Appointment of Aspirant agent

APPOINTMENT OF ASPIRANTS AGENTS
ASPIRANTS NAME:
ID NOO:
ELECTIVE POSITION:
COUNTY:
CONSTITUENCY:
WARD:
I hereby appoint the attached to be my agents during the Jubilee Party primaries being held on 21st or 25th of April 2017.
(Use the following format)
CONSTITUENCY
NUMBER
NAME
WARD
WARD
NUMBER
WARD NAME
POLLING STATION
STATION
NUMBER
STATION NAME
AGENT
NAME
ID
NUMBER
TELEPHONE
NUMBER
SIGNATURE:DATE:/ /
CONSTITUENCY
NUMBER
NAME
WARD
WARD
NUMBER
WARD NAME
POLLING STATION
STATION
NUMBER
STATION NAME
AGENT
NAME
ID
NUMBER
TELEPHONE
NUMBER