Legislative Council (Elections),


i95i.


 FORM NO. 9.

 (Rule 19)

THE LEGISLAt'IVirCOUNCIL (ELECTIONS) ORDINANCE, 1951.


 NOTICE OF CLAIM;.

*To the registration -officer for the electoral district of.


STA K E -N O T ICE that I, ...... ................. ............ ........................................ . ......................
 (Name of clainiant)
f ................................................................................ .... ...... ... .........
 (Place of residence)
............ .......................................... ................. ................... .............. .. .......................... ......................... ...................... .................. ..


 (Occupation)
 am qualified for inclusion iii the preliminary list for polling division No. ..........................
 of th e above electoral district of .............................................. .............. ................................... ..... ...............
 and that my name, address hnd occupation have been (omitted from) (wrongly
 stated in) such list and-that I hereby claim that such list be amended (by the
Sinsertion of my name, address andcloccupation therein) (by the correction of the
particulars therein relating to my name, address and occupation) :
 (Strike out bracketed words not applicable)


 (Signature of Claimant.)


 S.- .-(Witness.) ....

 Notes;-This form need not-be witnessed unless the claimant instead of signing
 makes his mark. -
 (Other Side.)

 (Form No. 9.)-

 THE LEGISLATIVE COUNCIL (ELECTIONS) ORDINANCE, 1951.,

. To the Registration ofiher of the Electoral District of.................................. ............. .............

 ..........(Add...ess of Registratio .fficer......
 (Address of Registration Officer.).


!....................... 1 1.. ............