Note: Fields marked with asterisk (*) are mandatory

Form 7

[See rules 13(1) and 26]
Application for objecting inclusion or seeking deletion of name in electoral roll
The Electoral Registration Officer
I object to the proposed inclusion of the name of the undermentioned person in the electoral roll for the above Constituency. Particulars in support of my objection are given below:
I submit that the entry relating to *myself/ *the person named below is required to be deleted for the reasons stated here under:
Details of person inclusion of whose name is objected to / Details of person whose entry is to be deleted:

II. Details of objector

III. Particulars of place of ordinary residence of @objector/ @person seeking deletion. (Full address)

IV. Reason(s) for *objection/*deletion

V. Declaration

I hereby declare that the facts and particulars mentioned above are true to the best of my knowledge and belief: -

Note – 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).