ELECTION COMMISSION OF INDIA

FORM-6 Acknowledgement No.____________

(See Rules 13(1) and 26) of Registration of Electors Rule-1960 (To be filled by office)
Application for Inclusion of Name in Electoral Roll for First time Voter OR on Shifting
from One Constituency to Another Constituency.
To, The Electoral Registration Officer, ………………..………………………………………...Assembly / Parliamentary Consitituency
I request that my name be included in the electoral roll for the above Constituency. (Tick appropriate box) SPACE FOR PASTING ONE
As a first time voter or due to shifting from another constituency RECENT PASSPORT SIZE
Particulars in support of my claim for inclusion in the electoral roll are given below:- PHOTOGRAPH (3.5 CM X
3.5 CM) SHOWING
Mandatory Particulars
FRONTAL VIEW OF FULL
(a) Name FACE WITHIN THIS BOX
(b) Surname(if any)

(c) Name and surname of Relative of

Applicant [see item (d)]
(d) Type of Relation Father Mother Husband Wife Other
(Tick appropriate box)
(e) Age [as on 1st January of current calendar year………………..] Years Months

(f) Date of Birth (in DD/MM/YYYY format)(if known)

(g) Gender of Applicant (Tick appropriate box) Male Female Third Gender

(h)Current address where applicant is ordinarily resident House No.

Street/Area/Locality
Town/Village
Post Office Pin Code

District State/UT
(i) Permanent address of applicant House No.
Street/Area/Locality
Town/Village
Post Office Pin Code

District State/UT
(j)EPIC No. (if issued)
Optional Particulars
(k) Disability (if any) Visual impairment Speech & hearing disability Locomotor disability Other
(Tick appropriate box)
(l) Email id (optional)
(m) Mobile No. (optional)

DECLARATION - I hereby declare that to the best of knowledge and belief –

(i) I am a citizen of India and place of my birth is Village/Town…………………………..…….District………………………..……State…………………………………
(ii) I am ordinarily resident at the address given at (h) above since ……………………………….……………………………….………(date, month, year).
(iii)I have not applied for the inclusion of my name in the electoral roll for any other constituency.
*(iv)My name has not already been included in the electoral roll for this or any other assembly/ parliamentary constituency
OR
*My name may have been included in the electoral roll for___________________________ Constituency in _________________________
State in which I was ordinarily resident earlier at the address mentioned below and if so, I request that the same may be deleted from that
electoral roll.
* strike off the option not appropriate
Address of earlier place of ordinary residence (if applying due to shifting from another constituency)
House No. Street/Area/Locality
Town/Village
Post Office Pin Code

District State/UT
I am aware that making a statement or declaration which is false and which I know or believe to be false or do not believe to be true, is
punishable under Section 31 of the Representation of the People Act, 1950 (43 of 1950).

Place……………..........................

Date……………………………………….. Signature of Applicant……….………………………………………..

Remarks of Field Level Verifying Officer:

Details of action taken

(To be filled by Electoral Registration Officer of the constituency)

The application of Shri / Shrimati/ Kumari ……………………………………………………………………………………..for inclusion of name in the

electoral roll in Form 6 has been accepted/ rejected. Detailed reasons for acceptance [under or in pursuance of rule
18/20/26(4)] or rejection [under or in pursuance of rule 17/20/26(4)] are given below:

Place:

Date: Signature of ERO Seal of the ERO

Intimation of decision taken (to be filled by Electoral Registration Officer of the constituency and to be posted to the
applicant on the address as given by the applicant)
Postage Stamp to
be affixed by the
The application in Form 6 of Shri/Shrimati/Kumari……………………………………………………………………………………………………………..
Electoral
Current address where applicant is ordinarily resident House No. Registration
Authority at the
Street/Area/Locality time of dispatch
Town/Village
Post Office Pin Code

District State/UT

Has been (a) accepted and the name of Shri/Shrimati/Kumari…………………………………………………………………………………………………

Has been registered at Serial No………………….in Part No…………………….. of AC No…………………………………………………………………….

(b) rejected for the reason……………………………………………………………………………………………………………………………………………………….

Date: Electoral Registration Officer

Address….…………………………………………….
Acknowledgement/Receipt
Acknowledgement Number _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date __ _ _ _ _ _ _ _ _ _ _ _ _

Received the application in form 6 of Shri / Smt. / Ms. ___________________ ______________________________________

[ Applicant can refer the Acknowledgement No. to check the status of application].

Name/Signature of ERO/AERO/BLO
 For publishing in small booklet form for
..- guidance of registration authorities down
".'/.
to Booth Level Officers

GENERAL INSTRUCTIONS
FORM.6
Who can file Form-6

L Please note that no fee shall be charged for the application Form or for processing the Form for
registration by Registration Officer, except for the Election Commission approved paid services at
authorized centres.
An Indian citizen who has attained age of 18 years or more on the first day of January of the year with
reference to which the electoral roll is being revised. For example, for revision being conducted with
reference to 1.1.2017 as qualifring date, a person completing 18 years of age on 1.1.2017 (i.e. a person
born on or before 1.1.1998) is eligible to get enrolled as an elector and thus can file Form 6. However,
while filing application during continuous updating /non-revision period of electoral roll, age of 18
years or more should be reckoned (mentioned in the application Form) with reference to the
qualifying date, 1"t January of the year on which basis electoral rolls have been last revised and finally
published.
3. An lndian Citizen who is eligible ds per the obove, con get registered his name anywhere in lndia ot
the pldce of his ordinary residence.

4. A person shifting his / her place of ordinary residence outside the constituency in which he / she is
already registered as an elector. In case a person shifts his place of ordinary residence in the
constituency, the application should be made in Form 8A and not in Form 6.However, it should be
noted that while submitting Form 6 or Form 8A on shifting of address (place of ordinary residence), no
correction should be made in name and details of existing electoral roll in respect of the previous
address (place of ordinary residence) except the details of new Address. For any correction in the
entries of existing electoral roll, application should be made in Form B only.

5. Service Voter:-A Service Personnel should apply in Form 2/ 2A/ 3, as the case may be, for registration
as service elector in respect of himself and his wife, if she is residing with him, in the last part of the
electoral roll of his home constituency. A Service Personnel, who has not been so enrolled as Service
Elector in the last part of his/her home constituency, has also an option to get hisArer name enrolled as
general elector in the electoral rolls ofhis place ofposting, provided it is a peace station.

6. Service personnel, applying for enrolment as general elector in the electoral roll at his place of posting
at a peace station, has to submit a declaration (Annexure-I) along with Form-6,

Availability of Form 6

Form will be available at EROs/AEROs Office/Designated Locations/Authorized Centres. lt

can also be downloaded from NVSP portal i.e, http://rltww,nvsp,inl or lrom the ECI website, i.e,
http://eci.nic,in,

When F'orm-6 can be filed

During the revision of electoral rolls, it can be filed after draft publication of electoral rolls of the
constituency. The application is to be filed within the specific period provided for filing of claims and
objections. Due publicity is given about the above period when the revision programme is announced.
Only one copy of the application is to be filed during the revision programme. During non-revision
period, application must be filed in duplicate dnd it can be filed throughout the year. For Online
Application there is no need to tile Application in duplicate or submit a sepfrrate physical Form
through offline mode.

Where to file Form-6

 During revision period, the application can be filed at the designated locations where the draft electoral
roll isdisplayed (mostly polling station locations) or at the places authorised by the Election
Commission, as well as the offices of Electoral Registration Officer and Assistant Electoral
Registration Officer of the constituency. ffie,application can also be filed online on the National Voter
Service Portal (NVSP) of the Election Commission, i.e, http://www.nvsp.inl or on the website of Chief
Electoral Officer of the State concemed(Link of CEOs'website has been provided on the Commission,s
website, i.e, ltt(fr!1e4,$ie,i$./eci $xrtitl!/1,ink.q;n-r). For Ontine Application there is no need to
ftle
Application in duplicate or submit a separate physical Form through offline mode.

l. When revision programme is not going on, the application can be filed only with the Electoral
Registration Officer or Assistant Electoral Registration Officer or can be filed onling as above .
Besides the BLOs can also collect Form 6 through oat the year and give the uccount to ERO on
regalar basis at the earliest.

How to fill Form-6

l. The application should be addressed to the Electoral Registration Officer of the constituency in which
he seeks registration. The name of the constituency should be mentioned in the blank space given for
the purpose.

2. The applicant applying as a frst time voter or due to shifting fiom another constituency, should tick the
appropriate box, given for the purpose andfill the complete details in the DECLARATION portion,
othetwise, the application is liable to be rejected at the initial stage itself.

3. Fields for providing particulars in items (a) to O are mandatory and therefore complete information
should mandatorily be given against the appropriate item.

4. The exact name and spelling as it should appear in the electoral roll and Electors Photo Identity Card
(EPIC) should be furnished. The full name should be written in the first box and surname should be
written in the second box. In case the applicant does not have a surname, then box for surnarne should
be left blank. Caste should not be mentioned except where the caste name is used as part of the
elector's name or a surname. Appellations like Shri, Smt. Kumari, Khan, Begum, pandit etc. should not
be mentioned. The Applicant may mention his name in English and official language of the State both,
if possible.

Relation's Name

In case of an unmarried female applicant, name of Father / Mother is to be mentioned. In case of a

married female applicant, name of Husband should preferably be mentioned. Strike out the inapplicable
options in the column.
Age and Date of Birth

l. The age of the applicant should be 18 years or more on lst day of January of the year with
reference to which the electoral roll is being revised. Fill up the Date of Birth in figures in the
space providedin DD/\4IWYYYY. If the age of the applicant is between 18 and 2l years, a
documentary proof of Date of Birth should be attached. A copy of any one of the following
documents can be attached as a proof of Date of Birth:-

i) Binh certificate issued by a Municipal Authorities or district office of the Regishar of Births
& Deaths or Baptism certificate ; or
iD Birth certificate from the school (Govt. / Recognized) last attended by the applicant or any
other recognized educational institution; or
iii) If a person is class l0 or more pass, he should give a copy of the marksheet of class 10, if it
contains date of birth as a proof of date of birth; or
iv) Marksheet of class 8 if it contains date of birth; or
v) Marksheet of class 5 if it contains date of birth; or
vi) IndianPassport; or
vii) PAN card; or
viii) Driving License; or
 .. :''*
rx) Aadhar letter/Card issued by UIDAT

2. In case none of the above documepf'.ir available, a declaration in prescribed format given in
Annexure - II (enclosed with the guidelines) made by either of the parents of the applicant (or by
guru in case of an elector in third gender category) can be given. In those cases where parental
declaration is given as proof of age, the applicant will have to be present himself for verification
before Booth Level Officer /Assistant Electoral Registration Officer / Electoral Registration
Officer. Further, if none of the above documents is available and neither of the parents is alive,
the applicant can attach a certificate of his age given by a sarpanch of the concerned Gram
Panchayat or by a member of the concerned Municipal Corporation I Municipal Committee.

3. In cases where the applicant is more than 2l years and physically appears to be so to Booth Level
Officer /Assistant Electoral Registration Offrcer / Electoral Registration Officer, declaration of
age by him / her will be taken as proof of age and no documentary proof will be insisted on. The
age should be indicated in years and completed months as on the qualifring date i.e. lst January,
of the year with reference to which electoral roll is being revised /or has been revised.

4. Ifthe Applicant is applyingfor fresh registrationfor thefirst time and he is above 21 years of age
on the qualifiing date of the year and his name is not included in the electoral roll anywhere in
India, then a declaration has to be given in the format as per annexure III othetwise his
application is liable to be reiected.

Gender

Gender in the appropriate box provided for 'Male' I 'Female'l 'Third Gender' should clearly be tick
marked.

Place of Curren Ordinary Residence

l. The Applicant should address including PIN code where he is

Jilt up the full and complete postal
ordinarily residing at present andwants to get registered, only in the appropriate space providedfor
the particular entry.
) A copy of any of the following documents should be attached as a proof of ordinary residence: -

(l) Bank / Kisan / Post OfEce current Pass Book; or

(ir) Ration Card; or
(iiD Passport; or
(w) Driving License; or
(v) Income Tax Assessment Order; or
(vi) Latest rent agreement; or
(vii) Latest Water i Telephone / Electricity / Gas Connection Bill for that address, either in the
name of the applicant or that of his / her immediate relation like parents etc.; or
(viiD Any post / letter / mail delivered through Indian Postal Department in the applicant's name at
the address ofordinary residence.
3. House No.: If the residence of the applicant does not have house number, in the space meant fot
,House Number' it should be cleaily mentioned that 'No House Number has been assigned'.

4. Homeless Indian Citizens: - Homeless Indian Citizens living in sheds/pavement dtvellers, who
do not possess any documentary proof of ordinary residence are eligible for enrolment in
electoral roll, provided they are ordinarily residing there. In such case the Booth Level
Officer will visit the address given in Form 6 for more than one night to oscertain that the
homeless person actually sleeps at the given place. However, to avoid an eventuality of a
homeless foreign national getting registered in electoral roll, the Election Commission has
directed that in all such cases where homeless persons are registered in electoral rolls, a
statement of such persons shall be recorded by the Booth Level Officer in which specific
information about the place of his birth and the place of previous residence from where he
has shifted to the present place of his ordinary residence, of such a person shall be asked
.for.
 Sex Workers Indian Citizen:- As i, $-nrrification of homeless Indian citizen, as refened
"orn
to in the preceding paragraph, the Election Commission has directed that in case of those
sex workers Indian citizen, who da nq! possess any documentary proof of place of residence,
the documentary proof should not betliniisted, however the Booth Level Officer will ascertain
that the claimant actually resides at the place, mentioned in his/her Form 6, by visiting the
given address and submit a verification report to the Electoral Registration Officer/Assistant
Electoral Registration Officer, to this effict who will decide the case accordingly.
Students: Students, if
otherwise eligible, living in a hostel or mess or lodge more or less
continuously, going back to their normal home or place of residence only for short periods,
can be held to be ordinarily resident in the place where the hostel or mess or lodge is
situated. However, f they so wislt, they have the option of retaining their enrolment at their
residence with their parents instead. [During intensive revision, students shall not be
enumerated at their hostels- They can be enrolled subsequently on application in Form 6
with bonafide student and hostel resident certificateJ. However, the course pursued by the
said students should be recognized by Central / State Governments / Boards / Universities /
Deemed Universities and such courses should be of not less than I year's duration. Such
students who want to enroll themselves at the hostel / mess will have to attach a bonafide
declaration duly certified by the Headmaster / Principal / Director / Registrar / Dean of the
educational institution with Form 6 (as per the specimen as Annexure IV).

EPIC
1. Whenever name of any Indian Citizen is included in the electoral rolls for the first time,
new EPIC will automatically be issued without any separate application and delivered to
himfree of cost, through speed post under proper acknowledgement.
2. Replacement EPIC on shifting: If the Applicant has shifted his address and applying in Form6 or
Form 8A on such shifting, EPIC No., if alreaSt issued to him in the earlier constituency/ address,
it should be mentioned at appropriate place.If he wants replacement EPIC with new address, he
should apply for the same in Form EPIC-001 ((as per the format as Annexure V), with
requisite fee for replacement EPIC, and old EPIC, after enrolment at the new place on the basis of
Form 6 or Form 8A.
3. Replacement EPIC on correction: in cose o fresh EP\C due to correction in entries through
Form 8 is required, then on applicotion for issue of such replocement EPIC shoutd be
mode in Form EPIC-1l1(as per the specimen as above), with old EP\C ond requisite fee,
applicoble if any, after making correction by ERO in relevant entry.
4. Replocement EPIC in cose of loss/mutilation/destruction: In this case also, for a fresh
replacement EPIC an application has to be made in Form EPIC-0|1 with otd EPIC and requisite
fee,. appl i c abl e if any.

Photograph

A recent passport size Colour Photograph of specification (200 DPI resolution with 3.5c.m
x3.5 c.m ) should be pasted in the space provided for this purpose in the Form. The Photograph will be
used to print applicant's image in the electoral roll and issue of EpIC.
o The photograph shallshow a close-up of the applicant's head and the top of
the shoulders.
o The face shall take 75% of the vertical dimension of the picture.
o The photograph shall be in sharp focus, of high quality with no creases and
ink marks with appropriate brightness and contrast and showing natural skin
tones of the elector's face and features clearly recognisable. lt shall show
the elector looking directly at the camera with a neutral expression and the
mouth closed.
 ...;'**

o The photograph shall be showing the elector with the eyes open and clearly
visible with no hair/cap/ha t/headgear/ veil/cover/shadow/reflection etc.
obscuring the eyes. u'
'

lf the elector wears glasses, the photograph must show the eyes clearly with
no lights reflected in the glasses. The glasses should not have tinted lenses
and it shall be ensured that the frames of the glasses do not cover any part
of the eyes of the elector.
The photograph must have a plain, light coloured background and there
must be no other people or object visible with the elector.

Optional Particulars

Fields for providing details in item (k) to (m) are optional; however, it is in interest of the applicant to
supply information in these items to enable election authorities to extend citizen services like
intimation about status of process of application form, issue of EPIC sending information/notices to
electors and providing necessary assistance at polling station during elections.

Declaration

1. All entries in "DECLARATION" portion must compulsorily be completed in all

respects.
2. Please indicate date from which the Applicant is presently residing at the given address.
If he is not able to recall the exact date, the month and year from which he is residing at
that place should be mentioned.
3, If his name is already included in the electoral roll of any other constituency, name of
earlier constituency should be mentioned. Also, full particulars of his previous address
should be provided, otherwise his application is liable to be rejected at the initial stage
itself.
4. The options which are not relevant should clearly be struck off.
5. Please note that giving any false stalement made in the DECLARATION portion is
punishable offence under Section 31 of the Representation of People Act, 1950.

Ststus Tracking of Application

The Applicant con track his opplicotion ond know stotus by providing,registrotion lD
provided to him ot the time of submission of Application on Notionol Voters Service Portal i.e,
http://:,,www.nu!trLin/, or on mobile opp/SMS/e-mail, provided that up-to-dote contoct detoils
ore furnished in items (k) to (m) of the Form 6.

Personal Hearing
While processing the Application of the Applicant, the Electoral Registrotion Officer
(ERO) may hold personol hearing in the following cqses:
7. if he is not satisfied with Booth Level Officer's (BLO) verificotion report, or
2. BLO is not able to find the Applicont at given address despite severol visits", or,
3. hisidentity connot be established due to non-avoilobility of family link, or
4. as o first time oppticont above 27 years he hos not filed age declaration, or
5. an objector demonds for applicont's personal hearing.
Reason for Rej ection of Application
The ERO may reject the applicotion of the Applicant in ony of the following coses:
7. if it is not within time/in monner/ in Form
2. the opplicant is olreody registered at the sqme address
3. he is not eligible due to underage/not lndion citizen/not ordinorily resident.
 4. he foils to turn up for personol'iJoring/cooperate in enquiry/ to produce requisite
documents to ERO's sotisfoction
5. BLo is not oble to complete vErificotion, despite repeated visits.
Provision for Appeol s' ' '
The Applicant cdn moke an Appeol agoinst the decision of the ERO with regord to
his application .

7. Appedl during revision: An Appeol during revision con be presented to the District
Election Officer. However, oppeal will not have the effect of staying or postponing the
finol publicotion of the electorol roll.
The appeol con be preferred only if the Applicont hos ovailed himself of right to be
heord or to moke representation to the Electorol Registrotion Officer. The appeol should be in
the form of o memorondum, signed by the Applicont. lt con be presented to the Appelote
Authority or be sent to him by registered post. ln both these cases, the oppeal must reoch the
Appellate Authority within 75 doys of the decision by the Electoral Registration Officer
becoming known.
2. Appeal during continuous updation: During continuous updotion the Appticont con avail
two opportunities for oppeals. First before the first appellate authority who is the District
Magistrate or Additional District Magistrote or Executive Magistrate or District Collector
or on officer of equivolent, within the period of fifteen days of the order oppealed agoinst
or sent by registered post so os to reoch him within that period. The appeat shall be in
the form or memo signed by the Applicant ond accompanied by o copy of the order
appeoled against.
Second oppeol agoinst the order of the District Magistrate or Additional District
Mogistrote can be presented to the Chief Electoral Officer within 30 days the dote of
from
order appeoled agoinst or sent by registered post so as to reach him within that period. This
appeol should be in the form of o memorondum signed by the oppellont and accompanied by
a copy of the order appeoled ogainst.

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