Demographically similar entries

State: S05 - Goa District: 1 - North Goa AC: 10 - 10-Aldona

Part: 36 - Govt. Primary School, Quitla (Ground Floor) (West Wing) Aldona
Section No.: 3 - Udoim ,Aldona

Record “A”
Name : Rachel Lima Gender: F
Rln Name : Constancio Verone Lima
RLN Type : F

DOB : 15/04/1993 Age : 27

Mobile No.: +917798484963 Email Id : NA
Street / : 286 Udoim / 286 NA Village/
Aldona / NA
Area Town :
Post Office : Aldona / Pin Code : 403508
NA

Record “B”
EPIC Age RLN
Name Rln Name Address Photo
Number Type

Constancio 27
Rachel Lima Verone Lima
SES0380576 F 36/1,
Velim

Checklist for BLO Designated Officer

Entries A B
Mark () Tick or Cross (×) Mark () Tick or Cross (×)
Name
Age
Gender
Relation
Type
Relation
Name
Photo Graph
Remarks

Remarks
1. A is duplicate
2. A is not duplicate
3. A & B both are different person
4. B is duplicate
5. B is not duplicate
6. Others (Specify the reason __________________________________________)

If any or all entries are duplicate mention the Entry to be deleted __________________(A or B)

Date:
Place:
Applicant's Signature BLO Signature

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