Voter Portal - Election Commission of India - Form8

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11/3/21, 5:18 PM Voter Portal : Election Commission of India - Form8

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, 37 - Pithapuram Assembly / Parliamentary Constituency

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* VIJAYGOPAL MEDISETTI
(b) Surname(if any) MEDISETTI

(c) Details of registration with electoral roll


    Name of Assembly/ Parliamentary
Pithapuram
Constituency*

Part No. of Electoral Roll* 2


3
6 Serial No. of Electoral Roll* 4
9
7

(d) EPIC No. (if issued) YOU0329599

(e) Please tick the entry which is to be corrected*

Name Photograph Voter ID Address

Age/Date of Birth Name of relative Type of relation Gender

The correct particulars in entry to be corrected are as below:-


Name: वीजयगोपाल मेदिसेट्टी / vijayagopal Medisetti
Age/Date of Birth: 20-10-1988 VIEW FILE

Photograph: View Attachment VIEW FILE

(g) Email id
(h) Mobile No. 9
8
6
6
0
6
5
6
4
6
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** : kondeveram

*Form submitted digitally, Signature not required.


Date** : 03-11-2021
Name of Applicant : Medisetti vijayagopal

Edit Form Submit

https://voterportal.eci.gov.in/preview-f8 1/1

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