Objection To Inclusion of Name

[See Rule 14(2) Objection To Inclusion of Name. The Electoral Registration Officer __________________Constituency. Sir, I object to the inclusion of the name of _________________ at Serial No.________ in Part No. ______ of the electoral roll for the following reasons(s): _______________________________________________________________ I hereby declare that the facts mentioned above are true to the best of my knowledge and belief. My name has been included in the electoral roll for this constituency as follows: Name in full _________________________Sex___________ Father's/Husband's/Mother's Name___________________________________ Serial No._____________ Pa,t No ______________ ______________________ Signature/thumb/impression of objector. (Full postal address) Date_________________ I am an elector included in the electoral roll in which the same objected to appreans and my name is enrolled at serial No_______________ in Part No________ of the roll. I support this objection and countersign it. __________________ Signature of the elector Name (in full)] _______________Perforation)_______________