Voter Registration Campaign_2Check your Voter Registration  New Registration / Change of Address Volunteer DetailsFirst NameLast NamePhone/MobileEmailDate / TimeLocation DetailsZone- Select -Zone 1Zone 2Zone 3Zone 4Zone 5Zone 6Zone 7Zone 8Zone 9Zone 10Zone 11Zone 12Zone 13Zone 14Zone 15Zone 16Ward- Select -Ward 1Ward 2Ward 3Ward 4Ward 5Ward 6Ward 7Ward 8Ward 9Ward 10Ward 11Ward 12Ward 13Ward 14Ward 15Ward 16Ward 17Ward 18Ward 19Ward 20Ward 21Ward 22Ward 23Ward 24Ward 25Ward 26Ward 27Ward 28Ward 29Ward 30Ward 31Ward 32Ward 33Ward 34Ward 35Ward 36Ward 37Ward 38Ward 39Ward 40Ward 41Ward 42Ward 43Ward 44Ward 45Ward 46Ward 47Ward 48Ward 49Ward 50Ward 51Ward 52Ward 53Ward 54Ward 55Ward 56Ward 57Ward 58Ward 59Ward 60Ward 61Ward 62Ward 63Ward 64Ward 65Ward 66Ward 67Ward 68Ward 69Ward 70Ward 71Ward 72Ward 73Ward 74Ward 75Ward 76Ward 77Ward 78Ward 79Ward 80Ward 81Ward 82Ward 83Ward 84Ward 85Ward 86Ward 87Ward 88Ward 89Ward 90Ward 91Ward 92Ward 93Ward 94Ward 95Ward 96Ward 97Ward 98Ward 99Ward 100Ward 101Ward 102Ward 103Ward 104Ward 105Ward 106Ward 107Ward 108Ward 109Ward 110Ward 111Ward 112Ward 113Ward 114Ward 115Ward 116Ward 117Ward 118Ward 119Ward 120Ward 121Ward 122Ward 123Ward 124Ward 125Ward 126Ward 127Ward 128Ward 129Ward 130Ward 131Ward 132Ward 133Ward 134Ward 135Voting District (VD)Voter Details (Individual)First NameLast NameID NumberPhone/MobileEmailAge Group- Select -16-2526-3536-5960+Gender- Select -MaleFemaleVoter Address DetailsStreet NameHouse No: / Complex / Estate Name / Block / UnitArea / Suburb / TownshipPostal CodeVoter Registration StatusAre You Registered To Vote?- Select -New RegistrationChange of AddressChecking Special Voter Eligibility- Select -Elderly(60+)Person with DissabilityTemporarily Disabled/InjuredPregnantEssential Worker(Unavailable on Voting Day)Other(Specify)Type of Special Vote Required- Select -Home VisitVoting StationNot SureTransport Support? Will you require transport on voting day? (Yes or No)- Select -YesNoIf Yes:Preferred Voting TimeEarly Morning (07h00-10h00)Midday(10h00-14h00)Late Afternoon (14h00-19h00)Community IssuesCheckbox Field Water Electricity Billing Roads Housing Crime Unemployment OtherSubmit Form
