Application for Objecting the inclusion or seeking deletion of name in the Electoral Roll (Form - 7)

Please select/enter the AC No,Part No and Serial No of the person whose name is to be removed:
Ac No: Part No: Name of the Voter:

II. Details of Objector:
Ac No of Objector:
Part No of Objector:
Name of the Objector:
Father's/Mother's/Husband's First Name*:
Father's/Mother's/Husband's Last Name*:

III. Particulars of place of ordinary residence of objector/person seeking deletion(Full Address):
House No/Door No.*:
Post Office:
Pin Code:

IV. Reason(s) of objection/deletion:
Delete Reason*:

V. Declaration:

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

E-mail ID:
Mobile No: