GOVERNMENT OF

THE VIRGIN ISLANDS OF THE UNITED STATES



OFFICE OF THE SUPERVISOR OF ELECTIONS



ACCEPTANCE

District of , 20

Campaign Committee of , SS#

Madam:-

| hereby accept the appointment tendered me by

Candidate/Chairman

Name

To the position of , dated , 20

Respectfully,

Appointee



Oath of Office



Having been appointed



I, ,do solemnly swear or affirm

that | will support the laws of the United States applicable to the Virgin Islands and the



laws of the Virgin Islands; that | take this obligation freely, without any mental



reservation or purpose of evasion, and that | will well and faithfully discharge the duties of

the office on which | am about to enter, SOQ HELP ME GOD.



Signature



District of

Virgin Islands of the U.S.A. SS:



Sworn to and subscibed before me this day of ,20



Efective ,20



Notary Public