FormatA

Informatiy garding moltite entres of sama hty s ha aetoral rot and removal of such mutple enties
No 300183329 Date 1Z2023

Asha bequt
42, Bireshwara Nagara,, Ranebennur, Ranebennur H.e., Ranebentut.
Haveri, Karnataka, 581115
Sr Matam
AS e I r e i in the electoral roll. vout name js teiatered at ore than one lx ation the detaits of which ao as folow

Name Aasha Reour Name Asha bequr

No and Name of Assembly ConstitreNy 8 Ranebenno No. and Name of Assemtbly Constituency 87/Ranebennur

Part No 131 Part No. 134

Senal No. in Pat S64 Senal No. in Part 694

EPICNO SNMS035035 EPICNo. SNM8001794

Old EPICNO Old EPICNo

Address 784'5., Ranebennur, Ranebennur Ho. Ranebennur. Address. 42,Bireshwara Nagara.. Ranebennur, Ranebennur
Haven, Kanataka, 581115 H.o.. Ranebennur, Havern, Kamataka, 581115

2 As per the law, name of an elector can be only at such place where he/she is ordinarily resident. Thus, your
name can be retained only at one place where you are presently residing.
3. Youare requested to inform the undersigned in the attached letter mentioningthe address where you are
presentBy residing.
4. Incase of any query or assistance, youmay contact myofficelhelpline 1950.
5. You may send this letter by e-maillpost so as to reach my offico by : 02/12/2023

nthtully.

Qt ERO/ AERO

Email: ac.haveriDgmail.com
 Format of Confirmation letter from Elector
Sheretry. electoral detals are
confirm that my correct ticked as ynder

Narme Aasha Begur Name: Asha begu

P8O. and Name of Assemhy Constitsency 87 Ranebennur tNo and Name of Asserntly
Constituenoy 87 /Ranetenr1r
Part No 131 Par No 134

Seria Nio, Part S64

Serial N in Part 694

EPICNO. SNM5035035
EPICNO.: SNMBO01794
Oid EPCNO
Old EPICNo
Address 7845 Ranebennur, Ranebennår H.o..
Address 42, Bireswara Nagara,. Ranebennur, Ranetennur
Rarebernu Haven Karnataka. 581115
Ho.. Ranebennur, Haveri, Karnataka, 581115

Elector Name: Asha begur

Address: 42, Bireshwara
Nagara., Ranebennur
Ranebennur H.o.
Ranebennur, Haveri.
Karnataka, 581115
Email: Sujanbegus f@gmai
Mobile No.:F8922g262
To ERO,
Officeof the Assistant Comrmissioner Haverí Sub Division, Mini Vidhan
Soudha Haveri
AC No.:87

Please the appropriate coumn containing corret electoral details

Pttsnfely nesderrtihg
?ne2, BirshubR agar tero n Gzanc
,Rantbenn-S8nS.

(Asha Erpu)
 HIRG

tof ndia

03/04/2012
lseue
Date:
Asha
B, dO8/ DOB:02/02/1979 OF29

/Female

Aadhaar is aproof of identity, not of citizenship.

4421 6495 8723

 Unlque ldentifio tlorAuthonty of ncia AADHAA

Jva WIO oeaba, #v9.0v, Ddesd

Print
Dete
12/09/2023
oadied, de, daF8, 581115
Address WIO Somappa, #42.14, Bireshwar
Nagar 4th Cross, Ranetbennur Town,
ranebennur, Haveri, Karnataka, 581115

4421 6495 8723

1947 help@uidai.gov.in t# www.uidai.gov.in