Each political party wishing to participate in the election must finalize their nomination of candidates before the ....................................................., 20 ………………Nomination papers for the election may be delivered to the returning officer at ………................…..…. between the hours of eight o’clock in the morning and one o’clock on the ….............day of ……...…… .. 20 ……….. and forms of nomination papers therefore may be obtained at ……................………… between the hours of nine o’clock in the morning and one o’clock on any week day. The returning officer will prepare a nomination paper for signature at the request of any person who is a registered voter in his constituency. Dated the …..................…day of ……………….. 20 ………….. ……………….......………..........……………. Returning Officer FORM 11A (r.13A)) PARTY MEMBERSHIP LIST Party Name: …………………………………………………….. Party Code: …………… County: …………………………………………………………….. County Code: ………..… Constituency: ……………………………………………… Constituency Code: …………… County Assembly Ward: …………………………………… CAW Code: …………… No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any)
FORM 11F (r.13B) LIST OF ASPIRANTS IN PARTY PRIMARIES COUNTY GOVERNOR CANDIDATES Party Name: …………………………………………………….. Party Code: …………… County: ………………………………………………………….. County Code: …………. Nominations Date: ………………………………… No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any)
FORM 11G (r.13B)) LIST OF ASPIRANTS IN PARTY PRIMARIES COUNTY ASSEMBLY WARD CANDIDATES Party Name: …………………………………………………….. Party Code: …………… County: …………………………………………………………….. County Code: ………..… Constituency: ……………………………………………… Constituency Code: …………… County Assembly Ward: …………………………………… CAW Code: …………… Nominations Date: ……………………………… No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any)
FORM 11K (r.13C) LIST OF NOMINATED CANDIDATES IN PARTY PRIMARIES MEMBER OF NATIONAL ASSEMBLY CANDIDATES Party Name: …………………………………………………….. Party Code: …………… County: ………………………………………………………….. County Code: …………. Constituency: ……………………………………………… Constituency Code: …………… County Code County Name Code Constituency Name No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any) FORM 11L (r.13C) LIST OF NOMINATED CANDIDATES IN PARTY PRIMARIES COUNTY GOVERNOR CANDIDATES Party Name: …………………………………………………….. Party Code: …………… County: ………………………………………………………….. County Code: …………. County Code County Name No Surname Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any)
FORM 11M (r.13C) LIST OF NOMINATED CANDIDATES IN PARTY PRIMARIES COUNTY ASSEMBLY WARD CANDIDATES Party Name: …………………………………………………….. Party Code: …………… County: …………………………………………………………….. County Code: ………..… Constituency: ……………………………………………… Constituency Code: …………… County Assembly Ward: …………………………………… CAW Code: …………… County Code County Name Constituency Code Constituency Name CAW Code CAW Name No Other Names ID/Passport Number Gender Year Of Birth Type of Disability (if any)
FORM 11N (r. 15(b)) INTENTION TO CONTEST AS AN INDEPENDENT CANDIDATE I, ……………………………………………..……… ID No. / Passport No. …………………… do hereby make an application to contest as an Independent Candidate in the Election for ……………………………………………………………………… President / Senate / Woman Representative / Member of National Assembly / Governor / Member of County Assembly in ……………………………………………….. County / Constituency / County Assembly Ward to be held on the …………… day of …………….. 20…………….. Contacts Physical address: ……….....…………………......………………………………………… ……….....…………………......……………………………………………………………. Tel: ……….......…………………………...………………………………….. Email: …………………………………....................…………………………
FORM 24B (r 54(2)) POLITICAL PARTY LIST FOR ALLOCATION OF SPECIAL SEATS Name of Political Party ………………………………………………… No. Name ID/Passport Number Date of Birth Sex Disability (Y/N) Type of Disability Elective Position Occupation Phone Number Colored Passport size Photo (on White Background with name and signatures on the back)
4. Fold the paper through the centre, from left to right, so as to conceal your vote. Then put the ballot into the ballot box. 4. Kunja karatasi katikati kutoka kushoto kwenda kulia ili kuficha kura yako halafu tumbukiza kwenye sanduku. Voter’s Mark/Alama ya kura Tick (√) cross (× ) Thumb print ( ▓ ) Party /Candidates Symbol Presidential Candidate Photo and Name Deputy Presidential Name Voter’s Mark/Alama ya kura
4. Fold the paper through the centre, from left to right, so as to conceal your vote. Then put the ballot into the ballot box. 4. Kunja karatasi katikati kutoka kushoto kwenda kulia ili kuficha kura yako halafu tumbukiza kwenye sanduku. Voter’s Mark/Alama ya kura Tick (√) cross (× ) Thumb print ( ▓ ) Party/Candidates Symbol Candidate Photo and Name Voter’s Mark/Alama ya kura
4. Fold the paper through the centre, from left to right, so as to conceal your vote. Then put the ballot into the ballot box. 3. Usiweke alama yeyote nyingine kwenye karatasi ya kura 4. Kunja karatasi katikati kutoka kushoto kwenda kulia ili kuficha kura yako halafu tumbukiza kwenye sanduku. Voter’s Mark/Alama ya kura Tick (√) cross (× ) Thumb print ( ▓ ) Party/Candidates Symbol Candidate Photo and Name Voter’s Mark/Alama ya kura
Name of Polling Station Code: Name of Constituency Code Candidate Name Party Sponsored or Independent Candidate Vote Tally at the Polling Station □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□Total= □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total= □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ Total = __________________________________________________________________________ Total votes: = Form 34 A (r.79(2)(a)) PRESIDENTIAL ELECTION RESULTS AT THE POLLING STATION S/Number..................................................... Name of Polling Station: …………………………………............…..Code................................... Ward……………………………………………………………….…Code……………………… Constituency.........................................................................................Code..................................... County………………………………………………………………...Code………………………
Polling Station Code Name of Polling Station Registered Voters Candidate 1 Candidate 2 Candidate 3 Total Valid Votes Rejected Ballots Agents or Candidates (if present) No. Name of Candidate or Agent ID/Passport No. Party Name/ Independent Candidate Tel. Contact Signature Date 1 2 3 Name of the Constituency Returning Officer: ………………………………… ID Number: ……………………………………………………………………. Signature: …………………………………………………………………….. Date: ………………………………………………………………………….. Handing Over - Taking Over at the National Presidential Tallying Centre HANDING OVER TAKING OVER Number of FORM 34 A submitted: …………………………………….. Name of the Constituency Returning Officer: …………………………… ID Number: …………………………… Signature: …………………………….. Date: ………………………………. Number of FORM 34 A received: …………………………………….. Commission Chairperson: …................................................... ID Number: …………………………… Signature: …………………………… Date: …………………………………
Presiding Officer’s Comments: Form 38 B (r.87(1)(a) COLLATION OF SENATE ELECTION RESULTS AT THE CONSTITUENCY TALLYING CENTRE S/Number..................................................... Constituency...............................................................................Code..................................... County……………………………………………………….Code………………………… Name of Constituency Tallying Centre …………………………………………………….. Polling Station Code Name of Polling Station Reg. Voters Candidate 1 Candidate 2 Candidate 3 Total Valid Votes Rejected Ballots Signatures of Candidates or Agents No. Name of Candidate or Agent ID/Passport No. Party Name/ Independent Candidate Tel. Contact Signature Date 1 2 3 Name of the County Returning Officer: ………………………………..…………………
Name of the Constituency Returning Officer: …………………………… ID Number: …………………………… Signature: …………………………….. Date: ………………………………. Time: …………………… County Returning Officer: …................................................... ID Number: …………………………… Signature: …………………………… Date: ………………………………… Time: …………………… FORM 39 C (r.87(2)(b)) DECLARATION OF COUNTY WOMAN MEMBER TO THE NATIONAL ASSEMBLY ELECTION RESULTS AT THE COUNTY TALLYING CENTRE S/Number..................................................... County………………………………………………….Code………………………… Name of County Tallying Centre……………………………….Code……………… Constituency Code Constituency Name Polling Station Code Name of Polling Station Name of Candidate Name of Candidate Name of Candidate Votes Cast Rejected Votes Valid Votes
Presiding Officer’s Name: ……………………………………………………………………… Signature: ……………………………………….………….……................................................ Date: ……………………………………………….............................. (STAMP)