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Application Form

Please provide the required information about your elections.

Elections Information

Organization Name * *

Name of the Elections * *

Election Date * *

Start Time *

End Time *

Expected Voters *

Number of Candidates *

Number of Winners *

Minimum Votes Required *

CPR Format Preference * 7 Digits 9 Digits Other

Voters Addition Method * By Organization Admin By ElectroVoting Team Self-Registration

Show results to voters immediately? * Yes No Admin Only Auditors Only

Authorized System Admin Information

The person responsible for managing the system on your behalf

Full Name *

Position / Title

Mobile Number *

Email Address * *

Application Filler Information

I am the same person mentioned above (Admin)

Full Name *

Position / Title

Mobile Number *

Email Address * *

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