INECPRES

Passport

PORTAL FOR RECRUITMENT OF ELECTION STAFF

OFFLINE REGISTRATION FORM

GENERAL ELIGIBILITY CRITERIA
For the avoidance of doubt, all categories of ad-hoc staff must satisfy the following two (2) conditions prescribed by the Electoral Act:
• You must not be a political party member.
• You must not have demonstrated or expressed support for any candidate or party.
• All ad-hoc staff must apply in person, their group source notwithstanding.
You are ENCOURAGED to fill this form online at the INEC Portal (https://pres.inecnigeria.org)

PERSONAL INFORMATION
* SURNAME * FIRSTNAME OTHERNAMES

* GENDER MARITAL STATUS

* EMAIL ADDRESS * MOBILE PHONE NUMBER

* STAFF ID NUMBER/STUDENT ID NUMBER * DESIGNATION

* WORKPLACE/ORGANIZATION

* POSITION APPLIED FOR

CONTACT INFORMATION
* STATE OF RESIDENCE * LGA OF RESIDENCE

* NEAREST LANDMARK REGISTRATION WARD/AREA (If you know)

* ADDRESS OF RESIDENCE

* PERMANENT HOME ADDRESS

* STATE OF ORIGIN

BANK DETAILS

* NAME OF BANK * ACCOUNT NUMBER (NUBAN)

REFEREE(S)
SURNAME (#1) FIRSTNAME (#1)

PHONE (#1) EMAIL (#1)

SURNAME (#2) FIRSTNAME (#2)

PHONE (#2) EMAIL (#2)

 ATTESTATION SLIP

I,
attest that the information provided by me on this form is truthful and accurate.

Signature of Applicant Date

 ACKNOWLEDGEMENT SLIP

I,
confirm that the information given are to the best of my knowledge true, and I will abide by the
INEC code of conduct for Election officials.

Signature/date of Applicant Stamp/Signature/Date

(INEC Representative)

Tick box, if applicant showed up for training

Name of Training Officer _______________________________________
Signature/Date _______________________________________________

Tick box, if applicant showed up for deployment

Name of Field Officer _________________________________________
Signature/Date ______________________________________________

Bring along the signed acknowledgement slip to the training venue.

Disclaimer: Kindly note that this acknowledgement slip does not amount to automatic selection
as election staff.