Candidate Application

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Who is Good
Policies
Media
Corruption Desk
Contact
Sign Up

Please ensure that all sections of the application form are completed
Applications received after the closing date and time will be disqualified
Please pay your candidate application administrative fee (R250 for National Parliament applicant and R250 for Provincial Legislature. R500 for both) using PayFast

Payment Due

I am applying to be considered for

PROVINCIAL LEGISLATURE NATIONAL PARLIAMENT BOTH

Are you a registered voter?

Yes No

Which Province

First Names

Surname

Address

Cell Phone

Email Address

ID Number

Employer

Are you a member of another political party?

Yes No

Which Political Party?

Have you been a member of another political party?

Yes No

When did you membership terminate?

Why did your membership terminate?

Lapse Resign Terminated

Please indicate the reason

Have you ever been the subject of a disciplinary hearing of a political party or other voluntary association?

Yes No

Please indicate the reason

Have you applied to be a candidate for another political party?

Yes No

Do you have a criminal record?

Yes No

Please provide a brief description of the crime, date and sentence

Are you currently facing criminal prosecution or criminal charges in a case that has not been finalised? And/or, have you previously faced criminal charges or been prosecuted?

Yes No

Please provide a brief description

Are you an unrehabilitated insolvent?

Yes No

Please provide a brief description

Is there any matter that you are aware of that would embarrass or compromise the GOOD movement and/or our values?

Yes No

Please provide a brief description

Please list or describe your political, community, work experience you think is relevant to your application. Please include the work you have done for GOOD:

IF I AM ELECTED I UNDERSTAND AND AGREE:

That a candidate fee of 5% of the Annual Salary portion of an MPL
or MP’s remuneration will be paid over a period of 6 months,
towards the election costs.
That I will settle my candidate fee according to the terms
prescribed by the NLC.
That should the Candidates fees not be settled within the 6 month
period my membership of GOOD could be terminated and I could
lose my seat parliament.
That I will be required to tithe 2.5% per month of my monthly
salary to the movement from a date after the elections.
That should I raise any funding during my campaign period,
these funds will be accredited towards my candidates fees, only
once it is reflected in the Party’s bank account.
That I could be assigned to represent the party, and to grow the party’s base, in any region within the country and I am willing to be so assigned.
I will be required to participate in the candidate selection process as prescribed by the NMC.
That the final determination of candidates, and list positions, will lie with the NMC and the Leader.
That my application administration fee is non-refundable.
That my application will only be considered once I have submitted
my criminal record certificate to the party
That this process is only open to members of GOOD.

Signed At

Signed On

Payment

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