S.L. 464.4 Art. 14Decision of the Commission. Council of the Medical must be a (**) (Register) (**) name appears VOTING (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 Medical

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

(a) five licensed medical practitioners at least one of whom hospital based specialist and another a general practitioner

(b) two licensed dental surgeons 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 ............................................

FOR ELECTION OF A CANDIDATE TO THE MEDICAL 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 ................................................