Union of India - Act
The Registration Of Electors Rules, 1960
UNION OF INDIA
India
India
The Registration Of Electors Rules, 1960
Rule THE-REGISTRATION-OF-ELECTORS-RULES-1960 of 1960
- Published on 10 November 1960
- Commenced on 10 November 1960
- [This is the version of this document from 10 November 1960.]
- [Note: The original publication document is not available and this content could not be verified.]
21.
/950Part I – Preliminary
1. Short title and commencement
.-(1) These rules may be called the Registration of Electors Rules, 1960.2. Definitions and interpretation
.-(1) In these rules, unless the context otherwise requires,-(a)"Act" means the Representation of the People Act, 1950 (43 of 1950);(b)"declared office" means an office declared by the President to be an office to which the provisions of sub-section (4) of section 20 apply;(c)[ "Form" means a Form appended to these rules and in respect of any constituency, includes a translation thereof in the language or any of the languages in which the electoral roll for that constituency is prepared;] [ Substituted by S.O. 3874, dated 15.11.1966.](d)"registration officer" means the electoral registration officer of a constituency and includes an assistant electoral registration officer thereof;(e)"roll" means the electoral roll for a constituency;(f)"section" means a section of the Act;[* * *] [ Clause (g) omitted by S.O. 3874, dated 15.12.1966.]Part II – Electoral Rolls For Assembly Constituencies
3. Meaning of constituency
.-In this Part "constituency" means an Assembly constituency.4. Form and languages of roll
.-The roll for each constituency shall be prepared in such form and in such language or languages as the Election Commission may direct.5. Preparation of roll in parts
.-(1) The roll shall be divided into convenient parts which shall be numbered consecutively.6. Order of names
.-(1) The names of electors in each part of the roll shall be arranged according to house number, unless the chief electoral officer, subject to any general or special instructions issued by the Election Commission, determines in respect of any part that the alphabetical order is more convenient or that the names shall be arranged partly in one way and partly in the other.7. Statement under section 20
.-(1) Every person who holds a declared office or has a service qualification and desires to be registered in the roll for the constituency in which, but for holding such office or having such qualification, he would have been ordinarily resident, shall submit to the [registration officer of the constituency] [ Substituted by S.O.3874, dated 15.12.1966.], a statement in such one of the [Forms 1, 2, 2-A and 3] [Substituted by S.O.3874, dated 15.12.1966. ] as may be appropriate.8. Information to be supplied by occupants of dwelling-houses
.-The registration officer may, for the purpose of preparing the roll, send letters of request in Form 4 to the occupants of dwelling-houses in the constituency or any part thereof; and every person receiving any such letter shall furnish the information called for therein to the best of his ability.9. Access to certain registers
.-For the purpose of preparing any roll or deciding any claim or objection to a roll, any registration officer and any person employed by him shall have access to any register of births and deaths and to the admission register of any educational institution, and it shall be the duty of every person incharge of any such register to give to the said officer or person such information and such extracts from the said register as he may require.10. Publication of roll in draft
.-As soon as the roll for a constituency is ready, the registration officer shall publish it in draft by making a copy thereof available for inspection and displaying a notice in Form 5-11. Further publicity to the roll and notice
.-The registration officer shall also-12. [ Period for lodging claims and objections [ Substituted by S.O. 35(E), dated 21.1.1977.]
.-Every claim for the inclusion of a name in the roll and every objection to an entry therein shall be lodged within a period of thirty days from the date of publication of the roll in draft under rule 10, or such shorter period of not less than fifteen days as may be fixed by the Election Commission in this behalf:Provided that the Election Commission may, by notification in the Official Gazette, extend the period in respect of the constituency as a whole or in respect of any part thereof.]13. Form for claims and objections
.-(1) Every claim shall be-(a)in Form 6; [and] [ Inserted by S.O. 817(E), dated 25.10.1993.](b)signed by the person desiring his name to be included in the roll; [*] [ The word " and" omitted by S.O. 817(E), dated 25.10.1993.][* * *] [ Clause (c) omitted by S.O. 817(E), dated 25.10.1993.]14. Manner of lodging claims and objections
.-Every claim or objection shall-15. Procedure of designated officers
.-(1) Every officer designated under rule 14 shall-(a)maintain in duplicate a list of claims in Form 9, a list of objections to the inclusion of names in Form 10 and a list of objections to particulars in Form 11; and(b)keep exhibited one copy of each such list on a notice board in his office.16. Procedure of registration officer
.-The registration officer also shall-17. Rejection of certain claims and objections
.-Any claim or objection which is not lodged within the period, or in the form and manner, herein specified, shall be rejected by the registration officer.18. Acceptance of claims and objections without inquiry
.-If the registration officer is satisfied as to the validity of any claim or objection, he may allow it without further inquiry after the expiry of one week from the date on which it is entered in the list exhibited by him under clause (b) of rule 16:Provided that where before any such claim or objection has been allowed, a demand for inquiry has been made in writing to the registration officer by any person, it shall not be allowed without further inquiry.19. Notice of hearing claims and objections
.-(1) Where a claim or objection is not disposed of under rule 17 or rule 18, the registration officer shall-(a)specify in the list exhibited by him under clause (b) of rule 16, the date, time and place of hearing of the claim or objection; and(b)give notice of the hearing-(i)in the case of a claim to the claimant in Form 12;(ii)in the case of an objection to the inclusion of a name, to the objector in Form 13 and to the person objected to in Form 14; and(iii)in the case of an objection to a particular or particulars in an entry, to the objector in Form 15.20. Inquiry into claims and objections
.-(1) The registration officer shall hold a summary inquiry into every claim or objection in respect of which notice has been given under rule 19 and shall record his decision thereon.21. Inclusion of names inadvertently omitted
.- [(1)] [ Rule 21 renumbered a sub-Rule (1) of that Rule by S.O. 3661, dated 12.10.1964.] If it appears to the registration officer that owing [* * *] [ Omitted by S.O. 3661, dated 12.10.1964.] to inadvertence or error during preparation, the names of any electors have been left out of the roll and that remedial action should be taken under this rule, the registration officer shall-(a)prepare a list of the names and other details of such electors;(b)exhibit on the notice board of his office a copy of the list together with a notice as to the time and place at which the inclusion of these names in the roll will be considered, and also publish the list and the notice in such other manner as he may think fit; and(c)after considering any verbal or written objections that may be preferred, decide whether all or any of the names should be included in the roll.22. Final publication of roll
.-(1) The registration officer shall thereafter-(a)prepare a list of amendments to carry out his decisions under rules 18, 20, [21 and 21-A] [ Substituted by S.O. 1519, dated 25.4.1968.] and to correct any clerical or printing errors or other inaccuracies subsequently discovered in the roll; [* * *] [ Omitted by S.O. 233(E), dated 31.3.1984.](b)publish the roll, together with the list of amendments, by making a complete copy thereof available for inspection and displaying a notice in Form 16 at his office; [and] [ Inserted by S.O. 233(E), dated 31.3.1984.](c)[ subject to such general or special directions as may be given by the Election Commission supply, free of cost, two copies of the roll, as finally published, with the list of amendments, if any, to every political party for which a symbol has been exclusively reserved by the Election Commission.] [Inserted by S.O. 233(E), dated 31.3.1984. ]23. Appeals from orders deciding claims and objections
.-(1) An appeal shall lie from any decision of the registration officer under rule 20, [rule 21 or rule 21-A] [ Substituted by S.O. 1519, dated 25.4.1968.] to such officer of Government as the Election Commission may designate in this behalf (hereinafter referred to as the appellate officer):Provided that an appeal shall not lie where the person desiring to appeal has not availed himself of his right to be heard by, or to make representations to, the registration officer on the matter which is the subject of appeal.24. Special provision for preparation of rolls on redelimitation of constituencies
.-(1) If any constituency is delimited a new in accordance with law and it is necessary urgently to prepare the roll for such constituency, the Election Commission may direct that it shall be prepared-(a)by putting together the rolls of such of the existing constituencies or parts thereof as are comprised within the new constituency; and(b)by making appropriate alterations in the arrangement, serial numbering and headings of the rolls so compiled.25. [Revision of rolls] [ Substituted by SO. 814(E), dated 3.9.1987.]
.-(1) The roll for every constituency shall be revised under sub-section (2) of section 21 either intensively or summarily or partly intensively and partly summarily, as the Election Commission may direct.26. [Correction of entries and inclusion of names in electoral rolls] [ Substituted by S.O. 2315, dated 21.9.1961.]
.- [(1) Every application under section 22 or sub-section (1) of section 23 shall be made in duplicate in such one of the Forms ] [Substituted by S.O. 3874, dated 15.12.1966. ][6, 7, 8 and 8-A] [ Substituted by S.O. 934(E), dated 18.8.2003 (w.e.f. 18.8.2003) as corrected by S.O. 956(E), dated 21.8.2003.][as may be appropriate ] [ Substituted by S.O. 2315, dated 21.9.1961.][* * *] [ Certain words omitted by S.O. 537(E), dated 22.7.1992.].[Provided that the statements in Forms 2, 2-A and 3, from persons having service qualifications, received after the final publication of the electoral roll shall be deemed to be the applications under sections 22 and 23 ] [Inserted by S.O. 814(E), dated 3.9.1987. ][* * *] [ Certain words omitted by S.O. 537(E), dated 22.7.1992.].[(1-A) Every such application as is referred to in sub-rule (1) shall be presented to the registration officer in such manner as the Election Commission may direct.] [ Inserted by S.O. 814(E), dated 3.9.1987.][* * *] [ Sub-Rule (1-B) omitted by S.O. 817(E), dated 25.10.1993.][* * *] [ Sub-Rules (2) and (2-A) omitted by S.O. 537(E), dated 22.7.1992.]27. Appeals from [* * *] [ Omitted by S.O. 3874, dated 15.12.1966.] under rule 26
.- [(1) Every appeal under section 24 shall be-(a)in the form of a memorandum signed by the][appellant] [ Substituted by S.O. 814(E), dated 3.9.1987.];(b)[ accompanied by a copy of the order appealed from and ] [Substituted by S.O. 2315, dated 21.9.1961. ][[a fee of five rupees] [ Substituted by S.O. 370, dated 25.1.1968.][to be- [ Substituted by S.O. 370, dated 25.1.1968.](i)paid by means of non-judicial stamps; or(ii)deposited in a Government treasury or the Reserve Bank of India in favour of the chief electoral officer; or(iii)paid in such other manner as may be directed by the Election Commission; and](c)[ presented to the chief electoral officer within a period of fifteen days from the date of the order appealed from or sent by registered post so as to reach him within that period:] [ Substituted by S.O. 3874, dated 15.12.1966.][Provided that the chief electoral officer may condone the delay in the presentation of the appeal to him, if he is satisfied that the appellant had sufficient cause for not presenting it within the time prescribed.] [ Inserted by S.O. 814(E), dated 3.9.1987.] [Substituted by S.O. 2315, dated 21.9.1961. ](1-A) Where the fee is deposited under clause (b) (ii) of sub-rule (1), the appellant shall enclose with the memorandum of appeal a Government treasury receipt in proof of the fee having been deposited.28. Identity cards for electors in notified constituencies [* * *] [ Omitted by S.O. 1505, dated 21.4.1969.]
.-(1) The Election Commission may, with a view to preventing impersonation of electors and facilitating their identification at the time of poll, by notification in the Official Gazette of the State, direct that the provision of this rule shall apply to [any such constituency or part thereof] [ Substituted by S.O. 1505, dated 21.4.1969.] as may be specified in the notification.29. Rolls for the Parliamentary constituencies in the Union territory of Delhi
.- The provisions of Part II shall apply in relation to Parliamentary constituencies in the Union territory of Delhi as they apply in relation to assembly constituencies.Part IV – Electoral Rolls For Council Constituencies
30. Rolls for local authorities' constituencies
.-(1) The roll for every local authorities' constituency shall be prepared and maintained in such form, manner and language or languages as the Election Commission may direct.31. Rolls for graduates' and teachers' constituencies
.-(1) The roll for every graduates' or teachers' constituency shall be prepared in such form, manner and language, or languages as the Election Commission may direct.Part V – Preservation And Disposal Of Electoral Rolls
32. Custody and preservation of rolls and connected papers
.-(1) After the roll for a constituency has been finally published, the following papers shall be kept in the office of the registration officer or at such other place as the chief electoral officer may by order specify until the expiration of one year after the completion of the next intensive revision of that roll:-(a)one complete copy of the roll;(b)statements submitted to the chief electoral officer under rule 7;(c)statements submitted to the registration officer under rule 8;(d)register of enumeration forms;(e)applications in regard to the preparation of the roll;(f)manuscript parts prepared by enumerating agencies and used for compiling the roll;(g)papers relating to claims and objections;(h)papers relating to appeals under rule 23; and(i)applications under sections 22 and 23.33. Inspection of electoral rolls and connected papers
.-Every person shall have the right to inspect the election papers referred to in rule 32 and to get attested copies thereof on payment of such fee as may be fixed by the chief electoral officer.34. Disposal of electoral rolls and connected papers
.-(1) The papers referred to in rule 32 shall, on the expiry of the period specified therein, and subject to such general or special directions, if any, as may be given by the Election Commission in this behalf, be disposed of in such manner as the chief electoral officer may direct.35. Use of old Forms
.-If, at any time, during a period of six months from the date on which any amendment to a form for making any claim, objection or other application to the registration officer under these rules takes effect, a person makes, such claim, objection or, as the case may be, other application in the Form as it stood before such amendment, the registration officer shall deal with such claim, objection or other application and he may, for this purpose, require such person, by notice in writing, to furnish such additional information (being the information which would have been furnished if the amended Forms had been used) within such reasonable time as may be specified in the notice.FORM 1(See rule 7)Statement As To Place Of Ordinary Residence By A Person Holding A Declared OfficeFull name ...............................................[Father's/Mother's/Husband's name] [Substituted by S.O. 303(E), dated 8-5-1993.] ................................Age.........................................years.Office held .................................................I hereby declare that I am a citizen of India and that but for my holding the above-mentioned office, I would have been ordinarily resident at (full postal address)..........................I further declare that my wife (name) ..................aged..........years, ordinarily resides with me [and is a citizen of India] [Substituted by S.O. 2315, dated 21.9.1961].This cancels any previous statement as to place of ordinary residence made by me.Place...............Date................Signature...........[FORM 2] [Substituted by S.O. 3667, dated 12.10.1964](See rule 7)Statement As To Place Of Ordinary Residence By A Member Of The Armed ForcesI hereby declare that I am a citizen of India and that but for my service in the Armed Forces I would have been ordinarily resident at-House No.....................................................Street/Mohalla..............................................Locality......................................................Town/Village...................................................Post Office....................................................Police Station.................................................Tehsil/Taluka...................................................District.........................................................State............................................................My full name..................................................Service No...........................Rank.................................Service/Corps/Regiment...............................................Name and address of record office..............................................Age last birthday.....................................................years.[I further declare that my wife..................age..............years, ordinarily resides with me and is a citizen of India.] [Delete if not applicable]This cancels any previous statement as to ordinary place of residence made by me.Date...................| Commandant's Office | Verified and found correct | ||
| Folio No.............................. | (Signature)........................ | ||
| Place.................................. | (Designation)..................... | ||
| Date.................................... | Commandant. |
| Name of citizen | Particulars as to[Father or Mother or Husband] [Substituted by S.O. 303(E), dated 8-5-1993.] | [Age on 1st January/April, 20.........] [Substituted by S.O. 409(E), dated 6-6-1989.] |
| 1. | ||
| 2. | ||
| 3. | ||
| 4. | ||
| 5. | ||
| 6. | ||
| 7. | ||
| etc. |
1. Enter the names of all persons who have completed [18 years of age on or before the 1st of January/April] [Substituted by S.O. 409(E), dated 6.6.1989] of this year and who are ordinarily residing in the premises.
2. Only the names of these who are citizens of India should be entered.
3. Enter against Serial No. 1 in the first column, the name of the head or other senior member of the family, provided he or she has the qualifications mentioned in paragraphs 1 and 2 above.
4. "Ordinarily residing" does not mean that the person should be actually in the house when you are filling in the form. The persons who normally live in the house should be included even though they may be temporarily absent, e.g., on a journey or on business or in hospital. On the other hand, a guest or visitor, who normally lives elsewhere but happens to be in the house at the time should not be included.
5. All ordinary residents of the house should be included, whether they are members of the family or not. But do not enter the name of any person who is a member of the Armed Forces of India or is employed under the Government of India in a post outside India or the name of such person's wife if she ordinarily resides with him.
6. In the case of every male citizen, enter in the second column the name of his father preceded by the words "son of".
7. In the case of every female citizen, enter in the second column -
8. In the third column, enter the age of the citizen as accurately as possible, giving only the number of complete years and ignoring the months.
[Note : For preparation/revision of rolls in 1989, omit "January" and retain "April". For preparation/revision of rolls in any other year, omit "April" and retain "January"]. [Substituted by S.O. 409(E), dated 6.6.1989][FORM 5] [Substituted by S.O.814(E), dated 3.9.1987](See rule 10)Notice Of Publication Of Electoral Roll In DraftToThe Electors of the..................................constituency.Notice is hereby given that the electoral roll has been prepared in accordance with the Registration of Electors Rules, 1960, and a copy thereof is available for inspection at my office, and at......................during office hours.The qualifying date for the preparation of the electoral roll is................................If, with reference to the above said qualifying date, there be any claim for the inclusion of a name in the roll or any objection to the inclusion of name or any objection to particulars in any entry, it should be lodged on or before the..........................19............................, in Form 6, 7 or 8 as may be appropriate.Every such claim or objection should either be presented in my office or to................. or sent by post to the address given below so as to reach me not later than the aforesaid date...................................Electoral Registration Officer,| I. Applicant's details | Name | Surname (if any) | |
| [Age as on 1st January..........] [Please give the year i.e. 2003, 2004, etc.] | Years : | Months : | Sex (male/female) : |
| Date of birth, if known : | Day : | Month : | Year : |
| Place of birth: | Village/Town : | ||
| District : | State : | ||
| [Father's] [Strike out the inappropriate alternative.]Mother'sHusband's | Name | Name | Surname(if any) |
| II. Particulars of place of ordinary residence (Full address): | |||
| House/Door number : | |||
| Street/Area/Locality/Mohalla/Road : | |||
| Town/Village : |
| Post Office: | Pin Code: | |||||||
| Tehsil/Taluka/Mandal/Thana: | ||||||||
| District: |
| Name | Relationship with applicant | Part number of the roll of the constituency | Serial number in that Part | Elector's photo identity card (if issued) number |
| 1. | ||||
| 2. |
| Electors photo identity card (if issued) number;........................... | |
| date of issue.................................................. | |
| Place:....................................... | .................................................... |
| Date: ....................................... | Signature or thumb impression of the applicant |
| Place:...................................... | Signature of Electoral | (Seal of the Electoral |
| Date: ...................................... | Registration Officer) | Registration Officer) |
| I.[Details of person inclusion of whose name is objected to:] [First alternative will be relevant during preparation/revision of electoral roll. Second alternative will be relevant during continuous updating after final publication of electoral roll. Strike out the inappropriate alternative.] | Name | Surname (if any) | ||||||
| [Details of person whose entry is to be deleted:] [First alternative will be relevant during preparation/revision of electoral roll. Second alternative will be relevant during continuous updating after final publication of electoral roll. Strike out the inappropriate alternative.] | Part number of electoral roll in which his/her name is included: | His/her serial number in that part: | Elector's photo identity card (if issued) number: | |||||
| #II. Details of objector | Name | Surname (if any) | ||||||
| Sex (male/female): | Part number of electoral roll in which objector's name is included: | His/her serial number in that part: | ||||||
| *Father'sMother'sNameHusband's | Name | Surname (if any) | ||||||
| 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: | Pin Code: | |||||||
| Tehsil/Taluka/Mandal/Thana: | ||||||||
| District: |
| Place:................................... | Signature of Electoral | (Seal of the Electoral |
| Date:.................................... | Registration Officer) | Registration Officer) |
| I. Applicant's details | Name | Surname (if any) |
| Part number of electoral roll: | Serial number in that part: |
| Age as on 1st January..........# | Years : | Months : | Sex (male/female) : |
| Date of birth, if known : | Day : | Month : | Year : |
| *Father'sMother'sHusband's | Name | Name | Surname(if any) |
| II. Particulars of place of ordinary residence (Full address): | |||
| House/Door number : | |||
| Street/Area/Locality/Mohalla/Road : | |||
| Town/Village : |
| Post Office: | Pin Code: | |||||||
| Tehsil/Taluka/Mandal/Thana: | ||||||||
| District : | ||||||||
| III. Details of Electors' photo identity card (if issued, in this or some other constituency) | ||||||||
| Electors' photo identity card number: Name of the constituency: | ||||||||
| IV. Details of entries to be corrected: |
| Place:................................... | Signature of Electoral | (Seal of the Electoral |
| Date:.................................... | Registration Officer) | Registration Officer) |
| I. Details of person whose entry is to be transposed: | Name | Surname (if any) | ||||||
| Part number of electoral roll in which his/her name is included: | His/her serial number in that part: | Elector's photo identity card (if issued) number: | ||||||
| *Father'sMother'sNameHusband's | Name | Surname (if any) | ||||||
| II. Particulars of present place of ordinary residence (Full address): | ||||||||
| House/Door number: | ||||||||
| Street/Area/Locality/Mohalla/Road: | ||||||||
| Town/Village: | ||||||||
| Post Office: | Pin Code: | |||||||
| Tehsil/Taluka/Mandal/Thana: | ||||||||
| 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): | ||||||||
| @V. Details of applicant | Name | Surname (if any) | ||||||
| Part number of electoral roll in which his/her name is included: | His/her serial number in that part: | Elector's photo identity card (if issued) numb |
| Place:................................... | Signature of Electoral | (Seal of the Electoral |
| Date:.................................... | Registration Officer) | Registration Officer) |
| Designated location identity (where applications have been received) | List of applications for inclusion of names received in Form 6 | Revision identity | ||||
| Constituency (Assembly/Parliamentary Constituency: | ||||||
| 1. List number@ | 2. Period of receipt of applications(covered in this list) | From date | To date | |||
| ____/____/___ | _____/____/___ | |||||
| 3. Place of hearing | ||||||
| Serial number$ of application | Date of receipt | Name of claimant | Name of Father/Mother/Husband and (Relationship)# | Place of residence | Date of hearing* | Time of hearing* |
| 1 | 2 | 3 | 4 | 5 | 6(a) | 6(b) |
| £ In case of Union territorieshaving no Legislative Assembly and the State ofJammu and Kashmir@ For this revision for this designated location* Place, time and date of hearing as fixed by electoral registration officer$ Running serial number is to be maintained for each revision for each designated location#Give relationship as F=Father, M=Mother and H=Husband within brackets i.e. (F), (M), (H) | Date of exhibition at designatedlocation under rule 15(b) | Date of exhibition at Electoral RegistrationOfficer's Office under rule 16 (b) | ||||
| Designated location identity (where applications have been received) | List of applications for objection to inclusion of names received in Form 7 | Revision identity | ||||||
| Constituency (Assembly/Parliamentary£Constituency): | ||||||||
| 1. List number@ | 2. Period of receipt of applications(covered in this list) | From date | To date | |||||
| ____/____/___ | _____/____/___ | |||||||
| 3. Place of hearing | ||||||||
| Serial number$ of application | Date of receipt | Name(in full) of objector | Particulars of name objected to | Reasons in brief for objection | Date of hearing* | Time of hearing* | ||
| Part number | Serial number | Name in full | ||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8(a) | 8(b) |
| £ In case of Union territorieshaving no Legislative Assembly and the State ofJammu and Kashmir@ For this revision for this designated location* Place, time and date of hearing as fixed by electoral registration officer$ Running serial number is to be maintained for each revision for each designated location | Date of exhibition at designated location under rule 15(b) | Date of exhibition at Electoral Registration Officer's Office under rule 16 (b) | ||||||
| Designated location identity (where applications have been received) | List of applications for objection to particulars in entries in electoral roll received in Form 8 | Revision identity | |||||
| Constituency (Assembly/Parliamentary£Constituency): | |||||||
| 1. List number@ | 2. Period of receipt of applications(covered in this list) | From date | To date | ||||
| ____/____/___ | _____/____/___ | ||||||
| 3. Place of hearing | |||||||
| Serial number$ of application | Date of receipt | Name(in full) of elector objecting | Particulars of entry objected to | Name of objector | Date of hearing* | Time of hearing* | |
| Part number | Serial number | ||||||
| 1 | 2 | 3 | 4 | 5 | 6 | 7(a) | 7(b) |
| £ In case of Union territories having no Legislative Assembly and the State ofJammu and Kashmir@ For this revision for this designated location* Place, time and date of hearing as fixed by electoral registration officer$ Running serial number is to be maintained for each revision for each designated location.] | Date of exhibition at designated location under rule 15(b) | Date of exhibition at Electoral Registration Officer's Office under rule 16 (b) | |||||
2. *I am a graduate of the....................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 the 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.-------------------------------.....................(Perforation..........................Intimation Of Action TakenThe application in Form 18 of Shri/Shrimati/Kumari........address.....................has been -2. During the last six years I have been engaged in teaching for a total period of more than three years as follows :-
| Name of Educational Institution | From(Date) | To(Date) | Period |
| 1. | |||
| 2. | |||
| 3. | |||
| 4. |