FORM 8 (A) APPLICATION FOR TRANSPOSITION OF ENTRY IN ELECTORAL ROLL Assembly/£Parliamentary Constituency The Electoral Registration Officer, To Name Surname (if any) His/her serial number in that part Elector's Photo Identity-Card ( if issued) Number 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(4) and 26] Sir, I. Yes No Part number of electoral roll in name is included which his/her *Father's Mother's Husband's Name Yes No II. Particulars of present place of ordinary residence of (Full address) House/ Door number Town/ Yes No DEPARTMENT OF CABINET SECRETARIAT & CO-ORDINATION GOVERNMENT OF JHARKHAND 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: - Details of person whose entry is to be transposed III. Period of continuous residence at the above address on the date of application Years: Months: IV. Part number to which the entry has to be transposed (if known): Yes No @ V. Details of Applicant £ 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. Name Surname (if any) His/her serial number in that part Elector's Photo Identity-Card ( if issued) Number Yes No Part number of electoral roll in which his/her name is included Yes No **Address Date (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 Details of action taken (To be filled by Electoral Registration Officer of the constituency) The application of *Strike out the inappropriate alternative. (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) Shri/ Shrimati/Kumari Received the application in Form 8A of ** of the Electoral Registration Officer Signature of the officer receiving the application on behalf Shri/ Smt./ Km in the electoral roll in Form8 (A) has been accepted* / rejected*. Detailed reasons for *acceptance or *rejection [under rule 26(4)]* KmSmt./Shri/ 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) for transposition of entry relating to himself/herself/
