Blank Form (#3)First NameLast NameEmailPhone/MobileGender Male FemaleAgeMarital Status Married SingleState- Select State-AbiaAdamawaAkwa IbomAnambraBauchiBayelsaBenueBornoCross RiverDeltaEbonyiEdoEkitiEnuguGombeImoJigawaKadunaKanoKatsinaKebbiKogiKwaraLagosNasarawaNigerOgunOndoOsunOyoPlateauRiversSokotoTarabaYobeZamfaraFederal Capital Territory (Abuja)Local Government Area- Select LGA-Aba NorthAba SouthArochukwuBendeIkwuanoIsiala Ngwa NorthIsiala Ngwa SouthIsiukwuatoObingwaOhafiaOsisiomaUgwunagboUkwa EastUkwa WestUmuahia NorthUmuahia SouthLocal Government Area- Select LGA-DemsaFuforeGanyeGireiGombiGuyukHongJadaLamurdeMadagaliMaihaMayo-BelwaMichikaMubi NorthMubi SouthNumanShellengSongToungoYola NorthYola SouthLocal Government Area- Select LGA-AbakEastern OboloEketEsit EketEssien UdimEtim EkpoEtinanIbenoIbesikpo AsutanIbiono IbomIkaIkonoIkot AbasiIkot EkpeneIniItuMboMkpat-EninNsit-AtaiNsit-IbomNsit-UbiumObot AkaraOkoboOnnaOronOruk AnamUdung-UkoUkanafunUruanUrue-Offong/OrukoUyoLocal Government Area- Select LGA-AguataAnambra EastAnambra WestAnaochaAwka NorthAwka SouthAyamelumDunukofiaEkwusigoIdemili NorthIdemili SouthIhialaNjikokaNnewi NorthNnewi SouthOgbaruOnitsha NorthOnitsha SouthOrumba NorthOrumba SouthOyiLocal Government Area- Select LGA-AlkaleriBauchiBogoroDambanDarazoDassGamawaGanjuwaGiadeItas/GadauJama’areKatagumKirfiMisauNingiShiraTafawa BalewaToroWarjiZakiLocal Government Area- Select LGA-BrassEkeremorKolokuma/OpokumaNembeOgbiaSagbamaSouthern IjawYenagoaLocal Government Area- Select LGA-AdoAgatuApaBurukuGbokoGumaGwer EastGwer WestKatsina-AlaKonshishaKwandeLogoMakurdiObiOgbadiboOhiminiOjuOkpokwuOtukpoTarkaUkumUshongoVandeikyaLocal Government Area- Select LGA-AbadamAskira/UbaBamaBayoBiuChibokDamboaDikwaGubioGuzamalaGwozaHawulJereKagaKala/BalgeKondugaKukawaKwaya KusarMafaMagumeriMaiduguriMarteMobbarMongunoNgalaNganzaiShaniLocal Government Area- Select LGA-AbiAkamkpaAkpabuyoBakassiBekwarraBiaseBokiCalabar MunicipalCalabar SouthEtungIkomObanlikuObubraObuduOdukpaniOgojaYakurrYalaLocal Government Area- Select LGA-Aniocha NorthAniocha SouthBomadiBurutuEthiope EastEthiope WestIka North EastIka SouthIsoko NorthIsoko SouthNdokwa EastNdokwa WestOkpeOshimili NorthOshimili SouthPataniSapeleUduUghelli NorthUghelli SouthUkwuaniUvwieWarri NorthWarri SouthWarri South WestLocal Government Area- Select LGA-AbakalikiAfikpo NorthAfikpo SouthEbonyiEzza NorthEzza SouthIkwoIshieluIvoIzziOhaozaraOhaukwuOnichaLocal Government Area- Select LGA-Akoko-EdoEgorEsan CentralEsan North-EastEsan South-EastEsan WestEtsako CentralEtsako EastEtsako WestIguebenIkpoba OkhaOredoOrhionmwonOvia North-EastOvia South-WestOwan EastOwan WestUhunmwondeLocal Government Area- Select LGA-Ado EkitiEfonEkiti EastEkiti South-WestEkiti WestEmureGbonyinIdo/OsiIjeroIkereIkoleIlejemejeIrepodun/IfelodunIse/OrunMobaOyeLocal Government Area- Select LGA-AninriAwguEnugu EastEnugu NorthEnugu SouthEzeaguIgbo EtitiIgbo Eze NorthIgbo Eze SouthIsi UzoNkanu EastNkanu WestNsukkaOji RiverUdenuUdiUzo-UwaniLocal Government Area- Select LGA-AkkoBalangaBilliriDukkuFunakayeGombeKaltungoKwamiNafadaShongomYamaltu/DebaLocal Government Area- Select LGA-Aboh MbaiseAhiazu MbaiseEhime MbanoEzinihitteIdeato NorthIdeato SouthIhitte/UbomaIkeduruIsiala MbanoIsuMbaitoliNgor OkpalaNjabaNkwerreNwangeleObowoOgutaOhaji/EgbemaOkigweOnuimoOrluOrsuOru EastOru WestOwerri MunicipalOwerri NorthOwerri WestLocal Government Area- Select LGA-AuyoBaburaBiriniwaBirnin KuduBujiDutseGagarawaGarkiGumelGuriGwaramGwiwaHadejiaJahunKafin HausaKaugamaKazaureKiri KasamaKiyawaMaigatariMalam MadoriMigaRingimRoniSule TankarkarTauraYankwashiLocal Government Area- Select LGA-Birnin GwariChikunGiwaIgabiIkaraJabaJema’aKachiaKaduna NorthKaduna SouthKagarkoKajuruKauraKauruKubauKudanLereMakarfiSabon GariSangaSobaZangon KatafZariaLocal Government Area- Select LGA-AjingiAlbasuBagwaiBebejiBichiBunkureDalaDambattaDawakin KuduDawakin TofaDoguwaFaggeGabasawaGarkoGarun MallamGayaGezawaGwaleGwarzoKaboKano MunicipalKarayeKibiyaKiruKumbotsoKunchiKuraMadobiMakodaMinjibirNasarawaRanoRimin GadoRogoShanonoSumailaTakaiTarauniTofaTsanyawaTudun WadaUngogoWarawaWudilLocal Government Area- Select LGA-BakoriBatagarawaBatsariBaureBindawaCharanchiDandumeDanjaDan MusaDauraDutsiDutsin-MaFaskariFuntuaIngawaJibiaKafurKaitaKankaraKankiaKatsinaKurfiKusadaMai’AduaMalumfashiManiMashiMatazuMusawaRimiSabuwaSafanaSandamuZangoLocal Government Area- Select LGA-AleiroArewa DandiArgunguAugieBagudoBirnin KebbiBunzaDandiFakaiGwanduJegaKalgoKoko/BesseMaiyamaNgaskiSakabaShangaSuruWasagu/DankoYauriZuruLocal Government Area- Select LGA-AdaviAjaokutaAnkpaBassaDekinaIbajiIdahIgalamela-OdoluIjumuKabba/BunuKogiLokojaMopa-MuroOfuOgori/MagongoOkehiOkeneOlamaboroOmalaYagba EastYagba WestLocal Government Area- Select LGA-AsaBarutenEduEkitiIfelodunIlorin EastIlorin SouthIlorin WestIrepodunIsinKaiamaMoroOffaOke EroOyunPategiLocal Government Area- Select LGA-AgegeAjeromi-IfelodunAlimoshoAmuwo-OdofinApapaBadagryEpeEti-OsaIbeju-LekkiIfako-IjaiyeIkejaIkoroduKosofeLagos IslandLagos MainlandMushinOjoOshodi-IsoloShomoluSurulereLocal Government Area- Select LGA-AkwangaAweDomaKaruKeanaKeffiKokonaLafiaNasarawaNasarawa EggonObiTotoWambaLocal Government Area- Select LGA-AgaieAgwaraBidaBorguBossoChanchagaEdatiGbakoGuraraKatchaKontagoraLapaiLavunMagamaMarigaMasheguMokwaMunyaPaikoroRafiRijauShiroroSulejaTafaWushishiLocal Government Area- Select LGA-Abeokuta NorthAbeokuta SouthAdo-Odo/OtaEgbado NorthEgbado SouthEwekoroIfoIjebu EastIjebu NorthIjebu North-EastIjebu OdeIkenneImeko AfonIpokiaObafemi OwodeOdedaOdogboluOgun WatersideRemo NorthShagamuLocal Government Area- Select LGA-Akoko North-EastAkoko North-WestAkoko South-EastAkoko South-WestAkure NorthAkure SouthEse OdoIdanreIfedoreIlajeIle Oluji/OkeigboIreleOdigboOkitipupaOndo EastOndo WestOseOwoLocal Government Area- Select LGA-AiyedaadeAiyedireAtakunmosa EastAtakunmosa WestBoluwaduroBoripeEde NorthEde SouthEgbedoreEjigboIfe CentralIfe EastIfe NorthIfe SouthIfedayoIfelodunIlaIlesa EastIlesa WestIrepodunIrewoleIsokanIwoObokunOdo-OtinOla-OluwaOlorundaOriadeOroluOsogboLocal Government Area- Select LGA-AfijioAkinyeleAtibaAtisboEgbedaIbadan NorthIbadan North-EastIbadan North-WestIbadan South-EastIbadan South-WestIbarapa CentralIbarapa EastIbarapa NorthIdoIrepoIseyinItesiwajuIwajowaKajolaLageluOgbomosho NorthOgbomosho SouthOgo OluwaOluyoleOna AraOrelopeOri IreOyo EastOyo WestSaki EastSaki WestSurulereLocal Government Area- Select LGA-Barkin LadiBassaBokkosJos EastJos NorthJos SouthKanamKankeLangtang NorthLangtang SouthManguMikangPankshinQua’an PanRiyomShendamWaseLocal Government Area- Select LGA-Abua/OdualAhoada EastAhoada WestAkuku-ToruAndoniAsari-ToruBonnyDegemaElemeEmohuaEtcheGokanaIkwerreKhanaObio/AkporOgba/Egbema/NdoniOgu/BoloOkrikaOmumaOpobo/NkoroOyigboPort HarcourtTaiLocal Government Area- Select LGA-BinjiBodingaDange ShuniGadaGoronyoGuduGwadabawaIllelaKebbeKwareRabahSabon BirniShagariSilameSokoto NorthSokoto SouthTambuwalTangazaTuretaWamakoWurnoYaboLocal Government Area- Select LGA-Ardo KolaBaliDongaGashakaGassolIbiJalingoKarim LamidoKurmiLauSardaunaTakumUssaWukariYorroZingLocal Government Area- Select LGA-BadeBursariDamaturuFikaFuneGeidamGujbaGulaniJakuskoKarasuwaMachinaNangereNguruPotiskumTarmuwaYunusariYusufariLocal Government Area- Select LGA-AnkaBakuraBirnin Magaji/KiyawBukkuyumBunguduGummiGusauKaura NamodaMaradunMaruShinkafiTalata MafaraZurmiLocal Government Area- Select LGA-AbajiBwariGwagwaladaKujeKwaliMunicipal (AMAC)City/TownWardPolling UnitUpload PhotographUpload Register
