Form EC.1
THIRD SCHEDULE Section 10 (4)
ELECTORAL ACT, 2022
SECTION A
FORM EC.1
APPLICATION FOR INCLUSION IN REGISTER OF VOTERS
To the Registration Officer
Constituency
20
of
apply to be included in
the Preliminary List of the Register of Voters for the above constituency upon the grounds:
1. That I am a citizen of Nigeria;
2. That I am 18 years or above 18 years of age;
3. That I am now ordinarily resident at
(here state town or village and if possible the street number if known)
4. And I declare that the above particulars are true to the best of my belief and —
*(a) that I am not already registered in this or any other Preliminary List or Register of Voters under the above Act (or I request that my name be entered in the appropriate list); or
*(b) that I have already registered, but wish my name transferred to the area of my new abode. Particular of my former place of residence are given below –
CODE
STATE
LOCAL GOVERNMENT AREA
REGISTRATION AREA
REGISTRATION UNIT
VOTER'S NUMBER
VOTER'S NAME
SECTION B
APPLICANT'S OTHER PARTICULARS (IN CAPITALS)
5. NAME IN FULL
(Family Name First)
6. OCCUPATION
7. AGE
8. SEX MALE (M)
FEMALE (F)
9. ADDRESS (i.e. House Number, Street Name or Name of Village or Hamlet)
*Signed
*Right thumb print impressed in the presence of witness to thumb print.
*Cross out whichever is inapplicable
