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9/25/2015 Form6 http://egov-election.pon.nic.in/eservices/form6submitsuccess.aspx?enc=th6NbPH4w83pBIRx+4H1dTqw/GTqhjROg6QpdYU3WPWiNyg6KLUIByPUmTcLbxPO 1/1 ACKNOWLEDGEMENT Recieved Online Application of Form6 [(Shifting the residence from one constituency to other constituency within Puducherry UT)] Acknowledgement No. 20150000012852 Constituency MUDALIARPET Name kALAISELVI A ddress 42,ARULOLI STREET VALLALAR NAGAR EXT NAINARMANDAPAM Nature of Request Form6 [(Shifting the residence from one constituency to other constituency within Puducherry UT)] Mobile No. 9500952294 Email Id [email protected] Thank you for registering online

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9/25/2015 Form6

http://egov-election.pon.nic.in/eservices/form6submitsuccess.aspx?enc=th6NbPH4w83pBIRx+4H1dTqw/GTqhjROg6QpdYU3WPWiNyg6KLUIByPUmTcLbxPO 1/1

ACKNOWLEDGEMENT

Recieved Online Application of Form6 [(Shifting theresidence from one constituency to other constituency

within Puducherry UT)]

Acknowledgement

No.20150000012852

Constituency MUDALIARPET

Name kALAISELVI

Address42,ARULOLI STREET VALLALAR NAGAR EXT

NAINARMANDAPAM

Nature of Request

Form6 [(Shifting the residence from one

constituency to other constituency within

Puducherry UT)]

Mobile No. 9500952294

Email Id [email protected]

Thank you for registering online

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