Application for Transposition (Form-8A)

Assembly Constituency Details

District*: ____________________ Assembly Constituency Name*:__________________________
Elector's Photo Identity Card (EPIC) No*:_________________________________

I.

Details of person whose entry is to be Transposed

Electoral Name*: ________________________ Surname : ____________________________

Gender*:_____________________________

Relation*: _______________________________

Father Name*: ________________________ _ Father Surname : ________________________

Date Of Birth*: __________________ Part Number in the Electoral Roll*: __________________
Serial Number in the Part*: ___________________________________________
Elector's Photo Identity Card (EPIC) No.*: _________________________________

II.Particulars of Place of Present Ordinary Residence (Full Address)

Door No*:_____________

Street/Area/Locality/Mohalla/Road*:________________________

Village/Town*:_______________

Tehsil / Taluka / Mandal / Thana*: ____________________

Post Office*:____________________

Pin Code*: ___________________________

District*: _________________________

III. Period of continuous residence at the above address at the date of application
Years*:______________________________

Months *: ____________________________

Mobile Number*:__________________________ Email ID :_____________________________

IV. Part Number to which the entry has to be transposed (If Known)
New Part Number : ________________________

V. Details of Informant (Not required if applicant seeks transposition of entry relating to

himself)
Name: ___________________________

Surname :__________________________________

Serial Number in the Part : ________________ Part Number in the Electoral Roll :___________
Elector's Photo Identity Card (EPIC) No. : __________________________________

Documents List:(NOTE: 1.Total size of Upload Document should not exceed 3 MB.2. All Upload Documents should be in PDF Format
Only)

1.
2.

Application Form*
Any kind of Identity proof

Applicants Signature