Second Schedule Form 18 And Intimation Of Action Taken

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SECOND SCHEDULE
FORM 18
(See rule 31)
Claim for inclusion of name in the electoral roll for a Graduates’ Constituency
To
The Electoral Registration Officer,
-------------------------------- Graduates’ Constituency.
Sir,
I request that my name be registered in the electoral roll for the ----------------------------------------------------
-------------------------------- Graduates’ Constituency.
The particulars are:-
Name (in full) ------------------------------------------------ Sex ---------------------------
Father’s /Mother’s/Husband’s name (in full) --------------------------------------------
Qualification ----------------------------------------------------------------------------------
Occupation ------------------------------------------------------------------------------------
House Address (Place of ordinary residence) --------------------------------------------
House No. -------------------------------------------------------------------------------------
Street/Mohalla --------------------------------------------------------------------------------
Town/Village ---------------------------------------------------------------------------------
Post office -------------------------------------------------------------------------------------
Police Station/Tehsil/Taluka/Mouza ------------------------------------------------------
District -----------------------------------------------------------------------------------------
Age ---------------------------------------------------------------------------------------------
2. * I am a graduate of the --------------------------------------------------------------------------- University
having passed the degree/diploma examination in the year ------------------------
OR
* I am in possession of a diploma/certificate in ------------------------------ which is a qualification equivalent
to that of a graduate of a University in India having passed the examination for the diploma certificate in
the year ----------------------------------------------
3. In support of my claim as being a Graduate/in possession of the above diploma/certificate, I submit
herewith ------------------------------------------
4. ** My name has not been included in the electoral roll for this or any other graduates’ constituency
OR

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