|
[EN]
| |
| [EN] | |
DARA SCEIDEAL.
Fuirmeacha.
|
| |
Nota—Isé dáta an lae dheiridh chun ainmniúcháin do ghlacadh an dáta atá le cur i mírchinn na bhfuirm sa Sceideal so fé sna focail “Toghachán Uachtaráin”.
|
| |
I.
FUIRM AN PHÁIPÉIR AINMNIÚCHÁIN CHUN COMHALTAÍ DEN OIREACHTAS D'AINMNIÚ IARRTHÓIRÍ.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| |
.................. lá de .........................................., 19 .........
|
| |
Deinimíd-ne, na comhaltaí den Oireachtas go bhfuil a lámha leis seo,
|
| | |
* Cuir ainm iomlán an iarrthóra anso, agus a shloinne ar tosach.
|
* ......................................................................................................
|
|
† as .....................................................................................................
|
|
† Cuir seoladh puist iomlán an iarrthóra anso.
|
.........................................................................................................
|
|
† Cuir céim no gairm no slí bheatha an iarrthóra anso.
|
‡ .........................................................................................................
|
|
d'ainmniú leis seo mar dhuine atá oiriúnach chun bheith ina iarrthóir sa toghachán a luaidhtear thuas.
|
|
Caithfidh gach ainmnitheoir a ainm do shighniú sa chéad cholún agus an Tigh dar comhalta é do luadh sa dara colún.
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
.........................................................................
|
...............................................
|
|
| |
2.
FUIRM AN PHÁIPÉIR AINMNIÚCHÁIN CHUN COMHAIRLÍ CONTAE NO CONTAE-BHUIRGE D'AINMNIÚ IARRTHÓIRI.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| | |
|
..................lá de........................................., 19............
|
|
* Cuir ainm iomlán an iarrthóra anso, agus a shloinne ar tosach.
|
Do réir rúin do ritheadh an.............................................................. ..................
lá de..........................................19........., ainmníonn Comhairle Chontae
|
|
† Cuir seoladh puist iomlán an iarrthóra anso.
|
(Chontae-Bhuirge)............................................................................................
leis seo* ........................................................................................................
|
|
‡ Cuir céim no gairm no slí bheatha an iarrthóra anso.
|
.....................................................................................................................
|
|
|
as†...................................................................................................................
|
|
|
‡......................................................................................................................
|
|
|
mar dhuine atá oiriúnach chun bheith ina iarrthóir sa toghachán a luaidhtear thuas.
|
|
|
|
Ar n-a shéalú le có-shéala.....................................................
|
|
|
.......................................................................................
i bhfianaise.........................................................................
|
|
|
(Sighnithe).....................................................
Rúnaí Contae no Baile-Chléireach.
|
|
| |
3.
FUIRM AN PHÁIPÉIR AINMNIÚCHÁIN CHUN DUINE BHÍ INA UACHTARÁN TRÁTH DÁ AINMNIÚ FÉIN CHUN BHEITH INA IARRTHÓIR.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| | |
|
..................lá de.........................................., 19..............
|
|
* Cuir ainm iomlán an ainmnitheora anso, agus a shloinne ar deireadh.
|
Deinim se*...................................................................................................
as †..............................................................................................................
|
|
† Cuir seoladh puist iomlán an ainmnitheora anso.
|
‡.................................................................................................................
|
|
‡ Cuir céim no gairm no slí bheatha an ainmnitheora anso.
|
do bhí im' Uachtarán ar Éirinn tráth, mé féin d'ainmniú leis seo chun bheith
im' iarrthóir sa toghachán a luaidhtear thuas.
|
|
Nóta: Caithfidh an t-iarrthóir an fhuirm seo do shighniú.
|
(Sighnithe)..................................................................
|
|
| |
4.
FUIRM AN PHÁIPÉAR AINMNIÚCHÁIN CHUN AN UACHTARÁIN A BHEIDH AG DUL AS OIFIG DÁ AINMNIÚ FÉIN CHUN BHEITH INA IARRTHÓIR.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| | |
|
..................lá de.........................................., 19...............
|
|
* Cuir ainm iomlán an ainmnitheora anso, agus a shloinne ar deireadh.
|
Deinim-se, *...............................................................................................
as † .............................................................................................................
|
|
† Cuir stát-árus an ainmnitheora anso.
|
Uachtarán na hÉireann, mé féin d'ainmniú leis seo chun bheith im' iarrthóir
|
|
|
sa toghachán a luaidhtear thuas.
|
|
Nóta: Caithfidh an t-iarrthóir an fhuirm seo do shighniú.
|
(Sighnithe).....................................................
|
|
| |
5.
FUIRM CHEAPTHA IONADAÍ ÚDARUITHE.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| | |
|
..................lá de.........................................., 19................
|
|
* Cuir ainm iomlán, seoladh, agus tuairisc an iarrthóra anso.
|
Deinim-se,*......................................................................................
as ....................................................................................................
|
|
|
.......................................................................................................
iarrthóir sa toghachán a luaidhtear thuas, a údarú leis seo do †........................
|
|
† Cuir ainm iomlán, seoladh, agus tuairisc an ionadaí anso.
|
.......................................................................................................
as ....................................................................................................
|
|
Nóta: Caithfidh an t-iarrthóir an fhuirm seo do shighniú i bhfianaise fínné agus caithfidh seisean a ainm do chur léi agus a sheoladh agus a thuairisc do chur sios chó maith.
|
bheith ina ionadaí dhom le linn breith do thabhairt ar ainmniúcháin sa toghachán san.
|
|
(Sighnithe)
|
.....................................................
|
|
|
Ar n-a shighniú ag an duine luaidhtear thuas i bhfianaise:
|
.....................................................
|
|
|
|
.....................................................
|
|
|
|
.....................................................
|
|
|
|
.....................................................
|
|
| |
6.
FUIRM AN DEIMHNITHE AR THORADH AN TOGHACHÁIN I gCÁS NÁ DÉANTAR VÓTAÍOCHT.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| |
............lá de........................................, 19............
|
| |
Deimhním leis seo gurb é ..........................................................................................................
|
| |
...................................................................................................................................................
|
| |
as ...............................................................................................................................................
|
| |
an t-aon iarrthóir amháin do hainmníodh go cuibhe sa toghachán a luaidhtear thuas agus gur dhearbhuíos dá bhrí sin é do bheith toghtha ina Uachtarán ar Éirinn.
|
| |
...................................................................
|
| |
Ceann Comhrimh Toghacháin Uachtaráin.
|
| |
7.
FUIRM AN DEIMHNITHE AR THORADH AN TOGHACHÁIN I gCÁS GACH IARRTHÓIR ACH ÉINNE AMHÁIN DO THARRAC SIAR TAR ÉIS BREITH DO THABHAIRT AR AINMNIÚCHÁIN.
|
| |
TOGHACHÁN UACHTARÁIN.
|
| |
............lá de.........................................., 19............
|
| |
Deimhním leis seo go raibh ........................................................................................................
|
| |
.................................................. as ............................................................................................
|
| |
agus..............................iarrthóir(í) ............................................................ eile ainmnithe ar thabhairt na breithe ar ainmniúcháin do bheith críochnuithe agus gur tharraig an t-iarrthóir (na hiarrthóirí) eile sin (go léir) siar ina dhiaidh sin o bheith ina
|
| |
iarrthóir (n-iarrthóirí) agus gur dhearbhuíos dá bhrí sin .............................. sin do bheith toghtha ina Uachtarán ar Éirinn.
|
| |
...................................................................
|
| |
Ceann Comhrimh Toghacháin Uachtaráin.
|
| |
8.
FUIRM AN PHÁIPÉIR BHALLÓIDE.
|
| |
FUIRM AGHAIDH AN PHÁIPÉIR BHALLÓIDE.
|
| | |
Uimh. an Chódhuille.
Nóta: Beidh ar an gcó-dhuille an uimhir chéanna bheidh ar chúl an pháipéir bhallóide.
|
Marcáil ordú do roghna sna spáis seo síos. Mark order of preference in spaces below
|
Ainmneacha na nIarrthóirí Names of candidates
|
|
|
De BÚRCA, SÉAMUS (CUNTASÓIR):
(Séamus de Búrca, ó 10 an tSráid Árd, Cuntasóir).
|
|
|
BURKE, HENRY (GROCER):
(Henry Burke of 14 Green Street, Grocer).
|
|
|
LODER:
(Wilfred Loder of Townparks, Greenfield, Farmer).
|
|
|
NÍ LOINGSIGH, SIOBHÁN EIBHLÍN (GRÓSAER):
(Siobhán Eibhlín Ní Loingsigh, ó 7 Sráid na Faiche, Grósaer).
|
|
|
LYNCH, THOMAS (DENTIST):
(Thomas Lynch, of Ardnalee, the Crescent, Hilltown, Dentist).
|
|
|
MAC LIAM, TOMÁS (BÓTHAR DARTRAÍ):
(Tomás Mac Liam, ó 22 Bóthar Dartraí, Chemist).
|
|
|
MADDEN:
(John Madden of Killeen, Solicitor).
|
|
|
O DUBHGHAILL:
(Séamus Ó Dubhghaill, ó 22 Plás Chlós an Tobair, Duine Uasal).
|
|
|
WILSON, THOMAS (ROCK ROAD):
(Thomas Wilson of 144 Rock Road, Chemist).
|
|
FUIRM CHÚL AN PHÁIPÉIR BHALLÓIDE.
|
|
Uimh. ...............
|
|
An Toghachán Uachtaráin, an............lá de.............................., 19.........
|
|
Nota.—Isé dáta an lae vótaíochta an dáta bheidh ar chúl an pháipéir bhallóide.
|
|
| |
9.
FUIRM AN DEIMHNITHE AR THORADH AN TOGHACHÁIN I gCÁS VÓTAÍOCHT DO DHÉANAMH.
|
| |
TOCHACHÁN UACHTARÁIN.
|
| |
............lá de.........................................., 19............
|
| | |
Deimhním leis seo go ndearnas, toisc...............................................................................iarrthóirí
|
|
do bheith ainmnithe go cuibhe, an toghachán do chur ar athló chun vótaíocht
|
|
do dhéanamh, agus deimhním freisin leis seo gur toghadh.....................................................................
|
|
as ..............................................................................................................................
|
|
sa vótaíocht san agus gur dhearbhuíos dá bhrí sin é do bheith toghtha ina Uachtarán ar Éirinn.
|
|
Mion-innste ar an vótáil sa vótaíocht.
|
|
An méid iarrthóirí...............................................................................................................
|
|
An méid vótanna dleathacha...................................................................................................
|
|
An quota (an méid vótanna is leor chun iarrthóir do thogha).........................................................
|
|
Ainmneacha na n-iarrthóirí
|
An Chéad Chomhreamh
|
An Dara Comhreamh
|
An Triú Comhreamh
|
Ainm an iarrathóra do toghadh
|
|
Vótanna
|
Aistriú Vótanna
|
Toradh
|
Aistriú Vótanna
|
Toradh
|
|
............................................................
|
|
|
|
|
|
|
|
............................................................
|
|
|
|
|
|
|
|
...........................................................
|
|
|
|
|
|
|
|
...........................................................
|
|
|
|
|
|
|
|
...........................................................
|
|
|
|
|
|
|
|
Páipéirí neamhionaistrithe, neamhéifeachtacha.
|
|
|
|
|
|
|
|
An tIomlán
|
|
|
|
|
|
|
|
Dáta: an...............lá so de............................................................................................., 19............
|
|
......................................................................
|
|
Ceann Comhrimh Toghacháin Uachtaráin.
|
|
