To be appended to Form-6
(The fields marked with * are mandatory)
GUIDELINES FOR FILLING UP THE APPLICATION
FORM-6
1.
General Instructions:-
(a) The application will be addressed to the Electoral Registration Officer(ERO) of the Assembly
Constituency (AC)/Parliamentary Constituency(PC) in which the applicant is ordinarily residing. In case
the applicant does not know or has any doubt about number and name of Assembly Constituency /
Parliamentary Constituency, assistance may be extended by the Electoral Registration Officer and the
application will not be rejected on the ground of not mentioning of number and name of Assembly
Constituency / Parliamentary Constituency.
(b) The applicant can fill entries of the application either in English or official language of the state and
this will not be a ground for rejection of application.
(c) A service personnel, applying for enrolment as general elector in the electoral roll at his place of
posting at a peace station, should ensure that he is not already enrolled as service elector or general
elector in some other constituency.
*(d) Photograph: A recent good quality passport size unsigned colour photograph (4.5cm X 3.5cm) with
white background should be pasted in the space provided. Eyes must be open and both edges of face
must be clearly visible.
(e) Elector’s Photo Identity Card (EPIC):EPIC will be delivered at given postal address after enrolment,
free of cost through speed post under proper acknowledgement.
2.
Item (1) *(Name): The exact name and spelling should be furnished in both official language of the
State and English. If filled in only one language, system will transliterate automatically in other
language which may lead to spelling mistakes.
3.
Item(2a) & (2b) (Name and Surname of Relative):In case of a married female applicant, name of
husband may preferably be mentioned. (Strike off the inapplicable options in the column).
4.
Item (5)Aadhaar Details: Aadhaar Number should be furnished for the purpose of authentication of
entries. If the applicant does not have Aadhaar number, the same may be mentioned in box at item 5 (b).
5.
Item (6) (Gender)
:
*(a)
Gender in the appropriate box provided for ‘Male’/ ‘Female’/ ‘Third Gender’ should clearly be tick
marked.
(b) Applicants belonging to Third Gender may indicate their sex as 'Male' or as 'Female' or as 'Third
Gender'.
6.
Item 7(a)(b) (Date of Birth):
*(a) A self attested copy of one of the documents mentioned in the form can be attached as age proof.
Submission of a document mentioned in the form will ensure speedy registration and delivery of
services.
(b) If none of the documents mentioned in the form is available, the applicant should enclose some other
document in support of age proof; and name of the said document should be mentioned in item 7(ii) and
item (iv) of ‘DECLARATION’ part in Form. In such case, the applicant will have to appear personally
before Electoral Registration Officer or any other officer designated by him for verification.
7.
Item 8 (Present Ordinary Residence):
*(a) Complete postal address with PIN code should be mentioned along with a self attested copy of any
of the mentioned documents in name of applicant/parents/spouse as proof of ordinary residence.
(b) Necessary field verification shall be made in cases of Homeless Indian Citizens living in
sheds/pavements and sex workers having no documentary proof of ordinary residence, provided they are
otherwise eligible for enrollment.
(c) Students, who are eligible for enrollment, can be enrolled either at their parent's place or at the
hostel/mess where they are ordinarily residing.
8.
*DECLARATION:All entries in “DECLARATION” portion should be completed in all respects.
Please note that giving any false statement made in the DECLARATION portion is a punishable
offence under Section 31 of the Representation of People Act, 1950 with imprisonment with a term
which may extend to one year or with fine or with both.
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