New Application Form

New Voter Style with double photo like aadhar card.
EPIC NO.
Full Name
Gender
Upload Your Photo
Age/Date Of Birth
Select Relation
Enter Father/Husband Name
Full Address (English)
Name (Local Language)
Enter Father/Husband Name in Local
Full Addess in Local

Optional Entry (Do not fill below details if no need)

वैकल्पिक (यदि आवश्यकता न हो तो नीचे विवरण न भरें)

Police Station
Assembly Constituency Number and Name
Part Number
Part Name
Tahshil (Hindi)
Part Name Local(Hindi)