Registration form

PERSONAL INFORMATION

FIRST NAME

FATHER’S NAME

GRANDFATHER'S NAME

GENDER

EMAIL ADDRESS

PHONE/MOBILE

AGE

DO YOU HAVE ANY DISABILITY?
YES NO

TYPE OF DISABILITY

RESIDENCE ADDRESS

REGION

ZONE/SUB CITY

WOREDA

KEBELE

Polling Station

HOUSE NUMBER/VILLAGE NAME

EDUCATION AND WORK EXPERIENCE

COMPLETED EDUCATION

CURRENT EMPLOYER

JOB TITLE/ROLE

TOTAL YEARS OF EXPERIENCE

ARE YOU A MEMBER OF ANY POLITICAL PARTY?
YES NO

BANK INFORMATION DETAILS

The Bank account that you provide here must be Commercial Bank Of Ethiopia – CBE, because NEBE has an account at CBE. Providing invalid information will invalidate your application for the poll worker position !

ACCOUNT HOLDER (FULL NAME)

BANK ACCOUNT NUMBER

የባንክ መረጃ መስጠት በምንም ሁኔታ የቅጥር ወይም የክፍያ ሂደትን አያረጋግጥም!

ለቦርዱ ሀሰተኛ መረጃ መስጠት በወንጀል እንደሚያስጠይቅ ተረድቼ የሰጠሁት መረጃ እውነት እና ትክክል መሆኑን አረጋግጣለሁ፡፡ መረጃውን የኢትዮጵያ ብሔራዊ ምርጫ ቦርድ ለራሱ ብቻ ሊጠቀምበት ይችላል።