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Contact Database for Project Yeakeh 2023
This is the summary data collection form for all supporters of Hon. Yeakeh Sayequee 2023 for Representative of District 10 comes October, 10, 2023. Please provide all information as honest as possible.
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Full name(including title. E.g Chief Dr. Jewel Howard-Taylor) *
Date of Birth *
MM
/
DD
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YYYY
County of Origin *
County of Residence *
District of Residence *
Voter Registration Card Number *
Voter's Registration Center Code
Email
Highest Level of Education *
Required
Occupation *
Required
Employment Status  *
Required
Community or Organization *
Position in the Community or Oganization *
Position in the Project Yeakeh 2023 *
Which Block do you live in your Community? *
Contact Number( E.g +231775060980)
WhatsApp Contact (E.g +231775218697)
What do you think needs to be done to make District 10 a better place? *
Do you have any other thing you would like to share with us that was not mentioned?
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