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ELECTION COMMISSION OF INDIA
IDENTITY CARD
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| fefocenat -: ICT Pala ATS
» Elector's Name + Mukesh Kumar Sah
sHEpAA AS
Father's Name + — Ramsugarath Sah
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' ft/Sex : WM
02/08/1990
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' 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
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Date: 02/02/2011
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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