Вы находитесь на странице: 1из 2

Form8 Printout

1 of 2

http://123.176.47.59/ERMS/F8/Form8Printout.aspx?appID=F8-0263337

Online Form8
Application for correction to particulars entered in electoral roll

ApplicationID:F8-0263337

To,
The Electoral Registration Officer
44-Malkajgiri Assembly Constituency:
Sir,
I request that entry relating to myself appearing in the
electoral roll the above constituency is not correct and it
should be corrected. correct particulars in support of my
request are given below:
I. Applicant's Details:
 


Name: VICTOR SAMSON

 :

Surname(if
any):


   :

COTTON

Date of birth if you know:

24-03-1971

Age as on 1st January 2011: Year: 41


Part
No:



Gender: Male

Months: 9
SerialNumber in that
Part:

338

298

Relation Details :
Relation
Type:

Father
  

Name: RAJU ARTHER

 :

Surname(if
any):


   :

COTTON

II. Particulars of place of present ordinary Residence(Full address):


House/Door number:

17-36

1/25/2013 2:55 PM

Form8 Printout

2 of 2

http://123.176.47.59/ERMS/F8/Form8Printout.aspx?appID=F8-0263337

 /
/

Street /Area /Locality


/Mohalla /Road:

Ramnagar Colony Alwal

/"
/ "
" # :

Town/ Village:

Secnderabad

+
+ // -. :

01 23 5
5

Tehsil/ Taluka/Mandal/
Thana:

MALKAJGIRI

78
78 9 / :

;<=
;<= 

District:

Rangareddy

Post Office:

Alwal

Pin code:

500010

 
 &
& ()

III. Details of Electors Photo Identity Card(if issued, in this or some other constituency):
Elector's Photo IdentityCard Number:FYY1816321
Mobile No:

9618227959

E-Mailid:

1/25/2013 2:55 PM

Вам также может понравиться