13.07.2015 Views

Handbook for Electoral Registration Officers - Election Commission ...

Handbook for Electoral Registration Officers - Election Commission ...

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ANNEXURE 5.4(CHAPTER V, PARA 9)FORM 8AToApplication <strong>for</strong> transposition of entry in electoral rollThe <strong>Electoral</strong> <strong>Registration</strong> Officer,……………………………Assembly/ £ Parliamentary Constituency.SPACE FOR PASTING ONERECENT PASSPORT SIZEPHOTOGRAPH(3.5 CM X 3.5 CM) SHOWINGFRONTAL VIEW OF FULLFACE WITHIN THIS BOXSir,I request that entry in the electoral roll <strong>for</strong> the abovementioned Constituency relating to *Myself /*person named below should be transposed to the relevant part of the roll in this constituency. Particularsof the entry to transposed are given below:I. Details of personwhose entry is to betransposed:NameSurname (if any)Part number f electoral rollin which his/her name isincluded:NameHis/her serialnumber in thatpart:* Father’s/Surname (if any)Mother’s/ NameHusband’sII. Particulars of present place of ordinary Residence (Full address)House/ Door number:Street/ Area/Locality/Mohalla/Road:Town/ Village:Post Office:Pin Code:Tehsil/ Taluka/Mandal/ Thana:District:III. Period of continuous residence at the above Years:address on the date of applicationIV. Part number to which the entry has to be transposed (if known)@V. Details of Nameapplicant:Elector’s Photo Identity Cardnumber (if issued):Months:Surname (if any)Part number of electoralroll in which his/her nameHis/her serialnumber in thatElector’s Photo Identity Cardnumber (if issued):is included:part:[See rule 13(4) and 26)Note- Any person who makes a statement or declaration which is false and which he either knowsor believes to be false or does not believe to be true, is punishable under section 31 of theRepresentation of People Act, 1950 (43 of 1950).£In case of Union territories having no Legislative Assembly and the State of Jammu & Kashmir.* Strike out the inappropriate alternative.186

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