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ELECTION COMMISSION OF INDIANirvachan Sadan, Ashoka Road, New Delhi-l10001

No. 22/2/INST/EC|IFUNC/ERDIER/2A1.4 . Dated: 7th April 2017

To,

The Chief Electoral OfficersOf States/UTs.

Subject: Amendment of Forms 6,5A,7 ,8, 8A, 18 and L9 for registration of electors as circulated vide

the Commission's letter of even number dated 13th January 2017-Guidelines for filling up

the Forms.

Sir,

I am directed to refer to the Commission's letter of even number dated 13th January 2O17,

forwarding the modified Form6,6A,7,8 and 8A and to state that the guidelines, to be appended to

each of the said Forms, have also been modified, by the Commission, and the same are being sent

herewith for information of all the concerned. These guidelines contain the simplified general

instructions for applicants as to how to fill the relevant Form. These guidelines shall be got printed

and appended to the appropriate modified Forms for use of applicants.

2. ln addition to the above guidelines, a set of exhaustive General lnstructions prepared for the

purpose of registration authorities is also enclosed. This has to be published in a small booklet form

by the Chief Electoral Officer for circulation amongst registration authorities down to Booth Level

Officers for their guidance.

3. As per revised guidelines, if an applicant of 21+ age-group, has not been issued EPIC earlier,

then he, while filing Form 6, is required to give a declaration to the effect that either he has not been

enrolled in any electoral roll or he has not been issued EPIC at previous place despite his enrolment

in electoral roll. This declaration shall be mandatory for every applicant of 2'J.+ age group seeking

fresh registration for the first time, as this would be a preventive measure against multiple

enrolment of the same person at different places. Format of the revised declaration is enclosed

herewith (annexure-A).

4. Further, the Commission has also decided to revise the guidelines on issue of

EPIC/replacement EPIC, have also been revised to the following extent:-

Whenever name of any lndian Citizen is included in the electoral rolls for the

first time, new EPIC will automatically be issued on basis of Form 5, without any

separate application and delivered to him free of cost, through speed post under

proper acknowledgement.

Replacement EPIC on shifting: lf the Applicant has shifted his address and

applying in Form6 (in case of shifting outside the constituency) or Form 8A (in

case of shifting within the constituency) on such shifting, EPIC No., if already

of 2

a)

b)

.li,*

issued to him in the earlier constituency/ address, it should be mentioned at

appropriate place. lf the applicant wants a replacement EPIC with new address,

he should apply for the sa_ ne in Form EPIC-001 ((as per the format as Annexure

B), with requisite fee for Replacement EPIC, and old EPIC, after enrolment at the

new place on the basis of Form 6 or Form 8A, as the case may be.

Replacement EPIC on correction:in case a fresh EPIC due to correction in entries

through Form 8 is required, then an application for issue of such Replacement

EPIC should be made in Form EPIC-OO1(as per Annexure B), together with old

EPIC and requisite fee, applicable if any, after making necessary correction by

ERO in relevant entry.

Replacement EPIC in case of loss/mutilation/destruction: ln this case also, for a

fresh Replacement EPIC an application has to be made in Form EPIC-001 with old

EPIC and requisite fee, if applicable.

5. As per the modified Forms, Photograph to be pasted therein should be of passport size (3.5

cmx3.5 cm) showing frontal view of full face. For quality improvement of the electoral roll, the

applicant has been advised in the guidelines to paste/upload colour photograph of 200 dpi

resolution.

6. All the officers/officials concerned may be informed accordingly.

c)

d)

Yours faithfully,

of 2

./ ,,

ANNEXURE -A to tetter no.221 2IaNST/EC l/FU NC/E RD/ER/ 201 4, dated

07th April 2}lt (For Form-6)

DEGLARAT!ON*(For an elector ol 21+ age group seeking fresh registration for the first

time)1,...... ......, Son/DaughterAffife

..., declare as under:

I have applied for registration in the electoral roll of ,.... constituency,as my name does not figure in electoral roll anywhere in lndia.

2' I have not been issued any EPIC at any time in the past in any constituency.

Place:Date:

*(Making false declaration inpreparation/revision of electoratpunishable under Section 31 of thePeople Act, 1951, and also underlndian penal

Signature of the Applicant

matters related toroll is an offenceRepresentation of thethe provisions of the

Code)

,.,.,,,'*

ANNEXURE B to letter no....7 ),

221 2l INST/EC t/F U N C/ERD/E R/ 20 1 4, d ated 07th Ap ri I

2017

Election Commission of India

Application for lssue of Replacement Elector,s photo tdentity Card (EplC)

FORM ID

ECI-EPIC.OOI

A strte/ uT :

AC" (No. & Name):

District:

B Elector's Particulars(To be filled by Elector)

To,

The Electoral Registration Officer,

Assembly/Parliamentary$ Constituency

Sir/Madam,

I request that a Duplicate Electoral Photo identity card be issued to me as my original card islosudestroyed/mutilated due to corrections in my elector's detail or due to change of address I want toget afresh card with my new address. I am retuning my EPIC to you along with fee for issue of duplicateEPIC My name is included in the electoral roll for the above constituency. Particulars in support of my claimfor issue of duplicate EPIC are given below:

1. Name of Elector: 2. EPIC No ofOriginal card ( if known) :.

3. Father's/ Mother's,/

Husband's' Name :

4. Sex (M/F): 5. Date of Birth (DOB) lf notknown then Age in Years)as onlstJan,200_......

6. Address

(i) House / Door number

(li) Streeu Mohalla / Road/ cati :

(iii)Area / Locality :

(iv) TownA/illage : (v) PIN CODE

(vi) Police Station : (vii) District:

(viii) Reasons for applying

for a Duplicate card

1. I will collect EPIC from VRC/CSC

2. I wish to receive my EPIC by Post(self addressed and stamped envelope enclosed)3. lwill collect EPIC from BLO"

)

Signature of the applicant

(ix) Tick (r' )the appropriate box:

I hereby retum my mutilated /old card.

I undertake to return the earlier card issued to me if the same

ftecovered at a later date.

Date:

Place

tr For official Use

Aurhenticationfor lssue ol EPIC (To be lilled by ERO,s Representative)

PartNo. :

Serial No. ofElector in Part :

lD number of Designated PhotographyLocation (DPL) or Common Service centers(csE).:

#Token No. orReceipt No.

Register No. Serial No. in Register

Verified by:

Dalei _|J2OO_ Signature

D Acknowledgement ofR- DPIC by the Elector

Received Duplicate EPIC on (Date): Elector's Signature

or Thumb lmpression204-

)

4.

5.

6.

To be appended to Form-6

l.

GUIDELINES FOR FITIXNG UP THE APPLICATIONFORM-6

The application should be addressed to the Electoral Registration Officer of the constituency in which he seeksregisfration. The name of the constituency should be mentioned in the blank space given for the purpose.The applicant applying as a first time voter or due to shifting from another constituency, should tick theappropriate box, given for the purpose and fi.ll the complete details in the DECLARATION portion,otherwise, the application is liable to be rejected at the initial stage itself.

3. Fields for providing particulars in items (a) to (i) are mandatory and therefore complete information shouldmandatorily be given against the appropriate item.

Item (a) and (b) : The exact name and spelling as it should appear in the electoral roll and Electors PhotoIdentity Card (EPIC) should be furnished. The full name should be written in the first box and surname shouldbe written in the second box. In case the applicant does not have a surntlme, then box for surname should be

left blank. Caste should not be mentioned except where the caste name is used as part of the elector's name ora surname. Appellations like Shri, Smt. Kumari, Khan, Begum, Pandit etc. should not be mentioned. TheApplicant may mention his name in English and official language of the State both, if possible.

Item (c) and (d) (Relation's Name): In case of an unmarried female applicant, name of Father / Mother is tobe mentioned. In case of a married female applicant, name of Husband should preferably be mentioned. Strikeout the inapplicable options in the column.

Item (e) and (l) (Age and Date of Birth): The age of the applicant should be 18 years or more on lst day ofJanuary of the year with reference to which the electoral roll is being revised. Fill up the Date of Birth infigures in the space provided in DDA4M/YYYY. If the age of the applicant is between 18 and 2l years, adocumentary proof of Date of Birth should be attached. A copy of any one of the following documents can be

attached as a proof of Date of Birth:-Birth certificate issued by a Municipal Authorities or district office of theRegistrar of Births & Deaths or Baptism certificate ; or Birth certificate from the school (Gola. / Recognized)last attended by the applicant or any other recogrized educational institution; or ifa person is class 10 or morepass, he should give a copy of the marksheet of class 10, if it contains date of birth as a proof of date of birth;or Marksheet of class 8 if it contains date of birth; or Mmksheet of class 5 if it contains date of birth; or IndianPassport; or PAN card; or Driving License; or Aadhar letter/Card issued by UIDALl. In case none of the above document is available, a declaration in prescribed format given in Annexure *

II (enclosed with the guidelines) made by either of the parents of the applicant (or by guru in case of an

elector in third gender category) can be given. In those cases where parental declaration is given as proofof age, the applicant will have to be present himself for verification before Booth Level Officer /AssistantElectoral Registration Officer / Electoral Registration Officer. Further, if none of the above documents isavailable and neither ofthe parents is alive, the applicant can attach a certificate ofhis age given by asarpanch of the concerned Gram Panchayat or by a member of the concerned Municipal Corporation /Municipal Committee.

2. In cases where the applicant is more than2l years and physically appears to be so to Booth Level Officer/Assistant Electoral Registration Officer i Electoral Registration Officer, declaration of age by him / herwill be taken as proof of age and no documentary proof will be insisted on. The age should be indicatedin years and completed months as on the qualifring date i.e. I st January, of the year with reference towhich electoral roll is being revised /or has been revised.

3. If the Applicant is applying for fresh registration for the /irst time qnd he is above 2 1 years of age on thequalifirng dqte of the year and his name is not included in the electoral roll anywhere in India, then adeclaration has to be given in the format as per annexure III otherwise his application is liable to be

rejected.

Item (g) (Gender): Gender in the appropriate box provided for'Male' / 'Female'/'Third Gender' should

clearly be tick marked.

Item (h) (Place of Cunent Ordinary Residence): The Applicant should fill up the full and complete postaladdress including PIN code where he is ordinarily residing qt present and wants to get registered, only in the

appropriate space prwidedfor the particular entry.

0 House No.: If the residence of the applicant does not have house number, in the space meunt for'House Number' it should be clearly mentioned thal'No House Number has been assigned'.(ID A copy of any of the following documents should be attached as a proof of ordinary residence: -

8.

9.

Bank / Kisan / Post Office current Pass Book; or Ration Card; or Passport; or Driving License; orIncome Tax Assessment Order; or Latgst rent agreement; or Latest Water / Telephone I Electrtcity I

Gas Connection Bill for that address, either in the name of the applicant or that of his / her immediaterelation like parents etc.; or Any post l;.fetter / mail delivered through Indian Postal Deparrnent in theapplicant's name at the address ofordinary residence.

QII) Homeless Indian Citizens/Sex Worken Indian Citizens: - Homeless Indian Citizens living insheds/pavement dwellers and Sex Workers Indian Citizens, who do not possess any documentaryproofofordinary residence are eligiblefor enrolment in electorql roll, provided thqt are ordinarilyresiding at the given address.

QV) Students: Students, if otherwise eligible, living in a hostel or mess or lodge more or less

continuously, going back to their normal home or place ofresidence onlyfor short periods, can beheld to be ordinarily resident in the place where the hostel or mess or lodge is situated. Suchstudents who want to enroll themselves at the hostel / mess will hqve to attach a bonaJide declmationduly certified by the Headmaster / Principal / Director / Registrar / Dean of the educationalinstitutionwith Form 6 (as per the specimen os Annexure IV).

Photograph: A recent passport size Colour Photograph of specification (200 DPI resolution with 3.5c.m x3.5c.m ) should be pasted in the space provided for this purpose in the Form. The Photograph will be used to printapplicant's image in the electoral roll and issue of EPIC.The photograph shall show a close-up of theapplicant's head and the top of the shoulders. The face shall take 75Yo of the vertical dimension of the picture.The photograph shall be in sharp focus, of high quality with no creases and ink marks with appropriatebrightness and contrast and showing natural skin tones ofthe elector's face and features clearly recognisable. Itshall show the elector looking directly at the camera with a neutral expression and the mouth closed. Thephotograph shall be showing the elector with the eyes open and clearly visible with no hatlcaplhatlheadgearlveiUcover/shadoilreflection etc. obscuring the eyes. If the elector wears glasses, the photograph must showthe eyes clearly with no lights reflected in the glasses. The glasses should not have tinted lenses and it shall beensured that the frames of the glasses do not cover any part of the eyes of the elector. The photograph musthave a plain, light coloured background and there must be no other people or object visible with the elector.EPIC:

1. V[henever name of any Indian Citizen is included in the electoral rolls for the first time, newEPIC will automatically be issued without any separate application and delivered to himfree ofcost, through speed post under proper acbtowledgement.

2. Replacement EPIC on shifting: If the Applicant has shifted his qddress and applying in Form6 or Form8A on such shifting, EPIC No., if already issued to him in the earlier constituency/ address, it should bementioned at appropriate place.If he wants replacement EPIC with new address, he should apply for the

same in Form EPIC-O01 ((as per the format as Annexure V), with requisite fee for replacement EPIC,and old EPIC, after enrolment at the new place on the basis of Form 6 or Form 8A.

Optional ParticularsFields for providing details in item (k) to (m) are optional; however, it is in interest of the applicant to supplyinformation in these items to enable election authorities to extend citizen services like intimation about statusof process of application form, issue of EPIC sending information/notices to electors and providing necessaryassistance at polling station during elections.

Declaration(1) All entries in "DECLARATION" portion must compulsorily be completed in all respects. Please indicate

date from which the Applicant is presently residing at the given address. If he is not able to recall the exactdate, the month and year from which he is residing at that place should be mentioned.Ifhis name is alreadyincluded in the electoral roll of any other constituency, name of earlier constituency should be mentioned.Also, full particulars of his previous address should be provided, otherwise his application is liable to berejected at the initial stage itself.The options which are not relevant should clearly be struck off. Pleasenote that giving any false statement made in the DECLARATION portion is punishable ffince underSection 3 I of the Representation of P eople Act, I 9 5A.

(2) Service personnel, applying for enrolment as general elector in the electoral roll at his place ofposting at apeace station, has to submit a declaration (Annexure-I) along with Form-6.

10.

11.

12.

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ANNEXURE - I (For Form.6)

DECLARATION BY SERVICE PERSONNEL(TO BE ATTACHED WITH THE FORM-6)

For getting myself registered as general elector in the part of the electoral roll of my

place of posting, l, ............... ...........,...(NAME lN BLocK LETTERS) am

enclosing a certificate issued by Record Office/Commandant to the effect that I have been

posted at the peace station, namely, at ............... ..................(place) since

.(Date).

l, hereby, declare that I have neither got myself already registered as service elector in

the last part of electoral roll for any constituency nor have applied for such registration as

service elector in the last part of the electoral roll of any constituency.

l, further, declare that I am aware of the law that prohibits getting registered as an

elector at more than one place either in the same constituency or in different constituencies

and if my name so appears at different places, the same may be deleted from all such places

except from the present place for which Form 6 has been presented.

SIGNATURE OF THE SERVICE PERSONNEL

RANK..

Place

Date...

FORM OF OATH OR AFFIRMATION

(To be made by either of the parents/Guru of the first time applicantin the age group of 18-21years who has no age proof)

l, ........... whose

name is enrolled at the Serial No. ........ in the Part No. ........ of electoral roll of the

... Assembly Constituency

do swear in the name of the God / solemnly affirm that my son / daughter/chela

"; ;;;; ;^ ,"; ,;,,; *i ,,0, . ;,; ; ;;;;, ;;;;

is Years

PIace:

Date:Signature of the parenUGuru

sworn in the name of God/solemnly affirmed by shri/shrimati

(Place) at (hour) this

at

the day of

20... before me.

Signature of Electoral Registration Officer /Assistant Electoral Registration Officer with Seal

ANNEXURE -ll (For Form-6)

'' ':l' t

ANNEXURE.III(For Form-6)

DEGLARATION*(For an elector of 21+ age group seeking fresh registration for the first

time)

1,...... ......, Son/DaughterMife of ..... R/o

..., declare as under: -

I have applied for registration in the etectorar roll of .... constituency,as my name does not figure in electoral rollanywhere in lndia,

2. I have not been issued any EPIC at any time in the past in any constituency.

place: Signature of the ApplicantDate:

*(Making false declaration in matters related topreparation/revision of electorat roll is an offencepunishable under section 3i of the Representation of thePeople Act, 1951, and also under the provisions of thelndian Penat Code)

SPACE FOR PASTINGONE RECENT

PASSPORT SIZECOLOUR PHOTOGRAPH

(3.5 CM X 3.5 CM)SHOWING FRONTALVIEW OF FULL FACE

WITHIN THIS BOX

address of native place), hereby declare that :-.--

(a) I am a bonifide student of ...... ......( name ofthe institution) and pursuing .....(details of the course)from .(month).. ...(year)to..............(month) ......(year)

*(U) t am presently residing at -residing in hostel/mess, mention Roomhostel/mess).

No./BlockNo./ BlockName, etc. of the

';l' "ANNEXURE IV(For Form-6)

DECLARATIONBY STUDENTS LIVING INHOSTELS/NIE S SES/ELSEWHERE

(TO BE ATTACHEDWTTTITORM 6)

I, ...... ..............(NAME IN BLOCK LETTERS),: son/daughter of

Place:Date :

(if(i).

OR

OR

(ii) (if residingelsewheredft ".iri,-rtJtii'"vrJ!

'|rrrlrvpostal address of the place of stay outside the hostel/mess).

(c) * I want.to be registered in the.electoral roll/retain my registration in the electoral roll ofmy natlve place at my above-mentioned residential addre5s wTth my parents/guardian.

*I want to be registered in the electoral roll of the constituency where I am presently residing .

[. I am 4ware that.registration in the eleqtoral roll of more than one constituencv or moreman.once.ln a constltue-ncy_lq netlermlttqd_lndgq the el_ection _law and am also atiarc of thepenal provisions of Sec. 3l i,f the R.P.Aci; I950;w[icf ieadi-ili'bl6wil'--

.','lf !ny, persln makes in clnnectiln with (o)^the preparotion, reyision or correction of an electoral roll, or (b)llte inclusion or exclusion of any entry.in or froy'on.'electoral roll, a statement or declaration inwriting *lrici {sfapg gnd which he either htowi or lelieves

"to be false or does not believe to be true, ni sltitt ti pini,isiii[e

with imprisonment lor a term which may exteid to one year, or with line, or with both.

It is certified that the information given in the declaration x (a) above and thephotograph have been verified from the records of the institution and aie found to be correct.

Place:

Date:

(signature of the student)

Signature and seal oftheHead Master/PrincinalR

,{}'

AIINEXURE V@or Form-6)-.,f,' .,{-'

Election Commission of India(ANNEXURE.VI

Application for lssue of Replacement Elector,s Photo ldentity Card (EptC)

FORM ID

ECI.EPIC-OOI

A Stflte/ UT :

ACr (No. & Name):

District:


To,


Assembly/Parliamentarys Constituency

Sir/Madam,

I request that a Duplicate Electoral Photo identity Card be issued to me as my original card is

get afresh card with my new address. I am retuning my EPIC to you along with fee for issue of duplicateEPIC My name is included in the electoral roll for the above constituency. Particulars in support of my claimfor issue of duplicate EPIC are given below:

1. Name of Elector: 2. EPIC No ofOriginal card ( if known) :.

3. Fathefs,/ Mother's/

Husband's* Name :

4. Sex (M/F): 5. Date of Birth (DOB) lf notknown then Age in Years)as on1stJan,200_......

6. Address

(i) House / Door number:

(ii) Streeu Mohalla / Road/ Gali :


(iv) TownA/illage : (v) PIN CODE


(viil) Reasons for applying


1. lwill collect EPIC from VRC/CSC

2. I wish to receive my EPIC by Post(self addressed and stamped envelope enclosed)

3. lwill collect EPIC from BLO.

)


(X) Tick (r' )the appropriate box:

I hereby return my mutilated /old card.

I undertake to retum the earlier card issued to me if the same

[ecovered at a later date.

Date:

Place

tr For o/ficral Use

Authen icationfor Issue of EPIC (To be lilled by ERO's Repraentative)

PartNo. :

Serial No. ofElector in Part:

lD number of Designated PhotographyLocation (DPL) or Common Seryice centers(csE).:

#Token No. or

Receipt No.


Verified by:

Date: _/_/200_ Signature

D Acknowledgement of R- EPIC by the Elector


or Thumb lmpression2O0-

.','t .,,

To be appended to Form-6A

GUIDELINES FOR FILLING t]P THE APPLICATIONFORM-6A

Who can file Form-6A

1. Every Indian citizen staying in a foreign country, who has not acquired citizenship of a foreigncountry, and has completed 18 years as on lst January of the year, can make an ipplication inForm 6,{ for being registered in the roll for the constituency pertaining to the locaiiiy in whichhis place of residence in India as mentioned in the passport is located. The application in Form6,4. can be presented to the registration officer concerned.

2. The applicant should have completed eighteen years ofage as on lst January ofthe year. Forexample, if the application is for inclusion of name in the electoral roll with reference to 01-01-2017 as the qualifying date, the applicant should have completed 18 years as on 0l-01-2017.

Availability of Form 6AForm will be available at EROs/AEROs Office/Designated Locations/Authorized Centres, It

can also be downloaded from NVSP portal i.e, http://www.rwsp.in/ or from the ECI website, i.e,h@://eci,nic.itt

Where to submit the application in Form-6AThe application should be submitted directly to the Electoral Registration Officer (ERO) of theconstituency within which the place of ordinary residence of the applicant as given in the validpassport falls. The Application in Form 64 can be presented in person to the ERO or sent by postaddressed to the ERO concemed. The application can also be filed online on the National VoierService Portal (IWSP) of the Election Commission, i.e, bt0p:t1lyww.+tlsp.in/or on the website ofChief Electoral Officer of the State concerned(Zink of CEOs' webtii hos been provided on theC omm i s s i on' s w eb s it e, i. e, http : //eci nic. i4/eci main I &in ks. aspx).[The particulars and postal address of the EROs of all the constituencies in India are available on

the websites of CEOs of concerned States which can be accessed through website of ElectionCommission of India (http://eci.nic.in) l

Documents to be attached

3. Paste one recent passport size coloured photograph with a light background (preferably white)showing the full face of the applicant.

4. Fill in all the columns in Form-6A. The name and other particulars, as given in the valid IndianPassport, should be written.

5. If application is sent by post, it should be accompanied by photo-copy of the relevant pages ofthe passport containing the photograph and all other particulars ofihe applicant ana ihJpagecontaining the valid visa endorsement. These photo-copies should be duly self-attested.Applications without the attested photo-copies of these documents will be liable to besummarily rejected.

6. If the application is submitted in person before the ERo, the application should be accompaniedby a photo-copy ofthe relevant pages ofthe passport as mentioned above. The original passportshould also be produced alongwith the application for verification by the registiation offiier.The passport will be retumed immediately after verification.

Voting

7. It may be noted that after enrolment ofthe name of the Applicant, he will be able to cast vote inelection in the constituency, if he is physically present in the polling station along with hisoriginal passport on the day ofpoll.*:B*:tr{.*rl.:F*****:k:r***rr*{<*{<**x<*******'t**+rF{<******{<**+***{.rFr******tr<{<***+{<

.',lt ,.tTo be appended to Form-7

GTITDELINES FOR FILLING UP THE APPLICATIONFORM-7

How to Fill up Form-7

l. The application should be addressed to the Electoral Registration Officer of the constituencyin which another elector registered in that roll objects the proposed inclusion of an entry inthe draft electoral roll. The name of the constituency should be mentioned in the blank space.

2. Details of person inclusion of whose name is objeeted to / Details of person whose entryis to be deleted:

Out of the three options, the first option is relevant after draft publication of electoralroll during revision of electoral roll. In other words, to show the objected entry in the draftroll in the list of deletions at the time of final publication of the roll. The second option isrelevant during continuous updation after final publication of electoral roll. In other words,for deletion of an entry already included in the final electoral roll.(Please tick the appropriate alternative white fitling up the Form)

Besides the name of the person whose entry is objected for inclusion or sought to bedeleted, the other details of the electoral roll Part No., Serial No. of the entry in that Part ofelectoral roll and Identity Card No issued to that person (Items (a), (b), (c) and (d)) arealso required to be filled up. These details are available in the relevant part of electoral roll.The Part No. of the electoral roll is printed on the right hand top corner of the electoral roll.Every entry is given a serial number. Please check the electoral roll and write the serialnumber at which the name of the person whose enbry is objected for inclusion/sought to bedeleted is listed. In case the person has already been issued an Identity Card that No. is alsoprinted against that entry. Please write that card no. in full in the space provided.

Separate Application is required to be filed for each of the three alternatives forobjecting inclusion/seeking deletion of each entry. In other words, the only one alternative isallowed to be opted.

3. Details of objector

An "Objector" can file Application in Form 7 only in respect of persons included in the partof the electoral roll in which he/she is registered. The objector has to fill up in the space (item(a) , (b), (c) and (d) and (e)) provided his/her name including surname, part no. of electoralroll and serial number at which his/her name is registered in that part of the electoral roll.

4, Reason(s) for objection / deletion

The applicant 'objector' must specifu the reason(s) in item (0 as to why according to him/herthe person whose name is objected is not qualified for inclusion in that part of electoral rollviz. Due to death, due to shifting, not ordinarily residing at the registered address etc. Theonus of proof to substantiate the reason given for removal of the name lies with the Objector.

5. Declaration

In last part of the Application, the applicant must give a declaration that the facts andparticulars mentioned in the application are true to the best of his/her knowledge and belief.The date from which the applicant is residing at the given address should be clearlymentioned. Giving a false declaration is punishable under Section 3 1 of the Representation ofthe People Act, 1950.

*r<16***x***

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GUIDELINES FOR FILLING UP TIIE APPLICATIONFORM-8

How to Fitl up Form-8

1. The application should be addressed to the Electoral Registration Officer of the constituency inwhich the name of the applicant is already included. The name of the constituency should bementioned in the blank space.

2. In Part I (Item (a) and (b) )of the Application, the applicant should write his name, as it shouldappear in the electoral roll. In case the initials to applicant's name printed in the electoral roll arein abbreviated form and he wants them to be printed in expanded form he can write his full namein expanded form. The full name except the surname should be written in the first box andsurname should be written in the second box. In case the applicant does not have a surname, thegiven name only should be written. Caste should not be mentioned except where the caste nameis used as part of the elector's name or a surname. Honorific appellations like Shri, Smt. Kumari,Khan, Begum, Pandit etc. should not be mentioned.

3. Item (c): Please fill up the Part Number and serial number in that part of electoral roll where thename of the Applicant is listed. This is mandatory.

4, For correction in date of birth, documentary proof should be attached as under:

i) Birth certificate issued by a Municipal Authorities or district office of the Registrar of Bi(hs& Deaths or Baptism certificate; orii) Birth certificate from the school (Govt. / Recognised) last attended by the applicant or anyother recognised educational institution; oriii) If a person is class 10 or more pass, he should give a copy of the marksheet of class 10, ifit contains date of birth as a proof of date of birth; oriv) Marksheet of class 8 if it contains date of birth; orv) Marksheet of class 5 if it contains date of birth; orvi) A declaration in prescribed format given in Annexure-l (made available on demand byregiskation authorities) made by either of his parents if the person is not educated till class l0 (Inthose cases where parental declaration is given as proof of age, the applicant will have to bepresent himself for verification before BLO/AERO/ERO); orvii) A certificate of his age given by a sarpanch of the concerned Gram Panchayat or by amember of the concemed Municipal Corporation / Municipal Committee, in case the person isnot educated till class 1 0 and both the parents are not alive.viii) Indian Passport.ix) PAN Card.x) Driving License.xi) Aadhar letter issued by UIDAI.Note: Documentary proof of age will be required only in those caseso where ageapplicant is between 18 and 21 years. In all other cases declaration of his ageapplicant will be taken as proof of age.

Details of Electors' Photo Identity Card (Item d).

1. If the Applicant has already been issued a Photo Identity Card by the Election Commission,the card number (printed on the front side) and date of issue (printed on the back side) of thecard in the space provided in Item (d) of the Application Form, should be mentioned. Pleaseattach a self-attested photocopy ofboth sides ofthe card.

2. If the Applicant wants a fresh EPIC due to correction in entries through Form 8, anapplication has to be made for issue of such replacement EPIC in EPIC-001 (as per the

To be appended to Form-8

of theby the

a..,.r-

format given as Annexure-Il) with old EPIC and the requisite fee after correction by ERO onbasis of Form-8.

,.,,,). ,.,

Details of entries to be corrected. ;s-

1. In item (e) of the Application, the applicant should clearly tick the entry(ies) to be corrected.Therefore, this is a very important part of the Application

2. In most part of the country now the electoral roll is printed with the photograph of electors. Incase the application is for correcting a wrong photograph, then the applicantmay tick on the"Photograph" in item (e) of the application and please, attach a recent passport size colourphotograph with the application. In case of correction of entries in electoral roll, pleasemention correct particulars (which should be after proposed correction) in the box providedfor this purpose, just below the item (e) of the Form.

3. Full name and address on the acknowledgement and intimation portions should also be given.4. Applicant may give mobile number and E-mail I.D in the Form, which is optional, as the

same, if given, may be used by the Electoral Registration Officer for further communicationwith the applicant whenever required.

Replacement EPIC

If the Applicant wants replacement EPIC with new address, he should apply forthe same in Form EPIC-001 (as per the Format as Annexure I ), with requisite fee forreplacement EPIC, and old EPC, after enrolment at the new place on the basis of Form8A.

**********

To be appended to Form-8A

;:l '' "GTIIDELINES FOR FILLING I]P THE APPLICATION

FORM-8A

How to Fill the Form-8A

1. The application should be addressed to the Electoral Registration Officer of the constituencyin which transpositions of the relevant entry is required. The name of the constituency shouldbe mentioned in the blank space.In Item (a) and (b) )of the Application, the applicant should write his name, as existing in theelectoral roll. In case the initials to applicant's name printed in the electoral roll are inabbreviated form and he wants them to.be printed in expanded form he can write his fullname in expanded form. The full name except the surname should be written in the first boxand sumame should be written in the second box. In case the applicant does not have asurname, the given name only should be written. Caste should not be mentioned except wherethe caste name is used as part of the elector's name or a surname. Honorific appellations likeShri, Smt. Kumari, Khan, Begum, Pandit etc. should not be mentioned.

Item (c) and (d): Fill the name Part No. & Serial No. of the electoral roll where alreadyregistered and Electors Photo Identity Card No.(EPIC) in full. (as printed in the electoral roll).

In item (g) of the Application please mention the complete address of the new place where theApplicant/person concerned has shifted place of ordinary residence within the constituency.Please do not write incomplete address as in that case it may not be possible to link theaddress to the relevant part of electoral roll where the entry is required to be transposed.

Full name and address may also be given on the intimation portions .The Applicant may givehis mobile number and E-mail I.D in the Form, which is optional, as the same, if given, maybe used by the Electoral Registration Officer for further communication with the applicantwhenever required.

Replacement EPIC

If the Applicant wants replacement EPIC with new address, he should apply for the same inForm EPIC-001 (as per the Format as Annexure I ), with requisite fee for replacement EPIC, and oldEPC, after enrolment at the new place on the basis of Form 8A.

********{.*

2.

3.

4.

5.

For publishing in small booklet form forguidance of registration authorities down

to Booth Level Officers

GENERAL INSTRUCTIONSFORM.6

Who can file Form-6

L Please note that no fee shall be charged for the application Form or for processing the Form for

registration by Registration Officer, except for the Election Commission approved paid services at

authorized centres.

An Indian citizen who has attained age of 18 years or more on the first day of January of the year with

reference to which the electoral roll is being revised. For example, for revision being conducted with

reference to 1.1.2017 as qualifring date, a person completing 18 years of age on 1.1.2017 (i.e. a person

born on or before 1.1.1998) is eligible to get enrolled as an elector and thus can file Form 6. However,

while filing application during continuous updating /non-revision period of electoral roll, age of 18

years or more should be reckoned (mentioned in the application Form) with reference to thequalifying date, 1"t January of the year on which basis electoral rolls have been last revised and finally

published.

An lndian Citizen who is eligible ds per the obove, con get registered his name anywhere in lndia otthe pldce of his ordinary residence.

A person shifting his / her place of ordinary residence outside the constituency in which he / she is

already registered as an elector. In case a person shifts his place of ordinary residence in the

constituency, the application should be made in Form 8A and not in Form 6.However, it should be

noted that while submitting Form 6 or Form 8A on shifting of address (place of ordinary residence), no

correction should be made in name and details of existing electoral roll in respect of the previous

address (place of ordinary residence) except the details of new Address. For any correction in the

entries of existing electoral roll, application should be made in Form B only.

Service Voter:-A Service Personnel should apply in Form 2/ 2A/ 3, as the case may be, for registration

as service elector in respect of himself and his wife, if she is residing with him, in the last part of the

electoral roll of his home constituency. A Service Personnel, who has not been so enrolled as Service

Elector in the last part of his/her home constituency, has also an option to get hisArer name enrolled as

general elector in the electoral rolls ofhis place ofposting, provided it is a peace station.

Service personnel, applying for enrolment as general elector in the electoral roll at his place of posting

at a peace station, has to submit a declaration (Annexure-I) along with Form-6,

Availability of Form 6

Form will be available at EROs/AEROs Office/Designated Locations/Authorized Centres. ltcan also be downloaded from NVSP portal i.e, http://rltww,nvsp,inl or lrom the ECI website, i.e,

http://eci.nic,in,

When F'orm-6 can be filedDuring the revision of electoral rolls, it can be filed after draft publication of electoral rolls of the

constituency. The application is to be filed within the specific period provided for filing of claims and

objections. Due publicity is given about the above period when the revision programme is announced.

Only one copy of the application is to be filed during the revision programme. During non-revision

period, application must be filed in duplicate dnd it can be filed throughout the year. For Online

Application there is no need to tile Application in duplicate or submit a sepfrrate physical Formthrough offline mode.

Where to file Form-6

".'/. ..-

3.

4.

5.

6.

During revision period, the application can be filed at the designated locations where the draft electoralroll is displayed (mostly polling station locations) or at the places authorised by the ElectionCommission, as well as the offices of Electoral Registration Officer and Assistant ElectoralRegistration Officer of the constituency. ffie,application can also be filed online on the National VoterService Portal (NVSP) of the Election Commission, i.e, http://www.nvsp.inl or on the website of ChiefElectoral Officer of the State concemed(Link of CEOs'website has been provided on the Commission,swebsite, i.e, ltt(fr!1e4,$ie,i$./eci $xrtitl!/1,ink.q;n-r). For Ontine Application there is no need to ftleApplication in duplicate or submit a separate physical Form through offline mode.

l. When revision programme is not going on, the application can be filed only with the ElectoralRegistration Officer or Assistant Electoral Registration Officer or can be filed onling as above .

Besides the BLOs can also collect Form 6 through oat the year and give the uccount to ERO onregalar basis at the earliest.

How to fill Form-6

l. The application should be addressed to the Electoral Registration Officer of the constituency in whichhe seeks registration. The name of the constituency should be mentioned in the blank space given forthe purpose.

2. The applicant applying as a frst time voter or due to shifting fiom another constituency, should tick theappropriate box, given for the purpose andfill the complete details in the DECLARATION portion,othetwise, the application is liable to be rejected at the initial stage itself.

3. Fields for providing particulars in items (a) to O are mandatory and therefore complete informationshould mandatorily be given against the appropriate item.

4. The exact name and spelling as it should appear in the electoral roll and Electors Photo Identity Card(EPIC) should be furnished. The full name should be written in the first box and surname should bewritten in the second box. In case the applicant does not have a surname, then box for surnarne shouldbe left blank. Caste should not be mentioned except where the caste name is used as part of theelector's name or a surname. Appellations like Shri, Smt. Kumari, Khan, Begum, pandit etc. should notbe mentioned. The Applicant may mention his name in English and official language of the State both,if possible.

Relation's Name

In case of an unmarried female applicant, name of Father / Mother is to be mentioned. In case of amarried female applicant, name of Husband should preferably be mentioned. Strike out the inapplicableoptions in the column.

Age and Date of Birth

l. The age of the applicant should be 18 years or more on lst day of January of the year withreference to which the electoral roll is being revised. Fill up the Date of Birth in figures in thespace provided in DD/\4IWYYYY. If the age of the applicant is between 18 and 2l years, adocumentary proof of Date of Birth should be attached. A copy of any one of the followingdocuments can be attached as a proof of Date of Birth:-

i) Binh certificate issued by a Municipal Authorities or district office of the Regishar of Births& Deaths or Baptism certificate ; or

iD Birth certificate from the school (Govt. / Recognized) last attended by the applicant or anyother recognized educational institution; or

iii) If a person is class l0 or more pass, he should give a copy of the marksheet of class 10, if itcontains date of birth as a proof of date of birth; or

iv) Marksheet of class 8 if it contains date of birth; orv) Marksheet of class 5 if it contains date of birth; orvi) IndianPassport; orvii) PAN card; orviii) Driving License; or

rx)

2.

3.

4.

.. :''*Aadhar letter/Card issued by UIDAT

In case none of the above documepf'.ir available, a declaration in prescribed format given in

Annexure - II (enclosed with the guidelines) made by either of the parents of the applicant (or by

guru in case of an elector in third gender category) can be given. In those cases where parental

declaration is given as proof of age, the applicant will have to be present himself for verification

before Booth Level Officer /Assistant Electoral Registration Officer / Electoral Registration

Officer. Further, if none of the above documents is available and neither of the parents is alive,

the applicant can attach a certificate of his age given by a sarpanch of the concerned Gram

Panchayat or by a member of the concerned Municipal Corporation I Municipal Committee.

In cases where the applicant is more than 2l years and physically appears to be so to Booth Level

Officer /Assistant Electoral Registration Offrcer / Electoral Registration Officer, declaration of

age by him / her will be taken as proof of age and no documentary proof will be insisted on. The

age should be indicated in years and completed months as on the qualifring date i.e. lst January,

of the year with reference to which electoral roll is being revised /or has been revised.

If the Applicant is applyingfor fresh registrationfor thefirst time and he is above 21 years of age

on the qualifiing date of the year and his name is not included in the electoral roll anywhere in

India, then a declaration has to be given in the format as per annexure III othetwise his

application is liable to be reiected.

Gender

Gender in the appropriate box provided for 'Male' I 'Female'l 'Third Gender' should clearly be tick

Place of Curren Ordinary Residence

The Applicant should Jilt up the full and complete postal address including PIN code where he is

ordinarily residing at present andwants to get registered, only in the appropriate space providedfor

the particular entry.

A copy of any of the following documents should be attached as a proof of ordinary residence: -

(l) Bank / Kisan / Post OfEce current Pass Book; or

(ir) Ration Card; or(iiD Passport; or(w) Driving License; or(v) Income Tax Assessment Order; or

(vi) Latest rent agreement; or

(vii) Latest Water i Telephone / Electricity / Gas Connection Bill for that address, either in the

name of the applicant or that of his / her immediate relation like parents etc.; or

(viiD Any post / letter / mail delivered through Indian Postal Department in the applicant's name at

the address ofordinary residence.

House No.: If the residence of the applicant does not have house number, in the space meant fot,House Number' it should be cleaily mentioned that 'No House Number has been assigned'.

Homeless Indian Citizens: - Homeless Indian Citizens living in sheds/pavement dtvellers, who

do not possess any documentary proof of ordinary residence are eligible for enrolment in

electoral roll, provided they are ordinarily residing there. In such case the Booth Level

Officer will visit the address given in Form 6 for more than one night to oscertain that the

homeless person actually sleeps at the given place. However, to avoid an eventuality of a

homeless foreign national getting registered in electoral roll, the Election Commission has

directed that in all such cases where homeless persons are registered in electoral rolls, a

statement of such persons shall be recorded by the Booth Level Officer in which specific

information about the place of his birth and the place of previous residence from where he

has shifted to the present place of his ordinary residence, of such a person shall be asked

.for.

marked.

l.

)

3.

4.

Sex Workers Indian Citizen:- As i, "orn $-nrrification of homeless Indian citizen, as refened

to in the preceding paragraph, the Election Commission has directed that in case of thosesex workers Indian citizen, who da nq! possess any documentary proof of place of residence,the documentary proof should not betliniisted, however the Booth Level Officer will ascertainthat the claimant actually resides at the place, mentioned in his/her Form 6, by visiting thegiven address and submit a verification report to the Electoral Registration Officer/AssistantElectoral Registration Officer, to this effict who will decide the case accordingly.Students: Students, if otherwise eligible, living in a hostel or mess or lodge more or lesscontinuously, going back to their normal home or place of residence only for short periods,can be held to be ordinarily resident in the place where the hostel or mess or lodge issituated. However, f they so wislt, they have the option of retaining their enrolment at theirresidence with their parents instead. [During intensive revision, students shall not beenumerated at their hostels- They can be enrolled subsequently on application in Form 6with bonafide student and hostel resident certificateJ. However, the course pursued by thesaid students should be recognized by Central / State Governments / Boards / Universities /Deemed Universities and such courses should be of not less than I year's duration. Suchstudents who want to enroll themselves at the hostel / mess will have to attach a bonafidedeclaration duly certified by the Headmaster / Principal / Director / Registrar / Dean of theeducational institution with Form 6 (as per the specimen as Annexure IV).

EPIC1. Whenever name of any Indian Citizen is included in the electoral rolls for the first time,

new EPIC will automatically be issued without any separate application and delivered tohimfree of cost, through speed post under proper acknowledgement.

2. Replacement EPIC on shifting: If the Applicant has shifted his address and applying in Form6 orForm 8A on such shifting, EPIC No., if alreaSt issued to him in the earlier constituency/ address,it should be mentioned at appropriate place.If he wants replacement EPIC with new address, he

should apply for the same in Form EPIC-001 ((as per the format as Annexure V), withrequisite fee for replacement EPIC, and old EPIC, after enrolment at the new place on the basis ofForm 6 or Form 8A.

3. Replacement EPIC on correction: in cose o fresh EP\C due to correction in entries throughForm 8 is required, then on applicotion for issue of such replocement EPIC shoutd be

mode in Form EPIC-1l1(as per the specimen as above), with old EP\C ond requisite fee,applicoble if any, after making correction by ERO in relevant entry.

4. Replocement EPIC in cose of loss/mutilation/destruction: In this case also, for a freshreplacement EPIC an application has to be made in Form EPIC-0|1 with otd EPIC and requisite

fee,. appl i c abl e if any.

Photograph

A recent passport size Colour Photograph of specification (200 DPI resolution with 3.5c.mx3.5 c.m ) should be pasted in the space provided for this purpose in the Form. The Photograph will beused to print applicant's image in the electoral roll and issue of EpIC.

o The photograph shallshow a close-up of the applicant's head and the top ofthe shoulders.

o The face shall take 75% of the vertical dimension of the picture.o The photograph shall be in sharp focus, of high quality with no creases and

ink marks with appropriate brightness and contrast and showing natural skin

tones of the elector's face and features clearly recognisable. lt shall showthe elector looking directly at the camera with a neutral expression and themouth closed.

...;'**

o The photograph shall be showing the elector with the eyes open and clearly

t/headgear/ veil/cover/shadow/reflection etc.visible with no hair/cap/ha

obscuring the eyes. u' '

lf the elector wears glasses, the photograph must show the eyes clearly with

no lights reflected in the glasses. The glasses should not have tinted lenses

and it shall be ensured that the frames of the glasses do not cover any part

of the eyes of the elector.

The photograph must have a plain, light coloured background and there

must be no other people or object visible with the elector.

Optional Particulars

Fields for providing details in item (k) to (m) are optional; however, it is in interest of the applicant to

supply information in these items to enable election authorities to extend citizen services like

intimation about status of process of application form, issue of EPIC sending information/notices to

electors and providing necessary assistance at polling station during elections.

Declaration

1. All entries in "DECLARATION" portion must compulsorily be completed in allrespects.

2. Please indicate date from which the Applicant is presently residing at the given address.

If he is not able to recall the exact date, the month and year from which he is residing at

that place should be mentioned.

3, If his name is already included in the electoral roll of any other constituency, name ofearlier constituency should be mentioned. Also, full particulars of his previous address

should be provided, otherwise his application is liable to be rejected at the initial stage

itself.4. The options which are not relevant should clearly be struck off.5. Please note that giving any false stalement made in the DECLARATION portion is

punishable offence under Section 31 of the Representation of People Act, 1950.

Ststus Tracking of Application

The Applicant con track his opplicotion ond know stotus by providing,registrotion lD

provided to him ot the time of submission of Application on Notionol Voters Service Portal i.e,

http://:,,www.nu!trLin/, or on mobile opp/SMS/e-mail, provided that up-to-dote contoct detoils

ore furnished in items (k) to (m) of the Form 6.

Personal Hearing

While processing the Application of the Applicant, the Electoral Registrotion Officer

(ERO) may hold personol hearing in the following cqses:

7. if he is not satisfied with Booth Level Officer's (BLO) verificotion report, or

2. BLO is not able to find the Applicont at given address despite severol visits", or,

3. his identity connot be established due to non-avoilobility of family link, or

4. as o first time oppticont above 27 years he hos not filed age declaration, or

5. an objector demonds for applicont's personal hearing.

Reason for Rej ection of Application

The ERO may reject the applicotion of the Applicant in ony of the following coses:

7. if it is not within time/in monner/ in Form

2. the opplicant is olreody registered at the sqme address

3. he is not eligible due to underage/not lndion citizen/not ordinorily resident.

4. he foils to turn up for personol'iJoring/cooperate in enquiry/ to produce requisitedocuments to ERO's sotisfoction

5. BLo is not oble to complete vErificotion, despite repeated visits.Provision for Appeol s' ' '

The Applicant cdn moke an Appeol agoinst the decision of the ERO with regord tohis application .

7. Appedl during revision: An Appeol during revision con be presented to the DistrictElection Officer. However, oppeal will not have the effect of staying or postponing thefinol publicotion of the electorol roll.

The appeol con be preferred only if the Applicont hos ovailed himself of right to beheord or to moke representation to the Electorol Registrotion Officer. The appeol should be inthe form of o memorondum, signed by the Applicont. lt con be presented to the AppeloteAuthority or be sent to him by registered post. ln both these cases, the oppeal must reoch theAppellate Authority within 75 doys of the decision by the Electoral Registration Officerbecoming known.

2. Appeal during continuous updation: During continuous updotion the Appticont con availtwo opportunities for oppeals. First before the first appellate authority who is the DistrictMagistrate or Additional District Magistrote or Executive Magistrate or District Collectoror on officer of equivolent, within the period of fifteen days of the order oppealed agoinstor sent by registered post so os to reoch him within that period. The appeat shall be inthe form or memo signed by the Applicant ond accompanied by o copy of the orderappeoled against.

Second oppeol agoinst the order of the District Magistrate or Additional DistrictMogistrote can be presented to the Chief Electoral Officer within 30 days from the dote oforder appeoled agoinst or sent by registered post so as to reach him within that period. Thisappeol should be in the form of o memorondum signed by the oppellont and accompanied bya copy of the order appeoled ogainst.

***********

.":t .t

ANNEXURE - | (For Form-5)

DECLARATION BY SERVICE PERSONNEL(TO BE ATTACHED WITH THE FORM-6)

For getting myself registered as general elector in the part of the electoral roll of my

place of posting, l, ............... ...............(NAME tN BLocK LETTERS) am

enclosing a certificate issued by Record Office/Commandant to the effect that I have been

posted at the peace station, namely, at ............... ..................(place) since

.(Date).

l, hereby, declare that I have neither got myself already registered as service elector in

the last part of electoral roll for any constituency nor have applied for such registration as

service elector in the last part of the electoral roll of any constituency.

l, further, declare that I am aware of the law that prohibits getting registered as an

elector at more than one place either in the same constituency or in.different constituencies

and if my name so appears at different places, the same may be deleted from all such places

except from the present place for which Form 6 has been presented.

SIGNATURE OF THE SERVICE PERSONNEL

RANK...

Place

Date

ANNEXURE -ll (For Form-6)


(To be made by either of the parents/Guru of the first time applicantin the age group of 18-21years who has no age proof)

!,

name isenrolled atthe Serial No. ........ inthe Part No. ........ of electoral roll of the

Assembly Constituency


is ... . ...years

of age as on 1"t January,20... and is residing with me.

Place:

Date:Signature of the parenUGuru

Sworn in the name of God/solemnly affirmed by Shri/Shrimati

(Place) at (hour) this

at

the day of

20... before me.


.'..:)' .t

ANNEXURE -II!(For Form-6)

DEGLARATION*(For an elector of 21+ age group seeking fresh registration for the first

time)1,...... ......, Son/DaughterMife

....., declare as under:

I have applied for registration in the electoral roll of .... constituency,as my name does not figure in electorat roll anywhere in lndia.

2' I have not been issued any EPIC at any time in the past in any constituency.

Place:Date:

*(Making false declaration inpreparation/revision of electoralpunishable under Section 31 of thePeople Act, 1951, and also under

Signature of the Applicant

lndian Penal

of

matters related toroll is an offenceRepresentation of thethe provisions of the

Code)

;jl "ANNEXURE IV(For Form-6)

DECLARATIONBY STUDENTS LIVING INHO STEL S/MES SES/ELSEWHERE

(TO BE ATTACHEDWTTHFORM 6)

... ... .....(NAME rN BLOCK LETTERS),

SPACE FOR PASTINGONE RECENT

PASSPORT SIZECOLOUR PHOTOGRAPH

(3.5 CM X 3.5 CM)SHOWING FRONTALVIEW OF FULL FACE

WITHIN THIS BOX

: son/daughter of

address of native place), hereby declare that :---(a) I am a bonifide student of

the institution) and pursuingfrom1o..............(month). ......(year)

*(U) t am presently residing at -

...( name of....(details of the course)

hostel/mess).OR

t (ii) (if residingelsewhereorit blj,i,-oitt"postal address of the place of stay outsideihii'fioiii,Umess;.

(c) * I want to be registered in the. electoral Joll/retain my registration in the electoral roll ofmy native place at m] above-mentionea ieiid;ntial-;AaiaIs;?tfi dtb;ffi;7fi;ftwr rv, vr

OR

*I want to be registered in the electoral roll of the constituency where I am presently residing .

U. I am alvare that.registrafion in the.eleqtoral rolJ of.more than one constituencv or more

ftffi,"fi.B','l'i"r.:srs':f:Ttxitist pxul-rrgr$f;r#F;iHaltbr",',ts,1id ;il;t6-t#arE'ot'iriE

','lf !ry pers\n makes in conneclionwith(a) the preparation, revision or cotection of qn elecloralroll, or ft)the inclusion or. exclusion of any entry in or from'an'electorai roll, a statement or decfarit:ioiiiiiinni riiti"{tfapg gnd which he either Enowi or ielieves

"to be false or does iot ir,titw ti it iiii,-n-i iniai i;i i:i-iiiiiiti

with impfisonment for a term which may exteid to nne lear, or with liie, o, iiin ioin:,

(ifresiding in hostel/mess, mention Room No./BlockNo./ elockName, itc. of the

(signature of the student)Place :Date :

It is certified that the information given in the declaration at (a) above and thephotograph have been verified from the records of the institution and iie found to be correct.

Place:

Date:

Signature and seal oftheHead Master/PrincipalR r/Director/Dean

,. :r**

ANNEXURE V(For Form-6)'

.",,:i' ,.y['- '

to**='u"t#ection commission of India

Application for tssue of RephmiffiE;,s photo tdentity card (Eptc)

FORM ID

ECI-EPIC-OOI

A

District:

B Elector's Particulars(To be filted by Electoo

To,


Assembly/Parlia mentarys Constituency

Sir/Madam,

I request that a Duplicate Electoral photo identity card be issued to me as my original card islosudestroyed/mutilated due to corrections in my elector's detail or due to change of address I want toget afresh card with my new address. I am retuning my EPIC to you along with fee for issue of duplicateEPIC My name is included in the electoral roll for the above conitituencyiparticulars in suppoiot my ctaimfor issue of duplicate EplC are given below:

1. Name of Elector:2. EPIC No of

Original card ( if known) :.3. Father's/ Mother's/Husband's'Name :

4. Sex (M/F): 5. Date of Birth (DOB) tf notknown then Age in Years)as on1st Jan, 200_...._.

(i) House / Door number :

(iii)Area / Locatity :

(iv) TownMllage:(v) PIN CODE


(YXr,' appryrng


1. lwill collect EP|C from VRC/CSC

2. r wish to receive my Eprc by post(serf addressed and stamped enverope encrosed)3. lwill collect EplC from BLO.

)Signature of the applicant

ltvl lt.V lJ l+ha a^^' ^'i^.^ L^.-.


I undertake to refurn the earlier card issued to me if the sameflecovered at a later date.

Date:

PIace:

tr For o/ficial Use

Authentica tion fot Iss, ofEPIC (To befilled by ERO's Repra:entative)

PartNo. ;


lD number of Designated photography

Location (DPL) or Common Service centers(csE).:

#Token No.Receipt No.


veffled by:

Dale: _l_1209_ Signature

D Acknowledgement ofR- EPIC by the Elector

Received Duplicate EptC on (Date): Elector's Signature

or Thumb lmpression200_

(r\u. g l\ameri

.'.,:l' .y For publishing in small booklet form forguidance of registration authorities down

to Booth Level Officers

GENERAL INSTRUCTIONSFORM-6A

Who can file Form-6A1. Every Indian citizen staying in a foreign country, who has not acquired citizenship of a foreign

comtry, and has completed 18 years as on lst January of the year, can make an applicationlnForm 64 for being registered in the roll for the constituency pertaining to the locaiiiy in whichhis place of residence in India as mentioned in the passporf iJ located.lhe application in Form6,{ can be presented to the registration officer concerned.

2. The applicant should have completed eighteen years ofage as on 1st January ofthe year. Forexample, if the application is for inclusion of name in the electoral roll with riference to 01-01-2017 as the qualifying date, the applicant should have completed 18 years as on 01-01-2017.

Availability of Form 6AForm will be available at EROs/AEROs Office/Designated Locations/Authorized Centres. It

can also be downloaded from NVSP portal i.e, http://www,nvsp.in/ or from rhe ECI website, Le,h@://eclnic.in"

Where to submit the application in Form-6AThe application should be submitted directly to the Electoral Regiskation Officer (ERO) of theconstituency within which the place of ordinary residence of the applicant as given in the validpassport falls. The Application in Form 6,{ can be presented in person to the ERO or sent by postaddressed to the ERO concemed. The application can also be fiiid online on the National VoterService Portal NVSP) of the Election Commission, i.e, hxo://www.nvso.in/or on the website ofChief Electoral Offrcer of the State concerned(Z tnk of CEoii"biidf,"en provided on thec omm i s s i on's w eb s it e, i. e, http : //e cL nic. in/ec i main I /L in ks. aspx).[The particulars and postal address of the EROs of all the constituencies in India are available on

the websites of CEOs of concerned States which can be accessed through website of ElectionCommission of India (http://eci.nic.in) l

Documents to be attached

3- Paste one recent passport size coloured photograph with a light background (preferably white)showing the full face of the applicant.

4. Fill in all the columns in Form-6A. The name and other particulars, as given in the valid IndianPassport, should be written.

5. If application is sent by post, it should be accompanied by photo-copy of the relevant pages ofthe passport containing the photograph and all other particulars of the applicant anO ifrJpagecontaining the valid visa endorsement. These photb-copies should Ue Outy self-attested.Applications without the attested photo-copies- of these documents will be liable to besummarily rejected.

6. If the application is submitted in person before the ERo, the application should be accompaniedby a photo-copy of the relevant pages of the passport as menti-oned above. The original passportshould also be produced alongwith the application for verification by the registrltion officer.The passport will be returned immediately after verification.

Voting

7. It may be noted that after enrolment of the name of the Applicant, he will be able to cast vote inelection in the constituency, jf he is physically present-in the polling station along with hisoriginal passport on the day ofpoll.**:F*:t*******+***+:&*:t*****{c**rt****,t **+:t*++*tr<**{.**tr<*xxxx<***{.{<*{<***

For publishing in small trooklet form for guidance

of registration authorities down to Booth LevelOfficers

GEI\ERAL INSTRUCTIONSF'ORM.7

Who can file Form-7

1. please note that no fee shall be charged for the application Form or for processing the Form for


authorized centres.

Z. Can be filed only by a person whose name is already included in that roll in order to object

inclusion of a name proposed to be included in that part of the electoral roll or for seeking

deletion of name already included in that part of the electoral roll. An elector can file Form 7

requesting to delete a duplicate entry in respect of himself'


Form will be availabte at ERO5/AEROs Office/Designated Locations/Authorized Centres. lt

can also be downloaded from NVSP portal i.e, http://www.nysp.in/ or from the ECt website, i,e,

http://eci,nic.in,

When Form-7 can be filed

1. The application can be filed after draft publication of electoral roll of the constituency to

object io the proposed inclusion of an entry in the draft roll. The application is to be filed

*ithin the specific days provided for the purpose. Due publicity is given about the above

period when the revision programme is announced.

2. Only one copy of the application is to be filed.

3. The Application seeking deletion of an entry from the final electoral roll can be filed at any

time even when the rivision programme is not going on. During Ron-revision period,

application must be filed in duplicate.


1. During revision period, the application can be filed at the designated locations where

the draft electoral roll is displayed lmosity polling station locations) or at the places authorised

by the Election Commission, is well as the offices of Electoral Registration Officer and Assistant

dlectoral Registration Officer of the constituency. The application can also be filed online on the

National Voier Service portal (NVSP) of the Election Commission, Le, http://www.nvsp.itd or on

the website of Chief Electoral Officer of the State concerned(Link of CEOs' website has been

provided on the Commis sion's website, i. e, http ://ecl nic. in/eci main 1/Links, aspil.

2. When revision programme is not going on, the application can be filed only with the

Electoral Registration Ofrtcer or Assistant Electoral Registration Officer or can be filed online,

as above.


l. The application should be addressed to the Electoral Registration Oflce1 of the constituency

in which another elector registered in that roll objects the proposed inclusion of an entry in

the draft electoral roll. The name of the constituency should be mentioned in the blank space'

.'.,'t' .,,

'...,.,*

2' Details of person inclusion of whosg name is objected to / Details of person whose entryis to be deleted: *rl.

Out of the three options, the first option is relevant after draft publication of electoral rollduring revision of electoral roll. In other words, to show the objected entry in the draft roll inthe list of deletions at the time of final publication of the roll.ihe ,..ord opi* is relevantduring continuous updation after final publication of electoral roll. In other words, for deletionof an entry already included in the final electoral roll. )

(Please tick the appropriate alternative whilefilting up the Form)Besides the name of the person whose entry is objicted for inclusion or sought to be deleted,the other details of the electoral roll Part No., Serial No. of the entry in that part ofelectoral roll and Identity Card No issued to ihat person are also required to be filled up.These details are available in the relevant part of electoral roll. The part No. of the electoralroll is printed on_the. right hand top cornei of the electoral roll. Every entry is given a serialnumber. Please check the electoral roll and write the serial number at which the name of theperson whose entry is objected for inclusion/sought to be deleted is listed. In case the personhas already been issued_ an Identity Card that No. is also printed against that entry. pleasewrite that card no. in full in the space provided.Separate Application is required to be filed for each of the three alternatives for objectinginclusion/seeking deletion of each entry. In other words, the only one alternative is allowed tobe opted.

3. Details of objector

An "objector" can file Application inIorm.T only in respect of persons included in the partof the electoral roll in which he/she is registered. The objector has to fill up in the spaceprovided hislher name including surname, part no. of electoral roll and serial number at whichhis/her name is registered in that part of the electoral roll.

4, Reason(s) for objection / deletion.

The applicant 'objector' must specify the^reason(s) as to why according to himher the personwhose name is objected is not qualified for inclusion in thal part of electoral roll viz. Due todeath, due to shifting, not ordinarily residing-at the registered address etc. The onus of proofto substantiate the reason given for removal of the nami lies with the Objector.

5. Declaration

In last part of the Application, the applicant must give a declaration that the facts andparticulars mentioned in the application are true to the best of his&er knowledge and belief.The date from which the applicant is residing at the given address shouid be clearlymentioned. Giving a false declaration is punishabie under Siction 3l of the Representation ofthe People Act, 1950.

******,k***

For publishing in small booklet form for guidance ofauthorities down to Booth Level Officers

GENERAL INSTRUCTIONSFORM-8

Who can file Form-8

l.Please note that no fee shall be charged for the application Form or for processing theForm for registration by Registration Officer, except for the Election Commission approved

paid services at authorized centres.

2. Can be filed only by a person whose name is already included in the electoral rollseeking correction to his/her particulars already printed in the electoral roll. Oneperson cannot file application in Form 8 for correction in the particulars of any otherperson.


Form will be available at EROs/AEROs Office/Designated locations/Authorized Centres. ltcan also be downloaded from NVSP portal i.e, htlp:/lwqtyt.ny*pritr/ or from the ECt website,

i,e, http://eci,nic.in,

When Form-8 can be filed

1. Form-8 can be filed for correction to particulars of a person entered in the electoralroll. The application can be filed after draft publication of electoral roll of theconstituency. The application is to be filed within the specific days provided for thepurpose. Due publicity is given about the above period when the revision programmeis announced.


3. The Application can also be filed for correction of particulars relating to oneself inthe finally published electoral roll when the revision programme is not going on.During non-revision period, application must be filed in duplicate.


l. During revision period, the application can be filed at the designated locations where the draftelectoral roll is displayed (mostly polling station locations) or at the places authorised by theElection Commission, as well as the offices of Electoral Registration Officer and AssistantElectoral Registration Officer of the constituency. The application can also be filed online onthe National Voter Service Portql (NVSP) of the Election Commission, i.€,

htto://www.nvso.in/ or on the website of Chief Electoral Officer of the State concerned(Linkof CEOs' website has been provided an the Commission's website, i.e,

hffii ://ec * nic.fu/ef i.-mai n I /Links. as pxl.2. When revision progftlmme is not going on,.the application can be filed only with the Electoral

Registration Officer or Assistant Electoral Registration Officer or can be filed online, asabove.


l. The application should be addressed to the Electoral Registration Officer of theconstituency in which the name of the applicant is already included. The name of theconstituency should be mentioned in the blank space.

.',,:i' ,.t

2. In Part I of the Application, the applicant should write his name, as it should appearin the electoral roll. In case the initials to applicant's name printed in the electoraf rolare in abbreviated form and"fre'rvants them to be printed in expanded form he canwrite his full name in expanded form. The full name except the surname should bewritten in the first box and surname should be written in the second box. In case theapplicant does not have a surname, the given name only should be written. Casteshould not be mentioned except where the caste name is used as part of the elector,sname or a surname. Honorific appellations like Shri, Smt. Kumari, Khan, Begum,Pandit etc. should not be mentioned.

3. Please fill up the Part Number and serial number in that part of electoral roll wherethe name of the Applicant is listed. This is mandatory.

4. For correction in date of birth, documentary proof should be attached as under:

i) Birth certificate issued by a Municipal Authorities or district office of theRegistrar of Births & Deaths or Baptism certificate; orii) Birth certificate from the school (Govt. / Recognised) last attended by theapplicant or any other recognised educational institution; oriii) If a person is class 10 or more pass, he should give a copy of the marksheet ofclass 10, if it contains date of birth as a proof of date of birth; oriv) Marksheet of class 8 if it contains date of birth; orv) Marksheet of class 5 if it contains date of birth; orvi) A declaration in prescribed format given in Annexure-l, (made available ondemand by registration authorities) made by either of his parents if the person is noteducated till class l0 (In those cases where parental declaration is given as proof of&Ea, the applicant will have to be present himself for verification beforeBLO/AERO/ERO); orvii) A certificate of his age given by a sarpanch of the concerned Gram Panchayat orby a member of the concerned Municipal Corporation / Municipal Committee, in casethe person is not educated till class 10 and both the parents are not alive.viii) Indian Passport.ix) PAN Card.x) Driving License.xi) Aadhar letter issued by UIDAI.Note: Documentary proof of age will be required only in those cases, where ageof the applicant is between 18 and 21 years. In all other cases declaration of hisage by the applicant will be taken as proof of age.

Details of Electors'Photo Identity Card.

1. If the Applicant has already been issued a Photo Identity Card by the ElectionCommission, the card number (printed on the front side) and date of issue(printed on the back side) of the card in the space provided in Part (d) of theApplication Form should be mentioned. Please attach a self-attested photocopy ofboth sides of the card.

2. If the Applicant wants a fresh EPIC due to correction in entries through Form 8,an application has to be made for issue of such replacement EPIC in EPIC-001(as per the format given as Annexure-Il) with old EPIC and the requisite fee aftercorrection by ERO on basis of Form-8.

Details of entries to be corrected.

l. In item (e) of the Application, the applicant should clearly tick the entry(ies) to becorrected. Therefore, this is a very important part of the Application.

2. In most part of the countv now the electoral roll is printed with the photographofelectors. [n case theapplication is for correcting a wrong photograph, then theapplicant may tick on the "Photograph" in item (e) of the application and please,attach a recent passport size colour photograph with the application. In case ofcorrection of entries in electoral roll, please mention correct particulars (whichshould be after proposed correction) in the box provided for this purpose, justbelow the item (e) of the Form.Full name and address on the acknowledgement and intimation portions shouldalso be given.Applicant may give mobile number and E-mail I.D in the Form, which isoptional, as the same, if given, may be used by the Electoral Registration Officerfor further communication with the applicant whenever required.

3.

4.

ANNEXURE -l (For Form 8)


(To be.made by either of the parents/Guru of the first time applicantin the age group of 18-21years who has no age prooi)'

l, ........... ......:......... whosename is enrolled atthe Serial No. ........ in the Part No. ........ of electoral roll of the

... ... . Assembly Constituency


....... is ........yearsof age as on 1't January,20... and is residing with me.

Place:

Date:

Signature of the parenUGuru

Sworn in the name of God/solemnly affirmed by shri/shrimati

(Place) at (hour) this the day of20... before me.


..'.,,*

ANNEXURE II @or Form 8):.i1, .y['- '

Election Commission of India(ANNEXURE.II)

Application for lssue of Replacement Elector,s photo ldentity Card (EplC)

FORM ID

ECI.EPIC.OOI

A State/ UT :

AC" (No. & Name):

District:

B Electo/s Particulars(To be filled by Etector)

To,



Sir/Madam,

I request that a Duplicate Electoral Photo identity card be issued to me as my original card islosudestroyed/mutilated due to corrections in my elector's detail or due to change of address I want toget afresh card with my new address. I am retuning my EPIC to you along with fee for issue of duplicateEPIC My name is included in the electoral roll for the above constituency. Particulars in support of my claimfor issue of duplicate EPIC are given below:

1. Name of Elector: 2. EpIC No ofOriginal card ( if known) :.

3. Father's/ Mother's,/

Husband's* Name :

4. Sex (M/F): 5. Date of Birth (DOB) lf notknown then Age in Years)as on1stJan,200_......

6. Address

(i) House / Door number:

(ii) StreeU Mohalla / Road/ Gali


(iv) Town^/illage : (v) PIN CODE

(vi) Police Station : (vii) District

(viii) Reasons for applying



2. I wish to receive my EPIC by pos(self addressed and stamped envelope enclosed)3. lwill collect EPIC from BLO.

)


(ix) Tick (r' )the appropriate box:


I undertake to retum the earlier card issued to me if the same

ftecovered at a later date.

Date:

Place:

tr For olficial (/.se

Authenticationfor Issue of EPIC (To beJilled by ERO,s Representative)

PartNo. :


lD number of Designated PhotographyLocation (DPL) or Common Service centers(csE).:

#Token No- or

Receipt No.


Verified by:


D Ackrowledgement ofR- EPIC by the Elector



For publishing in small booklet formfor guidance of registration

authorities down to Booth LevelOfficers

GEI\TERAL INSTRUCTIONSFORM-84

lYho can file Form-8Al. Please note that no fee shall be charged for the application Form or for processing the Form for


authorized centres.

2. A person whose name is already included in the current electoral roll and who has shifted

from one place to another place within the same constituency can file the Application fortransposition of entries relating to his in a different place of the same constituency.

Availability of Form 8A

Form will be available at EROs/AEROs Office/Designated locations/Authorized Centres. lt can also

be downloaded from NVSP portal i.e, tfitt:/lwwWrfitstt_.inf or from the ECI website, i.e,

http://eci.nic,in.

When Form-8A can be filed

1. The application can be filed after draft publication of electoral roll of the constituency fortransposition of entry relating to one own self or someone else within the same constituency.The application is to be filed within the specific days provided for the purpose. Due publicityis given about the above period when the revision programme is announced.


3. Application fortransposition of name within the constituency can also be filedthrough outthe year even when the revision programme is not going on. During non-revision period,application must be filed in duplicate.

Where to file Form-8A

During revision period, the application can be filed at the designated locations where the draftelectoral roll is displayed (mostly polling station locations) or at the places authorised by the

Election Commission, as well as the offices of Electoral Registration Officer and AssistantElectoral Registration Officer of the constituency. The application can also be filed online orthe National Voter Service Portal (NI/SP) of the Election Commission, i.e,

http://www.nvsp.in/ or on the website of Chief Electoral Officer of the State concerned(Linkof CEOs'website has been provided on the Commission's website, i.e,

http : //eci. ni c. in/eci muin I /L in ks. asnxl.When revision programme is not going on, the application can be filed only with the ElectoralRegistration Officer or Assistant Electoral Registration Officer or can be filed online, as

above.

How to Fill the Form-8A

l. The application should be addressed to the Electoral Registration Officer of the constituency

in which transpositions of the relevant entry is required. The name of the constituency should

be mentioned in the blank space.

".:i.' , -

l.

2. Fill the name Part No. & Serial No. of iiie electoral roll where already registered and ElectorsPhoto Identity card No.(EpIC) in full. (as printed in the electoral rollj.

3. In item (g) of the Application pleasedefition the complete address of the new place where theApplicant/person concerned has shifted place of ordinary residence within the constituency.Please do not write incomplete address as in that case it may not be possible to link theaddress to the relevant part of electoral roll where the entry is required to be transposed.

4. Full name and address may also be given on the intimation portions .The Applicant may givehis mobile number and E-mail I.D in the Form, which is oplional, as the s#e, if giv.r,, ;ruybe used by thq Electoral Registration Officer for further communication with tnI appiicantwhenever required.

Replacement EPIC

If the Applicant wants replacement EPIC with new address, he should apply for the same inForm EPIC-001 (as per the Format as Annexure I ), with requisite fee for replacement EpIC, and oldEPC, after enrolment at the new place on the basis of Form gA.

**********

. :''*

ANNEXURE I (For Form 8A)',!' .,

i!-- -

Election Commission of India(ANNEXURE-II

for lssue of Replacement Elector,s photo ldentity Card (EptC)Application

FORM ID

ECI,EPIC.OOI

A State/ UT :

ACD (No. & Name):

District:


To,



Sir/Madam,

I request that a Duplicate Electoral photo identity card be issued to me as my original card islosudestroyed/mutilated due to corrections in my elector's detail or due to change of address I want toget afresh card with my new address. I am retuning my EPIC to you along with fee for issue of duplicateEPIC My name is included in the electoral roll for the above constituency. Particulars in support of my claimfor issue of duplicate EPIC are given below:

1. Name of Elector:2. EPIC No of

Original card ( if known) :.3. Fathe/s/ Mother's/Husband's'Name :

4. Sex (M/F): 5. Date of Birth (DOB) tf notknown then Age in Years)as on1stJan,200_......

6. Addregs

(i) House / Door number

(il, Drreev Monaili

(ili)Ar"" / L"""lity

Gali

(iv) TownA/illage : (v) PIN CODE(vi) Police Station : (vii) District:

(viii) Reasons for apptying



2. I wish to receive my Eplc by post(serf addressed and stamped enverope encrosed)3. lwill collect EPIC from BLO.

)


(ix) fick 1; )the appropriate box:

lhereby retum my mutilated /old card.

I undertake to retum the earlier card issued to me ff the sameftecovered at a later date.

Date:

Place

tr Fot offrcidl Llse

Authen iurionfor Iss. ofEPIC (To belilled by ERO,s Representutive)

PartNo. :


lD number of Designated photography

Location (DPL) or Common Service centers(csE).:

#Token No. orReceipt No.


verfied by:


D Acknowledgement of R_ [pIC by the Elector

