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    How did you find out about Youth Party?

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    * Tick the statement that applies to you

    I am enrolled on the 2015 INEC Voters Register at my Contact Address as shown above and I possess a valid Permanent Voter Card (PVC).I am not currently enrolled on the 2015 INEC Voters Register and I do not have a Permanent Voter Card.


    I will abide by the rules and regulations of the party; I consent to my details being included in the application for registration as YOUTH PARTY and to being contacted for any other information about my membership.