Detail

Back to Revised Laws of Saint Lucia (2023)

Schedule

FORM 1	(Regulation 4)
ELECTIONS ACT
OATH OF REGISTRATION OFFICER
I, ................................................... do swear that I will faithfully perform all the duties of Registration Officer of the ............................................. electoral district in accordance with the Elections Act and of all Regulations made thereunder to the best of my ability.
........................................................
Registration Officer
Sworn before me
........................................................
Justice of the Peace
(or as the case may be)
Date ...............................

FORM 2			(Regulation 5(1))
ELECTIONS ACT
REGISTRATION NOTICE
TAKE NOTICE THAT—
(a) the boundaries of polling division No ................................... of the .................................. electoral district are as follows—
...................................................................................................................... ...................................................................................................................... ......................................................................................................................
(b) the registration of all qualified electors in the aforesaid polling division shall commence on the ............................ day of ............................ 20......... at the registration office and centres listed hereunder and shall be completed on the .......................... day of ........................ 20............
Location of Registration Office/Centre				Times open
.......................................................................................				...................
.......................................................................................				...................
.......................................................................................				...................
(c) every person not disqualified on any of the grounds set out in the next paragraph of this notice is qualified to be registered as an elector in an electoral district if he or she—
(i)		is a person who belongs to Saint Lucia; or
(ii)		is a Commonwealth citizen (other than belonging to Saint Lucia) who has resided in Saint Lucia for a period of at least 5 years immediately before the qualifying date; and
(iii)		is not below the age of 18 years; and
(iv)		has resided in the aforesaid electoral district for a period of at least 2 months preceding the qualifying date.
(d) a person is not entitled to be registered as an elector in any electoral district who—
(i)	is an undischarged bankrupt;
(ii)	has, in any part of the Commonwealth been sentenced to death or penal servitude or to imprisonment for a term exceeding 12 months and has not either suffered the punishment to which he or she was sentenced or such other punishment as has been substituted therefor by competent authority or received a free pardon; or
(iii)	is a person adjudged to be of unsound mind under any law in force in the State.
(e) the preliminary list of qualified persons for the above polling division will be posted up in this polling division for a period of 12 days beginning on the ............ day of .................................... 20............
........................................................
Registration Officer
Date ...............................

FORM 3			(Regulation 6(b))
ELECTIONS ACT
REGISTRATION RECORD INVENTORY FORM
Electoral District ..........................		Polling District ..........................
Registration No.	Name	Address		How Disposed of
.......................	...............................	...............................		.......................
.......................	...............................	...............................		.......................
.......................	...............................	...............................		.......................
.......................................................
Enumerator/Registration Officer

FORM 4	(Regulation 7)
ELECTIONS ACT
OATH OF AN ENUMERATOR
I, the undersigned ................................................. appointed enumerator for polling division No .................... in the ..................................... electoral district, do solemnly swear that I will act faithfully in my said capacity of enumerator, without partiality, fear, favour or affection, and in every respect according to law.
So Help Me God.
........................................................
Enumerator
CERTIFICATE OF THE ENUMERATOR HAVING TAKEN THE OATH OF OFFICE
I, the undersigned, do hereby certify that on the ................................ day of .......................... 20............ the enumerator above named made and subscribed before me the above oath.
In testimony whereof I have issued this certificate under my hand.
........................................................
Registration Officer
(Justice of the Peace)

FORM 5				(Regulation 9(a))
				ST.L
Master Registration Card
Surname		Christian			Middle


Residence	District		Parish			Occupation

Sex Male Female	Age	Date of Birth	Place of Birth		Electoral District	P.D.*		Saint Lucian; or Common-wealth Citizen	Domiciled/ Resident in the State
Period of residence in electoral district before qualifying date				Height			Distinguishing Marks (if any)
Signature of Registrant
Date				Signature of Enumerator/Registration Officer


*P.D. Polling Division
(Amended by S.I. 41/1978)

FORM 6						(Regulation 9(b))
PHOTOGRAPH					SAINT LUCIA Identification Card
			Name
			Address
			Nationality
			Registration Number					Soc. Sec. No.
			Signature
			Distinguishing Marks (if any)
Sex	Height ft. ins.	Date of Birth		Issued on			Chief Registration Officer
(Reverse Side)
Property of the Government of Saint Lucia
To be produced on demand.
If found, please deliver to the nearest Post Office.

FORM 7					(Regulation 10(1))
ELECTIONS ACT
APPLICATION/CLAIM FOR REGISTRATION AS AN ELECTOR
To the Registration Officer for the electoral district of .........................................
I, ..............................................................................................................
(Full name in Block Letters)
of ..................................................................................................................
(Address)
whose occupation is ............................................ do hereby apply/claim to be registered as an elector for the electoral district of .................................... certify that the particulars entered on this APPLICATION FORM are to the best of my knowledge and belief true and correct in all respects; and declare that I am not subject to any legal incapacity.
.................................................................
Signature or mark of Applicant
Dated ........................................
(The particulars on the reverse side of this Form must be filled out by or on behalf of the applicant).
The following particulars to be filled out in BLOCK LETTERS
1.	Applicant's name in full
	(Surname first and style or title—
	Mr. Mrs. or Miss)			...........................................
	Other names (if any)			...........................................
2.	(a)	Applicant's address on qualifying date*
		(Number and name of street or road – city, town, village or place)		...........................................
	(b)	Period of residence in the electoral district prior to the qualifying date		...........................................
3.	(a)	Was applicant aged 18 or over on the qualifying date*? (Yes or No)		...........................................
	(b)	Applicant's date and place of birth		...........................................
4.	(a)	Is applicant a person who belongs to Saint Lucia*? (Yes or No)		...........................................
		If “yes” does applicant belong to Saint Lucia by birth, descent, marriage, naturalisation or registration (State which)		...........................................
	(b)	If a Commonwealth citizen
		(i)	of which part of the Commonwealth is the applicant a citizen?	...........................................
		(ii)	period of residence in Saint Lucia	...........................................
		*The qualifying date is the ................................................ 20..........

FORM 7A		(Regulation 10(1A))
ELECTIONS ACT

Declaration for Replacement of Identification Card
To : The Chief Registration Officer
I, ...........................................................................................................
Name
of ...........................................................................................................
Address
do solemnly and sincerely declare that my identification card has been lost/stolen/destroyed/mutilated/defaced and I do hereby apply for a replacement identification card.
I make this declaration under the Statutory Declaration Act.
Dated this ....... day of .................... 20.....
	.............................................
	DECLARANT
Before me
..........................................................................................
NOTARY ROYAL OR JUSTICE OF THE PEACE
NOTE:
Kindly attach two (2) passport size photographs and affix a $5.00 stamp to this declaration, your Birth Certificate/Certificate of Citizenship *
* Delete if inapplicable.”
(Inserted by S.I. 116/2015)

FORM 8	(Regulations 14(a); 16(11))
ELECTIONS ACT
Notice of Refusal of Application for Registration or Objection
Electoral District ................................... Polling District ...............................
Take notice that the application/objection of ......................................... .............................................. of ..........................................
(Address)
to be registered *against the registration of ................................................... as an elector for the above electoral district has this day been refused by me on the grounds that .....................................................................
Dated this .................................. day of ................................... 20 ...........
..........................................................................
*Chief Registration Officer/ Enumerator
(or as the case may be)
* Delete words inapplicable

FORM 9	(Regulation 16(2))
ELECTIONS ACT
NOTICE OF HEARING OF APPLICATION
From The Registration Officer for the Electoral District of ......................... at ...............................................................................................................
(Address of office)
To ...........................................................................................................
(Name)
of .....................................................................................................
(Address)
Take notice that I ........................................................ propose to hear your application for registration as an elector at my office at the above address on the ................................... day of ............................... 20.......... at the hour of ...............................
Dated this ................................ day of ................................... 20 .............
........................................................
Registration Officer

FORM 10	(Regulation 25(1))
ELECTIONS ACT
FORM OF OBJECTION
To The Registration Officer for the Electoral District of ........................................
Take notice that I ................................................................................
(Full name in BLOCK LETTERS)
of ........................................ whose electoral number in the
(Address)
*preliminary/supplementary list for the Electoral District of ......................... is ........................... and whose occupation is ........................................
(insert number)
object to the inclusion of ................................................................................
(name in BLOCK LETTERS of person objected to)
of .......................................................................... whose electoral number in
(address of person objected to)
*preliminary/supplementary list for the Electoral District of ......................... is ............................
and whose occupation is ........................................... in the *preliminary/ supplementary list for that Electoral District.
(insert number)
My reasons for objection are as follows—
.....................................................................................................................
.....................................................................................................................
Dated this ............................... day of ............................... 20 ...........
.......................................................
Signature or mark of Objector
* Delete words inapplicable

FORM 11	(Regulation 26(1)(c))
ELECTIONS ACT
NOTICE OF HEARING OF CLAIM/OBJECTION*
From The Registration Officer for the Electoral District of ........................................ at ..............................................................................................................
(Address of Office)
....................................................................................................................
(Name)
of ................................................................................................................
(Address)
Take notice that the Chief Registration Officer proposes to hear your *claim to be registered/objection to the registration of ........................................
(insert the name of the person objected to)
as an elector for the Electoral District of ............................... at his or her office on the ............................... day of ............................... 20 .......... at the hour of ...............................
The objection to registration has been made by ....................................... of ........................... on the following grounds—
........................................................................................................................ ........................................................................................................................
Dated this ............................... day of ............................... 20 ...........
........................................................
Registration Officer
* Delete if inapplicable

FORM 12	(Regulations 35(1); 36)
ELECTIONS ACT
NOTICE OF CHANGE OF RESIDENCE
To The Chief Registration Officer
Take notice that I have changed my place of residence as follows—
From ................................................................................
in the electoral district of ................................................................................
(or change of place of Residence)
To ................................................................................
in the electoral district of ................................................................................
(or change of place of Residence)
My name is ..............................................................................................
(Full name in BLOCK LETTERS)
and my electoral number on the *preliminary/supplementary list for the Electoral District of .......................................... is ..........................................
(here insert the electoral number)
Dated this ............................... day of ............................... 20 ...........
.......................................................
Signature or mark of Applicant
* Delete if inapplicable

FORM 13	(Regulation 37(1)(a))
ELECTIONS ACT
NOTICE OF CHANGE OF NAME
To The Chief Registration Officer
Take notice that my name which now appears as—
........................................................................................................................
(here insert the name on the preliminary/supplementary list in BLOCK LETTERS*)
in the preliminary/supplementary list of electors for the electoral district of .............................. has been changed by deed poll/affidavit/marriage dated the ................. day of ................... to .....................................................
(here insert the name as changed in BLOCK LETTERS)
My electoral number in the *preliminary/supplementary list for that electoral district is ...........................................................................................
(here insert the electoral number)
Dated this ............................. day of .............................. 20..........
..........................................................
Signature or mark of Applicant
* Delete if inapplicable

FORM 14	(Regulation 42(2))
ELECTIONS ACT
OATH OF INTERPRETER
I, ........................................ swear that I will well and faithfully interpret and true explanation make to ................................................................................
(here insert name of officer
and .............................................................................................................
(here insert name of person)
of all such matters and things as shall be required of me according to the best of my skill and understanding.
So help me God
.......................................................
Signature
Sworn before me at .................................... this ................................ day of ........................... 20..........
.......................................................
.......................................................
Registration officer/Assistant Registration officer/Enumerator* (as the case may be)
* Delete if inapplicable

FORM 15	(Regulation 41)
St. L ........................... PHOTO APPLICATION		St. L. ....................
......................................................................
Name
Please take this application at your earliest convenience to your nearest Registration Centre in order to be photographed.
.......................................................................
Date Enumerator
(Substituted by S.I. 41/1978)

APPENDIX I				(Regulation 52(2))
ELECTIONS ACT
To the Supervisor of Elections
We, the undersigned persons hereby give notice that we are members of the party called ........................................ and we are contesting the elections immediately forthcoming in the revelant electoral district appearing opposite our names.
No.	Name of Candidate	Address	Occupation		Electoral District	Signature of Candidate

I certify that the above statement is true and correct.
..............................................
Secretary of Party
Date ......................................