Voters Name

Email Address

Telephone

ID Number /Registration No.

Membership Type Membership TypeIndividual Membership(single Household)Corporate Residential (Estates and Gated Communities)Corporate Commercial (companies and Industrials)

Court/ Estate Name

Road Zone Road ZoneAirport Road (01)Mwananchi Road (02)Kiungani Road (03)Community Road (04)Katani Road (05)Parliament Road (06)Quary Road Road (07)

Chairperson vote (Select only one option) Chairperson vote (Select only one option)Candidate (1)Candidate (2)Candidate (3)

Secretary vote (Select only one option) Secretary vote (Select only one option)Candidate (1)Candidate (2)Candidate (3)

Treasurer vote (Select only one option) Treasurer vote (Select only one option)Candidate (1)Candidate (2)Candidate (3)