Form 8a - Chief Electoral Officer (Page 2 of 4) in pdf

Form 8a - Chief Electoral Officer Page 2

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 People Act, 1950 (43 of 1950).

@ Part V not to be filled where applicant seeks transposition of entry relating to himself

……….……………………………(Perforation)…………………………………………………..

Declaration.

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

knowledge and belief.

Place:

Date:

Signature or thumb impression of the applicant.

Please give your mobile number / E-mail I.D(Optional)/……………………………………..

Details of action taken

(To be filled by Electoral Registration Officer of the constituency)

The application of Shri/Smt./Km. ……………………………………………………………. for

transposition

of entry relating to himself/ herself/ Shri/ Smt. /

Km.…………………………………………………………….

in the electoral roll in Form 8A has been acepted*/rejected*.

Detailed reasons for *acceptance or *rejection [under or in pursuance of rule 26(4)*].

Place:

Signature of

(Seal of the Electoral

Date:

Electoral Registration Officer

Registration Officer)

* Strike out the inappropriate alternative.

Remarks of the field level officers (e.g. BLO, Designated Office, Supervisory Officers)

Form 8a - Chief Electoral Officer Page 2