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

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ÉÊxÉ´ÉÉÇSÉBÉE ®ÉÊVɺ]ÅÉÒBÉE®hÉ ÉÊxɪÉàÉ, 1960<br />

(BÉEÉxÉÚxÉÉÒ ÉÊxɪÉàÉ +ÉÉè® +ÉÉnäÉ)<br />

43<br />

Receipt for application<br />

Received the application in Form 7 <strong>of</strong> ** Shri/Shrimati/Kumari ………………………………………<br />

** Address……………………………………………………………………………………………….<br />

Date…………………<br />

** To be filled in by the applicant.<br />

Signature <strong>of</strong> the <strong>of</strong>ficer receiving the application on<br />

behalf <strong>of</strong> the <strong>Electoral</strong> Registration <strong>Officer</strong><br />

(Address)………………………………<br />

………………………………<br />

IV. Reason(s) for objection/*deletion:<br />

V. Declaration:<br />

I hereby declare that the facts and particulars mentioned above are true to the best <strong>of</strong> my knowledge<br />

and belief.<br />

Place:<br />

Date:<br />

Signature or thumb impression <strong>of</strong> the applicant<br />

Note.- Any person who makes a statement or declaration which is false and which he either<br />

knows or believes to be false or does not believe to be true, is punishable under section 31 <strong>of</strong> the<br />

Representation <strong>of</strong> the People Act, 1950 (43 <strong>of</strong> 1950).<br />

* Strike out the inappropriate alternative.<br />

Details <strong>of</strong> action taken<br />

(To be filled by <strong>Electoral</strong> Registration <strong>Officer</strong> <strong>of</strong> the constituency)<br />

The application <strong>of</strong> Shri/Smt./Km…………………………………. * objecting to inclusion/ * seeking<br />

deletion <strong>of</strong> name <strong>of</strong> Shri/Smt/Km…………….in the electoral roll in Form 7 has been<br />

accepted * /rejected * .<br />

Detailed reasons for * acceptance [under or in pursuance <strong>of</strong> rule 18 * /20 * /26(4) * ] or rejection [under or<br />

in pursuance <strong>of</strong> rule 17 * /20 * /26(4) £ ]:<br />

Place: Signature <strong>of</strong> <strong>Electoral</strong> (Seal <strong>of</strong> the <strong>Electoral</strong><br />

Date: Registration <strong>Officer</strong> Registration <strong>Officer</strong>)<br />

∗ Strike out the inappropriate alternative.<br />

£ During continuous updating after final publication <strong>of</strong> electoral roll.

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