* Gender

Male

Female

* Username

* Your Desired Username for your online account

Please select a username to use in your new rasilimali account

* FirstName

* First Name

* MidName

* Middle Name

Your Middle Name

* Last Name

* National ID Number

Your National ID Number

* WhatsupNo

* Numbari ya simu

Please enter your whatsup or simu ya mkono

* Date of Birth

Your Nate of Birth (DD/MM/YYY)

Country/Region

Country/Region

Please Choose Your Current Country of

* County

BARINGO

Please county where you are a registered voter

* Constituency

AINABKOI

Please Select your CONSTITUENCY

* Ward

ABAKAILE

Ward where you are a registered voter

* Are you Running for Office

Yes

In 2022 are you running as a aspirant for election?for

* Aspirant Category

President/Deputy President

Which position are you running for?

* Are you a Special Interest Group (SIG) member

Please Select a SIG Option

SIG includes Veterans, Minorities/Marginalised Groups, Women, Youth and Persons with a disability

Religion

JUDAISM

* Ethinic Group

Select your tribe/group

Please select your ethinic group

* Password

Strength: Very Weak

* Email Address

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