Service application · India Missions

Step 2 of 5

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Overseas voter registration: choose how to prepare the applicant record, then review and complete your details below.

Form 6A21 details to complete

Assembly/Parliamentary ConstituencyRequired

DistrictRequired

State in IndiaRequired

One recent passport size photograph (3.5 CM × 3.5 CM)RequiredChoose photographSquare JPG or PNG · 2 × 2 inch format
Stored only on this device

(a) NameRequired

(b) Middle Name

(d) Date of Birth: Day / Month / YearRequired

(e) Sex (Male/Female)Required

(f) Place of Birth — Village/Town; District; StateRequired

(g) Father's/Mother's/Husband's details — Name; Middle Name; SurnameRequired

(h) Place of Ordinary Residence in India (Full Address as given in the Passport)Required

(i) Passport Details — Number; Place of Issue; Date of Issue; Date of expiryRequired

(j) Details of Visa of the Country of current residenceRequired

Reason of being absent from the place of ordinary residence in IndiaRequired

EmploymentEducationOther

Date from which absenting from ordinary residence in India (DD/MM/YYYY)Required

Full residential address in the country outside India where currently residingRequired

Full Official address in the country outside India currently residing

Citizenship of India and overseas-elector undertakings

I have not been issued an EPIC / have been issued an EPIC which is enclosed for cancellationRequired

No EPIC issuedEPIC enclosed for cancellation

Signature / Place / DateRequiredChoose signature imageWide JPG or PNG · signature only
Stored only on this device