8/12/2019 Form 8A

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FORM 8Agot 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

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 lkhWkhWeh nfL bfhnw. git lkhWj brtjfhd tuf nH bfhLfgLsd:

I. Details of person whose entryis to be transposedg lkhWjbraglntoa eg

tuf:

**Name/bga

**Surname (if any)/

**FLgbga(VnjDU)

Name in English/bga My

Name in Tamil /bga j

Part number of electoral roll in

which his/her name is included/thfhs goa mtuJbga nrfgLsghf v:

His/her serial number in that

part/mj ghfmtuJ tir v:

Electors Photo Identity Cardnumber (if issued)/thfhs ifglmilahs mil(tHfgoUjh) v:

* Fathers/ Mothers/ HusbandsName in Englishjfgdh /jhah / fztbga My

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

* Fathers/Mothers/ HusbandsName in Tamiljfgdh /jhah / fztbga 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: : 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: Pin Code/ mr FpL v:

Tehsil/ Taluka/Mandal/ Thana/tl / kly:

District/khtl:

III. Period of continuous residence at the above address on the date of application/zg eh nkFl Kft bjhlJ FoUJ tU tuf

Years/MLf: Months/ khjf:

SPACE FOR PASTING ONE

RECENTPASSPORT SIZE

PHOTOGRAPH(3.5 CM X 3.5 CM) SHOWING

FRONTAL VIEW OF FULLFACE WITHIN THIS BOX

Kf KGikahd Kwnjhwij fhLw,

fl L mss (3.5br.X 3.5 br.) rga ifgl

xid flFxLtjfhd l

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

@V. Details of applicant/zgjhu tuf:

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

Part number of electoral roll in which

his/her name is included/ /thfhs

goa mtuJ bga nrfgLsghf 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 ::

Note/F - Any person who makes a statement or declaration which is false and which he either knows or believes to be false or doesnot believe to be true, is punishable under section 31 of the Representation of the People Act, 1950 (43 of 1950)./vtuhtJ bghahdmyJ bghahdbjW jh mJs myJ ew myJ cikahdbjW eghj mifia myJ cWbkhiabfhLjh 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)/thfhsifgl 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/cWbkhI 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)/drKftia 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 tohimself/ herself/ Thiru/Tmt./Selvi . in the electoral roll in Form 8A has beenaccepted*/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: Signature of (Seal of the ElectoralDate/eh: Electoral Registration Officer Registration Officer)

thfhs g mfh ifbahg (thfhs g mfh Kiu)

* Strike out the inappropriate alternative/bghUjkwij moJ l.

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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

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[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 Authorityat the time of dispatchmDif nghJthfhs gmYtyfjh jghiy xlglntL.

** 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/-IIhas beena) accepted and the name ofThiru/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 . UJfgL, 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 xifReceived the application in Form 8A of ** Thiru/Tmt/Selvi ** U/ Uk/br ....lUJgot 8V bgW bfhsglJ.

**Address/Kft

Date/eh

Signature of the officer receiving the application on behalf of the

Electoral Registration Officer/thfhs g mfh rhgot bgW bfhl mfh ifbahg

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

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GUIDELINES FOR FILLING UP THE APPLICATION FORM-8A

General Instructions

Who can file Form-8A1. 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 providedfor the purpose. Due publicity is given about the above period when the revision programme is announced.

2. Only one copy of the application is to be filed.

3. 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.

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.

2. During other period of the year when revision programme is not going on, the application can be filed only with the Electoral

Registration Officer.

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.

2. 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).

3. 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 bepossible to link the address to the relevant part of electoral roll where the entry is required to be transposed.

4. In Part III of the Application, indicate the approximate period of continuous residence at the new address mentioned in Part II.

5. 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.

6. 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.

Call Centre (toll free) telephone No. 1950

Election Commissions website: : www.eci.nic.in

Chief Electoral Officers website : www.elections.tn.gov.in

8/12/2019 Form 8A

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got 8VI utjfhd tfhoFfbghJthd miuf

got 8VI ah jhf brayh

1. elYs thfhs goa bga nrfgLs xU eg, mnj bjhF ntbwhU lbragLs xU gid l khWtjfhf zgid jhf brayh.

vnghJ got 8V mfglyh

1. xU bjhF thfhs goa tiu goayhf btlgl , xUt mYs jik Fjgitnah, ntbwhUt Fj gitnah, mnj bjhFF ntbwhU lF lkhWj brazfyh. jfhf tiuaWfgLs ehfSF zgid jhf bra ntL.thfhs goa Uj eilbgW fhyf gotij jhf br fhyms FJ ca mssgu bragL.

2. zg xnu xU uia kLnk jhf bra ntL.

3.mnj bjhFF bgaiu lkhWj bra zgid, thfhs goa Uj eilbgwhjfhyf Tl, ML KGtJ, jhf brayh. thfhs goa Uj eilbgwhj fhyfzg uL ufshf jhf bragl ntL.

got 8VI vnf jhf brtJ

1. Ujg eilbgW fhy zgij tiu thfhs goa ghitF itfgLzfgl miklf (bgUghY thFrhto miklf) kW thfhs g mfh kWcj thfhs g mfh mYtyffY jhf brayh.

2. thfhs goa Ujg eilbgwhj, Mo kw fhyf zgij thfhs gmfhlnkh, 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 vjKftF khf / khshnuh mij KGikahf Fl ntL ja brJ KftiamiuFiwahf vGj ntlh. Vbdwh thfhs goa vj ghfF lkhw branfhugLwnjh mj ghfJl Kftia bjhlgLj ayhk nghfyh.

4. zg gF III-, gF II- FlgLs a Kft f bjhlJ FoUJ tUnjhuhakhd fhy msit Fl.

5. gF IV-, f FobgaJs a gF tgtf bgaf lbgWs thfhs goaghf viz vGj. ij brtJ cf UgFglJ. xUntis thfhs goaghf v cfSF bjaiy vwh ij fhahfl.

kDjhu jik Fj git lkhWj bra nfhUtjhUjh gF V-I ug TlhJ. zgjhuntbwhU eg git lkhWj bra nfhUtjhUjh j gFia ug ntL.cfSila KG bgaiu Kftia xif kW eltoif vLfgl tu gFfFl.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 : 1950

a njj Miza tiyjs : www.eci.nic.in jiyik njj mfh tiyjs : www.elections.tn.nic.in