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Download English grammar voice English grammar voice English grammar voice English grammar voiceEng and more Exercises English in PDF only on Docsity! ELECTION COMMISSION OF INDIA Form-6 FORM No._______________ Application Form for New Voters (To be filled by office) (See Rules 13(1) and (26) of the Registration of Electors Rules, 1960) To, The Electoral Registration Officer, No. & Name of Assembly Constituency No. Name Or No. & Name of Parliamentary Constituency@ No. Name (@ only for Union Territories not having Legislative Assembly) I submit application for inclusion of my name in the electoral roll for the above constituency. (1)(a) Name (In Official Language of State) First Name followed by Middle Name SPACE FOR PASTING ONE RECENT UNSIGNED PASSPORT SIZE COLOR PHOTOGRAPH (4.5 CM X 3.5 CM) SHOWING FRONTAL VIEW OF FULL FACE WITH WHITE BACKGROUND Surname (if any) (1)(b) Name (In English in BLOCK LETTERS) First Name followed by Middle Name Surname (if any) Disclaimer: If name not filled in English, it will be transliterated by software. *(2)(a) Name and Surname (in official language of State) of any one of the relatives:- Father Or Mother Or Husband Or Wife Or Legal Guardian in case of orphan/Guru in case of Third Gender *(2)(b) Name and Surname (In English in BLOCK LETTERS) of the relative mentioned above (3) Mobile No. of Self (if available) (or) Of relative mentioned at Item No. 2 (4) Email ID of Self (If available) (or) Of relative mentioned at Item No. 2 (5) Aadhaar Details:- (Please tick the appropriate box) (a) Aadhaar Number or (b) I am not able to furnish my Aadhaar Number because I don't have Aadhaar Number. (6) Gender Male Female Third Gender (7) (a)Date of Birth d d / m m / y y y y (b) Self attested copy of document supporting age proof attached (anyone of the following) (i) Document for Proof of Date of Birth ^:- (Any one of these) 1. Birth certificate issued by Competent Local Body/Municipal Authority/Registrar of Births & Deaths 2. Aadhaar Card 3. PAN Card 4. Driving License 5. Certificates of Class X or Class XII issued by CBSE/ICSE/ State 6. Indian Passport Education Boards, if it contains Date of Birth (ii) Any Other Document for Proof of Date of Birth:- (If none of the above documents is available) (Pl. Specify)_______________ (8) (a) Present Ordinary Residence (Full Address) House/Building/Apartment No. Street/Area/Locality/ Mohalla/Road Town/Village Post Office PIN Code Tehsil/Taluqa/Mandal District State/UT