What is Annexure-III SIR Form?

Annexure-III is the official Enumeration Form used in Special Intensive Revision (SIR) 2025 in West Bengal to verify voter details door-to-door.

Can I fill Annexure-III online?

Yes! Use our digital version to prepare accurately. BLO will collect physical copy, but online prep avoids mistakes.

Annexure-III SIR Enumeration Form Fill Up Online West Bengal 2025

Annexure-III

Enumeration Form
Name of State: West Bengal | Name of AC: ________ | Part No: ________

Details of the Elector in the Electoral Roll

Elector Name:		Name:
EPIC No. (if available):		EPIC No. (if available):
Father's Name:		Father's Name:
Relationship:		Relationship:
District:		District:
State:		State:
AC Name:		AC Name:
AC Number:		AC Number:
Part No.:		Part No.:
Sr. No.:		Sr. No.:

Declaration (Tick applicable)

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

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/Part of the State.

I am aware that making the above statement or declaration in relation to this application which is false and which I know or believe to be false or do not believe to be true is punishable under Section 31 of the Representation of the People Act, 1950 (43 of 1950) with imprisonment for a term which may extend to one year or with fine or with both.

BLO's undertaking: I have verified the above details from the electoral roll(s) of the Part/SR.

Annexure-III: Enumeration Form (SIR 2025)

Annexure-III

Father's/Guardian's Name & EPIC No. (if available)

Details of the Elector in the Electoral Roll

Declaration (Tick applicable)

Annexure-III SIR Form FAQ (2025)