FORM 11N (r. 15(b)) INTENTION TO CONTEST AS AN INDEPENDENT CANDIDATE ID No. / Passport No. I, ……………………………………………..……… …………………… do hereby make an application to contest as an Independent Candidate in the Election for President / Senate / Woman ……………………………………………………………………… Representative / Member of National Assembly / Governor / Member of County Assembly in County / Constituency / County Assembly Ward to ……………………………………………….. be held on the day of …………… …………….. 20…………….. Contacts Physical address: ……….....…………………......………………………………………… ……….....…………………......……………………………………………………………. Tel: ……….......…………………………...………………………………….. Email: …………………………………....................…………………………
FORM 11N (r. 15(b)) INTENTION TO CONTEST AS AN INDEPENDENT CANDIDATE I, ……………………………………………..……… ID No. / Passport No. …………………… do hereby make an application to contest as an Independent Candidate in the Election for ……………………………………………………………………… President / Senate / Woman Representative / Member of National Assembly / Governor / Member of County Assembly in ……………………………………………….. County / Constituency / County Assembly Ward to be held on the …………… day of …………….. 20…………….. Contacts Physical address: ……….....…………………......………………………………………… ……….....…………………......……………………………………………………………. Tel: ……….......…………………………...………………………………….. Email: …………………………………....................…………………………
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