Party Party Code: Name: …………………………………………………….. …………… County: County Code: ………………………………………………………….. …………. Nominations Date: …………………………………… Type of Disability No Surname Other Names ID/Passport Number Gender Year Of Birth (if any) FORM 11E (r.13B)) LIST OF ASPIRANTS IN PARTY PRIMARIES MEMBER OF NATIONAL ASSEMBLY CANDIDATES Party Name: Party Code: …………………………………………………….. …………… County: County Code: ………………………………………………………….. …………. Constituency Code: Constituency: ……………………………………………… …………… Nominations Date: ……………………………….. Type of Disability No Surname Other Names ID/Passport Number Gender Year Of Birth (if any)
Party Name: …………………………………………………….. Party Code: …………… County: ………………………………………………………….. County Code: …………. Nominations Date: …………………………………… No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any) FORM 11E (r.13B)) LIST OF ASPIRANTS IN PARTY PRIMARIES MEMBER OF NATIONAL ASSEMBLY CANDIDATES Party Name: …………………………………………………….. Party Code: …………… County: ………………………………………………………….. County Code: …………. Constituency: ……………………………………………… Constituency Code: …………… Nominations Date: ……………………………….. No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any)