LIST OF PERSONS DISQUALIFIED UNDER SECTION 10A OF THE RP ACT 1951new
Update Your Aadhaar No.new
 LINK TO ELECTION COMMISSION OF INDIA
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  • The Fields marked with * are compulsory.
  • Phonetic means english way of typing devnagari name.
  • Incase relative PartNo and SerialNo is known,address will be shown,provided appropriate relation type is selected.Refer to Search Electoral Roll for the same.
  • Photograph should be less than 20KB and shall cover the front view of the person.
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Online Application for Inclusion of Name in Electoral Roll [ FORM 6 ]

Declaration*:
Assembly Constituency: District:
Part*:      
Select Relation Type and Enter Sr No of Relative to Fetch Address/Relation details (Autofill),If Sr No of relative is not known then click on the [ Search Relative ] link given below
Relation Type:   Sr No of Relative:* : [ Search Relative ]
Applicant Relative and Address Details
Relation*:
Name*:
Phonetic : Devnagari:
Surname*:
Phonetic: Devnagari:
Section*:
Area Type: Village/Town*:
Post Office*: Pin Code*:
Tehsil/Taluka*: State:
House No*:
Phonetic : Devnagari:
Extra HNo:                            (Extra House No if any)
Phonetic: Devnagari:
Locality/Area:
Applicant's Personal Details
Name*:
Phonetic: Devnagari:
Surname*:
Phonetic: Devnagari:
Gender*:
Date of Birth*: (If Not known,enter Age)
Age *: Years Month(s)
Year of Birth*: Age as on Date*:
Resident*:   (If Resident Since Date is not known;Enter Resident Since Years and Months)
Resident Since*: Year(s) Month(s) (If Resident Since Date is entered then need not to enter Resident Since Years and Months)
Birth State: Birth District:
Birth Village/Town:
Applicant's Other Details
Photo*:
Email: Mobile No:
Place*:
How did you know about this Site?*
Details of family member(s) already included in the current electoral roll
Family Relations:
 
Type the characters you see in the Picture:
Picture:
Type Characters* (Case Sensitive)
     
  • Note:The application should be printed,duly signed and posted to the address mentioned on the printed copy.The Acknowlegment No. generated after printing the application should be maintained for tracking the status of the application.