FORM 8A got 8V

[See rule 13(4) and 26) / (13(4) kW 26-MtJ fis ghf)

Application for transposition of entry in electoral roll/ thfhs goa git lkhWjYfhd zg
SPACE FOR PASTING ONE RECENT PASSPORT SIZE PHOTOGRAPH (3.5 CM X 3.5 CM) SHOWING FRONTAL VIEW OF FULL FACE WITHIN THIS BOX Kf KGikahd Kw njhwij fhLw, fl L mss (3.5br. X 3.5 br.) rga ifgl xid flF xLtjfhd l

To/ bgWe The Electoral Registration Officer/ thfhs g mfh, Assembly Constituency/ rlnguit bjhF

Sir/ Iah,

I request that entry in the electoral roll for the above mentioned Constituency relating to *myself / *person named below should be transposed to the relevant part of the roll in this constituency. Particulars of the entry to be transposed are given below: nkFl bjhF thfhs goa l bgWs *vdJ / * fl eg git jFj ghf lkhWkhW eh nfL bfhnw. git lkhWj brtjfhd tuf nH bfhLfgLsd: **Surname (if any)/ **FLgbga (VnjDU)

**Name/ bga Name in English/ bga My I. Details of person whose entry

is to be transposed

g lkhWj braglntoa eg tuf:

Name in Tamil / bga j

Part number of electoral roll in which his/her name is included/ thfhs goa mtuJ bga nrfgLs ghf v:

His/her serial number in that part/ mj ghf mtuJ tir v:

Electors Photo Identity Card number (if issued)/ thfhs ifgl milahs mil (tHfgoUjh) v:

* Fathers/ Mothers/ Husbands **Name/ bga Name in English jfgdh /jhah / fzt bga My * Fathers/Mothers/ Husbands Name in Tamil jfgdh /jhah / fzt bga j II. Particulars of present place of ordinary residence (Full address)/ jnghJ rhjhuzkhf FoUJ tU l tuf (KGikahd Kft) : House/ Door number : L / fj v New/a: :

**Surname (if any)/ **FLgbga (VnjDU)

Old/ giHa:

Flat Name / Building Name/ mLFkho FoU / fol bga: Street/ Area/Locality/Mohalla/Road/ bjU / gF / l / rhiy: Town/ Village/ efu / uhk: Post Office/ mr mYtyf: Tehsil/ Taluka/Mandal/ Thana/ tl / kly: District/ khtl: Years/ MLf: III. Period of continuous residence at the above address on the date of application/ zg eh nkFl Kft bjhlJ FoUJ tU tuf Months/ khjf: Pin Code/ mr FpL v:

IV. Part number to which the entry has to be transposed (if known)/ g lkhwgl ntoa ghf v (bjUjh) :

**Name/ **bga
@

Surname (if any)/ FLgbga (VnjDU)

His/her serial number in that part/ mj ghf mtuJ tir v :: Electors Photo Identity Card number (if issued)/ thfhs ifgl milahs mil (tHfgoUjh) v ::

V.

Details of applicant/ zgjhu tuf:

Part number of electoral roll in which his/her name is included/ / thfhs goa mtuJ bga nrfgLs ghf v :

Note/ F - Any person who makes a statement or declaration which is false and which he 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 (43 of 1950)./ vtuhtJ bghahd myJ bghahdbjW jh mJs myJ ew myJ cikahdbjW eghj mifia myJ cWbkhia bfhLjh mt 1950 M Mo kf uJt rl (1950 43) 31tJ jofgljftuhth. ** Name in English and Tamil will enable the entry of name to be made correctly in Electors Photo Identity Card (EPIC)/ thfhs ifgl milahs mil bga rahf l bgWtjF VJthf bgaiu jY MyY vGj. * Strike out the inappropriate alternative/ bghUjkwitfis moJ l. @ Part V not to be filled where applicant seeks transposition of entry relating to himself/ zgjhu jidga git fnfhUtjhUjh gF V-I ugTlhJ. . VI. Declaration/ cWbkh I hereby declare that the facts and particulars mentioned above are true to the best of my knowledge and belief. nkny FlgLs tuf vdF bjj tiuY, eifF cfj tifY cik vd cW TWnw. . Place/ l: Date/ eh:

Signature or thumb impression of the elector/ zgjhu ifbahg/ ifbgUu milahs

Please give your mobile number/ cf ifng E-mail I.D (optional)/ dr Kftia Fl (UgFglJ)

Details of action taken/ nk eltoif vLfgl tuf (To be filled by Electoral Registration Officer of the constituency)/ (bjhF thfhs g mfhah bragl ntoaJ) The application of Thiru/Tmt./Selvi/ . for transposition of entry relating to himself/ herself/ Thiru/Tmt./Selvi . in the electoral roll in Form 8A has been accepted*/rejected*. thfhs goa, jDila / U / Uk / br.................................................... ....... bjhlghd git lkhWjYfhd, U / Uk / br.................................................... got 8V VWbfhsglJ* , uhffglJ.* Detailed reasons for *acceptance or *rejection [under or in pursuance of rule 26(4)*]/ [ 26(4)] VW bfhsglJ myJ uhffgljfhd tukhd fhuzf: . Place/ l: Date/ eh:

Signature of (Seal of the Electoral Electoral Registration Officer Registration Officer) thfhs g mfh ifbahg (thfhs g mfh Kiu)

* Strike out the inappropriate alternative/ bghUjkwij moJ l.

Remarks of the field level officers (e.g. BLO, Designated Officer, Supervisory Officer)/ fs mYty (thF rhto iy mYty, zfgl mYty, nkghit mYty) - f Ff

[FORM 8A Contd..]/ got 8V (bjhl) [This page should be thick enough so that it does not get mutilated /damaged in postal transit] (jgh mDnghJ ahkUf gf fdkhd jh Uf ntL)
Intimation of action taken/ eltoif vLfgl tu (Section-II of the page is to be filled by Electoral Registration Officer of the constituency and to be posted to the applicant on the address as given by the applicant in Section-I) (bjhF thfhs g mfhah -II uggL, -I- zgjhuuh bfhLfgl KftF mDgglntL)

------------------------------------------------------------------------------------First Fold/ Kj ko ---------------------------------------------------Section-I/ -I

Postage Stamp to be affixed by the Electoral Registration Authority at the time of dispatch mDif nghJ thfhs g mYtyfjh jgh iy xlgl ntL.

** The application in Form 8A of Thiru/Tmt/ Selvi ** U/ Uk/br .... ... ... ............................................ got 8V- mfgl zgkhdJ ** (Full address) House/Door number / (KG Kft) L/fj v: Flat Name / Building Name/ mLFkho FoU/fol bga: Street/Area/Locality/Mohalla/Road/ bjU/gF/l/rhiy: Town/Village/ efu/uhk: Post Office/ mr mYtyf:

Pin Code/ mr FpL v:

Tehsil/Taluka/Mandal/Thana/ tl/kly: District/ khtl:: ** To be filled in by the applicant/ zgjhuuh ugglntL. . -------------------------------------------------------Second Fold/ ulh ko --------------------------------------------------Section-II/ -II has been a) accepted and the name of Thiru/Tmt/.Selvi.............................................................................. has been deleted from Part No . and registered at Sl.No. . in Part No of ...................................Assembly Constituency. (m) VfgL, U/ Uk/ br .. bga,...rlkw bjhF thfhs goa ghf v . UJ fgL, ghf v. tir v.. g bragLsJ. (b) rejected for the reason......................... (M) ...... vw fhuzfhf uhffgLsJ. Date/ eh....................... Electoral Registration Officer/ thfhs g mfh. (Address)/ (Kft) ................. ......................... ..........................

Receipt for application/ got bgW bfhljF xif Received the application in Form 8A of ** Thiru/Tmt/Selvi ** U/ Uk/br .... lUJ got 8V bgW bfhsglJ. **Address/ Kft Signature of the officer receiving the application on behalf of the Electoral Registration Officer/ thfhs g mfh rh got bgW bfhl mfh ifbahg

Date/ eh

(Address)/ (Kft) . ** To be filled in by the applicant/ zgjhuuh ugglntL.

GUIDELINES FOR FILLING UP THE APPLICATION FORM-8A General Instructions

Who can file Form-8A 1. A person whose name is already included in the current electoral roll can file the Application for transposition of an entry in a different place of the same constituency. When Form-8A can be filed 1. The application can be filed after draft publication of electoral roll of the constituency .for transposition of entry relating to ones own self or someone else within the same constituency. The application is to be filed within the specific days provided for the purpose. Due publicity is given about the above period when the revision programme is announced. Only one copy of the application is to be filed. Application for transposition of name within the constituency can also be filed throughout the year even when the revision programme is not going on. During non-revision period, application must be filed in duplicate.

2. 3.

Where to file Form-8A 1. During revision period, the application can be filed at the designated locations where the draft electoral roll is displayed (mostly polling station locations) as well as the offices of the Electoral Registration Officer and Assistant Electoral Registration Officer of the constituency. During other period of the year when revision programme is not going on, the application can be filed only with the Electoral Registration Officer.

2.

How to Fill the Form-8A 1. The application should be addressed to the Electoral Registration Officer of the constituency in which transposition of the relevant entry is required. The name of the constituency should be mentioned in the blank space. In Part I of the Application Form fill the name Part No. and Serial No. of the electoral roll where already registered and Electors Photo Identity Card No.(EPIC) in full and the relations name (as printed in the electoral roll). In Part II of the Application please mention the complete address of the new place where you/person concerned have shifted place of ordinary residence within the constituency. Please do not write incomplete address as in that case it may not be possible to link the address to the relevant part of electoral roll where the entry is required to be transposed. In Part III of the Application, indicate the approximate period of continuous residence at the new address mentioned in Part II. In Part IV, write the electoral roll part no. in which the residents of the new area where you have shifted are enrolled. This part is optional in case you dont know the electoral roll part number, then leave it blank. Part V is not to be filled where the applicant seeks transposition of entry relating to ones own self. This part is required to be filled in case the applicant applies for transposition of entry of some other person. Please also give your full name and address on the acknowledgement and intimation portions. Please give your mobile number and E-mail I.D in the Form, which is optional , as the same, if given, may be used by the Electoral Registration Officer for further communication with the applicant whenever required. The Booth Level Officer for the part may be contacted with regard to any Electoral Roll registration work.

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Call Centre (toll free) telephone No. 1950 Election Commissions website: : www.eci.nic.in Chief Electoral Officers website : www.elections.tn.gov.in

got 8VI utjfhd tfhoFf bghJthd miuf got 8VI ah jhf brayh 1. elYs thfhs goa bga nrfgLs xU eg, mnj bjhF ntbwhU l bragLs xU gid l khWtjfhf zgid jhf brayh. vnghJ got 8V mfglyh 1. xU bjhF thfhs goa tiu goayhf btlgl , xUt mYs jik Fj gitnah, ntbwhUt Fj gitnah, mnj bjhFF ntbwhU lF lkhWj bra zfyh. jfhf tiuaWfgLs ehfSF zgid jhf bra ntL. thfhs goa Uj eilbgW fhyf gotij jhf br fhyms FJ ca ms sgu bragL. 2. zg xnu xU uia kLnk jhf bra ntL. 3.mnj bjhFF bgaiu lkhWj bra zgid, thfhs goa Uj eilbgwhj fhyf Tl, ML KGtJ, jhf brayh. thfhs goa Uj eilbgwhj fhyf zg uL ufshf jhf bragl ntL. got 8VI vnf jhf brtJ 1. Ujg eilbgW fhy zgij tiu thfhs goa ghitF itfgL zfgl miklf (bgUghY thFrhto miklf) kW thfhs g mfh kW cj thfhs g mfh mYtyffY jhf brayh. 2. thfhs goa Ujg eilbgwhj, Mo kw fhyf zgij thfhs g mfhlnkh, Fl kw mYtyffnyh jhf brayh. got 8V-I vgo utJ 1. git vj bjhFF lkhw bra nfhugLwnjh mbjhF thfhs g mfhF zgij KftlntL. fhahf cs l bjhF bga vGjgl ntL. 2. zg gF I- bga, Vbfdnt g lbgWs thfhs goa ghf v, tir v, thfhs ifgl milahs mil v (KGikahf) kW (thfhs goa mlgLsthW) cwd bga Mait uggl ntL. 3. zg gF II- f (myJ) bjhlila eg, rhjhuz Ulij bjhFF vj KftF khf / khshnuh mij KGikahf Fl ntL ja brJ Kftia miuFiwahf vGj ntlh. Vbdwh thfhs goa vj ghfF lkhw bra nfhugLwnjh mj ghfJl Kftia bjhlgLj ayhk nghfyh. 4. zg gF III-, gF II- FlgLs a Kft f bjhlJ FoUJ tU njhuhakhd fhy msit Fl. 5. gF IV-, f FobgaJs a gF tgtf bgaf lbgWs thfhs goa ghf viz vGj. ij brtJ cf UgFglJ. xUntis thfhs goa ghf v cfSF bjaiy vwh ij fhahfl. kDjhu jik Fj git lkhWj bra nfhUtjhUjh gF V-I ug TlhJ. zgjhu ntbwhU eg git lkhWj bra nfhUtjhUjh j gFia ug ntL. cfSila KG bgaiu Kftia xif kW eltoif vLfgl tu gFf Fl. cfSila ifng v kW dr Kftia got Fl (UgFglJ). njitgLnghJ zgjhuUl bjhl bfhtjF tiw thfhs g mfh gagLjyh. thfhs goa g bjhlghf ghf thFrhto iy mYtyiu bjhl bfhsyh. miH ika (flzyh) bjhiyng v a njj Miza tiyjs jiyik njj mfh tiyjs : 1950 : www.eci.nic.in : www.elections.tn.nic.in