Welcome to Mumbai District Election Office

*Please note that your Assembly is :

*and Part no of voter list is :

Enter Applicant's Details

*Name :

Enter Name here.

*Surname :

Enter Surname here.

(for ex:-sachin
Honorific appellations like Shri, Smt. Kumari, Khan, Begum, Pandit should not be written )

(for ex:-Deshpande
In case you do not have a surname, just write the given name.)

नाव :

To Enter In Marathi please type in english and press tab or enter key .

आडनाव :

To Enter In Marathi please type in english and press tab or enter key .

(for marathi name spell out the name in english and just press tab or enter key)

Electoral Photo Id No :

Enter Electoral Photo Id No

Date of Issue :

Enter Date of Issue here.

(If your name is already included in the electoral roll of any other constituency and you already have been issued with a Photo Identity Card by the Election Commission, please mention the card number ( printed on the front side) and date of issue (printed on the back side)

My Date of Birth (Age on 1'st January 2010 ) :

*Select date from Calender Enter Years/Months

*Date of Birth:

Enter Date of birth

*Years:

Months:

(If you don't know your date of birth then enter age (year) otherwise select date of birth from calender.)

*Gender:

Male Female

My Photo For Epic Card

*Upload Photo :

Place of Birth :

*State :

*District :

Village/Town :

Enter Village/Town here.

Relation Details :

Father Mother Husband

Name :

Enter Name here.

Surname :

Enter Surname here.

नाव :

To Enter In Marathi please type in english and press enter key .

आडनाव :

To Enter In Marathi please type in english and press enter key .

Particulars of place of ordinary residence(Full address) :

*Building Name :

Enter Building name here.

*House/Door Number :

Enter House No. here.

*Street/Area/Road :

Enter Street/Area/Road here.

Town / Village :

Enter Town/Village here.

Post Office :

Enter Post Office here.

Tehsil/Taluka/Mandal :

Enter Tehsil/Taluka/Mandal here.

*District :

Pin Code :

Enter Pin Code here.

इमारतीचे नाव :

घर क्रमांक:

रस्ता/क्षेत्र/वसतिस्थान /मोहल्ला /मार्ग:

शहर/गाव:

तहसील/तालुका/मंडळ/ठाणे

डाक कार्यालय:

Please fill in one of the three so that we can able to communicate you from where and when to collect your election identity card.

Mobile No :

Enter Mobile No. here.

Phone No :

Enter Phone No. here.

Email :

Enter Email here.

(Please enter valid mail id so that you will get time to time status information of the form on mail id.)

*I am staying here (at the above address) from :

*Years :

Months : Enter Months here.

Details of previous Residence:

District :

State :

Street/Area/Road :

Enter Street/Area/Road here.

Tehsil/Taluka/Mandal :

Enter Tehsil/Taluka/Mandal here.

Town / Village :

Enter Town/Village here.

Name of Constituency :

Enter Name of Constituency here.

Post Office :

Enter Post Office here.

Pin Code :

Enter Pin Code here.

Other Documents :

Any one of the following to be attached with you printed application

i) Eletricity bill.

ii) Telephone bill/ Mobile bill.

iii) Rent Receipt.

iv) Bank /Post Passbook.

v) Property Agreement.

vi) Leave and License Agreement.

vii) Passport.

viii) Ration card.

ix) Certificate from Superintendent in case of persons living in hostel/ old age home etc .

x) Any other specify.

Age Proof:-

(In case you age is between 18-20) any one of the following

School Leaving Certificate ,Birth Certificate,Passport,SSC Certificate,PAN Card Driving License,Bonafide Certificate from college

Code Verification : Type the characters you see in the box below.

* Enter Code :

q86sc5

(Please note that your ip address will be captured and saved in our database, if anyone Misuses this facility and submits the image/information of the wrong person can be traced out and you can be prosecuted.)