Form 18 - To Register As A Voter For Graduates Constituency Election
Form 18 - To Register As A Voter For Graduates Constituency Election
Form 18 - To Register As A Voter For Graduates Constituency Election
Occupation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Pin Code: __ __ __ __ __ __
2. *I am a graduate of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . University
having passed the degree/diploma examination in the year . . . . . . . . . . . . . .
OR
*I am in possession of a diploma/certificate in . . . . . . . . . . . . . . . . . . . . . . . . . . . . . which is a qualification
equivalent to that of a graduate of a University in India having passed the examination for the diploma/
certificate in the year . . . . . . . . . . . . . . . . . .
3. In support of my claim as being a Graduate/in possession of the above diploma/certificate, I submit
herewith . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. ** My name has not been included in the electoral roll for this or any other Graduates' constituency.
OR
** My name has been included in the electoral roll for the . . . . . . . . . . . . Graduates' constituency under the
address given below and I request that it be deleted from that roll:
............................................................................................................................................................................
5. I declare that I am a citizen of India and that all the particulars given above are true to the best of my
knowledge.
Place: . . . . . . . . . . . . . . . . . .
Date: . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . .
Signature of Claimant
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.
*Strike out the paragraph not applicable.
Date_____________
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(perforation) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .