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Age Declaration Form PDF

The document is a declaration form for first time voters seeking registration in the electoral roll of a constituency in India. It contains 3 points: 1) The applicant declares they have applied for registration as their name does not appear in any electoral roll in India. 2) The applicant declares they have not been issued any EPIC, or voter ID card, at any time in the past for any constituency. 3) It notes making false declarations in electoral roll matters is a punishable offence.

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16K views

Age Declaration Form PDF

The document is a declaration form for first time voters seeking registration in the electoral roll of a constituency in India. It contains 3 points: 1) The applicant declares they have applied for registration as their name does not appear in any electoral roll in India. 2) The applicant declares they have not been issued any EPIC, or voter ID card, at any time in the past for any constituency. 3) It notes making false declarations in electoral roll matters is a punishable offence.

Uploaded by

dhokaleraj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE.III
(For Form-6)

DEGLARATION*
(For an elector of 21+ age group seeking fresh registration for the first
time)
1,...... ......, Son/DaughterMife of ..... R/o
..., declare as under: -

....
I have applied for registration in the etectorar roll of constituency,
as my name does not figure in electoral rollanywhere in lndia,

2. I have not been issued any EPIC at any time in the past in any constituency.

place: Signature of the Applicant


Date:
*(Making false declaration in matters related to
preparation/revision of electorat roll is an offence
punishable under section 3i of the Representation of the
People Act, 1951, and also under the provisions of the
lndian Penat Code)

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