Page:Representation of the Peoples Act 1918 (ukpga 19180064).pdf/61

1918. on my instructions, an<l to subscribe this voting paper and declaration (s) for me, as I am from (state the incapacity) unable to write:—

I declare that I have signed no other voting paper at this election for the combined university constituency of the University of St. Andrews, the University of Glasgow, the University of Aberdeen, and the University of Edinburgh.

I also declare

(In the case of man) that I have not voted at this general election in respect of any qualification other than a residence qualification;

(In the case of a woman) that I have not voted at this general election for any other university constiuency.

Signed A.B

Address

The day of   19.

I. C .D., a justice of peace for and residing at, hereby declare that A .B. before named being personally known to me, did in my prescrcr make the declaration(s) before mentioned, and did duly request and authorise me to make the entries in this voting paper on his behalf and on his instructions, and to subscribe this voting paper for him, which I did on  day of  19, in the presence of the said A.B.

(Signed) C.D., a justice of peace for and residing at

SIXTH SCHEDULE.

1. A reference to parliamentary electors registered under this Act shall be substituted for any references in any other Act to parliamentary electors, parliamentary voters, or persons entitled to vote at parliamentary elections, by whatever name called.