Sunteți pe pagina 1din 1

SAMPLE ILLUSTRATON OF FILLED PRE-NRC ASSESSMENT FORM

Head Of Family: ABDUL KHALAQ SHARIFF Date of Birth: 02-Jan-1947 MASJID-E-TAQWA


House & Flat No: 181 Voter ID: YES E-Board Certificate: NO Community: MUSLIM
Floor: 1 floor
st
Aadhar Card: YES PAN: NO Religion: ISLAM
Cross: 6 cross Passport: YES Ration Card: YES Citizen By: BIRTH
Main: 2 main Driving License: YES Court Case (any): NO Senior Citizen: YES
Mobile Number: 09845123456 Property Doc’s: YES Nativity: NO APL/BPL Family: APL
Own or Rented: OWN Birth Certificate: NO Birth Group: *LEGACY* Willing to Help Others: YES
Family / Occupants Details: *LEGACY* STATUS IN BIRTH GROUP FOR THOSE BORN BEFORE 26-JANUARY-1950
Group-A:(26th JANUARY 1950 – 30th JUNE 1987), Group-B:(1st JULY 1987 – 7th JANUARY 2004), Group-C:(8th JANUARY 2004 – TILL DATE).
Sl. Name Relation Date of Birth Birth Voter Aadhar Passport PAN Driving E-Board Ration Property Consistency
#. Birth Group Cert. ID Card License Cert. Card Doc’s
1 SHAMEEMA FAISAL WIFE 15-05-55 A NO YES YES YES NO NO NO YES NO YES
2 MOHD ASGHAR ALI SON 28-03-60 A YES YES YES YES YES YES YES YES NO YES
3 AARIFA BEGUM D.I.L 12-06-67 A YES YES YES YES NO NO YES YES NO YES
4 MOHD ARIFF ALI SON 22-02-65 A YES YES YES YES YES NO YES YES NO YES
5 BALQUIS BANU D.I.L 28-08-77 A YES YES YES YES NO NO YES YES NO YES
6 MURTUZA AHMED G.SON 04-05-91 B YES YES YES YES NO YES YES YES NO NO
7 MARIAM AHMED G.DAU 14-06-95 B YES YES YES YES YES YES YES YES NO NO
8 MUZAKKIR AHMED G.SON 04-07-04 C YES YES YES YES NO YES YES YES NO NO
9 ARBEEN AHMED G.DAU 14-06-05 C YES YES YES YES YES YES YES YES NO NO
10 RESHMA SULTANA DAUGH 06-06-75 A YES YES YES YES YES YES YES YES NO YES
11 AKBAR SHARIFF S.I.L 11-11-70 A YES YES YES YES NO NO YES YES NO NO
MOST COMMON SPELLING ERRORS/ MISTAKES THAT OCCUR IN DOCUMENTS…
MOHAMMED MUHAMMED MOHD MOHAMMAD MOHAMED MUHAMMAD MD
AHMED AHMAD AHAMED AHAMAD ULLAH ULLA ULLAHA
SHARIF SHERIFF SHARIFF SHERIF SHARIEF SHERIEF SHARRIFF
JAVEED JAVED JAAVID JAAVEED SIDDIQUE SIDDIQUI SIDIQUI
MOHAMMADI MUHAMMADI MOHAMADI MUHAMADI MUHAMMEDI MOHAMMEDI MDI
BEGUM BEGAM BANU BANO SULTANA SULTHANA SULTAANA
ATEEQ ATHEEQ ATIQ ATHIQ FATIMA FATHIMA FAATIMA
NAVAZ NAWAZ PASHA PASAH SYED SAYEED SAYED
TO FIND VOTER NAME SPELL IS CORRECT IN ELECTROL ROLL, ENTER YOUR VOTER ID HERE -
https://www.ceokarnataka.kar.nic.in/SearchWithEpicNo_New.aspx