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    Khagendra Prasad Mahato
    Basudeb Baidya has submitted an application to correct an entry in the electoral roll for the Basanti Assembly/Parliamentary Constituency in West Bengal. He requests that his photograph be corrected. He provides his name, surname, registration details including part number and serial number in the electoral roll, EPIC number, and address. He declares that the information provided is true to the best of his knowledge.

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    @ViewBag Title PDF

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    Khagendra Prasad Mahato
    67 views1 page
    Basudeb Baidya has submitted an application to correct an entry in the electoral roll for the Basanti Assembly/Parliamentary Constituency in West Bengal. He requests that his photograph be corrected. He provides his name, surname, registration details including part number and serial number in the electoral roll, EPIC number, and address. He declares that the information provided is true to the best of his knowledge.

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    Basudeb Baidya has submitted an application to correct an entry in the electoral roll for the Basanti Assembly/Parliamentary Constituency in West Bengal. He requests that his photograph be corrected. He provides his name, surname, registration details including part number and serial number in the electoral roll, EPIC number, and address. He declares that the information provided is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    67 views1 page

    @ViewBag Title PDF

    Uploaded by

    Khagendra Prasad Mahato
    Basudeb Baidya has submitted an application to correct an entry in the electoral roll for the Basanti Assembly/Parliamentary Constituency in West Bengal. He requests that his photograph be corrected. He provides his name, surname, registration details including part number and serial number in the electoral roll, EPIC number, and address. He declares that the information provided is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    10/13/2019 @ViewBag.

    Title

    ELECTION COMMISSION OF INDIA


    FORM-8
    (See Rules 13(1) and 26) of Registration of Electors Rule-1960

    Application for Correction to Particulars Entered in Electoral Roll


    To, The Electoral Registration Officer, West Bengal Basanti Assembly / Parliamentary Consitituency

    I request that entry relating to myself appearing in the electoral roll the above Constituency is not correct and it should be
    corrected.

    (a)Name Basudeb বাসুেদব

    (b) Surname(if any) Baidya বদ


    (c) Details of registration with electoral roll
    Name of Assembly/ Parliamentary Constituency Basanti
    Part No. of Electoral Roll 12 Serial No. of Electoral Roll 307
    (d) EPIC No. (If issued) WB/15/101/090791
    (e) Please tick the entry which is to be corrected
    Name ☐ Photograph ☑ EPIC ☐ Address ☐ Date of Birth ☐
    Age ☐ Name of Relative ☐ Type of Relation ☐ Gender ☐
    The correct particulars in entry to be corrected are as below:-
    (g) Email Id(optional)
    (g) Mobile No.(optional)
    I hereby declare that the facts and particulars mentioned above are true to the best of my knowledge and belief.I am aware that making a statement or
    declaration which is false and which I know or believe to be false or do not believe to be true, is punishable under Section 31 of the Representation of the People
    Act, 1950 (43 of 1950).
    Place Keuti
    Date 13/10/2019

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