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FORM 8 - CEO, Andhra Pradesh

form 8 [See rule 13(1) and 26] Application for correction to particulars entered in electoral roll To The Electoral Registration Officer, ..Assembly/ Parliamentary 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: Name Surname (if any) I. Applicant s details Part number of electoral roll: Serial number in that part: Age as on 1st January ..# Years: Months: Sex (male/female/others): Date of birth, if known: Day: Month: Year: Name Surname (if any) * Father s/ Mother s/ Name Husband s II.

[FORM 8 Contd…..] [[This page should be thick enough so that it does not get mutilated /damaged in postal transit] Intimation of action taken (Section-II of the page is to be filled by Electoral Registration Officer of the constituency and to be

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