Model order sheet of hearing of “No Mapped” Electors
Whereas, the Election Commission of India, vide its Order dated 27.10.2025, directed the conduct
of a Special Intensive Revision (SIR) of the Electoral Roll with 01.01.2026 as the qualifying date.
Whereas, during the scrutiny of the Enumeration Form submitted by you, the following was
recorded (tick as applicable):
☐ That upon scrutiny, it has been found that no data was filled w.r.t. details to be provided against self /
progeny w.r.t. enrolment in the electoral roll of last SIR.
☐ That upon scrutiny, it has been found that the particulars declared by you do not correspond with the
entries in the Electoral Roll of the last SIR.
☐ That upon scrutiny, it has been found that the progeny/lineage particulars declared by you do not align
with the entries in the Electoral Roll of the last SIR.
Whereas, a Notice dated _______ was issued to you requiring your appearance before the Electoral
Registration Officer along with relevant documents in support of the declaration made in the Enumeration
Form to establish your eligibility for continued inclusion in the Final Electoral Roll and pursuant thereto
(tick as applicable):
Consequently, you appeared and produced original copy of one of the 13 required documents as
mentioned in the notification of ECI vide No. 23/2025 – ERS (Vol -II) dated 27 th October, 2025 along with
one photo copy of the same in support of his / her claim to remain enrolled in Final Electoral Roll. Details of
the documents produced during hearing is mentioned below:
1. Identity Card issued to a regular employee of any Central Govt. / State Govt. / PSU from the
______________________________________ (issuing authority)
2. Pension Payment Order issued to a pensioner of any Central Govt. / State Govt. / PSU from
__________________________________________.
3. Identity Card / Certificate / Document issued in India by the Government / Local authorities /
Banks / Post Office / LIC / PSUs prior to 01.07.1987 [pls tick ( ) the correct option
applicable for the document produced by the applicant]
4. Birth Certificate issued from _______________________ (GP / Municipality / Municipal
Corporation / Medical College / BPHC/ Rural Hospital/ State General Hospital)
5. Matriculation / Educational Certificate issued by __________________________________
Board / Council.
6. Graduate / Post Graduate Certificate issued by ______________________ University.
7. Permanent Residence certificate issued by ___________________________.
8. SC / ST / OBC certificate issued by SDO, ________________________.
9. Forest Right Certificate issued by __________________________________.
10. Land Patta/ FHTD / House allotment certificate issued by ______________.
11. Extract of the Electoral roll of Bihar SIR with reference to 01.07.2025.
☐ You appeared and provided physical copy of the Electoral Roll of the last SIR in support of establishing
your linkage with the corresponding entry in the Electoral Roll of the last SIR, which otherwise could not be
done due to technical issues in the BLO App and the same has been verified and found correct to establish
your eligibility for continued inclusion in the Electoral Roll.
☐ You appeared and provided certain prescribed documents (as mentioned above) which were verified and
forwarded to the concerned authorities for further independent verification. The final decision in this
regard will be arrived upon receipt of the verification report received from appropriate authority
through DEO as per instruction of ECI vide No. 23/ERS/2025 Dated: 24th December, 2025.
☐ You appeared but failed to provide documents in support of the declaration made in the Enumeration
Form to establish your eligibility for continued inclusion in the electoral roll; or
☐ You failed to appear and did not furnish the required documents, leading to the presumption that you are
not in a position to establish your eligibility for continued inclusion in the electoral roll.
In view of the above, the Electoral Registration Officer (ERO) / Assistant Electoral Registration
Officer (AERO) is satisfied that you have failed to establish your eligibility for inclusion in the final
electoral roll of the State of West Bengal from ________________________ Assembly Constituency
scheduled to be published on 14.02.2026.
Signature of Electoral Registration Officer / Assistant Electoral Registration Officer
Record / EF taken up for final disposal. It is found that the information provided by you was found to
be correct to establish your eligibility for continued inclusion in the Electoral Roll. /
or
Record / EF taken up for final disposal. Upon receipt of the verification report, it is found that the
information provided by you was found to be forged, false, fabricated, or misleading
In view of the above the Electoral Registration Officer (ERO) / Assistant Electoral Registration
Officer (AERO) is satisfied that you have established your eligibility for inclusion in the Final Electoral Roll
in the state of West Bengal from ______________________ Assembly Constituency scheduled to be
published on 14.02.2026.
OR
In view of the above, the Electoral Registration Officer (ERO) / Assistant Electoral Registration
Officer (AERO) is satisfied that you have failed to establish your eligibility for inclusion in the final
electoral roll of the State of West Bengal from ________________________ Assembly Constituency
scheduled to be published on 14.02.2026.
Signature of Electoral Registration Officer / Assistant Electoral Registration Officer