Application for transposition of entry in electoral roll

(See rule 27) Application for transposition of entry in electoral roll. To The Electoral Registration Officer, ___________________Constituency. Sir, I submit that the entry at Serial No._________________________ in Part No, _________________of the electoral roll for the above mentioned constituency relating to (myself, namely)________________________ son/wife/daughter of___________________ should be transposed to Part No, ______________of the roll, because I have changed my place of ordinary residence which is within the same constituency. I declare that I am an elector of this constituency being enrolled at Serial No.__________________ in Part No._____________ of the roll. Place____________ Date_____________ Signature/thumb-Impression Full Postal Address__________ ________________ (Preforation)_________________ Intimation of action taken The application in Form 17 of Shri/Shrimati/Kumari_________________ ___________________Adress______________________has been_________ (a) accepted and the name of Shri/Shrimati/kumar____________________ has been transposed to part no.____________________ (b) rejected for the reason____________________________ Date________________ ______________________________ Electoral Registration Officer (Address)___________________ ________________ (Preforation)_________________ Receipt the application in Form 17 from Shri/Shrimati/Kumari_________________ Address_______________________________________ Date:_____________ Electoral Registration Officer (Address)________________ To be filled in by the applicant.