NIMELSA Electoral Registration

Candidate Registration Form

Photo/Picture

FULL NAME

Mat No

Constituency

State of Origin

Sex

Date of Birth

Address

Electoral Position

CGPA

Previous Position

Registration Date

.I hereby declare that the above information is true and accurate to the best of my knowledge.

.Should I go against any of the electoral rules or guidelines, I accept that I may be disqualified or face appropriate disciplinary action.