Signatures of Agents or/and Candidates No. Name of ID/Passport Party Tel. Signature Date Candidate or No. Name/ Contact Agent Independent Candidate 1 2 3 County Returning Officer: ……………………………………..………………………… ID Number: ………………………………………………………………………………… Signature: ………………………………………………………………………………….. Date: ………………………………………………………………………………………..
Signatures of Agents or/and Candidates No. Name of Candidate or Agent ID/Passport No. Party Name/ Independent Candidate Tel. Contact Signature Date 1 2 3 County Returning Officer: ……………………………………..………………………… ID Number: ………………………………………………………………………………… Signature: ………………………………………………………………………………….. Date: ………………………………………………………………………………………..