TRINBARJAM ELECTIONS COMMISSION

NOMINATION FORM

To be nominated in the upcoming election the form must be completed and addressed or email to
trinbarjamelections21@gmail.com no later than 8th January 2021

First Name: Enter here Address: Enter here

Surname: Enter here Email: Enter here
Sex: Choose here Contact: Enter here

Date of Birth: What is your constituency? Choose here

Profession: Enter here What party are you in?

Choose here

Signature:
………………………….

Nomination Form 2021