INTERGENERATIONAL NATIONAL CONVERSATION
* This is an Invite for a national intergenerational conversation
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Personal Information
Full Name
ID Number
Age
*
-- Select Age Group --
18-26
27-35
36-45
41-45
46-50
Over 50
Category
*
-- Category --
Women
Elderly
PWD
Youth
Participant's Location
County
-- Select County --
Mombasa
Kwale
Kilifi
Tana River
Lamu
Taita–Taveta
Garissa
Wajir
Mandera
Marsabit
Isiolo
Meru
Tharaka-Nithi
Embu
Kitui
Machakos
Makueni
Nyandarua
Nyeri
Kirinyaga
Murang’a
Kiambu
Turkana
West Pokot
Samburu
Trans Nzoia
Uasin Gishu
Elgeyo–Marakwet
Nandi
Baringo
Laikipia
Nakuru
Narok
Kajiado
Kericho
Bomet
Kakamega
Vihiga
Bungoma
Busia
Siaya
Kisumu
Homa Bay
Migori
Kisii
Nyamira
Nairobi City
Constituency
-- Select Constituency --
Ward
-- Select Ward --
Polling Station
-- Select Polling Station --
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