APEX ELECTIONS COMMISSION

Address: 102 Graham Street, Brickdam, Georgetown

Telephone: 220-3934/ 640-0909 Email: ApexElectionComission@gmail.com
Voting is essential always remember that just a single vote can determine the future direction of this nation.

Nomination from
The completion of this form must be done by March 18, 2024. The following candidate is
qualified to run in this year's election. Block letter format is required to be utilized to
complete this form.

NAME OF CANDIDATES

FIRST NAME: Click or tap here to enter text. LAST NAME:

Click or tap here to enter text.

DATE OF BIRTH: Click or tap to enter a date. GENDER: ✘ MALE

FEMALE
PROFESSION: Click or tap here to enter text.

ADDRESS: Click or tap here to enter text.

CONSTITUENCY YOU WANT TO CONTEST IN:

PARTY YOU WISH TO REPRESENT: Click or tap here to enter text.

CANDIDATE’S SIGNATURE CHAIRMAN’S SIGNATURE

X X