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This is the list of äkıms of West Kazakhstan Region that have held the position since 1992.

• Näjımeden Esqaliev (7 February 1992 – 18 January 1993)
• Qabibolla Jaqypov (19 January 1993 – 18 December 2000)
• Qyrymbek Köşerbaev (18 December 2000 – 18 November 2003)
• Nūrğali Äşım (18 November 2003 – 28 August 2007)
• Baqtyqoja Izmūhambetov (28 August 2007 – 18 January 2012)
• Nūrlan Noğaev (20 January 2012 – 26 March 2016)^[1]
• Altai Kölgınov (26 March 2016 – 13 June 2019)^[2]
• Ğali Esqaliev (13 June 2019 – 2 December 2022)^[3]
• Nariman Töreğaliev (2 December 2022 – present)^[4]