Step 1 of 6

BLO visits to give the prefilled Enumeration Form

The BLO brings the pre-printed Enumeration Form to the voter’s registered address as per the present voter record / EPIC address. This app helps your family keep sample filled forms ready at home before the BLO visit.

What the BLO brings A pre-printed Enumeration Form with existing voter details such as name, EPIC, address, serial number, part number, QR code and old photo.

What you prepare Current photo, DOB, family details, last SIR linkage details, and signature. Keep two recent passport-size photos for each family member ready.

Important home-readiness warning:

Do not travel far only for this unless it is really required.
Keep sample filled Enumeration Forms ready at home for all family members.
If the BLO visits when you are not there, any adult family member can submit/sign the Enumeration Form as allowed in Annexure III.
Keep the BLO-signed second copy or acknowledgment safely after submission.

Privacy promise: This page does not collect, upload, store, or submit personal information. Everything typed here stays inside this browser session.

Step 2 of 6

Voter fills the Enumeration Form

Fill a sample form locally in the browser. This helps the family copy details onto the official pre-printed form when the BLO comes.

1. Current Photo

Pre-printed voter details are already on the official form. This helper asks only for the current photo in this section.

Upload Current Photo

Used only inside browser preview. Not uploaded or stored.

Photo reminder: Keep two recent passport-size photos with the official form.

2. Personal Details

Date of Birth

Birth / Citizenship Case

Birth Country

Birth State

Birth District

Village / Town / City

Aadhaar Number Optional

Mobile Number

3. Family Details

Father / Guardian Name

Father / Guardian EPIC No. Optional

Mother Name

Mother EPIC No. Optional

Spouse Name If Applicable

Spouse EPIC No. Optional

4. Last SIR Details

For Karnataka, the guide logic is to link the current voter to own or parent/relative entries in the last SIR record, where available.

Whose name is available in the last SIR Electoral Roll?

Select an option above to see what to fill.

Your Details in Last SIR

Elector Name

EPIC No. Optional

Relative's Name

Relationship

District

State

AC Name

AC Number

Part No.

Sr No.

Relative Details in Last SIR

Relative Name

Relative EPIC No. Optional

Relative’s Father/Mother/Spouse Name

Relationship with that Relative

District

State

AC Name

AC Number

Part No.

Sr No.

5. Declaration and Signature

The form may be signed by the elector or any adult family member, with relationship mentioned.

Signed By

Relationship If Family Member

Date

Draw Signature / Thumb Mark Note

Live Form Preview

Annexure-III

Enumeration Form

Name and contact No of BLO: Pre-printed

Elector's Name, EPIC, Address
Pre-printed on official form

Serial No., Part No. & name, AC/PC Name, State
Pre-printed on official form

QR Code
Pre-printed

Old Photo
Pre-printed

Paste Current Photo

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

Details of the Elector in the Electoral Roll of the last SIR	Details of the Relative, whose name is given in the previous column, in the last SIR
Elector Name:	Name:
EPIC No.:	EPIC No.:
Relative's Name:	Relative's Name:
Relationship:	Relationship:
District:	District:
State:	State:
AC Name:	AC Name:

AC Number	Part No.	Sr No.	AC Number	Part No.	Sr No.

(i) The elector mentioned above, being myself/my family member, has not acquired the citizenship of any other country.

(ii) I am applying for inclusion in the Electoral Roll, and the name mentioned above, being myself/my family member, is not included in any other Assembly Constituency/Parliamentary Constituency.

(iii) I am aware that making a false statement or declaration is punishable under Section 31 of Representation of the People Act, 1950.

Signature / Left Thumb Impression of Elector or Adult Family Member
Signed by: Date:

BLO's undertaking: I have verified the above details from the electoral roll(s) of the last SIR.

BLO's Signature

Step 3 of 6

BLO collects the filled form

This is the participation stage. The BLO collects the filled Enumeration Form. Documents are generally kept ready for notice stage, not forced into this preparation app.

Give one copy

Hand over the filled and signed Enumeration Form to the BLO.

Keep acknowledgment

Keep the second BLO-signed copy safely as proof that your family participated in the exercise.

Family member can help

The uploaded Enumeration Form allows the elector or any adult family member to sign with relationship mentioned.

Avoid common mistakes:

Mismatch in initials or spelling between voter record, Aadhaar, school certificate, passport and other documents.
Unclear photos or unclear document copies if later notice requires documents.
Missing required parent document for 1987–2004 or after 2004 birth windows.
Not keeping the BLO-signed acknowledgment copy.

Privacy promise: This button only checks readiness inside your browser. It does not submit anything to the government or to any server.

Step 4 of 6

Either accepted or notice is received

If previous SIR details are available and match, the form may move forward. If details are missing or mismatch, ERO/BLO may issue notice and then documents should be submitted.

Your readiness

0% complete

What happens next?

Age-based documents to keep ready

Last SIR linkage guidance

Approved document toolkit

Birth Certificate issued by competent authority.
Passport.
Matriculation or Educational Certificate.
Government / PSU employee ID or Pension Payment Order.
Government / local authority / bank / post office / LIC / PSU document issued in India before 01.07.1987.
Permanent Residence Certificate.
Land or House allotment certificate issued by Government.
SC/ST/OBC or caste certificate.
NRC record, wherever applicable.
Family Register maintained by State / Local authority.
Forest Right Certificate.
Aadhaar as identity/reference subject to official directions; not as standalone citizenship proof.
Previous SIR electoral roll extract.

Step 5 of 6

Name in draft list comes or does not come

After the BLO/ERO processing stage, check whether the name appears correctly in the draft electoral roll.

If name appears correctly

Keep the acknowledgment and still check the final list when published.

If name is missing

Use the official claims/objections process immediately. Contact BLO/ERO and submit required proof copies as instructed.

If details are wrong

File correction through official process, generally Form 8 where applicable. Avoid ignoring spelling and initials mismatch.

Troubleshooting guide:

If recently deleted, ask officials about the appeal route with the District Election Officer.
If deletion is older or name is absent, ask whether Form 6 fresh registration is needed.
If details are wrong or mismatched, ask whether Form 8 correction is needed.
Keep self-attested copies and clear scans/photos of documents ready if official notice asks.

I checked my name in the draft roll. I checked spelling, age/DOB, address and family linkage details. I kept BLO acknowledgment/reference safely. If missing/wrong, I contacted BLO/ERO for official correction/claim process.

Step 6 of 6

Name in final list comes or does not come

The final list is the last confirmation. Check it carefully even if the draft list looked correct.

If name is in final list

Your inclusion appears confirmed. Keep voter details and acknowledgment copy safely for future reference.

If name is not in final list

Do not delay. Contact BLO/ERO and ask for the official appeal, fresh registration or correction route based on your case.

For future safety

Keep mobile linked to EPIC, maintain consistent name spelling, and preserve self/parent documents.

Final civic readiness checklist

Determined birth window: pre-1987 / 1987–2004 / post-2004. Checked own and parent/relative entries in last SIR where available. Kept self-attested documents for self and required parents. Checked name consistency across Aadhaar, voter record, school certificate, passport and other documents. Kept BLO-signed acknowledgment or official reference safely. Checked draft list and final list.

Privacy promise: This one-file app does not collect, upload, store or submit personal information. Use it only as a preparation guide. Final submission, correction, appeal or registration must follow official ECI/BLO/ERO instructions.