FORM 8A
Application for transposition of  entry in  electoral  roll
   Assembly Constituency :  
 I. Details of person  whose entry is to be transposed:
  Name :  
  Part no in which his/her name is included :
  Serial number in that Part :
  EPIC No (if issued ):
  Father / Husband's name :
 II. Particulars of present place of ordinary residence  ( Full address) :
  House / Door number :
  Street / Area / Locality / Mohalla / Road :
  Town / Village :
  Post Office :
  Tehsil / Taluka / Mandal / Thana :
  Pin Code :
  District :
 III. Period of continuous residence at the above address on the date of application
  Years:
  Months :
 IV. Part number to which the entry has to be transposed(if known) :
   Part no :
 V. Details of applicant(Donot fill if applicant seeks transposition of entry relating himself):
  Applicant Name 
  Part no in which his/her name is included :
  Serial number in that Part :
  EPIC No (if issued ):
 VI. Declaration :
     I hereby declare that  the facts and particulars mentioned above are true to the  best of my knowledge and belief :-
    Place : 
    Date :   --  
Enter the text in image :