Note: Fields marked with asterisk (*) are mandatory

Form 8A

[See rules 13(4) and 26]
Application for transposition of entry in electoral roll
To
The Electoral Registration Officer
Sir,
I request that entry in the electoral 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:
I. Details of person whose entry is to be transposed



II. Particulars of place of present ordinary Residence (Full address)


III. Period of continuous residence at the above address on the date of application


IV. Part Number to which the entry has to be transposed


V. Details of applicant


V. Declaration

I hereby declare that the facts and particulars 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).