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    Tahsildar Mydukur
    9 views1 page
    This document is a form for fresh inclusion in the voter list of Andhra Pradesh. It provides details of the applicant such as name, gender, date of birth, address, mobile number, and demographic details of similar entries currently in the voter list. It contains a checklist that must be filled by the BLO designated officer verifying the applicant's details through field verification and documentation.

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    PS 87

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    This document is a form for fresh inclusion in the voter list of Andhra Pradesh. It provides details of the applicant such as name, gender, date of birth, address, mobile number, and demographic details of similar entries currently in the voter list. It contains a checklist that must be filled by the BLO designated officer verifying the applicant's details through field verification and documentation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    9 views1 page

    Demographically Similar Entries

    Uploaded by

    Tahsildar Mydukur
    This document is a form for fresh inclusion in the voter list of Andhra Pradesh. It provides details of the applicant such as name, gender, date of birth, address, mobile number, and demographic details of similar entries currently in the voter list. It contains a checklist that must be filled by the BLO designated officer verifying the applicant's details through field verification and documentation.

    Copyright:

    © 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=OW...

    Form Number: OWP477936578 State: S01 - Andhra Pradesh District: 10 - Kadapa AC: 133-Mydukur
    Form 6 - Fresh Inclusion Part: 87 - MYDUKUR
    Form Type: Online Section No.: 3 - MADINAMASID VEEDI
    Form Submission date : 07/21/2022
    10:34:18

    Name : NAZMA SHAIK / నజ� ��� Gender : Female


    : MAHABOOB BASHA SHAIK / మహబ�� బ�ష
    Rln Name RLN Type : Husband
    ���
    DOB : 27/12/2000 Age : 21
    Mobile
    : +919052774430 Email Id : NA
    No.
    : 6/90 MADEENA MASID STREET / 6/90 : PRODDATUR ROAD MYDUKUR / �� � దు�ట�ర�
    Street / Village/
    Area మ��న మ�ీదు ��� Town ��� ���దుక�ర�
    Post : MYDUKUR / ���దుక�ర� Pin Code : 516172
    Office

    Demographically similar entries


    RLN
    EPIC Number Name Rln Name Address Applicant's Remarks Photo
    Type

    Is My Photo [Yes/No]
    SHAIK MAHABOOB
    BASHA / ��� మహబ�� Has Lived Here
    AAP1813476 SHAIK NAZMA / ��� నజ� F 7/4690, Proddatur, , [Yes/No]
    బ�ష

    Is My Photo [Yes/No]
    MAHABOOB BASHA Has Lived Here
    AAP2088870 NAZMA SHAIK / నజ� ��� F 24/197, Proddatur, , [Yes/No]
    SHAIK / మహబ�� బ�ష ���

    Is My Photo [Yes/No]
    Has Lived Here
    MAHABOOB BASHA 19-13-38/4, Vijayawada
    AWU1849082 NAZMA SHAIK / నజ� ��� SHAIK / మహబ�� బ�ష ��� F [Yes/No]
    West, ,

    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
    Corrections, if any Name: _________________________________________ DOB/AGE:____________________ 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, 11:56

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