Nomination Form for Judicial Appointments

About this form

Before filling this form please read section 179 of the Constitution of in order to understand the relevant qualifications of the persons to nominate for appointment to office of judge. Also read and understand section 180 of the Constitution as well as the advertisement of the position in order to understand the obligations of the Judicial Service Commission, the President and members of the Public in respect to the process of making judicial appointment.

The purpose of this Form

This form was designed to assist members of the public to make nominations, in terms of section 180 (4) of the Constitution of Zimbabwe, of any persons who qualify to be a Judge of the High Court.

Instructions 1. Use a separate form for each nomination. 2. Attach to each form the nominee’s curriculum vitae. 3. The nominee must countersign the nomination form to indicate acceptance of the nomination. 4. Deliver the completed form together with the nominee’s curriculum vitae to the Secretary of the Judicial Service Commission House, No 161 Josiah Chinamano Avenue, corner Josiah Chinamano Avenue and Seventh Street, or to the office of the Provincial Magistrate in charge of a province at Harare, , Hwange, Gwanda, , , , Bindura, and . ______Please use black ink and write using BLOCK LETTERS

PART A-NOMINEE INFORMATION

Tick where applicable

1. This nomination is for the purpose of appointment to office of JUDGE OF HIGH COURT

2. Name of Nominee for Appointment to office of JUDGE OF HIGH COURT First Name Middle Name Surname

1 | Page 3. Sex: Male Female

4. Date of Birth

5. National Identification No. / Valid Passport No.

6. Name & Address of employer Position

PART B-NOMINATOR INFORMATION

1. Name of Nominator First Name Middle Name Surname

2. National Identification No. / Valid Passport No.

3. Organisation’s Name City

2 | Page Province Country

I/We certify that the person named above is hereby nominated for appointment to office of JUDGE OF HIGH COURT

Signed at ……………………………………………..this………….Day of………………2021

…………………………………… ………………………………….. Nominator(s)’ Signature(s)

Address ………………………………….

………………………………….

Tel: Cell…………………….

Other…………………..

I ...... certify that I accept nomination for appointment to office of Judge of High Court.

Signed at ………………………… this …………. Day of ……………. 2021

…………………………… Nominee’s Signature

3 | Page