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“SHOGARAM KEOT Sl a St cate fer / 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

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