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  • Form 18 - To Register As A Voter For Graduates Constituency Election

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    Form 18 - to register as a voter for Graduates Constituency Election

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    Form 18 - to register as a voter for Graduates Constituency Election

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    Form 18 - to register as a voter for Graduates Constituency Election

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    1K views2 pages

    Form 18 - To Register As A Voter For Graduates Constituency Election

    Uploaded by

    ApnaComplex
    Form 18 - to register as a voter for Graduates Constituency Election

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    FORM 18

    (See Rule 31)


    CLAIM FOR INCLUSION OF NAME IN THE ELECTORAL ROLL
    FOR A GRADUATES' CONSTITUENCY
    To,
    The Electoral Registration Officer,
    Bangalore Graduate's Constituency.
    Sir,
    I request that my name be registered in the electoral roll for the Bangalore Graduates'
    Constituency. The particulars are:Name (in full): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . . . . ., Sex: . . . . . . . . . . . .
    Father's / Mother's / Husband's name (in full): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Qualification: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    House address (Place of ordinary residence): . . . . . . . . . . . . . .


    House No. . . . . . . . . . . . . . Street/ Mohalla. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    Town/Village: . . . . . . . . . . . . . . . . . . Post Office: . . . . . . . . . . . . . . . . . . . . . . . . . .
    Police station/Tehsil/Taluka/Mouza: . . . . . . . . . . . . . . . . . . . . District: . . . . . . . . . . . .
    Age: . . . . . . . .

    Pin Code: __ __ __ __ __ __

    2. *I am a graduate of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . University
    having passed the degree/diploma examination in the year . . . . . . . . . . . . . .
    OR
    *I am in possession of a diploma/certificate in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . which is a qualification
    equivalent to that of a graduate of a University in India having passed the examination for the diploma/
    certificate in the year . . . . . . . . . . . . . . . . . .
    3. In support of my claim as being a Graduate/in possession of the above diploma/certificate, I submit
    herewith . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    4. ** My name has not been included in the electoral roll for this or any other Graduates' constituency.
    OR
    ** My name has been included in the electoral roll for the . . . . . . . . . . . . Graduates' constituency under the
    address given below and I request that it be deleted from that roll:
    ............................................................................................................................................................................
    5. I declare that I am a citizen of India and that all the particulars given above are true to the best of my
    knowledge.
    Place: . . . . . . . . . . . . . . . . . .
    Date: . . . . . . . . . . . . . . . . . .

    . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
    Signature of Claimant

    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.
    *Strike out the paragraph not applicable.

    **Strike off the inappropriate alternative.

    INTIMATION OF ACTION TAKEN


    The application in Form 18 of Shri/Shrimati/Kumari . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been
    (a) accepted and the name of Shri/Shrimati/Kumari. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has been
    registered at Serial No . . . . . . . . . . . . . . . . . . in Part No . . . . . . . . . . . . . . . . . . . . . . . . . . .

    (b) rejected for the reason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Date_____________

    Electoral Registration Officer.


    (Address) . . . . . . . . . . . . . . . . . . . . . . . . . . .
    ....................................
    ....................................

    . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(perforation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Receipt for application


    Received the application in Form 18 from Shri/Shrimati /Kumari* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Electoral Registration Officer


    (Address) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    ...........................................
    ...........................................
    Date.
    *to be filled in by the applicant.

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