(1) A declaration that a person has not voted must include the following details—
(a) the name of the relevant Council;
(b) if the relevant municipal district is divided into wards, the name of the relevant ward;
(c) details of the person, including his or her—
(i) full name;
(ii) date of birth;
(iii) entitlement address;
(iv) residential address (if different from the entitlement address);
(d) a statement that the person has not voted at the election.
(2) The person must sign and date the declaration in the presence of an election official.