Agent Application Form

Applicant's Personal Details:

We'll never share your email with anyone else.
Only Word or PDF documents are allowed
Only JPG,PNG,GIF or PDF documents are allowed
Only JPG,PNG or GIF documents are allowed. Passport size photograph (legible photo taken on a blue background)

Name and Address of Referee:

Terms and Conditions

  1. Filling this Form does not constitute a Contract but is an expression of intent to contract. A valid agency contract will be signed upon evaluation and satisfactory training.
  2. Due to the fact that the job will entail relaying of election results via a mobile App, applicants need to ensure there is reliable mobile telephony connectivity in their areas, and be conversant to smart telephone use.
  3. After the Application, the agents are expected to be available, for training & deployment instructions, as from 17th July, 2017.
  4. Attach copies of CV, ID, and Passport size photograph (legible photo taken on a blue background).