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): Cumbarjua 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 Ankita Chandramouli Amit Naik (H) FF/10 , Bomkar Chambers, Molar Belabatta, Corlim, , £ 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): Cumbarjua Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 27/10/2020 27/10/2020 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 27/10/2020 Saleel Shet Dattakumar Shet (F) 397, Tak-Wado, Cumbarjua, ,

2 27/10/2020 Sejal Shet Govekar Ugam Shet Govekar (F) E/162/B, Bainguinim, Old Goa, , 3 27/10/2020 Prerna Shet Govekar Ugam Shet Govekar (H) E/162/G, Bainguinim, Old Goa, , £ 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 Abhishekh Halankar Amarnath Halankar (F) 849, Rambhuvanwada, Cumbharjua, , £ 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 ANISHA HIRU HIRU KAVLEKAR (F) 192/1, BAINGUINIM, OLD KAWLEKAR GOA, , £ 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 WALENCIA REMIGIA REMEDIO ANTONIO 629, PALMAR, ST RODRIGUES RODRIGUES (H) ESTEVAM, , 2 04/11/2020 Saieel Shet Dattakumar Shet (F) 397, Tak-Wado, Cumbarjua, ,

3 04/11/2020 Priyanka Naik Navesh Naik (H) .53, Talapwada , Kumbharjua , , 4 04/11/2020 Suresh Vansure Tukaram Vansure (F) 47, Talapwada , Kumbharjua , , £ 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 sikandar kailash pandit kailesh pandit (F) 8/1 madlowaddo cumbarjua, north goa, madlowaddo, , 2 05/11/2020 AJEET KUMAR RAY Kunj Bihari Rai (F) Flat No G-301, Four Seasons Perola, Old Goa , Baiguinim, , £ 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 Ambrata Krishna Shite Kapil Sahoo (H) 223, Corlim, Corlim, , £ 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 SAMUEL ANIL ANIL PETER MAVASKAR B-23 A-3/2, Navelcar Hill City, MAVASKAR (F) Bainguinim Old-Goa, , £ 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 Ashwin V A Ashok kumar V B (F) G 101 phase 1 , Kadamba Plateau , Bainguinim, , £ 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 Nisarahmad Shaikh Kashimsab Shaikh (F) 297/20, Mangado, Corlim, , £ 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 15/11/2020 Agnes Bernice colaco agnelo colaco (F) 250/A, carambolim Ekkawado peter, carambolim, , £ 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 Aparna Tari Videsh Tari (H) 1087, Tonca, Jua, , £ 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 ram kumar SAYAM KUMAR (O) 04, CUMBARJUA, Chaibasa, , 2 19/11/2020 Gagnesh Pundalik Pundalik Mahadev H. No. 416/1, Dhulapi, Corlim- Dhulapkar Dhulapkar (F) Goa, , £ 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 MONALISA ANBRAFIL CHARLIE JOAQUIM H. NO. 782/1, PALMAR FERNANDES MONIZ (H) WADDO, JUA ST ESTEVAM TISWADI, , 2 20/11/2020 Shradha Shriram Shet Shriram Shet (F) 307, Golwada, Kumbharjua, , £ 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 Tanvi Govardhan Govardhan Chodankar (F) 281, Golwada, Kumbharjua, , Chodankar £ 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 Nishitha Mandava Rama Krishna Prasad Casa Amora Phase II H-103, Mandava (F) Old Goa Highway, Bainguinim, , £ 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 Shubham Nagvekar Arun Nagvekar (F) 58, Narva , Divar , ,

2 23/11/2020 Vanisha Parvatkar Ramdas Parvatkar (F) 186/3, Near Railway Over Bridge , Mollar , , 3 23/11/2020 Arun Dodamani Hanuman Dodamani (F) E-17/2, Dhauji Road , Old Goa , , 4 23/11/2020 Sneha Parvatkar Santosh Parvatkar (F) 186, Near Railway Over Bridge , Mollar , , 5 23/11/2020 Md Adil Sayed Md Rafik Sayed (F) O-83/20, S F X , Old Goa , ,

6 23/11/2020 Harsha Volvoikar Prashant Volvoikar (F) D-50, Dhauji , Old Goa , ,

7 23/11/2020 Prajot Pandurang Pandurang Hadkonkar (F) 787, Saklem , Carambolim , , Hadkonkar £ 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 Vridhi Sawant Vishwas Sawant (F) 7/3, Khursawaddo,Maddant , Goltim Navelim Divar , , 2 24/11/2020 Angela Fernandes Lourenco Fernandes (F) 240/B, Vitozen Divar, Navelim, , 3 24/11/2020 Vivaksha Durbhatkar Vishwas Durbhatkar (F) 160, Marad Wada Divar, Goltim, , 4 24/11/2020 Sanford Francisco Dias Francisco Antonio Socorro 355, Foro, St Estevam , , Dias (F) 5 24/11/2020 Chrisly Xavier Fonseca Joaquim Natividade 464, Foro, St Estevam , , Fonseca (F) 6 24/11/2020 Analise Mary Varela Antonio Francisco Varela 425, Bairo Foro, St Estevam, , (F) 7 24/11/2020 Ricovero De Silva Francis Vicente De Silva 39/1, St Braz , Gandaulim , , (F) 8 24/11/2020 D. Prasad B.Das (F) B-23/3 (G)A, Navelkar Hill City , Baiguinim, , 9 24/11/2020 Jansi Rani Lakshmi Bai Sundaram (H) B-23/3 (G) A, Navelkar Hill City , Baiguinim , , 10 24/11/2020 Ruth Priya Darshani Prasad (F) B-23/3 (G) A, Navelcar Hill City , Baiguinim , , 11 24/11/2020 Minakshi Gore Vaibhav Narayan Gore (H) KB-75 (74), Flat No E010, Mangalam Casa Amora Bainguinim, , 12 24/11/2020 Sagar Chandrakant Chandrakant B Naik (F) B 23/A 14 Shree Ichha , Naik Navelkar Hill City , Baiguinim Old Goa , , 13 24/11/2020 Pradip Chandrakant Chandrakant B Naik (F) B 23/A14 Shree Ichha , Naik Navelkar Hill City , Baiguinim Old Goa , , 14 24/11/2020 Chandrika Naik Chandrakant Naik (H) B 23/A14 Shree Ichha , Navelkar Hill City , Bainguinim Old Goa , , 15 24/11/2020 Deepa Vernekar Gaurish Vernekar (H) 86/B Matoshri Niwas , Gharkul Housing Society , Bainguim, , 16 24/11/2020 Gaurish Vernekar Rohidas Vernekar (F) B/86 Matoshri Niwas , Gharkul Housing Society , Bainguinim , , 17 24/11/2020 Sanjiv Sutar Bindu Gurudas Sutar (M) B 23/A28, Navelkar Hill City , Baiguinim, , 18 24/11/2020 Pooja Sutar Sanjiv Gurudas Sutar (H) B 23/A28, Navelkar Hill City , Baiguinim , , 19 24/11/2020 Chitra Prabhu Gajanan Prabhu (H) E-170/9 Flat no 105, Four Seasons Shelter Perola Bldg F, Bainguinim, , 20 24/11/2020 Gajanan Prabhu Laxman Prabhu (F) E-170/9 Flat No 105, Four Seasons Shelter Perola Bldg F , Bainguinim , , 21 24/11/2020 Sejal Kankonkar Tukaram Kankonkar (F) E-24/2, Katye Bhat , Ella Old GOa , , 22 24/11/2020 Akash Saraf Sandeep Saraf (F) A4,F2, Milroc Woods , Old Goa , , 23 24/11/2020 SAMEER SHEIKH DADAPIR SHAIKH (O) 107/2, NEAR PETROL PUMP BAMBOO BHAT, CORLIM, , 24 24/11/2020 Md Atif Sayed Md Rafik Sayed (F) 0-83/20, S F x , Old Goa , ,

25 24/11/2020 Yasmin Shaikh Dawalsab Shaikh (F) 297/31 Ravalnath Nagar , Mangado , Corlim , , 26 24/11/2020 Minal Dhaku Gaude Dhaku Gaude (F) 782, Gaunsbhat , Carambolim , , 27 24/11/2020 Bhavesh Kankonkar Jana Kankonkar (F) 393, Khandiwada , Carambolim , , 28 24/11/2020 Sejal Kundaikar Rohidas Kundaikar (F) 212/1, Ekawado, Carambolim , , 29 24/11/2020 Deeptesh Naik Sunil Naik (F) 350, Parkebhat , Carambolim , , 30 24/11/2020 Divya Naik Mahesh Naik (F) 240, Parkebhat, Carambolim, , 31 24/11/2020 Anushka Chari Ramchandra Chari (F) 241, Porke Bhat , Carambolim , , 32 24/11/2020 Suvidha Avkhale Snehal Avkhale (H) 236, Central Govt Employees Hsg Society , Carambolim , , 33 24/11/2020 Brendan Manuel Santa Virginia Mendes 157/1, Pether Road, Mendes (M) Carambolim , , £ 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 Divesh Nagvekar Deegambar Nagvekar (F) 236, Vanzuvem , Malar , ,

2 25/11/2020 Joelyn Velanky Vaz Jose Carmino Vaz (F) 179/1, Discanso Waddo , St Mathias Divar , , 3 25/11/2020 Laxmikant Kundaikar Raghunath Kundaikar (F) 218, Bhakra Wada , Malar , ,

4 25/11/2020 Yash Morajkar Yoganand Morajkar (F) 232, Vanjuvem , Malar , ,

5 25/11/2020 Astrid Ana Athaide Albert John Athaide (F) 63, Belsur , Malar , ,

6 25/11/2020 Laban Joao Menezes Arvind Caitano Menezes 41, Belsur , Sao Mathias , , (F) 7 25/11/2020 Ashish Madkaikar Ashok Madkaikar (F) 437/82, Marad Wada, Goltim , , 8 25/11/2020 Katia Elvira De Heredia Julio Filipe De Heredia (F) 353 Casa Heredia , Feitorim , Divar , , 9 25/11/2020 Vinita Tari Mahadev Tari (F) 1285, Near Bridge , Akhada , , 10 25/11/2020 Lydia Perpetua Joseph C E C Rodrigues 312/1 Rodrigues Villa , Foro Rodrigues (H) Vaddo , St Estevam , , 11 25/11/2020 Punam Sikandar Pandit Sikandar Pandit (H) Survey No 8/81, Madlowado , Cumbharjua , , 12 25/11/2020 Sikandar Kailash Pandit Kailash Pandit (F) Survey No 8/1 , Madlowado , Cumbharjua , , 13 25/11/2020 Geeta Vipul Parmar Vipul Ratilal Parmar (H) P-201 2nd Floor , Esmeralda Kadamba Plateau , Panelim Bainguinim , , 14 25/11/2020 Kamlesh Thakur Pappu Thakur (H) M-9/1, Mollar , Corlim , ,

15 25/11/2020 Ashish Agnihotri Pawan Kumar Agnihotri A6/G4, Milroc Woods , Corlim (F) , , 16 25/11/2020 Cyrus Elias Shaikh Mohamad Elias (F) 53/5 S/2 , Saores Apts Ella Old Goa , Mollar , , 17 25/11/2020 Mikhail Elias Shaikh Mohamad Elias (F) 53/5 S/2, Soares Apts Ella Old Goa , Mollar , , 18 25/11/2020 Elias Mohamad Shaikh Mohiddin (F) 53/2 S/2, Soares Apts Ella Old Goa , Mollar , , 19 25/11/2020 Rubina Shaikh Mohamad Elias (H) 53/2 S/2 , Soares Apts Ella Old Goa , Mollar , , 20 25/11/2020 Sajana Parodkar Santosh Parodkar (H) SF-4 B Block , Madkaikar Plaza , Mollar , , 21 25/11/2020 Satish Kumar Sutar Bhanji Sutar (F) 0-66/20, S F X Building , Old Goa , , 22 25/11/2020 Hetalben Sutar Satish Sutar (H) 0-66/20, S F X Building , Old Goa , , 23 25/11/2020 Reshma Nagur Razak Nagur (H) 100/0, Ella , Old Goa , ,

24 25/11/2020 viraj Tonke vishnu Tonke (F) 205/7, mollar, corlim, ,

25 25/11/2020 Sapnesh Sawant Santosh Sawant (F) 225, Mollar , Carambolim , ,

26 25/11/2020 Mahima Navelkar Krishna Navelkar (F) 657, Saklebhat , Carambolim , , 27 25/11/2020 Ishika Kavlekar Govind Kavlekar (F) 249, Parkebhat , Carambolim , , 28 25/11/2020 Rohit Karanzalikar Sitaram Karanzalikar (F) 256, Parkebhat , Carambolim , , 29 25/11/2020 Aparna Naik Devraj Naik (H) 203/1, Ekawado, Carambolim , , £ 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 Leena Gomes Rollan Francis Gomes (H) 707, Palmar Cupa , St Estevam , , 2 26/11/2020 Vrutika Bhomkar Yeshwant Bhomkar (F) 172, Mollar , Corlim , ,

3 26/11/2020 Premasagar Ankama Rao B (F) 296 Monfort Academy , Buradagunta Mangado , Corlim , , 4 26/11/2020 FAYAZ ABDULRAZAK Mother BHARPET (M) 297/20, MANGADDO, BHARPET CORLIM, , 5 26/11/2020 Raj Naik Dhulapkar Pradip Naik Dhulapkar (F) 417, Dhulapi, Corlim, ,

6 26/11/2020 Rutikesh Karmalkar Ramkrishna Karmalkar 399, Khandiwada , (F) Carambolim , , 7 26/11/2020 Adleena Patil Dilip Patil (F) 251/4,A-S2, Pether , Carambolim , , 8 26/11/2020 Margaret Patil Dilip Patil (H) 251/4 A-S2, Pether , Carambolim , , 9 26/11/2020 Marilyn Dilip Patil Dilip Patil (F) 251/4 A-S2, Pether , Carambolim , , £ 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 Dilip Patil Ramchandra Patil (F) 251/884-A-S2, Pether , Carambolim , , £ 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 Nasrat Ali Moulali Moulali Naikodi (F) 281/60, PDA Colony, Corlim, , Naikodi 2 28/11/2020 Afiya Bandenawaj Bandenawaj Jamadar (F) E-281/88, PDA Colony, Jamadar Corlim, , 3 28/11/2020 Pradeep Shanbhag Chitra Shanbhag (W) HNO 79/1B,SF-1, Vineth Shelter BLDG B, Carambolim, , £ 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 Hema Naik Prakash Naik (F) 1056, Tonco waddo, Sant Estevam, , £ 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 Anish Adpaikar Ashok Adpaikar (F) M-268,V-7, Sunflower Estate , Ella Old Goa , , 2 30/11/2020 Bernadette Adpaikar Ashok Adpaikar (H) M-268 V-7, Sunflower Estate , Ella Old Goa , , 3 30/11/2020 Ashok Adpaikar Namdev Adpaikar (F) M-268 V-7, Sunflower Estate , Ella Old Goa , , 4 30/11/2020 Anuj Adpaikar Ashok Adpaikar (F) M-268 V-7, Sunflower Estate , Ella Old Goa , , 5 30/11/2020 Sohan Sudesh Sudesh C Nadodkar (F) 149, PDA Colony, Corlim, , Nadodkar 6 30/11/2020 Zarina Daudsab Daudsab Husseinsab E-281/81/1, PDA Colony, Shalaudi Shalaudi (H) Corlim, , 7 30/11/2020 Xavier Joseph Joseph M Fernandes (F) 134, PDA Colony, Corlim, , Fernandes 8 30/11/2020 Sejal Uskaikar Mohan Uskaikar (F) 297/29, Ravalnath Nagar , Corlim , , 9 30/11/2020 Gaurav Dhulapkar Yeshwant Dhulapkar (F) 3628/1, Dhulapi , Corlim , ,

10 30/11/2020 Mita Dhulapkar Manohar Dhulapkar (H) 363, Dhulapi , Corlim , ,

11 30/11/2020 Kashmi Gaunkar Tulshidas Gaunkar (F) 383, Dhulapi , Corlim , ,

12 30/11/2020 Divya Dhulapkar Reema Dhulapkar (M) 340, Dhulapi , Dhulapi , , £ 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 Hemant Ankush Ankush Janardhan 174, Morod Waddo , Divar Vaigankar Vaigankar (F) Goltin Navelim , , 2 01/12/2020 Navidade Pamela John Colaco (F) 402/1, Sinqurim Waddo , Colaco Goltim Navelim , , 3 01/12/2020 Jocelyn Fernandes Baptista Fernandes (F) 400/G, Goltim Navelim , Sinquerim , , 4 01/12/2020 Sanket Jaykumar Jaykumar Sawant (F) 822, Rambhuvan Wada , Sawant Cumbharjua , , 5 01/12/2020 Jasraj Dinanath Sawant Dinanath Sawant (F) 822, Rambhuvan Wada , Cumbharjua , , 6 01/12/2020 Anvi Amar Phadte Amar K Phadte (H) 687, Rambhuvan Wada , Cumbharjua , , 7 01/12/2020 Niyata Aditya Amonkar Aditya Amonkar (H) Flat No. F-3 Bldg-A, Ornate Estate , Bainguinim, , 8 01/12/2020 Mohammed Rafiq Ismail Saab Didagur (F) M-321, Near Railway Bridge , Didagur Old Goa , , 9 01/12/2020 Rashida Banu Didugur Mohamed Rafik Didagur M-321, Near Railway Bridge , (H) Old Goa , , 10 01/12/2020 Dhiraj Gaude Nanu Gaude (F) 357, Near Govt Primary School , Dhulapi , , 11 01/12/2020 Pranali Dhulapkar Manohar Dhulapkar (F) 410/1, Dhulapi , Corlim , ,

12 01/12/2020 Yukthi Adkonkar Mukund Adkonkar (F) 350, Dhulapi , Dhulapi , ,

13 01/12/2020 Gauravi Dhulapkar Yeshwant Dhulapkar (F) 362/1, Dhulapi, Corlim , ,

14 01/12/2020 Kallen John Valadares Joaquim Valadares (F) 188/1, Pether , Carambolim , ,

15 01/12/2020 Alice Milagrina Diniz Kallen John Valadares (H) 188/1, Pether , Carambolim , , Valadares £ 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 Bhuyar Bhuyar Rakesh Bhuyar Bhuyar (H) 191/9, Dulapi, Tiswadi Panjim, , 2 02/12/2020 Rohidas alias Praveen Krishna Borkar (F) 966, Manguiral , St. Estevam Borkar Jua, , 3 02/12/2020 Akansha Hanumant Hanumant Usgaonkar (F) 150/G, Morod Waddo , Goltim Usgaonkar Navelim Divar , , 4 02/12/2020 Shivaji Chigulkar Vaman Chigulkar (F) D-32, Near Dhauji Road , Old Goa , , 5 02/12/2020 Nolan Lobo Noel Lawrence Lobo (F) 0-10/B, Near Old Goa Ferry Road , Old Goa , , 6 02/12/2020 Deepak Dattaram Dattaram M Tirodkar (F) 284/10 B SF-4 , Flat No 312 Tirodkar Bldg 1 Dhaval Enclave , Corlim Old Goa , , 7 02/12/2020 Deepti Deepak Tirodkar Deepak D Tirodkar (H) 284/10 B SF-4, Flat No 312 Bldg 1 Dhaval Enclave , Corlim Old Goa , , £ 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 ASHUTOSH MANOJ bhagirathi manoj phadte H.no- 700, rambhuvan wada, phadte (M) kumbharjua, , 2 03/12/2020 ROHAN DHULAPKAR ROHIDAS (F) 396, DHULAPI, DHULAPI, ,

3 03/12/2020 Nitesh Naik Vaibhav Naik (O) 181/G, Fetorim Goltim, Divar, , £ 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 Manoj Das Anup Das (F) Plot C(Survey 66/9), Gaunsbhatt, carambolim , , 2 04/12/2020 Manoj Das Anup Das (F) Plot C(Survey 66/9), Gaunsbhatt, carambolim , , 3 04/12/2020 Deep sawant Deepa sawant (M) 709, rambhuvanwada , cumbharjua, , 4 04/12/2020 Abhishek Prabhu Pradeep Prabhu (F) G204 Casa Amora, Baingunim, Kadamba Plateau, , 5 04/12/2020 DHIRAJ DHULAPKAR Laxmikant Dhulapkar (F) 345, Near Sateri Temple, Dhulapi, , 6 04/12/2020 Rudali Prabhakar Prabhakar Sawant 195/83, Amboi Malar , Diwadi Sawant Sarsubhedar Sarsubhedar (F) , , 7 04/12/2020 Darren Xavier Menezes Mathew Antonio Ronal 78 , Amboi St Mathias , Diwar Menezes (F) , , 8 04/12/2020 Ruel Pereira Mario John Azavedo 06, Xino Waddo , Navelim Pereira (F) Divar , , 9 04/12/2020 Riyansha Rajesh Rajesh R Shirodkar (H) 122/8, Khursawado Maddant Shirodkar Divar , Goltim Navelim , , 10 04/12/2020 Prajwal Premanand Premanand Verekar (F) 134, Morod Vaddo , Divar Verekar Goltim Navelim , , 11 04/12/2020 Yougraj Chandrashekhar 432, Saiba Wada , Goltim , , Chandrashekhar Satardekar (F) Satardekar 12 04/12/2020 Jovan Shaun D Silva Superfina Assumpta F D 184, Polvaddo , St Estevam , Silva (M) , 13 04/12/2020 Caetano Xavier Aniceto Saldanha (F) 54, St Francisco Waddo , St Saldanha Estevam , , 14 04/12/2020 Lerison Joseph Bonny Ana Francisco Pires (M) 131, St Francis Waddo, St Pires Estevam , , 15 04/12/2020 Rohit Kankonkar Dhanu Kankonkar (F) E-25, Kantye Bhat , Ella Old Goa , , 16 04/12/2020 Teja Madkaikar Pandurang Madkaikar (F) E-23/8C, Katye Bhat , Old Goa , , 17 04/12/2020 Christina Florina D Peter C D Costa (F) E-104/2 (H-1), Katye Bhat , Costa Ella Old , , 18 04/12/2020 Diana D Costa Peter C D Costa (H) E-104/2 (H-1), Katye Bhat , Ella , , 19 04/12/2020 Sarada Kumar Girija Kumar (H) E-171/40F, Flat No A402 Perola Four Seasons Shelters, Bainguinim Old Goa , , 20 04/12/2020 Shilpa Kumar Girija Kumar Pillai (F) E-171/40F, Flat No A402 Perola Four Seasons Shelters , Bainguinim Old Goa , , 21 04/12/2020 Shishir Kumar Pillai Girija Kumar Pillai (F) E-171/40F, Flat No A402 Perola Four Seaons Shelters , Bainguinim Old Goa , , 22 04/12/2020 Girija Kumar Bhaskaram Pillai (F) E-171/40F, Flat No A402 Perola Four Seasons Shelters , Bainguinim Old Goa , , 23 04/12/2020 Ranjana Ramchandra Ramchandra Bharat (H) 91, P D A Colony , Corlim , , Bharat £ 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 Manoj Das Anup Das (F) Plot No C(Survey 66/9), Gaunsbhat , Carambolim , , 2 05/12/2020 YATIN GAONKAR PRITIDAS GAONKAR (F) 381, Near Sateri Mandap, Dhulapi, , 3 05/12/2020 VISHAL DHULAPKAR KANTA DHULAPKAR (F) 338, Near Govt primary school Dhulapi, Dhulapi, , 4 05/12/2020 Shashila K C Kuber Bahadur K C (H) 56/1/1 SF-1, Church Ward, Corlim, , 5 05/12/2020 Shaunak Deven Deven A Valvaiker (F) 135-Pda, P.D.A. Colony, Valvaiker Corlim, , 6 05/12/2020 Nishita khandolkar Tulsidas Khandolkar (H) 552, Saklebat, Carambolim, ,

7 05/12/2020 Kuber bahadur K C Amar Bahadur K C (F) 56/1/ 1SF-1, Churchwado, Corlim, , 8 05/12/2020 Narayan Sawant Deu (F) 24, Talapwada , Kumbharjua Tiswadi , , 9 05/12/2020 Priya Dhulapkar Taraknath Dhulapkar (H) 359, Dhulapi, Dhulapi, , £ 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 VAISHNAVI Ladu Dhulapkar (F) 361/1, Dhulapi, Dhulapi, , DHULAPKAR 2 06/12/2020 Mohini Gaude Laxman Deu Gaude (H) 276, Mollar, Corlim, ,

3 06/12/2020 Dixita Timaji Naik Timaji Naik (F) 155, Calvaddo, Corlim, ,

4 06/12/2020 Suresh Talwar Hanumant Talwar (F) B-23/A-9,, Navelkar Hill City, Bainguinim,, Old Goa, Kumbharjua,, , 5 06/12/2020 Mala Talwar Suresh Talwar (H) B-23/A-9,, Navelkar Hill City, Bainguinim,, Old Goa, Cumbharjua, , , £ 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 12/8/2020 Form9_AC15_08/12/2020

ANNEXURE 5.8 (CHAPTER V, PARA 25) FORM 9 List of Applicaons for inclusion received in Form 6 Designated locaon identy (where applicaons have been Constuency (Assembly/£Parliamentary): Cumbarjua Revision identy received) From date To date @ 2. Period of applicaons (covered in this list) 1. List number 07/12/2020 07/12/2020 3. Place of hearing* Serial Name of Father / $ Date of Name of Date of Time of number Mother / Husband Place of residence of receipt claimant hearing* hearing* and (Relaonship)# applicaon Surekha 1 07/12/2020 Vaibhav Naik (O) 181/G, Fetorim, Golm Divar, , North Goa Naik 360, Near saeri Mandir, Dhulapi, , North 2 07/12/2020 SWETA NAIK NARESH NAIK (H) Goa PRAJAKTA 3 07/12/2020 PRAKASH BADAD (F) 371, Dhulapi, Dhulapi, , North Goa BADAD Asmita 4 07/12/2020 Gajanan Khadse (H) 371, Dhulapi, Dhulapi, , North Goa Khadse SARITA SEETA 512, FOROWADA, NEAR PANCHAYAT, ST 5 07/12/2020 GIRGILA F FERNANDES (M) ESTEV, , North Goa FERNANDES Vaman alias Aghan 941/1, Khadapwada, Kumbharjua, , North 6 07/12/2020 Narayan Bhandare (F) Narayan Goa Bhandare ASHWINI 7 07/12/2020 Vikram Dhulapkar (H) 414, Dhulapi, Dhulapi, , North Goa DHULAPKAR Xanita Isabel Caetano xavieer 54, St Francisco Waddo, St Estevam 8 07/12/2020 Saldanha Saldanha (F) , , North Goa Sikandar ., Survey No 8/1 Madlowado 9 07/12/2020 Kailash Pandit (F) Pandit , Cumbharjua , , North Goa Shawnal Bey Judy Lavina 256 B , Polwaddo , St Estevam , , North 10 07/12/2020 Bosco Fonseca (M) Goa Fonseca Muskana Sanaulla 11 07/12/2020 Sanaulla Khalandarsab 319, Mangado , Corlim , , North Goa Javali Javali (F) Pooja 4228/3/3-UG-01, Dhulapi , Corlim 12 07/12/2020 Ramesh Ramesh Mali (F) , , North Goa Mali Miriam Apolina Milneta 13 07/12/2020 Josilda 445/1, Foro , St Estevam , , North Goa Monteiro (M) Afonso 14 07/12/2020 Bindiya Hemant D Bhosle (F) 1298/2, Akhada, St Estevam , , North Goa Hemant

1/2 12/8/2020 Form9_AC15_08/12/2020 Bhosle Eliseus Candina 15 07/12/2020 Stephen 243, Pol Vaddo , St Estevam , , North Goa Noem Estrocio (M) Ferrao Alice Anica Elisa Perpetua 16 07/12/2020 177, Polwaddo , St Estevam , , North Goa Silveira Fernandes (M) Waluscha 1379, Polwaddo , St Estevam , , North 17 07/12/2020 Alea Silveira (M) Silveira Goa Allister Alfredo Victoer 18 07/12/2020 Stephen 266, Polwaddo , St Estevam , , North Goa Silveira (F) Silveira Stacy Ana Sofia Gracy Dias e 114, St Francis Ward , St Estevam 19 07/12/2020 Fernandes Fernandes (M) , , North Goa £ In case of Union territories having no Legislave Assembly and the State of Jammu and Kashmir Date of exhibion @ For this revision for this designated locaon at Electoral Date of exhibion at designated locaon * Place, me and date of hearings as fixed by electoral Registraon under rule 15(b) registraon officer Officer’s Office $ Running serial number is to be maintained for each revision under rule 16(b) for each designated locaon # Give relaonship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H) 08/12/2020

2/2 12/9/2020 Form9_AC15_09/12/2020

ANNEXURE 5.8 (CHAPTER V, PARA 25) FORM 9 List of Applicaons for inclusion received in Form 6 Designated locaon identy (where applicaons have been Constuency (Assembly/£Parliamentary): Cumbarjua Revision identy received) From date To date @ 2. Period of applicaons (covered in this list) 1. List number 08/12/2020 08/12/2020 3. Place of hearing* Serial Name of Father / Mother / $ Date of Name of Date of Time of number Husband and Place of residence of receipt claimant hearing* hearing* (Relaonship)# applicaon Ganpat 27/1, Talapwada , Kumbharjua 1 08/12/2020 Dasharath Dasharath Sawant (F) Tiswadi , , North Goa Sawant Suraj 77, Talapwada , Kumbharjua 2 08/12/2020 Devidas Devidas Raikar (F) Tiswadi , , North Goa Naik Raikar 198/15, D,S-3, Corlim Garden, Prasad 3 08/12/2020 Govind Kulkarni (F) Opp Deccan Chemical,, Corlim, Kulkarni Ilhas Goa, , North Goa Josna Maria 130/1, Morod 4 08/12/2020 John Salvador Pinto (F) Caitana Vaddo, Diwar, , North Goa Pinto HARSHADA 420/3, Dhulapi, Dhulapi, , North 5 08/12/2020 SHOBHA ADKONKAR (M) ADKONKAR Goa 360, Dhulapi, Dhulapi, , North 6 08/12/2020 PRITI GHADI Rajesh Ghadi (F) Goa A-3 G-3, Vijay nagar Co-op Hsg 7 08/12/2020 Joshua Dias Gabriel Dias (F) Society , Corlim , , North Goa Snavisha 401/2, Thapan 8 08/12/2020 Suresh Naik (F) Naik Wada, Cumbharjua , , North Goa Gitesh Deu 551, Gawant Wada , Cumbharjua 9 08/12/2020 Deu Rama Gaude (F) Gawde , , North Goa Shru 618, Thapan Wada , Kumbharjua 10 08/12/2020 Shashikumar Shashikumar Naik (F) , , North Goa Naik Priyash 618, Thapan Wada , Cumbharjua 11 08/12/2020 Dinesh Naik (F) Dinesh Naik , , North Goa £ In case of Union territories having no Legislave Assembly and the Date of exhibion at State of Jammu and Kashmir Electoral Date of exhibion at designated @ For this revision for this designated locaon Registraon Officer’s locaon under rule 15(b) * Place, me and date of hearings as fixed by electoral registraon Office under rule officer 16(b) $ Running serial number is to be maintained for each revision for 09/12/2020 each designated locaon

1/2 12/9/2020 Form9_AC15_09/12/2020 # Give relaonship as F-Father, M=Mother, and H=Husband within brackets i.e. (F), (M), (H)

2/2 12/10/2020 Form9_AC15_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 applicaons Constuency (Assembly/£Parliamentary): Cumbarjua Revision identy 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 SINIYA 1 09/12/2020 VIRENDRA PHADTE (H) 406, THAPAN WADA, kumbharju, , North Goa PHADTE NEHA 190/1, Pether, Pether, Carambolim, , North 2 09/12/2020 NARAYAN NARVEKAR (F) NARVEKAR Goa Sourabh Vyas 3 09/12/2020 Vyas Kashinath Narvekar (F) 396/2, Belsur , Divar , , North Goa Narvekar Jagru 4 09/12/2020 Gurudas Bhomkar (F) 346, Malar, Divar , , North Goa Bhomkar Vaishanavi 5 09/12/2020 Sainath Sainath Gaonkar (F) 245/1, Malar , Divar , , North Goa Gaonkar Mihir Raju KB-29 E BL No 39 F-30, Milroc Kadamba 6 09/12/2020 Shankaranarayan Raju (F) Vardhan , Baiguinim , , North Goa Manish 7 09/12/2020 Gajanan Gangadhar Rao (F) SF-A-1, Madkaikar Plaza , Mollar , , North Goa Kumar Rao 8 09/12/2020 Santoshi Rao Manish G Rao (F) SF-A-1, Madkaikar Plaza, Mollar , , North Goa 9 09/12/2020 Pooja Bargali Ramesh BArgali (F) M-268/7, Mollar, Old Goa , , North Goa £ In case of Union territories having no Legislave Assembly and the State of Jammu and Date of exhibion at Kashmir Date of exhibion at designated locaon Electoral Registraon @ For this revision for this designated locaon under rule 15(b) Officer’s Office under rule * Place, me and date of hearings as fixed by electoral registraon officer 16(b) $ Running serial number is to be maintained for each revision for each designated 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): Cumbarjua 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 ANANYA RANE ABHIJIT RANE (H) 35/1, TALAPWADA, CUMBHARJUA, , 2 10/12/2020 Milind Chopra Milind Chopra (F) E2/S1,Navelkar Estate,, Baiguinim, Old Goa, , £ 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): Cumbarjua 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 Lindu Vinu Vinu Thonas (H) L-203, St Francis Xavier Residency, Velha Goa, , 2 12/12/2020 Vinaya Korgaonkar Sudai Korgaonkar (H) 967, khadapwada, cumbharjua, , £ 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): Cumbarjua Revision identity applications have been received) 1. List number@ 2. Period of applications (covered in this list) From date To date 13/12/2020 13/12/2020 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 13/12/2020 Kunal Dhopavkar Suhas Dhopavkar (F) H.no.38, Pda colony, Corlim, ,

2 13/12/2020 Dayesh Zambaulikar Damodar (F) 307, Khandiwada, Carambolim, , 3 13/12/2020 Sweta Madkaikar Bhanudas (F) 549, Saklebhat, Carambolim, , 4 13/12/2020 SONALI GAONKAR KISHOR GAONKAR (F) 1074, KHALPORA, CARAMBOLIM, , 5 13/12/2020 DEEP BHAMAIKAR DAYANAND BHAMAIKAR 564, KHALPORA, (F) CARAMBOLIM, , 6 13/12/2020 NEHAL NAIK NANI NAIK (F) 1051/1, KHALPORA, CARAMBOLIM, , £ 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 Arbaz Peersab Kuchbal Peersab Babusab Kuchbal 101-P D A, P.D.A. Colony, (F) Corlim, , 2 14/12/2020 DIKSHA ROHIT ROHIT KETAN 1127, AKHADA, JUA , , HALORNEKAR HALORNEKAR (H) 3 14/12/2020 Milind Chopra Vinay Chopra (F) E2/S1,Navelkar Estate,, Baiguinim, Old Goa, , 4 14/12/2020 Milind Chopra Vinay Chopra (F) E2/S1,Navelkar Estate,, Baiguinim, Old Goa, , 5 14/12/2020 TEJASWI GAONKAR RAJESH GAONKAR (F) 414/3, Near Football Ground, Dhulapi, , 6 14/12/2020 Adinath balaji veer veer Balaji veer (F) 189/4 A,UG-2, Calvaddo, Tiswadi, , £ 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