Type 6
[See Rule 13(1) and 26]

Application for Inclusion of name in the electoral roll for the first time due to the transfer of voter or one constituency to any other constituency.

In Service


Electoral Legislature Office,



I request that my name be included in electoral rolls for all the aforesaid areas


First time voter
Due to transfer from other meeting areas



Below are the specifications in support of my claim to be included in the electoral rolls.

Mandatory Specifications

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Date of Birth :
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Current Address, whose applicant is nominally resident

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Optional Specifications

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Upload Supporting Documents (Supported Formats .jpg .jpeg .png .bmp) (Size 2mb)

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Declaration

I Hereby declare that According to best of my knowledge and belief,

I am Citizen of India from my birth, of place,

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I am nominally resident of the address given on the date given above.


I have not applied for inclusion of my name in any other constituency,


My name has not been already included for electoral roll in this or any other assembly / parliament constituency.
My name would have been included in the electoral rolls of the State's Constituency, in which I was already residing, and if that so, then I request that it be removed from that Constituency.




I hereby declare that, if I am found guilty for any of the statements declared above, or any data submitted being false, then according to People's Representation Act, 1950(43 of 1950) it is punishable.