FORM 18 [See rule 29] Application for inclusion of name in the Electoral Roll for Panchayats' Constituency To The Electoral Registration Officer, ................................................ Panchayats' Constituency. Sir, I am a member of ............................................................................ which is a constituent Panchayat exercising jurisdiction) within the limits of the........................................................... Panchayat Constituency. I am, therefore, entitled to be registered as an elector in the said constituency and request that my name be included in the electoral roll thereof. My address is : ..................................................................... ..................................................................... ..................................................................... Yours faithfully
