12/15/2014

FORM6

ApplicationforinclusionofnameinelectoralrollApplicationID:046792946
To,
TheElectoralRegistrationOfficer
*AssemblyConstituency:Kukatpally
Sir,
Irequestthatmynamebeincludedintheelectoralrollfortheabove
Constituency.Particularsinsupportofmyclaimforinclusioninthe
electoralrollaregivenbelow:

I.Applicant'sDetails:
Name:

VIJAYALAKSHMI

Surname(ifany):

MANDA
Month:04

Ageason1stJanuary
2015:

Months:9

Year:1966

Dateofbirthifyouknow: Day:01
Year:48

Gender:F

PlaceofbirthPlaceofbirth
Village/Town:

HYDERABAD

District:

RANGAREDDY

State:

TELANGANA

RelationDetails
RelationType
H
Father's/Mother's/Husband's:
Name:

SATYANARAYANAREDDY

Surname(ifany):

MANDA

II.ParticularsofplaceofpresentordinaryResidence(Fulladdress)
House/Doornumber:

903,MANJEERATRINITYHOMES

Street/Area/Locality
/Mohalla/Road:

PHASE3KPHB,KUKATPALLY

Town/Village:

HYDERABAD

/ :

Tehsil/Taluka/Mandal/
Thana:

BALANAGAR

District:

RANGAREDDY

http://ceoaperms.ap.gov.in/TS_Eregistration/Postal/userdetails.aspx

/ /

/:

3 ,,

PostOffice:

KUKATPALLY

Pincode:

500072

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12/15/2014

FORM6

III.Detailsofmember(s)ofapplicant'sfamilyalreadyincludedinthecurrentelectoralrolloftheConstitutency:
RPartnumberofthe
rollofthe
Constitutency:

Serialnumberinthe
Part:

Elector'sPhotoIdentity
CardNumber:

1.PRATAPGANGIREDDYMANDA

RDV2798959

2.

MobileNo:9700484863

Remarks:

Name:

Relationshipwith
applicant:

EmailId:mandareddy2004@gmail.com
Print

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