FORM 8

got 8
[See rule 13(3) and 26] /
[13(3) kW 26-MtJ fis ghf ]
Application for correction to particulars entered in electoral roll
thfhs goa nrfgLs tufis UJtjfhd zg
To/ bgWe
SPACE FOR PASTING ONE
RECENT PASSPORT SIZE
PHOTOGRAPH (3.5 CM X 3.5 CM)
SHOWING FRONTAL VIEW OF
The Electoral Registration Officer/ thfhs g mfh, FULL FACE WITHIN THIS BOX
Kf KGikahd Kw

Assembly Constituency/ rlnguit bjhF

njhwij fhLw,
fl L mss (3.5br. x
3.5 br.) rga ifgl
xid flF

Sir/ Iah,
xLtjfhd l

I request that entry relating to myself appearing in the electoral roll for the above Constituency is not correct and it should be
corrected. Correct particulars in support of my request are given below :
nkFl bjhF thfhs goa l bgWs vDila tu riy vW J Ujgl
ntLbkW eh nfL bfhnw. rahd tuf nH bfhLfgLsd:
I. Applicants details/ **Name/ bga **Surname (if any)/
zgjhu tuf FLgbga
Name in English/ (VnjDU)
bga My

Name in Tamil/
bga j
Part number of electoral roll/ thfhs goa ghf v: Serial number in that part/ mj ghf cs tir
v:

Age as on 1st January .# Years/ Months/ khjf: Sex

# .rdt 1M njaW taJ MLf: (male/female/third
gender) ghd
(M/bg
_wh ghd):
Date of birth, if known/ wj nj Day/ eh: Month/ khj: Year/ ML:
(bjUjh):

* Fathers/ Mothers / Husbands /Guru (In the case of **Name/ bga **Surname (if any)/
third gender) Name in English FLgbga
jfgdh/ jhah/ fzt/ FU (VnjDU)
(_wh ghdjtUF)
bga My
* Fathers/ Mothers / Husbands Guru (In the case
of third gender) Name in Tamil * jfgdh/
jhah/fzt / FU (_wh
ghdjtUF) bga j
II. Particulars of place of present ordinary Residence (Full address)/
jnghJ rhjhuzkhf FoUJ tU l tuf (KGikahd Kft):

House/ Door number L / fj v New/ a: Old/ giHa :

Flat Name / Building Name / mLFkho FoU / fol bga:

Street/ Area/Locality/Mohalla/Road/ bjU / gF / l / rhiy:

Town/ Village / efu / uhk:

Post Office/mr mYtyf: Pin Code/

mr FpL v:
Tehsil/ Taluka/Mandal/ Thana tl/kly:

District/ khtl:

Mobile number / ifng v: E-mail ID / dr Kft:

III. Details of Electors Photo Identity Card (if issued, in this or some other constituency) /
thfhs ifgl milahs mil tuf (j bjhF myJ ntW VjhtJ bjhF tHfgoUjh) :

Electors Photo Identity Card number/ thfhs ifgl milahs mil v:

 Name of the Constituency / bjhF bga:

IV. Details of entries to be corrected/ r bragl ntoa tuf

*My name / *Age/ *Fathers/Mothers/Husbands name/ *Sex/ *Address/ *Electors Photo Identity Card Number may be corrected
in terms of information provided in this Form above.

v bga / taJ / jfgdh / jhah / fzt bga / ghd / Kft / ifgl milahs mil v
got nkny bfhLfgljzf r bragl ntL.

Place / l:
Date/ eh:
Signature or thumb impression of the elector/
thfhs ifbahg / ifbgUu milahs

Please give your mobile number / E-mail I.D (Optional) Mobile No.
cf ifng/ dr Kft Fl
ntL (UgFglJ). Email Id.

Note - Any person who makes a statement or declaration which is false and which he either knows or believes to be false or does not
believe to be true, is punishable under section 31 of the Representation of the People Act, 1950 (43 of 1950).
F - vtuhtJ bghahd myJ bghahdbjW jh mJs myJ ew myJ cikahdbjW eghj
mifia myJ cWbkhia bfhLjh mt 1950-M Mo kf uJt rl (1950 43) 31tJ
jofgljftuhth.

** Name in English and Tamil will enable the entry of name to be made correctly in Electors Photo Identity Card (EPIC)
** thfhs ifgl milahs mil bga rahf l bgWtjF VJthf bgaiu jY MyY
vGj
# Please give the year i.e. 2007, 2008, etc. / rahd tUlij Fl (mjhtJ 2007, 2008 Kjait)
* Strike out the inappropriate alternative / bghUjkwitfis moJ l.

Details of action taken/ nk eltoif vLfgl tuf

(To be filled by Electoral Registration Officer of the constituency)/
(bjhF thfhs g mfhah bragl ntoaJ)

The application of Thiru/Tmt./Selvi. . for correction of entry in the electoral roll in Form 8
has been accepted*/rejected*
U/Uk/br . thfhs goa git UJtjfhd got 8
zg VWbfhsglJ*/ uhffglJ*
.

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)]. / VWbfhsgLjYfhd [ 18*/20*/ 26(4) - ] myJ uhffgLjYfhd f
[17*/20*/26(4) - ] fhuzf

Place/ l : Signature of (Seal of the Electoral

Date/ eh: Electoral Registration Officer Registration Officer)
thfhs g mfh ifbahg (thfhs g mfh Kiu)

* Strike out the inappropriate alternative./ bghUjkwitfis moJ l

During continuous updating after final publication of electoral roll / thfhs goa W btpoF d eilbgW
bjhlUj nghJ.
Remarks of Field Level Officers (e.g BLO, Designated Officer, Supervisory Officer) /
fs mYty (thFrhto iy mYty, zfgl mYty, nkghit mYty) - f Ff

[FORM 8 Contd..]/ got 8 (bjhl)

(This page should be thick enough so that it does not get mutilated/damaged in postal transit) /
(jgh mDnghJ ahkUf gf fdkhd jh Uf ntL)

Intimation of action taken

(Section-II of the page is 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 in Section-I) / eltoif vLfgl tu
(bjhF thfhs g mfhah -II uggL, -I- zgjhuuh bfhLfgl KftF mDgglntL)

First fold / Kj ko .....................

Section-I/ -I

Postage Stamp to be affixed

by the Electoral Registration
Authority at the time of
dispatch/ mDif
nghJ thfhs g
mYtyfjh jgh iy
xlgl ntL.
The application in Form 8 of
** Thiru/Tmt./Selvi/ U/ Uk/br got 8- mfgl zgkhdJ

** (Full address) House/Door number/(KG Kft) L/fj v:

Flat Name / Building Name/ mLFkho FoU/fol bga:
Street/Area/Locality/Mohalla/Road / bjU/gF/l/rhiy:
Town/Village/ efu/uhk:
Post Office / mr mYtyf: Pin Code/
mr FpL v:
Tehsil/Taluka/Mandal/Thana/ tl/kly: District/ khtl:
**To be filled in by the applicant/ zgjhuuh ugglntL.
.
---------------------------------------------------------------Second Fold/ ulh ko --------------------------------------
Section-II/ -II
has been
(a) accepted and the entry at Sl.No.. of Part No...
of .Assembly Constituency has been modified accordingly.
(m) VfgL, .... ... ...rlkw bjhF thfhs goa ghf v .
tir v... cs g, jfthW khw bragLsJ.
(b) rejected for the reason..
(M) ........
vw fhuzfhf uhffgLsJ.

Date/ eh Electoral Registration Officer/ thfhs g mfh.

(Address)/ (Kft)

Receipt for application/ got bgW bfhljF xif

Received the application in Form 8 of ** Thiru/Tmt./Selvi / **U/ Uk/br ..

lUJ got 8 bgW bfhsglJ.

**Address/ **Kft

Date/ eh Signature of the officer receiving the application

on behalf of the Electoral Registration Officer/
thfhs g mfh rh got bgW bfhl
mfh ifbahg
(Address)/ (Kft) .

** To be filled in by the applicant/ **zgjhuuh ugglntL.

 GUIDELINES FOR FILLING UP THE APPLICATION FORM-8
General Instructions

Who can file Form-8

1. Can be filed only by a person whose name is already included in the electoral roll seeking correction to his/her particulars
already printed in the electoral roll. One person cannot file application in Form 8 for correction in the particulars of any other
person.

When Form-8 can be filed

1. Form-8 can be filed for correction to particulars of a person entered in the electoral roll. The application can be filed after
draft publication of electoral roll of the constituency. The application is to be filed within the specific days provided for the
purpose. Due publicity is given about the above period when the revision programme is announced.

2. Only one copy of the application is to be filed.

3. The Application can also be filed for correction of particulars relating to oneself in the finally published electoral roll when the
revision programme is not going on. During non-revision period, application must be filed in duplicate.

Where to file Form-8

1. During revision period, the application can be filed at the designated locations where the draft electoral roll is displayed
(mostly polling station locations) as well as the offices of the Electoral Registration Officer and Assistant Electoral
Registration Officer of the constituency.

2. During other period of the year when revision programme is not going on, the application can be filed only with the Electoral
Registration Officer.

How to Fill up Form-8

1. The application should be addressed to the Electoral Registration Officer of the constituency in which the name of the
applicant is already included. The name of the constituency should be mentioned in the blank space.

2. In Part I of the the Application, please write your name, as it should appear in the electoral roll. In case the initials to your
name printed in the electoral roll are in abbreviated form and you want them to be printed in expanded form you can write
your full name in expanded form. The full name except the surname should be written in the first box and surname should be
written in the second box. In case you do not have a surname, just write the given name. Caste should not be mentioned except
where the caste name is used as part of the electors name or a surname. Honorific appellations like Thiru,Thirumathi, Selvi,
Khan, Begum, Pandit etc. should not be mentioned.

3. Please fill up the Part Number and serial number in that part of electoral roll where your name is listed. This is mandatory.

4. Age
Similarly, you should indicate your Age in years and months as on 1 st January of the year with reference to which the electoral
roll is printed. This qualifying date is printed at the bottom of each page of electoral roll.

5. Sex
Write your sex in full in the space provided e.g. Male / Female / Third Gender. Eunuchs have to choose from one of these
options.

6. Date of Birth (with documentary proof)

Fill up the date of birth in figures in the space provided in dd/mm/yyyy.
Proof of date of birth to be attached are as under:
(i) Birth certificate issued by Municipal Authorities or district office of the Registrar of Births & Deaths or
Baptism certificate; or
(ii) Birth certificate from the school (Govt. / Recognised) last attended by the applicant or any other
recognised educational institution; or
(iii) If a person is class 10 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) A declaration in prescribed format given in Annexure-I (made available on demand by registration
authorities) made by either of his parents if the person is not educated till class 10 (In those cases where
 parental declaration is given as proof of age, the applicant will have to be present himself for verification
before BLO/ERO/AERO); or
(vii) A certificate of his age given by a sarpanch of the concerned Gram Panchayat or by a member of the
concerned Municipal Corporation/Municipal Committee, in case the person is not educated till class 10
and both the parents are not alive.
(viii) Indian Passport
(ix) PAN card
(x) Driving License
(xi) Aadhar Letter issued by UIDAI
Note: Documentary proof of age will be required only in those cases, where age of the applicant is between 18 and 21 years.
In all other cases declaration of his age by the applicant will be taken as proof of age.

7. Relations Name:
In case of unmarried female applicant, name of Father / Mother is to be mentioned. In case of married female applicant, name
of Husband is to be mentioned. Strike out the inapplicable options in the column.

8. Place of Ordinary Residence

In Part II of the Application Form please fill up the full and complete postal address including PIN code where you are
ordinarily residing and want to get registered, in the space provided.
Proof of ordinary residence to be attached are as under:
(i) Bank / Kisan / Post Office current Pass Book, or
(ii) Applicants Ration Card / Passport / Driving License / Income Tax Return filed or Assessment Order, or
(iii) Latest Water / 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
(iv) Postal departments posts received / delivered in the applicants name at the given address.
NOTE: In case of homeless persons, the BLO will visit the address given in this Form 6 at night to ascertain that the homeless
person actually sleeps at the place which is given as his/her address in the Form 6. If the BLO is able to verify that the homeless
person actually sleeps at that place, no documentary proof of place of residence shall be necessary. BLO must visit for more
than one night for such verification.

9. Details of Electors Photo Identity Card.

If you already have been issued with a Photo Identity Card by the Election Commission, please mention the card number
(printed on the front side) and date of issue (printed on the back side) of the card in the space provided in Part III of the
Application Form. Please attach a self-attested photocopy of both sides of the card.

10. Details of entries to be corrected.

In Part IV of the Application you should indicate the details of entries to be corrected. Therefore, this is a very important part
of the Application. You have indicated the correct details about your name, age, date of birth, relations name, sex, address and
photo identity card in the space provided in Parts I to III of the Application. In this Part you have to clearly put a tick mark on
the details that need to be corrected on the basis of information now furnished by you. Please score out the alternatives that are
not to be corrected.

In most parts of the country now the electoral roll is printed with the photograph of electors. In case the application is for
correcting a wrong photograph, then the applicant may write My Photograph in Part IV of the application and if possible,
attach a recent passport size coloured photograph with the application.

Please also give your full name and address on the acknowledgement and intimation portions.
Please give your mobile number and E-mail I.D. in the Form, which is optional, as the same, if given, may be used by the
Electoral Registration Officer for further communication with the applicant whenever required.
The Booth Level Officer for the part may be contacted with regard to any Electoral Roll registration work.

Call Centre (toll free) telephone No. 1950

Election Commissions website: : www.eci.nic.in
Chief Electoral Officers website : www.elections.tn.gov.in
 got 8I utjfhd tfhoFf
bghJthd miuf

got 8I ah jhf brayh

1. Vbfdnt thfhs goa bga nrfgL, mlgl thfhs goa cs jdJ tuf
Ujf bra U eg kLnk gotid jhf bra Ko. xU eg tuf
Ujf brtjfhd got 8-I ntbwhU eg jhf bra KoahJ.
vnghJ got 8 mfglyh
1. thfhs goa gbgWs xU eg tuf Uj brtjfhf got 8I jhf brayh.
bjhF thfhs goa tiu btpoF wF zgij jhf brayh.
zgfis jhf brtjbfd tiuaWfgl fhyfl zgij jhf bra
ntL. thfhs goa Ujg mfgl nkFl fhymsitg ca ms
sgu bragL.

2. zg xnu xU uia kLnk jhf bra ntL.

3. Uj gf eilbgwhj fhy, btlgLs W thfhs goa xUt jik Fj

tufis UJtjF zgij ML KGtJ jhf brayh. Ujg eilbgwhj
fhyf zgij Uufshf jhf bra ntL.

got 8I vnf jhf brtJ

1. Ujg eilbgW fhy zgij tiu thfhs goa ghitF itfgL

zfgl miklf (bgUghY thFrhto miklf) kW thfhs g mfh
kW cj thfhs g mfh mYtyffY jhf brayh.

2. thfhs goa Ujg eilbgwhj, Mo kw fhyf zgij thfhs g

mfhlnkh, Fl kw mYtyffnyh jhf brayh.

got 8-I vgo utJ

1. f Uj branfhU g mls thfhs goa vj bjhFfhdnjh mbjhF

thfhs g mfhF zgij Kftl ntL. fhahf cs l bjhF bga
uggl ntL.

2. bga: zg gF I-, thfhs goa tuntoago cf bgaiu vGj. xUntis

thfhs goa cfSila jiy vGJf RUfgl to mlgoUJ, f mtiw
thfgl to mlgl ntLbkW Udh cfSila thd KGbgaiu vGj.
FLg bga jj KGbgaiu Kj flY FLgbgaiu ulhtJ flY vGj ntL.
cfSF FLgbga yhlh bgaiu kL vGj ntL. thfhsUila bga gFahfnth
FLgbga gFahfnth yhjgr rh bgaiu FlTlhJ. fut milbkhfshd
U, Uk, br, fh, ngf, go nghwit FlglTlhJ.

3. cf bga mls thfhs goa ghf viz mghf cf bjhl viz

ja brJ Fl. J flhakhF.

4 taJ: njngh, thfhs goa Uj bragL Mo rdt Kj njaW cf taij,

MLf kW khjf FlntL. j jFnagLJ eh thfhs goa xbthU
gf ghf mlgoUwJ.

5. ghd: cfSila ghdij mjbfd xJfgl l Fl. v.fh M/ bg/ (_wh

ghd / t VnjD xiw Fl ntL.
6. wj nj (Mtz rhWl) wj njia mjbfd fhahf lgLs l ug
(nj/khj/tUl) wj njfhd rhwhf tUtdtW xiw izf ntL:
(i) efuh mikfsh myJ khtl w w gths mYtyfjh tHfgl w rhj
myJ Phdehd rhj ; myJ

(ii) zgjhu filahf gw (muR/mffgl) gah myJ ntW VjhtJ mffgl

f Wtdjh tHfgl w rhj

(iii) xU eg gjh tF myJ mjF nk nj bgwtuhUjh, wj njF rhwhf gjh

tF kbg rhj efiy (m wj nj FlgoUjh) rkf; myJ

(iv) vlh tF rhj (m wj nj FlgoUjh) ; myJ

(v) Ijh tF rhj (m wj nj FlgoUjh) ; myJ

(vi) xU eg gjh tF tiu gouhjtuh UF gr, bgnwh xUtuh, iz 1

 cs tiuaWfgl got (mfhflUJ nfLbgwyh) mfgL cWbkh
(bgnwh cWbkhna taJ rhwhf mfgL nef, thF rhto iy mYty/
thfhs g mfh/ cj thfhs g mfh Kiy zgjhu rghfhf
tuntL) ; myJ

(vii) jdJ bgnwh UtU cUl yhj xU eg gjh tF tiu gouhjtuh UF gr,
mtUila taJ FJ uhk grhaJ jiyt myJ rgjgl khefuh/ efuh cWd
mF xU rhj.
(viii) a flL
(ix) tUkhd t uju fzF v mil
(x) XLe ck
(xi) a jJt milahs mfhu mikdh tHfgl Mjh foj
F: 18 Kj 21 tiuyhd taJila zgjhuf kLnk taJ Fj Mtz rhiw mf ntL.
kw vyh nefY zgjhu mF cWbkhna mtuJ taJrhwhf VW bfhsgL.

7. cwd bga Ukzkhfhj bg zgjhuuhf Ujh jij/jh bgaiu Fl ntL.

Ukzkhd bg zgjhuuhf Ujh fzt bgaiu Fl ntL. bghUjhjtiw moJ l.

8. rhjhuz tl zg got gF II- f bgaiu g bra nfhUw cfsJ rhjhuz

tl KG Kftia mryf FpL vQl mjbfd fhahflgLs l Fl
ntL.

rhjhuz tlfhd rhwhf tUtdtW xiw izf ntL.

m. t/rh/mr mYtyf el fzF ifnaL; myJ

M. zgjhu czbghU gL mil / flL / XLe ck / tUkhd t jhf brj got

myJ tUkhd t Miz; myJ

. zgjhu bganyh myJ mtuJ bgnwh nghw beUa cwd bganyh cs

Fo/bjhiyng/rhu/ rika vth iz nghwt rga uJ; myJ

<. bfhLJs Kft zgjhu bgaUF tJ nrj jgh Jiw jghf

F: L yhj egfis bghWjtiu, got bfhLfgLs KftF thFrhto iy mYty
ubghG brW, oyhj mj eg ciknyna mj lij cwFtjF gagLJwhuh vW
flth. oyhj mj eg ciknyna mj ljh cwFwh vW thFrhto iy mYtyuh
fla Kojh, ml mj eg tgjfhd Mtz rhW VJ njitglhJ. rghfhf xWF
nkgl u bghGJf thF rhto iy mYty bry ntL.

9. thfhs ifgl milahs mil tuf: cfSF njj Mizadh Kng ifgl milahs
mil tHfgoUjh zg got gF-III- milahs mil viz (Kgf
mlgL csJ) tHfgl njia (gf mlgL csJ) ja brJ Fl. milahs
mil U gf efiy jhf Rakhf rhwJ izf ntL.

10. r bragl ntoa tuf zg gF IV-, r bragl ntoa tufis Fl

ntL. vdnt J zg f Kakhd gFahF. zg I Kj III tiuyhd gFf
cf bga, taJ, wj nj, cwd bga, ghd, Kft kW ifgl milahs mil v Mat
rahd tufis FLf. f mJs tuf mogil Ujglntoa
tufnk j gF bjthf Fl. Ujgl ntlhjtiw moJl.
eho gy lf jnghJ thfhs goa thfhs ifglK mlgoUwJ. xUntis,
jtwhd ifglij rbrtjfhf zg mfgLtjhUjh zg gF IV-, v
ifgl vW zgjhu vGjyh. rg vLfgl ghngh mss tz ifgl xid
zgJl izfyh.
cfSila KG bgaiu Kftia xif kW eltoif vLfgl tu gFf Fl.
cfSila ifng v kW dr Kftia got Fl (UgFglJ).
njitgLnghJ zgjhuUl bjhl bfhtjF tiw thfhs g mfh gagLjyh.
thfhs goa g bjhlghf ghf thFrhto iy mYtyiu bjhl bfhsyh.

miH ika (flzyh) bjhiyng v : 1950

a njj Miza tiyjs : www.eci.nic.in
jiyik njj mfh tiyjs : www.elections.tn.nic.in