FORM 9 List of Applications for Inclusion Received in Form 6

ANNEXURE 5.8 (CHAPTER V , PARA 25) FORM 9 List of Applications for inclusion received in Form 6 Designated location identity (where Constituency (Assembly/£Parliamentary): Tivim Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 24/10/2020 24/10/2020 3. Place of hearing *

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 24/10/2020 Surekha Shirodkar Krishna Shirodkar (H) -, Karkayachoval,, Revora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

07/12/2020 ANNEXURE 5.8 (CHAPTER V , PARA 25) FORM 9 List of Applications for inclusion received in Form 6 Designated location identity (where Constituency (Assembly/£Parliamentary): Tivim Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 26/10/2020 26/10/2020 3. Place of hearing *

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 26/10/2020 Sarvesh Sawant Govind Sawant (F) 229, Near .Govt. High. School Shimolda wada ,Revora , Revora, , 2 26/10/2020 Santoshi Sawant Govind Sawant (F) 229 , Near Govt. High School Shimolda wada , Revora, , 3 26/10/2020 Elvis Fernandes Reginaldo Fernandes (F) 42, Near Govt. High School Revora , Revora, , 4 26/10/2020 Majar Kamdod Fazal Kamdod (F) 260/B, Auchit Waddo, Tivim, ,

5 26/10/2020 Silvan Pereira Maggie Pereira (M) Flat No.05, State Bank of India , Cansa Board, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 28/10/2020 Akash Bhosle Dayanand Bhosle Bhosle H.No. 5/447, Tari Wada, (F) Colvale, , 2 28/10/2020 Priyanka Gajesh Gajesh Gurudas Sadekar 127/6, Khajin Wada , Colvale, Sadekar (H) , 3 28/10/2020 Greena Stephen Parayil Stephen Chacko Parayil 95/2, Auchit wado Top, Near (F) Major Bakery, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 29/10/2020 Rekha Mahendra Mahendra Kumar Akhiyani UGF-85/2 (1), Near Omkar Akhiyani (H) Colony ,ponxem, Tivim, , 2 29/10/2020 Mahendra Kumar Devji Akhiyani (F) UGF 85/2(1), Ponxem, Near Akhiyani Omkar Colony, Tivim, , 3 29/10/2020 Tejpal Singh Virendra Singh (F) Sy. No. 347/2, Auchit Waddo, Tivim, , 4 29/10/2020 SANVI BANAULIKAR GAURESH BANAULIKAR 116/2, BHANDAR WADDO, (H) ASSONORA, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 30/10/2020 Saavi Pednekar Sunil Sagun Pednekar (H) 150/12, Karkyachovall, Revora, , 2 30/10/2020 Mukesh Devji Akhiyani Devji Akhiyani (F) SF-85/2 (3), Omkar Colony ,Ponxem, Tivim, , 3 30/10/2020 Pushpaben Pravinkumar Akhiyani (H) FF-85/2 (2), Near Omkar Pravinkumar Akhiyani Colony , Ponxem, Tivim, , 4 30/10/2020 Pravin Devji Akhiyani Devji Akhiyani (F) FF-85/2 (2), Omkar Colony , Ponxem, Tivim, , 5 30/10/2020 Aruna Mukesh Akhiyani Mukesh Devji Akhiyani (H) SF-85/2 (3), Omkar Colony , Ponxem, Tivim, , 6 30/10/2020 sanjana pawar rajendra pawar (F) 684/173-A 1 park, cans board, thivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 31/10/2020 Jaibunabi Kundagol Ismailsab Kundagol (H) Sy no-466/1, Madel, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 03/11/2020 Rukana Banu Jakathi Riyaz Ahmad Jakathi (H) Sy. No. 347/2, Auchit Waddo, Tivim, , 2 03/11/2020 Riyaz Ahmad Jakathi Mahamdaausasab Jakathi Sy. No. 37/2, Auchit Waddo, (F) Tivim, , 3 03/11/2020 Mohammad Jakathi Riyaz Ahmad Jakathi (F) Sy. no. 37/2, Auchit Waddo, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 04/11/2020 Rashmita Bhago Shinde Bhago Shinde (F) 113, Near Eletricity Department , Thivim, , 2 04/11/2020 Almas Jakathi Riyaz Ahmad Jakathi (F) Sy. No 347/2, Auchit Waddo, Tivim, , 3 04/11/2020 PUNDALIK DATTA DATTA SATARDEKAR (F) GANESH NAGAR, SATARDEKAR ASSONORA, BARDEZ, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 05/11/2020 Reshma Janardhan janardhan vengurlekar (F) 1206, volvonem Tivim, Tivim, vengurlekar , 2 05/11/2020 Roshni Ramdas Ramdas Naibagkar (F) 1220, volvonem , Tivim, , Naibagkar 3 05/11/2020 Sanita Kujur Thomas Dsouza (H) 717/1, Muddo Waddo, Cansa, Tivim, , 4 05/11/2020 JENICE CELIA FRANCISCO 539/2, MALOEM, GONSALVES GONSALVES (F) ASSONORA, , 5 05/11/2020 JESLIN ANNA FRANCISCO 539/2, MALOEM VADDO, GONSALVES GONSALVES (F) ASSONORA, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 06/11/2020 avish kalangutkar bhagwant kalangutkar (F) 5, juvem, nadora, ,

2 06/11/2020 rajeshri kalangutkar gokuldas kalangutkar (H) 15, juvem, nadora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 07/11/2020 Kruppal Naik Suren Naik (F) 1176 /2, volvonem Tivim, Tivim , , 2 07/11/2020 Rahul Vithal Kana Naik Vaibhavi Vithal Kannaik 1178/1, Volvonem , Tivim , , (M) £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 08/11/2020 Angelo Rodrigues Iris Rodrigues (W) 27/3, St.Rock Waddo, Near St. Rock Chapel,, Colvale Bardez , , 2 08/11/2020 Iris Rodrigues Angelo Rodrigues (H) 27/3, St.Rock Waddo, Near St.Rock Chapel, Colvale ,Bardez, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 09/11/2020 Suman Dhotre Pandu Dotre (F) 100/3, Auchit Waddo, Tivim, ,

2 09/11/2020 Prakash Rathod Somoppa Rathod (F) Sy. No. 437/2, Auchit Waddo, Tivim, , 3 09/11/2020 Amrut Narulkar Gurudas Narulkar (F) Not given, Assonora bardez goa, Kailasnagar assonora , , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 10/11/2020 Nabirasul Hunchal Rajasab Hunchal (F) Sy. No. 455, Paina Waddo, Madel, Tivim, , 2 10/11/2020 Rahmat Bi Hunchal Nabirasul Hunchal (H) Sy. No. 455, Paina Wddo, Madel, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 11/11/2020 Rinki Sawant Rama Sawant (F) 601, Gaonkar waddo camurlim Bardez-Goa, Camurlim , , 2 11/11/2020 Rinki Sawant Rama Sawant (F) 601, Gaonkar Waddo Camurlim Bardez Goa, Camurlim, , 3 11/11/2020 Jonathan Pio Lobo Francisco Lobo (F) 173, Moddo Wado, Pirna, ,

4 11/11/2020 Narsu Kundaikar Ramesh Kundaikar (F) 334/2, Ganesh Nagar, Assonora, , 5 11/11/2020 Krutika Malvankar Pandhari Malvankar (F) 17, Moitem Wada, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 12/11/2020 VALANCY VANITA DOMINGO RAIMON H.NO. 7, DAMEDEM, TIVIM, , DSOUZA DSOUZA (F) £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 13/11/2020 ERICA JOVITA EGIPCIO DO ROSARIO H.No.115/12, Chicalim, D'SOUZA D'SOUZA (F) Chicalim, Colvale, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 14/11/2020 Shankar Bhekane kavita bhekane (W) Madel tivim, sai colony madel tivim, tivim, , 2 14/11/2020 Sumaiya Mujawar Goussab Mujawar (F) 745/1, Muddo Waddo, Tivim, ,

3 14/11/2020 Anisha Noronha Arnold Noronha (H) 39/1, Grande Khorim, Sirsaim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 16/11/2020 Manisha Manoj Rajappa Manoj Rajappa (F) -, Sonar Waddo, Camurlim, ,

2 16/11/2020 Ratna Joseph Lucas Joseph Lucas (F) Nil, Sonar Waddo, Camurlim, , 3 16/11/2020 Rahana Sayed Ismail Sayed (H) 212/5, Kardale, Gavoim, Tivim, , 4 16/11/2020 Ashwita Anand Naik Suvarna Anand Naik (M) 1164/2, Volvonem , Tivim, ,

5 16/11/2020 Sangita Krishna Varak Krishna Vithal Varak (H) 1134/1, Dhangerwado volvonem, Tivim, , 6 16/11/2020 Laxmi Vishwakarma Omkar Vishwakarma (F) --, Auchit Waddo, Tivim, ,

7 16/11/2020 Islawati Vishwakarma Omkar Vishwakarma (H) --, Auchit Waddo, Tivim, ,

8 16/11/2020 Geeta Vishwakarma Omkar Vishwakarma (F) --, Auchit Waddo, Tivim, ,

9 16/11/2020 Omkar Vishawakarma Ramabharose --, Auchit Waddo, Tivim, , Vishwakarma (F) 10 16/11/2020 Anita Rathod Prakash Rathod (H) Sy. No. 347/2, Tivim, Tivim, ,

11 16/11/2020 Vijay Hiremath Bhalchandra Hiremath (F) E/877/A, Cansant Confremwado, Cansa, Tivim, , 12 16/11/2020 Menka Hiremath Bhalchandra Hiremath (F) E/877/A, Casant Confremwaddo, Cansa, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 17/11/2020 Reema Parsekar Mohan Parsekar (H) 445/A, mudda wadda khairat, camurlim, , 2 17/11/2020 Roshan Kudalkar Ravindra Kudalkar (F) -, Karkechowal , Revora, ,

3 17/11/2020 Rangoli Kudalkar Ravindra Kudalkar (H) -, Karkechowal , Revora, ,

4 17/11/2020 Rajesab Banasi Nabisab Banasi (F) Sy. No. 467/9, Sai Colony, Madel, Tivim, , 5 17/11/2020 Bibijan Banasi Rajesab Banasi (H) sy. No. 467/9, Sai Colony, Madel, Tivim, , 6 17/11/2020 Aman Balgar Mehboob Balgar (F) NA, Madel , Thivim, ,

7 17/11/2020 Sangeeta Nair Unnikrishnan Nair (H) 524, Comprem Waddo, Chichant, Tivim, , 8 17/11/2020 Sahil Gauli Vithal Gauli (F) 1126, Volvonem, Tivim, ,

9 17/11/2020 Vithal Chari Ravindra Chari (F) 358/1, St. Anns Colony, Tivim, , 10 17/11/2020 Anita Chari Ravindra Chari (H) 358/1, St. Anns Colony, Tivim, , 11 17/11/2020 ASMA HAJIMALANG HAJIMALANG 98/2, MOITEM WADA, MAKANDAR MAKANDAR (F) ASSONORA, BARDEZ, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 18/11/2020 Marry Joseph Lucas Joseph Lucas (H) Nil, Sonar Waddo, Camurlim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 19/11/2020 Shramik Toraskar Sanjay Toraskar (F) 88, Bharwanwaddo, camurlim , , 2 19/11/2020 Mayuri Kanyalkar Sankalp Kanyalkar (H) 66/1, Mushir Wado, Mini Satellite Township Housing Board, Colvale, , 3 19/11/2020 RACHANA RAJESH RAJESH VISHNU GAWDE 45/4, MUSHIRWADA - GAWDE (H) AMOLYANI, COLVALE, , 4 19/11/2020 Aayush Phadte Dayanand Phadte phadte 257, Mokhrai wada, Revora (F) Bardez Goa, , 5 19/11/2020 Ganesh Parab Vidur Parab (F) 341, Tanodiwada, Pirna, ,

6 19/11/2020 OM MOTILAL MOTILAL LOTLIKAR (F) 1502/56, GOA HOUSING LOTLIKAR BOARD MADEL, TIVIM, , 7 19/11/2020 Natasha Shetgaonkar Aniruddha Shetgaonkar (H) 100/24, Piquen Ponxem, Tivim, , 8 19/11/2020 Prathamesh Ghadi Pundalik Ghadi (F) 497-3, St. Anns Colony, Danva, Tivim, , 9 19/11/2020 Yogesh Ghadi Pundalik Ghadi (F) 497-3, St. Anns Colony, Danva, Tivim, , 10 19/11/2020 Shobha Ghadi Pundalik Ghadi (H) 497-3, St. Anns Colony, Danva, Tivim, , 11 19/11/2020 Sweta Halarnker sankesh Halarnker (H) 190/8, Bella vista waddo, sirsaim bardez goa, , 12 19/11/2020 ANDRIA PASCAL PASCOAL ROCHA (F) 395, PEQUEN KHORI, ROCHA ASSONORA BARDEZ, , 13 19/11/2020 Priyanka Patil Suraj Patil (H) Token No.1, Kailas Nagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 20/11/2020 Manisha Talankar Rajesh Talankar (H) 58, tale waddo, revora, ,

2 20/11/2020 Sanika Shetkar Mahadev Shetkar (F) 112, Manshiwada, Revora, ,

3 20/11/2020 Rashveeta Gadekar Rameshwar Gadekar (F) 1432, Madel, Tivim, ,

4 20/11/2020 Rupa Doddamani Mallesh Doddamani (H) Sy. No. 347/2, Auchit Waddo, Tivim, , 5 20/11/2020 Pandurang Mandrekar Prashant Mandrekar (F) 267/3/1, Bella Vista Waddo, Sirsaim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 21/11/2020 Siddik akbar Shah Sameer Shah (F) sy. no. 110/1, Gotnichoval, Mushirwada, , 2 21/11/2020 Arjun Shankar Shankar Chawan (F) Nil, Gotnicho Val, Colvale, , Chawan 3 21/11/2020 Suwarna Ghadi Nitin Vengurlekar (H) 35/11, Tuar Wado, Colvale, ,

4 21/11/2020 Mahima Revodkar Mahesh Revodkar (H) 28/12, Chikali, Colvale , ,

5 21/11/2020 Neha Sawant Narendra Sawant (F) 505, St. Christopher church Tivim, Tivim, , 6 21/11/2020 Divya Sandeep Sandeep Digambar 1176/7, Volvonem Tivim, Kauthankar Kauthankar (F) Tivim Bardez Goa, , 7 21/11/2020 Aashay Naibagkar Arun Naibagkar (F) 1220, Volvonem, Tivim, ,

8 21/11/2020 Darpan Narayan Murari Narayan Murari (F) 1176/1, Volvonem , Tivim , ,

9 21/11/2020 Dimple Deepak Deepak Parsekar (F) 1169, Volvonem , Tivim , , Parsekar 10 21/11/2020 Shruti Vishnu Varak Vishnu Vithal Varak (F) 1171/1c, Volvonem , Tivim , ,

11 21/11/2020 Sarah Celine Fernandes Lowrence Fernandes (F) A/3, Fernan Vaddo, Fernandes Assonora, , 12 21/11/2020 Subhangi G Chari Chari Gurudas Chari Chari (F) 244/1, Salcho Vaddo, Asnora, , 13 21/11/2020 POOJA SAWAL PRADEEP SAWAL (F) 72, MOITEM WADO, ASSONORA, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 22/11/2020 Muriel Shiny Ferrao Milton John Ferrao (F) 356, St anns colony, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 23/11/2020 Ramanand harmalkar pralhad harmalkar (F) 290/1, Desai Wada, pirna, ,

2 23/11/2020 Siddhant Dessai Surendra Dessai (F) 292, Desai wada , Pirna, ,

3 23/11/2020 Samir Vaigankar Self (O) 12/1, Near P.W.D. Govt. Quarters, Assnora, Moitem Wada, , 4 23/11/2020 Sonali Vaigankar Samir Vaigankar (H) 12/1, Near P.W.D Govt, Quarters, Assnora, Moitem Wada, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 24/11/2020 Farida Khatoon Shah Sameer Shah (H) sy.no.110/1, Gotnichoval, Mushirwada, , 2 24/11/2020 Sanjay Mishal Laxman Mishal (F) 160/2-G, Hill View Residency, Colvale, , 3 24/11/2020 Sanjay Mishal Laxman Mishal (F) 160/2-G, Hill View Residency, Colvale, , 4 24/11/2020 Sanjay Mishal Laxman Mishal (F) 160/2-G, Hill View Residency, Colvale, , 5 24/11/2020 SHAMSULHODA MOHAMMAD SAMANIKER 1502/T2, GOA HOUSING SAMANIKER (F) BOARD COLONY , MADEL, , 6 24/11/2020 sanisha kalangutkar Eknath Kalangutkar (F) 1487/1, Madel, Tivim, ,

7 24/11/2020 Anish Gurudas Naik Gurudas Sitaram Naik Naik 92/49, Madel, Tivim, , Naik (F) 8 24/11/2020 AKHIL TALAWNEKAR ASHOK TALAWNEKAR (F) 1166/2(A), FATTIR WADO, NEAR FORT, THIVIM, , 9 24/11/2020 Yachika Ghadi Yuvraj Ghadi (F) 1154, volvonem, Tivim, ,

10 24/11/2020 SANJANA SAKHARAM SAKARAM GAONKAR (F) H.no. 116, MOITEM VADDO, GAONKAR ASSONORA BARDEZ, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 25/11/2020 Sanjay Mishal Laxman Mishal (F) 160/2G, Hill View Colony, Colvale , , 2 25/11/2020 Prashant Bhosle Harichandra Bhosle (F) 4/6, Tar - Waddo, Colvale, ,

3 25/11/2020 Babita Bhosle Prashant Bhosle (H) 4/6, Tar - Waddo, Colvale, ,

4 25/11/2020 Sajish Dilip Phadte Dilip Phadte (F) 258-A, Mukhrai wada, Revora Phadte Bardez Goa, , 5 25/11/2020 Selwyn Lucas Pereira MARCEL PEREIRA (O) 805, FALCAO VADDA CANSA, TIVIM, , 6 25/11/2020 Sharada Sandeep Sandeep Azgaonkar (H) 95, BHANDAR, ASSONORA, Azgaonkar BARDEZ, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 26/11/2020 Pakirappa Talakal Devappa Talakal (F) -, Ghotnecho Val, Colvale, ,

2 26/11/2020 Renuka Talakalla Pakirappa Talakalla (H) -, Ghotnecho Val, Colvale, ,

3 26/11/2020 Eknath Bargukar Narayan Bargukar (F) -, COLVALE, COLVALE, ,

4 26/11/2020 Anita Bargukar Eknath Bargukar (H) -, COLVALE, COLVALE, ,

5 26/11/2020 Santana D'Souza E Jonathan Vincent Colaco 210, Mazal Vaddo (Patto), Colaco (H) Colvale, , 6 26/11/2020 Vaibhavi Mayekar Pramod babaji Mayekar (F) 20/4, KONIWADA, COLVALE, , 7 26/11/2020 Sanjay Vinayak Vinayak Colvalkar (F) Vinayak House No. 66/3, St. Colvalkar Rock Wada, Colvale, , 8 26/11/2020 M D AMAN ALAM M D TOSIF ALAM (F) 128/7, ST ROCK WADDO, COLVALE, , 9 26/11/2020 SONALI HALANKAR SHASHIKANT HALANKAR 81/b-1, THORLI CHANDAI , (F) PIRNA, , 10 26/11/2020 SIYA HALARNKAR RANJIT HALARNKAR (F) 82, THORLI, PIRNA, ,

11 26/11/2020 GAUTAMI NAIK ANIL NAIK (F) 48, THORLI CHANDAI, PIRNA, , 12 26/11/2020 SAKSHI HALARNKAR GURUDAS HALARNKAR 82/a, THORLI CHANDAI, (F) PIRNA, , 13 26/11/2020 SADASHIV NAIK VILAS NAIK (F) 63, TALAPWADA, PIRNA, ,

14 26/11/2020 PADMAJA NAIK VIVEK NAIK (H) 331, NAIKWADA, PIRNA, ,

15 26/11/2020 Santosh Pawar Hiralal Pawar (F) 466/6, Tivim Madel, Tivim, ,

16 26/11/2020 Ranjana Rajendra Rajendra Sitaram 500/0, Near Mahaganpati Vengurlekar Vengurlekar (H) temple, Tivim , , 17 26/11/2020 Ritesh Rajesh Rajesh Harmalkar (F) 77, poxem damade, tivim, , Harmalkar 18 26/11/2020 SREERAJ VITHU VITHU MOPKAR (F) C86/1, 20 POINT MOPKAR PROGRAMME NEAR INDIRA DANVA , TIVIM, , 19 26/11/2020 Rohit Tulsidas Shinde Tulsidas Shinde (F) 163, Lobo Wado, Tivim , ,

20 26/11/2020 Riddhi Tulshidas Shinde Tulsidas Shinde (F) 102, Ganesh Nagar, Assonora, , 21 26/11/2020 Gauri Narulkar Gurudas Narulkar (H) Nil, Kailas Nagar, Assonora, ,

22 26/11/2020 Amrut Narulkar Gurudas Narulkar (F) Nil, Kailas Nagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 27/11/2020 Abhishek Shyam Shyam Mandal (F) Nil, Mushir Waddo , Colvale, , Mandal 2 27/11/2020 Sangam Chandrakant Chandrakant Rasal (F) 273/12B, Ramnagar, Colvale, Rasal , 3 27/11/2020 savita Chodankar Sameer Chodankar (H) 30/23, Shimolda , Revora, ,

4 27/11/2020 Saish kalangutkar laximan kalangutkar (F) 19/1, shimolda, Revora, ,

5 27/11/2020 Rupesh Sawant Sheetal Sawant (W) Flat 302, Block B, Vineth Woods, Madel, Near Housing Board, Madel, , 6 27/11/2020 Adhish Salgaonkar Anuksha Salgaonkar (M) 1426/3, Savrak, Madel, ,

7 27/11/2020 Saiviraj Naik Krishnanand Naik (F) 202/86, Kailas Nagar, Assonora, , 8 27/11/2020 Adnan Muzavor Ismail Shah Muzavor (F) 202/81, Kailas Nagar, Assonora, , 9 27/11/2020 Vijal Parrikar Vishnu Parrikar (F) 29, Kailas Nagar, Assonora, ,

10 27/11/2020 Mitali Gawas Satosh Gawas (F) 202/70, Kailas Nagar, Assonora, , 11 27/11/2020 Radhika Wani Kallappa Wani (F) Survey No.103/, Kailas Nagar, Assonora, , 12 27/11/2020 Shivakumar Hugar Basuraj Hugar (F) 202/39/1, Kailas Nagar, Assonora, , 13 27/11/2020 Gurudas Narulkar Amrut Narulkar (F) Nil, Kailas Nagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 28/11/2020 Kavitha Byadgi Shivappa Byadgi (H) -, Ghotnecho Val, Ganesh Nagar, Colvale, , 2 28/11/2020 sujata itagekar mahabaleshwar itagekar 160/1, near power grid, (F) chicalim, , 3 28/11/2020 prasanna bhat manjunath (F) 43c/5, koniwada, colvale , ,

4 28/11/2020 Myron Richard Marcos Eutin Fernandes 467/21/5, Voiza Vaddo , Fernandes (F) Colvale, , 5 28/11/2020 Rohit Chodankar Kanchan Chodankar (F) 163, moli wadda, Revora , ,

6 28/11/2020 Akshata Mandrekar Arun Mandrekar (H) 121, shimolda, Revora , ,

7 28/11/2020 Elvis fernandes Reginaldo Fernandes (F) 29, simolda near high school, Revora, , 8 28/11/2020 pailaj shetye pandurang shetye (F) 372/1, wadi, nadora, ,

9 28/11/2020 Mesha Sawant Mahesh Sawant (F) 476, kel wado, Pirna, ,

10 28/11/2020 Rushikesh Khalap Vishwanath Khalap (F) 317, Desai Wada, Pirna, ,

11 28/11/2020 Sahil Desai Sahajanand Desai (W) 476, Desai Wada, Pirna, ,

12 28/11/2020 Bibihajara Narangi Asif Narangi (H) -, Auchit Waddo, Tivim, ,

13 28/11/2020 Achal arun shetye arun madhu shetye shetye 834/2(A), toleWaddo thivim shetye (F) bardez goa , thivim, , 14 28/11/2020 Samiksha shamsundar shamsundar kharvat 692/A, khargali wadda thivim kharvat kharvat kharvat (F) bardez goa , thivim , , 15 28/11/2020 Nitesh ganesh kandolkar ganesh singh kandolkar 830, talem wadaa cansa kandolkar (F) thivim bardez goa , thivim, , 16 28/11/2020 dhakesh shanu shelke shanu dhaku shelke shelke 690, khargali wada thivim shelke (F) bardez goa, thivim, , 17 28/11/2020 Nitin Ganesh kandolkar ganesh singh kandolkar 830, talem wadda thivim kandolkar kandolkar (F) bardez goa, thivim, , 18 28/11/2020 Tulshi pandurang patil pandurang patil patil (F) 689, khargali wadda thivim patil bardez goa, thivim, , 19 28/11/2020 anna dsouza dsouza John damacian dsouza 983, dhat wadda cansa thivim dsouza (F) bardez goa, thivim, , 20 28/11/2020 Sanika Chopdekar Meghnath Chopdekar (F) Nil, Kailas Nagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 29/11/2020 David Jacob Desouza Leopoldo Florencio 37/1, St Rock Waddo, Desouza (F) Colvale, , 2 29/11/2020 ashish gawas abhimanyu gawas (F) 195, wadi, nadora, ,

3 29/11/2020 Stacy Tanya de souza valentino simplicio de 743/1, muddo wada cansa de souza souza de souza (F) thivim bardez goa, thivim , , 4 29/11/2020 Grace Rennie luiz Luiz Luiza luiz luiz (M) 922/1, dulatwado thivim bardez goa, thivim, , 5 29/11/2020 Renuka Jadhav Chandrakant Jadhav (H) 684(1)(42), Cansa, Tivim, ,

6 29/11/2020 Madhu surendra surendra sonshekar 691, khargaliwada thivim sonchekar sonchekar sonshekar (F) bardez goa, thivim, , 7 29/11/2020 Chandrakant Jadhav Vithal Jadhav (F) 684(1)(42), Cansa, Tivim, ,

8 29/11/2020 Kiran suresh kandolkar suresh kandolkar 865, cansa pequem marog kandolkar kandolkar (F) thivim bardez goa, thivim, , 9 29/11/2020 Priyanka kanta shelke Vanita shelke Shelke (M) 690, khargali wadda thivim shelke bardez goa, thivim, , 10 29/11/2020 Krutika kedar shelke Kedar shelke shelke (H) 690/1, khargaliwada thivim shelke bardez goa, thivim, , 11 29/11/2020 Prajwal pandharinath Padharinath kandolkar 869/3, piquen marog thivim kandolkar kandolkar kandolkar (F) bardez goa, thivim, , 12 29/11/2020 Lisbelle roman pereira Domingos pereira pereira 734/1, muddo wadaa thivim Pereira (F) bardez goa, thivim, , 13 29/11/2020 Adhiti Chandelkar Anil Chandelkar (F) 981/4, Dhat Cansa, Tivim, ,

14 29/11/2020 Sejal Pednekar Shrikant Pednekar (W) 684/145, A One Park Cansa, Tivim, , 15 29/11/2020 Shrkant Pednekar Maruti Pednekar (F) 684/1 (45), A One Park Cansa, Tivim, , 16 29/11/2020 Shraddha Parab Mohan Parab (F) 1028/1, Caturlim, Tivim, ,

17 29/11/2020 Zefira Vaz Josephine Vaz (M) 1009/A, Caturlim, Tivim, ,

18 29/11/2020 Israt Nadab Abdul Nadab (F) 528, Comprem, Tivim, ,

19 29/11/2020 jonathan dmello vincent dmello (F) 986, dhatt cansa, tivim, ,

20 29/11/2020 Harsh kandolkar Anand kandolkar (F) 973/1, dhat Waddo , Tivim, ,

21 29/11/2020 sanket Sandeep Sandeep Vishnu 475/A(1), maloya wado , kalangutkar kalangutkar (F) Assonora Bardez Goa, , 22 29/11/2020 Mesha Jacob Fernandes Jacob Joseph Fernandes 395, pequenkhori, Assonora, , (H) 23 29/11/2020 Sunita Murlidhar Dalvi Murlidhar Dalvi (F) 444, Auchit Vaddo, Assonora, , 24 29/11/2020 Grace B Fernandes Francis Fernandes (F) 141/1, Fernan Vaddo, Fernandes Assonora, , 25 29/11/2020 Shubham N Salgaonkar Nitesh Salgaonkar (F) 151-2, Bandir Vaddo, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 30/11/2020 ROHAN SAWANT JAYESH GOVEKAR (O) 70/1/4, KONIWADO, NEAR ZARIMARI DEVASTHAN, , 2 30/11/2020 ROHAN SAWANT LAXMAN SAWANT (F) 70/1/4, KONIWADO, NEAR ZARIMARI DEVASTHAN, , 3 30/11/2020 HEMANGINI SAWANT ROHAN SAWANT (H) 70/1/4, KONIWADO, NEAR ZARIMARI DEVASTHAN, , 4 30/11/2020 Rohit Chodankar Kanchan chodankar (F) 163, moli wadda, Revora, ,

5 30/11/2020 Jagruti Agarwadekar narayan Agarwadekar (F) 30/17, simolda, Revora, ,

6 30/11/2020 Jagruti Agarwadekar narayan Agarwadekar (F) 307, shimolda, Revora, ,

7 30/11/2020 Malika Agarwadekar Narayan Agarwadekar (F) 307, shimolda, Revora, ,

8 30/11/2020 Yachika Yuvraj Ghadi Yuvraj Ramnath Ghadi (F) 1154 , volvonem , Tivim , ,

9 30/11/2020 Yash yuvraj Ghadi Yuvraj Ramnath Ghadi (F) 1154 , Volvonem, Tivim, ,

10 30/11/2020 Ambika Laximan Laximan Datta Kanolkar 868/1, Pequenmarog Cansa, Kanolkar (H) Tivim, , 11 30/11/2020 Mary Gomes Francis Xavier Gomes (H) Flat no.202, Our lady of lourdes complex, Sircaim, , 12 30/11/2020 Prajyoti Shirodkar Pradeep Shirodkar (F) 34, Nivol Wada, Gopalkrishna Nagar, Sirsaim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 01/12/2020 Mrugank Machindranath Machindranath Bhonsle (F) 261, Poracho Waddo, Bhonsle Camurlim, , 2 01/12/2020 Abhishek Yeshwant Yeshwant Mote (F) 261, Poracho Waddo, Mote Camurlim, , 3 01/12/2020 Fardin Shah Nabi Hussen Shah (F) 45/2, Gotnicho Val, Colvale, ,

4 01/12/2020 SHALINI SAWANT LAXMAN SAWANT (H) 70/1/4, KONIWADO, NEAR ZARIMARI DEVASTHAN, , 5 01/12/2020 Sakshi Naik Sadanand Naik (F) 56/6, Tarwado, Colvale, ,

6 01/12/2020 RESHMA SUSHMA MANDREKAR 415, JUVEM, NEAR HEALTH MANDREKAR (M) CENTER, NADORA , , 7 01/12/2020 Mahaboob Laxmeshwar Farida Laxmeshwar (M) 99, Auchit Waddo, Thivim, ,

8 01/12/2020 sharon silveira xavier Alistair silveira (H) 74, madel piquen ponxiem , thivim, , 9 01/12/2020 xavier alistair silveira joseph silveira (F) 74, thivim madel piquen ponxiem, thivim, , 10 01/12/2020 Pravin Devji Akhiyani Devji Akhiyani (F) FF85/2(2), Ponxem, Omkar Colony, Tivim, , 11 01/12/2020 Francis X Gomes Xavier Gomes (F) Flat no.202, Our lady of lourdes complex, Sircaim, , 12 01/12/2020 Savio X Gomes Francis X Gomes (F) Flat no.202, Our lady of lourdes complex, Sircaim, , 13 01/12/2020 Rita Kumar Umesh Kumar (H) 202/72-A, Kailas Nagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 02/12/2020 Pooja Pednekar Chandrakala chandrakant 450, near kalakhadpeshwar Pednekar pednekar pednekar (M) temple, camurlim, , 2 02/12/2020 Meha Parshekar Pritesh Parshekar (H) 682/11, Tuwar wado, Colvale, , 3 02/12/2020 Allister Valerio D'Souza Carmino Agnelo D'Souza 31/3, St. Rock Waddo, (F) Colvale, , 4 02/12/2020 Mhaddu Chodankar Krishna Chodankar (F) 410, Tarwado, Colvale, ,

5 02/12/2020 Himanshu Kerkar Hemanth Kerkar (F) 414, Tarwado, Colvale, ,

6 02/12/2020 Rahul Chandekar Rajan Chandekar (F) 29/6, Tarwado, Colvale, ,

7 02/12/2020 VIVEKANAND GAD SUKDO GAD (F) 163/0, DESAI VADDO, PIRNA BARDEZ, , 8 02/12/2020 Pushpaben Pravinkumar Pravinkumar Devji Akhiyani FF 85/2(2), Ponxem Omkar Akhiyani (H) Colony, Tivim, , 9 02/12/2020 Mahendra Kumar Devji Akhiyani (F) UGF 85/2(1), Ponxem Omkar Akhiyani Colony, Tivim, , 10 02/12/2020 Rekha Mahendra Mahendra Kumar Akhiyani UGF 85/2(1), Ponxem Omkar Akhiyani (H) Colony, Tivim, , 11 02/12/2020 Mukesh Kumar Akhiyani Devji Akhiyani (F) SF 85/2(3), Ponxem Omkar Colony, Tivim, , 12 02/12/2020 Aruna Mukesh Akhiyani Mukesh Devji Akhiyani (H) SF 85/2(3), Ponxem Omkar Colony, Tivim, , 13 02/12/2020 Ravina Ravindra Naik Ravindra Yeshwant Naik 63, Ponxem Madel, Tivim, , (F) 14 02/12/2020 Gousiya Bepari Issaq Bepari (H) Sy. No. 347/2, Auchit Waddo, Tivim, , 15 02/12/2020 Rama oli oli kali bahadur oli oli (H) 202/15, assonora, assonora, ,

16 02/12/2020 ESAKKI MUTHU TANGALINGAM NADAR FLAT NO. S 3(202)10, (F) SIDHANT TOWER , FERNAN VADDO, BARDEZ, , 17 02/12/2020 Shahin Sayyad Rafiq Sayyad (F) 202/81, Kailas Nagar, Assonora, , 18 02/12/2020 Geeta Oli Udiram Oli (F) Sy. No. 103/1, Kailasnagar, Assonora, , 19 02/12/2020 Mitali Naik Mahesh Naik (F) 202/20, Kailas Nagar, Assonora, , 20 02/12/2020 Deepak Naik Dilip Naik (F) 202/20, Kailas Nagar, Assonora, , 21 02/12/2020 Siya Vaingankar Mohanlal Vaingankar (F) 202/15, Kailas Nagar, Assonora, , 22 02/12/2020 kali bahadur oli oli Bhim bahadur oli oli (F) 55, kailasnagar assonora, assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 03/12/2020 Rajakka Shyam Mandal Shyam Mandal (H) Sy no-181/0, Mushir Waddo, Colvale, , 2 03/12/2020 Irshad Ali Shah Wajid Ali Shah (F) Sy no-192/1, Mushir Waddo, Colvale, , 3 03/12/2020 Dipesh Morajkar Devanand (F) 11/4, Koniwada, Colvale, ,

4 03/12/2020 VISHWANATH SUTAR RAMCHANDRA SUTAR A(2) 3 , P.W.D QUATERS, (F) BARDEZ, , 5 03/12/2020 SHEELA SUTAR VISHWANATH SUTAR (H) RESIDENTIAL QUARTERS, ASSONORA, BARDEZ, , 6 03/12/2020 SNEHA BHOSALE NILESH BHOSALE (H) A(2) 3, P.W.D QUATERS MOITEM, BARDEZ, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 04/12/2020 Dalisha Dasharath Dasharath Suryakant 101/12,, Rama vihar, Tivim, , Repal Repal (F) 2 04/12/2020 Paraveen Bepari Karimsaab Bepari (H) 530, Maina Patto, Camurlim, ,

3 04/12/2020 Saiprasad Naik Santosh Naik (F) 55/6, Tarwado, Colvale, ,

4 04/12/2020 Neha Naik Jagdish Naik (F) 40/6, Tarwado, Colvale, ,

5 04/12/2020 Bhupendra Namdev Namdev Raghunath Chari 215, Bardez , Nadora wadi, , Chari Chari Chari (F) 6 04/12/2020 sangeeta shet vinod shet (H) 372, Tanodiwada, pirna, ,

7 04/12/2020 Sangeeta Shet Vinod Shet (H) 372, Tanodiwada, Pirna, ,

8 04/12/2020 Ashwin Salgaonkar Pandurang Salgaonkar (F) 1442, Madel, Tivim, ,

9 04/12/2020 Yogeeta Salgaonkar Murlidhar Salgaonkar (F) 1442/B, Madel, Tivim, ,

10 04/12/2020 Sonam Varak Bapu Varak (F) 1438, Savrak Waddo, Madel, Tivim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 05/12/2020 Mathias Minino D'Cruz Inacio D'Cruz (F) 8/8, Damedem, Tivim, ,

2 05/12/2020 Ambika laximan laximan kanolkar kanolkar 868/1, piquen marog waddo kanolkar kanolkar (H) thivim bardez goa , thivim, , 3 05/12/2020 Vani Achari Manjunath Achari (F) 283/A, Madlo Wado, Assonora, , 4 05/12/2020 Deanne misquita Domnic misquita (F) 43, tollem, Revora, ,

5 05/12/2020 Anthony furtado furtado Saritha madu sonshekar 691, khargali waddo cansa sonshekar (W) thivim bardez goa, thivim, , 6 05/12/2020 Adarsh korgaonkar Devanand korgaonkar (F) 313, Desai Wada, Pirna, ,

7 05/12/2020 Rupa Kalangutkar Namdev kalangutkar (H) 30/8, revora, revora, ,

8 05/12/2020 vINEET vIKAS Bugde Gokul Vikas Bugde (M) 297, Moddlo Vaddo, Assonora Bardez, , 9 05/12/2020 Rutwik Korgaokar Shyam Korgaokar (F) 606, Housing Board Colony, Camurlim, , 10 05/12/2020 Poonam Pravin Pravin Pissurlekar (H) 66A/5, Tarche Galu, Colvale, , Pissurlekar 11 05/12/2020 Akshata Mandrekar Arun Mandre (H) 25, shimolda, Revora , ,

12 05/12/2020 Amay Kamulkar Anil Kamulkar (F) THN-5/203, Tarchegalu, Colvale, , 13 05/12/2020 Ravina Naik Durgesh Naik (H) 155/B, Tuppa Waddo , Pirna , , 14 05/12/2020 Shantanu Bugde Sandeep Bugde (F) 213 , Salcho Vaddo, Assonora, , 15 05/12/2020 ARJUN GAWADE GOVIND GAWADE (F) 121, Near shantadurga temple, Assonora, , 16 05/12/2020 Dipti Kolvalkar Dattaram Naik Gaonkar (H) E/41-D, Gaonkar Waddo, Camurlim, , 17 05/12/2020 Ajinkya Parsekar Ajit (F) 1A/4, koniwada, colvale, ,

18 05/12/2020 Mayur Satoskar Mahadev (F) 180, koniwada, colvale , ,

19 05/12/2020 Mayuresh Chari Vijay chari (F) 86/B, Tale wada, Revora Bardez Goa, , 20 05/12/2020 Mizzah Vailankani Ashok William (F) 203, Bella vista Waddo, Rodrigues Sirsaim , , 21 05/12/2020 DEEPAK PRUSTY Manda prusty prusty (M) 164/A, karkyachoval revora bardez goa, revora , , 22 05/12/2020 Gauri korgaonkar Bhanudas korgaonkar (F) 315, Desai Wada, Pirna, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 06/12/2020 Pritesh Gaonkar pravin gaonkar (F) 342, tank waddo, revora, ,

2 06/12/2020 Rosena Dencia Delroy Anthony Dias (H) 0, Nivol Vaddo, Sirsaim , , Fernandes 3 06/12/2020 Rosena Dencia Delroy Anthony Dias (H) 0, Nivol Vaddo, Sirsaim , , Fernandes 4 06/12/2020 Ana Brigida Dias Jose Manuel Dias (H) 0, Nivol Vaddo, Sirsaim , ,

5 06/12/2020 Ana Brigida Dias Jose Manuel Dias (H) 0, Nivol Vaddo, Sirsaim , ,

6 06/12/2020 Jose Manuel Dias Ana Brigida Dias (W) 0, Nivol Vaddo , Sirsaim , ,

7 06/12/2020 Delroy Anthony Dias Jose Manuel Dias (F) 0, Nivol Vaddo , Sirsaim , ,

8 06/12/2020 Vandana Naik Babi Naik (F) 70, Chapel Waddo , Sirsaim , , 9 06/12/2020 Pritesh Gaonkar pravin gaonkar (F) 342, tank waddo, revora, ,

10 06/12/2020 Nishu Sambhu Pandit Sambhu Pandit (F) Nil, Gotnicho Val, Colvale, ,

11 06/12/2020 Rupam Devi Pandit Pramod Pandit (H) Nil, Gotnicho Val, Colvale, ,

12 06/12/2020 Pramod Pandit Shivram Pandit (F) Nil, Gotnichoval, Colvale, ,

13 06/12/2020 Pramod Pandit Shivram Pandit (F) Nil, Gotnichoval, Colvale, ,

14 06/12/2020 Rohit kumar pandit Ramnihora Pandit (F) Nil, Gotnicho val, Colvale, ,

15 06/12/2020 Bhibadevi Pandit Sambhu Rameshwar Nil, Gotnicho Val, Colvale, , Pandit (H) 16 06/12/2020 Suvarta Matang Prabhakar Matang (H) Nil, Gotnicho val, Colvale, ,

17 06/12/2020 siddesh Bagkar Pramod Bagkar (F) H.No.123/A , Manshi waddo Revora goa, Revora, , 18 06/12/2020 Guru Medha Viresh Medha (F) 497/3, st anns colony dhanwa road, tivim bardez Goa, , 19 06/12/2020 Shital Sarang Dinesh Naik (H) Sy No.133/0, Sateri Wado, Camurlim, , 20 06/12/2020 Ganaraj kalangutkar premanand kalangutkar (F) 15, juvem, nadora, ,

21 06/12/2020 Esther Lourdes Escoalastica Gonsalves 24/7, limatod waddo thivim Gonsalves Gonsalves Gonsalves (M) bardez goa, thivim, , 22 06/12/2020 Vaishnavi Pednekar Shamji Pednekar (F) 684/1(44), A One Park Cansa, Tivim, , 23 06/12/2020 Suchita Suresh Patil Suresh patil Patil (F) 691-1, khargali waddo thivim Patil bardez goa, thivim, , 24 06/12/2020 Rupa Kalangutkar Namdev Kalangutkar (H) 30/8, revora, revora, ,

25 06/12/2020 Poonam Kanta Shelke Vanita shelke shelke (M) 690, khargali waddo thivim Shelke bardez goa, thivim, , 26 06/12/2020 Manisha talankar Rajesh talankat (H) 58, shimolda, Revora, ,

27 06/12/2020 Priyanka Darshan Darshan Chandelkar 961/1, dulatwado thivim Chandelkar Chandelkar chandelkar (H) bardez goa, thivim, , 28 06/12/2020 Avinash Bolke Krishna Bolke (F) 684/1(75), A- One Park Cansa, Tivim, , 29 06/12/2020 Sanjay sonu Shelke Sonu shelke shelke (F) 690, khargali waddo thivim shelke bardez goa, thivim, , 30 06/12/2020 savita Chodankar Sameer chodankar (H) 30/23, shimolda, revora, , 31 06/12/2020 Akhil Ashok Patil Patil Asha patil Patil (M) 688, khargali waddo thivim bardez goa, thivim, , 32 06/12/2020 Vishnu Kalangutkar Bhanudas Kalangutkar (F) 216/3, Salcho Waddo, Assonora, , 33 06/12/2020 Akhil Ashok Patil Patil Asha patil Patil (M) 688, khargali waddo thivim bardez goa, thivim, , 34 06/12/2020 Dattaraj Desai Pravin (F) 220/1/1, koniwada, colvale , ,

35 06/12/2020 Kailash Vengurlekar Kamlakant Vengurlekar (F) 9/7, St Anthony waddo, Colvale, , 36 06/12/2020 Samuel Dlima Denny Dlima (F) 1005, Dhat Cansa, Tivim, ,

37 06/12/2020 Bhakti Shankar Chari Shankar Saba Chari (F) 459/1, Baman Vaddo, Assonora, , 38 06/12/2020 Manohar Dessai Ulhas (F) 220, koniwada, colvale , ,

39 06/12/2020 Naina Korgaokar Nandadeep Korgaokar (H) 979, Dhatwado Cansa, Tivim, , 40 06/12/2020 Rohan Gayakwad Hanumant (F) 0, koniwada , colvale , ,

41 06/12/2020 Kailash Vengurlekar Kamlakant Vengurlekar (F) 9/7, St Anthony waddo, Colvale, , 42 06/12/2020 Kailash Vengurlekar Kamlakant Vengurlekar (F) 9/7, St Anthony waddo, Colvale, , 43 06/12/2020 vishwanath sutar Ramachandra sutar (F) A(2) 3., pwd quters, Assonora moitem, , 44 06/12/2020 arya kamat pandurang kamat (F) 3(1)/8, parwaddo, assonora , ,

45 06/12/2020 arya kamat pandurang kamat (F) 3(1)/8, parwaddo, assonora , ,

46 06/12/2020 Aaron Dsouza Agnelo Dsouza (F) 529, Comprem, Tivim, ,

47 06/12/2020 Aaron Dsouza Agnelo Dsouza (F) 529, Comprem, Tivim, ,

48 06/12/2020 Pritesh Gaonkar pravin gaonkar (F) 342, tank waddo, revora, ,

49 06/12/2020 Aaron Dsouza Agnelo Dsouza (F) 529, Comprem, Tivim, ,

50 06/12/2020 Pritesh Gaonkar pravin gaonkar (F) 342, tank waddo, revora, ,

51 06/12/2020 Mahaling Harijan Siddappa Harijan (F) Sy. No. 347/2, Auhit Waddo, Tivim, , 52 06/12/2020 Pritesh Gaonkar pravin gaonkar (F) 342, tank waddo, revora, ,

53 06/12/2020 Sahil Matang Prabhakar Matang (F) Nil, Gotnicho Val, Colvale, ,

54 06/12/2020 Raju Kumar Jha Sawita Rajukumar Jha (W) Nil, Mushir waddo, Colvale, ,

55 06/12/2020 Suresh Mahadev Mahadev Mashnu Kamble nil, Gotnicho Val, Colvale, , Kamble (F) 56 06/12/2020 Mohit Parab Shripad Parab (F) 257, tank waddo , Revora , ,

57 06/12/2020 Suresh Mahadev Mahadev Mashnu Kamble Nil, Gotnicho Val, Colvale, , Kamble (F) 58 06/12/2020 Shreyash Morajkar Sudhakar (F) 11/4, Koniwada, Colvale , ,

59 06/12/2020 Sahish Kandolkar Pundalik Kandolkar (F) 73/1, Bella Vista Vaddo , Sirsaim , , 60 06/12/2020 SALINA LALSAB LALSAB BALBATTI (F) 1339/3, CHINCHAT WADA, BALBATTI NEAR MAHALAXMI TEMPLE, TIVIM , BARDEZ, , 61 06/12/2020 Darshana Kumbhar Vithal Kumbhar (H) 252, Bella vista Vaddo , Sirsaim , , 62 06/12/2020 Ashok William Justino Rodrigues (F) 203, Bella vista Vaddo , Rodrigues Sirsaim , , 63 06/12/2020 Amogh Prabhu Vadkar Yeshwant Prabhu Vadkar 225-B, Behind Communidade (F) Ghor, Bellavista Vaddo, Sirsaim, , 64 06/12/2020 Amina Khatun Maniyar Mohammed Umer Maniyar Nil, Gotnicho Val, Colvale, , (H) 65 06/12/2020 Sahil Sadashiv Naik Sadashiv Naik (F) Nil, Gotnicho Val, Colvale, ,

66 06/12/2020 Deepali Mahadev Mahadev Gawade (F) Nil, Gotnicho Val, Colvale, , Gawade 67 06/12/2020 Kavita Shankar Chawan Shankar Chawan (F) Nil, Gotnicho Val, Colvale, ,

68 06/12/2020 Vinay Kumar Zulan Tanti Zulan Tanti (F) Nil, Gotnicho Val, Colvale, , 69 06/12/2020 Suraj Sidleppa Kolakar Sidleppa Kolakar (F) Nil, Gotnicho Val, Colvale, ,

70 06/12/2020 Shobit Kishor Kishor Salgaonkar (F) Nil, Gotnicho Val, Colvale, , Salgaonkar £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

07/12/2020 12/10/2020 Form9_AC4_10/12/2020

ANNEXURE 5.8 (CHAPTER V, PARA 25) FORM 9 List of Applicaons for inclusion received in Form 6 Designated locaon identy (where Constuency (Assembly/£Parliamentary): Tivim Revision identy applicaons have been received) From date To date @ 2. Period of applicaons (covered in this list) 1. List number 09/12/2020 09/12/2020 3. Place of hearing* Serial Date of Name of Name of Father / Mother / Husband and Date of Time of number$ of Place of residence receipt claimant (Relaonship)# hearing* hearing* applicaon 1 09/12/2020 Kunal Redkar Krishna Redkar (F) 1252, Auchit Waddo, Tivim, , North Goa Tanvi 2 09/12/2020 Tarkeshwar Khorjuvenkar (F) 7B/5, Tarche Galu, Colvale, , North Goa Khorjuvenkar 252/2, Near Rashtroli 3 09/12/2020 Prak Kamat Rajan Kamat (F) Temple, Sirsaim, , North Goa Sahil Suresh 4 09/12/2020 Suresh Mahadev Kamble (F) nil, Gotnicho Val, Colvale, , North Goa Kamble NAJIR 5 09/12/2020 RAJU BANASI (F) NA, sai colony, thivim, , North Goa BANASI Ranjita 6 09/12/2020 Vishram Kambli (H) 95/A, Talapwada, Pirna, , North Goa Kambli Ranjita 7 09/12/2020 Vishram Kambli (H) 95/A, Talapwada, Pirna, , North Goa Kambli MIHIR B 204 ADITYA ORCHIDS, MADEL 8 09/12/2020 SUHAS NADKARNI (F) NADKARNI THIVIM, THIVIM BARDEZ, , North Goa Grishma 259/1, Bellavista Waddo, Sirsaim, , North 9 09/12/2020 Nikhil Kambli (H) Kambli Goa Marvin 10 09/12/2020 Mark Vincente D'souza (F) 669, Bodiem, Tivim, , North Goa D'souza £ In case of Union territories having no Legislave Assembly and the State of Jammu and Kashmir Date of exhibion at @ For this revision for this designated locaon Date of exhibion at designated locaon Electoral Registraon * Place, me and date of hearings as fixed by electoral registraon officer under rule 15(b) Officer’s Office under rule $ Running serial number is to be maintained for each revision for each designated 16(b) locaon # Give relaonship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H) 10/12/2020

1/1 ANNEXURE 5.8 (CHAPTER V , PARA 25) FORM 9 List of Applications for inclusion received in Form 6 Designated location identity (where Constituency (Assembly/£Parliamentary): Tivim Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 10/12/2020 10/12/2020 3. Place of hearing *

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 10/12/2020 Akshata Naik Hemant Naik (H) 456, Near Kalakhadpeshwar Temple, Muddawada Khairat Camurlim, , 2 10/12/2020 Shrutika Shirodkar Subhash (F) 33/4, koniwada, colvale, ,

3 10/12/2020 Nirbhaykumar Jitendrakumar Yadav 53/5, Tarchu Galu, Colvale, , Jitendrakumar Yadav Yadav (F) Yadav 4 10/12/2020 AbhayKumar Jitendra Jitendra Kumar Yadav 53/5, Tarche Galu, Colvale, , Yadav Yadav Yadav (F) 5 10/12/2020 Jeetendra Kumar Yadav Sawaroo Yadav Yadav (F) 53/5, Tarche Galu, Colvale, , Yadav 6 10/12/2020 Santoshi Bhonsle Shrirang Bhonsle (F) 57/5, Tarche Galu, Colvale, Bardez, , 7 10/12/2020 Ravina Durgesh Naik Durgesh Naik (H) 155/B, Tuppa Waddo , Pirna, , 8 10/12/2020 Islawati Vishwakarma Omkar Vishwakarma (H) Sy. No. 347/2, Auchit Waddo, Tivim, , 9 10/12/2020 Laxmi Vishwakarma Omkar Vishwakarma (F) Sy. No. 347/2, Auchit Wadoo, Tivim, , 10 10/12/2020 Udiram Oli Chabbilal Oli (F) Sy. No. 103/1, Kailasnagar, Assonora, , 11 10/12/2020 Kamala Oli Udiram Oli (H) Sy. No. 103/1, Kailasnagar, Assonora, , 12 10/12/2020 Udiram Oli Chabilal Oli (F) Sy. No. 103/1, Kailasnagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer’s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

11/12/2020 ANNEXURE 5.8 (CHAPTER V , PARA 25) FORM 9 List of Applications for inclusion received in Form 6 Designated location identity (where Constituency (Assembly/£Parliamentary): Tivim Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 11/12/2020 11/12/2020 3. Place of hearing *

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 11/12/2020 Manohar Naik Shivanand Naik (F) 51/6, Tar - Waddo, Colvale, Bardez, , 2 11/12/2020 Rohit Naik Shivanand Naik (F) 51/6, Tar - Waddo, Colvale, Bardez, , 3 11/12/2020 Tanvi Chari Sadashiv Chari (F) 157/5, Tar - Waddo, Colvale, Bardez, , 4 11/12/2020 METALI MAPARI HANUMANT MAPARI (F) 54, MOITEMWADA, ASSONORA, , 5 11/12/2020 Rufina Angelina Andre Agnelo Socorro 26/4, Koniwaddo, Colvale, Purification Rodrigues Rodrigues (H) Bardez, , 6 11/12/2020 Rufina Angelina Andre Agnelo Socorro 26/4, Koniwaddo, Colvale, Purification Rodrigues Rodrigues (H) Bardez, , 7 11/12/2020 Andre Agnelo Socorro Rufina Angelina 26/4, Koniwaddo, Colvale, , Rodrigues Purification Rodrigues (W) 8 11/12/2020 Siddhi Alornekar Subhash Alornekar (F) 104/6, Tar - Waddo, Colvale, Bardez, , 9 11/12/2020 Shruti Chodankar Sudhir Chodankar (F) 49/6, Tar - Waddo, Colvale, Bardez, , 10 11/12/2020 Sunaina Salgaonkar Suryakant Salgaonkar (F) 89/6, Tar - Waddo, Colvale, ,

11 11/12/2020 Prachi Vazarkar Prakash Vazarkar (F) 202/29, Kailas Nagar, Assonora, , 12 11/12/2020 Rehana Hasubai Latibasaba Hasubai (F) 103/1, Kailas Nagar, Assonora, , 13 11/12/2020 Sahil Naik Suresh Naik (F) TT13, Kailas Nagar, Assonora, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer¶s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

15/12/2020 ANNEXURE 5.8 (CHAPTER V , PARA 25) FORM 9 List of Applications for inclusion received in Form 6 Designated location identity (where Constituency (Assembly/£Parliamentary): Tivim Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 12/12/2020 12/12/2020 3. Place of hearing *

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 12/12/2020 Ruhi Solis savio solis (H) 115, auchit vaddo, thivim, ,

2 12/12/2020 Cassandra Rodrigues Rufina Angelina 26/4, Koniwaddo, Colvale, , Purification Rodrigues (M) 3 12/12/2020 Jemimah Rodrigues Rufina Angelina 26/4, Koniwaddo, Colvale, , Purification Rodrigues (M) 4 12/12/2020 Satyavan Chodankar Pundalik Chodankar (F) 280/3, Walkeshwar Wada, Sircaim, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer¶s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 13/12/2020 Shivani Kamat Anil Kamat (F) 1468/77, FAJ Housing Colony, Madel, Tivim, , 2 13/12/2020 Mhaddu Chodankar Krishna Chodankar (F) 44/6, Tar - Waddo, Colvale, Bardez, , 3 13/12/2020 Arjun Saini Asha (M) 466/4, Sai Colony , Housing Board, Madel, tivim, , 4 13/12/2020 Shrivani Madgaonkar Ramesh Madgaonkar (H) 81/A, Gopalkrishna Nagar, Sirsaim, , 5 13/12/2020 Sonu Mapari Rupesh Mapari (F) 92/1, Moitem wado, Assonora, , 6 13/12/2020 SEJAL CHODANKAR AJIT CHODANKAR (F) 47, MOITEMWADA, ASSONORA, , 7 13/12/2020 Parshuram Jalgekar Namdev Jalgekar (F) 87/1, Talapwada, Pirna, , £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer¶s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

Serial number$ Date of receipt Name of claimant Name of Place of residence Date of Time of of application Father/Mother/ hearing* hearing* Husband and (Relationship)#

1 14/12/2020 Rohit Varak Raya (F) 171/1, Koniwada, Colvale , ,

2 14/12/2020 Dayaram Nishad Dhaniram Nishad (F) sy 110, Gotnichaval, Mushirwada, , 3 14/12/2020 Dayaram Nishad Dhaniram Nishad (F) sy 110, Gotnichaval, Mushirwada, , 4 14/12/2020 Kiran Salgaonkar Anand Salgaonkar (F) 3, Near Railway station , Sirsaim , , 5 14/12/2020 Swati Deeptesh Gawas Deeptesh Gawas (H) 68/B, Near Primary School, Nadora, , 6 14/12/2020 Kavya Gawas Kishor Gawas (H) 64/1, madant, Madant, ,

7 14/12/2020 Pooja Shirodkar Mayur Shirodkar (H) 155/1, Lobowado, tivim, ,

8 14/12/2020 Reena Bhekane Shankar Bhekane (F) -, sai colony, Madel, ,

9 14/12/2020 Vineeta Kauthankar Ulhas Kauthankar (H) 197, Manshi wada, Revora, ,

10 14/12/2020 Riya Gawas Bhadre Gawas (F) 57 , nadora , colvale, ,

11 14/12/2020 Shankar Bhekane Mahadev Bhekane (F) -, Sai Colony, Madel, ,

12 14/12/2020 Kavita Bhekane Shankar Bhekane (H) -, sai colony, Madel, ,

13 14/12/2020 Rahul Bhekane Shankar Bhekane (F) -, saicolony , madel, ,

14 14/12/2020 Shalan Nilesh Nilesh Salgaokar (H) 358/3, St Anns Colony, tivim, , Salgaonkar 15 14/12/2020 Sonam Naik Nikheel Naik (H) 202/30, kailas nagar, assonora, , 16 14/12/2020 Sindhiya Amol Amol Satardekar (H) 90, Moitem wada, assonora, , Satardekar £ In case of Union territories having no Legislative Assembly and the State of Jammu and Kashmir Date of exhibition at @ For this revision for this designated location designated location under Date of exhibition at Electoral * Place, time and date of hearings as fixed by electoral registration officer rule 15(b) Registration Officer¶s Office under $ Running serial number is to be maintained for each revision for each designated rule 16(b) location # Give relationship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

15/12/2020