FORM 7
Application for objecting inclusion or seeking deletion of name in electoral roll
   Assembly Constituency :               
  I.  Details of person inclusion of whose name is objected to: / Details of person whose entry is to be deleted :
   Name :  
   Part no in which his/her name is included :
   Serial number in that Part :
   EPIC No (if issued ):
  II.  Details of objector :
   Name : 
   Sex :
   Part no in which objector's name is included :
   Serial number in that Part :
   Father / Husband's name :
  III.  Particulars of place of ordinary residence of objector/person seeking deletion ( Full address) :
   House / Door number :
   Street / Area / Locality / Mohalla / Road :
   Town / Village :
   Post Office :
   Tehsil / Taluka / Mandal / Thana :
   Pin Code :
   District :
  IV. Reason(s) for objection /deletion :
   
  V.  Declaration :
     I hereby declare that  the facts and particulars mentioned above are true to the  best of my knowledge and belief :-
   Place : 
   Date :  m d-y-  
Enter the text in image :