12/30/2016 Form8

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Applicationforcorrectiontoparticularsenteredinelectoralroll YourApplicationNo:

*District: 4EastGodavari
ChooseFile Nofilechosen
To,

TheElectoralRegistrationOfficer,

*AssemblyConstituency: 50RajahmundryCity KnowYourAssembly Upload

Constituency Note:ImageNameshouldnotcontainany
specialCharacter(@,#,%,^,&,*,.,(,),!)
Sir,
IrequestthatentryrelatingtomyselfappearingintheelectoralrolltheaboveConstituency
isnotcorrectanditshouldbecorrected.Correctparticularsinsupportofmyrequestare
givenbelow:

I.Applicant'sDetails:

*Name: VARAHALARAJU Surname(ifany): MUDUNURI

* t:
t:

Serialnumberinthat
Partnumberofelectoralroll: 149 part: 166
Month:
Dateofbirthifyouknow: Day: 18 Year: 1969
06

Ageason1stJanuary2016: *Years: 46 Months: 06 *Gender: Male

*RelationType *Name: VENKATARAMARAJU Surname(ifany): MUDUNURI

FATHER
* t:
t:

II.ParticularsofplaceofpresentordinaryResidence(Fulladdress)

*House/Doornumber: 79219/18,B6,RAJAAPARTMENTS2

*Street/Area/Locality/Mohalla
OMKARSTREET,SYAMALANAGAR RAJAHMUNDRY
*Town/Village:
/Road:
,

*PostOffice: RAJAHMUNDRY *PinCode: 533101

RajahmundryUrban
*Tehsil/Taluka/Mandal/
Thana:
*District: EASTGODAVARI

III.DetailsofElector'sPhotoIdentityCard(ifissued,inthisorsomeotherconstituency)
Elector'sPhotoIdentityCard
number: AEJ1426924 Mobilenumber: 9581865590

NameoftheConstituency: RAJAHMUNDRYCITY EMailID:

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