Approved form AF2002-99

made under the
Health Professions Boards (Elections) Act 1980

Health Professions Boards (Elections) Act 1980—Form 2
(see s 16 (1))

		Initials of returning officer
	
Health Professions Boards (Elections) Act 1980
Voting paper
Election of (here insert number of members to be elected) members 
of the	(a) Chiropractors and Osteopaths Board
(a)  Dental Board
(a)  Medical Board
(a)  Nurses Board
(a)  Optometrists Board
(a)  Pharmacy Board
(a)  Physiotherapists Board
(a)  Veterinary Surgeons Board	
Directions to voter
	(b) 1	Mark your vote on this voting paper by placing the number 1 in the square opposite the name of the candidate for whom you wish to vote as your first preference.	
	(c) 1	Mark your vote on this voting paper by placing (here insert ‘the numbers 1 and 2’  if 2 candidates to be elected, ‘the numbers 1, 2 and 3’ if 3 candidates to be elected and ‘the numbers 1, 2, 3 and 4’ if 4 candidates to be elected) in the squares opposite the names of (here insert number that represents the number of candidates to be elected) of the candidates so as to indicate the order of your preference for them.	
	2	If you so desire, you may indicate the order of your preference for all or some of the remaining candidates by placing (here insert ‘the numbers 2, 3 and 4’ if 1 candidate only to be elected, ‘the numbers 3, 4 and 5’ if 2 candidates to be elected, ‘the numbers 4, 5 and 6’ if 3 candidates to be elected and ‘the numbers 5, 6 and 7’ if 4 candidates to be elected) (and so on, should you so desire) in the squares opposite the names of those candidates.	
Candidates
	(d)	
		
	(d)	
		
	(d)	
		
	(d)	

Further directions to voter
After marking your vote, fold the voting paper so as to conceal your vote, place it in the voting paper envelope and seal that envelope. Then complete and sign the declaration printed on the voting-paper envelope, place that envelope in the envelope addressed to the returning officer and seal that last-mentioned envelope.  Then send or deliver to the returning officer the envelope addressed to the returning officer so as to reach the returning officer not later than 12 o’clock noon on—
(a)	whichever is applicable
(b)	include this direction where 1 candidate only to be elected
(c)	include this direction where more than 1 candidate to be elected
(d)	full names of candidates to be set out opposite squares

Endnotes
1	This form was originally in the Health Professions Boards (Elections) Act 1980 (the authorising Act), schedule 1.  Under amendments made by the Legislation (Consequential Amendments) Act 2001, the form was omitted from the authorising Act and became a form approved under the authorising Act, section 39 (see amdt 1.2057, amdt 1.2058).
2	This republication includes amendments made under the Legislation Act 2001, part 11.3 (Editorial changes).

©  Australian Capital Territory 2002