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12/14/13

Form8 Printout

Online Form8
Application for correction to particulars entered in electoral roll

ApplicationID:F8-0879824

To,
The Electoral Registration Officer
277-Penukonda Assembly Constituency:
Sir,
I request that entry relating to myself appearing in the electoral roll
the above constituency is not correct and it should be corrected. correct
particulars in support of my request are given below:
I. Applicant's Details:
Name: ABHILASH KUMAR REDDY

Surname(if any): M V

Date of birth if you know:

03-07-1993

Age as on 1st January 2014:

Year: 20

Gender: Male
Months: 5

Part No: 80

SerialNumber in that Part: 769

Relation Details :
Relation Type: Father
Name: KESAVA REDDY

Surname(if any): M

II. Particulars of place of present ordinary Residence(Full address):


House/Door number:

3/316-1

Street /Area /Locality


/Mohalla /Road:

Vidyanagar

Town/ Village:

Kodigenahalli

Tehsil/ Taluka/Mandal/
Thana:

PARIGI

District:

Anantapur

/ / :

/ :
/:

Post Office:

Hindupur Sevamandir

Pin code:

515212

III. Details of Electors Photo Identity Card(if issued, in this or some other constituency):
Elector's Photo IdentityCard Number:RGM0851973
Mobile No:

8125240870

E-Mailid: abhilashmv@outlook.com
Print

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