FORM 8B [See Rule 26] Application for deletion of entry in electoral roll To, The Electoral Registration Offcer, ................................ Assembly/ Parliamentary Constituency. Sir, I submit that the entry relating to the person named below in the electoral roll for the above Constituency is required to be deleted for the reasons stated hereunder : 1. Details of person whose entry is to be deleted 1. Title$ 2. First and middle name 3. Last name 4. Partnumber of electoral roll in which his/her name is included : 5. His/Her serial number in that part : 6. Electors Photo identity Card number : II. (a) Details of relation of person whose entry is to be deleted (Father/ Mother/Husband) 7. Title$ 8. First and middle name 9. Last name III. Reasons for objection a)* Death on 10. Day : 11. Month : 12. Year : b)* No longer ordinarily resident since 13. Day : 14. Month : 15. Year : c)* *Not entitled to be registered for the reason : IV. a) Objector's details : 16. Title$ 17. First and middle name 18. Last name 19. Sex (male/female) 20.Part number of electoral roll in which objector's name is included : 21. His/Her serial number in that part : b) Details of relationof objector (Father/ Mother/Husband) 22. Title$ 23. First and middl ename 24. Last name c) Relationship with objector. Father/Mother/Husband : $ Sh./Smt./Km./Dr. etc., @ May not be applicable in Metropolitan Areas In case of Union terriroties having no Legislative Assembly and the State of Jammu and Kashmir * Strike out the inappropriate alternative Signature or thumb impression of the person submitting the application. For use of registration officer or other officer designated by him Details of acknowledgement (To be filled by Officer receiving the application) Details of acknowledgement receipt issued to the applicant . Receipt number : Signature of officer receiving the application Date of receipt : Remarks, if any, of the Officer receiving the application : Application received by : Name of Officer : Designation : Place : Date : Signature of Offcer receiving the application *Electoral Registration Officer / Assistant Electoral Registration Officer Details of Action Taken (To be filled by Electoral Registration Officer of the Constituency) Revision Identity Constituency number and name The application of *Shri / *Smt./ *Km. ............................................................... for deletion ofentry, relating to *Shri / *Smt. /*Km. .................................................................... in the electoral roll in Form 8B has been accepted* / rejected* *Accepted : Under rule 26(4) and relevant entry is deleted in the electoral roll of the Constituency. Serial number of entry deleted In part number *Rejected : Rejected, under rule 26(4) Detailed reasons for acceptance or rejection [(under rule 26(4)]: Place : Date : Signature of Electoral Registration Officer *strikeout the inappropriate alternative
