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Home
About Us
Objectives
Previous Activities
Contact Us
Upcoming Events
Training Registration
UNIVERSITY IEBC CAMPUS VOTER REGISTRATION FORM
Voter Registration will take place from 30th March - 28 April
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Person Nominating (CEO Academic Institution)
Vice Chancellor
Full Name
*
Phone Number
*
Email Address
*
Institution Name
*
County ( Where your institution is )
*
Constituency ( Where your institution is )
*
institution Name Address
Ward ( Where your institution is )
*
Campus Supervisor
Dean of Students
Full Name
*
ID Number
*
Phone Number
*
Email Address
*
Application Status
*
Already Applied
Not yet Applied
Position Applied
*
Reference Number
*
1st Nominee (Campus Voter Registration Clerk) - Male
Student Leader
Full Name
*
ID Number
*
Phone Number
*
Email Address
*
Gender
*
Male
Application Status
*
Already Applied
Not yet Applied
Position Applied
*
Reference Number
*
2nd Nominee (Campus Voter Registration Clerk) - Female
Student Leader
Full Name
*
ID Number
*
Phone Number
*
Email Address
*
Gender
*
Female
Application Status
*
Already Applied
Not yet Applied
Position Applied
*
Reference Number
*
3rd Nominee (Campus Voter Registration Clerk) - PWD
Student
Full Name
ID Number
Phone Number
Email Address
Gender
Male
Female
Application Status
Already Applied
Not yet Applied
Position Applied
*
Reference Number
*
N/B All student Nominees should be trained student mediators.
Nominate
