10.07.2015 Views

FORM 8 [See rule 13(1) and 26] Application for correction to ...

FORM 8 [See rule 13(1) and 26] Application for correction to ...

FORM 8 [See rule 13(1) and 26] Application for correction to ...

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(ii)(iii)Birth certificate from the school (Govt. / Recognised) last attended by the applicant or any otherrecognised educational institution; orIlliterate or semi-illiterate applicant who is not in possession of any of the above document arerequired <strong>to</strong> attach a declaration in prescribed <strong>for</strong>mat by either of the parents already included in theelec<strong>to</strong>ral roll in support of the applicants age. The <strong>for</strong>mat will be supplied on dem<strong>and</strong>.N.B. In the case of applicants born on or after <strong>26</strong>.01.1989, only birth certificate issued by the MunicipalAuthorities or district office of the Registrar of Births & Deaths is acceptable.7. Relation’s Name:In case of unmarried female applicant, name of Father / Mother is <strong>to</strong> be mentioned. In case of married femaleapplicant, name of Husb<strong>and</strong> is <strong>to</strong> be mentioned. Strike out the inapplicable options in the column.8. Place of Ordinary ResidenceIn Part II of the <strong>Application</strong> Form please fill up the full <strong>and</strong> complete postal address including PIN code whereyou are ordinarily residing <strong>and</strong> want <strong>to</strong> get registered, in the space provided.Proof of ordinary residence <strong>to</strong> be attached are as under:a. Bank / Kisan / Post Office current Pass Book, orb. Applicants Ration Card / Passport / Driving License / Income Tax Assessment Order, orc. Latest Water / Telephone / Electricity / Gas Connection Bill <strong>for</strong> that address, either in the name of theapplicant or that of his / her immediate relation like parents etc., ord. Postal department’s posts received / delivered in the applicant’s name at the given address.NOTE: If any applicant submits only ration card as proof of address, it should be accompanied by onemore proof of address out of the above categories.9. Details of Elec<strong>to</strong>rs’ Pho<strong>to</strong> Identity Card.If you already have been issued with a Pho<strong>to</strong> Identity Card by the Election Commission, please mention the cardnumber (printed on the front side) <strong>and</strong> date of issue (printed on the back side) of the card in the space provided inPart III of the <strong>Application</strong> Form. Please attach a self-attested pho<strong>to</strong>copy of both sides of the card.10. Details of entries <strong>to</strong> be corrected.In Part IV of the <strong>Application</strong> you should indicate the details of entries <strong>to</strong> be corrected. There<strong>for</strong>e, this is a veryimportant part of the <strong>Application</strong>. You have indicated the correct details about your name, age, date of birth,relations name, sex, address <strong>and</strong> pho<strong>to</strong> identity card in the space provided in Parts I <strong>to</strong> III of the <strong>Application</strong>. Inthis Part you have <strong>to</strong> clearly put a tick mark on the details that need <strong>to</strong> be corrected on the basis of in<strong>for</strong>mationnow furnished by you. Please score out the alternatives that are not <strong>to</strong> be corrected.In most part of the country now the elec<strong>to</strong>ral roll is printed with the pho<strong>to</strong>graph of elec<strong>to</strong>rs. Incase the application is <strong>for</strong> correcting a wrong pho<strong>to</strong>graph, then the applicant may write “MyPho<strong>to</strong>graph” in Part IV of the application <strong>and</strong> if possible, attach a recent passport size colouredpho<strong>to</strong>graph with the application.Please also give your full name <strong>and</strong> address on the acknowledgement <strong>and</strong> intimation portions.Please give your mobile number <strong>and</strong> E-mail I.D in the Form , which is optional , as the same, if given, may beused by the Elec<strong>to</strong>ral Registration Officer <strong>for</strong> further communication with the applicant whenever required.Page 5 of 5

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