Reference No.

:S01158O6N1101241200045
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ELECTION COMMISSION OF INDIA

Form Number : S01158O6N1101241200045 State : S01 - District : S0122 - Sri Sathya AC : 158 - Penukonda

Form 6 - Fresh Inclusion Andhra Sai

Form Type : NVSP Pradesh

Form Submission Date : 11/01/2024 6:57 AM Part : 86 - Shasanakota

Section : 5 - MAIN ROAD, SASANAKOTA

Name LAKSHMI DEVI G

Gender Name FEMALE

: LAKSHMI DEVI G / లక్ష్మి దేవి జి Gender : FEMALE
D.O.B RLN Type : FATHER 25/12/1975 Rln Name : T RAMAKRISHNA / టి రామకృష్ణ

Age DOB : 25/12/1975 48 Age : 48

Mobile NumberMobile No. : 8749058256 8749058256 Email Id :

Address House/Building/ : 1-50 / 1-50 Village/Town

1-50, SASANAKOTA, : SASANAKOTA
SASANAKOTA, PARIGI, / శాసనకోట
SASANAKOTA
Apartment No. Tehsil/Taluka/ : PARIGI / పరిగి

Street/Area/ : SASANAKOTA / శాసనకోట Mandal/Thana

Locality/Mohalla/ Post Office : SASANAKOTA / శాసనకోట

Action Summary
Road PIN Code : 515212


 NVSP
11 Jan 2024 | 12:27 PM

 Assigned BLO 
19 Jan 2024 | 01:51 PM
(AERO)

 Form Details Updated

Demographically similar entries
23 Jan 2024 | 12:17 PM
(OPERATOR)
No similar records found

 FVR Submitted (BLO) 

23 Jan 2024 | 12:17 PM
(BLO) AERO Remark - Assign BLO

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

Person Present

No. of Application already applied

BLO Comments Applicant Details are Verified & Correct Data entry errors, if any

Corrections, if any Name : DOB/AGE :

Gender : GO TO WORKLIST

Rln Name : RLN Type :

Form 6 Details (New Voter) House/Building/Apartment No. : Street/Area/Locality/Mohalla/Road :

Worklist > Form Details > DSE > AERO Action > BLO Assignment > FVR Submission > Forward to ERO > ERO Action > Rollback > DEO Action > CEO Action
Village/Town :

Post Office :

1 ━━━━━━━━━━━━━━━━━━ 2Tehsil/Taluka/Mandal/Thana
━━━━━━━━━━━━━━━━━━: 3 4
━━━━━━━━━━━━━━━━━━PIN Code :━━━━━━━━━━━━━━━━━━

Form Details Remarks : DSE AERO Action FV Report

Date : 
1 2
Place :
BLO Assignment Forward to ERO
Applicant's Signature BLO Signature

Assign Part & BLO