CHECKLIST FOR BLOs FOR HOUSE TO HOUSE VISITs . As per directions of the Election Commission of India, House to House visits is to be conducted by the BLOs during 21.07.2023 to 21.08.2023 for the following purposes: 1) Verification of each and every entry in electoral roll:- - Name - Relation Name oO - Relative Name - Gender - DOB/Age - Address U Ul - EPIC Number (EPIC Number is standard 10-digit Alpha-numeric number) - Photograph - Whether same P$ allotted to all family members - Whether there is any logical error involved in the entry = Whether PwD member, if any has been marked in the roll - Whether mobile number linking of the entry done NOTE:- Use (7) for Verified details and Use (2) details require correction ete. Incase of [8], guide the family members to fil Form-8. 2) Collect the information regarding Multiple entries- ~ Please check if there is any multiple entey (jes) of any of the family members in the electoral roll. - If yes, guide the family members to fill Form-7 for removal of multiple entries and further guide them to retein single entry only as keeping more than one entry in the electoral roll is a punishable offence.3) Collection of information regarding dead electors/ Permanently Shifted Electors - Please check if any of the family members has permanently shifted or expired. - Incase of permanently shifted electors, guide the family members to fill Form-7 for deletion of name of elector from the electoral roll. In case of dead electors, obtain a copy of death certificate or guide family members to submit the same to BLO/ERO concerned if not readily available or to fill Form-7 4) Collection of the information as belo - Whether there is any Un-enrolled eligible citizens (cligible on 01.10.2023) in the family? Yes/No - Whether there is any Prospective electors (eligible on 01.01.2024) in the family ? Yes/No - Whether there is any Prospective elector (eligible on 01.04.2024) 01.07.2024 /01.10.2024) in the family ? Yes/No - Ifyes, whether details collected in the given format Yes/No Guide the family members to fill Form-6 for inclusion of the names of any person belonging to any of the three categories. 5) Any other information collected during the vi NOTE:- On completion of field verification, please submit a certificate to the ERO concerned to the effect that details in respect of all the above information have been collected 160% without any left over.‘Annexure: | (New Elector/Unenrolied Elector) List of un-enrolled le 18+ citizens- Who are yet to be enrolled JAC No. and Name Part Number : Details of Eligible Person Details of Relative already enrolled in E- in the same part Is1. No, | House Number | Name of the [Sex (M/F/T6)| Mobile No. ] E-mailid | ifPWDwrite | Name |*Relation with the] EPICno. (actual/NHN) | Person category of un-enrolled le person Vi/SHD/LD/O- i 2 3 a 5 6 7 a 9 10 [ signature of BLO Name of BLO. * Realtionship - Father(F), Mother (M), Spouse **Visual imparment ; Speech & hearing cial (9) Locomotor disability(LD}; others(0)"ANNEKU! List of prospective electors of 17+ -Who will be eligible for enrolment in the 4 quarters of 2024 JACNo. and Name Part Number: Details of Eligible Person (Quarter-wise) the same part Details of Relative already enrolled in E-Roll in House | Name ofthe Porson | Sex (M/F/TG) | Mobile No. | Month and year of TF PWD write Name *Relation | EPICno. S.No, | Number of Prospective Voter with the un- (actual/NHN) (an/Apriifiuly/Oet) enrolled \VI/SHD/LD/O eligiole person z 2 3 a 5 é 7 a e 10 * Realtionship - Father( **Visual imparment( Mother (M), Spouse ( Speech & hearing diabili Signature of BLO. Name of BLO