{"id":176,"date":"2018-02-28T19:17:30","date_gmt":"2018-02-28T19:17:30","guid":{"rendered":"http:\/\/nomination.desauew.com\/index.php\/1-page\/"},"modified":"2022-04-17T00:06:25","modified_gmt":"2022-04-17T00:06:25","slug":"nomination","status":"publish","type":"page","link":"https:\/\/nomination.desauew.com\/","title":{"rendered":"Nomination Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"176\" class=\"elementor elementor-176\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c72b036 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c72b036\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-27b02f0\" data-id=\"27b02f0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b959c6e elementor-widget elementor-widget-heading\" data-id=\"b959c6e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">NOMINATION FORM\n(DESA-UEW)\nELECTIONS OF NATIONAL, REGIONAL AND CENTRE EXECUTIVES,\n2022.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-429f04c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"429f04c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-04a5cdf\" data-id=\"04a5cdf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a8f3a98 elementor-widget elementor-widget-shortcode\" data-id=\"a8f3a98\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"forminator-ui forminator-custom-form forminator-custom-form-202 forminator-design--default  forminator_ajax\" data-forminator-render=\"0\" data-form=\"forminator-module-202\" data-uid=\"6a16983f5ca0f\"><br\/><\/div><form\n\t\t\t\tid=\"forminator-module-202\"\n\t\t\t\tclass=\"forminator-ui forminator-custom-form forminator-custom-form-202 forminator-design--default  forminator_ajax\"\n\t\t\t\tmethod=\"post\"\n\t\t\t\tdata-forminator-render=\"0\"\n\t\t\t\tdata-form-id=\"202\"\n\t\t\t\t\n\t\t\t\tdata-design=\"default\"\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\tdata-grid=\"open\"\n\t\t\t\tenctype=\"multipart\/form-data\"\n\t\t\t\t\n\t\t\t\tstyle=\"display: none;\"\n\t\t\t\t\n\t\t\t\tdata-uid=\"6a16983f5ca0f\"\n\t\t\t><div role=\"alert\" aria-live=\"polite\" class=\"forminator-response-message forminator-error\" aria-hidden=\"true\"><\/div><div role=\"tablist\" class=\"forminator-pagination-steps\" aria-label=\"Pagination\"><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-0\" class=\"forminator-pagination forminator-pagination-start\" aria-labelledby=\"forminator-custom-form-202--page-0-label\" data-step=\"0\" data-label=\"Coordinator \/ Administrator Endorsement\" data-name=\"page-break-2\"><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-3\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-3\"><p>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\u2019 ASSOCIATION UNIVERSITY OF EDUCATION, WINNEBA.<\/p>\n<p>(DESA-UEW), BEFORE THE RELEVANT CLOSING DATE FOR NOMINATIONS AS PUBLISHED BY THE ELECTORAL COMMISSION DESA-UEW<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-4\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-4\"><p>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.)<\/p>\n<p><strong>Please note<\/strong>: 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.\u00a0<\/p><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-1\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-202--page-1-label\" aria-hidden=\"true\" data-step=\"1\" data-label=\"Terms &amp; Conditions\" data-name=\"page-break-1\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-5\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-5\"><label class=\"forminator-label\">A. DETAILS OF THE NOMINEE<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"upload-1\" class=\"forminator-field-upload forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-upload-1_6a16983f5ca0f\" id=\"forminator-field-upload-1_6a16983f5ca0f-label\" class=\"forminator-label\">Upload your picture <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-file-upload \" data-element=\"upload-1_6a16983f5ca0f\" aria-describedby=\"forminator-field-upload-1_6a16983f5ca0f-description\"><input type=\"file\" name=\"upload-1\" id=\"forminator-field-upload-1_6a16983f5ca0f\" class=\"forminator-input-file-required do-validate\" accept=\".jpg,.jpeg,.jpe,.png,.webp,.svgz,.json\"><button id=\"forminator-field-upload-1_6a16983f5ca0f_button\" class=\"forminator-button forminator-button-upload\" data-id=\"forminator-field-upload-1_6a16983f5ca0f\">Choose File<\/button><span data-empty-text=\"No file chosen\">No file chosen<\/span><button class=\"forminator-button-delete\" style=\"display: none;\"><i class=\"forminator-icon-close\" aria-hidden=\"true\"><\/i><span class=\"forminator-screen-reader-only\">Delete uploaded file<\/span><\/button><\/div><span id=\"forminator-field-upload-1_6a16983f5ca0f-description\" class=\"forminator-description\">Passport Picture Format Preferred<\/span><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-1\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-1_6a16983f5ca0f\" id=\"forminator-field-name-1_6a16983f5ca0f-label\" class=\"forminator-label\">Last Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-1\" value=\"\" placeholder=\"\" id=\"forminator-field-name-1_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-2\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-2_6a16983f5ca0f\" id=\"forminator-field-name-2_6a16983f5ca0f-label\" class=\"forminator-label\">First Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-2\" value=\"\" placeholder=\"\" id=\"forminator-field-name-2_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-3\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-3_6a16983f5ca0f\" id=\"forminator-field-name-3_6a16983f5ca0f-label\" class=\"forminator-label\">Student ID <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-3\" value=\"\" placeholder=\"\" id=\"forminator-field-name-3_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-4\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-4_6a16983f5ca0f\" id=\"forminator-field-name-4_6a16983f5ca0f-label\" class=\"forminator-label\">National ID <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-4\" value=\"\" placeholder=\"\" id=\"forminator-field-name-4_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"select-2\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-202__field--select-2_6a16983f5ca0f\" id=\"forminator-form-202__field--select-2_6a16983f5ca0f-label\" class=\"forminator-label\">Gender<\/label><select  id=\"forminator-form-202__field--select-2_6a16983f5ca0f\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-2\" data-default-value=\"Male\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-202__field--select-2_6a16983f5ca0f-label\"><option value=\"Male\" selected=\"selected\" data-calculation=\"0\">Male<\/option><option value=\"Female\"  data-calculation=\"0\">Female<\/option><\/select><\/div><\/div><div id=\"date-1\" class=\"forminator-field-date forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-1-picker_6a16983f5ca0f\" id=\"forminator-field-date-1-picker_6a16983f5ca0f-label\" class=\"forminator-label\">Date of Birth <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-1\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-1-picker_6a16983f5ca0f\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"dd\/mm\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-21\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-21_6a16983f5ca0f\" id=\"forminator-field-name-21_6a16983f5ca0f-label\" class=\"forminator-label\">Study Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-21\" value=\"\" placeholder=\"\" id=\"forminator-field-name-21_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"select-1\" class=\"forminator-field-select forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-form-202__field--select-1_6a16983f5ca0f\" id=\"forminator-form-202__field--select-1_6a16983f5ca0f-label\" class=\"forminator-label\">Select Your Region<\/label><select  id=\"forminator-form-202__field--select-1_6a16983f5ca0f\" class=\"forminator-select--field forminator-select2 forminator-select2-multiple\" data-required=\"\" name=\"select-1\" data-default-value=\"\" data-placeholder=\"\" data-search=\"false\" data-search-placeholder=\"\" data-checkbox=\"false\" data-allow-clear=\"false\" aria-labelledby=\"forminator-form-202__field--select-1_6a16983f5ca0f-label\"><option value=\"Ashanti\"  data-calculation=\"0\">Ashanti<\/option><option value=\"Brong-Ahafo\"  data-calculation=\"0\">Brong-Ahafo<\/option><option value=\"Central\"  data-calculation=\"0\">Central<\/option><option value=\"Eastern\"  data-calculation=\"0\">Eastern<\/option><option value=\"Greater-Accra\"  data-calculation=\"0\">Greater Accra<\/option><option value=\"Northern\"  data-calculation=\"0\">Northern<\/option><option value=\"Upper-East\"  data-calculation=\"0\">Upper East<\/option><option value=\"Upper-West\"  data-calculation=\"0\">Upper West<\/option><option value=\"Volta\"  data-calculation=\"0\">Volta<\/option><option value=\"Western\"  data-calculation=\"0\">Western<\/option><\/select><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-6\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-6_6a16983f5ca0f\" id=\"forminator-field-name-6_6a16983f5ca0f-label\" class=\"forminator-label\">Program <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-6\" value=\"\" placeholder=\"\" id=\"forminator-field-name-6_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><div id=\"name-7\" class=\"forminator-field-name forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-7_6a16983f5ca0f\" id=\"forminator-field-name-7_6a16983f5ca0f-label\" class=\"forminator-label\">CGPA<\/label><input type=\"text\" name=\"name-7\" value=\"\" placeholder=\"\" id=\"forminator-field-name-7_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"false\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-1\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-1_6a16983f5ca0f\" id=\"forminator-field-phone-1_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-1\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-1_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" \/><\/div><\/div><div id=\"email-1\" class=\"forminator-field-email forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-email-1_6a16983f5ca0f\" id=\"forminator-field-email-1_6a16983f5ca0f-label\" class=\"forminator-label\">Email Address <span class=\"forminator-required\">*<\/span><\/label><input type=\"email\" name=\"email-1\" value=\"\" placeholder=\"\" id=\"forminator-field-email-1_6a16983f5ca0f\" class=\"forminator-input forminator-email--field\" data-required=\"1\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-8\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-8_6a16983f5ca0f\" id=\"forminator-field-name-8_6a16983f5ca0f-label\" class=\"forminator-label\">Degree \/ Diploma <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-8\" value=\"\" placeholder=\"\" id=\"forminator-field-name-8_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-2\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-202--page-2-label\" aria-hidden=\"true\" data-step=\"2\" data-label=\"Details of the Nominee\" data-name=\"page-break-6\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-6\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-6\"><label class=\"forminator-label\">B. PORTFOLIO TO BE CONTEST<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"checkbox-1\" class=\"forminator-field-checkbox forminator-col forminator-col-6 \"><div role=\"group\" class=\"forminator-field required\" aria-labelledby=\"forminator-checkbox-group-forminator-field-checkbox-1-6a16983f5ca0f-label\"><span id=\"forminator-checkbox-group-forminator-field-checkbox-1-6a16983f5ca0f-label\" class=\"forminator-label\">Tick as appropriate <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-checkbox-1-1-6a16983f5ca0f-label\" for=\"forminator-field-checkbox-1-1-6a16983f5ca0f\" class=\"forminator-checkbox\" title=\"National Election\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"National-Election\" id=\"forminator-field-checkbox-1-1-6a16983f5ca0f\" aria-labelledby=\"forminator-field-checkbox-1-1-6a16983f5ca0f-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">National Election<\/span><\/label><label id=\"forminator-field-checkbox-1-2-6a16983f5ca0f-label\" for=\"forminator-field-checkbox-1-2-6a16983f5ca0f\" class=\"forminator-checkbox\" title=\"Regional Election\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Regional-Election\" id=\"forminator-field-checkbox-1-2-6a16983f5ca0f\" aria-labelledby=\"forminator-field-checkbox-1-2-6a16983f5ca0f-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Regional Election<\/span><\/label><label id=\"forminator-field-checkbox-1-3-6a16983f5ca0f-label\" for=\"forminator-field-checkbox-1-3-6a16983f5ca0f\" class=\"forminator-checkbox\" title=\"Centre Election\"><input type=\"checkbox\" name=\"checkbox-1[]\" value=\"Centre-Election\" id=\"forminator-field-checkbox-1-3-6a16983f5ca0f\" aria-labelledby=\"forminator-field-checkbox-1-3-6a16983f5ca0f-label\" data-calculation=\"0\"  \/><span class=\"forminator-checkbox-box\" aria-hidden=\"true\"><\/span><span class=\"forminator-checkbox-label\">Centre Election<\/span><\/label><\/div><\/div><div id=\"radio-1\" class=\"forminator-field-radio forminator-col forminator-col-6 \"><div role=\"radiogroup\" class=\"forminator-field\" aria-labelledby=\"forminator-radiogroup-radio-1-6a16983f5ca0f-label\"><span id=\"forminator-radiogroup-radio-1-6a16983f5ca0f-label\" class=\"forminator-label\">Portfolio <span class=\"forminator-required\">*<\/span><\/span><label id=\"forminator-field-radio-1-label-1\" for=\"forminator-field-radio-1-1-6a16983f5ca0f\" class=\"forminator-radio\" title=\"President\"><input type=\"radio\" name=\"radio-1\" value=\"President\" id=\"forminator-field-radio-1-1-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-1\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">President<\/span><\/label><label id=\"forminator-field-radio-1-label-2\" for=\"forminator-field-radio-1-2-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Secretary\"><input type=\"radio\" name=\"radio-1\" value=\"Secretary\" id=\"forminator-field-radio-1-2-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-2\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Secretary<\/span><\/label><label id=\"forminator-field-radio-1-label-3\" for=\"forminator-field-radio-1-3-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Financial Secretary\"><input type=\"radio\" name=\"radio-1\" value=\"Financial-Secretary\" id=\"forminator-field-radio-1-3-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-3\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Financial Secretary<\/span><\/label><label id=\"forminator-field-radio-1-label-4\" for=\"forminator-field-radio-1-4-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Public Relation Officer\"><input type=\"radio\" name=\"radio-1\" value=\"Public-Relation-Officer\" id=\"forminator-field-radio-1-4-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-4\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Public Relation Officer<\/span><\/label><label id=\"forminator-field-radio-1-label-5\" for=\"forminator-field-radio-1-5-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Organizing Secretary\"><input type=\"radio\" name=\"radio-1\" value=\"Organizing-Secretary\" id=\"forminator-field-radio-1-5-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-5\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Organizing Secretary<\/span><\/label><label id=\"forminator-field-radio-1-label-6\" for=\"forminator-field-radio-1-6-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Womens  Commissioner\"><input type=\"radio\" name=\"radio-1\" value=\"Womens-Commissioner\" id=\"forminator-field-radio-1-6-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-6\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Womens  Commissioner<\/span><\/label><label id=\"forminator-field-radio-1-label-7\" for=\"forminator-field-radio-1-7-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Welfare Officer\"><input type=\"radio\" name=\"radio-1\" value=\"Welfare-Officer\" id=\"forminator-field-radio-1-7-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-7\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Welfare Officer<\/span><\/label><label id=\"forminator-field-radio-1-label-8\" for=\"forminator-field-radio-1-8-6a16983f5ca0f\" class=\"forminator-radio\" title=\"Sports Organizing Secretary\"><input type=\"radio\" name=\"radio-1\" value=\"Sports-Organizing-Secretary\" id=\"forminator-field-radio-1-8-6a16983f5ca0f\" aria-labelledby=\"forminator-field-radio-1-label-8\" data-calculation=\"0\"  \/><span class=\"forminator-radio-bullet\" aria-hidden=\"true\"><\/span><span class=\"forminator-radio-label\">Sports Organizing Secretary<\/span><\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-1\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-1_6a16983f5ca0f\" id=\"forminator-field-text-1_6a16983f5ca0f-label\" class=\"forminator-label\">Running Mate<\/label><input type=\"text\" name=\"text-1\" value=\"\" placeholder=\"\" id=\"forminator-field-text-1_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-3\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-202--page-3-label\" aria-hidden=\"true\" data-step=\"3\" data-label=\"Portfolio to be Contest\" data-name=\"page-break-3\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-2\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-2\"><label class=\"forminator-label\">C. LEADER \/ WORK EXPERIENCE<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-8\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-8\"><label class=\"forminator-label\">Institution \/ Association (1)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-2\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-2_6a16983f5ca0f\" id=\"forminator-field-text-2_6a16983f5ca0f-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-2\" value=\"\" placeholder=\"\" id=\"forminator-field-text-2_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-3\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-3_6a16983f5ca0f\" id=\"forminator-field-text-3_6a16983f5ca0f-label\" class=\"forminator-label\">Position<\/label><input type=\"text\" name=\"text-3\" value=\"\" placeholder=\"\" id=\"forminator-field-text-3_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-1\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-1_6a16983f5ca0f\" id=\"forminator-field-textarea-1_6a16983f5ca0f-label\" class=\"forminator-label\">Duties<\/label><textarea name=\"textarea-1\" placeholder=\"Mention three (3) duties ...\" id=\"forminator-field-textarea-1_6a16983f5ca0f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-9\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-9\"><label class=\"forminator-label\">Institution \/ Association (2)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-5\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-5_6a16983f5ca0f\" id=\"forminator-field-text-5_6a16983f5ca0f-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-5\" value=\"\" placeholder=\"\" id=\"forminator-field-text-5_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-4\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-4_6a16983f5ca0f\" id=\"forminator-field-text-4_6a16983f5ca0f-label\" class=\"forminator-label\">Position<\/label><input type=\"text\" name=\"text-4\" value=\"\" placeholder=\"\" id=\"forminator-field-text-4_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-2\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-2_6a16983f5ca0f\" id=\"forminator-field-textarea-2_6a16983f5ca0f-label\" class=\"forminator-label\">Duties<\/label><textarea name=\"textarea-2\" placeholder=\"Mention three (3) duties ...\" id=\"forminator-field-textarea-2_6a16983f5ca0f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-10\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-10\"><label class=\"forminator-label\">Institution \/ Association (3)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-6\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-6_6a16983f5ca0f\" id=\"forminator-field-text-6_6a16983f5ca0f-label\" class=\"forminator-label\">Name<\/label><input type=\"text\" name=\"text-6\" value=\"\" placeholder=\"\" id=\"forminator-field-text-6_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><div id=\"text-7\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-7_6a16983f5ca0f\" id=\"forminator-field-text-7_6a16983f5ca0f-label\" class=\"forminator-label\">Position<\/label><input type=\"text\" name=\"text-7\" value=\"\" placeholder=\"\" id=\"forminator-field-text-7_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"textarea-3\" class=\"forminator-field-textarea forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-textarea-3_6a16983f5ca0f\" id=\"forminator-field-textarea-3_6a16983f5ca0f-label\" class=\"forminator-label\">Duties<\/label><textarea name=\"textarea-3\" placeholder=\"Mention three (3) duties ...\" id=\"forminator-field-textarea-3_6a16983f5ca0f\" class=\"forminator-textarea\" rows=\"6\" style=\"min-height:140px;\" ><\/textarea><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-4\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-202--page-4-label\" aria-hidden=\"true\" data-step=\"4\" data-label=\"Leader \/ Work Experience\" data-name=\"page-break-4\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-7\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-7\"><label class=\"forminator-label\">D. NOMINATORS<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-21\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-21\"><label class=\"forminator-label\">Nominator (1)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-9\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-9_6a16983f5ca0f\" id=\"forminator-field-202__field--name-9_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-9-prefix\" id=\"forminator-field-202__field--name-9_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-9_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-9_6a16983f5ca0f\" id=\"forminator-field-first-name-9_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-9-first-name\" placeholder=\"\" id=\"forminator-field-first-name-9_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-8\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-8_6a16983f5ca0f\" id=\"forminator-field-text-8_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-8\" value=\"\" placeholder=\"\" id=\"forminator-field-text-8_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-27\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-27_6a16983f5ca0f\" id=\"forminator-field-text-27_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-27\" value=\"\" placeholder=\"\" id=\"forminator-field-text-27_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-11\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-11_6a16983f5ca0f\" id=\"forminator-field-number-11_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-11\" value=\"\" placeholder=\"\" id=\"forminator-field-number-11_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-6\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-6_6a16983f5ca0f\" id=\"forminator-field-phone-6_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-6\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-6_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-20\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-20\"><label class=\"forminator-label\">Nominator (2)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-18\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-18_6a16983f5ca0f\" id=\"forminator-field-202__field--name-18_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-18-prefix\" id=\"forminator-field-202__field--name-18_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-18_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-18_6a16983f5ca0f\" id=\"forminator-field-first-name-18_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-18-first-name\" placeholder=\"\" id=\"forminator-field-first-name-18_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-13\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-13_6a16983f5ca0f\" id=\"forminator-field-text-13_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-13\" value=\"\" placeholder=\"\" id=\"forminator-field-text-13_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-9\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-9_6a16983f5ca0f\" id=\"forminator-field-text-9_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-9\" value=\"\" placeholder=\"\" id=\"forminator-field-text-9_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-10\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-10_6a16983f5ca0f\" id=\"forminator-field-number-10_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-10\" value=\"\" placeholder=\"\" id=\"forminator-field-number-10_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-5\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-5_6a16983f5ca0f\" id=\"forminator-field-phone-5_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-5\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-5_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-19\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-19\"><label class=\"forminator-label\">Nominator (3)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-16\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-16_6a16983f5ca0f\" id=\"forminator-field-202__field--name-16_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-16-prefix\" id=\"forminator-field-202__field--name-16_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-16_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-16_6a16983f5ca0f\" id=\"forminator-field-first-name-16_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-16-first-name\" placeholder=\"\" id=\"forminator-field-first-name-16_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-14\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-14_6a16983f5ca0f\" id=\"forminator-field-text-14_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-14\" value=\"\" placeholder=\"\" id=\"forminator-field-text-14_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-19\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-19_6a16983f5ca0f\" id=\"forminator-field-text-19_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-19\" value=\"\" placeholder=\"\" id=\"forminator-field-text-19_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-9\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-9_6a16983f5ca0f\" id=\"forminator-field-number-9_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-9\" value=\"\" placeholder=\"\" id=\"forminator-field-number-9_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-4\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-4_6a16983f5ca0f\" id=\"forminator-field-phone-4_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-4\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-4_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-18\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-18\"><label class=\"forminator-label\">Nominator (4)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-17\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-17_6a16983f5ca0f\" id=\"forminator-field-202__field--name-17_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-17-prefix\" id=\"forminator-field-202__field--name-17_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-17_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-17_6a16983f5ca0f\" id=\"forminator-field-first-name-17_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-17-first-name\" placeholder=\"\" id=\"forminator-field-first-name-17_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-15\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-15_6a16983f5ca0f\" id=\"forminator-field-text-15_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-15\" value=\"\" placeholder=\"\" id=\"forminator-field-text-15_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-20\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-20_6a16983f5ca0f\" id=\"forminator-field-text-20_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-20\" value=\"\" placeholder=\"\" id=\"forminator-field-text-20_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-8\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-8_6a16983f5ca0f\" id=\"forminator-field-number-8_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-8\" value=\"\" placeholder=\"\" id=\"forminator-field-number-8_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-3\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-3_6a16983f5ca0f\" id=\"forminator-field-phone-3_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-3\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-3_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-17\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-17\"><label class=\"forminator-label\">Nominator (5)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-15\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-15_6a16983f5ca0f\" id=\"forminator-field-202__field--name-15_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-15-prefix\" id=\"forminator-field-202__field--name-15_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-15_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-15_6a16983f5ca0f\" id=\"forminator-field-first-name-15_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-15-first-name\" placeholder=\"\" id=\"forminator-field-first-name-15_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-16\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-16_6a16983f5ca0f\" id=\"forminator-field-text-16_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-16\" value=\"\" placeholder=\"\" id=\"forminator-field-text-16_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-21\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-21_6a16983f5ca0f\" id=\"forminator-field-text-21_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-21\" value=\"\" placeholder=\"\" id=\"forminator-field-text-21_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-7\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-7_6a16983f5ca0f\" id=\"forminator-field-number-7_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-7\" value=\"\" placeholder=\"\" id=\"forminator-field-number-7_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-2\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-2_6a16983f5ca0f\" id=\"forminator-field-phone-2_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-2\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-2_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-16\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-16\"><label class=\"forminator-label\">Nominator (6)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-14\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-14_6a16983f5ca0f\" id=\"forminator-field-202__field--name-14_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-14-prefix\" id=\"forminator-field-202__field--name-14_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-14_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-14_6a16983f5ca0f\" id=\"forminator-field-first-name-14_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-14-first-name\" placeholder=\"\" id=\"forminator-field-first-name-14_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-17\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-17_6a16983f5ca0f\" id=\"forminator-field-text-17_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-17\" value=\"\" placeholder=\"\" id=\"forminator-field-text-17_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-22\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-22_6a16983f5ca0f\" id=\"forminator-field-text-22_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-22\" value=\"\" placeholder=\"\" id=\"forminator-field-text-22_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-6\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-6_6a16983f5ca0f\" id=\"forminator-field-number-6_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-6\" value=\"\" placeholder=\"\" id=\"forminator-field-number-6_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-11\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-11_6a16983f5ca0f\" id=\"forminator-field-phone-11_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-11\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-11_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-15\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-15\"><label class=\"forminator-label\">Nominator (7)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-13\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-13_6a16983f5ca0f\" id=\"forminator-field-202__field--name-13_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-13-prefix\" id=\"forminator-field-202__field--name-13_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-13_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-13_6a16983f5ca0f\" id=\"forminator-field-first-name-13_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-13-first-name\" placeholder=\"\" id=\"forminator-field-first-name-13_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-18\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-18_6a16983f5ca0f\" id=\"forminator-field-text-18_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-18\" value=\"\" placeholder=\"\" id=\"forminator-field-text-18_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-23\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-23_6a16983f5ca0f\" id=\"forminator-field-text-23_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-23\" value=\"\" placeholder=\"\" id=\"forminator-field-text-23_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-5\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-5_6a16983f5ca0f\" id=\"forminator-field-number-5_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-5\" value=\"\" placeholder=\"\" id=\"forminator-field-number-5_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-10\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-10_6a16983f5ca0f\" id=\"forminator-field-phone-10_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-10\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-10_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-14\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-14\"><label class=\"forminator-label\">Nominator (8)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-12\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-12_6a16983f5ca0f\" id=\"forminator-field-202__field--name-12_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-12-prefix\" id=\"forminator-field-202__field--name-12_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-12_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-12_6a16983f5ca0f\" id=\"forminator-field-first-name-12_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-12-first-name\" placeholder=\"\" id=\"forminator-field-first-name-12_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-12\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-12_6a16983f5ca0f\" id=\"forminator-field-text-12_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-12\" value=\"\" placeholder=\"\" id=\"forminator-field-text-12_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-24\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-24_6a16983f5ca0f\" id=\"forminator-field-text-24_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-24\" value=\"\" placeholder=\"\" id=\"forminator-field-text-24_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-4\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-4_6a16983f5ca0f\" id=\"forminator-field-number-4_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-4\" value=\"\" placeholder=\"\" id=\"forminator-field-number-4_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-9\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-9_6a16983f5ca0f\" id=\"forminator-field-phone-9_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-9\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-9_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-13\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-13\"><label class=\"forminator-label\">Nominator (9)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-11\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-11_6a16983f5ca0f\" id=\"forminator-field-202__field--name-11_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-11-prefix\" id=\"forminator-field-202__field--name-11_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-11_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-11_6a16983f5ca0f\" id=\"forminator-field-first-name-11_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-11-first-name\" placeholder=\"\" id=\"forminator-field-first-name-11_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-11\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-11_6a16983f5ca0f\" id=\"forminator-field-text-11_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-11\" value=\"\" placeholder=\"\" id=\"forminator-field-text-11_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-25\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-25_6a16983f5ca0f\" id=\"forminator-field-text-25_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-25\" value=\"\" placeholder=\"\" id=\"forminator-field-text-25_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-2\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-2_6a16983f5ca0f\" id=\"forminator-field-number-2_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-2\" value=\"\" placeholder=\"\" id=\"forminator-field-number-2_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-8\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-8_6a16983f5ca0f\" id=\"forminator-field-phone-8_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-8\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-8_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-12\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-12\"><label class=\"forminator-label\">Nominator (10)<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-10\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-row forminator-no-margin\" data-multiple=\"true\"><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-202__field--name-10_6a16983f5ca0f\" id=\"forminator-field-202__field--name-10_6a16983f5ca0f-label\" class=\"forminator-label\">Title<\/label><select name=\"name-10-prefix\" id=\"forminator-field-202__field--name-10_6a16983f5ca0f\" class=\"forminator-select2\" data-multi=\"1\" aria-labelledby=\"forminator-field-202__field--name-10_6a16983f5ca0f-label\" data-default-value=\"\"><option value=\"Mr\" >Mr.<\/option><option value=\"Mrs\" >Mrs.<\/option><option value=\"Ms\" >Ms.<\/option><option value=\"Mx\" >Mx.<\/option><option value=\"Miss\" >Miss<\/option><option value=\"Dr\" >Dr.<\/option><option value=\"Prof\" >Prof.<\/option><\/select><\/div><\/div><div class=\"forminator-col forminator-col-md-6\"><div class=\"forminator-field\"><label for=\"forminator-field-first-name-10_6a16983f5ca0f\" id=\"forminator-field-first-name-10_6a16983f5ca0f-label\" class=\"forminator-label\">Full Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-10-first-name\" placeholder=\"\" id=\"forminator-field-first-name-10_6a16983f5ca0f\" class=\"forminator-input\" aria-required=\"true\" data-multi=\"1\" value=\"\" \/><\/div><\/div><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-10\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-10_6a16983f5ca0f\" id=\"forminator-field-text-10_6a16983f5ca0f-label\" class=\"forminator-label\">Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-10\" value=\"\" placeholder=\"\" id=\"forminator-field-text-10_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><div id=\"text-26\" class=\"forminator-field-text forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-26_6a16983f5ca0f\" id=\"forminator-field-text-26_6a16983f5ca0f-label\" class=\"forminator-label\">Program \/ Level <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-26\" value=\"\" placeholder=\"\" id=\"forminator-field-text-26_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"number-3\" class=\"forminator-field-number forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-number-3_6a16983f5ca0f\" id=\"forminator-field-number-3_6a16983f5ca0f-label\" class=\"forminator-label\">Index Number <span class=\"forminator-required\">*<\/span><\/label><input name=\"number-3\" value=\"\" placeholder=\"\" id=\"forminator-field-number-3_6a16983f5ca0f\" class=\"forminator-input forminator-number--field\" inputmode=\"decimal\" data-required=\"1\" data-decimals=\"0\" aria-required=\"true\" data-inputmask=\"&#039;groupSeparator&#039;: &#039;&#039;, &#039;radixPoint&#039;: &#039;&#039;, &#039;digits&#039;: &#039;0&#039;\" type=\"number\" step=\"any\" min=\"\" \/><\/div><\/div><div id=\"phone-7\" class=\"forminator-field-phone forminator-col forminator-col-6 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-7_6a16983f5ca0f\" id=\"forminator-field-phone-7_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-7\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-7_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-5\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-202--page-5-label\" aria-hidden=\"true\" data-step=\"5\" data-label=\"Nominators\" data-name=\"page-break-5\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-11\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-11\"><label class=\"forminator-label\">E. DECLARATION BY CANDIDATE<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-23\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-23\"><p><em>Note: all candidates are asked to note the general eligibility requirements which apply to all portfolios, as set out in the publication.<\/em><\/p>\n<p>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\u2019s discretion, to be published on the University website and in the University Gazette in connection with this election.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-19\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-19_6a16983f5ca0f\" id=\"forminator-field-name-19_6a16983f5ca0f-label\" class=\"forminator-label\">Name of Candidate <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-19\" value=\"\" placeholder=\"\" id=\"forminator-field-name-19_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-12\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-12_6a16983f5ca0f\" id=\"forminator-field-phone-12_6a16983f5ca0f-label\" class=\"forminator-label\">Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-12\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-12_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"date-2\" class=\"forminator-field-date forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-date-2-picker_6a16983f5ca0f\" id=\"forminator-field-date-2-picker_6a16983f5ca0f-label\" class=\"forminator-label\">Date <span class=\"forminator-required\">*<\/span><\/label><div class=\"forminator-input-with-icon\"><span class=\"forminator-icon-calendar\" aria-hidden=\"true\"><\/span><input autocomplete=\"off\" type=\"text\" size=\"1\" name=\"date-2\" value=\"\" placeholder=\"Choose Date\" id=\"forminator-field-date-2-picker_6a16983f5ca0f\" class=\"forminator-input forminator-datepicker\" data-required=\"1\" data-format=\"mm\/dd\/yy\" data-restrict-type=\"\" data-restrict=\"\" data-start-year=\"1926\" data-end-year=\"2126\" data-past-dates=\"enable\" data-start-of-week=\"1\" data-start-date=\"\" data-end-date=\"\" data-start-field=\"\" data-end-field=\"\" data-start-offset=\"\" data-end-offset=\"\" data-disable-date=\"\" data-disable-range=\"\" \/><\/div><\/div><\/div><\/div><\/div><\/div><div tabindex=\"0\" role=\"tabpanel\" id=\"forminator-custom-form-202--page-6\" class=\"forminator-pagination\" aria-labelledby=\"forminator-custom-form-202--page-6-label\" aria-hidden=\"true\" data-step=\"6\" data-label=\"Declaration by Candidate\" data-name=\"\" hidden><div class=\"forminator-pagination--content\"><div class=\"forminator-row\"><div id=\"html-24\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-24\"><label class=\"forminator-label\">F. CORDINATOR \/ ADMINISTRATOR ENDORSEMENT<\/label><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"html-25\" class=\"forminator-field-html forminator-col forminator-col-12 \"><div class=\"forminator-field forminator-merge-tags\" data-field=\"html-25\"><p style=\"font-size: smaller\">Kindly contact your Centre Coordinator\/Administrator for an endorsement before you fill out section F.<\/p><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"name-22\" class=\"forminator-field-name forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-name-22_6a16983f5ca0f\" id=\"forminator-field-name-22_6a16983f5ca0f-label\" class=\"forminator-label\">Coordinator\/Administrator Name <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"name-22\" value=\"\" placeholder=\"\" id=\"forminator-field-name-22_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" aria-required=\"true\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"text-28\" class=\"forminator-field-text forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-text-28_6a16983f5ca0f\" id=\"forminator-field-text-28_6a16983f5ca0f-label\" class=\"forminator-label\">Enter your Study Centre <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"text-28\" value=\"\" placeholder=\"\" id=\"forminator-field-text-28_6a16983f5ca0f\" class=\"forminator-input forminator-name--field\" data-required=\"1\" \/><\/div><\/div><\/div><div class=\"forminator-row\"><div id=\"phone-13\" class=\"forminator-field-phone forminator-col forminator-col-12 \"><div class=\"forminator-field\"><label for=\"forminator-field-phone-13_6a16983f5ca0f\" id=\"forminator-field-phone-13_6a16983f5ca0f-label\" class=\"forminator-label\">Coordinator\/Administrator Phone <span class=\"forminator-required\">*<\/span><\/label><input type=\"text\" name=\"phone-13\" value=\"\" placeholder=\"\" id=\"forminator-field-phone-13_6a16983f5ca0f\" class=\"forminator-input forminator-field--phone\" data-required=\"1\" aria-required=\"true\" autocomplete=\"off\" data-national_mode=\"enabled\" data-country=\"GH\" data-validation=\"standard\" \/><\/div><\/div><\/div><\/div><button class=\"forminator-button forminator-pagination-submit\" style=\"display: none;\" disabled>Submit to Electoral Commission DESA-UEW<\/button><\/div><input type=\"hidden\" name=\"referer_url\" value=\"\" \/><input type=\"hidden\" id=\"forminator_nonce\" name=\"forminator_nonce\" value=\"f2f003784c\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/176\" \/><input type=\"hidden\" name=\"form_id\" value=\"202\"><input type=\"hidden\" name=\"page_id\" value=\"176\"><input type=\"hidden\" name=\"form_type\" value=\"default\"><input type=\"hidden\" name=\"current_url\" value=\"https:\/\/nomination.desauew.com\/\"><input type=\"hidden\" name=\"render_id\" value=\"0\"><input type=\"hidden\" name=\"action\" value=\"forminator_submit_form_custom-forms\"><label for=\"input_83\" class=\"forminator-hidden\" aria-hidden=\"true\">Please do not fill in this field. <input id=\"input_83\" type=\"text\" name=\"input_83\" value=\"\" autocomplete=\"off\"><\/label><\/form><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>NOMINATION FORM (DESA-UEW) ELECTIONS OF NATIONAL, REGIONAL AND CENTRE EXECUTIVES, 2022.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_canvas","meta":{"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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