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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 />

57<br />

VI. Details <strong>of</strong> objector’s Photo identity Card, if issued, in this or in any other Constituency<br />

Elector’s Photo Identity Card number : 36. Date <strong>of</strong> issue :<br />

Constituency (Assembly /<br />

Name :<br />

Parliamentary Constituency) Number :<br />

V<strong>II</strong>. Declaration<br />

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

Place :<br />

Date :<br />

I am submitting the application to the <strong>Electoral</strong><br />

Registration <strong>of</strong>ficer through<br />

Signature or thumb impression <strong>of</strong> objector<br />

(i) Sh. /Smt./Km.(full name and address) Or (ii) in person * , / or (iii) by Post *<br />

………………………………………………………………………. ………Signature or thumb impression <strong>of</strong><br />

objector<br />

Note:– Any person who makes a statement or<br />

declaration which is false and which he<br />

either knows or believes to be false or does<br />

not believe to be true, is punishable under<br />

section 31 <strong>of</strong> the Representation <strong>of</strong> the<br />

People Act, 1950.<br />

* Strike out the inappropriate alternative.<br />

£<br />

In case <strong>of</strong> Union territories having no<br />

Legislative Assembly and the State <strong>of</strong><br />

Jammu and Kashmir.<br />

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

person submitting the application.

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