FORM 2 [See rule 7] Statement as to Place of Ordinary Residence by a Member of the Armed Forces I hereby declare that I am a permanent resident of the State and that but for my service in the Armed Forces I would have been ordinarily resident at. House No ......................................................................................................................... Street/Mohalla ................................................................................................................... Locality............................................................................................................................. Town/Village...................................................................................................................... Post Office ....................................................................................................................... Police Station ........................................................................................................................ Tehsil ............................................................................................................................... District............................................................................................................................. State................................................................................................................................ My full Name ................................................................................................................... Service No............................................ Rank................................................................... Service/Corps/Regiment .......................................................................................................... Name and address of record office .......................................................................................... Age on 1st January ..........................................Years......................................................... I further declare that my wife............................................................................................... age on Ist January ........................................................................................years, ordinarily reside with me and is a permanent resident of the State. *Delete if not applicable. FORM 2 (continued) This cancels any previous statement as to ordinary place of residence made by me. Date .......................... 200 . ................................................ Signature Record Office Verified and found correct Folio No ................................. (Signature).............................. (Designation) ........................... Officer-in-charge, Records. Place.................................................. Date................................................... (For use in the Election Office) Statement received on the...................................200 Registered in the electoral roll for............................ Assembly Constituency (No ..........................................) Service voters Part at. S. No ............................................. Date ............................................. 200 [Electoral Registration Officer] l. Substituted vide SRO-I of 2-1-1973.
