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FORM 6 Application for inclusion of name in electoral roll - Jharkhand

FORM 6 Application for inclusion of name in electoral roll - Jharkhand

FORM 6 Application for inclusion of name in electoral roll - Jharkhand

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VI. Declaration<br />

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

belief.<br />

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

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

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

The application <strong>of</strong> Shri/Smt./Km. ……………………………………………………………. <strong>for</strong> transposition<br />

<strong>of</strong> entry relat<strong>in</strong>g to himself/ herself/ Shri/ Smt. / Km. …………………………………………………………….<br />

<strong>in</strong> the <strong>electoral</strong> <strong>roll</strong> <strong>in</strong> Form 8A has been acepted*/rejected*.<br />

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

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

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

* Strike out the <strong>in</strong>appropriate alternative.<br />

Remarks <strong>of</strong> the field level <strong>of</strong>ficers (e.g. BLO, Designated Office, Supervisory Officers)

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