The Election Commission of India's FORM ID Application for the issue of Duplicate Elector’s Photo Identity Card (EPIC), ECI-EPIC-002, serves as a critical document for reinstating a voter's identity credentials. This form allows individuals whose original EPIC has been lost, destroyed, or mutilated to request a duplicate. The application process outlined in the form includes providing detailed personal information, such as the elector's name, the original EPIC number, and their address, along with the specific reason for the duplicate request. Additionally, it involves a process of authentication that includes details to be filled out by the Electoral Registration Officer’s (ERO) representative and a photography team responsible for preparing the duplicate card. The form further emphasizes the importance of the elector's commitment to returning the previously issued card if found, ensuring a meticulous approach to maintaining the integrity and accuracy of voting records. This comprehensive procedure not only safeguards the elector's right to vote but also upholds the electoral system's reliability.
| Question | Answer |
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| Form Name | Eci Epic 002 Form |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | voter card format, voter id card format pdf, form epic 002, voter card pdf download |
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Election Commission of India |
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FORM ID |
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Application for issue of Duplicate Elector’s Photo Identity Card (EPIC) |
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A |
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State/Ut : |
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AC$ (NO. & Name) : |
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District: |
Campaign ID: |
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B |
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Elector’s Particulars (To be filled by Elector) |
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To,
The Electoral Registration
Officer,…………………………
Assembly /Parliamentary$
Constituency
Sir/ Madam,
I request that a Duplicate Electoral Photo Identity Card be issued to me as my original card is lost/ destroyed /mutilated. 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:
1. Name of Elector:
2. EPIC No of original Card:
3. Father’s/ Mother’s / Husband’s* Name:
4. Sex (M/F):
5.Age (Years) as on
1st Jan, 200__……….
6. Address
(i) House / Door Number:
(ii) Street/ Mohalla / Road / Gali :
(iii) Area / Locality:
(iv) Town/ Village: |
(v) PIN CODE |
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(vi) Police Station: |
(vii) District: |
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(viii) Reasons for applying for a Duplicate card |
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(ix) Tick (3) the appropriate box:
I hereby return my mutilated card.
I undertake to return the earlier card issued to me if the same is recovered at a later date.
Date:
Place:
Thumb Impression
Or Signature of Elector:
C Authentication for Issue of EPIC (To be filled by ERO’s Representative)
Part No: |
Serial No. of |
Designated Photography Location (DPL) |
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Elector in Part: |
No: |
Register NO. |
Serial No. in Register |
Field Unit No.: |
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Verified by : |
Signature |
Personal ID No.(PIN) |
Date:__/__/2000 |
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Token No. or Receipt No.
DEPIC Details (To be filled by the Photography Team)
EPIC Mode: (Tick 3 appropriate box) |
Date of Photography |
___/____/200__ |
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EPIC No.: |
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Preparing EPIC |
Authorised issue of EPIC |
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Date of Issue |
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(Tick 3 appropriate box when complete) |
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Editing of Data |
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Printout |
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Personal ID No.(PIN) |
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Lamination |
Signature |
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of ERO’s Rep. |
___/___/200__ |
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EAcknowledgement of Duplicate EPIC by the Elector
Received Duplicate EPIC on (Date):
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200__ |
* Strike out the inappropriate alternative.
Elector’s Signature
Or Thumb Impression
$ PC number in case of Union Territories not having Legislative Assemblies.