COMPLAINT FORM FOR DELETION OF NAME IN THE VOTERS' LIST

To

District Election Officer/ State Election Commissioner, 

Maharashtra

Please treat this as an official complaint from a voter who was denied her right to vote in Pune on the 17th of April. Please let me know the reason why my name was deleted from the voters’ list with documentary evidence. Please let me know what action you have taken against the officers/staff who have wrongly deleted my name. Please ensure my name is put back in the voters’ list and send me the details. 

Name/address:

Voting card no: (if you have otherwise ignore)

.

Contact no:

Voting booth: (if you know)

Assembly Constituency:

Reason for Complaint

Date

Signature

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SAMPLE RTI FORM APPLICATION UNDER SEC 6 OF THE RTI ACT

ANNEXURE-A (see rule 3)

Application for obtaining information under the Right to Information Act, 2005

To,

The Public Information Officer,

Sir/ Madam,

1.Full Name of the Applicant:
2. Address:
3.Particulars of the information Required:
a)     Subject matter of the information:	Documents relating to my deletion of my name/names from the current  voters’ list
b)    The period to which information relates:	2009 to 2014
c)     Description of the Information Required: 1.     Page of the voter roll list which had my name/names earlier and page of the voter roll list in which my name has been deleted 2.     Copy of the notice sent to me before deletion of my name/names 3.     Copy of the hearing sent to me as a result of the notice 4.     Copy of the public notice issued in the newspaper announcing my name/names for deletion 5.     All correspondence related to the procedure that led to the deletion of my name
d)    Whether the information is required by post or in person:
4. Whether the Applicant is below the poverty line:
5. Enclosures:	1.      Copy of my voter’s card/cards (If you have one) 2.

Place:

Date:

Signature of the Applicant.

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APPLICATION UNDER SECTION 4 OF RTI ACT WHERE YOU CAN DEMAND INSPECTION OF FILES AND COPIES OF THE DOCUMENTS MENTIONED

Date:

To

The District Election Officer

Election Office

Old Zilla Parishad

Pune.

Sub: Inspection of files under Section 4 of the RTI Act of documents pertaining to 

deletion of my name/names in the current voters’ list

Dear Sir,

My name is ………………….. 

My name was registered in the ……………………….

Despite this, I was unable to vote on April 17th

was deleted.

Under Section 4 of the RTI Act, I wish to inspect and get a copy of the following 

documents:

1. Page of the voter roll list which had my name/names earlier and page of 

the voter roll list in which my name has been deleted

2. Copy of the notice sent to me before deletion of my name/names

3. Copy of the hearing sent to me as a result of the notice

4. Copy of the public notice issued in the newspaper announcing my name/

names for deletion

5. All correspondence related to the procedure that led to the deletion of my 

name

 for the Lok Sabha elections as my name 

Please note that all the above documents come under Section 4 of the RTI Act 

and hence should have been put up suo motu by you on the website. As it has 

not been done, I would like you to give them to me now.

Thanking you,

Yours sincerely---