Election DESAUEW – National, Regional and Centre Elections 2022

NOMINATION FORM (DESA-UEW) ELECTIONS OF NATIONAL, REGIONAL AND CENTRE EXECUTIVES, 2022.

A COPY OF THIS FORM IN RESPECT OF EACH CANDIDATE, SIGNED BY THE CANDIDATE AND AT LEAST TEN NOMINATORS, MUST BE RETURNED TO THE ELECTORAL COMMISSION, DISTANCE EDUCATION STUDENTS’ ASSOCIATION UNIVERSITY OF EDUCATION, WINNEBA.

(DESA-UEW), BEFORE THE RELEVANT CLOSING DATE FOR NOMINATIONS AS PUBLISHED BY THE ELECTORAL COMMISSION DESA-UEW

It is recommended that you complete this form (including the names of your nominators, where known), and submit the form to the Electoral Commission. Your form will be automatically sent to ec@desauew.com for advance checking. (Early submissions of forms will benefit from early notification of any validation issues encountered: Late submissions can only be checked as time permits.)

Please note: The official nomination requires the original signatures of both the candidate and at least ten nominators. This means you must submit a completed form prior to the deadline as noted in the EC Publication.

A. DETAILS OF THE NOMINEE

Upload your picture *

No file chosen

Passport Picture Format Preferred

Last Name *

First Name *

Student ID *

National ID *

Gender

Date of Birth *

Study Centre *

Select Your Region

Program *

CGPA

Phone *

Email Address *

Degree / Diploma *

B. PORTFOLIO TO BE CONTEST

Tick as appropriate *National ElectionRegional ElectionCentre Election

Portfolio *PresidentSecretaryFinancial SecretaryPublic Relation OfficerOrganizing SecretaryWomens CommissionerWelfare OfficerSports Organizing Secretary

Running Mate

C. LEADER / WORK EXPERIENCE

Institution / Association (1)

Name

Position

Duties

Institution / Association (2)

Name

Position

Duties

Institution / Association (3)

Name

Position

Duties

D. NOMINATORS

Nominator (1)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (2)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (3)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (4)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (5)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (6)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (7)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (8)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (9)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

Nominator (10)

Title

Full Name *

Centre *

Program / Level *

Index Number *

Phone *

E. DECLARATION BY CANDIDATE

Note: all candidates are asked to note the general eligibility requirements which apply to all portfolios, as set out in the publication.

I declare that I am eligible and willing to serve in the office shown above if duly elected; that the information given in sections A, B, C and D is accurate; and that I am willing for all or any of the information, at the Vice-Chancellor’s discretion, to be published on the University website and in the University Gazette in connection with this election.

Name of Candidate *

Phone *

Date *

F. CORDINATOR / ADMINISTRATOR ENDORSEMENT

Kindly contact your Centre Coordinator/Administrator for an endorsement before you fill out section F.

Coordinator/Administrator Name *

Enter your Study Centre *

Coordinator/Administrator Phone *

Please do not fill in this field.