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. afiog a ELECTION COMMISSION OF INDIA IDENTITY CARD gf ee | fefocenat -: ICT Pala ATS » Elector's Name + Mukesh Kumar Sah sHEpAA AS Father's Name + — Ramsugarath Sah fron ata ' ft/Sex : WM 02/08/1990 | rT ifs ' Date of Birth YCW1056399 foerrt: CATO WBA AIST, TAS, TATRA, ATTATNG, Tea as wari, 700132 Address: DOLTALA DAKSHIN PARA, GANGANAGAR, MADHYAMGRAM, AIR PORT, NORTH 24 PARGANAS, 700132 yr on Date: 02/02/2011 Li 8-aemety faster orcad Fetes Ree wifenfacad wrecas oryghs Facsimile Signature of the Electoral Registration Officer for 118-Madhyamgram Constituency fier oad ae age Prove cotta fre aM Te s aay layer ag oaféa afowia nema oy fife wet oe aRowtam waafe Sar ar) In case of change in address mention this Card No. in thé relevant Form for including your name in the’ roll at the changed address and to obtain the card with same number. 1141569

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