ELECTIONS. 423

"............ precinct,.................. ward or county. " This

is to certify that the name of........................... heretofore

residing at....................... in this precinct, has been stricken

from the registry of the precinct and the proper erasure made, and that
upon the registers of this precinct the following entries appear with refer-
ence to him: Name................ age.......... color...........

residence.................. nativity............ time of residence in

precinct............. time of residence in county (or city)...........

time of residence in State............. naturalized.......... date of

papers............. court............... qualified voter...........

date of application...................

Board of Supervisors of Elections,
(or of Registry)

The foregoing certificate shall be granted by the Board of Registry when
in session, or by the Board of Supervisors of Elections prior to said session
of the Board of Registry under the following regulations, that is to say:
If at the time application for said removal certificate is made the name
of the said voter is already erased from the registry, then it shall be the
duty of the said Board of Supervisors or the said Board of Registry to
grant the certificate to the voter himself or to any other person making
application therefor. But if at the time such application is made the
name of the voter be still upon the registry of voters as a qualified voter,
the removal certificate shall be granted and the name stricken off only
upon the personal application of such voter to the Board of Supervisors
or to the said Board of Registry, and after his taking and subscribing to
an oath substantially as follows:

"I,.............................. do solemnly swear (or affirm)

that I now reside at.................... in............... county;

that I am the same person who is entered by that name as a qualified voter
in the registers of the............. precinct of.............. county;

that I have removed from the said last mentioned residence and I do
request that the proper entries and records be made, and that my name
be erased from the registers of said last mentioned precinct, and that a
certificate of removal be furnished me at this time. "

The foregoing affidavit shall be written or printed on the back of such
certificate of removal, and when presented to the Board of Registry of the
precinct in which such applicant resides, it shall be taken by such Board
and returned to the office of Supervisors of Elections. When such cer-
tificate shall be granted, either by the Board of Registry or by the Super-
visors of Elections, as the case may be, the name of such applicant shall
be erased from the registers of the precinct from which he removed.