Solemn declaration — voting

(1) For the purposes of subsections 143(3) and (3.2), sections 144 and 147 and paragraphs 161(1)(b) and 169(2)(b), the solemn declaration by which an elector proves his or her identity and residence, proves his or her residence only, proves that he or she is qualified as an elector or proves that he or she has not previously voted at the election shall be in the prescribed form, which shall include the statements that

(a) the elector resides at the address at which he or she claims to reside;

(b) the elector is 18 years of age or older or will be 18 years of age or older on polling day;

(c) the elector is a Canadian citizen; and

(d) the elector has not previously voted in the election and is not an elector to whom section 235 applies.