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Saturday, September 17, 2022

APPLICANT ID: 764161782770


FULL NAME: EGBEJI CHIMEZIE LEROY
POSITION: Assistant Presiding Officer (APO)
SOURCE: NYSC/FORMER NYSC FROM 2018
ELECTION: 2023 General Election
EMAIL ADDRESS: chimazieleroy@gmail.com

Acknowledgement Slip
a. I, EGBEJI CHIMEZIE , LEROY, confirm that the information given is accurate and that I will abide by the Electoral Act, 2020 as amended, 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 Tick box, if applicant showed up for
training
Name of Training Officer _________________
Signature/Date _____________________ Name of Electoral Officer _______________
INEC Office (/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) staff


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

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