| (Section 14) | 
| OATH OF OFFICE | 
| I ..................................................................................................... | 
Swear solemnly and sincerely declare and affirm | 
| that I will faithfully and honestly fulfil my duties as ........................ in conformity with the requirements of the Statistics Act and that I will not without due authority in that behalf disclose or make known any matter or thing which comes to my knowledge by reason of my employment as such. | 
| Sworn | 
| before me this .................................. | 
| Declared | 
| day of ......................................20......... | 
| ................................. | 
| Justice of Peace. | 
| ................................ | 
| Statistician. |