Assembly in said Province; or, that you have resided in the Dominion of Canada for a period of seven years immediately preceding this date; or, that you are able to read "The Manitoba Act," or any part thereof, in one of the following languages, that is to say, English, French, German, Icelandic or any Scandinavian language, and are qualified to vote at this election notwithstanding the restrictions contained in sub-section (f) added to section 14 of "The Manitoba Election Act" in the year 1900.

(3.) That you have resided within this Province for one year before day of being the day of the proclamation appointing the Registrar for making up the said list.

(4.) That you were, at the date aforesaid, in good faith a resident of and domiciled in this Electoral Division, and that you had resided in this Electoral Division continuously for three months prior to the said date.

(5.) That you are entitled to vote at this election and at this polling place.

(6) That you are of the full age of twenty-one years.

(7.) That you have not voted before at this election, either at this or any other polling place, (and if a general election add) or in any other Electoral Division in this Province.

(8.) That you have not accepted of any promise made to you or, to your knowledge, to your wife, or any of your relations, friends or other persons to induce you to vote at this election.

(9.) That neither yourself nor, to your knowledge, your wife, nor any member of your family, nor any of your friends, nor any other person on your behalf, have received anything to induce you to vote at this election, or in relation to your vote at this election.

(10.) That you are not acting, nor have acted, nor do intend to act, in the interests of any candidate at this election, either as paid carter or cabman, or paid canvasser, with the view of obtaining anything for your trouble.

(11.) That you have not been paid or indemnified, directly or indirectly, for your loss of time, travelling expenses, hire of vehicle, or any other service connected with this election; and

(12.) That you have not been guilty of any act of corruption disqualifying you from voting at this election: So help you God. (Last four words to be omitted if party affirms).

NOTE. (a) If the voter is a person who may, by law, affirm in civil cases, then for "swear" substitute "solemnly affirm.'

FORM 4.

(Referred to in Section 11.)

CERTIFICATE OF CLERK OF MUNICIPALITY SHOWING DATE FIXED FOR ASSESSOR TO BEGIN TO MAKE THE

ASSESSMENT ROLL.

Election to the Legislative Assembly for the Electoral Division of

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in the Province of Manitoba, do certify that the time fixed for the assessor to begin to make the assessment roll, on which the voters' list proper to be used for the purposes of this election is based, was the A.D. 190. A.D. 190.

Dated this

day of

day of

(Signed).

A. B.,

Clerk.

FORM 5.

(Referred to in Section 11.)

CERTIFICATE OF RETURNING OFFICER SHOWING THAT COPY OF CERTIFICATE IN POLL BOOK IS A TRUE COPY OF CERTIFICATE OF THE CLERK OF THE MUNICIPALITY.

Election to the Legislative Assembly for the Electoral Division of

I,

Division of

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, the Returning Officer for the Electoral hereby certify that the above is a true copy of the certificate received by me from the Clerk of the Municipality of , regarding the time fixed for the assessor to begin to make the assessment roll for such Municipality, on which the voters' list proper to be used for the purposes of this election is based.

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FORM 6.

(Referred to in Section 27).

FORM OF OATH OF VOTER WHOSE NAME IS
NOT ON POLL BOOK.

You swear (or solemnly affirm) that you believe your name ought to have been entered upon the list of voters to be used for Polling Sub-division No. of the municipality of

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in the Electoral Division of at the present election, and that your name has been improperly omitted from such list of voters in copying the same in the poll book (Add the statements necessary for voter's oath in other cases.)

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