S.L. 464.2 Art. 14Decision of the Commission. the Council for registered in any of the (**) (Register) (**) name appears (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 Council for Nurses and Midwives

We, the undersigned, being voters entitled to vote at an election of Nurses and Midwives for

(a) five registered nurses one of whom shall be a second level nurse and another shall be a nurse whose name is entered special parts of the Register of Nurses

(b) two licensed midwives 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 ............................................

VOTING FOR ELECTION OF A CANDIDATE TO THE COUNCIL FOR NURSES AND MIDWIVES

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 ................................................