OVF No.

39

COMMISSION ON ELECTIONS
OFFICE FOR OVERSEAS VOTING
NATIONAL AND LOCAL ELECTIONS
May 13, 2019

OATH OF VOTER CHALLENGED FOR ILLEGAL ACTS

Instruction: Attach this to the Minutes of Voting after recording thereon the facts of challenge.

_____________ __ _______________________________
SBEI No. Embassy/Post/Consulate/Country

I, ____________________________________, do solemnly swear (or affirm) that I did not

receive nor expect to receive, have not been paid, offered or promised to pay, nor have
contributed, offered or promised to contribute money or anything of value as consideration
for my vote or for the vote of another, that I did not make or receive any promise to
influence the giving or withholding of any vote; that I did not make any bet; and that I am
not directly or indirectly interested in any bet or wager depending upon the result of the
election.

(Signature of voter above printed name)

Subscribed and sworn to before me this _______ day of __________________________, 2019.

_____________________________
Chairperson/Member SBEI
(Signature above printed name)