Sei sulla pagina 1di 1
FORMID ECH-EPIC-OOIA ELECTION COMMISSION OF INDIA Form for submission of photograph (optional alongwith Form 6 /8 / 8 NAME OF STATE/ UNION TERRITORY rie walk oa passport siz (0. NAME OF THE CONSTITUENCY = reeeee em X33em) DETAILS OF APPLICANT AS GIVEN IN FORM 6/81 (oworstex 1. NAME OF APPLICANT: Puro) 2, FATHER/MOTHER/HUSBAND'S NAME 4. PARTICULARS OF PLACE OF ORDINARY RESIDENCE (FULL ADDRESS): [ House! Boor number: ‘Swe ArealLocality/ Mohalla Road "Town Village Post Offi "Tehsil TalukalMandall Thana Distics Pin Code | a submitting two copies of my recent passpor size photograph. One pasted on right side top comer of Form 6 / Form 8 / Form 8A with my signature/TL affixed aeross the photograph . The ‘other photograph has been pasted on this application forthe purpose of preparation of Elector Photo Identity Card (EPIC). ‘Lam aware that no EPIC will be issued using this photograph if my claim for inclusion in the electoral roll in Form 6 or for transposition of entry in Form 8A is not accepted and the photographs will nt be returned to me oR ‘This photograph may be used to replace wrong photograph appearing in the photo

Potrebbero piacerti anche