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Demographically Similar Entries

This document is a form for fresh inclusion in the voter list of Andhra Pradesh. It provides details of the applicant such as name, gender, date of birth, address, mobile number, and demographic details of similar entries currently in the voter list. It contains a checklist that must be filled by the BLO designated officer verifying the applicant's details through field verification and documentation.

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Tahsildar Mydukur
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28 views1 page

Demographically Similar Entries

This document is a form for fresh inclusion in the voter list of Andhra Pradesh. It provides details of the applicant such as name, gender, date of birth, address, mobile number, and demographic details of similar entries currently in the voter list. It contains a checklist that must be filled by the BLO designated officer verifying the applicant's details through field verification and documentation.

Uploaded by

Tahsildar Mydukur
Copyright
© © All Rights Reserved
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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Firefox https://eronet.ecinet.in/FormProcess/GenerateCheckList?refNo=OW...

Form Number: OWP477936578 State: S01 - Andhra Pradesh District: 10 - Kadapa AC: 133-Mydukur
Form 6 - Fresh Inclusion Part: 87 - MYDUKUR
Form Type: Online Section No.: 3 - MADINAMASID VEEDI
Form Submission date : 07/21/2022
10:34:18

Name : NAZMA SHAIK / నజ� ��� Gender : Female


: MAHABOOB BASHA SHAIK / మహబ�� బ�ష
Rln Name RLN Type : Husband
���
DOB : 27/12/2000 Age : 21
Mobile
: +919052774430 Email Id : NA
No.
: 6/90 MADEENA MASID STREET / 6/90 : PRODDATUR ROAD MYDUKUR / �� � దు�ట�ర�
Street / Village/
Area మ��న మ�ీదు ��� Town ��� ���దుక�ర�
Post : MYDUKUR / ���దుక�ర� Pin Code : 516172
Office

Demographically similar entries


RLN
EPIC Number Name Rln Name Address Applicant's Remarks Photo
Type

Is My Photo [Yes/No]
SHAIK MAHABOOB
BASHA / ��� మహబ�� Has Lived Here
AAP1813476 SHAIK NAZMA / ��� నజ� F 7/4690, Proddatur, , [Yes/No]
బ�ష

Is My Photo [Yes/No]
MAHABOOB BASHA Has Lived Here
AAP2088870 NAZMA SHAIK / నజ� ��� F 24/197, Proddatur, , [Yes/No]
SHAIK / మహబ�� బ�ష ���

Is My Photo [Yes/No]
Has Lived Here
MAHABOOB BASHA 19-13-38/4, Vijayawada
AWU1849082 NAZMA SHAIK / నజ� ��� SHAIK / మహబ�� బ�ష ��� F [Yes/No]
West, ,

Checklist for BLO Designated Officer


Field Verification Address DOB/AGE Photo as per Specification [Y/N]
If age is greater than 21, has applicant given declaration [Y/N]
On field visit Applicant is found Absent Shifted Dead No Such Person
No of Application already applied
BLO Comments Applicant Details are Verified & Correct Data entry errors, if any
Corrections, if any Name: _________________________________________ DOB/AGE:____________________ Gender:______
Rln Name: _____________________________________ RLN Type:_________
House No.: __________________ Street / Area: _____________________________________________ Village/ Town:
_________________
Post Office: ___________________________
District: ___________________ Pin Code: ____________________
Remarks: ______________________________________________________________________________________________

Date: ____________________
Place: ____________________ _________________ _________________
Applicant's Signature BLO Signature

1 of 1 23-07-2022, 11:56

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