Errcl: AA: L. & & & For
Errcl: AA: L. & & & For
From To
Sri D.Muratidhar Reddy LA.S. The District Revenue Officer,
Collector & District Magistrate, West Godavari District, Eluru
East Godavari, Kakinada. All Assistant Electoral Registration Officers
( East & West Godavari Districts)
All Designated Officers
( East & West Godavari Districts)
The District Educational Officer, Kakinada i Eluru.
All Colleges in East & West Godavari Districts
( through Tahsildars concemed )
SiL.
Sub: Electoral Rolls - East-west codavari 'l eachers constituency - Schedule for de-
novo preparation of Electoral Roll with relbrence to 0l . I I .2020 - Issue of Public
Notioe on 01.10.2020 - Issue of rvide publicity - Reg.
Ref: l. Lr.No. 37/LC/LET/FUNIC/ERD/ER/2020 Dt.22.09.2020 of ECI, New Delhi'
2. Memo No. 821/EIecs.BlA2l2O20-4Dt.23.09.2020 of CEO, A.P., Velagapudi'
&*&*&
In the reference 2nd cited, CEO, A.P., Velagapudi has communicated the following ECI
scl.redule for de-novo preparation of Electoral Rolls for East-West Godavari Teachers
C0nstituenc
Sl.No Activities Period/Date
I Issue olpublic notice under rule 3l(3) ofthe Re gistration 01.10.2020 (ThursdaY)
ol Electors Rules, 1960
) Last date of recei ofa lications in Form- l 9 06.11.2020 (Friday)
-) Draft Publication of Electoral Rolls 01 .12.2020 (Tuesday)
I Period for filing of claims and objections 01. | 2.2020 (Tuesday) to
3l .12.2020 (Thursday)
5 Final Publication of Electotal Rolls I 8.01 .2021 (Monday)
I enclose herewith "Public notice under rule 3l(3) of the Re gistration of Electors Rules
1960,, for publication in offices of AERos & Designated olfices and I request to take
ncccssary action on the lollowing.
r. Send the public notice to all High schools, Colleges as mentioned in G.O.Ms.No.537
Dt. 28.09.2006 and G.O.Ms.No.644 Dt. 9.1 .2006 tbr publication.
I
Errcl: AA
E6rf ollector.
\. .6 liasr Codavari. Kakinada.
-
EIECnONS -Formation of Legislative Corincil Andhra Pradeh State Teache6' -
Constituencies - :-[ffiffi-ImdEfrm
Educauonal Institutions not lower in standard than that of a
secondary sch@l Z(r(b) of the Repreentation of the
People Act, l#-
Issjed.
ORDER:
The folloriving notificatbn will be published in the Andhra Pradesh State
Gazette
NOTIFICATION
*,IEDULE
a. Hlgh Schools
35
d. Colleges of PhYsical Education
e, Junior Colleges
f. Oriental Colleges
o. Sansknt College
[. eOranc"a Sanskit Sdroob
l.'ii,#Jintutlto of Education ard Training
i. int"ott"O Educational Schools
i,. Musi & Dance colleges
l. vocat'lonal Junior Colleges
m. Orienbl High Sdtools
n. Arabk High Sctpols
o. Arabic Colleges
o. Jawahar Navod4a Mdpla
o. fenatiP MdYalaYas
,.ResidentialHighschoolsrunbyAPRES/ArrWREls/APSWREIS.
i"'educauon; and C'T'Es (Colleges
s. I.As.E.(InstihJtes of AdvancJ's't'Oy
of Teadrer Eduation)
L Ceramk lrdihrtes
u. Mining Instiiltes
v. C-entral Crdfts In$ih'tEs
w.@lleges of Education
of Andhra Pradesh
3. All High Sctrools reognil"q. by-T"-^P*mment
schools'
inder ttre coae of niuUuom for Anglelndian
To for
Stores Purdrase' A'P'' Hyderabad
&
The Commissioner d Printing, Stationery
P'dott sttt" Gazette Extraordinary ano
oublication in the ne><t i:3;;iA;;ti'
i#'HiftUL oiut" euzene soon after its publication'
rn" d*"i".v, commission of India' Neav Delhi
ilection
aii corf oistrict Eledion Ofricers
il"'ilffi ffi;i,-
".t".t'a u'c.tt. a-ouria etealon ofrtcer' Hvderabad'
fficea)
llimruA',*:"m;:': fl*"jf;" ) ttn'ouon District
Erection
of Secretariat'
Coo, to nf DepartmenB
cobv to an Heads of Departments'
36
GOVTRNI{ENT OT ANDHRA PRADESI]
Alftlli\(J
EtEcnoNs -Fonnation of Leglslatlve councll - adhra Prad6h state - Teachers' constituerrcies -
Educatlonal Instituuoos llot lowg. ln stardard Ulan drat of a secondary school - Notifration lssued in
G.O.l"ts.tlo. 537, GerEral Admlnlstsatlon (EhctiolE.F) DepartmenL dated 28.9 2006 under section
27(3xtr) of tlElaFesentatlon of the PeopleAct,1950-Arnendme1t:
------ GENrnAllournrsruuoN(ELECs.F)DEPARTMENT
ORDER:
Tlre tullowing noufication shall be Frblblled ln dle Ardh6 Pradesh state Gazette:-
.
NOTIFICATION
x. Polvteclnlks.
y. lndustrEl Trainlrq Institutes/Ceoues (ms)
OF ANDI]RA PRADESH)
(BY ORDER AND IN THE NAME OFTHE GOVERNOR
V,BIIASKAI{,
CI ItEF ELEUTORAL OI'FICER &
E.O. PI{1, STCRETARY TO GOVIRNMEN
i
It rur:rm::!ll1g,,'igiJg.Hg"?.::1ffi,"# #:';'333"ru*-fl'I[
ji'"ilJ; #
after its Dublkauo .
ANNEX UIIE - B
I . In pursuance of rule 3I (3) of the Registration of Electors Rules, 1960 each of the Electoral
Registration officers whose particulars apperu in the First Schedule below hereby
calls upon
mentioned in the
every person entitled to be registered in the electoral roll ofthe constituency
(Friday) at
said Schedule to send to or deliver at his Offrce, on or before 6th November, 2020
the latest, an application in Form 19 appended to the Registration ol Electors Rules,
1960
-
andreproducedinthesecondSchedulebelow.lbrinclusionofhis/hername.
2. The applications may also be sent to the Assistant Electoral Registration officers
/
As the electorol rotts for the Teachers' Constituencies are required to be prepared afresh
every time belore an eleclion, dl persons whose names are included in lhe existing
electoral rolls for these consliluencies should also submil fresh applications in lhe
prescribed form.
3. ordinarily resident in
Qualifications::- Every person who is a citizen of India, and is
the constituency and has, wifhin the six years immediately before 1" November, 2020, beerr
engaged for a total period of at least three years in teaching in any of the educational
institutions, within the State specitied to be not lower in standard than that of a Secondary
School is eligibte to be included in the electoral roll. The list of Educational Institutions
so
4.EveryapplicationinFormlgbyapersonseekingenrolmentinTeachers'
constituency shalt be accompanied by a certificate from the Head of the Educational
Institution certifying the engagemenl olthe person concerned as a teacher for a total period of
three years within the last preceding six years.
'lhe tbrmat fbr the certificate will be as
lbllows:-
.CERTItr'ICATE'
..This
is to certifi that shri/SmtiKm. has been _ teaching
in_(nu." of the institution) for a total period of tlll'ee years within the last
pr*"ait g tir, y*rsagainst a sanctioned post on regular/ad-hoc+*basis'
i. 1a';** ,ts per ihe records ofthe Institution, He/She has been engaged in this institution
continuously from to =-(date).
OR
(b)** As per the records of the Institution. He/She has been engaged in this institution
-(date)
for the following periods of service:-
From to
From to
From to
6. In the case of a person who is not engaged in teaching on the date of application, the
Certificate should be signed by the Head ofthe Institution, in which he last served.
application which is false and which he either knows or helieves to be false. or does
not
believe to be true will be punishable under Section 3l of the Representation of people Act.
1950.
g.PrintedapplicationsofForm-lgmaybeobtainedfromtheofficelofERo/AERo/
DesignatedofficersorManuscript'typewritten,cyclostyledorprivatelyprintedformswill
also be accepted.
Particulars Contact
Name Office Extent of
sl. Designation Telephone
of Election Address lurisdiction
No. Sarvasree N umber
Officers
Deputy Kakinada
0/o Municipal
Designated Ch.Saryanaraya Commissioner, Commissioner, 994992t555 Municipal
7l Officer na Rao Mpl. Corporation, Kakinada Corporation
Kakinada
Executive Engineer, O/o Municipal Kakinada
Designated Municipal Commissioner, 9849906516 Municipal
72 P Satyakumari
Officer Corporation, Kakinada Corporation
Kakinada
Mandal Parishad
Designated P.Chakradhara Development O/o MPDO, P P.
106 9t33664544
O fficer Rao Officer, P. Gannavaram Gannavaram
Gannavaram
Mandal Parishad Pedapudi
Designated P.Vijaya O/o MPDO,
707 Development 9652077266
Officer Bhaskar Pedapudi Mandal
Officer, Pedapudi
Mandal Parishad
A.Ramana Development O/o MPDO, Peddapuram
Designated 9014019031
108 0 fficer, Peddapuram Mandal
O ffice r Reddy
Peddapuram
Mandal Parishad O/o MPD0, Pithapuram
Designated Development 96520771.77
109 Dls Sharma Pithapuram Mandal
0fficer Officer, Pithapura nt
Mandal Parishad O/o MPDO, Prathipadu
Designated Development 9652077088
110 D. Srilalitha Prathipadu Mandal
Officer Officer, Prathipadu
Mandal Parishad
Development O/o MPDO, Rajamahand
Designated Rajamahandra 96520771.44 ravaram @
111 N.Bojji 0ffi cer,
Officer varam @ Mandal
Rajamahandravara
m@
Mandal Parishad
Designated Development 0/o MPDO, Rajanagara
965207731t m Mandal
1.72 Nws Murthy Rajanagaram
0fficer Officer,
Rajanagaram
Mandal Parishad
K.Kameswara Development 0/o MPDo, Ra javomman
Designated 9949495554
113 Officer, Ralavommangi gi Mandal
0fficer Rao
Rajavommangi
Mandal Parishad Ramachandr
0/o MPD0,
Designated Development 9848331555 apuram
774 C.N.Sarma Ramachandra
0fficer Officer, puram Mandal
Ramachandrapuram
Mandal Parishad
O/o MPDO, Rampachoda
Designated A.Lakshmi Development 8333997707
115 Rampachodav varam Reven
Officer Reddy Officer,
aram
Rampachodavaram
Mandal Parishad
Designated Development 0/o MPDO, Rangampeta
1.1.6 K.S.S.Subba Rao 9652077199
Officer 0fficer, Rangampeta Mandal
Rangampeta
Mandal Parishad Rayavaram
Designated 0/o MPDO,
9652077477
71.7 B.Ashok Kumar Development Mandal
Officer Rayavaram
0fficer, Rayavaram
Mandal Parishad
Designated G.Ralendra Development O/o MPDO, Ravulapalem
118 9951994999
0fficer Prasad Officer, Ravulapalem Mandal
Ravulapalem
Mandal Parishad
Designated T.S.Venkatachar 0/o MPDO,
9959112872
Razole
779 Development Mandal
O fficer ya Razole
Officer, Razole
Mandal Parishad
Designated Development O/o MPD0, Rowthulapu
1.20 S.V. Naidu 8688841821
Officer Officer, Rowthulapudi di Mandal
Rowthulapudi
Mandal Parishad
Designated G.Vara Prasad Development 0/o MPDO, Sakhinetipall
1.21 9492756338
O fficer Babu Officer, Sakhinetipalli iMandal
Sakhinetinalli
Mandal Parishad Samalkota
Designated A.Ramana O/o MPDO,
722 Development 9014019031
0 fficer Reddy Samalkota Mandal
0fficer, Samalkota
Mandal Parishad
Designated 0/o MPDo, 96t8533577
Sankavaram
1.23 l.Rambabu Development Mandal
Officer Sankavaram
Officer, Sankavaram
Mandal Parishad
Designated Development 0/o MPDO,
9652077133
Seetanagara
124 K.Ramesh m Mandal
Officer 0 fficer, Seetanagaram
Seetanagaram
Mandal Parishad Tallarevu
Designated O/o MPD0,
t25 P.Vijayathomas Development 9652077255
0 fficer Tallarevu Mandal
Officer, Tallarevu
Mandal Parishad
Designated 0/o MPDO,
9848183847
Thondangi
726 P.Satish Development Mandal
O fficer Thondangi
Officer, Thondangi
Mandal Parishad
Designated S.Srinivasa o/o MPD0, 9490082717 Tuni Mandal
t27 Officer Dora
Development
Tuni
0fficer, Tuni
Mandal Parishad
Designated P.Vasantha Development o/o MPDO, U.
9652077066
U.Kothapalli
LLO Mandal
Officer Madhavi Officer, U. Kothapalli
Kothapalli
Mandal Parishad
Designated Development 0/o MPDO,
99591',1.2827
Uppalagupta
129 K.V.Prasad m Mandal
0fficer Officer, Uppalaguptam
Uppalaguptam
Mandal Parishad Y.
Designated Development O/o MPDO, Y.
130 U.Nagendra 863 94913 3 3 Ramavaram
0 fficer Officer, Y. Ramavaram
Mandal
Ramavaram
Mandal Parishad 0/o MPD0's Yeleswaram
Designated V-D.Ratna 8247205501
131 Development Office
O fficer Kumari Mandal
Officer, Yeleswaram Yeleswaram
O/o MPDO's Donkarai of
Designated v.s.s.v. Assistant Engineer, 9652390957 Y.
1.32 Office Y.
0 fficer Ramarao RWS. Y. Ramavaram Ramavaram
Ramavaram
Assistant 0/o Revenue 949704t424 Eluru
Panabaka Revenue Divisional Revenue
133 Electoral Divisional 08812-
Rachana Officer, Eluru 232044 Division
Registration Officer, Eluru
Ass ista nt O/o Sub- 9491041,423 Narasapura
K.S.Viswanatha Sub-Collector, 08814- m Revenue
t34 Electoral Collector,
n, I.A.S., Narasapuram 276699 Division
Registration Narasapuram
Assista nt O/o Revenue 9497047425 Kowur
Revenue Divisional 08813- Revenue
135 Electoral D.Laxma Reddy Divisional
Officer, Kovvur Officer, 23t488 Division
Registration
Assistant Revenue Divisional O/o Revenue 9491047426 langareddig
Y.V.Prasanna Divisional 08821- udem
1.36 Electoral Officcr,
Lakshmi at) iiil rc ddi udem Officer, 22366L Revenue
Rc istratio n
Assistant Tahsildar, O/o Tahsildar, Bhimadole
949t041441 Mandal
1.37 Electoral l.V.Subba Rao Bhirnadole Bhimadole
Registration
Assistant Tahsildar, 0/o Tahsildar, Chinthalapu
D.L.Pramadwar 9497041443
138 Electoral Chinthalapudi Chinthalapudi di Mandal
Registration
0/o Tahsildar, Dwaraka
Assistant Tahsildar, Dwaraka
139 Electoral S. Dwaraka 949t041446 Tirumala
Johson Tirumala Tirumala Mandal
Registration
Assistant Tahsildar, 0/o Tahsildar, Denduluru
G.V.Sesha Giri 9497041449
140 Electoral ' Dcnd uluru Denduluru Mandal
Registration
Assistant O/o'tahsildar, Eluru
B.Somasekhar 949t041440 Mandal
74'1. Electoral 'l'ahsilda r, Eluru EIuru
Rao
Registration
Assistant Tahsildar, 0/o Tahsildar, Ganapavara
142 Electoral B.Srinivasa Rao 949L04l450 m Mandal
Ganapavaram Ganapavaram
Registration
Ass ista nt O/o Tahsildar, K.Kota
G.V.V.Safyanara 949t041455 Mandal
'1.43 Electoral Tahsildar, K.Kota K.Kota
yana
Registration
Ass ista nt Tahsildar, O/o Tahsildar, Lingampale
744 Electoral T.Radhika 9491041,452
Lingampalem Linganrpalem m Mandal
Registration
Assistant Tahsildar, O/o'l'ahsildar, Nallajerla
745 Electoral ' A.Srinivas 949104745t Mandal
Nalla;erla Nallajerla
Registration
Ass ista nt Tahsildar, O/o Tahsildar, Nidmarru
1+6 Electoral G.Sundar Singh 9491041453
Nidrnarru Nidmarru Mandal
Registration
Assistant Tahsildar, O/o Tahsildar, Pedapadu
147 Electoral M.lndira Gandhi 949t041444 Mandal
Pedapadu Pedapadu
Registration
Assistant O/o Tahsildar, Pedavegi
148 Electoral Y.K.V. Apparao Tahsildar, Pedavegi 9491041,445
Pedavegi Mandal
Registration
Assistant hsildar, O/o Tahsildar, Pentapadu
Smt.P.Anuradha Ta 949104t447
149 Electoral (FACJ Pentapadu Pentapadu Mandal
Registration
nt O/o Tahsildar, T.
Assista
K.Naveen Tahsildar, T. 'l 949L041,454 Narasapura
150 Electoral Narirsapuram
Kumar Narasa u ram m Mandal
Registration
Assistant O/o Tahsildar, Tadepalligud
B.S.V.S.R.L.Sai Tahsildar, Tadepalligude 9491,041442
151 Electoral Tadepalligudem em Mandal
Raiu m
Registration
Assistant 0/o Tahsildar, Untuturu
152 Electoral E. ohn Raju Tahsildar, Untuturu 949104t448
f Untuturu Mandal
Re stration
Assistant Tahsildar, 0/o Tahsildar, Buttaigudcm
153 Electoral D.V.Ramesh 9491,04148t
Buttaigudem Butiaigudem Mandal
Registration
Assistant Tahsildar, 0/o Tahsildar, Gopalapura
1,54 Electoral G.Ratna Mani 9497047484
Gopalapuram Gopalapuram m Mandal
Registration
Ass istant O/o Tahsildar, Iangareddig
R.V.Murali Tahsildar, 949104148t udem
155 Electoral fangareddigud
Krishna Iangareddigudem em Mandal
Registration
Assistant Tahsildar, 0/o Tahsildar, leelugumilli
156 Electoral G.Elisha 949t041483
f eelugumilli f eelugumilli Mandal
Registration
Ass ista nt Tahsildar, O/o Tahsildar, Koyyalagude
157 Electoral P.Nagamani 949L047485
Koyyalagudem Koyyalagudem m Mandal
Registration
Assistant jimulla 0/o Tahsildar, Polavaram
M d.Na Tahsildar, 9491041482
158 Electoral Polavaram Polavaram Mandal
Sha
Registration
Assistant O/o Tahsildar,
A.V.Ramanjaney 9497041479 Attili Mandal
159 Electoral Tahsildar, Attili
ulu Attili
Registration
Assistant O/o Tahsildar, Chagallu
160 Electoral M.Srinivasa Rao Tahsildar, Chagallu 9497041,471
Chagallu Mandal
Registration
Assistant Tahsildar, 0/o Tahsildar, Devarapalli
B.V.Rama 949t04r478
1.6r Electoral Devarapalli Devarapalli Manda I
Krishna
Registration
Ass ista nt Tahsildar, 0/o Tahsildar, Iragavararn
T.Raia 9491047476
t62 Electoral
Rajeswari Iragavaram Iragavaram Ma ndal
Registration
Assistant O/o Tahsildar, Kowur
t63 Electoral B.Nagaraju Naik Tahsildar, Kowur 9497041,468
Kowur Mandal
Registration -1
Linllarnpalern
Marrdal Parishad Nallaierla
Designated MPD0's 0ffice,
K.Vani Development 9493742440 Mandal
200 Nallajerla
0fficer 0fliie r', Nalla erla
Marrdal Parishad MPDO's Office, Nidamarru
Designated T.Seethamaha 94937 42443
20t 0fficer Dc'volopment idamarru Mandal
Iakshmi N
0ftlr:ct', Nidatnarru
Maridal Par-ishad PDO's Office, Pedapadu
Designated M
202 S.N irmala Jyothi Devclopment 9493742447
Pedapadu Mandal
Officer 0flicer, Peda adu
Mandal ParishaC MPDO's 0ffice, Pedavegi
Designated Development 9493742448
203 K.Sridevi Pedavegi Mandal
Officer 0fficc r, Pedave
Marrdal Parishad Pentapadu
Designated D.Damodara M PDO's Office,
204 Development 94937 42449
I'entapadu Mandal
0fficer Rao
Oflicer, Penta adu
Mandal Parishad
MPDO's Office, T.Narasapur
Designated Y.Paradesi Devolopment 'l'.Narasapura 9493742455
205 fTicc r, am Mandal
Officer Kumar O
tIl
T.Nalasapuram
Marrdal Parishad Unguturu
Designated A.V. Vijaya MPD0's Office,
206 Development 94937 42462
Lakshmi Unguturu Mandal
0fficer Officc.r, U uturu
Mandal Parishad
Designated Development M PDO's 0ffice, Buttaigudem
207 M. Raju 9493742410
0fficer, tluttaigudem Mandal
0fficer
BulL erEt4gq
Mandal Parishad
Dc'vclopmept - MPD0's Office, Gopalapura
Designated 9493742430
208 R. Sridevi Gopalapuram m Mandal
O ffice r Oflict: r,
Gopelapulam
Mandal Parishad MPDO's 0ffice, Jeelugumilli
Designated ji Dev,:lopmettt 94937 42433
209 N. Bala Mandal
Officer Juelugumilli
orli. cL]eql,!c umilli
Mandal Parishad
Designated K.R.S. Krishna Development MPDO's Office, Koyyalagude
270 9493742437
0 ffice r, Koyyalagudem m Mandal
0fficer Prasad
Ko la u dem
Mandal Parishad Polavaram
Designated Ch. Srinivasa MPD0's Office,
ztl Development 9493742454
O fficer Babu I)olavaram Mandal
Officer, Polavaram
Mandal Parishad Ir4l'DO's 0ffice, Kukunoor
Designated E. Lakshmi 9493625554
272 Dcvclopment I(Lrkunoor Mand al
O ffice r Kantham
Olficr:r, Kukunoor
Ma ndal Parishad
Designated IrlPDo's 0ffice, Velairpadu
273 A.V. Subbarayan Development 9493623332
Velairpadu Manda I
0fficer Officcr, Velair adu
Mandal Parishad MPDO's Office,
Designated 9493742407 Attili Mandal
2t4 O fficer
B. Veeraswamy Development Arrili
0fficer, Attili
Mandal Parishad Chagallu
Designated MPD0's Office,
21,5 B. Ram Prasad Development 9493742417
Officer Chagallu Manda I
Officer, Cha llu
Mandal Parishad Devarapalli
Designated M PDO's 0ffice,
21.6 S.V.S. Prasad Development 9493742426
0fficer Devarapalli Mandal
0fficer, D evarapalli
Mandal Parishad Iragavaram
Designated S.T.V. , ilPDO's Office, 9493742431
2t7 Devclopment Mandal
0fficer Rajeswara Rao lragavaram
Officer, Ira varam
Mandal Parishad MPDO's Office, Penugonda
Designated K. Purushotham 9493742450
21.8 Development Mandal
Officer Rao ['enugonda
Officcr, Pen onda
Mandal Pa rishad MI)DO's Office, Penumantra
Designated Development 949374245t
219 R. Viiaya Raju Penumantra Mandal
O ffice r
Officer, Penumantra
Mandal Parishad Peravali
Designated V.Vijaya M PDO's Office,
220 Devclopment 9493742452
Officer Lakshmi Peravali Mandal
0fficer, Peravali
Mandal Parishad MPDO's Office, Tallapudi
Designated Development 94937 42458
22r M. Rajasekhar 1'ailapudi Mandal
0fficer O fficc r, Tallapudi
Mandal Pa rishad
Development l'DO's Office,
Nl Undrajavara
Designated 94937 42461
222 G. Ramana Undraiavaram m Mandal
0ffice r 0fficer,
Undrajavaram
Mandal Parishad NIPDO's Office, Achanta
Designated Development 94937 42405
223 N. Srinivasarao Achanta Mandal
O ffice r 0fficer, Achanta
Mandal Parishad MPDO's Office, AkiveedLt
Designated Development 9493742406
224 P. Rama Devi Akiveedu Mandal
0 fficer Officer, Akiveedu
Mandal Parishad M PDO's Office, Elamanchili
Designated G.Rajendra 9493742427
225 Devclopment tilamanchili Mandal
Officer Prasad
0fficer, Elarnanchili
Marrdal Pa lishad PDO's Office,
M
Designated
Aparna Devclopmetlt 94937 42435 Kalla Mandal
226 Y. Kalla
Officer Oflir'c'r, Kalla
Mandal Pa rishad MPD0's Office, Mogalthur
Designated Dr. R.C. Ananda 9493742439
?27 Development Mogalthur Mandal
Officer Kumar
0flicer, Mo thuru
Mandal Parishad M PDO's Office, Palcoderu
Designated A. Venkata 9493742445
228 Devclopment l)alcoderu Mandal
O ffice r Apparao
0fficer, Palcoderu
K. Kannama Mandal Pa rishad MPDO's Office, Poduru
Designated Devclopmettt 94937 42453
229 Naidu Poduru Mandal
0fficer 0lficer, Poduru
N.M. Mandal Parishad MPD0's Office,
Designated Devclopmettt 9493742460 Undi Mandal
230 Gangadhara Undi
O fficer 0fllcer, LJndi
Rao
Mandal Parishad
Developmcnt M PDO's Office, Veeravasara
Designated 9493742463
231 G. Swetha Vceravasaram m Mandal
0fficer Oflicer,
Veeravasaram
tr, %^\
ST]COND SCHEDI II,E
" (roRM -ls
(See Rule 3l)
Claim for inclusion of name in the electoral roll for a teachers constituency
To Please paste a
photograh of the
The Electoral Registration Officer, elector/applicant here
Sir,
I request that my nanrc be registerecl irr the electoral roll for the
Co nstituency.
House No.
Street / Mohalla
Town / village
Post Office
Age
2. During the last six years I have been engaged in tcaching for a total period of more than
three years as follows ::-
4
In support of the above I submit helewith
.3. * My name has not been included in the electoral roll lor this or any other teacher's
constituency
OR
*My name has been included in the elL'ctoral roll tbl the teacher's
constituency under the address given bclow and I request that it be deleted from that
roll
4. I declare that I am a citizen of India anr.l that all the particulars given above are true to the
best of my knowledge and belief.
Place
Date..........................
Signature oi claimant
NOTE:: Any person who makes a statement or declaration which is false and which he either
knows or believes to be false or does not believe to be uue is punishable under section 3l of
the Representation ofthe People Act, 1950.
[.arrd Linc
(Pelforation).....
Intimation action
o1' 1ak en
The application in Form - l9 of Shri Smt. / Ktrnrari
Address.............
has been.
Date
'.... "(Perforation)