Eci epic 001 form is a document you will need to complete in order to register your business. This article will provide a brief overview of the information required in the eci epic 001 form, as well as instructions on how to complete it. Completing the eci epic 001 form should only take a few minutes, but it is important that all of the information is accurate and up-to-date. Any errors or omissions can cause delays when registering your business. So be sure to take your time and fill out the form accurately. Let's get started!
| Question | Answer |
|---|---|
| Form Name | Eci Epic 001 Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | nvsp form 001 accepted what next, nvsp, form 001 online application, form 001 for voter id card online |
|
Election Commission of India |
FORM ID |
|
|
ϪÂa nj®j Miza« |
got« ID |
|
Application for issue of Replacement Elector s Photo Identity Card (EPIC) |
|
||
|
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« : |
|
|
|
|
|
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___