Second Schedule Form 18 And Intimation Of Action Taken Page 3
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4INTIMATION OF ACTION TAKEN
The application in Form 18 of Shri/Shrimati/Kumari -------------------------------------------- --------------------
-------------- address ---------------------------------------------------- has been (a) accepted and the name of
Shri/Shrimati/Kumari --------------------------------------------- ------------------------------------------ has been
registered at Serial No. -------------------------
in part no.
(b) rejected for the reason ----------------------------------------------------------------------------
Electoral Registration Officer
(Address) -----------------------
-----------------------------------
------------------------------------
Date: ----------------------------
------------------------------------------------(Perforation)--------------------------------------------
Receipt for application
Received the application in Form 18 from Shri/Shrimati/Kumari* -------------------------------------------------
-------------------Address----------------------------------------------------------
Date ------------------------------ Electoral Registration Officer
(Address) -------------------------
-------------------------------------
* to be filled in by the applicant.
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