Guyana Elections Commission
“WE AIM TO PLEASE THE NATION”
41 High & Cowan Streets
Kingston, Georgetown
Guyana
Tel: (592)225 0277/8
Email: pro@gecom.org.gy
Candidates’ Nomination Form
Instructions:
Please fill in your details in the spaces provided, check the boxes and select the option button where
appropriate.
Personal Data
__________________________________________________________________________
Title Mr. Mrs. Miss. Dr. Date of Birth
First Name Last Name Constituency Gender
Male Female
Choose an item.
Contact Details
__________________________________________________________________________
Street Town Parish
Choose an item.
Email Address Home # Cell #
Constituency
__________________________________________________________________________
Choose the Constituency in which you wish to contest with
Constituency Party
North Select Party
South Select Party
East Select Party
West Select Party
North West Select Party
South West Select Party
East Central Select Party
Guyana Elections Commission
“WE AIM TO PLEASE THE NATION”
41 High & Cowan Streets
Kingston, Georgetown
Guyana
Tel: (592)225 0277/8
Email: pro@gecom.org.gy
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