GOVERNMENT OF 
THE VIRGIN ISLANDS OF THE UNITED STATES 
 
OFFICE OF THE SUPERVISOR OF ELECTIONS 
  
o  
 
 
ACCEPTANCE 
 
District of  
 
  
, 2014 
 
Political Committee of  
 
 
SIR: 
I hereby accept the appointment tendered me by  
 
Chairman Name 
 
 
to the position of 
, dated 
, 2014. 
 
 
Respectfully, 
 
 
Appointee 
 
Oath of Office 
 
Having been appointed 
. 
 
I, 
, do solemnly swear or affirm that I will support 
the laws of the United States applicable to the Virgin Islands and the laws of the Virgin Islands; that I 
take this obligation freely, without any mental reservation or purpose of evasion, and that I will well 
and faithfully discharge the duties of the office on which I am about to enter, SO HELP ME GOD. 
 
 
Signature 
 
District of 
) 
Virgin Islands of the U.S.A. ) SS: 
 
Sworn to and subscribed before me this  
day       of 
, 2014 
Effective 
, 2014 
  
 
 
 
Notary Public 
SIGN