“SHOGARAM KEOT Sl
a St catefer / Sex : Fa/ Male
Date of Birth/ Age: 39 Yrs
feat: 15/ O- Taft (ART), sve
RPS, FEET ATT,
fi- airs (opr)
Address: Vill. Town- TARABARI (PART), P.S.-
Mikirbheta, Sub-Divn- Morigaon, --_
Dist- MARIGAON Nesey i
Date: 01/10/13: Electoral Registration Officer:
PRIA HART Ae 8 aM: 80, ARETE
Assembly Constituency : go, MARIGAON.
No. and Name =~
48 7 8 ATT: 105, SPAT aintire rena
(Sot) -
PartNo. =: 105, Thakuriabori, L.P. School
and Name- (North) -
Star: (¥) qa at wh eT TT ATS VonORe? ATsSF
Sse ACR AM Ne fPORST ST Te
Note: (a) Mere possession of ‘this card Is no guarantee that you
are elector In the current electoral roll. Please check your name
in the current electoral roll before every Election. (b) Date of birth
mentioned In this card shall not be treated as proof of age/
0.0.B. for any purpose other than registration in electoral roll.
Scannea witn Lamscanner
089/105 / 0251
4