After he has sealed the envelope, he shall subscribe and swear to an affidavit in the following form, which shall be printed on the back of the envelope containing the applicant's ballot:
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After the completion of the requirements of this section, the elector shall deliver the envelope containing the ballot to the registrar.
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"STATE OF MISSISSIPPI COUNTY OF I, , do solemnly swear that this envelope contains the ballot marked by me indicating my choice of the candidates or propositions to be submitted at the election to be held on the day of , 2, and I hereby authorize the registrar to place this envelope in the ballot box on my behalf, and I further authorize the election managers to open this envelope and place my ballot among the other ballots cast before such ballots are counted, and record my name on the poll list as if I were present in person and voted. I further swear that I marked the enclosed ballot in secret. (Signature of voter) SWORN TO AND SUBSCRIBED before me, , this the day of, 2. (Registrar) (Registrar)"
"CERTIFICATE OF PERSON PROVIDING VOTER ASSISTANCE (To be completed only if the voter has received assistance in marking the enclosed ballot.) I hereby certify that the above-named voter declared to me that he or she is blind, temporarily or permanently physically disabled, or cannot read or write, and that the voter requested that I assist the voter in marking the enclosed absentee ballot. I hereby certify that the ballot preferences on the enclosed ballot are those communicated by the voter to me, and that I have marked the enclosed ballot in accordance with the voter's instructions. Signature of person providing assistance Printed name of person providing assistance Address of person providing assistance Date and time assistance provided Family relationship to voter (if any)"