S.L. 464.3 Art. 14Decision of Commission. Council the Pharmacy (**) (Register) (**) name appears VOTING FOR (in VOTE FOR Signature of

The decision of the Commission on the validity of any nomination, the right of a person to cast the vote, the place where the votes are received and the result of the election, is final and conclusive. FIRST SCHEDULE

Nomination Form for Candidates for Election to the Pharmacy

We, the undersigned, being voters entitled to vote at an election of Council for

(a) five licensed pharmacists

(b) two registered pharmacy technicians do hereby nominate ........................................................................ registered in the ..............................................................(**) and whose address is ...................................................................... as a candidate for the said election. Proposer: Name ............................................................................ (Block Letters)

Signature ............................................. Date ................................ Registered in the ........................................................................... Seconder: Name ...........................................................................

(Block Letters) Signature ............................................. Date ................................ Registered in the ...........................................................................

DECLARATION BY PERSON NOMINATED I, .......................................................................................... whose (full name in block letters) on the ............................................................. accept the above nomination. (Register)

Date ................................................ ............................................ Candidate’s signature

(**) In block letters SECOND SCHEDULE

Ballot Paper FOR USE BY ............................................

ELECTION OF A CANDIDATE TO THE PHARMACY COUNCIL

Names of Candidates Place a cross in this part against the alphabetical order) name of the candidate for whom you wish to vote

...................... CANDIDATE(S) (only)

Election Commissioner ................................................