I  having been chosen Councillor for the District of  hereby declare that I take the said office upon myself and will duly and faithfully fulfil the duties thereof according to the best of my judgment and ability …

F1F2I affirm that I have read and will F3observe the Northern Ireland Local Government Code of Conduct for Councillors (as revised from time to time) in the performance of my functions as a councillor.

Dated this day of  Signed

Part II rep. by 1973 NI 10