North Korea holds elections every 5 years - and there's only 1 name on the ballot.

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References

1No votes cast against Kim Jong-un in poll
http://www.aljazeera.com/news/asia-pacific/2014/03/no-votes-cast-against-kim-jong-un-poll-20143104447261163.html
2Elections in North Korea - Wikipedia.org
http://en.wikipedia.org/wiki/Elections_in_North_Korea