(b) A person challenged on any ground may vote by provisional ballot, if he subscribes this oath in writing before a judge of election:
"I do solemnly swear (or affirm) that I am the person I represent myself to be and that I am a qualified elector entitled to vote in this precinct at this election and that this is the only ballot I have or will vote in this election.".
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Signature of voter
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Signature of judge
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Precinct and District No.