Yes No Yes No Yes No Yes No No Yes Yes No Mother's Name Application for Objecting Inclusion or Seeking Deletion of Name in Electoral Roll [See Rules 13(2) and 26] FORM 7 To The Electoral Registration Officer, Assembly/£Parliamentary Constituency Sir, @ I object to the proposed inclusion of the name of the under mentioned person in the electoral roll for the above Constituency. Particulars in support of my objection are given below or @ I submit that the entry relating to * myself/* the person named below is required to be deleted for the reasons stated hereunder Surname (if any) I. @ Details of person Name inclusion of whose name is objected to: @ Details of person whose entry is to be deleted : Part number of His/her serial number in that part Elector's Photo Identity-Card ( if issued) Number electoral roll in which his/her name is included Details of objector Surname (if any) #II. Name His/her serial number Part number of electoral roll in which objector's name is included Sex ( female) male/ in that part Surname (if any) Name *Father's Husband's @person seeking deletion. III. Particulars of place of ordinary residence of @objector/ (Full address) House/ Door number Street/Area/Locality/Mohalla/Road Town/ Village Post office Pin Code Tehsil/Taluka/Mandal/Thana District £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir. @ First alternative will be relevant during preparation/revision of electoral roll. Second alternative will be relevant during continuous updating after final publication of electoral roll. Strike out the inappropriate alternative. * Strike out the inappropriate alternative. # Part-II not to be filled where applicant seeks deletion of entry relating to himself. Published on National Portal of India (india.gov.in) (Perforation) Receipt for application Received the application in Form 7 of ** Kumari Shrimati/ Shri/ **Address Date Signature of the officer receiving the application on behalf of the Electoral Registration Officer (Address) ** To be filled in by the applicant. IV. Reason (s) for *deletion * objection/ V. Declaration: I hereby declare that the facts and particulars mentioned above are true to the best of my knowledge and belief. Place Signature or thumb impression of the applicant Date 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). * Strike out the inappropriate alternative. Details of action taken (To be filled by Electoral Registration Officer of the constituency) The application of Shri/ Smt./ Km * seeking deletion of name of *objecting to inclusion / Shri/ Smt./ Km in the electoral roll in Form7 has been rejected*. accepted* / *acceptance [under or in pursuance of rule 18*/20*/26(4)£] or Detailed reasons for *rejection [under or in pursuance of rule 17*20*/26(4) £] Place Date Signature of Electoral Registration Officer (Seal of the Electoral Registration Officer) *Strike out the inappropriate alternative. £ During continuous updating after final publication of electoral roll. Published on National Portal of India (india.gov.in)
