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Wednesday, November 2, 2022

Applicant Information
APPLICANT ID: BAU_255162845691
FULL NAME: MUHAMMAD USMAN MUHAMMAD
POSITION: ASSISTANT PRESIDING OFFICER (APO)
SOURCE: PENULTIMATE STUDENTS OF STATE TERTIARY INSTITUTIONS
ELECTION: 2023 GENERAL ELECTION
EMAIL ADDRESS: umarusman8805@gmail.com

Acknowledgement Slip
a. I, MUHAMMAD USMAN, MUHAMMAD, con rm that the information given is accurate and that I
will abide by the Electoral Act, 2022, INEC Regulations, Guidelines, Manuals and Directives and
comply with the INEC Policy on the Conduct of Elections in the context of the Covid-19 Pandemic.

b. Signature of Applicant ___________________________________

Tick box, if applicant showed up for training

Name of Training O cer _________________________________________

Signature/Date _______________________________________________

Tick box, if applicant showed up for training

Name of Veri cation O cer _________________________________________

LGA _______________________________________________
 Signature/Date ______________________________________________
Print, sign and bring along this acknowledgement slip to the training venue.

** Kindly note that this acknowledgement slip:

is not evidence of automatic selection as an election (ad-hoc) sta

is valid for the 2023 General Election only (BAUCHI).
is not transferable/assignable to another person

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