Election Commission of India
Enumeration Form
Name and contact No of BLO:
Elector Name:
EPIC No. (if available):
Relative’s Name:
Relationship:
District:
State:
AC Name:
AC Number
Part No.
Sr No.
Name:
EPIC No. (if available):
Relative’s Name:
Relationship:
District:
State:
AC Name:
AC Number
Part No.
Sr No.
Date of Birth (DD/MM/YYYY)
AADHAAR No. (optional)
Mobile No.
Father’s/Guardian’s Name
Father’s/Guardian’s EPIC No. (if available)
Mother’s Name
Mother’s EPIC No. (if available)
Spouse’s Name (if applicable)
Spouse’s EPIC No. (if available)
Context Line: