Professional Documents
Culture Documents
1
(ii) H P|H|73: 343 91| 2 91 d 93 91 22-May-1978(3, H|[, 4 ) P 1[3| [
1
(iii) H 4P| H7 | H 4| H3d|3| P| H H9| |H T|HH 41 4 H9 Hd [| 4| [ 1
(iv) * H1| |H 9[H P P | 4P| H7 H|PH| | H 4| H3d|3| P| H T|HH [| [ 1
(i) I am a citizen of India.
(ii) I am ordinarily resident at the address given in para II above since 22-May-1978 (date, month, year)
(iii) I have not applied for the inclusion of my name in the electoral roll for any other constituency :
(iv) * My name has not already been included in the electoral roll for this or any other assembly constituency:
| / Or
* H1| |H 1|7 4 | H 4| H3d|3| P| H T|HH [ H[| H 9[H +HO3 H3d|3| P| P 4| d| H|9 1
* My name may have been included in the electoral roll for constituency in state in which I was ordinarily resident earlier at the
address mentioned below and if so, I requested that the same may be deleted from that electoral roll.
91| 93| (P|H|73: |P 4| 9UH| 1|)
Full Address (Earlier place of ordinary residence) :