1
Form IEBC /ACOB01
Request for Accreditation for Election Observer Group to Observe the Electoral
Process
1. Election Observer Group Name:___________________________________________
2. Address:______________________________________________________________
3. Telephone: ____________________________________________________________
4. Principal Of�icers:
a. President/Chairperson:______________________________________________
b. Secretary General:__________________________________________________
c. Head of Mission (in the case of foreign diplomatic mission accredited to
Kenya):__________________________________________________________
5. Person authorized by the election observer group to liaise with the Commission at
HQ level:
Name: _______________________________________________________________
Position: ______________________________________________________________
Address: _________________________________________________________________
Telephone: ____________________________Email:_____________________________
6. Summary of the mission statement of the observer organization, including the
election activity(ies) it intends to observe (ATTACH MISSION STATEMENT)
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
________________________________________________________________________________
2
7. Names and contact details for those persons authorized to represent the observer
group and liaise with the IEBC Regional Election Coordinators in each of the 17
regions:
Region Name Designation Contact details
(Phone, email, etc)
Nairobi
North Rift
Central Rift
Etc
8. Estimated number of observers that the observer group plans to deploy to observe
the process
9. PLEASE ATTACH SOURCE OF FUNDS ETC.
10. Person submitting this application:________________________________________________
11. Designation:__________________________________________________________________
12. Telephone, email, etc:__________________________________________________________
13. Statement of Commitment to the Code of Conduct for Election Observer
Groups by the Chairperson/Secretary General/Head of Diplomatic Mission
I,___________________________________________________________(name), Chairperson/Secretary
General/Head of Diplomatic Mission for _____________________________________________
(name of election observer group or foreign diplomatic mission accredited to Kenya)
hereby affirm that the nominated observers listed in Form IEBC/ACOB02 submitted
to the IEBC by our group, are the sole individuals that will receive the Identification
Cards or badges issued by the IEBC to the above mentioned observer group. The
identification cards or badges will be used only for the purpose of observing the
electoral process, at the location of assignment.
3
I also affirm that the nominated observers shall adhere to the laws of Kenya, the
Code of Conduct for Election Observers, and such other instructions issued by the
Independent Electoral and Boundaries Commission.
Signature of Chairperson/Secretary General: _____________________________________________
Date: __________________________________________________________________________________________
1
Form IEBC/ACOB02
Constituency: _________________________________________ Election Observer Group:__________________________________________
Name and telephone number of person submitting this list of observers: _______________________________________________________
(NB: This MUST be the person authorized by the election observer group Headquarters to liaise with the Regional Election Coordinator as per the approved Form IEBC/ACOB01)
List of Nominated Observers
No. Name Nationality Full Address National ID Number (Kenyan Observers) or Passport Number (International Observers)
Telephone
1
Form IEBC /ACOB03
Declaration of Election Observer
I, _______________________________________________________ (name) hereby con�irm my commitment
to serve as an observer of ________________________________________________________________ (name of
election observer group or accredited foreign diplomatic mission in Kenya) to observe the
electoral process.
I shall adhere to the laws of Kenya, the Code of Conduct for Election Observers, and such
other instructions issued by the Independent Electoral and Boundaries Commission.
I understand that my accreditation may be revoked by the Independent Electoral and
Boundaries Commission if, among other reasons, it determines that I have infringed the
Code of Conduct for Electoral Observers.
Signature of Observer: ____________________________________ Date: ________________________________
Top Related