NOMINATION FORM FOR JUDICIAL APPOINTMENT

NOMINATION FORM FOR JUDICIAL APPOINTMENT
Instructions

i. Please use one form for each nomination

ii. The nomination form must be submitted not later than two weeks prior to the end of the period prescribed in the advertisement.
PART A-NOMINEE INFORMATION
1. This nomination is for the purpose of appointment to the following Judicial Office:

Click where applicable
President of the Court of AppealJustice of the Court of AppealChief Justice of the Supreme CourtJudge of the Supreme CourtMaster of the Supreme Court
2. Name of Nominee for Appointment to Judicial Office:
First Name
Middle Name/s
Surname
MaleFemale
4. Date of Birth

MonthDayYear
Date
5. National Identification No. / Valid Passport No. of Nominee:
6. Contact details of Nominee

Street Address

Street Address Line 2

CityState / Province / District

Postal / Zip Code
Telephone No. (Fixed line)
Mobile No.
Email address
example@example.com
PART B-NOMINATOR INFORMATION

1. Name of Nominator
First Name
Middle Name/s
Surname
2. National Identification No. / Valid Passport No.
3. Occupation/Profession
4. Place of Business
5. State the reasons justifying the nominee’s suitability.
I certify that the person named above is hereby nominated for appointment to the office of
and that the information I have given on this form is correct to the best of my knowledge and belief.
DRAW NOMINATOR’S SIGNATURE
Upload Nominator's signature

Cancelof
Date Signed

MonthDayYear
Date
Should be Empty:

PART A-NOMINEE INFORMATION