FUFA Election Doc. (Nomination Forms)

OFFICE OF THE FUFA ELECTORAL COMMITTEE

           P.O.BOX 22518                      TEL: 0772589370/ 0782915102        EMAIL: fufaelections@gmail.com

 NOMINATION FORM FOR DISTRICT FOOTBALL ASSOCIATION EXECUTIVE :

 …………………………………….. District Football Association:

1. 1.      Name of Candidate…………………………………Club………………………Division..…………sign…………
2. 2.      .Date of Birth…………………………………………………………………..
3. 3.      Football Experience in the last four years…………………………………………………………………………..

………………………………………………………………………………………………………………………

1. 4.      Nominated by;

 

Name ………………………………………club/Group……………………sign……………………………

Name ……………………………………….club/Group……………………sign…………………………..

 

1. 5.      Seconded by;

Name ………………………………………club/Group……………………sign……………………………

Name ……………………………………….club/Group………………….. sign…………………………..

Form received by;

1. 6.      Name of Election Official ………………………………………Date ………………time.…………………….

Telephone no.………………………

NB:

This form is not valid if not accompanied by the nomination fee of Ug. Sh 20,000= and submitted before

3:00 pm of the day before election.

 

 

 

 

 

 

OFFICE OF THE FUFA ELECTORAL COMMITTEE

P.O.BOX 22518         TEL: 0772589370/ 0782915102        EMAIL:  fufaelections@gmail.com

 NOMINATION FORM FOR REGIONAL FOOTBALL ASSOCIATION DELEGATE:

…………………………………….. Regional Football Association:

1. Name of Candidate …………………………………DFA……………………..…………sign……………….
2. Date of Birth…………………………………………………………………..
3. Football Experience in the last five years……………………………………………………………………….

…………………………………………………………………………………………………………………..

 

1.   Nominated by;

 

Name  of chairman………………………………………DFA……………………sign…………………………

Name of secretary……………………………………….DFA……………………sign………………………….

 

1. Seconded by

Name of chairman ………………………………………DFA……………………sign…………………………

Name of secretary……………………………………….DFA……………………sign…………………………..

 

Form received by;

Name of Election Official ………………………………………… Date …………… Time .………………… Telephone no. ………………………

NB:

This form is not valid if not accompanied by the nomination fee of Ug. Sh 100,000 and submitted before 12:00 Noon of 17^th May 2013

 

 

 

 

 

OFFICE OF THE FUFA ELECTORAL COMMITTEE

P.O.BOX 22518 TEL: 0772589370/ 0782915102   EMAIL:  fufaelections@gmail.com

 NOMINATION FORM FOR REGIONAL FOOTBALL ASSOCIATION EXECUTIVE:

…………………………………….. Regional Football Association:

1. Name of Candidate for chairman…………………………………DFA/Group……………………..…………sign……………….
2. Date of Birth…………………………………………………………………..
3. Football Experience in the last five years……………………….…………………………………………

…………………………………………….……………………………………………………………….

 

1. Other positions
2. 1^st Vice chairman ……………………………………………… DFA/Group…………………………
3. 4 members

i)                    ………………………………………………………………….. DFA/Group…………………………

ii)                  ………………………………………………………………….. DFA/Group…………………………

iii)                ………………………………………………………………….. DFA/Group…………………………

iv)                ………………………………………………………………….. DFA/Group…………………………

1. Special interest group…………………………………………… Group……………………………….
2. Woman………………………………………………………….. DFA/Group…………………………

 

 

 

 

1.  Nominated by

 

Name of chairman ………………………………………DFA……………………sign……………………………

Name of secretary ……………………………………….DFA……………………sign…………………………..

 

1. Seconded by

Name of chairman ………………………………………DFA……………………sign……………………………

Name of secretary ……………………………………….DFA……………………sign…………………………..

 

 

Form received by;

Name of Election Official …………………………………………… DFA ………………… time……

Telephone no.. ………………………

NB:

This form is not valid if not accompanied by the nomination fee of Ug. Sh 200,000 and submitted before 12:00 Noon of 17^th May 2013

 

 

 

 

 

OFFICE OF THE FUFA ELECTORAL COMMITTEE

P.O.BOX 22518         TEL: 0772589370/ 0782915102        EMAIL:   fufaelections@gmail.com

 NOMINATION FORM FOR DISTRICT FOOTBALL ASSOCIATION DELEGATE:

Name of District Football Association:

 

1. Name of Candidate ……………………………………………Club………………………  Division…………………………………sign……………………………..….
2. Date of Birth…………………………………………………………………..
3. Football Experience in the last four years……………………………………………………………..………

…………………………………………………………………………………………………………………

 

1.  Nominated by

 

Name of chairman………………………………………club……………………sign………………………..

Name of secretary ………………………………………club……………………sign……………………….

 

1. Seconded by

Name of chairman………………………………………club……………………sign…………………………………

Name of secretary ………………………………………………..club……………………sign………………………….……..

 

Form received by;

Name of Election Official ……………………………………………date ………………… time ……………

Telephone no ………………………..

 

NB:

This form is not valid if not accompanied by the nomination fee of Ug. Sh 50,000 and submitted before 3:00 Pm of the day before election.

 

 

 

OFFICE OF THE FUFA ELECTORAL COMMITTEE

           P.O.BOX 22518                      TEL: 0772589370/ 0782915102        EMAIL: fufaelections@gmail.com

 

 

RESULTS DECLARATION FORM FOR DFA DELEGATES-2013

 

………………………………………………. DFA

SN.	Name of Candidate	Club	Number of Votes

 

I…………………………………………………………… declare that;

1. ………………………………………………………….. Tel:……………………………………………….

2. …………………………………………………………..Tel:……………………………………

Have been elected delegates to represent ……………………………..…… DFA

Signature…………………………………….   Date:………………….

Telephone No:……………………………….

 

 

 

OFFICE OF THE FUFA ELECTORAL COMMITTEE

P.O.BOX 22518  TEL: 0772589370/ 0782915102       EMAIL:  fufaelections@gmail.com

 

RESULTS DECLARATION FORM FOR RFA DELEGATES-2013

………………………………………………. RFA

SN.	Name of Candidate	DFA	Number of Votes

 

I…………………………………………………………… declare that;

1. ………………………………………………………….. Tel:……………………………………………….

2. …………………………………………………………..Tel:……………………………………

3. ………………………………………………………….. Tel:……………………………………………….

4. …………………………………………………………..Tel:……………………………………

5. ………………………………………………………….. Tel:……………………………………………….

6. …………………………………………………………..Tel:……………………………………

Have been elected delegates to represent ……………………………..……         RFA

Signature…………………………………….   Date:…………………. Tel No:…………………

 

 

 

ACKNOWLEDGEMENT

I…………………………………………… acknowledge receipt of………………………………………..…Uganda shilling from……………………………….……being payment for nomination as………………………………….. signed ……………………………………