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Wednesday, 01 September 2010 05:30

Download Application for Objecting Inclusion or Seeking Deletion of Name in Electoral Roll

Download forms for state: Jharkhand
Form Details
StateJharkhand
DepartmentCabinet secretariat & coordination
TitleApplication for Objecting Inclusion or Seeking Deletion of Name in Electoral Roll
LanguageEnglish
Document Size472.5 KB
Text of the PDF document(for quick reference)
FORM 7 APPLICATION FOR OBJECTING INCLUSION OR SEEKING DELETION OF NAME IN ELECTORAL ROLL Assembly/£Parliamentary Constituency The Electoral Registration Officer, To or Name Surname (if any) His/her serial number in that part Elector's Photo Identity-Card ( if issued) Number #II. Name Surname (if any) female) Part number of electoral roll in which objector's name is included Name Surname (if any) Street/Area/Locality/Mohalla/Road Village Post Office Pin Code Tehsil/Taluka/Mandal/Thana District Published on National Portal of India (india.gov.in) [See Rules 13(2) and 26] 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 @ I submit that the entry relating to * myself/ * the person named below is required to be deleted for the reasons stated hereunder I. @ Details of person inclusion of whose name is objected to: @ Details of person whose entry is to be deleted : Yes No Details of objector Yes No Sex ( male/ Part number of electoral roll in name is included which his/her His/her serial number in that part *Father's Mother's Husband's Name Yes No III. @person seeking deletion.Particulars of place of ordinary residence of @objector/ (Full address) House/ Door number Town/ £ 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. Yes No DEPARTMENT OF CABINET SECRETARIAT & CO-ORDINATION GOVERNMENT OF JHARKHAND **Address Date (Address) ** To be filled in by the applicant. V. 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 Details of action taken (To be filled by Electoral Registration Officer of the constituency) The application of *Strike out the inappropriate alternative. £ During continuous updating after final publication of electoral roll. (Perforation) Receipt for application Signature of Electoral Registration Officer (Seal of the Electoral Registration Officer) Place Date Published on National Portal of India (india.gov.in) IV. Reason (s) for 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. Shri/ Shrimati/Kumari Received the application in Form 7 of ** of the Electoral Registration Officer Signature of the officer receiving the application on behalf * objection/ *deletion Shri/ Smt./ Km *objecting to inclusion / * seeking deletion of name of in the electoral roll in Form7 has been accepted* / rejected*. Detailed reasons for *acceptance [under or in pursuance of rule 18*/20*/26(4)£] or *rejection [under or in pursuance of rule 17*20*/26(4) £] KmSmt./Shri/
Last Updated on Friday, 17 December 2010 05:30
 

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