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Form A

The document is an application form for transposing an entry in the electoral roll to a new constituency. [1] It requests transferring a voter's registration from one part of the roll to another relevant part. [2] It collects information on the voter's name, current address, parent details, photo ID number, and period of residence at the new address. [3] The applicant must provide their own registration details and signature before the electoral officer will process the request to update the voter's registration.

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Yogesh Jaju
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145 views2 pages

Form A

The document is an application form for transposing an entry in the electoral roll to a new constituency. [1] It requests transferring a voter's registration from one part of the roll to another relevant part. [2] It collects information on the voter's name, current address, parent details, photo ID number, and period of residence at the new address. [3] The applicant must provide their own registration details and signature before the electoral officer will process the request to update the voter's registration.

Uploaded by

Yogesh Jaju
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM 8A

[See rules 13(4) and 26]

Application for transposition of entry in electoral roll


To The Electoral Registration Officer, ....................................Assembly/ Parliamentary Constituency. Sir, I request that the entry in the electoral roll for the above mentioned constituency relating to *Myself / *person named below should be transposed to the relevant part of the roll in this constituency. Particulars of the entry to be transposed are given below: I. Details of person whose entry is to be transposed: Name Surname (if any)

Part number of electoral roll in which his/her name is included:


*Father's Mother's Name Husband's Name

His/her serial number in that part:

Elector's Photo Identity Card (if issued) Number:


Surname (if any)

II. Particulars of present place of ordinary residence (Full address): House / Door number : Street/Area/Locality/Mohalla/Road : Town / Village : Post Office Tehsil / Taluka / Mandal / Thana: District : III. Period of continuous residence at the above address on the date of application Years : Months : Pin Code :

IV. Part number to which the entry has to be transposed (if known) :
@

V.

Details of Applicant:

Name

Surname (if any)

Part number of electoral roll in which his/her name is included:

His/her serial number in that part:

Elector's Photo Identity Card (if issued) Number:

In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir. Strike out the inappropriate alternative. Part V not to be filled where applicant seeks transposition of entry relating to himself.

P.T.O.

........(Perforation)... Receipt for application Received the application in Form 8A of **Shri/Shrimati/Kumari.. **Address...

Date ..

Signature of the officer receiving the application on behalf of the Electoral Registration Officer (Address) .......

**To be filled in by the applicant.

VI. Declaration
I hereby declare that the facts and particulars mentioned above are true to the best of my knowledge and belief.

Place :

Date :

Signature or thumb impression of the applicant

Note Any person who makes a statement or declaration which is false and which he either knows or believes to be false or does not believe to be true, is punishable under section 31 of the Representation of the People Act, 1950 (43 of 1950).

Details of action taken


(To be filled by Electoral Registration Officer of the constituency)
The application of Shri/Smt./Km. ... for transposition of entry relating to himself / herself / Shri/ Smt. /Km. ..in the electoral roll in Form 8A has been accepted* / rejected* Detailed reasons for acceptance or rejection [under rule 26(4) ]* :

Place : Date :
* Strike out the inappropriate alternative.

Signature of Electoral Registration Officer

(Seal of the Electoral Registration Officer)

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