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ELECTIONS
(CONDUCT OF ELECTIONS)
REGULATIONS 1981
FORM
5
[
Regulation 4 (7) ]
STATUTORY
DECLARATION OF A PERSON NOMINATED
AS A CANDIDATE FOR ELECTION AS A MEMBER OF
THE DEWAN RAKYAT
I
..............................................................................................................................
................................................................................................................................
do solemnly and sincerely declare that:
-
I
am duly qualified to be elected as a member
of the Dewan Rakyat in accordance of with the
provisions of the Constitution of Malysia.
-
I
am not disqualified by any of the provisions
of the said Constitution or any other written
law for election as a member of the Dewan Rakyat.
I
make this solemn declaration conscientiously
believing the same to be true and by virtue
of the Statutory Declaration Act 1960.
Subscribed
and solemnly declared by the abovenamed
..............................................................................
at ..........................................................................
in the Federal Territory/State of ...............................
this ...................... day of ................................
20 ...............
Before me, |
.........................................
Signature of Candidate |
...........................................................................................................................
(Signature of Sessions Court Judge, Magistrate,
Commissioner for Oaths, State Elections Officer
for the State in which the Constituency for which
the person seeks election is situated, or the returning
officer for such Constituncy)
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