Elected Authorities (Northern Ireland) Act 1989

I, (name in full) , of (home address in full) declare that, if I am chosen to be a councillor for the District of (name of district) , I will not by word or deed express support for or approval of—

(a)

any organisation that is for the time being a proscribed organisation specified in [F1Schedule 2 to the Northern Ireland (Emergency Provisions) Act 1991]; or

(b)

acts of terrorism (that is to say, violence for political ends) connected with the affairs of Northern Ireland.

Signed

Date