Vote DA

Municipal Elections 2016

Please Note:The details you enter on this form, including your ID number and other personal information, is absolutely confidential. We use this information to make sure that you are still on the voters roll, which voting district you belong to and if you have recently moved into the area. On Registration day we will make sure that we keep you informed of election stuff, where to register and where to go vote.

The 2016 South African municipal elections are around the corner, so it is time to start checking if you are on the voters roll and to decide if you want to continue supporting the DA.

If you can please fill in the form below, stating your preferences. You can also use the form below, to add members of your family or friends, who did not vote in the previous election or who were at that time to young to vote. The aim of the form, is so that we can check if you are appearing on the voters roll and also to give you assistance with voter registration, should you need it. Should you need any assistance or have any comments or questions, please make use of the comment sections in this form.

Your Personal Information

First Name (required)

Last Name (required)

Physical Address(required)

ID Number(required)

Cellphone Number(required)

Email Address(required)

Will you vote DA?(required)

YesNoMaybe

Your Comments

Do you have a familiy member or friend who have not previously registered to vote and who will vote DA? If so, please enter their details below:

Personal Information of your family member or friend who is a new voter

First Name (required)

Last Name (required)

Physical Address(required)

ID Number(required)

Cellphone Number(required)

Email Address(required)

Will you vote DA?(required)

YesNoMaybe

Your Comments

Electronic signature acceptance(required)

POPIA DISCLAIMER

By submitting this form I consent to allow the Democratic Alliance to process my information for a lawful purpose, in-line with the DA's activities and in compliance with other legislation. The DA will never share your information with a third party. I consent to receive occasional future communication from the DA sharing important news and information about campaign and election activities, as well as fundraising appeals.

For any additional queries please send an email to darocha.carlos@gmail.com

I Agree