form-6
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this forTRANSCRIPT
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12/15/2014 FORM6
http://ceoaperms.ap.gov.in/TS_Eregistration/Postal/userdetails.aspx 1/2
ApplicationforinclusionofnameinelectoralrollApplicationID:046792946
To,
TheElectoralRegistrationOfficer
*AssemblyConstituency:KukatpallySir,
IrequestthatmynamebeincludedintheelectoralrollfortheaboveConstituency.Particularsinsupportofmyclaimforinclusionintheelectoralrollaregivenbelow:
I.Applicant'sDetails:
Name: VIJAYALAKSHMI :
Surname(ifany): MANDA :
Dateofbirthifyouknow: Day:01 Month:04 Year:1966 Gender:F
Ageason1stJanuary2015: Year:48 Months:9
PlaceofbirthPlaceofbirth
Village/Town: HYDERABAD
District: RANGAREDDY State: TELANGANA
RelationDetails
RelationTypeFather's/Mother's/Husband's: H
Name: SATYANARAYANAREDDY :
Surname(ifany): MANDA :
II.ParticularsofplaceofpresentordinaryResidence(Fulladdress)
House/Doornumber: 903,MANJEERATRINITYHOMES
Street/Area/Locality/Mohalla/Road: PHASE3KPHB,KUKATPALLY
//: 3,,
Town/Village: HYDERABAD /:
Tehsil/Taluka/Mandal/Thana: BALANAGAR /:
District: RANGAREDDY PostOffice: KUKATPALLY
Pincode: 500072
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12/15/2014 FORM6
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III.Detailsofmember(s)ofapplicant'sfamilyalreadyincludedinthecurrentelectoralrolloftheConstitutency:
Name: Relationshipwithapplicant:
RPartnumberoftherolloftheConstitutency:
SerialnumberinthePart:
Elector'sPhotoIdentityCardNumber:
1.PRATAPGANGIREDDYMANDA 0 0 RDV2798959
2. 0 0
MobileNo:9700484863 Remarks:
EmailId:[email protected]
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