lqO;ofLFkr ernkrk f'k{kk vkSj fuokZpd lgHkkfxrk ¼Lohi½Hkkjr fuokZpu vk;ksx

çoklh Hkkjrh; ernkrkvksa ds fy, iathdj.k ,oa ernku çfØ;k

tkudkjh lgk;rk iqfLrdk

ernkrk lwph ds iqujh{k.k

ds o"kZ dh 1 tuojh dks 18 o"kZ iwjs dj

pqds gksaA

ernkrk ds :i esa

iathÑr gksus ds vik= ugha gksaA

PASSPORT

REPUBLIC OF INDIA

vk;q 18 o"kZ

ELECTORAL ROLL 2015, STATE- (U05) DELHI

No. Name and Reservation Status

of Assembly Constituency : 1 - NERELA, GEN Part No. - 1

No. Name and Reservation Status of

Parliamentary Constituency (ies) in which

the assembly constituency is located :

5 - NORTH WEST DELHI, SC

1 . DETAILS OF REVISION

Year of Revision :

Qualifying Date :

Type of Revision :

Date of Publication :

2015

01-01-2015

Special summary revision

15-10-2014

Roll Identification :

2 . DETAILS OF PART AND POLLING AREA

No. & Name of Sections in the part :

3 . POLLING STATION DETAILS

No. and Name of Polling Station :

Address of Polling Station :

Type of Polling

Station (Male/

Female/ General) :

General

Number of Auxiliary

Polling Stations in

this part :0

4 . NUMBER OF ELECTORS

Starting Serial No. Ending Serial No.Net Electors

Male Female Total

M.C.PRIMARY CO-ED SCHOOL

1

Main Town :

Ward Number :

Police Station :

Tehsil:

District :

Pin :

Page 1 of 49

Basic roll of intensive revision, 2008

integrated with all supplements

preceding special summary revision,

2015

Delhi

Issued By Electoral Registration Officer

1 - CHAKKI WALI GALI, VILLAGE LAMPUR (1 to V67)

2 - KOTLA GALI , VILLAGE LAMPUR (2 to KHNO87/1/2)

3 - RAMLILA GROUND, VILLAGE LAMPUR (2 to HN-106)

4 - SHIV MANDIR GALI, VILLAGE LAMPUR (8 to KH-NO-)

5 - SAINI CHAUPAL GALI, VILLAGE LAMPUR (4A to 162)

VILL LAMPUR

2

NARELA

110,040

VILLAGE LAMPUR

NARELA

Third Gender

986 544 441 1 986

SUPPLEMENTRY-1 - 05/01/2015 & SUPPLEMENTRY-2 - 21/01/2015

Electoral

Roll

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Hkkjr dk og ukxfjd tks jkstxkj

f'k{kk bR;kfn ds dkj.k ls oSí :i ls fons'k esa çokl dj jgk gSA

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ikliksVZ dk og i`"B ftlesa oS/k ohtk dh iqf"V gksA

nLrkostksa dh gj QksVks d‚ih Lo;a çekf.kr dh tkuh pkfg,A

“FORM 6A

(see rule 8B)

Application for inclusion of name in electoral roll by an overseas elector

To

The Electoral Registration Officer,

……………………..Assembly/Parliamentary

Constituency.

………………………………………….

District:………………………………..

State in India…………………………….

Sir,

I request that my name be included in the electoral roll for the Constituency

in which my place of residence, as per the particulars furnished below in 1(h), is

located.

PART - A

1. Particulars in support of my claim for inclusion in the electoral roll

are given below:

(a) Name - ………………

(b) Middle Name...............

(c)Surname ..................

(d) Date of Birth: --- Day---Month---Year

(e) Sex(Male/Female) ..........

(f) Place of Birth –

i_. Village/Town................

ii. District............

iii. State.. .. .. .. .. .. .. .. .. ..

(g) Father's/Mother's/Husband's details

i. Name -........................ .

ii. Middle Name ……………..

Space for pasting One recent passport size photograph (3.5 CM X 3.5 CM) Showing frontal view of full face within this box.

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vius fuokZpu {ks= ds ERO/AERO ds ikl O;fDrxr :i ls Hkh QkeZ Hkj ldrs gSaA ;fn ERO ds le{k O;fDrxr :i ls QkeZ tek fd;k tkrk gS rks ikliksVZ çekf.kr djuk gksxkA

iathdj.k ds laca/k esa funsZ'k ECI osclkbV www.eci.nic.in ij miyC/k gSA

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v‚uykbu ds vykok QkeZ O;fDrxr :i ls ;k Mkd }kjk tek fd;k tk ldrk gS

ERO

lR;kiu çfØ;k% QkeZ tek djus ds i'pkr

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ernkrk lwph esa vius fdlh fooj.k esa lq/kkj djus ds fy, QkeZ 8 dk ç;ksx djsaA

IndIan MIssIon

FORM 8[See rule 13(1) and 26]

Application for correction to particulars entered in electoral rollTo

The Electoral Registration Officer,

……………………………Assembly/£Parliamentary Constituency.

Sir,I request that entry relating to myself appearing in the electoral roll the above Constituency is not

correct and it should be corrected. Correct particulars in support of my request are given below:I. Applicant’s

detailsName Surname (if any)

Part number of electoral roll: Serial number in that part:Age as on 1st January ………….# Years: Months: Sex (male/female/others):Date of birth, if known: Day: Month: Year:* Father’s/

Mother’s/ NameHusband’s

Name Surname (if any)

II. Particulars of place of present ordinary Residence (Full address)House/ Door number:Street/ Area/Locality/Mohalla/Road:Town/ Village:Post Office: Pin Code:Tehsil/ Taluka/Mandal/ Thana:District:III. Details of Elector’s Photo Identity Card (if issued, in this or some other constituency)Elector’s Photo Identity Card number:Name of the Constituency:IV. Details of entries to be corrected:*My name / *Age/ *Father’s/Mother’s/Husband’s name/ *Sex/ *Address/ *Elector’s Photo IdentityCard Number may be corrected in terms of information provided in this Form above.

Place:Date: Signature or thumb impression of the elector

Please give your mobile number / E-mail I.D (Optional)/……………………………………..Note- Any person who makes a statement or declaration which is false and which he eitherknows or believes to be false or does not believe to be true, is punishable under section 31 of theRepresentation of People Act, 1950 (43 of 1950).£ In case of Union territories having no Legislative Assembly and the State of Jammu & Kashmir.# Please give the year i.e. 2007, 2008, etc.* Strike out the inappropriate alternative.

SPACE FOR PASTING ONERECENT PASSPORT SIZE

PHOTOGRAPH(3.5 CM X 3.5 CM) SHOWING

FRONTAL VIEW OF FULLFACE WITHIN THIS BOX

ELECTORAL ROLL 2015, STATE- (U05) DELHI

No. Name and Reservation Status

of Assembly Constituency : 1 - NERELA, GEN Part No. - 1

No. Name and Reservation Status of

Parliamentary Constituency (ies) in which

the assembly constituency is located :

5 - NORTH WEST DELHI, SC

1 . DETAILS OF REVISION

Year of Revision :

Qualifying Date :

Type of Revision :

Date of Publication :

2015

01-01-2015

Special summary revision

15-10-2014

Roll Identification :

2 . DETAILS OF PART AND POLLING AREA

No. & Name of Sections in the part :

3 . POLLING STATION DETAILS

No. and Name of Polling Station :

Address of Polling Station :

Type of Polling

Station (Male/

Female/ General) :

General

Number of Auxiliary

Polling Stations in

this part :0

4 . NUMBER OF ELECTORS

Starting Serial No. Ending Serial No.Net Electors

Male Female Total

M.C.PRIMARY CO-ED SCHOOL

1

Main Town :

Ward Number :

Police Station :

Tehsil:

District :

Pin :

Page 1 of 49

Basic roll of intensive revision, 2008

integrated with all supplements

preceding special summary revision,

2015

Delhi

Issued By Electoral Registration Officer

1 - CHAKKI WALI GALI, VILLAGE LAMPUR (1 to V67)

2 - KOTLA GALI , VILLAGE LAMPUR (2 to KHNO87/1/2)

3 - RAMLILA GROUND, VILLAGE LAMPUR (2 to HN-106)

4 - SHIV MANDIR GALI, VILLAGE LAMPUR (8 to KH-NO-)

5 - SAINI CHAUPAL GALI, VILLAGE LAMPUR (4A to 162)

VILL LAMPUR

2

NARELA

110,040

VILLAGE LAMPUR

NARELA

Third Gender

986 544 441 1 986

SUPPLEMENTRY-1 - 05/01/2015 & SUPPLEMENTRY-2 - 21/01/2015

5

etcwr

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PASSPORT

REPUBLIC OF INDIA

uksVk

;kn j[ksa

vr% vkt gh iathdj.k djk,a rkfd vki vxys pqukoksa esa ernku dj ldsaA

Election Commission of IndiaIdentity Card Election Commission of India

Identity CardDEclaRation

REgIstER

“FORM 6A

(see rule 8B)

Application for inclusion of name in electoral roll by an overseas elector

ToThe Electoral Registration Officer,

……………………..Assembly/Parliamentary

Constituency.

………………………………………….

District:………………………………..

State in India…………………………….

Sir, I request that my name be included in the electoral roll for the Constituency

in which my place of residence, as per the particulars furnished below in 1(h), is

located. PART - A

1. Particulars in support of my claim for inclusion in the electoral roll

are given below:

(a) Name - ………………

(b) Middle Name...............

(c)Surname ..................

(d) Date of Birth: --- Day---Month---Year

(e) Sex(Male/Female) ..........

(f) Place of Birth –

i_. Village/Town................

ii. District............

iii. State.. .. .. .. .. .. .. .. .. ..

(g) Father's/Mother's/Husband's details

i. Name -........................ .

ii. Middle Name ……………..

Space for pasting

One recent passport

size photograph

(3.5 CM X 3.5 CM)

Showing frontal view of

full face within this box.

“FORM 6A

(see rule 8B)

Application for inclusion of name in electoral roll by an overseas elector

ToThe Electoral Registration Officer,

……………………..Assembly/Parliamentary

Constituency.

………………………………………….

District:………………………………..

State in India…………………………….

Sir, I request that my name be included in the electoral roll for the Constituency

in which my place of residence, as per the particulars furnished below in 1(h), is

located. PART - A

1. Particulars in support of my claim for inclusion in the electoral roll

are given below:

(a) Name - ………………

(b) Middle Name...............

(c)Surname ..................

(d) Date of Birth: --- Day---Month---Year

(e) Sex(Male/Female) ..........

(f) Place of Birth –

i_. Village/Town................

ii. District............

iii. State.. .. .. .. .. .. .. .. .. ..

(g) Father's/Mother's/Husband's details

i. Name -........................ .

ii. Middle Name ……………..

Space for pasting

One recent passport

size photograph

(3.5 CM X 3.5 CM)

Showing frontal view of

full face within this box.

“FORM 6A

(see rule 8B)

Application for inclusion of name in electoral roll by an overseas elector

ToThe Electoral Registration Officer,

……………………..Assembly/Parliamentary

Constituency.

………………………………………….

District:………………………………..

State in India…………………………….

Sir, I request that my name be included in the electoral roll for the Constituency

in which my place of residence, as per the particulars furnished below in 1(h), is

located. PART - A

1. Particulars in support of my claim for inclusion in the electoral roll

are given below:

(a) Name - ………………

(b) Middle Name...............

(c)Surname ..................

(d) Date of Birth: --- Day---Month---Year

(e) Sex(Male/Female) ..........

(f) Place of Birth –

i_. Village/Town................

ii. District............

iii. State.. .. .. .. .. .. .. .. .. ..

(g) Father's/Mother's/Husband's details

i. Name -........................ .

ii. Middle Name ……………..

Space for pasting

One recent passport

size photograph

(3.5 CM X 3.5 CM)

Showing frontal view of

full face within this box.

Form 6a

Form 6a

Form 6a

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esa iathdj.k djok ldrs gSaA

7

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