S.58 No. Legislative Council (Elections) 1951. FORM NO. 26A., - (Section 23.)- THE LEGISLATIVE COUNCIL (ELECTIONS) ORDINANCE, 1951. STATUTORY DECLARATION OF AGENT OF A PERSON NOMINATED AS A CANDIDATE FOR ELECTION AS A MEMBER OF THE LEGISLATIVE COUNCIL. Q u alifi cation o f ............................................. .......................................................... of .................................................... : ........................................ ........... ...................................... in the ............................................. ......of ...... ............. ........... nominated as a candidate for election as a member of the Legislative Council for the electoral district of ...................................... .............. I, ........................... .. .. ..................................... . . . . ..... ................................ ............. ....................... Of ............. ; ......................................................................... ........................ ........................................................................... ............ .....................: in th e ......................... ...... f.....of ............................... ................................ .......... solem nly an d sin cerely declare as follows :- T h at ......................................................................................................................................... ............. ............... .......................... is duly qualified to be elected a member of the Legislative Council for this electoral district. I make this declaration conscientiously believing-the same to be true and according to the Oaths Abolition Act, *Chapter 25,, and I am aware that if there is any statement in this declaration which is false in fact which I know or believe to be false or do not believe to be true, I am liable to fine and imprisonment. (S ig n e d ) .... ........................... .............. .. ..... ............................ Agent for D declared before m e this ............................................day of........... ....................................... ......... S(Sign ed ) ............... .. ........... .... ............ ................... FORM NO. 27. (Section 25.) THE LEGISLATIVE COUNCIL (ELECTIONS) ORDINANCE, 1951. RETURN OF UNCON TESTED ELECTION. I hereby certify that the member elected for the electoral district of ............... in pursuance of the w within W rit is .................................................................................................................... ....................I............ ................I............I........I....................I...................................................... (Insert name, address and occupation of member elected.) ....................... ..................................................................................................................................................... ........... ... (as stated on the nomination paper) no other candidate having been nominated. D a te d a t ................................. ......................................... th is ..................................... .. .................. d a y o f ..... .. 1 9 .................. Returning Officer.-