Panchayat:Repo18/Law Manual Page0421

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Sl. No. of ....................................

Roll ..............................................

List of Amendments 19.........

Additions
Sl. No.
House No. & House Name (in bracket)
Name of Elector
Name of Father/ Mother/ Karanavan/ Husband
Male/ Female
Age as on 1st January 1994
(1)
(2)
(3)
(4)
(5)
(6)
Corrections
Sl. No. of entry
Name of Elector
For (Existing entry)
Read (Correct entry)
(1)
(2)
(3)
(4)
Deletions
Sl. No. of entry
Name of Elector
(1)
(2)