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Anusha

Anusha Chepyala applied for inclusion of her name in the electoral roll for the Ramagundam Assembly Constituency. She provided her name, father's name, date of birth, current address, and contact information. No other members of her family were currently included in the electoral roll for that Constituency.

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Santhoshi Priya
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233 views

Anusha

Anusha Chepyala applied for inclusion of her name in the electoral roll for the Ramagundam Assembly Constituency. She provided her name, father's name, date of birth, current address, and contact information. No other members of her family were currently included in the electoral roll for that Constituency.

Uploaded by

Santhoshi Priya
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Application for inclusion of name in electoral roll ApplicationID:02347920

To,
The Electoral Registration Officer
*Assembly Constituency: Ramagundam
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: ANUSHA .a:
Surname(if any): CHEPYALA .a: `_
Date of birth if you know: Day:18 Month:07 Year:1992 Gender: F
Age as on 1st January 2014: Year:21 Months:5
Place of birth Place of birth
Village/ Town: RAMAGUNDAM
District: KARIMNAGAR State: ANDHRA PRADESH
Relation Details
Relation Type
Father's/Mother's/Husband's:
F
Name: RAMDAS .a: oc
Surname(if any): CHEPYALA .a: `_
II. Particulars of place of present ordinary Residence(Full address)
House/Door number: 4-6-426/4/B/2
Street /Area /Locality
/Mohalla /Road:
NTPC,ANNAPURNA COLONY
Dc /o/
's0:
__,,_y s
Town/ Village: RAMAGUNDAM /n : o:
Tehsil/ Taluka/Mandal/
Thana:
Ramagundam c /: o:
District: KARIMNAGAR Post Office: JYOTHI COLONY
Pin code: 505215
III. Details of member(s) of applicant's family already included in the current electoral roll of the Constitutency:
Name:
Relationship with
applicant:
RPart number of the
roll of the
Constitutency:
Serial number in the
Part:
Elector's Photo Identity Card
Number:
1. 0 0
2. 0 0
Mobile No: 9704752815 Remarks:
Email-Id: [email protected]
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