een end
gods udAoN woseeri
ee, rododa weed
_ P)SRELECTION COMMISSION OF INDIA
WE x IDENTITY CARD
“ STNO697524
eo
j | Elector's Name :Chandrashekhar
| | Sotieds Badd : Baad
| Father's Name : Rama
|| don / Sex: a /M
wa Bawoe jDate of Birth: 8/1/1974
eeeare Pa,
STNO697524
DMB: 9.79.1,
sowserics
sbonedend
age wie 575194
2-79-1,
Panjimogaru
Address : Mangalore
DAKSHINA KANNAD,
94
OIA
Date :02/10/2008
thmdme Locodmebsbn¢d woes ab
Facsimile Signature of
Electoral Registration Officer
202, Mangalore North Assembly
Constituency
chy Sede, Febaten hay wee zoul,axd rowbae els aaer
AA, HsheBabd oh roehdH webbow zo} alah sinhoD2.
in case of change in address, mention this Card No. in the
relevant form for including your name in the roll at the
penaed address and to obtain the card with same number.
4 | 202, chorion arid eudd Oopd age X30
ops udewdtoinide wooed dvexsd assoadd Bt oO)