13.07.2015 Views

Handbook for Electoral Registration Officers - Election Commission ...

Handbook for Electoral Registration Officers - Election Commission ...

Handbook for Electoral Registration Officers - Election Commission ...

SHOW MORE
SHOW LESS
  • No tags were found...

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

ANNEXURE 5.7CHAPTER V, PARA 22 (v)DECLARATION *(For an elector of 25+ age group seeking registration in a new place on change ofresidence but without an EPIC having been issued earlier)I,………………………………., Son/Daughter/Wife of ………………… R/o………………...………………………………….., declare as under: -1. I have applied <strong>for</strong> registration in the electoral roll of. …………………Constituency onchange of my residence.(<strong>for</strong> persons seeking registration in a new place on change of residence)orI have applied <strong>for</strong> registration in the electoral roll of ………………… constituency, as myname does not figure in any electoral roll.(<strong>for</strong> persons of 25 years or more seeking registration in the same place)2. I have not been issued any EPIC at any time in the past in any constituency.Place:Date:Signature of the Applicant* (Making false declaration in matters related to preparation/revision of electoral roll is anoffence punishable under Section 31 of the Representation of the People Act, 1951, and alsounder the provisions of the Indian Penal Code.)192

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!