Statement as to place of ordinary residence by a person employed under the Government of India in a post outside India.

(See rule 8) Statement as to place of ordinary residence by a person employed under the Government of India in a post outside India. Full Name____________________________________________ Father's/Husband's Name ______________________________ Age_________________ years. Description of post held outside India ______________________ ___________________________________________ I hereby declare that I am a citizen of India and that but for my being employed under the Government of India in the above-mentioned post, I would have been ordinarily resident at (full postal address) ________________ __________________________________________________________ I further declare that my wife (name)_____________________________ Aged _____________years, ordinarily resides with me (and is a citizen of India). This cancels any previous statement as to place of ordinary residence made by me. Place_________________ Signature__________ Date__________________ Verified_______________ Signature__________ Designation of the Head of Office._________ Place______________________ Date______________________ (for use in Election Office) Statement received on the ________________________ 199 Registered in the electoral roll for the ______________________ Contituency (No.) Service voters' part, at Serial No._________________ Electoral Registration Officer, Date_______________