12/25/2017 Form8 Printout

Form8
Application for correction to particulars entered in electoral roll                                    ApplicationID:F8­1995473 
To,
     The Electoral Registration Officer
     21­Visakhapatnam East   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: CHANDRAHAS 跤��ర辐�: చం韈�దퟛ�퟈�
Surname(if
any):
NARRA ఇంట 跤��ర辐�:   న韈�퟇�

Date of birth if you know: 09­07­1968 Gender: Male

 
SerialNumber in that
Part No: 162 10
Part:
Relation Details :
Relation Type: Father

Name: KOTESWARA RAO 跤��ర辐�: ퟜ�韚�శៜ� ర ퟇�ퟙ�

Surname(if
any):
NARRA ఇంట 跤��ర辐�: న韈�퟇�

II. Particulars of place of present ordinary Residence(Full address):
House/Door number: 7­5­152/7

Street /Area /Locality
Pandurangapuram 쭷�㍰� /ఏ₄࠰య /ల韀�펲�ా恮�ట: 埚�ం埈�రంగ埛�రం
/Mohalla /Road:

Town/ Village: Visakhapatnam పట಍� ణం/䵷�ా⊃�మం: 埚�៛�ఖపట៛� ం

Tehsil/ Taluka/Mandal/
Thana:
Visakhapatnam Urban 錕� ల క /మండలం: 埚�៛�ఖపట៛� ం ఉరퟜ� న

District: Visakhapatnam Post Office: Aupo Visakhapatnam

  Pin code: 530003

III. Details of Electors Photo Identity Card(if issued, in this or some other constituency):
Elector's Photo IdentityCard Number:BGY3123478 
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http://ceoaperms.ap.gov.in/claims_ap/eroll_forms/Form8Printout.aspx?appID=F8­1995473 1/1