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Father's Name : Jashvantkumar


`Kra / Sex 101* / Male
ctl4lut / 64R : 29/10/1994
ZiRcrtl)i 18, cl6lqcrt

,tic-tatti R - 385001,
cll. - Mletcrttp, 1. - 0.tartlR8161

Address 18, Vundavan


Society,S.T.Divijnpachhal,
Mu.Po.Palanpur, Palanpur - 385001,
Ta. - Palanpur, Dist. - Banaskantha

atkU bastil
Date 02/04/2016 Electoral Registration Office
Cakteiltot,34,taooL.i cit(42 t■t 014 12- '4.i.Cic,t,12
Assembly Constituency No. & Name 12-Palanpur
Cktotck .i(42 5,1 M1 34 : 123-
Part No. & Name • 123-Palanpur-19
e/t ! Note
1. ,AL 8ct meip 5 ctlk H.ct.f.tR ?-4.0)-d ectElt
t.91 €41 ,10.41 cRit. yruc 5R1 cs QiI,e,0 cuuti -1)-0 clt ,t
-qctcb-t1.6{ ,{ 10)-ti ',tail /t cL
Mere possession of Elector Photo Identity Card is no guarantee
that you are elector in the current electoral roll. Please check
your name in the current electoral roll before every election.
2..v .11 c4c(tRib-lA cit ,t
41>, c-1211 ,116,4
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Date of birth mentioned in this card shall not be treated as a
proof of age / D.O.B. for any purpose other than registration
in electoral roll.

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