Gender*
-Select Gender-
Male
Female

County of Residence / Voting if already a registered voter *
-Select County-
001 – Mombasa
002 – Kwale
003 – Kilifi
004 – Tana River
005 – Lamu
006 – Taita Taveta
007 – Garissa
008 – Wajir
009 – Mandera
010 – Marsabit
011 – Isiolo
012 – Meru
013 – Tharaka – Nithi
014 – Embu
015 – Kitui
016 – Machakos
017 – Makueni
018 – Nyandarua
019 – Nyeri
020 – Kirinyaga
021 – Murang’a
022 – Kiambu
023 – Turkana
024 – West Pokot
025 – Samburu
026 – Trans Nzoia
027 – Uasin Gishu
028 – Elgeyo/Marakwet
029 – Nandi
030 – Baringo
031 – Laikipia
032 – Nakuru
033 – Narok
034 – Kajiado
035 – Kericho
036 – Bomet
037 – Kakamega
038 – Vihiga
039 – Bungoma
040 – Busia
041 – Siaya
042 – Kisumu
043 – Homa Bay
044 – Migori
045 – Kisii
046 – Nyamira
047 – Nairobi City
048 – Diaspora

Constituency of Residence / Voting if already a registered voter *
-Select Constituency-

Ward of Residence / Voting if already a registered voter (Optional)
-Select Ward-