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Guidelines for Use of the Lists of Electors

Annex A – Declaration Template for Lists Distributed to
Members of Parliament

Declaration Regarding the Use of the Lists of Electors

[Members of Parliament]

I, [insert name of individual to whom lists are provided], do solemnly declare the following:

  • I have received a copy of the lists of electors for the electoral district of [insert name of electoral district].
  • I understand the importance of protecting the security and confidentiality of the personal information contained in the lists of electors.
  • I undertake to use the lists of electors only for the purpose of communicating with electors, including soliciting contributions for the campaign.
  • [Include only if the member of Parliament is a member of a registered political party; otherwise, delete this point] I understand that I may use the lists of electors to solicit contributions and recruit members for the [insert name of registered party] within my electoral district.
  • I will take appropriate measures to protect the confidentiality of the personal information contained in the lists. I will not disclose any information contained in the lists.
  • I will not keep a copy of the lists and will return my copy once I have completed the task for which it was provided to me.

Signature: ________________________________ [individual to whom lists are provided]

Signature of witness: _______________________ [person responsible for privacy safeguards]

This ______ [day] of __________________ [month], _______ [year].

Note: A copy of this declaration should be kept on file by the person designated by the member of Parliament as responsible for privacy safeguards.