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ReceiptForApplication

ApplicationNo:S11131155002015051729
NameoftheApplicant:SajinMathew
ApplicationDate:24.11.2015
ModeofRegistration:SelfRegistration

[IDCARDNUMBER]


NAME
SajinMathew


Father'sName
MathewKG

/SEX
:/Male

/
DATEOFBIRTH/AGE
:26.08.1979/36
:3/1289, ,

695561
ADDRESS:3/1289,BethelahemHouse,KollamkonathuKizhakkumkaraVenkavilaPazhakuttyPO,venkavila695561

:131,
ASSEMBLYCONSTITUENCYNo.&NAME:131,VAMANAPURAM
/PARTNo.
:155

Note:PleasenotetheApplicationNumbergeneratedbythecomputerforreference.
Youdon'tneedtotakeprintoutofyourapplication.
BoothLevelofficerofyourareawillvisityourpremiseswithaprintoutofyourapplicationforverificationofdetailsofyourclaims.
Pleasehandovernecessarydocumentstoproveyourclaims,totheBoothlevelofficer.Thosewhodidnotuploadtheirphoto
online,canhandovertheirphoto(recentpassportsizecolourphototakenwithwhiteoroffwhitebackground)totheBLO.
ThosewhoopttoreceivetheVoterIDCardbypostmayhandoveraselfaddressedstamped(Rs.25)envelopeofminimum
size6x4(inches)andVotersIdcard(ifalreadyissued)totheBLO.
YoumaycontactyourBoothLevelOfficerattheaddressgivenbelow.
NameofBLO:
DesignationandOffice:
Contactnumber:

Vijayakumar.T
PumpOperator
kwa.Aruvikkara,w/s.sub.division,aruvikara
04722801422(L)
9946389800(M)

ThereisaservicechargeofRs.25forapplicationssubmittedthroughakshayacentres
25
TrackyourapplicationstatusthroughtheListofapplicationslinkavailableinthehomepage.
Youcanmodifyyourapplicationdetailswithin48hoursafterfilingthisapplicationthroughthislink

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