Manual of Election Law_Volume II - Home: Chief Electoral Officer ...

ÉÊxÉ´ÉÉÇSÉBÉE ®ÉÊVɺ]ÅÉÒBÉE®hÉ ÉÊxɪÉàÉ, 1960
(BÉEÉxÉÚxÉÉÒ ÉÊxɪÉàÉ +ÉÉè® +ÉÉnäÉ)
24
FORM 1
(See rule 7)
Statement as to place of Ordinary Residence by a Person holding a Declared Office
Full name ………………………………………………………………………………………………...........
1 [Father's/Mother's/Husband's name] ..…………………………………………………………........
Age.........................................years.
Office held ..................................………………………………………………………………………………
I hereby declare that I am a citizen of India and that but for my holding the above-mentioned
office, I would have been ordinarily resident at (full postal address)...................……………….
................……………................………………………………………………………………………………
…………....................................………………………………………………………………………………
I further declare that my wife (name) ...........…………...aged..……………...years, ordinarily resides
with me 2 [and is a citizen of India].
This cancels any previous statement as to place of ordinary residence made by me.
Place...............
Date................
Signature...........
__________________________________________________________________________________________
1. Subs. by Notifn. No. S. O. 303(E), dated the 8th May, 1993, for certain words.
2. Ins. by Notifn. No. S. O. 2315, dated the 21st September, 1961.