Candidate Registration

Assyrian Parliament – Candidate for Parliamentary Member

Please make a copy of this form, complete all fields, and send it to us at: candidate@assyriaparliament.com 

Personal Information

1. Full Name:
2. Date of Birth:
3. Phone Number:
4. Email Address:
5. Country of Residence:
6. Province/State of Residence:

Candidate Information

1. Brief Biography (max 200 words):
   (Please briefly describe your background, experience, and motivation for running as a Parliamentary Member)
2. Do you have previous experience in political, social, or organizational work?
   • Yes
   • No
     If yes, please provide a brief description:

Confirmation

1. I confirm that the information provided is accurate, and I agree to abide by the Parliament’s bylaws.
   • Yes

Date: ___________
Signature: ___________________________