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  • PS 90

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    Tahsildar Mydukur
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    This document is a form for the fresh inclusion of MIDDE OBULAMMA in the voter list. It provides her personal details like name, date of birth, age, gender, husband's name, address, and contact information. It also includes fields for the BLO officer to verify the applicant's details through field verification and confirm if the photo meets specifications before signing off on the form.

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    PS 90

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    This document is a form for the fresh inclusion of MIDDE OBULAMMA in the voter list. It provides her personal details like name, date of birth, age, gender, husband's name, address, and contact information. It also includes fields for the BLO officer to verify the applicant's details through field verification and confirm if the photo meets specifications before signing off on the form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    4 views1 page

    PS 90

    Uploaded by

    Tahsildar Mydukur
    This document is a form for the fresh inclusion of MIDDE OBULAMMA in the voter list. It provides her personal details like name, date of birth, age, gender, husband's name, address, and contact information. It also includes fields for the BLO officer to verify the applicant's details through field verification and confirm if the photo meets specifications before signing off on the form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 1

    Firefox https://eronet.ecinet.in/FormProcess/GenerateCheckList?refNo=ON...

    Form Number: State: S01 - Andhra


    District: 10 - Kadapa AC: 133-Mydukur
    ONV246257645 Pradesh
    Form 6 - Fresh Inclusion Part: 90 - MYDUKUR
    Form Type: Online Section No.: 1 - REVENUE COLONY
    Form Submission date :
    07/19/2022 18:28:12

    Name : MIDDE OBULAMMA / ��ె� ఒబ�లమ� Gender : Female


    Rln : MIDDE SESHANNA / ��ె� ��షన� RLN Type : Husband
    Name
    DOB : 01/01/1951 Age : 71
    Mobile
    : +919010842201 Email Id : NA
    No.
    Street / : MIDDE OBULAMMA NEW REVENUE COLONY Village/ : MYDUKUR /
    Area / ��ె� ఒబ�లమ� నూ� ����నూ� �ాల� Town ���దుక�ర�

    Post : MYDUKUR / ���దుక�ర� Pin Code : 516172


    Office

    Demographically similar entries


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    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
    Name: _________________________________________ DOB/AGE:____________________
    Corrections, if any
    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, 11:50

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