Eci Epic 001 Form PDF Details

In today's digital era, the need for efficient and secured voting processes is more prominent than ever. The Election Commission of India, recognizing this necessity, has introduced the ECI Epic 001 form, also known as the Application for the issue of Replacement Elector's Photo Identity Card (EPIC). Aimed at ensuring that every eligible voter has access to their crucial voting ID, the form caters to individuals whose original EPIC was lost, destroyed, mutilated, or needs updating due to a change of address. Applicants are required to provide their personal details, including their name as it appears in the electoral roll, the original EPIC number (if available), and their new address, ensuring they remain eligible to participate in the democratic process without hindrance. The form provides options for how the applicant wishes to receive the duplicate EPIC, underlining the Election Commission's commitment to accommodating voter needs through flexibility and convenience. It's a straightforward yet vital tool in sustaining an inclusive electoral system, reinforcing the importance of each vote in shaping the future.

QuestionAnswer
Form NameEci Epic 001 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other namesnvsp form 001 accepted what next, nvsp, form 001 online application, form 001 for voter id card online

Form Preview Example

 

Election Commission of India

FORM ID

 

ϪÂa nj®j Miza«

got« ID

Application for issue of Replacement Elector s Photo Identity Card (EPIC)

 

ECI-EPIC-001

 

kh W th¡fhs® òif¥gl milahs m£il nfhU« é©z¥g«

 

 

 

 

 

A

State/UT / khãy« / ôåa Ãunjr« :

 

m.

AC (No. & Name) / bjhFÂæ v©Q« bgaU« :

 

 

 

 

District / kht£l« :

 

 

B

M.

Elector s Particulars (To be filled by Elector) / th¡fhsç étu§f (th¡fhsuh ãu¥g¥gl nt©L«)

To / bgWe®

The Electoral Registration Officer /

th¡fhs® gÂÎ mÂfhç,

Assembly /

Parliamentary Constituency /

r£lk w bjhFÂ / ghuhSk w bjhFÂ

Sir / Madam / m ah / m«ikp®,

I request that a Duplicate Electoral Photo Identity Card be issued to me as my original card is lost/destroyed/mutilated or due to change of address. I want to get a fresh card with my new address. I am returning my EPIC to you along with fee for issue of duplicate EPIC. My name is included in the electoral roll for the above constituency. Particulars in support of my claim for issue of duplicate EPIC are given below:

vDila fhzhk nghd / mêªJnghd / nrjkilªj m yJ Kftç kh w« nk bfh s¥glnt©oa c©ikahd th¡fhs® òif¥gl milahs m£il¡F¥ gÂyhf kh W th¡fhs® òif¥gl milahs m£il tH§FkhW nf£L¡ bfh »nw . vdJ òÂa

KftçÍl

Toa kh W th¡fhs® òif¥gl milahs m£il bgw

éU«ò»nw

. eh v Dila th¡fhs® òif¥gl milahs

m£iliaÍ« k W« kh W th¡fhs® òif¥gl milahs m£il tH§Ftj fhd f£lz¤ijÍ« brY¤J»nw . v Dila bgauhdJ nk F¿¥Ã£l r£lk w¤ bjhF¡F c£g£l th¡fhs® g£oaè Ïl«bg W sJ. kh W th¡fhs® òif¥gl milahs m£il tH§Ftj fhd v Dila é©z¥g¤Â fhd Ñ ¡fhQ« Mjhu§fis rk®¥Ã¡» nw .

1. Name of Elector / th¡fhsç bga®:

2.EPIC No. of

Original card (if known) /

c©ikahd th¡fhs® òif¥gl milahs m£il v©. (bjçªÂU¥Ã ) :-

3. Father s / Mother s / Husband s Name / jªij / jh / fzt® bga® :

4.Sex (M/F) : ghèd« (M© / bg©)

5.Date of Birth (DOB) If not known then Age in Years) as on 1st Jan, 201____......

Ãwªj njÂ. (bjçahjg£r¤Â

201... ... #dtç 1« ehs W

csgo taij M©Lfë F¿¥ÃlΫ)

6. Address / Kftç

(i)House / Door number /

ÅL / fjéy¡f« :

(ii)Street / Mohalla / Road / Gali / bjU / gF / rhiy / ÏU¥Ãl« :

(iii)Area / Locality / Ïl« / mikél« :

(iv)Town / Village / efu« / »uhk« :

(vi) Police Station / fht ãiya« :

(v)PIN CODE / m r F¿p£L v©

(vii) District / kht£l« :

(viii)Reasons for applying for a Duplicate card / kh W th¡fhs® òif¥gl milahs m£il¡F é©z¥Ã¥gj fhd fhuz«

Tick ( ) the appropriate box / cça f£l¤Â ( )

F¿ælΫ :

1. I will collect EPIC from VRC/CSC / eh

v Dila th¡fhs® òif¥gl milahs m£ilia

th¡fhs® nrit ika¤Ânyh / bghJ nrit ika¤Ânyh bg W¡ bfh »nw

2. I wish to receive my EPIC by Post (self addressed and stamped envelope enclosed) / eh m r _y« v Dila th¡fhs® òif¥gl milahs m£ilia¥ bg W¡ bfh »nw . (Raéyhrä£l k W« m r é iy x£l¥g£l ciw Ïiz¡f¥g£L sJ)

3. I will collect EPIC from BLO / eh v

Dila th¡fhs® òif¥gl milahs m£ilia th¡F¢

rhto ãiy mYtyçläUªJ bg W¡ bfh

»nw .

Tick (

) the appropriate box / cça f£l¤Â ( )

F¿ælΫ :

 

 

I hereby return my mutilated / old card /

eh

v

Dila nrjkilªj / giHa m£ilia

ϤJl

Ïiz¤J ns ..

I undertake to return the earlier card issued to me if the same is recovered at a

later date / eh

v Dila giHa th¡fhs®

òif¥gl milahs m£ilia tU§fhy¤Â

»il¡F«g£r¤Â

mjid x¥gil¤J éL»nw

v W cWÂaë¡»nw .

(

)

Signature of the applicant

 

é©z¥gjhu® ifbah¥g«

 

 

 

Date / eh :

 

 

Place / Ïl« :

 

 

 

 

 

Serial No. in Register /

C

Ï.

For Official Use / mYtyf ga gh£o F k£L«

Authentication for Issue of EPIC (To be filled by ERO s Representative) / th¡fhs® òif¥gl milahs m£il tH§Ftj fhd rh W (th¡fhs® gÂÎ mÂfhçæ ÃuÂãÂah ãu¥g¥glnt©L«)

Part No. / ghf«

v©. :

Serial No. of

ID number of Designated

Elector in Part / mªj

Photography Location

ghf¤Â th¡fhsuJ tçir

(DPL) or Common Service

v©. :

Centers (CSC) / F¿¥Ãl¥g£l

 

òif¥gl ika¤Â

(m) bghJ

 

nrit ika¤Â

milahs

 

v©. :

 

 

 

 

#Token No. or Receipt No. /

# nlh¡f v© (m) uÓJ

v©.

Register No. /

gÂntL v©.

Verified by: /

rçgh®¡f¥g£lJ

Date / eh :

___/___/201___

gÂnt£o tçir v©.

Signature / ifbah¥g«

D <.

Acknowledgement of R- EPIC by the Elector / kh W th¡fhs® òif¥gl milahs m£il bg W¡ bfh©lj fhd th¡fhsç x¥òif

Received Duplicate EPIC on (Date) / kh W

th¡fhs® òif¥gl milahs m£il bg W¡bfh s¥g£l

nj :

Elector s Signature Or Thumb Impression /

th¡fhsç ifbah¥g« (m) ÏlJif bgUéu nuif

-

-

201___