If one of the full members is unable to carry out his duties for any reason whatsoever, he is replaced, for the remainder of his term of office, in the order in which he appears on the list, by the first of the substitutes, who in turn is replaced by the second substitute on the same list.
If a full member is permanently unable to perform his duties, resigns or leaves the establishment, and if it is no longer possible to replace him with a member from the same list, new elections are held to fill the vacancy, provided that the remaining term of office is longer than one year.