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Form 6

Harsha Vardhan Reddy applies for inclusion of his name in the electoral roll for the Patancheru Assembly Constituency. He provides details of his name, date of birth, gender, age, place of birth, father's name, address of ordinary residence, and details of family members already included in the electoral roll - his father Sivanarayana Reddy and mother Ramanjaneya Devi. He includes his mobile number and email for contact.

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REDDYGAARI ABBAYI
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109 views2 pages

Form 6

Harsha Vardhan Reddy applies for inclusion of his name in the electoral roll for the Patancheru Assembly Constituency. He provides details of his name, date of birth, gender, age, place of birth, father's name, address of ordinary residence, and details of family members already included in the electoral roll - his father Sivanarayana Reddy and mother Ramanjaneya Devi. He includes his mobile number and email for contact.

Uploaded by

REDDYGAARI ABBAYI
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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11/24/13 FORM-6

123.176.47.59/ERMS/Postal/userdetails.aspx 1/2
Application for inclusion of name in electoral roll ApplicationID:04065912
To,
The Electoral Registration Officer
*Assembly Constituency: Patancheru
Sir,
I request that my name be included in the electoral roll for the above
Constituency. Particulars in support of my claim for inclusion in the
electoral roll are given below:
I. Applicant's Details:
Name: HARSHA VARDHAN REDDY .a: ' oc
Surname(if any): YERUVA .a: oa
Date of birth if you know: Day:04 Month:06 Year:1995 Gender: M
Age as on 1st January 2014: Year:18 Months:6
Place of birth Place of birth
Village/ Town: MARKAPUR
District: PRAKASAM State: ANDHRA PRADESH
Relation Details
Relation Type
Father's/Mother's/Husband's:
F
Name: SIVA NARAYANA REDDY .a: -c -o oc
Surname(if any): YERUVA .a: oa
II. Particulars of place of present ordinary Residence(Full address)
House/Door number: MIG-499
Street /Area /Locality
/Mohalla /Road:
PHASE 1
Dc /o/
's0:
- 1
Town/ Village: B H E L /n : O c C
Tehsil/ Taluka/Mandal/
Thana:
Ramchandrapur c /: oc y
District: MEDAK Post Office: RAMACHANDRAPUR
Pin code: 502032
III. Details of member(s) of applicant's family already included in the current electoral roll of the Constitutency:
11/24/13 FORM-6
123.176.47.59/ERMS/Postal/userdetails.aspx 2/2
Name:
Relationship with
applicant:
RPart number of the
roll of the
Constitutency:
Serial number in the
Part:
Elector's Photo Identity Card
Number:
1. SIVANARAYANA REDDY FATHER 0 0 1346253
2. RAMANJANEYA DEVI MOTHER 0 0 1346360
Mobile No: 8143020221 Remarks:
Email-Id: [email protected]
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