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On planet Earth, the head of the United Earth government carried the title Prime Minister. In the mid-22nd century, Nathan Samuels served as prime minister. (ENT episodes: "Demons", "Terra Prime", ENT novel: The Good That Men Do)
Some of the individual nation-states' governments were also headed by a prime minister, such as India and the United Kingdom. (Star Trek: The Eugenics Wars novel: The Rise and Fall of Khan Noonien Singh, Volume 1; ST novel: Articles of the Federation)
Prime ministers of IndiaEdit
Prime Ministers of the United KingdomEdit
The prime minister of Tezwa wore an official purple robe and carried a metal-banded wooden staff topped with a jeweled headpiece with triggers in the sides to interface with a computer system; it was from those triggers they could call for vote, for example. Kinchawn was the Prime Minister for Tezwa from 2372 until his exile and execution in 2379; his deputy, Bilok succeeded him. (TNG novels: A Time to Kill, A Time to Heal)