Application for inclusion of name in Electoral Roll

APPLICANT'S DETAILS

PLACE OF BIRTH DETAILS

Where you born in India, in Tamil தாங்கள் இந்தியாவில் பிறந்தவரா?

PARTICULARS OF PLACE OF PRESENT ORDINARY RESIDENCE (FULL ADDRESS)

Details of member(s) of applicants family already included in the current electoral roll of the Constituency

Electoral Photo Identity Card No Relation Type With The Applicant Name Part No Serial No In That Part

Upload Documents

Click Here To Take Photo
  
  

Declaration

Its varification Code, Kindly enter the value as per image.