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Polling Form (#3)
First Name
Middle Name
Last Name
Date of birth
Sex
Male
Female
Marital Status
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Married
Divorced
Number of Wives
Number of children above 15 years old
Means of identification
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State
- Select Your State-
Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Enugu
Edo
Ekiti
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Federal Capital Territory (FCT)
Local Government Area
Village
Ward
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