Civic Engagement Portal

Supporter & Volunteer Onboarding Form

Structured onboarding interface for supporter registration, identity verification, volunteer coordination, diaspora participation, and election-day readiness. Built with Tailwind CSS and JavaScript, ready for PHP backend integration with AJAX submission.

Platform Motto

Join • Verify • Volunteer • Mobilize • Participate

Section 1

Verify Identity

Required before registration proceeds

Select Verification Method *

VIN Verification

Voting member flow

NIN Verification

Identity-first flow

Diaspora Registration

VIN or NIN plus diaspora details

Verification Number

Verified identity fields can be auto-populated and locked by your PHP backend response.

Section 2

Personal Information

Auto-captured fields can remain editable or locked depending on your verification workflow.

Last Name

First Name

Middle Name

Gender

Date of Birth

Day of Birth

Month of Birth

Age

Photograph

Supports camera capture or upload.

Residential Address

State of Origin

LGA of Origin

Phone Number

Email Address

Section 3

Voter Registration Details

Populate these from your backend when VIN verification succeeds.

State of Registration

LGA of Registration

Polling Unit

Polling Unit Code

Section 4

Disability, Occupation & Volunteering

Disability Status

Occupation

Highest Educational Qualification

Employment Status

Public Sector Employment Private Sector Employment Self Employed Unemployed

Volunteer Focus Areas

Digital Mobilization Grassroots Canvassing Diaspora Engagement Media & Content Support Legal & Compliance Support Incident Reporting Training & Capacity Building Strategy & Data Support Field Reporting

Section 5

Diaspora Information

Shown only when diaspora registration is selected.

Country of Residence

State / Region of Residence

City of Residence

Residential Address Abroad

Nigerian State of Origin

Nigerian LGA of Origin

Section 6

Civic Participation & Referral

I pledge to participate in the 2027 election. I commit to encourage civic participation in my community. I agree to support lawful volunteer activities.

Referral Code

Additional Notes

Submission Actions

Supports draft saving and full AJAX submission to a PHP endpoint.