FORM 8
Application for corrections to particulars entered in electoral roll
  Assembly Constituency :                                                       
  Part No : 
 I. Applicant's Details :
   Name :  
   Serial number in Part :
   Age as on 1st January of (EnterYear):
   Years :
   Months :
   Sex :
   Date of Birth ,if Known (mm/dd/yyyy): --
   Father / Husband's name :
 II. Particulars of place of ordinary residence ( Full address) :
   House / Door number :
   Street / Mohalla / Road :
   Town / Village :
   Post Office :
   Tehsil / Taluka /Thana :
   Pin Code :
   District :
III. Details of Elector's Photo Identity Card  ( if issued, in this Constituency)
   Elector's Photo Identity Card number :
   Assembly Constituency :
 IV. Details of enteries to be corrected :






 
   Place : 
   Date (mm/dd/yyyy) :   --  
Enter the text in image :