FINAL ELECTORAL ROLL - 2021 STATE - (S05) No., Name and Reservation Status of Assembly Constituency: 4-(GEN) Last Part No., Name and Reservation Status of Parliamentary Service Constituency in which the Assembly Constituency is located: 1-North Goa(GEN) Electors

1. DETAILS OF REVISION Year of Revision : 2021 Type of Revision : Special Summary Revision

Qualifying Date :01/01/2021 Date of Final Publication: 15/01/2021 2. SUMMARY OF SERVICE ELECTORS A) NUMBER OF ELECTORS 1. Classified by Type of Service Name of Service No. of Electors Members Wives Total A) Defence Services 6 0 6 B) Armed Police Force 0 0 0 C) Foreign Service 0 0 0 Total in Part (A+B+C) 6 0 6

2. Classified by Type of Roll Roll Type Roll Identification No. of Electors Members Wives Total I Original Mother roll Integrated Basic roll of revision 6 0 6 2021 II Additions Supplement 1 After Draft publication, 2021 0 0 0 List Sub Total: 0 0 0 III Deletions Supplement 1 After Draft publication, 2021 0 0 0 List Sub Total: 0 0 0 Net Electors in the Roll after (I + II - III) 6 0 6

B) NUMBER OF CORRECTIONS/MODIFICATION Roll Type Roll Identification No. of Electors Supplement 1 After Draft publication, 2021 0 Total: 0

Elector Type: M = Member, W = Wife Page 1 Final Electoral Roll, 2021 of Assembly Constituency 4-TIVIM (GEN), (S05) GOA

A . Defence Services Sl.No Name of Elector Elector Rank Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7) Central Reserve Police Force

1 DATTA B NAIK M SI RO CRPF DTE GENL, CGO DANUA GALWAR COMPLEX, NEW DELHI BARDEZ THIVIM 403502

2 KONALKAR M ASI GD CRPF DTE GENL, CGO 869 TIVIM TIVIM PANDHARINATH H. COMPLEX, NEW DELHI BARDEZ BARDEZ TIVIM 403502 MAPUSA

3 LAZARINO D SOUZA M CT GD CRPF DTE GENL, CGO 453 TIVIM TIVIM COMPLEX, NEW DELHI MAPUSA MAPUSA TIVIMTIVIM 403502 MAPUSA Indian Army

4 KUDTARKAR ANDIP S M NK PIN 901124 CO 56 APO 108 108 KAILASH NAGAR ASSONORA BARDEZ BARDEZ ASSONORA 403503 MUPSA

5 SHETYE MUKUND M GDSM PIN 900746 CO 56 APO WADI BARDEZ PANDURANG BARDEZ 403513 MAPUSA

6 GURAV SHREYESH M SEP PIN 900499 CO 56 APO 49713 THIVIM THIVIM NAMDEV THIVIM THIVIM 403502 MAPUSA

B . Armed Police Force Sl.No Name of Elector Elector Buckle No. Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

C . Foreign Services Sl.No Name of Elector Elector Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6)

Place: TIVIM Electoral Registration Officer Date: 15/01/2021 4 - TIVIM Assembly Constituency

Elector Type: M = Member, W = Wife Page 2 Final Electoral Roll, 2021 of Assembly Constituency 4-TIVIM (GEN), (S05) GOA

Supplement Details Last Part : Supplement No. : 1 Service Electors Revision ID: Mother Roll: Basic Roll of 2021 Supplement Process & Year : 2021 Supplement Type : List of additions, Deletions and Corrections

Component List I : ADDITIONS LIST A . Defence Services Sl.No Name of Elector Elector Rank Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

B . Armed Police Force Sl.No Name of Elector Elector Buckle No. Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

C . Foreign Services Sl.No Name of Elector Elector Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6)

Component List II : DELETIONS LIST A . Defence Services Sl.No Name of Elector Elector Rank Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

B . Armed Police Force Sl.No Name of Elector Elector Buckle No. Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

C . Foreign Services Sl.No Name of Elector Elector Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6)

Elector Type: M = Member, W = Wife Page 3 Final Electoral Roll, 2021 of Assembly Constituency 4-TIVIM (GEN), (S05) GOA

Component List III : CORRECTIONS LIST A . Defence Services Sl.No Name of Elector Elector Rank Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

B . Armed Police Force Sl.No Name of Elector Elector Buckle No. Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6) (7)

C . Foreign Services Sl.No Name of Elector Elector Husband's Address of Record House Address Type Sl.No. Officer/Commanding Officer for despatch of Ballot Paper (1) (2) (3) (4) (5) (6)

Place: TIVIM Electoral Registration Officer Date: 15/01/2021 4 - TIVIM Assembly Constituency

Elector Type: M = Member, W = Wife Page 4