Electoral Roll, 2017 State: ( S03 )

No. Name and Reservation Status of Assembly Constituency : 97 DERGAON (SC) Part No : 2 No. Name and Reservation Status of Parliamentary Constituency (ies) in which 11 - KALIABOR GEN the assembly constituency is located :

1 . DETAILS OF REVISION Year of Revision : 2017 Roll Identification: Basic roll of Special Summary Revision, Qualifying Date 01/01/2017 2017 integrated with all supplements Type of Revision : Special Summary Revision preceding special summary revision, Date of Publication 20/01/2017 2 . DETAILS OF PART AND POLLING AREA

No. & Name of Sections in the part : 1.SHIRISHATIKA NATUN CHAPARI

SIRISATIKA NATUN CHAPARI Main Village / Town :

Ward No :

PostOffice : DERGAON

Block : KAKODUNGA Tehsil : DERGAON

PoliceStation : DERGAON

SubDivision : Golaghat

District : GOLAGHAT

Pincode : 785614 3 . POLLING STATION DETAILS No. and Name of Polling Station : Type of Polling Station 2 - General Lem chapori Miri L.P. School (W) (Male/Female/General)

Address of Polling Station : Lem chapori Miri L P School - Number of Auxiliary SIRISATIKA NATUN CHAPARI 0 Polling Stations in this Type of Polling Station : Rural 4 . NUMBER OF ELECTORS

Net Electors Starting Ending SNo. SNo. Male Female Third Gender Total

1 1179 592 527 0 1119 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 1 GRD0000522 2 GRD2234573 3 GRD0000523 Name: BIDESWAR PEGU Name: BARHOI PEGU Name: ARUN PEGU Father: MATIYA PEGU Husband: BIDESWAR PEGU Father: BIDESWAR PEGU House No: 1 House No: 1 House No: 1 Age: 58 Sex: Male Age: 51 Sex: Female Age: 33 Sex: Male

4 GRD0000524 5 GRD0000525 6 GRD0000526 Name: BASANTI NARAH PEGU Name: LAKSHI PEGU Name: MOINA PEGU Husband: ARUN PEGU Father: BIDEYSOR PEGU Father: BILASAN PEGU House No: 1 House No: 1 House No: 2 Age: 24 Sex: Female Age: 23 Sex: Female Age: 51 Sex: Male

7 GRD2234620 8 GRD2234631 9 GRD0000527 Name: JINIKA PEGU Name: MALOTI PEGU Name: KAMALAKANTA PEGU Husband: MOINA PEGU Husband: MOINA PEGU Father: BIDESWAR PEGU House No: 2 House No: 2 House No: 2 Age: 47 Sex: Female Age: 45 Sex: Female Age: 29 Sex: Male

10 GRD0244715 11 GRD0000528 12 GRD0244806 Name: RAKESH PEGU Name: REKHAMANI PEGU Name: JUNALI PEGU Father: MOINA PEGU Husband: KOMALA KANTA PEGU Father: MOINA PEGU House No: 2 House No: 2 House No: 2 Age: 24 Sex: Male Age: 23 Sex: Female Age: 21 Sex: Female

13 GRD0244848 14 GRD0244947 15 GRD0000529 Name: MAMONI PEGU Name: BHABESH PEGU Name: BABUSAHAB PEGU Father: MOINA PEGU Father: MOINA PEGU Father: BILASAN PEGU House No: 2 House No: 2 House No: 2ক Age: 21 Sex: Female Age: 18 Sex: Male Age: 56 Sex: Male

16 GRD2234653 17 GRD2234664 18 GRD2234686 Name: TIKCHIBI PEGU Name: RASHMIREKHA PEGU Name: MOSAI PEGU Husband: BABUSAHAB PEGU Father: BABUSAHAB PEGU Father: MONSALA PEGU House No: 2ক House No: 2ক House No: 3 Age: 51 Sex: Female Age: 31 Sex: Female Age: 66 Sex: Male

19 GRD0000530 20 GRD0000531 21 GRD0000532 Name: TUCHI PEGU Name: APAO PEGU Name: BOGA PEGU Husband: MOSAI PEGU Father: MOSAI PEGU Father: MOCHAI PEGU House No: 3 House No: 3 House No: 3 Age: 56 Sex: Female Age: 39 Sex: Male Age: 34 Sex: Male

22 GRD0000533 23 GRD0000534 24 GRD1714892 Name: MOMOL PEGU Name: EYAKASI PEGU Name: NAREN PEGU Father: MOSAI PEGU Father: MOCHAI PEGU Father: MOCHAI PEGU House No: 3 House No: 3 House No: 3 Age: 33 Sex: Male Age: 29 Sex: Female Age: 21 Sex: Male

25 GRD0000535 26 GRD2234744 27 GRD0000536 Name: PRAMILA PEGU Name: MUNU PEGU Name: BIREN PEGU Husband: KAMAL PEGU Husband: APAO PEGU Father: MANSALA PEGU House No: 3ক House No: 3ক House No: 4 Age: 28 Sex: Female Age: 28 Sex: Female Age: 68 Sex: Male

28 GRD0000537 29 GRD0000538 30 GRD0000540 Name: CHOWALI PEGU Name: DINESH PEGU Name: UMESH PEGU Husband: BIREN PEGU Father: BIREN PEGU Father: BIREN PEGU House No: 4 House No: 4 House No: 4 Age: 63 Sex: Female Age: 36 Sex: Male Age: 32 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 2 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 31 GRD0000541 32 GRD0274837 33 GRD0275008 Name: RINKUMONI PEGU Name: SUNALI PEGU Name: SUSHMITA PEGU Father: DHIREN PEGU Father: BIKESWAR PEGU Father: DEEPOK PEGU House No: 4 House No: 4 House No: 4 Age: 29 Sex: Female Age: 20 Sex: Female Age: 18 Sex: Female

34 GRD0274969 35 GRD0274977 36 GRD0000542 Name: JAYA PEGU Name: JUNALI PEGU Name: MONIRAM PEGU Father: MALIRAM PEGU Father: BIKESWAR PEGU Father: BADAL PEGU House No: 4 House No: 4 House No: 4ক Age: 18 Sex: Female Age: 18 Sex: Female Age: 41 Sex: Male

37 GRD0000543 38 GRD0000544 39 GRD0000545 Name: DIPAK PEGU Name: DIPALI PEGU Name: AMIYA PEGU Father: MONSALA PEGU Husband: DIPAK PEGU Father: DIPAK PEGU House No: 4ক House No: 4ক House No: 4ক Age: 34 Sex: Male Age: 31 Sex: Female Age: 24 Sex: Male

40 GRD0000546 41 GRD0000548 42 GRD2234868 Name: BIKESWAR PEGU Name: PEKCHIRI PEGU Name: KATINI PEGU Father: MANASALA PEGU Husband: BIKESWAR PEGU Husband: BEDAL PEGU House No: 4ক House No: 4ক House No: 5 Age: 46 Sex: Male Age: 41 Sex: Female Age: 56 Sex: Female

43 GRD0000549 44 GRD0000550 45 GRD0000551 Name: RAKAMI PEGU Name: RUSIYA PEGU Name: BEDAL PEGU Father: BEDAL PEGU Father: BEDAL PEGU Father: KASIRAM PEGU House No: 5 House No: 5 House No: 5ক Age: 32 Sex: Female Age: 29 Sex: Female Age: 63 Sex: Male

46 GRD0000552 47 GRD0000553 48 GRD2234926 Name: SUNAL PEGU Name: NARAYAN PEGU Name: JABUR PEGU Husband: MALIRAM PEGU Father: BHIMLAL PEGU Husband: NARAYAN PEGU House No: 5ক House No: 6 House No: 6 Age: 36 Sex: Female Age: 58 Sex: Male Age: 56 Sex: Female

49 GRD0000554 50 GRD0000555 51 GRD0000556 Name: ROMAKANTA PEGU Name: SWAPNA PEGU Name: BIMAN PEGU Father: NARAYAN PEGU Husband: DHARMENDRA PEGU Father: NARAYAN PEGU House No: 6 House No: 6 House No: 6 Age: 36 Sex: Male Age: 35 Sex: Female Age: 34 Sex: Male

52 GRD2234960 53 GRD0000557 54 GRD0000558 Name: BIDESWARI PEGU Name: SEPERA CHOKIAL Name: TEMI CHOKIAL Husband: BIMAN PEGU Father: KABITA CHOKIAL Husband: CHEPERA CHOKIAL House No: 6 House No: 7 House No: 7 Age: 31 Sex: Female Age: 73 Sex: Male Age: 66 Sex: Female

55 GRD0000559 56 GRD0000560 57 GRD0000561 Name: BUDAI CHOKIAL Name: ANJUMANI CHOKIAL Name: RAJU CHOKIAL Father: CHEPERA CHOKIAL Husband: BUDAI CHOKIAL Father: CHEPERA CHOKIAL House No: 7 House No: 7 House No: 7 Age: 38 Sex: Male Age: 36 Sex: Female Age: 34 Sex: Male

58 GRD0000562 59 GRD0000563 60 GRD0000564 Name: MINAMATI CHOKIAL Name: PADMESWAR CHOKIAL Name: JOYMOTI CHOKIAL Husband: RAJU CHOKIAL Father: KABIRA CHOKIAL Husband: PADMESWAR CHOKIAL House No: 7 House No: 8 House No: 8 Age: 31 Sex: Female Age: 78 Sex: Male Age: 73 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 3 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 61 GRD0000565 62 GRD0000566 63 GRD2235112 Name: BALIN CHOKIAL Name: UNU CHOKIAL Name: AJIT CHOKIAL Father: PADMESWAR CHOKIAL Husband: BALIN CHOKIAL Father: PADMESWAR CHOKIAL House No: 8 House No: 8 House No: 8 Age: 51 Sex: Male Age: 46 Sex: Female Age: 39 Sex: Male

64 GRD0000567 65 GRD0000568 66 GRD0000569 Name: BINA CHOKIAL Name: BIMAN CHOKIAL Name: IYAKATI CHAKIYAL Husband: AJIT CHOKIAL Father: BALIN CHOKIAL Husband: BIMAN CHAKIYAL House No: 8 House No: 8 House No: 8ক Age: 36 Sex: Female Age: 31 Sex: Male Age: 27 Sex: Female

67 GRD2235145 68 GRD0000570 69 GRD0000571 Name: NANCHAMOTI CHOKIAL Name: BAMBUL CHOKIAL Name: DILIP CHOKIAL Husband: SHIVA CHOKIAL Father: SHIBA CHOKIAL Father: SHIVA CHOKIAL House No: 9 House No: 9 House No: 9 Age: 81 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Male

70 GRD0000572 71 GRD0000573 72 GRD0000574 Name: LILABATI CHOKIAL Name: BIRMANI CHOKIAL Name: KELEM CHOKIAL Husband: DILIP CHOKIAL Husband: MUNIYA CHOKIAL Father: MUNIYA CHOKIAL House No: 9 House No: 10 House No: 10 Age: 41 Sex: Female Age: 76 Sex: Female Age: 58 Sex: Male

73 GRD0000575 74 GRD0000576 75 GRD0000577 Name: RENU CHOKIAL Name: RITA CHOKIAL Name: GUNANTI PEGU Husband: KELEM CHOKIAL Father: KELEM CHOKIAL Husband: JAYGURAM PEGU House No: 10 House No: 10 House No: 11 Age: 56 Sex: Female Age: 29 Sex: Female Age: 83 Sex: Female

76 GRD0000578 77 GRD2235292 78 GRD0000579 Name: NABIN PEGU Name: PRABIN PEGU Name: BHUTUKI PEGU Father: JAYGURAM PEGU Father: JYAGURAM PEGU Husband: PRABIN PEGU House No: 11 House No: 11 House No: 11 Age: 53 Sex: Male Age: 48 Sex: Male Age: 46 Sex: Female

79 GRD0000580 80 GRD0000581 81 GRD0000582 Name: NONGACHI PEGU Name: BIJU PEGU Name: REKHAMONI PEGU Husband: NABIN PEGU Father: NABIN PEGU Father: NABIN PEGU House No: 11 House No: 11 House No: 11 Age: 46 Sex: Female Age: 32 Sex: Male Age: 29 Sex: Female

82 GRD1762705 83 GRD1762716 84 GRD0209858 Name: SUSMITA PEGU Name: PABITRA PEGU Name: SUNITA PEGU Father: NABIN PEGU Father: MAMAL PEGU Father: NOBIN PEGU House No: 11 House No: 11 House No: 11 Age: 23 Sex: Female Age: 23 Sex: Male Age: 19 Sex: Female

85 GRD0209916 86 GRD0209957 87 GRD0000583 Name: ANUPRIYA DOLEY PEGU Name: BHOBA KANTA PEGU Name: DHARMESWAR PEGU Husband: PABITRA PEGU Father: PROBIN PEGU Father: BOGARAM PEGU House No: 11 House No: 11 House No: 12 Age: 18 Sex: Female Age: 18 Sex: Male Age: 73 Sex: Male

88 GRD2235338 89 GRD0000584 90 GRD0000585 Name: BHADOI PEGU Name: YOGESWAR PEGU Name: RITA PEGU Husband: DHARMESWAR PEGU Father: DHARMESWAR PEGU Husband: JOGESHWAR PEGU House No: 12 House No: 12 House No: 12 Age: 61 Sex: Female Age: 41 Sex: Male Age: 36 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 4 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 91 GRD0000586 92 GRD0000587 93 GRD2235394 Name: NANDESWAR PEGU Name: RANJIT PEGU Name: TORAMAI PEGU Father: DHARMESWAR PEGU Father: DHARMESWAR PEGU Husband: RANJIT PEGU House No: 12 House No: 12 House No: 12 Age: 35 Sex: Male Age: 33 Sex: Male Age: 31 Sex: Female

94 GRD0000589 95 GRD1762727 96 GRD0000590 Name: BANI KANTA PEGU Name: SIVENGEISA PEGU Name: JIBAN PEGU Father: DHARMESWAR PEGU Husband: BANI KANTA PEGU Father: DHARMESWAR PEGU House No: 12 House No: 12 House No: 12ক Age: 31 Sex: Male Age: 26 Sex: Female Age: 39 Sex: Male

97 GRD2235429 98 GRD0000591 99 GRD0000592 Name: ANJANA PEGU Name: NANDITA PEGU Name: BIPIN PEGU Husband: JIBAN PEGU Husband: NANDESHWAR PEGU Father: BOGARAM PEGU House No: 12ক House No: 12ক House No: 13 Age: 33 Sex: Female Age: 30 Sex: Female Age: 71 Sex: Male

100 GRD0000593 101 GRD2235463 102 GRD2235474 Name: JAMINI PEGU Name: AJIT PEGU Name: CHAMPA PEGU Husband: BIPIN PEGU Father: BIPIN PEGU Husband: AJIT PEGU House No: 13 House No: 13 House No: 13 Age: 66 Sex: Female Age: 43 Sex: Male Age: 41 Sex: Female

103 GRD2235496 104 GRD2235521 105 GRD0000594 Name: BINANDA PEGU Name: JOGAMAYA PEGU Name: URMILA PEGU Father: BIPIN PEGU Father: BIPIN PEGU Husband: BINANDA PEGU House No: 13 House No: 13 House No: 13ক Age: 37 Sex: Male Age: 31 Sex: Female Age: 29 Sex: Female

106 GRD2235532 107 GRD2235554 108 GRD2235565 Name: PRASHANTA PEGU Name: GERELA PEGU Name: GABER PEGU Father: BIPIN PEGU Father: POTA PEGU Husband: GERELA PEGU House No: 13ক House No: 14 House No: 14 Age: 28 Sex: Male Age: 76 Sex: Male Age: 66 Sex: Female

109 GRD0000595 110 GRD0000597 111 GRD0000598 Name: BORDOLA PEGU Name: PHAGUNI PEGU Name: MONIBOR PEGU Father: GERELA PEGU Husband: BORDOLA PEGU Father: GERELA PEGU House No: 14 House No: 14 House No: 14 Age: 46 Sex: Male Age: 36 Sex: Female Age: 29 Sex: Male

112 GRD2235667 113 GRD0000599 114 GRD0000600 Name: RAMNATH CHOKIAL Name: KANDESWAR CHOKIAL Name: RUPA CHOKIAL Father: BUDHUWA CHOKIAL Father: RAMNATH CHOKIAL Husband: KANDESWAR CHOKIAL House No: 16 House No: 16 House No: 16 Age: 71 Sex: Male Age: 36 Sex: Male Age: 31 Sex: Female

115 GRD0000601 116 GRD0000602 117 GRD0000603 Name: LILAKANTA PEGU Name: DUPORI PEGU Name: BHUPEN SOKIAL Father: PEGU Husband: LILAKANTA PEGU Father: BAPU SOKIAL House No: 18 House No: 18 House No: 18 Age: 51 Sex: Male Age: 48 Sex: Female Age: 47 Sex: Male

118 GRD2235781 119 GRD0000604 120 GRD0000605 Name: NRIPEN PEGU Name: NENGUCHI PEGU Name: DULESWAR PEGU Father: BAPU PEGU Husband: NRIPEN PEGU Father: BAPU PEGU House No: 18 House No: 18 House No: 18 Age: 43 Sex: Male Age: 36 Sex: Female Age: 34 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 5 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 121 GRD0000606 122 GRD0000607 123 GRD0000608 Name: RANJIT PEGU Name: KRIPESWAR SOKIAL Name: GANDULI SOKIAL Father: BAPU PEGU Father: BAPU SOKIAL Husband: RANJIT SOKIAL House No: 18 House No: 18 House No: 18ক Age: 31 Sex: Male Age: 29 Sex: Male Age: 26 Sex: Female

124 GRD0000609 125 GRD0000610 126 GRD0000611 Name: DIPANJALI CHAKIYAL Name: BANOI PEGU Name: NOGEN PEGU Husband: DULESHWAR CHAKIYAL Husband: MATHURA PEGU Father: MATHURA PEGU House No: 18ক House No: 19 House No: 19 Age: 25 Sex: Female Age: 84 Sex: Female Age: 56 Sex: Male

127 GRD2235850 128 GRD2235861 129 GRD2235872 Name: MAKACHI PEGU Name: MINAKSHI PEGU Name: LOCHAN CHOKIAL Husband: NOGEN PEGU Father: NOGEN PEGU Father: PODMESWAR CHOKIAL House No: 19 House No: 19 House No: 20 Age: 53 Sex: Female Age: 31 Sex: Female Age: 51 Sex: Male

130 GRD2235883 131 GRD0000612 132 GRD0000613 Name: BILATI CHOKIAL Name: DHARMESWAR CHOKIAL Name: PUNIRAM CHOKIAL Husband: LOCHAN CHOKIAL Father: LOCHAN CHOKIAL Father: PADMESWAR CHOKIAL House No: 20 House No: 20 House No: 20ক Age: 46 Sex: Female Age: 29 Sex: Male Age: 41 Sex: Male

133 GRD0000614 134 GRD0000615 135 GRD0000616 Name: MAUCHUMI CHOKIAL Name: PRIYARAM CHOKIAL Name: PADUMI CHOKIAL Husband: PUNIRAM CHOKIAL Father: SHIVA CHOKIAL Husband: PRIYARAM CHOKIAL House No: 20ক House No: 21 House No: 21 Age: 36 Sex: Female Age: 61 Sex: Male Age: 56 Sex: Female

136 GRD0000617 137 GRD0000618 138 GRD0000619 Name: JONKI CHOKIAL Name: RAIG CHOKIAL Name: DILIP PEGU Father: PRIYARAM CHOKIAL Husband: BAMBUL CHOKIAL Father: HAREN PEGU House No: 21 House No: 21ক House No: 22 Age: 31 Sex: Female Age: 46 Sex: Female Age: 51 Sex: Male

139 GRD0000620 140 GRD2235996 141 GRD0000621 Name: RENU PEGU Name: PUNESWAR CHOKIAL Name: TIKAMANI CHOKIAL Husband: DILIP PEGU Father: MARICHE CHOKIAL Husband: PUNESWAR CHOKIAL House No: 22 House No: 22ক House No: 22ক Age: 46 Sex: Female Age: 43 Sex: Male Age: 41 Sex: Female

142 GRD0000622 143 GRD0000623 144 GRD0000624 Name: SIRMOTI PEGU Name: BECHAI PEGU Name: NIRANJAN PEGU Husband: PATIRAM PEGU Father: PATIRAM PEGU Father: POTIRAM PEGU House No: 23 House No: 23 House No: 23 Age: 56 Sex: Female Age: 31 Sex: Male Age: 29 Sex: Male

145 GRD0000625 146 GRD2236091 147 GRD0000626 Name: BABUL PEGU Name: BIMAN PEGU Name: KAMPOTI PEGU Father: BHIMLAL PEGU Father: BHIMLAL PEGU Husband: BABUL PEGU House No: 23ক House No: 23ক House No: 23ক Age: 56 Sex: Male Age: 53 Sex: Male Age: 51 Sex: Female

148 GRD2236080 149 GRD0000627 150 GRD0000628 Name: RAJIB PEGU Name: MINAKSHI PEGU Name: MANGALI PEGU Father: BABUL PEGU Husband: NIRANJAN PEGU Husband: BIMAN PEGU House No: 23ক House No: 23ক House No: 23ক Age: 31 Sex: Male Age: 26 Sex: Female Age: 49 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 6 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 151 GRD0000629 152 GRD2236137 153 GRD0000630 Name: RAJEN PEGU Name: TULABOTI PEGU Name: KATIRAM BORA Father: BHIMLAL PEGU Husband: RAJEN PEGU Father: CHENIRAM BORA House No: 23ক House No: 23ক House No: 24 Age: 51 Sex: Male Age: 46 Sex: Female Age: 73 Sex: Male

154 GRD2236159 155 GRD2236160 156 GRD0074765 Name: HEMANTA BORA Name: PRASHANTA BORA Name: RITAMONI BORAH Father: KATIRAM BORA Father: KATIRAM BORA Husband: HEMCHANDRA BORAH House No: 24 House No: 24 House No: 24 Age: 34 Sex: Male Age: 31 Sex: Male Age: 26 Sex: Female

157 GRD0256677 158 GRD0000631 159 GRD0000632 Name: RUPALI BORAH Name: BAPURAM BORA Name: AKAMAN BORA Husband: PRASANTA BORAH Father: CHENIRAM BORA Husband: BAPURAM BORA House No: 24 House No: 25 House No: 25 Age: 25 Sex: Female Age: 61 Sex: Male Age: 58 Sex: Female

160 GRD0078147 161 GRD2236206 162 GRD0000633 Name: ANANTA BORAH Name: AIJANI BORA Name: ANIL BORA Father: BAPURAM BORAH Husband: NALIYA BORA Father: NALIYA BORA House No: 25 House No: 26 House No: 26 Age: 20 Sex: Male Age: 71 Sex: Female Age: 41 Sex: Male

163 GRD0000634 164 GRD0000635 165 GRD0081356 Name: RITA BORA Name: PRABIN BORA Name: JAYANTA BORAH Husband: ANIL BORA Father: NALIYA BORA Father: ANIL BORAH House No: 26 House No: 26 House No: 26 Age: 39 Sex: Female Age: 38 Sex: Male Age: 19 Sex: Male

166 GRD0000636 167 GRD0000637 168 GRD0000639 Name: GANESWAR PEGU Name: CHAMPAWATI PEGU Name: JUNU BORA Father: MULU PEGU Husband: GANESWAR PEGU Husband: PRABIN BORA House No: 26ক House No: 26ক House No: 26ক Age: 60 Sex: Male Age: 55 Sex: Female Age: 36 Sex: Female

169 GRD0000640 170 GRD0000641 171 GRD0000642 Name: BINOD PEGU Name: DIBAKAR PEGU Name: MANIKANTA PEGU Father: GANESWAR PEGU Father: GANESWAR PEGU Father: MATIYA PEGU House No: 26ক House No: 26ক House No: 27 Age: 30 Sex: Male Age: 28 Sex: Male Age: 61 Sex: Male

172 GRD0000643 173 GRD0000644 174 GRD0000645 Name: HIRADOI PEGU Name: CHIMNATH DOLEY Name: BHANGAN DOLEY Husband: MANIKANTA PEGU Father: BABAO DOLEY Husband: CHIMNATH DOLEY House No: 27 House No: 28 House No: 28 Age: 56 Sex: Female Age: 48 Sex: Male Age: 41 Sex: Female

175 GRD1762749 176 GRD0085316 177 GRD0000647 Name: LAKSHESHWARI DOLEY Name: PRABITRA BORAH Name: SHIBARAM PEGU Husband: SUNIL DOLEY Father: KATIA BORAH Father: BEDAL PEGU House No: 28 House No: 28 House No: 28ক Age: 27 Sex: Female Age: 19 Sex: Male Age: 45 Sex: Male

178 GRD2236342 179 GRD1762738 180 GRD0265108 Name: PRATIMA PEGU Name: SUNIL DOLEY Name: BICHITRA PEGU Husband: SHIBARAM PEGU Father: JOGEN DOLEY Father: MONIKANTA PEGU House No: 28ক House No: 28ক House No: 29 Age: 40 Sex: Female Age: 32 Sex: Male Age: 18 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 7 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 181 GRD0000648 182 GRD0000649 183 GRD0000650 Name: PHULESWAR PEGU Name: MANOMATI PEGU Name: BIRINCHI PEGU Father: MANIRAM PEGU Husband: PHULESWAR PEGU Father: MANIRAM PEGU House No: 30 House No: 30 House No: 30 Age: 52 Sex: Male Age: 46 Sex: Female Age: 31 Sex: Male

184 GRD2236386 185 GRD0000651 186 GRD0000652 Name: MANESWAR PEGU Name: BIDYA PEGU Name: BHUTALI PEGU Father: MANGALA PEGU Husband: MONESWAR PEGU Husband: MIRIKAI PEGU House No: 30ক House No: 30ক House No: 32 Age: 46 Sex: Male Age: 41 Sex: Female Age: 76 Sex: Female

187 GRD2236411 188 GRD2236422 189 GRD0268359 Name: KULARAM PEGU Name: KALPANA PEGU Name: SUMI PEGU Father: MIRIKAI PEGU Husband: KULARAM PEGU Father: KULAGAM PEGU House No: 32 House No: 32 House No: 32 Age: 48 Sex: Male Age: 41 Sex: Female Age: 23 Sex: Female

190 GRD2236455 191 GRD0000653 192 GRD0000654 Name: BAMUN PEGU Name: MAMTAJ PEGU Name: SWAPNALI PEGU Father: MIRIKAI PEGU Husband: BAMUN PEGU Father: BAMUN PEGU House No: 32ক House No: 32ক House No: 32ক Age: 56 Sex: Male Age: 51 Sex: Female Age: 29 Sex: Male

193 GRD2236499 194 GRD0000655 195 GRD0000656 Name: BANGALI PEGU Name: CHIRU PEGU Name: BIKRAMJIT PEGU Father: BAMUN PEGU Father: HAREN PEGU Father: PODMADHAR PEGU House No: 32ক House No: 33 House No: 34 Age: 25 Sex: Male Age: 35 Sex: Male Age: 38 Sex: Male

196 GRD0000657 197 GRD0000658 198 GRD0000659 Name: MODAN PEGU Name: DEORI PEGU Name: RIJU PEGU Father: PODMADHAR PEGU Husband: MADAN PEGU Husband: BIKRAMJIT PEGU House No: 34 House No: 34ক House No: 34ক Age: 36 Sex: Male Age: 29 Sex: Female Age: 28 Sex: Female

199 GRD0000660 200 GRD0000661 201 GRD0000662 Name: RANJIT CHOKIAL Name: CHENIMAI CHOKIAL Name: BOGEN CHOKIAL Father: MATHURA CHOKIAL Husband: RANJIT CHOKIAL Father: MATHURA CHOKIAL House No: 35 House No: 35 House No: 36 Age: 47 Sex: Male Age: 41 Sex: Female Age: 56 Sex: Male

202 GRD0000663 203 GRD0272427 204 GRD0000664 Name: DALCHENI CHOKIAL Name: TOPAN CHOKIAL Name: BROJEN PEGU Husband: BOGEN CHOKIAL Father: BOGEN CHOKIAL Father: MIRIKAI PEGU House No: 36 House No: 36 House No: 36ক Age: 51 Sex: Female Age: 22 Sex: Male Age: 38 Sex: Male

205 GRD0000665 206 GRD0000666 207 GRD0000667 Name: DIPA PEGU Name: JANATA CHOKIAL Name: LABANYA CHOKIAL Husband: BROJEN PEGU Father: NARAYAN CHOKIAL Husband: JANATA CHOKIAL House No: 36KACORRECTED House No: 36ক House No: 36ক Age: 33 Sex: Female Age: 51 Sex: Male Age: 41 Sex: Female

208 GRD0000668 209 GRD0000669 210 GRD0000670 Name: DILIP CHOKIAL Name: NARESWAR MUDOI Name: PUNYESWARI MUDOI Father: NARAYAN CHOKIAL Father: BIRAM MUDOI Husband: NARESWAR MUDOI House No: 36ক House No: 37 House No: 37 Age: 43 Sex: Male Age: 61 Sex: Male Age: 56 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 8 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 211 GRD0000671 212 GRD1714905 213 GRD0098996 Name: RAMEN MUDOI Name: RUPAHI MUDOI Name: BITUPON MUDOI Father: NARESHWAR MUDOI Husband: RAMEN MUDOI Father: NORESWAR MUDOI House No: 37 House No: 37 House No: 37 Age: 25 Sex: Male Age: 21 Sex: Female Age: 19 Sex: Male

214 GRD2236819 215 GRD2236820 216 GRD2236831 Name: BHOGESWAR MUDOI Name: BUTALI MUDOI Name: RANTU MUDOI Father: BIRAM MUDOI Husband: BHOGESWAR MUDOI Father: BHOGESWAR MUDOI House No: 38 House No: 38 House No: 38 Age: 69 Sex: Male Age: 63 Sex: Female Age: 35 Sex: Male

217 GRD0000672 218 GRD0000673 219 GRD0000674 Name: BINOD MUDOI Name: PRADIP MUDOI Name: RATUL MUDOI Father: BHOGESWAR MUDOI Father: BHOGESWAR MUDOI Father: BHOGESWAR MUDOI House No: 38 House No: 38 House No: 38 Age: 33 Sex: Male Age: 31 Sex: Male Age: 29 Sex: Male

220 GRD2236808 221 GRD0000675 222 GRD2236897 Name: MAKHANI MUDOI Name: DINESWAR MUDOI Name: BIPUL MUDOI Husband: RANTU HAZARIKA Father: BIRAM MUDOI Father: DINESWAR MUDOI House No: 38 House No: 39 House No: 39 Age: 25 Sex: Female Age: 59 Sex: Male Age: 37 Sex: Male

223 GRD2236900 224 GRD2236911 225 GRD0000676 Name: MAINA MUDOI Name: BITUL MUDOI Name: NAMITA SAIKIA MUDOI Husband: BIPUL MUDOI Father: DINESWAR MUDOI Husband: BITUL MUDOI House No: 39 House No: 39 House No: 39 Age: 35 Sex: Female Age: 29 Sex: Male Age: 23 Sex: Female

226 GRD0000677 227 GRD0000678 228 GRD0000680 Name: MANIKI HAZARIKA Name: MAHESWAR HAZARIKA Name: MINA HAZARIKA Husband: PONARAM HAZARIKA Father: PONARAM HAZARIKA Husband: MAHESWAR HAZARIKA House No: 40 House No: 40 House No: 40 Age: 76 Sex: Female Age: 39 Sex: Male Age: 36 Sex: Female

229 GRD0000681 230 GRD2236977 231 GRD0000682 Name: JIBESWAR HAZARIKA Name: PURNAKANTA HAZARIKA Name: MAJNU MUDOI Mother: PONARAM HAZARIKA Father: PONARAM HAZARIKA Father: POHAR MUDOI House No: 40 House No: 40 House No: 41 Age: 35 Sex: Male Age: 33 Sex: Male Age: 39 Sex: Female

232 GRD0000683 233 GRD0000684 234 GRD0000685 Name: KOMOL MUDOI Name: DIPALI MUDOI Name: PUTUL SAIKIA Father: POHAR MUDOI Husband: KOMOL MUDOI Father: PELON SAIKIA House No: 41 House No: 41 House No: 42 Age: 37 Sex: Male Age: 34 Sex: Female Age: 63 Sex: Male

235 GRD0000686 236 GRD0000688 237 GRD0000689 Name: BINA SAIKIA Name: DEBEN SAIKIA Name: RUPA SAIKIA Husband: PUTUL SAIKIA Father: PUTUL SAIKIA Husband: DEBEN SAIKIA House No: 42 House No: 42 House No: 42 Age: 59 Sex: Female Age: 38 Sex: Male Age: 36 Sex: Female

238 GRD0000690 239 GRD0000691 240 GRD0276675 Name: RAJIB SAIKIA Name: JONALI SAIKIA Name: DIBYAJYOTI SAIKIA Father: PUTUL SAIKIA Father: PUTUL SAIKIA Father: PUTUL SAIKIA House No: 42 House No: 42 House No: 42 Age: 31 Sex: Male Age: 29 Sex: Female Age: 20 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 9 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 241 GRD0000692 242 GRD0000693 243 GRD1714916 Name: PAPU SAIKIA Name: MANORAM BORA Name: DIPALI BORA Father: PUTUL SAIKIA Father: MAMARO BORA Husband: BIPUL BORA House No: 42ক House No: 43 House No: 43 Age: 22 Sex: Male Age: 66 Sex: Male Age: 35 Sex: Female

244 GRD0000694 245 GRD0000695 246 GRD0000696 Name: BIPUL BORA Name: PUNI HAZARIKA Name: ANANTA HAZARIKA Father: MANORAM BORA Husband: MALBHOG HAZARIKA Father: MALBHOG HAZARIKA House No: 43 House No: 44 House No: 44 Age: 33 Sex: Male Age: 61 Sex: Female Age: 31 Sex: Male

247 GRD0000697 248 GRD0000698 249 GRD0000699 Name: SUREN BHUYAN Name: PUNITA BHUYAN Name: DHANMAI BORA Father: KHIRESHWAR BHUYAN Husband: SUREN BHUYAN Husband: DANDESHWAR BORA House No: 45 House No: 45 House No: 46 Age: 41 Sex: Male Age: 38 Sex: Female Age: 53 Sex: Female

250 GRD0000700 251 GRD1762750 252 GRD0000701 Name: BEDANTA BORA Name: UTPAL BORA Name: DHARMESWAR BORA Father: DANDESWAR BORA Mother: DHANAMAI BORA Father: MOLAI BORA House No: 46 House No: 46 House No: 46ক Age: 29 Sex: Male Age: 28 Sex: Male Age: 51 Sex: Male

253 GRD2237209 254 GRD0000702 255 GRD0000703 Name: PUTOLI HAZARIKA BORA Name: SHIMANTA BORA Name: TRIDIP BORA Husband: DHARMESWAR BORA Father: DANDESHWAR BORA Father: RABIRAM BORA House No: 46ক House No: 46ক House No: 46ক Age: 48 Sex: Female Age: 25 Sex: Male Age: 25 Sex: Male

256 GRD0000704 257 GRD0000705 258 GRD2237210 Name: TRIBENI BORA Name: SHIKHAMANI BORA Name: RABIRAM BORA Father: RABIRAM BORA Father: DANDESHWAR BORA Father: TIPARAM BORA House No: 46ক House No: 46ক House No: 46ক Age: 25 Sex: Female Age: 23 Sex: Female Age: 59 Sex: Male

259 GRD0000706 260 GRD0000707 261 GRD0000708 Name: TULESWARI BORA Name: SURJYA BORA Name: KESHADA BORA Husband: RABIRAM BORA Father: DHANIRAM BORA Husband: SURJYA BORA House No: 46ক House No: 47 House No: 47 Age: 56 Sex: Female Age: 59 Sex: Male Age: 51 Sex: Female

262 GRD0000709 263 GRD0000710 264 GRD0000711 Name: BIUTI BORA Name: SUREN BORA Name: PHOTIK BORA Father: SURYYA BORA Father: DHANIRAM BORA Father: SUREN BORA House No: 47ক House No: 48 House No: 48 Age: 24 Sex: Female Age: 54 Sex: Male Age: 34 Sex: Male

265 GRD0000712 266 GRD1714927 267 GRD0000713 Name: HAREN BORA Name: DIPA MANI BORA Name: ATUL BORA Father: SUREN BORA Husband: FATIK BORA Father: SONDHAN BORA House No: 48 House No: 48 House No: 49 Age: 29 Sex: Male Age: 25 Sex: Female Age: 36 Sex: Male

268 GRD2237356 269 GRD0000714 270 GRD0000715 Name: JOGESWAR BORA Name: BHOBESWARI BORA Name: MOHENDRA BORA Father: DHONIRAM BORA Husband: JOGYESWAR BORA Father: JOGESWAR BORA House No: 50 House No: 50 House No: 50 Age: 61 Sex: Male Age: 58 Sex: Female Age: 23 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 10 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 271 GRD0281006 272 GRD2237389 273 GRD0000716 Name: TUTU BORAH Name: NANDESWAR HAZARIKA Name: LILI HAZARIKA Father: JOGYESWAR BORAH Father: GANGADHAR HAZARIKA Husband: TONKESWAR HAZARIKA House No: 50 House No: 51 House No: 51 Age: 19 Sex: Male Age: 58 Sex: Male Age: 49 Sex: Female

274 GRD0000717 275 GRD0000718 276 GRD0000719 Name: LILABATI HAZARIKA Name: HEMAKANTA HAZARIKA Name: ROSHMI KALITA HAZARIKA Husband: NANDESWAR HAZARIKA Father: TONKESWAR HAZARIKA Husband: HEMAKANTA HAZARIKA House No: 51 House No: 51 House No: 51 Age: 43 Sex: Female Age: 34 Sex: Male Age: 25 Sex: Female

277 GRD0000720 278 GRD1762761 279 GRD0000721 Name: SIMANTA HAZARIKA Name: BABITA HAZARIKA Name: DIGANTA HAZARIKA Father: NONDESWAR HAZARIKA Father: NANDESHWAR HAZARIKA Mother: LILI HAZARIKA House No: 51 House No: 51 House No: 51ক Age: 21 Sex: Male Age: 20 Sex: Female Age: 25 Sex: Male

280 GRD0000722 281 GRD0000723 282 GRD0000724 Name: BHAN HAZARIKA Name: BHOLA HAZARIKA Name: BAP HAZARIKA Husband: SOMESWAR HAZARIKA Father: SOMESWAR HAZARIKA Father: SOMESWAR HAZARIKA House No: 52 House No: 52 House No: 52 Age: 63 Sex: Female Age: 36 Sex: Male Age: 31 Sex: Male

283 GRD0000725 284 GRD0000726 285 GRD0000727 Name: KAMAL SAIKIA Name: DIGANTA SAIKIA Name: JUN SAIKIA Father: SISHURAM SAIKIA Father: KAMAL SAIKIA Husband: DIGANTA SAIKIA House No: 53 House No: 53 House No: 53ক Age: 63 Sex: Male Age: 29 Sex: Male Age: 30 Sex: Female

286 GRD0000728 287 GRD0000730 288 GRD0000731 Name: TULASHI SAIKIA Name: SOKORI SAIKIA Name: PURNAKANTA SAIKIA Father: SISHURAM SAIKIA Husband: TULASI SAIKIA Father: TULASHI SAIKIA House No: 54 House No: 54 House No: 54 Age: 68 Sex: Male Age: 63 Sex: Female Age: 36 Sex: Male

289 GRD0000732 290 GRD0000733 291 GRD0000734 Name: ILI SAIKIA Name: BHAIKON BORA Name: SABITRI BORA Husband: PURNAKANTA SAIKIA Father: DUTTA BORA Husband: BHAIKON BORA House No: 54 House No: 55 House No: 55 Age: 27 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

292 GRD0000735 293 GRD0000736 294 GRD0000738 Name: SONMAI SAIKIA Name: NRIPEN SAIKIA Name: PROBHA SAIKIA Husband: BHOGESWAR SAIKIA Father: BHOGESWAR SAIKIA Husband: NRIPEN SAIKIA House No: 56 House No: 56 House No: 56 Age: 81 Sex: Female Age: 43 Sex: Male Age: 42 Sex: Female

295 GRD0000739 296 GRD0000740 297 GRD0000741 Name: PRASHANTA SAIKIA Name: MINU SAIKIA Name: JAYANTA SAIKIA Father: BHOGESWAR SAIKIA Husband: PRASHANTA SAIKIA Father: BHOGESWAR SAIKIA House No: 56 House No: 56 House No: 56 Age: 41 Sex: Male Age: 36 Sex: Female Age: 34 Sex: Male

298 GRD0000742 299 GRD1762772 300 GRD1762783 Name: DIGANTA SAIKIA Name: DEUTI SAIKIA Name: BIPUL SAIKIA Father: BHOGESWAR SAIKIA Father: GOLAP SAIKIA Father: DEUTI SAIKIA House No: 56 House No: 56ক House No: 56ক Age: 31 Sex: Male Age: 62 Sex: Male Age: 33 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 11 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 301 GRD1762794 302 GRD0000743 303 GRD0000744 Name: NIRU SAIKIA Name: JITEN BORA Name: RANJIT BORA Husband: BIPUL SAIKIA Father: SHOBHAN BORA Father: JITEN BORA House No: 56ক House No: 57 House No: 57 Age: 27 Sex: Female Age: 83 Sex: Male Age: 46 Sex: Male

304 GRD0000745 305 GRD0000746 306 GRD0000747 Name: MAJANI BORA Name: PRAMOD BORA Name: POBAN BORA Husband: RANJIT BORA Father: RANJIT BORA Father: RANJIT BORA House No: 57 House No: 57 House No: 57 Age: 41 Sex: Female Age: 24 Sex: Male Age: 22 Sex: Male

307 GRD1714950 308 GRD1762807 309 GRD0000748 Name: DHANUMANI SAIKIA BORA Name: PRANAB BORA Name: LAKSHIDHAR SAIKIA Father: PRAMOD BORA Father: RANJIT BORA Father: MUHIRAM SAIKIA House No: 57 House No: 57 House No: 57ক Age: 21 Sex: Female Age: 20 Sex: Male Age: 26 Sex: Male

310 GRD0000749 311 GRD0000750 312 GRD2237696 Name: MATO SAIKIA Name: AGHONI BORA Name: TUTUMANI BORA Husband: LAKSHIDHAR SAIKIA Husband: RASESWAR BORA Husband: PRASEN BORA House No: 57ক House No: 58 House No: 58 Age: 24 Sex: Female Age: 76 Sex: Female Age: 36 Sex: Female

313 GRD0000751 314 GRD0000752 315 GRD0000753 Name: BHANI BORA Name: DILIP BORA Name: BIREN BORA Father: PADMESWAR BORA Father: PADMESWAR BORA Father: PADMESWAR BORA House No: 59 House No: 59 House No: 59 Age: 51 Sex: Female Age: 46 Sex: Male Age: 43 Sex: Male

316 GRD0000754 317 GRD0000755 318 GRD2237754 Name: RINA BORA Name: DIPA BORA Name: BINOD BORA Husband: DILIP BORA Husband: BIREN BORA Father: PADMESWAR BORA House No: 59 House No: 59 House No: 59 Age: 41 Sex: Female Age: 39 Sex: Female Age: 29 Sex: Male

319 GRD2245616 320 GRD2237765 321 GRD0000756 Name: ANUP BORA Name: PRABHAT BORA Name: RINA BORA Father: DILIP BORA Father: PADMESWAR BORA Husband: PRABHAT BORA House No: 59 House No: 60 House No: 60 Age: 21 Sex: Male Age: 56 Sex: Male Age: 51 Sex: Female

322 GRD0000757 323 GRD0000758 324 GRD1714961 Name: UPEN BORA Name: JONAKI BORA Name: DIPAK BORA Father: KUSHESWAR BORA Husband: UPEN BORA Father: UPEN BORA House No: 61 House No: 61 House No: 61 Age: 46 Sex: Male Age: 41 Sex: Female Age: 22 Sex: Male

325 GRD0000759 326 GRD0000760 327 GRD0000761 Name: NOMAL SAIKIA Name: TUTUMONI SAIKIA Name: BIDYADHAR SAIKIA Father: SISHURAM SAIKIA Husband: NOMAL SAIKIA Father: NOMAL SAIKIA House No: 62 House No: 62 House No: 62 Age: 66 Sex: Male Age: 59 Sex: Female Age: 37 Sex: Male

328 GRD0000762 329 GRD0000763 330 GRD0000764 Name: BUL SAIKIA Name: RABINDRA SAIKIA Name: PAPI SAIKIA Husband: BIDYADHAR SAIKIA Father: NOMAL SAIKIA Husband: RABINDRA SAIKIA House No: 62 House No: 62 House No: 62ক Age: 35 Sex: Female Age: 30 Sex: Male Age: 24 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 12 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 331 GRD0000765 332 GRD0000766 333 GRD0000767 Name: SHAILYA DEVI Name: BIDHAN PUZARI Name: ARUNIMA THAKUR PUZARI Husband: GUNJANATH PUZARI Father: GUNJANATH PUZARI Husband: BIDHAN PUZARI House No: 63 House No: 63 House No: 63 Age: 66 Sex: Female Age: 43 Sex: Male Age: 41 Sex: Female

334 GRD0000768 335 GRD1714972 336 GRD0287938 Name: PRAHALAD PUZARI Name: KABITA PUJARI Name: PAPU PEGU Father: GUNJANATH PUZARI Husband: PRAHLAD PUJARI Father: AMERIKA PEGU House No: 63 House No: 63 House No: 63 Age: 35 Sex: Male Age: 26 Sex: Female Age: 18 Sex: Male

337 GRD0000769 338 GRD0000770 339 GRD0000771 Name: AMERICA PEGU Name: SWARAMOTI PEGU Name: SHANIRAM PEGU Father: BHIM PEGU Husband: AMERICA PEGU Father: BHIMPATIR PEGU House No: 63ক House No: 63ক House No: 63ক Age: 56 Sex: Male Age: 51 Sex: Female Age: 54 Sex: Male

340 GRD0000772 341 GRD0000773 342 GRD2237981 Name: PUNYAMATI PEGU Name: MANOJ PEGU Name: LECHI PEGU Husband: SHANIRAM PEGU Father: KAMAL PEGU Husband: MANOJ PEGU House No: 63ক House No: 64 House No: 64 Age: 49 Sex: Female Age: 61 Sex: Male Age: 56 Sex: Female

343 GRD0000774 344 GRD0000775 345 GRD0000776 Name: NANU DOLEY Name: PANUMOTI DOLEY Name: MANOJ DOLEY Father: DEHIRAM DOLEY Husband: NANU DOLEY Father: NANU DOLEY House No: 65 House No: 65 House No: 65 Age: 56 Sex: Male Age: 51 Sex: Female Age: 36 Sex: Male

346 GRD0000777 347 GRD1714983 348 GRD0122549 Name: PACHIYA DOLEY Name: INUJ DOLEY Name: SANTUSH DOLEY Husband: MANOJ DOLEY Father: NANU DOLEY Father: NANU DOLEY House No: 65 House No: 65 House No: 65 Age: 31 Sex: Female Age: 24 Sex: Male Age: 19 Sex: Male

349 GRD0000779 350 GRD0000780 351 GRD0289389 Name: MUNINDRA BORA Name: GUNADA BORA Name: BIPUL MILI Father: BORLORA BORA Husband: MUNINDRA BORA Father: BUBU PEGU House No: 66 House No: 66 House No: 66 Age: 51 Sex: Male Age: 48 Sex: Female Age: 22 Sex: Male

352 GRD0289447 353 GRD0289629 354 GRD0000781 Name: KULAI MILI Name: ROTNESWAR MILI Name: BUBU MILI Father: BUBU MILI Father: BUBU MILI Father: LENGA MILI House No: 66 House No: 66 House No: 66ক Age: 20 Sex: Male Age: 18 Sex: Male Age: 56 Sex: Male

355 GRD2238097 356 GRD0363309 357 GRD0363317 Name: MEME MILI Name: AKANTI MILI Name: PULENDAR MILI Husband: BUBU MILI Husband: LENGA MILI Father: LENGA MILI House No: 66ক House No: 66KA House No: 66KA Age: 51 Sex: Female Age: 35 Sex: Female Age: 33 Sex: Male

358 GRD0363325 359 GRD0363267 360 GRD0363515 Name: SUWALI MILI Name: DILIP MILI Name: RAKESH MILI Husband: PULENDAR MILI Father: LENGA MILI Father: DILIP MILI House No: 66KA House No: 66KHA House No: 66KHA Age: 31 Sex: Female Age: 37 Sex: Male Age: 20 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 13 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 361 GRD0363556 362 GRD2238100 363 GRD0000782 Name: AJIT MILI Name: MANGALI MALA Name: INDESHWAR MALA Father: DILIP MILI Husband: GOBARDHAN MALA Husband: GOBARDHAN MALA House No: 66KHA House No: 67 House No: 67 Age: 18 Sex: Male Age: 71 Sex: Female Age: 33 Sex: Female

364 GRD1714994 365 GRD0289876 366 GRD1715000 Name: LACHMAN MALA Name: KAMAL DEO MALA Name: DIPALI MALA Mother: MANGLI MALA Father: DEWKAN MALA Husband: LACHMAN MALA House No: 67 House No: 67 House No: 67 Age: 24 Sex: Male Age: 22 Sex: Male Age: 21 Sex: Female

367 GRD0289959 368 GRD0290189 369 GRD0000783 Name: JAYANTA MALA Name: GOBINDA MALA Name: REKHA MONI MALA Father: DEWKAN MALA Father: DEWKAN MALA Husband: INDRESHWAR MALA House No: 67 House No: 67 House No: 67ক Age: 20 Sex: Male Age: 18 Sex: Male Age: 26 Sex: Female

370 GRD2238144 371 GRD2238155 372 GRD2238166 Name: JETUKI PEGU Name: INDRESWAR PEGU Name: PODESWAR PEGU Husband: BIRAMAN PEGU Father: BIRAMAN PEGU Father: BIRAMON PEGU House No: 68 House No: 68 House No: 68 Age: 76 Sex: Female Age: 39 Sex: Male Age: 36 Sex: Male

373 GRD0000784 374 GRD0000785 375 GRD0000787 Name: DHARMESWAR PEGU Name: SONCHENI PEGU Name: AMIKA PEGU Father: BIRAMAN PEGU Father: BIRAMAN PEGU Husband: PADESHWAR PEGU House No: 68 House No: 68 House No: 68 Age: 34 Sex: Male Age: 31 Sex: Female Age: 25 Sex: Female

376 GRD0000788 377 GRD0000789 378 GRD0000790 Name: DHANESWARI PEGU Name: SARASWATI SINGH Name: RAJKUMAR SINGH Husband: BIRAL PEGU Husband: SOHAN SINGH Father: SOHAN SINGH House No: 69 House No: 69 House No: 69 Age: 73 Sex: Female Age: 66 Sex: Female Age: 36 Sex: Male

379 GRD0000791 380 GRD2238235 381 GRD0000792 Name: BHANU SINGH Name: RAMBABU SINGH Name: CHARAMOTI PEGU Husband: RAJKUMAR SINGH Father: SOHAN SINGH Husband: UPENDRA PEGU House No: 69 House No: 69 House No: 70 Age: 34 Sex: Female Age: 31 Sex: Male Age: 91 Sex: Female

382 GRD0000793 383 GRD0000794 384 GRD0000795 Name: MOMOL PEGU Name: DEBOJANI PEGU Name: RAJMOL PEGU Father: UPENDRA PEGU Husband: MOMOL PEGU Father: UPENDRA PEGU House No: 70 House No: 70 House No: 70 Age: 58 Sex: Male Age: 52 Sex: Female Age: 51 Sex: Male

385 GRD0000796 386 GRD0000797 387 GRD2238326 Name: JAYA PEGU Name: AMAR PEGU Name: JAYA PEGU Husband: RAJMOL PEGU Father: UPENDRA PEGU Husband: RAJMAN PEGU House No: 70 House No: 70 House No: 70 Age: 48 Sex: Female Age: 46 Sex: Male Age: 35 Sex: Female

388 GRD2238337 389 GRD0365288 390 GRD0291906 Name: PUSHPANJALI DOLEY Name: KHIRUD PEGU Name: RIMPI PEGU Father: PRASHANTA DOLEY Father: MOMAL PEGU Father: NOMAL PEGU House No: 70 House No: 70 House No: 70 Age: 24 Sex: Female Age: 19 Sex: Male Age: 18 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 14 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 391 GRD2238348 392 GRD2238359 393 GRD0000798 Name: NOMAL PEGU Name: HEMLATA PEGU Name: PARIMAL PEGU Father: UPENDRA PEGU Husband: NOMAL PEGU Father: UPENDRA PEGU House No: 70ক House No: 70ক House No: 70ক Age: 46 Sex: Male Age: 41 Sex: Female Age: 41 Sex: Male

394 GRD0000799 395 GRD0126847 396 GRD2238393 Name: TEKTOI PEGU Name: ANKUR PEGU Name: PROMITA PEGU Husband: PARIMAL PEGU Father: PORIMOL PEGU Husband: JETHMAL PEGU House No: 70ক House No: 70KHA House No: 71 Age: 37 Sex: Female Age: 19 Sex: Male Age: 56 Sex: Female

397 GRD0000801 398 GRD2245638 399 GRD0365346 Name: SURJYA PEGU Name: BANTI PEGU Name: HIROKJYOTI PEGU Father: JETHMOL PEGU Husband: SURJYA PEGU Father: JETHMOL PEGU House No: 71 House No: 71 House No: 71 Age: 30 Sex: Male Age: 25 Sex: Female Age: 24 Sex: Male

400 GRD2238417 401 GRD0000802 402 GRD0000803 Name: BIMAL PEGU Name: PRATIMA PEGU Name: BONGALI MILI Father: UPENDRA PEGU Husband: BIMAL PEGU Father: MUHIRAM MILI House No: 71ক House No: 71ক House No: 72 Age: 47 Sex: Male Age: 41 Sex: Female Age: 61 Sex: Male

403 GRD0000804 404 GRD0000805 405 GRD0000806 Name: AGAMI MILI Name: NIROLA MILI Name: KONOKLOTA MILI Husband: BENGALI MILI Husband: PRADIP MILI Father: BENGALI MILI House No: 72 House No: 72 House No: 72 Age: 56 Sex: Female Age: 34 Sex: Female Age: 33 Sex: Female

406 GRD0000807 407 GRD0292565 408 GRD0000808 Name: SHARMA MILI Name: NUMALIA MILI Name: ANJU MILI Father: BENGALI MILI Father: MUHIRAM MILI Father: BENGALI MILI House No: 72 House No: 72 House No: 72 Age: 31 Sex: Male Age: 30 Sex: Male Age: 29 Sex: Female

409 GRD0292656 410 GRD1762818 411 GRD2238495 Name: KONAI MILI Name: DIPAJYOTI PEGU Name: MAHESH PEGU Husband: NUMALIA MILI Father: JETHMAL PEGU Father: CHULAN PEGU House No: 72 House No: 72 House No: 72ক Age: 25 Sex: Female Age: 23 Sex: Male Age: 41 Sex: Male

412 GRD0000809 413 GRD1715011 414 GRD0000810 Name: BANARASHI PEGU Name: RAJU PEGU Name: KAMALSING PEGU Husband: MOHESH PEGU Father: MAHESH PEGU Father: BOGARAM PEGU House No: 72ক House No: 72ক House No: 72ক Age: 38 Sex: Female Age: 21 Sex: Male Age: 66 Sex: Male

415 GRD0000811 416 GRD0000812 417 GRD1715022 Name: UNU PEGU Name: HEMAKANTA PEGU Name: BIMAWATI PEGU Husband: KAMALSINGH PEGU Father: KAMALSINGH PEGU Husband: HEMKANTA PEGU House No: 72ক House No: 72ক House No: 72ক Age: 61 Sex: Female Age: 29 Sex: Male Age: 22 Sex: Female

418 GRD0000813 419 GRD0000814 420 GRD0000815 Name: HEMNATH MILI Name: PROFULLA MILI Name: LILI MILI Father: MOCHAI MILI Father: HEMNATH MILI Husband: PROFULLA MILI House No: 72ক House No: 72ক House No: 72ক Age: 86 Sex: Male Age: 41 Sex: Male Age: 37 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 15 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 421 GRD0000816 422 GRD0000817 423 GRD0000818 Name: BHOBEN MILI Name: RUPANJALI MILI Name: KAMESWAR MILI Father: HEMNATH MILI Husband: BHOBEN MILI Father: MOCHAI MILI House No: 72ক House No: 72ক House No: 72ক Age: 37 Sex: Male Age: 34 Sex: Female Age: 81 Sex: Male

424 GRD0000819 425 GRD0000820 426 GRD0000821 Name: BIRATI MILI Name: AMOL MILI Name: KOSOLI MILI Husband: KAMESWAR MILI Father: KAMESWAR MILI Husband: AMOL MILI House No: 72ক House No: 72ক House No: 72ক Age: 75 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

427 GRD0000822 428 GRD0000823 429 GRD0000824 Name: GUPINATH MILI Name: JURI MILI Name: PRADIP MILI Father: KAMESWAR MILI Father: GOPINATH MILI Father: KAMESWAR MILI House No: 72ক House No: 72ক House No: 72ক Age: 33 Sex: Male Age: 30 Sex: Female Age: 29 Sex: Male

430 GRD1762829 431 GRD2238699 432 GRD0000826 Name: RAJEN MILI Name: JADAB MILI Name: YAKACHI MILI Father: GOPINATH MILI Father: KAMESWAR MILI Husband: JADAB MILI House No: 72ক House No: 72ক House No: 72ক Age: 20 Sex: Male Age: 53 Sex: Male Age: 46 Sex: Female

433 GRD0000827 434 GRD0000829 435 GRD0000830 Name: MAJIB MILI Name: BHUPEN MILI Name: BARNALI MILI Father: JADAB MILI Father: KAMESWAR MILI Husband: BHUPEN MILI House No: 72ক House No: 72ক House No: 72ক Age: 28 Sex: Male Age: 39 Sex: Male Age: 33 Sex: Female

436 GRD0000831 437 GRD0000832 438 GRD0000834 Name: MONI MILI Name: JIBAN MILI Name: BHADRESWAR MILI Father: KAMESWAR MILI Husband: MONI MILI Father: HEMODHAR MILI House No: 72ক House No: 72ক House No: 72ক Age: 51 Sex: Male Age: 46 Sex: Female Age: 66 Sex: Male

439 GRD0000835 440 GRD0000837 441 GRD2238780 Name: GOPAL MILI Name: BINOY MILI Name: BHARATI MILI Other: BHADESHWAR MILI Father: BHADRESWAR MILI Husband: BINOY MILI House No: 72ক House No: 72ক House No: 72ক Age: 45 Sex: Male Age: 36 Sex: Male Age: 34 Sex: Female

442 GRD0000838 443 GRD2238815 444 GRD0000839 Name: BUDHUWA MILI Name: GOLAP MILI Name: MOROMI MILI Father: BHADRESWAR MILI Father: HEMODHAR MILI Husband: GOLAP MILI House No: 72ক House No: 72ক House No: 72ক Age: 28 Sex: Male Age: 42 Sex: Male Age: 39 Sex: Female

445 GRD0128199 446 GRD2238837 447 GRD2238848 Name: NIPEN PEGU Name: MUTUM PADI Name: BAJANTI PADI Father: KAMALSHING PEGU Father: JONAI PADI Husband: MUTUM PADI House No: 72KHA House No: 73 House No: 73 Age: 21 Sex: Male Age: 46 Sex: Male Age: 41 Sex: Female

448 GRD2238859 449 GRD2238860 450 GRD0000840 Name: BHUPEN PADI Name: RUNU PADI Name: SONARAM MILI Father: JONAI PADI Husband: BHUPEN PADI Father: HEMODHAR MILI House No: 73ক House No: 73ক House No: 73ক Age: 41 Sex: Male Age: 36 Sex: Female Age: 71 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 16 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 451 GRD0000841 452 GRD0000842 453 GRD2238906 Name: PRATIMA MILI Name: JOGESH MILI Name: LILIMAI MILI Husband: SONARAM MILI Father: SONARAM MILI Husband: YOGESH MILI House No: 73ক House No: 73ক House No: 73ক Age: 66 Sex: Female Age: 46 Sex: Male Age: 41 Sex: Female

454 GRD0000843 455 GRD0000844 456 GRD0000845 Name: RINKU MILI Name: RAMESH MILI Name: MOHESH MILI Father: SONARAM MILI Father: SONARAM MILI Father: SONARAM MILI House No: 73ক House No: 73ক House No: 73ক Age: 35 Sex: Male Age: 33 Sex: Male Age: 31 Sex: Male

457 GRD1762830 458 GRD0000846 459 GRD1762841 Name: AMINI MILI Name: LONKESWAR MILI Name: ANJALI MILI Husband: RAMESH MILI Father: SONARAM MILI Husband: RINKU MILI House No: 73ক House No: 73ক House No: 73ক Age: 30 Sex: Female Age: 29 Sex: Male Age: 27 Sex: Female

460 GRD0000847 461 GRD0000848 462 GRD0000849 Name: BIREN PEGU Name: PUSHPA PEGU Name: LIMOU PEGU Father: KUMAR PEGU Husband: BIREN PEGU Father: KOBIR PEGU House No: 73ক House No: 73ক House No: 74 Age: 51 Sex: Male Age: 46 Sex: Female Age: 56 Sex: Male

463 GRD0000850 464 GRD1762852 465 GRD0000851 Name: MAHESH PEGU Name: PINKI MILI Name: MANIKA PEGU Father: LIMOU PEGU Husband: BIJOY MILI Husband: MAHESH PEGU House No: 74 House No: 74 House No: 74 Age: 31 Sex: Male Age: 29 Sex: Female Age: 27 Sex: Female

466 GRD0000852 467 GRD0000853 468 GRD2239012 Name: MEMCHI MILI Name: KANURAM MILI Name: SUMITRA MILI Husband: MOBACHAN MILI Father: MOBACHAN MILI Husband: KANURAM MILI House No: 75 House No: 75 House No: 75 Age: 76 Sex: Female Age: 41 Sex: Male Age: 37 Sex: Female

469 GRD0000854 470 GRD2239056 471 GRD0000855 Name: KAMALA MILI Name: PHULMAI MILI Name: DHARMESWAR MILI Father: MOBACHAN MILI Husband: KOMOLA MILI Father: PETUWA MILI House No: 75ক House No: 75ক House No: 76 Age: 50 Sex: Male Age: 42 Sex: Female Age: 51 Sex: Male

472 GRD0000856 473 GRD0000857 474 GRD0000858 Name: MINAKSHI MILI Name: HOREN MILI Name: MOROMI MILI Husband: DHARMESWAR MILI Father: DHARMESWAR MILI Husband: HOREN MILI House No: 76 House No: 76 House No: 76 Age: 48 Sex: Female Age: 33 Sex: Male Age: 30 Sex: Female

475 GRD0000859 476 GRD0000860 477 GRD0000862 Name: CHENIMAI MILI Name: AJOY MILI Name: DIBYAJYOTI MILI Husband: DURGESWAR MILI Father: DURGESWAR MILI Father: DURGESWAR MILI House No: 76ক House No: 76ক House No: 76ক Age: 51 Sex: Female Age: 35 Sex: Male Age: 29 Sex: Female

478 GRD1715033 479 GRD2239169 480 GRD2239170 Name: JERIFA MILI Name: BHRI GURAM MILI Name: CHANMOTI MILI Husband: AJAY MILI Father: PETUWA MILI Husband: BHRIGURAM MILI House No: 76ক House No: 77 House No: 77 Age: 25 Sex: Female Age: 63 Sex: Male Age: 61 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 17 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 481 GRD2239192 482 GRD2239205 483 GRD0294629 Name: PABITRA MILI Name: GAUTOM MILI Name: RUMI MILI Father: BHRIGURAM MILI Father: BHRIGURAM MILI Husband: PABITRA MILI House No: 77 House No: 77 House No: 77 Age: 31 Sex: Male Age: 29 Sex: Male Age: 27 Sex: Female

484 GRD0367185 485 GRD0000863 486 GRD0000864 Name: RUMI PEGU MILI Name: RABIN MILI Name: PEMECHI MILI Husband: POBITRA MILI Father: PETUWA MILI Husband: ROBIN MILI House No: 77 House No: 78 House No: 78 Age: 27 Sex: Female Age: 53 Sex: Male Age: 51 Sex: Female

487 GRD0000865 488 GRD0000866 489 GRD2239250 Name: BIJOY MILI Name: MONJOY MILI Name: DIPIMONI MILI Father: ROBIN MILI Father: ROBIN MILI Father: ROBIN MILI House No: 78 House No: 78 House No: 78 Age: 35 Sex: Male Age: 33 Sex: Male Age: 29 Sex: Female

490 GRD0000867 491 GRD0000868 492 GRD0000870 Name: BALADEV PEGU Name: SOBHAMOTI PEGU Name: BUDHIN PEGU Father: BAPAO PEGU Husband: BOLODEV PEGU Father: BOLDEV PEGU House No: 78ক House No: 78ক House No: 78ক Age: 60 Sex: Male Age: 55 Sex: Female Age: 36 Sex: Male

493 GRD0000871 494 GRD2239307 495 GRD1715044 Name: BHANUMOTI PEGU Name: LAKSHAN PEGU Name: RADHIKA PEGU Husband: BUDHIN PEGU Father: BOLODEV PEGU Husband: LAKSHAN PEGU House No: 78ক House No: 78ক House No: 78ক Age: 33 Sex: Female Age: 29 Sex: Male Age: 21 Sex: Female

496 GRD0295949 497 GRD0296038 498 GRD0000872 Name: SUMITRA PEGU Name: PRANJAL PEGU Name: RUNUMAI PEGU Mother: RUNUMAI PEGU Mother: RUNUMAI PEGU Husband: BANIKANTA PEGU House No: 79 House No: 79 House No: 79ক Age: 20 Sex: Female Age: 18 Sex: Male Age: 39 Sex: Female

499 GRD0000873 500 GRD0000874 501 GRD0000875 Name: RUHINI PATIR Name: KALINATH PATIR Name: JOYMATI PATIR Husband: LAPAR PATIR Father: LAPAR PATIR Husband: KALINATH PATIR House No: 80 House No: 80 House No: 80 Age: 86 Sex: Female Age: 56 Sex: Male Age: 51 Sex: Female

502 GRD0000876 503 GRD0000878 504 GRD0000879 Name: BEAUTY PATIR Name: DILIP PATIR Name: SHASHI PRABHA PATIR Father: LAPAR PATIR Father: LAPAR PATIR Husband: DILIP PATIR House No: 80 House No: 80 House No: 80 Age: 43 Sex: Female Age: 41 Sex: Male Age: 39 Sex: Female

505 GRD0000880 506 GRD0000881 507 GRD0296616 Name: DEBOJANI PATIR Name: JAYANTA PATIR Name: PALLOBI PATIR Father: LAPAR PATIR Father: KALINATH PATIR Father: DILIP PATIR House No: 80 House No: 80 House No: 80 Age: 39 Sex: Female Age: 29 Sex: Male Age: 19 Sex: Female

508 GRD0296798 509 GRD0000882 510 GRD0000883 Name: BIBEKA PATIR Name: DIBYESHWAR PATIR Name: CHINAFERI PATIR Father: DILIP PATIR Father: GANESH PATIR Husband: DIMBESWAR PATIR House No: 80 House No: 81 House No: 81 Age: 18 Sex: Male Age: 46 Sex: Male Age: 44 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 18 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 511 GRD0000884 512 GRD0000885 513 GRD2239465 Name: MUNINDRA PATIR Name: MOHAN PATIR Name: MOLAYA PATIR Father: GANESH PATIR Father: GANESH PATIR Husband: MUNINDRA PATIR House No: 81 House No: 81 House No: 81 Age: 41 Sex: Male Age: 39 Sex: Male Age: 38 Sex: Female

514 GRD0000886 515 GRD0000887 516 GRD0296905 Name: DIJEN PATIR Name: KARABI PATIR Name: PRONAB PATIR Father: GANESH PATIR Husband: DIJEN PATIR Father: GANESH PATIR House No: 81 House No: 81 House No: 81 Age: 37 Sex: Male Age: 35 Sex: Female Age: 35 Sex: Male

517 GRD2239501 518 GRD0000888 519 GRD1715055 Name: RUPANJALI PATIR Name: BHAITI PATIR Name: MARAMI PATIR Father: GANESH PATIR Father: GANESH PATIR Husband: BHAITI PATIR House No: 81 House No: 81 House No: 81 Age: 33 Sex: Female Age: 31 Sex: Male Age: 26 Sex: Female

520 GRD1762863 521 GRD0000890 522 GRD0000891 Name: RANJANA PATIR Name: GOLAP PATIR Name: PACHAMI PATIR Husband: MOHAN PATIR Father: LUDU PATIR Husband: GOLAP PATIR House No: 81 House No: 82 House No: 82 Age: 25 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

523 GRD0000892 524 GRD1715066 525 GRD0297275 Name: RAMESH PATIR Name: PULI PATIR Name: JUNMONI PATIR Father: GOLAP PATIR Husband: RAMESH PATIR Father: GOLAP PATIR House No: 82 House No: 82 House No: 82 Age: 29 Sex: Male Age: 21 Sex: Female Age: 21 Sex: Female

526 GRD1762874 527 GRD0297507 528 GRD2239567 Name: MUNNA PATIR Name: SIMANTA PATIR Name: MANESWAR PEGU Father: GOLAP PATIR Father: GOLAP PATIR Father: KAMAL PEGU House No: 82 House No: 82 House No: 83 Age: 20 Sex: Female Age: 18 Sex: Male Age: 66 Sex: Male

529 GRD0000893 530 GRD0000894 531 GRD2239603 Name: UBHATI PEGU Name: CHAILI PEGU Name: SABANA PEGU Husband: MANESWAR PEGU Father: KAMAL PEGU Father: MANESWAR PEGU House No: 83 House No: 83 House No: 83 Age: 55 Sex: Female Age: 51 Sex: Female Age: 31 Sex: Female

532 GRD0000896 533 GRD0000897 534 GRD0000898 Name: BITUPAN PEGU Name: KAMALAKANTA PATIR Name: KUNJALATA PATIR Father: MANESWAR PEGU Father: PUNYESWAR PATIR Husband: KAMALAKANTA PATIR House No: 83 House No: 84 House No: 84 Age: 29 Sex: Male Age: 48 Sex: Male Age: 41 Sex: Female

535 GRD0000899 536 GRD0000900 537 GRD0000901 Name: SHANDIKOI PATIR Name: ASHIMA PATIR Name: RIVA PATIR Father: PUNESWAR PATIR Husband: SHANDIKOI PATIR Father: PUNESWAR PATIR House No: 84ক House No: 84ক House No: 84ক Age: 46 Sex: Male Age: 44 Sex: Female Age: 43 Sex: Female

538 GRD0000902 539 GRD0000903 540 GRD1715077 Name: AJUDHYA PATIR Name: DEEP PATIR Name: SONALI PATIR Father: PUNESWAR PATIR Father: PUNESWAR PATIR Husband: AYODHYA PATIR House No: 84ক House No: 84ক House No: 84ক Age: 37 Sex: Male Age: 28 Sex: Male Age: 26 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 19 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 541 GRD2239749 542 GRD0000904 543 GRD0000905 Name: PADMADHAR PEGU Name: KANCHAN PEGU Name: SARAT PEGU Father: CHANDIRAM PEGU Husband: PADMADHAR PEGU Father: PADMADHAR PEGU House No: 86 House No: 86 House No: 86 Age: 71 Sex: Male Age: 66 Sex: Female Age: 43 Sex: Male

544 GRD0000906 545 GRD0000907 546 GRD0000908 Name: MAUCHUMI PEGU Name: DIPA PEGU Name: HEMANTA PEGU Father: PADMADHAR PEGU Husband: SARAT PEGU Husband: PADMADHAR PEGU House No: 86 House No: 86 House No: 86 Age: 43 Sex: Female Age: 41 Sex: Female Age: 39 Sex: Female

547 GRD0000909 548 GRD0000911 549 GRD0000912 Name: BASANTA PEGU Name: TARA PEGU Name: SHUBANI PEGU Father: PADMADHAR PEGU Husband: HEMANTA PEGU Husband: BISHWANATH PEGU House No: 86 House No: 86ক House No: 87 Age: 39 Sex: Male Age: 30 Sex: Female Age: 68 Sex: Female

550 GRD0000913 551 GRD0000914 552 GRD0000915 Name: ANIL PEGU Name: BHANU PEGU Name: MANISHA PEGU Father: BISHWANATH PEGU Father: BISHWANATH PEGU Husband: ANIL PEGU House No: 87 House No: 87 House No: 87 Age: 41 Sex: Male Age: 37 Sex: Female Age: 35 Sex: Female

553 GRD0000917 554 GRD0000916 555 GRD0000918 Name: PROPES PEGU Name: MIRNALI PEGU Name: SHRIMANTA PEGU Father: BISHWANATH PEGU Father: BISHWANATH PEGU Father: BISHWANATH PEGU House No: 87 House No: 87 House No: 87 Age: 35 Sex: Male Age: 33 Sex: Female Age: 29 Sex: Male

556 GRD1715088 557 GRD1715099 558 GRD0300319 Name: SUMITRA PEGU Name: DIMI PEGU Name: PARTHA PROTIM PEGU Husband: AJIT PEGU Father: ANIL PEGU Father: ANIL PEGU House No: 87 House No: 87 House No: 87 Age: 22 Sex: Female Age: 21 Sex: Female Age: 18 Sex: Male

559 GRD2239921 560 GRD0000921 561 GRD0000922 Name: HEMANTA DOLEY Name: KAJAL DOLEY Name: LALIT CHANDRA PATIR Father: MEGHNATH DOLEY Husband: HEMANTA DOLEY Father: NAIRAM PATIR House No: 88 House No: 88 House No: 89 Age: 36 Sex: Male Age: 33 Sex: Female Age: 53 Sex: Male

562 GRD2239954 563 GRD0000923 564 GRD0000924 Name: PADMAKUMARI PATIR Name: RENU PATIR Name: ANANTA PATIR Husband: LALIT CHANDRA PATIR Husband: ANANTA PATIR Other: LALIT CHANDRA PATIR House No: 89 House No: 89 House No: 89 Age: 51 Sex: Female Age: 43 Sex: Female Age: 42 Sex: Male

565 GRD0000925 566 GRD0000926 567 GRD0000928 Name: KUSUM PATIR Name: PRASANTA DOLEY Name: MANGAL DOLEY Father: NAIRAM PATIR Father: DHANESWAR DOLEY Father: DHARNESWAR DOLEY House No: 89 House No: 90 House No: 90 Age: 41 Sex: Female Age: 56 Sex: Male Age: 53 Sex: Male

568 GRD2240019 569 GRD0000929 570 GRD0000930 Name: HIRANYA DOLEY Name: BABITA DOLEY Name: LILI DOLEY Husband: PRASHANTA DOLEY Husband: PRASHANTA DOLEY Husband: MANGAL DOLEY House No: 90 House No: 90 House No: 90 Age: 51 Sex: Female Age: 49 Sex: Female Age: 46 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 20 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 571 GRD0000931 572 GRD0000932 573 GRD0000933 Name: BAJANTI DOLEY Name: KALPANA DOLEY Name: JINA DOLEY Father: DHARNESWAR DOLEY Father: DHARNESWAR DOLEY Father: DHANESWAR DOLEY House No: 90 House No: 90 House No: 90 Age: 39 Sex: Female Age: 37 Sex: Female Age: 33 Sex: Female

574 GRD0000934 575 GRD0000935 576 GRD0000936 Name: BIRSAN DOLEY Name: UMATI PEGU Name: RINA PEGU Father: DHANESWAR DOLEY Husband: SEDIRAM PEGU Father: SEDIRAM PEGU House No: 90 House No: 91 House No: 91 Age: 31 Sex: Male Age: 71 Sex: Female Age: 43 Sex: Female

577 GRD0000937 578 GRD0000938 579 GRD0142026 Name: AMULYA PEGU Name: MARAMI PEGU Name: RAJIB PEGU Father: SEDIRAM PEGU Father: SEDIRAM PEGU Father: SEDIRAM PEGU House No: 91 House No: 91 House No: 91 Age: 39 Sex: Male Age: 33 Sex: Female Age: 23 Sex: Male

580 GRD0142166 581 GRD0000940 582 GRD0000941 Name: HEMLOTA PEGU Name: NIRMALA PATIR Name: PRADIP PATIR Father: RAJIB PEGU Husband: GUPIRAM PATIR Father: GOPIRAM PATIR House No: 91 House No: 92 House No: 92 Age: 19 Sex: Female Age: 66 Sex: Female Age: 41 Sex: Male

583 GRD0000942 584 GRD2240199 585 GRD0000943 Name: RANJUMANI PATIR Name: SANJIB PATIR Name: KHEHETA BORA Husband: PRADIP PATIR Father: GUPIRAM PATIR Father: POWAL BORA House No: 92 House No: 92 House No: 93 Age: 37 Sex: Female Age: 29 Sex: Male Age: 76 Sex: Male

586 GRD0000944 587 GRD0000945 588 GRD0000946 Name: TONKESWAR BORA Name: JUNU BORA Name: DEBEN BORA Father: KHEHETA BORA Husband: TONKESWAR BORA Father: KHEHETA BORA House No: 93 House No: 93 House No: 93ক Age: 43 Sex: Male Age: 39 Sex: Female Age: 56 Sex: Male

589 GRD0000947 590 GRD0000949 591 GRD0000950 Name: GHONUSA BORA Name: JITUMONI BORA Name: MINU PUZARI Husband: DEBEN BORA Father: DEBEN BORA Husband: PHULESWAR PUZARI House No: 93ক House No: 93ক House No: 94 Age: 50 Sex: Female Age: 29 Sex: Male Age: 51 Sex: Female

592 GRD0000951 593 GRD0000952 594 GRD0000953 Name: KRISHNA PUZARI Name: DIBYA JYOTI PUZARI Name: TARUN PUZARI Father: FULESWAR PUZARI Mother: MINU PUZARI Father: HARESWAR PUZARI House No: 94 House No: 94 House No: 94ক Age: 29 Sex: Male Age: 21 Sex: Male Age: 51 Sex: Male

595 GRD0000954 596 GRD2240315 597 GRD0000955 Name: MANI PUZARI Name: NABIN PUZARI Name: KABITA PUZARI Husband: TARUN PUZARI Father: HARESWAR PUZARI Husband: NABIN PUZARI House No: 94ক House No: 94ক House No: 94ক Age: 41 Sex: Female Age: 54 Sex: Male Age: 51 Sex: Female

598 GRD2240337 599 GRD2240348 600 GRD0303909 Name: RAJIB SAIKIA Name: MAKAN SAIKIA Name: PINTU SAIKIA Father: BHOGESWAR SAIKIA Husband: TEPURAM SAIKIA Father: RAJIB SAIKIA House No: 95 House No: 95 House No: 95 Age: 51 Sex: Male Age: 48 Sex: Female Age: 19 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 21 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 601 GRD0000956 602 GRD1715102 603 GRD1715113 Name: PUTALI BORA Name: JAYANTA BORA Name: PRASHANTA BORA Husband: NILA BORA Mother: PUTALI BORA Mother: PUTALI BORA House No: 96 House No: 96 House No: 96 Age: 41 Sex: Female Age: 24 Sex: Male Age: 22 Sex: Male

604 GRD0304337 605 GRD0304345 606 GRD0000957 Name: RAJIB BORAH Name: PURABI BORAH Name: KESHAB BORA Mother: PUTALI BORAH Mother: PUTALI BORAH Father: NAREN BORA House No: 96 House No: 96 House No: 96ক Age: 19 Sex: Male Age: 19 Sex: Female Age: 51 Sex: Male

607 GRD2240382 608 GRD0000958 609 GRD0000959 Name: RINA BORA Name: HAREN BARUAH Name: SUNITA BARUAH Husband: KESHAB BORA Father: LOKNATH BARUAH Husband: HAREN BARUAH House No: 96ক House No: 100 House No: 100 Age: 49 Sex: Female Age: 51 Sex: Male Age: 48 Sex: Female

610 GRD0000960 611 GRD0002006 612 GRD0000961 Name: MADHURJYA BHUYAN Name: MAYURI BARUAH Name: GOLAP BARUAH Father: RATNESWAR BHUYAN Father: HOREN BARUAH Father: LOKNATH BARUAH House No: 100 House No: 100 House No: 101 Age: 30 Sex: Male Age: 21 Sex: Female Age: 53 Sex: Male

613 GRD2240439 614 GRD0002337 615 GRD2240440 Name: JINA BARUAH Name: KANKANA BARUAH Name: UMESH BARUAH Husband: GOLAP BARUAH Father: GOLAP BARUAH Father: LOKNATH BARUAH House No: 101 House No: 101 House No: 102 Age: 49 Sex: Female Age: 21 Sex: Female Age: 55 Sex: Male

616 GRD0000962 617 GRD0000963 618 GRD1762885 Name: MAKAN BARUAH Name: JIBAN BARUAH Name: SUMI BARUA HAZARIKA Husband: UMESH BARUAH Father: UMESH BARUAH Husband: JIBAN BARUA House No: 102 House No: 102 House No: 102 Age: 51 Sex: Female Age: 31 Sex: Male Age: 31 Sex: Female

619 GRD1762896 620 GRD1762909 621 GRD0000964 Name: HEMANTA BARUA Name: ANKITA DUTTA BARUA Name: JOYRAM BARUAH Father: UMESH BARUA Husband: HEMANTA BARUA Father: LOKNATH BARUAH House No: 102 House No: 102 House No: 103 Age: 28 Sex: Male Age: 24 Sex: Female Age: 63 Sex: Male

622 GRD2240495 623 GRD0000965 624 GRD0000967 Name: PUNYA BARUAH Name: JAMINI BARUAH Name: BASANTA BARUAH Husband: JOYRAM BARUAH Father: JOYRAM BARUAH Father: JOYRAM BARUAH House No: 103 House No: 103 House No: 103 Age: 61 Sex: Female Age: 37 Sex: Female Age: 32 Sex: Female

625 GRD0000970 626 GRD0000971 627 GRD0000972 Name: THANESWAR BHUYAN Name: AIMA BHUYAN Name: DIPAK BHUYAN Father: CHENIRAM BHUYAN Husband: THANESWAR BHUYAN Father: THANESWAR BHUYAN House No: 104 House No: 104 House No: 104 Age: 59 Sex: Male Age: 51 Sex: Female Age: 31 Sex: Male

628 GRD1715124 629 GRD0000973 630 GRD2240586 Name: MAUCHUMI BHUYAN Name: SARBESWAR DUTTA Name: AMIYA DUTTA Husband: DIPAK BHUYAN Father: MALIRAM DUTTA Husband: SARBESWAR DUTTA House No: 104 House No: 105 House No: 105 Age: 24 Sex: Female Age: 69 Sex: Male Age: 61 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 22 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 631 GRD0000974 632 GRD1762910 633 GRD2240600 Name: KARUNA DUTTA Name: JULIMONI HAZARIKA DUTTA Name: CHAMPAK DUTTA Father: SARBESWAR DUTTA Husband: KARUNA DUTTA Father: SARBESWAR DUTTA House No: 105 House No: 105 House No: 105 Age: 33 Sex: Male Age: 33 Sex: Female Age: 29 Sex: Male

634 GRD1762921 635 GRD0000975 636 GRD2240622 Name: PANCHAMITA DUTTA Name: BIPIN DUTTA Name: PUTALI DUTTA Husband: CHAMPAK DUTTA Father: MALIRAM DUTTA Husband: BIPIN DUTTA House No: 105 House No: 106 House No: 106 Age: 25 Sex: Female Age: 56 Sex: Male Age: 51 Sex: Female

637 GRD0309179 638 GRD0000977 639 GRD0000978 Name: BIBEK DUTTA Name: PADMA DUTTA Name: BHAGYAWATI DUTTA Father: BIPIN DUTTA Husband: BOGIRAM DUTTA Father: BAGIRAM DUTTA House No: 106 House No: 107 House No: 107 Age: 21 Sex: Male Age: 81 Sex: Female Age: 51 Sex: Female

640 GRD2240655 641 GRD0000979 642 GRD0000980 Name: LABANYA DUTTA Name: DEBEN SHARMA Name: AMULYA PRASAD SHARMA Father: BOGIRAM DUTTA Father: KRISHNAKANTA SHARMA Father: DEBEN SHARMA House No: 107 House No: 108 House No: 108 Age: 46 Sex: Female Age: 70 Sex: Male Age: 38 Sex: Male

643 GRD0000981 644 GRD0000982 645 GRD0000983 Name: UPENDRAJIT SHARMA Name: HARI PRASAD SHARMA Name: MINAKSHI DEWI SHARMA Father: DEBEN SHARMA Father: DEBEN SHARMA Husband: AMULYA PRASAD SHARMA House No: 108 House No: 108 House No: 108 Age: 36 Sex: Male Age: 31 Sex: Male Age: 28 Sex: Female

646 GRD1762932 647 GRD0000984 648 GRD0000985 Name: RASHMIREKHA DEVI Name: GIRIN SHARMA Name: JOYANTI DEVI Husband: HARIPRASAD SHARMA Father: KRISHNAKANTA SHARMA Husband: GIRIN SHARMA House No: 108 House No: 108ক House No: 108ক Age: 25 Sex: Female Age: 73 Sex: Male Age: 71 Sex: Female

649 GRD0000986 650 GRD0000987 651 GRD0309526 Name: DWIJEN SHARMA Name: BHARATI DEVI Name: SUNITA SARMAH Father: GIRIN SHARMA Husband: UPENDRAJIT SHARMA Husband: DIJENDRA NATH SARMAH House No: 108ক House No: 108ক House No: 108KA Age: 37 Sex: Male Age: 34 Sex: Female Age: 36 Sex: Female

652 GRD0000988 653 GRD0000989 654 GRD2240791 Name: SURA SAIKIA Name: SANKAR SAIKIA Name: CHUM SAIKIA Husband: DHARMESWAR SAIKIA Father: DHARMESWAR SAIKIA Father: DHARMESWAR SAIKIA House No: 109 House No: 109 House No: 109 Age: 55 Sex: Female Age: 33 Sex: Male Age: 29 Sex: Female

655 GRD0309815 656 GRD0000990 657 GRD0000991 Name: NIRMOLA SAIKIA Name: NIRU BORA Name: KUSHA BORA Husband: DHORMESWAR SAIKIA Husband: PRAMOD BORA Father: PRAMOD BORA House No: 109 House No: 110 House No: 110 Age: 18 Sex: Female Age: 66 Sex: Female Age: 31 Sex: Male

658 GRD0000992 659 GRD0310409 660 GRD0000993 Name: DEBAKUMAR BORA Name: MITALI BHUYAN BORA Name: AJOY BORA Mother: NIRU BORA Husband: DEBOKUMAR BORA Mother: NIRU BORA House No: 110 House No: 110 House No: 110ক Age: 24 Sex: Male Age: 18 Sex: Female Age: 22 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 23 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 661 GRD0000994 662 GRD0000995 663 GRD0000996 Name: SARBESWAR BORA Name: PUNESWARI BORA Name: NOREN BORAH Father: GOPINATH BORA Husband: SARBESWAR BORA Father: SARBESWAR BORA House No: 111 House No: 111 House No: 111 Age: 76 Sex: Male Age: 71 Sex: Female Age: 34 Sex: Male

664 GRD0000997 665 GRD2240859 666 GRD0310599 Name: RINJU BORA Name: KRISHNAKANTA BORA Name: RUPA MONI BORA Husband: NARESHWAR BORA Father: SARBESWAR BORA Husband: KRISHNAKANTA BORA House No: 111 House No: 111 House No: 111 Age: 32 Sex: Female Age: 31 Sex: Male Age: 23 Sex: Female

667 GRD0000998 668 GRD2240882 669 GRD2240893 Name: INDRESWAR DUTTA Name: HEMPRABHA DUTTA Name: DIGANTA DUTTA Father: MANIRAM DUTTA Husband: INDRESWAR DUTTA Father: INDRESHWAR DUTTA House No: 112 House No: 112 House No: 112 Age: 73 Sex: Male Age: 69 Sex: Female Age: 46 Sex: Male

670 GRD0000999 671 GRD0211698 672 GRD0001000 Name: JONMANI DUTTA Name: KONGKAN SAIKIA Name: KAMAL SAIKIA Husband: DIGANTA DUTTA Father: KAMAL SAIKIA Father: LAKHIRAM SAIKIA House No: 112 House No: 112 House No: 112ক Age: 41 Sex: Female Age: 18 Sex: Male Age: 56 Sex: Male

673 GRD0001001 674 GRD2240962 675 GRD0001003 Name: RANJUMONI SAIKIA Name: MAKAN HAZARIKA Name: DIMBESWAR HAZARIKA Husband: KAMAL SAIKIA Husband: THANESWAR HAZARIKA Father: THANESWAR HAZARIKA House No: 112ক House No: 114 House No: 114 Age: 46 Sex: Female Age: 56 Sex: Female Age: 36 Sex: Male

676 GRD2240995 677 GRD2241023 678 GRD0001004 Name: MADAN HAZARIKA Name: NIRU SAIKIA Name: KHAGEN SAIKIA Father: THANESWAR HAZARIKA Father: MALBHOG SAIKIA Father: MALBHOG SAIKIA House No: 114 House No: 115 House No: 115 Age: 30 Sex: Male Age: 51 Sex: Female Age: 48 Sex: Male

679 GRD0001005 680 GRD2241034 681 GRD2241045 Name: DIPTI SAIKIA Name: BHABEN SAIKIA Name: RATNESWAR SAIKIA Husband: KHAGEN SAIKIA Father: MALBHOG SAIKIA Father: MALBHOG SAIKIA House No: 115 House No: 115 House No: 115 Age: 47 Sex: Female Age: 46 Sex: Male Age: 44 Sex: Male

682 GRD2241056 683 GRD0001006 684 GRD1715135 Name: MANJU SAIKIA Name: BOLIN SAIKIA Name: DHARITRI SAIKIA Husband: RATNESWAR SAIKIA Father: MALBHOG SAIKIA Father: KHAGEN SAIKIA House No: 115 House No: 115 House No: 115 Age: 42 Sex: Female Age: 41 Sex: Male Age: 21 Sex: Female

685 GRD0001007 686 GRD0001009 687 GRD0001010 Name: RUPALI SAIKIA Name: ANJUMONI SAIKIA Name: BIPUL SAIKIA Husband: BHABEN SAIKIA Husband: BALINDRA SAIKIA Mother: NIRU SAIKIA House No: 115ক House No: 115ক House No: 115ক Age: 38 Sex: Female Age: 36 Sex: Female Age: 26 Sex: Male

688 GRD0001011 689 GRD2241103 690 GRD2241114 Name: SONESWAR BORA Name: CHUR BORA Name: GHANAKANTA BORA Father: BOGIRAM BORA Husband: SONESWAR BORA Father: BOGIRAM BORA House No: 116 House No: 116 House No: 116ক Age: 43 Sex: Male Age: 41 Sex: Female Age: 36 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 24 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 691 GRD0001012 692 GRD0001013 693 GRD0001014 Name: BHANI BORA Name: AKON BORA Name: KOLI BORA Husband: GHANAKANTA BORA Father: BOGIRAM BORA Husband: AKON BORA House No: 116ক House No: 117 House No: 117 Age: 33 Sex: Female Age: 39 Sex: Male Age: 31 Sex: Female

694 GRD0001015 695 GRD0001017 696 GRD0001018 Name: JOYRAM SAIKIA Name: SWARNA SAIKIA Name: PUHI SAIKIA Father: BOGAI SAIKIA Husband: JOYRAM SAIKIA Father: BOGAI SAIKIA House No: 118 House No: 118 House No: 118 Age: 61 Sex: Male Age: 56 Sex: Female Age: 54 Sex: Female

697 GRD0001019 698 GRD0001020 699 GRD0001021 Name: LUHIT SAIKIA Name: LAKHIDHAR SAIKIA Name: BHADRESWAR SAIKIA Father: JOYRAM SAIKIA Father: JOYRAM SAIKIA Father: BOGAI SAIKIA House No: 118 House No: 118 House No: 119 Age: 33 Sex: Male Age: 31 Sex: Male Age: 56 Sex: Male

700 GRD0001022 701 GRD0314567 702 GRD0001023 Name: MAKAN SAIKIA Name: RANU SAIKIA Name: JANARDAN SAIKIA Husband: BHADRESWAR SAIKIA Father: BHADRESWAR SAIKIA Father: BHADRESHWAR SAIKIA House No: 119 House No: 119 House No: 119ক Age: 49 Sex: Female Age: 18 Sex: Female Age: 23 Sex: Male

703 GRD0001024 704 GRD0001025 705 GRD0001026 Name: DURGESWAR DAS Name: NIRU DAS Name: SANU DAS Father: KOLAI DAS Husband: DURGESWAR DAS Father: DURGESWAR DAS House No: 120 House No: 120 House No: 120 Age: 68 Sex: Male Age: 61 Sex: Female Age: 34 Sex: Female

706 GRD0001027 707 GRD0001028 708 GRD1762943 Name: JYOTI DAS Name: PALLABI DAS Name: MINAKSHI DAS Father: DURGESWAR DAS Father: DURGESWAR DAS Father: DURGESHWAR DAS House No: 120 House No: 120 House No: 120 Age: 32 Sex: Female Age: 29 Sex: Female Age: 25 Sex: Female

709 GRD2241294 710 GRD2241307 711 GRD0001029 Name: NOBIN BARUAH Name: KANU BARUAH Name: LILI BARUA Father: TULASHI BARUAH Father: TULASHI BARUAH Husband: NABIN BARUA House No: 121 House No: 121 House No: 121ক Age: 31 Sex: Male Age: 29 Sex: Male Age: 28 Sex: Female

712 GRD0001030 713 GRD0001031 714 GRD0315648 Name: KRISHNA SAIKIA Name: DIPA SAIKIA Name: PRANJAL SAIKIA Father: LERELA SAIKIA Husband: KRISHNA SAIKIA Father: KRISHNA SAIKIA House No: 122 House No: 122 House No: 122 Age: 46 Sex: Male Age: 41 Sex: Female Age: 18 Sex: Male

715 GRD0001032 716 GRD2241352 717 GRD1715146 Name: MAKHAN SAIKIA Name: KIRAN SAIKIA Name: LOHIT SAIKIA Father: LERELA SAIKIA Husband: MAKHAN SAIKIA Father: MAKHAN SAIKIA House No: 123 House No: 123 House No: 123 Age: 61 Sex: Male Age: 56 Sex: Female Age: 21 Sex: Male

718 GRD0001033 719 GRD0001034 720 GRD0001035 Name: TABARI SAIKIA Name: DIPA DAS Name: JETUKI DAS Husband: LAKHI RAM SAIKIA Husband: SARULORA DAS Father: SARULORA DAS House No: 123ক House No: 124 House No: 124 Age: 61 Sex: Female Age: 49 Sex: Female Age: 33 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 25 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 721 GRD2241421 722 GRD2241432 723 GRD0001036 Name: RANJAN DAS Name: NUMALIYA DAS Name: PAKHILI DAS Father: SARULORA DAS Father: NALI DAS Father: NALI DAS House No: 124 House No: 125 House No: 125 Age: 29 Sex: Male Age: 53 Sex: Male Age: 49 Sex: Female

724 GRD0001037 725 GRD0017657 726 GRD0001038 Name: RUPAMONI DAS Name: JAYANTA DAS Name: SUREN DAS Husband: NUMALIYA DAS Mother: PAKHILI DAS Father: NALI DAS House No: 125 House No: 125 House No: 126 Age: 41 Sex: Female Age: 19 Sex: Male Age: 59 Sex: Male

727 GRD0001039 728 GRD1715157 729 GRD0018317 Name: CHARUMAI DAS Name: BRAJEN DAS Name: MOUSUMI BARUAH DAS Husband: SUREN DAS Father: SUREN DAS Husband: BROJEN DAS House No: 126 House No: 126 House No: 126 Age: 51 Sex: Female Age: 24 Sex: Male Age: 20 Sex: Female

730 GRD0001040 731 GRD0001041 732 GRD0001044 Name: RUNUMAI MAHANTA Name: AIMANI MAHANTA Name: LOHIT BORA Husband: DIMBESWAR MAHANTA Father: DIMBESWAR MAHANTA Father: THOGI BORA House No: 127 House No: 127 House No: 128 Age: 56 Sex: Female Age: 34 Sex: Female Age: 81 Sex: Male

733 GRD2241556 734 GRD0001045 735 GRD0020149 Name: ATUL SAIKIA Name: MAKAN SAIKIA Name: SABITA SAIKIA Father: MAKAR SAIKIA Husband: ATUL SAIKIA Father: ATUL SAIKIA House No: 129 House No: 129 House No: 129 Age: 58 Sex: Male Age: 51 Sex: Female Age: 20 Sex: Female

736 GRD0317925 737 GRD2241578 738 GRD0001046 Name: BOBITA SAIKIA Name: GHUNUSA SAIKIA Name: NAREN SAIKIA Father: ATUL SAIKIA Husband: PUWARAM SAIKIA Father: PUWARAM SAIKIA House No: 129 House No: 130 House No: 130 Age: 18 Sex: Female Age: 81 Sex: Female Age: 37 Sex: Male

739 GRD0001047 740 GRD0001048 741 GRD2241625 Name: MUN SAIKIA Name: DUL SAIKIA Name: THOGIRAM BORA Father: PUWARAM SAIKIA Father: PUWARAM SAIKIA Father: BODHESWAR BORA House No: 130 House No: 130 House No: 131 Age: 35 Sex: Male Age: 32 Sex: Male Age: 61 Sex: Male

742 GRD2241636 743 GRD2241647 744 GRD0001049 Name: HIMAPROBHA BORA Name: ARUP BORA Name: JAYANTA BORA Husband: THOGIRAM BORA Father: THOGIRAM BORA Father: THOGIRAM BORA House No: 131 House No: 131 House No: 131 Age: 56 Sex: Female Age: 39 Sex: Male Age: 33 Sex: Male

745 GRD2241669 746 GRD0001050 747 GRD0001051 Name: BITUPAN BORA Name: MONI BORA Name: NABIN BORA Father: THOGIRAM BORA Husband: DUL BORA Father: BODHESWAR BORA House No: 131 House No: 131ক House No: 132 Age: 31 Sex: Male Age: 28 Sex: Female Age: 56 Sex: Male

748 GRD0001052 749 GRD0001053 750 GRD0022657 Name: JETUKI BORA Name: BABUL BORA Name: JUNMONI BORAH Husband: NABIN BORA Father: NABIN BORA Father: NABIN BORAH House No: 132 House No: 132 House No: 132 Age: 51 Sex: Female Age: 29 Sex: Male Age: 19 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 26 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 751 GRD0001054 752 GRD0001055 753 GRD0001056 Name: PRASHANTA BORA Name: MINATI BORA Name: BABUL BARUAH Father: BODHESWAR BORA Husband: PRASHANTA BORA Father: SOMNATH BARUAH House No: 133 House No: 133 House No: 133 Age: 51 Sex: Male Age: 46 Sex: Female Age: 42 Sex: Male

754 GRD0221549 755 GRD0022947 756 GRD0318956 Name: ANJALI BORAH Name: PORI BORAH Name: PRIYA BORA Husband: PRASANTA BORAH Father: PRASANTA BORAH Father: PROSANTA BORA House No: 133 House No: 133 House No: 133 Age: 36 Sex: Female Age: 21 Sex: Female Age: 18 Sex: Female

757 GRD0001058 758 GRD2241761 759 GRD0022707 Name: LAKHIRAM BORA Name: HIMAPROBHA BORA Name: PRASANTA BORA Father: BODHESWAR BORA Husband: LAKHIRAM BORA Father: BONGSHI BORA House No: 133ক House No: 133ক House No: 133KA Age: 54 Sex: Male Age: 51 Sex: Female Age: 37 Sex: Male

760 GRD0318998 761 GRD2241772 762 GRD0001059 Name: SIMANTA JYOTI BORA Name: GANESH SAIKIA Name: LILI SAIKIA Father: LAKHIRAM BORA Father: SOBHAI SAIKIA Husband: GANESH SAIKIA House No: 133KA House No: 134 House No: 134 Age: 18 Sex: Male Age: 61 Sex: Male Age: 56 Sex: Female

763 GRD0001060 764 GRD0001061 765 GRD1715179 Name: DUGDHESWAR SAIKIA Name: BHABEN SAIKIA Name: SUMITA SAIKIA Father: GONESH SAIKIA Father: GANESH SAIKIA Husband: BHABEN SAIKIA House No: 134 House No: 134 House No: 134 Age: 36 Sex: Male Age: 33 Sex: Male Age: 28 Sex: Female

766 GRD0023556 767 GRD1715168 768 GRD0001062 Name: HOREN SAIKIA Name: PAMPI DUTTA SAIKIA Name: PARISMITA SAIKIA Father: RUHIL SAIKIA Husband: DUGESHWAR SAIKIA Father: GANESH SAIKIA House No: 134 House No: 134 House No: 134 Age: 23 Sex: Male Age: 23 Sex: Female Age: 22 Sex: Female

769 GRD0001063 770 GRD0001064 771 GRD1715180 Name: LILA SAIKIA Name: ANJANA SAIKIA Name: BISHWAJIT SAIKIA Father: SOBHAI SAIKIA Husband: LILA SAIKIA Father: LILA SAIKIA House No: 135 House No: 135 House No: 135 Age: 56 Sex: Male Age: 48 Sex: Female Age: 23 Sex: Male

772 GRD1715191 773 GRD1715204 774 GRD0024539 Name: SHIB PRASAD SAIKIA Name: JUNMONI SAIKIA Name: LAKHIMAI SAIKIA Father: LILA SAIKIA Father: LILA SAIKIA Husband: BISWAJIT SAIKIA House No: 135 House No: 135 House No: 135 Age: 22 Sex: Male Age: 21 Sex: Female Age: 19 Sex: Female

775 GRD2241852 776 GRD0001067 777 GRD0001068 Name: BIMAL MUDOI Name: RANJIT MUDOI Name: ABANTI MUDOI Husband: MINARAM MUDOI Father: MINARAM MUDOI Father: MINARAM MUDOI House No: 136 House No: 136 House No: 136 Age: 51 Sex: Female Age: 31 Sex: Male Age: 29 Sex: Female

778 GRD0001069 779 GRD0001070 780 GRD0001071 Name: MOLAN MUDOI Name: BUBUL MUDOI Name: RUNU MUDOI Father: DANDI MUDOI Father: MOLAN MUDOI Husband: BUBUL MUDOI House No: 137 House No: 137 House No: 137 Age: 71 Sex: Male Age: 44 Sex: Male Age: 41 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 27 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 781 GRD0001072 782 GRD0001073 783 GRD0001074 Name: KRISHNA MUDOI Name: RATUL MUDOI Name: PRAPHULLA MUDOI Father: MOLAN MUDOI Father: MOLAN MUDOI Father: MOLAN MUDOI House No: 137 House No: 137 House No: 137ক Age: 31 Sex: Male Age: 29 Sex: Male Age: 39 Sex: Male

784 GRD0001075 785 GRD0001076 786 GRD0001077 Name: PRANATI MUDOI Name: KARABI SAIKIA MUDOI Name: KAMAL MUDOI Husband: PRAFULLA MUDOI Husband: RATUL MUDOI Father: MOLAN MUDOI House No: 137ক House No: 137ক House No: 137ক Age: 36 Sex: Female Age: 27 Sex: Female Age: 41 Sex: Male

787 GRD0001078 788 GRD2241976 789 GRD2241987 Name: LAKSHIMAI MUDOI Name: LABANYA MUDOI Name: MUHIRAM MUDOI Husband: KAMAL MUDOI Husband: KINARAM MUDOI Father: DANDI MUDOI House No: 137ক House No: 138 House No: 138 Age: 37 Sex: Female Age: 56 Sex: Female Age: 54 Sex: Male

790 GRD0001079 791 GRD0001080 792 GRD0001081 Name: SUBHALATA MUDOI Name: PURNA MUDOI Name: ATUL MUDOI Husband: MUHIRAM MUDOI Father: KINARAM MUDOI Father: KINARAM MUDOI House No: 138 House No: 138 House No: 138 Age: 51 Sex: Female Age: 34 Sex: Male Age: 32 Sex: Male

793 GRD0001082 794 GRD0001083 795 GRD0025676 Name: JUNU MUDOI Name: PRABIN MUDOI Name: RABIN MUDOI Father: MUHIRAM MUDOI Father: MUHIRAM MUDOI Father: MUHIRAM MUDOI House No: 138 House No: 138 House No: 138 Age: 31 Sex: Female Age: 29 Sex: Male Age: 20 Sex: Male

796 GRD0001084 797 GRD0001085 798 GRD0001086 Name: ANJUMONI MUDOI Name: GETHU DAS Name: MIN DAS Husband: PRABIN MUDOI Father: SANDHIRAM DAS Husband: GETHU DAS House No: 138ক House No: 139 House No: 139 Age: 30 Sex: Female Age: 58 Sex: Male Age: 53 Sex: Female

799 GRD1715215 800 GRD1715226 801 GRD0001087 Name: PRASANTA DAS Name: PANKAJ DAS Name: NILAKANTA DAS Father: GETHU DAS Father: GETHU DAS Father: DINAKANTA DAS House No: 139 House No: 139 House No: 140 Age: 22 Sex: Male Age: 22 Sex: Male Age: 46 Sex: Male

802 GRD0001088 803 GRD2242106 804 GRD0001089 Name: BITUMANI DAS Name: MUNIYA DAS Name: LILI DAS Husband: NILAKANTA DAS Father: KONLORA DAS Husband: MUNIYA DAS House No: 140 House No: 141 House No: 141 Age: 41 Sex: Female Age: 56 Sex: Male Age: 51 Sex: Female

805 GRD0001090 806 GRD0224675 807 GRD0001091 Name: DIGANTA DAS Name: MINAKHI DAS Name: SHON DAS Father: MUNIYA DAS Father: MUNIA DAS Father: KONLORA DAS House No: 141 House No: 141 House No: 142 Age: 29 Sex: Male Age: 24 Sex: Female Age: 53 Sex: Male

808 GRD2242140 809 GRD0001092 810 GRD1715237 Name: REBAMAI DAS Name: SATYAJIT DAS Name: NAYANMANI DAS Husband: SHON DAS Father: SUN DAS Father: SON DAS House No: 142 House No: 142 House No: 142 Age: 43 Sex: Female Age: 24 Sex: Male Age: 21 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 28 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 811 GRD0001093 812 GRD2242162 813 GRD0001094 Name: DHANSINGH DAS Name: DIPTI DAS Name: DIPANKAR DAS Father: KERA DAS Husband: DHANSINGH DAS Father: DHANSINGH DAS House No: 143 House No: 143 House No: 143 Age: 58 Sex: Male Age: 53 Sex: Female Age: 29 Sex: Male

814 GRD0001095 815 GRD0001096 816 GRD0001097 Name: MANTA DAS Name: GOPAL DAS Name: RUPA DAS Father: DHANSINGH DAS Father: GELARAM DAS Husband: GOPAL DAS House No: 143 House No: 144 House No: 144 Age: 23 Sex: Male Age: 54 Sex: Male Age: 52 Sex: Female

817 GRD0001098 818 GRD0001100 819 GRD0001101 Name: LAKHAN DAS Name: MONI DAS Name: BHASKAR DAS Father: SARULORA DAS Husband: LAKHAN DAS Father: LAKHAN DAS House No: 145 House No: 145 House No: 145 Age: 53 Sex: Male Age: 51 Sex: Female Age: 32 Sex: Male

820 GRD0001102 821 GRD2242264 822 GRD0001103 Name: RANJIT DAS Name: SAGAR MUDOI Name: KHAGESWARI MUDOI Father: LAKHAN DAS Father: DIMBA MUDOI Husband: SAGAR MUDOI House No: 145 House No: 145ক House No: 145ক Age: 29 Sex: Male Age: 58 Sex: Male Age: 56 Sex: Female

823 GRD0001104 824 GRD0001105 825 GRD0001106 Name: BHOLA HAZARIKA Name: NITYANANDA HAZARIKA Name: KKOBITA BORA HAZARIKA Father: MAJNU HAZARIKA Father: BHOLA HAZARIKA Husband: NITYANANDA HAZARIKA House No: 146 House No: 146 House No: 146 Age: 76 Sex: Male Age: 41 Sex: Male Age: 35 Sex: Female

826 GRD2242322 827 GRD2242333 828 GRD0001109 Name: PUNYALATA HAZARIKA Name: DIMBESWAR HAZARIKA Name: ANANDA MUDOI Husband: PHATIK HAZARIKA Father: BHOLA HAZARIKA Father: DIMBARAM MUDOI House No: 146ক House No: 146ক House No: 147 Age: 45 Sex: Female Age: 43 Sex: Male Age: 46 Sex: Male

829 GRD0001110 830 GRD0001111 831 GRD2242388 Name: BOGIDOI MUDOI Name: MAKAN MUDOI Name: SUREN HAZARIKA Husband: ANANDA MUDOI Husband: RASESWAR MUDOI Father: NODI HAZARIKA House No: 147 House No: 148 House No: 149 Age: 41 Sex: Female Age: 56 Sex: Female Age: 61 Sex: Male

832 GRD0001112 833 GRD0001113 834 GRD2242413 Name: MAKHANI HAZARIKA Name: BHABA HAZARIKA Name: SARUMAI HAZARIKA Husband: SUREN HAZARIKA Father: RAMESWAR HAZARIKA Husband: BHABA HAZARIKA House No: 149 House No: 150 House No: 150 Age: 56 Sex: Female Age: 48 Sex: Male Age: 46 Sex: Female

835 GRD2242424 836 GRD0001114 837 GRD0001116 Name: MANIK HAZARIKA Name: MIRA HAZARIKA Name: PODMESWAR HAZARIKA Father: RAMESHWAR HAZARIKA Husband: MANIK HAZARIKA Father: RAMESWAR HAZARIKA House No: 150 House No: 150 House No: 150 Age: 45 Sex: Male Age: 42 Sex: Female Age: 41 Sex: Male

838 GRD0001117 839 GRD0001118 840 GRD0001119 Name: RINA HAZARIKA Name: LALIT HAZARIKA Name: UPEN HAZARIKA Husband: PADMESWAR HAZARIKA Father: RAMESWAR HAZARIKA Father: RAMESWAR HAZARIKA House No: 150 House No: 150 House No: 150 Age: 39 Sex: Female Age: 38 Sex: Male Age: 36 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 29 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 841 GRD0001120 842 GRD0001121 843 GRD0001122 Name: RUPALI HAZARIKA Name: HEM HAZARIKA Name: PREM HAZARIKA Husband: LALIT HAZARIKA Father: SHUKURA HAZARIKA Husband: HEMA HAZARIKA House No: 150ক House No: 151 House No: 151 Age: 29 Sex: Female Age: 58 Sex: Male Age: 53 Sex: Female

844 GRD0001123 845 GRD0033019 846 GRD0001124 Name: DIGANTA HAZARIKA Name: SRIMONTA HAZARIKA Name: BUDHESWAR HAZARIKA Father: HEM HAZARIKA Father: HEMO HAZARIKA Father: SHUKURA HAZARIKA House No: 151 House No: 151 House No: 152 Age: 29 Sex: Male Age: 22 Sex: Male Age: 60 Sex: Male

847 GRD0001125 848 GRD0001126 849 GRD0001127 Name: RAJIV HAZARIKA Name: AITA HAZARIKA Name: PRABITRA HAZARIKA Father: BODHESHWAR HAZARIKA Husband: BUDHESWAR HAZARIKA Father: BUDHESWAR HAZARIKA House No: 152 House No: 153 House No: 153 Age: 23 Sex: Male Age: 53 Sex: Female Age: 32 Sex: Male

850 GRD0001128 851 GRD0001129 852 GRD0001130 Name: SABHARAM SAIKIA Name: NAGEN SAIKIA Name: DINAMAI SAIKIA Father: TITARAM SAIKIA Father: SABHARAM SAIKIA Husband: NAGEN SAIKIA House No: 154 House No: 154 House No: 154 Age: 71 Sex: Male Age: 46 Sex: Male Age: 44 Sex: Female

853 GRD0001131 854 GRD0001132 855 GRD0001133 Name: LAKSHIRAM SAIKIA Name: PHULA SAIKIA Name: BINOD SAIKIA Father: SABHARAM SAIKIA Husband: LAKSHIRAM SAIKIA Father: SABHARAM SAIKIA House No: 154 House No: 154 House No: 154 Age: 43 Sex: Male Age: 41 Sex: Female Age: 39 Sex: Male

856 GRD0001134 857 GRD0001135 858 GRD1762954 Name: CHENIMAI SAIKIA Name: HIMALA SAIKIA Name: MANTU SAIKIA Husband: BINOD SAIKIA Father: SABHARAM SAIKIA Father: NAGEN SAIKIA House No: 154 House No: 154 House No: 154 Age: 37 Sex: Female Age: 34 Sex: Female Age: 22 Sex: Male

859 GRD2242651 860 GRD0001136 861 GRD2242684 Name: PADUMI SAIKIA Name: KUSHAL SAIKIA Name: SARBESHWER SAIKIA Husband: DINAI SAIKIA Father: DINAI SAIKIA Father: DINAI SAIKIA House No: 155 House No: 155 House No: 155 Age: 66 Sex: Female Age: 35 Sex: Male Age: 33 Sex: Male

862 GRD2242695 863 GRD0229799 864 GRD2242708 Name: PRADIP SAIKIA Name: DIPALI SAIKIA Name: GITAMONI SAIKIA Father: DINAI SAIKIA Husband: KUSHAL SAIKIA Husband: SARBESHWAR SAIKIA House No: 155 House No: 155 House No: 155ক Age: 31 Sex: Male Age: 30 Sex: Female Age: 26 Sex: Female

865 GRD2242719 866 GRD2242720 867 GRD0001137 Name: MANESWAR MUDOI Name: NUMALI MUDOI Name: PRADIP MUDOI Father: SONARAM MUDOI Husband: MANESWAR MUDOI Father: MANESWAR MUDOI House No: 156 House No: 156 House No: 156 Age: 61 Sex: Male Age: 56 Sex: Female Age: 31 Sex: Male

868 GRD0001138 869 GRD0001139 870 GRD2242764 Name: BHABEN MUDOI Name: LERELA MUDOI Name: PREM MUDOI Father: MANESWAR MUDOI Father: SONARAM MUDOI Husband: LERELA MUDOI House No: 156 House No: 157 House No: 157 Age: 29 Sex: Male Age: 56 Sex: Male Age: 53 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 30 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 871 GRD0001140 872 GRD0035956 873 GRD0001141 Name: PROBITRA MUDOI Name: DIPAK MUDOI Name: MANAI HAZARIKA Father: LERELA MUDOI Father: LERELA MUDOI Father: SHUKURA HAZARIKA House No: 157 House No: 157 House No: 157ক Age: 29 Sex: Male Age: 22 Sex: Male Age: 71 Sex: Male

874 GRD0001142 875 GRD0001143 876 GRD0001144 Name: CHENIRAM HAZARIKA Name: MINU HAZARIKA Name: BISHWAJIT HAZARIKA Father: MONAI HAZARIKA Husband: CHENIRAM HAZARIKA Father: MONAI HAZARIKA House No: 157ক House No: 157ক House No: 157ক Age: 49 Sex: Male Age: 44 Sex: Female Age: 43 Sex: Male

877 GRD0001145 878 GRD0001146 879 GRD0001147 Name: PUNIMAI HAZARIKA Name: MANASH HAZARIKA Name: JUGEN HAZARIKA Husband: BUBUL HAZARIKA Father: MONAI HAZARIKA Father: MONAI HAZARIKA House No: 157ক House No: 157ক House No: 157ক Age: 41 Sex: Female Age: 39 Sex: Male Age: 31 Sex: Male

880 GRD1715248 881 GRD2242855 882 GRD2242866 Name: PINGKI BORA HAZARIKA Name: SANDIKA MUDOI Name: DIPA MUDOI Husband: MANAS HAZARIKA Husband: SONESWAR MUDOI Father: SONESWAR MUDOI House No: 157ক House No: 158 House No: 158 Age: 23 Sex: Female Age: 66 Sex: Female Age: 35 Sex: Female

883 GRD0001148 884 GRD0001150 885 GRD0001152 Name: AJIT MUDOI Name: MAHENDRA MUDOI Name: BINU MUDOI Father: SONESWAR MUDOI Father: SONESWAR MUDOI Husband: BUDHIN MUDOI House No: 158 House No: 158 House No: 159 Age: 33 Sex: Male Age: 31 Sex: Male Age: 48 Sex: Female

886 GRD0001153 887 GRD0001154 888 GRD0001155 Name: DILIP MUDOI Name: REKHA MUDOI Name: PUSHPA MUDOI Father: KHAGESWAR MUDOI Father: BUDHIN MUDOI Father: BUDHIN MUDOI House No: 159 House No: 159 House No: 159 Age: 39 Sex: Male Age: 31 Sex: Female Age: 29 Sex: Female

889 GRD0001157 890 GRD0001158 891 GRD2242968 Name: BIREN MUDOI Name: PATALI MUDOI Name: KARUNAKANTA MUDOI Father: POKIRAM MUDOI Husband: BIREN MUDOI Father: BIREN MUDOI House No: 159ক House No: 159ক House No: 159ক Age: 61 Sex: Male Age: 56 Sex: Female Age: 32 Sex: Male

892 GRD0001161 893 GRD1715259 894 GRD0001162 Name: BINU MUDOI Name: SANTOSH MUDOI Name: ARUN MUDOI Husband: DILIP MUDOI Father: BIREN MUDOI Father: BUDDHIN MUDOI House No: 159ক House No: 159ক House No: 159ক Age: 28 Sex: Female Age: 25 Sex: Male Age: 24 Sex: Male

895 GRD0001160 896 GRD0001159 897 GRD0001163 Name: PRITISHMITA MUDOI Name: MONTUSH MUDOI Name: KHAHULI MUDOI Husband: KARUNA KANTA MUDOI Father: BIREN MUDOI Husband: POKIRAM MUDOI House No: 159KA House No: 159KA House No: 160 Age: 30 Sex: Female Age: 24 Sex: Male Age: 91 Sex: Female

898 GRD2243030 899 GRD2243041 900 GRD0001164 Name: HAHIRAM MUDOI Name: KALPANA MUDOI Name: SATYAPRASAD MUDOI Father: POKIRAM MUDOI Husband: HAHIRAM MUDOI Father: POKIRAM MUDOI House No: 160 House No: 160 House No: 160 Age: 53 Sex: Male Age: 51 Sex: Female Age: 49 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 31 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 901 GRD0001165 902 GRD0001166 903 GRD0001167 Name: RINA MUDOI Name: JUNU MUDOI Name: BISHNU PRASAD MUDOI Husband: SATYAPRASAD MUDOI Husband: HIREN MUDOI Father: KHAGEN MUDOI House No: 160 House No: 160ক House No: 160ক Age: 44 Sex: Female Age: 41 Sex: Female Age: 24 Sex: Male

904 GRD0001168 905 GRD2243096 906 GRD0001169 Name: SONARAM TAMULI Name: BUTI TAMULI Name: BABUL MUDOI Father: TAMULI Husband: SONARAM TAMULI Father: POKIRAM MUDOI House No: 161 House No: 161 House No: 161 Age: 71 Sex: Male Age: 66 Sex: Female Age: 44 Sex: Male

907 GRD0001170 908 GRD0001171 909 GRD0001172 Name: BEAUTY MUDOI Name: HORESWAR TAMULI Name: PRASHANTA TAMULI Husband: BABUL MUDOI Father: SOMARAM TAMULI Father: SONARAM TAMULI House No: 161 House No: 161 House No: 161 Age: 39 Sex: Female Age: 36 Sex: Male Age: 31 Sex: Male

910 GRD2243132 911 GRD0001173 912 GRD0327007 Name: JIBAN DATTA Name: KABITA DUTTA Name: MUHAN DUTTA Father: NAKUL DATTA Father: NAKUL DUTTA Father: NOKUL DUTTA House No: 161 House No: 161 House No: 161 Age: 23 Sex: Male Age: 21 Sex: Female Age: 19 Sex: Male

913 GRD2243143 914 GRD0001174 915 GRD2243176 Name: NIREN PEGU Name: PUNIMAI BORA Name: KABITA TAMULI Father: LAMAN PEGU Father: SONARAM BORA Husband: PRASHANTA TAMULI House No: 161ক House No: 161ক House No: 161ক Age: 45 Sex: Male Age: 31 Sex: Female Age: 31 Sex: Female

916 GRD2243187 917 GRD0001175 918 GRD0001176 Name: PHULA TAMULI Name: KORNESWAR BORDOLOI Name: RONGDOI BORDOLOI Husband: HARESHWAR TAMULI Father: MANIK BORDOLOI Husband: KONOKESWAR BORDOLOI House No: 161ক House No: 161ক House No: 161ক Age: 28 Sex: Female Age: 78 Sex: Male Age: 68 Sex: Female

919 GRD0001177 920 GRD0001178 921 GRD0001179 Name: SABITRI BORDOLOI Name: GOLAPI DUTTA Name: RUBUL SAIKIA Husband: BIREN BORDOLOI Husband: NAKUL DUTTA Father: THOLOK SAIKIA House No: 161ক House No: 161ক House No: 161ক Age: 38 Sex: Female Age: 41 Sex: Female Age: 29 Sex: Male

922 GRD2243290 923 GRD0001180 924 GRD2243234 Name: KARNA BAHADUR CHETRY Name: GANGAMAYA CHETRY Name: NAKUL DUTTA Father: MAILA CHETRY Husband: KORNA BAHADUR CHETRY Father: BEPAI DUTTA House No: 161ক House No: 161ক House No: 161GA Age: 56 Sex: Male Age: 46 Sex: Female Age: 46 Sex: Male

925 GRD2243212 926 GRD0001181 927 GRD0001182 Name: BIREN BORDOLOI Name: PURNAKANTA BARUAH Name: JOGAMAI BARUAH Father: KONOKESWAR BORDOLOI Father: DASRAM BARUAH Husband: PURNAKANTA BARUAH House No: 161KHA House No: 162 House No: 162 Age: 40 Sex: Male Age: 61 Sex: Male Age: 56 Sex: Female

928 GRD0001183 929 GRD2243347 930 GRD0001184 Name: LUHIT BARUAH Name: KESHAB BARUAH Name: PREMALATA BARUAH Father: PURNAKANTA BARUAH Father: PURNAKANTA BARUAH Husband: HEMAKANTA BARUAH House No: 162 House No: 162 House No: 163 Age: 33 Sex: Male Age: 28 Sex: Male Age: 56 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 32 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 931 GRD0001185 932 GRD0232595 933 GRD0001186 Name: CHITRARANJAN BARUAH Name: ACHYUT BORUAH Name: KAMAL BARUA Father: HEMAKANTA BARUAH Father: HEMKANTA BORUAH Father: HEMAKANTA BARUA House No: 163 House No: 163 House No: 163ক Age: 31 Sex: Female Age: 23 Sex: Male Age: 22 Sex: Male

934 GRD0039727 935 GRD0001187 936 GRD0001188 Name: HOREN BARUAH Name: KHOGEN MUDOI Name: NIRUMAI MUDOI Father: MANIK BARUAH Father: GILENDRA MUDOI Husband: KHOGEN MUDOI House No: 163KA House No: 164 House No: 164 Age: 37 Sex: Male Age: 56 Sex: Male Age: 46 Sex: Female

937 GRD0001189 938 GRD0001190 939 GRD2245752 Name: NAYANJYOTI MUDOI Name: LAKHYAJIT MUDOI Name: MANALICHA MUDOI Father: KHOGEN MUDOI Father: KHOGEN MUDOI Father: KHAGEN MUDOI House No: 164 House No: 164 House No: 164 Age: 31 Sex: Male Age: 29 Sex: Male Age: 21 Sex: Female

940 GRD0001191 941 GRD0001192 942 GRD0001193 Name: UMARAM SAIKIA Name: CHAMPA SAIKIA Name: NIRANTA MUDOI Father: SHALIYA SAIKIA Husband: UMARAM SAIKIA Father: NITYANANDA MUDOI House No: 165 House No: 165 House No: 165 Age: 70 Sex: Male Age: 59 Sex: Female Age: 46 Sex: Male

943 GRD0001194 944 GRD0001195 945 GRD0041046 Name: ARUNA MUDOI Name: BUDHIN SAIKIA Name: SONGITA MUDOI Husband: NIRANTA MUDOI Father: UMARAM SAIKIA Father: NIRONTA MUDOI House No: 165 House No: 165 House No: 165 Age: 41 Sex: Female Age: 28 Sex: Male Age: 21 Sex: Female

946 GRD0001196 947 GRD0001197 948 GRD0001199 Name: ARUP MUDOI Name: ANJUMONI MUDOI Name: RUPJYOTI MUDOI Father: NITYANANDA MUDOI Father: NITYANANDA MUDOI Husband: UTPAL MUDOI House No: 166 House No: 166 House No: 166ক Age: 38 Sex: Male Age: 36 Sex: Female Age: 26 Sex: Female

949 GRD0001200 950 GRD0001201 951 GRD0001202 Name: UMAKANTA MUDOI Name: MINAKSHI MUDOI Name: LILI MUDOI Father: MOHAN MUDOI Husband: UMAKANTA MUDOI Father: MOHAN MUDOI House No: 167 House No: 167 House No: 167 Age: 53 Sex: Male Age: 47 Sex: Female Age: 45 Sex: Female

952 GRD0001203 953 GRD2243530 954 GRD1762965 Name: JOTIN MUDOI Name: HEMAKANTA MUDOI Name: GOPAL BORA Father: MOHAN MUDOI Father: MOHAN MUDOI Father: SONARAM BORA House No: 167 House No: 167 House No: 167 Age: 43 Sex: Male Age: 39 Sex: Male Age: 21 Sex: Male

955 GRD0233866 956 GRD0001204 957 GRD0001205 Name: DIGANTA DAS Name: SONARAM BORA Name: RINA BORA Father: PABAN DAS Father: SHIBARAM BORA Husband: SONARAM BORA House No: 167 House No: 167ক House No: 167ক Age: 20 Sex: Male Age: 56 Sex: Male Age: 51 Sex: Female

958 GRD0001207 959 GRD0001208 960 GRD0001209 Name: RINA MUDOI Name: POBAN DAS Name: RUPANTI DAS Husband: JATIN MUDOI Father: BADAR DAS Husband: PAWAN DAS House No: 167ক House No: 168 House No: 168 Age: 28 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 33 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 961 GRD1715271 962 GRD1715260 963 GRD0001210 Name: PRABITRA DAS Name: BHAIKAN DAS Name: MONI MUDOI Father: PABAN DAS Father: PABAN DAS Father: MOLAN MUDOI House No: 168 House No: 168 House No: 168ক Age: 25 Sex: Male Age: 23 Sex: Male Age: 46 Sex: Male

964 GRD0001211 965 GRD0001212 966 GRD2243621 Name: LILI MUDOI Name: BUBUL BHUYAN Name: LILI BHUYAN Husband: MONI MUDOI Father: BIDUR BHUYAN Husband: BUBUL BHUYAN House No: 168ক House No: 170 House No: 170 Age: 43 Sex: Female Age: 46 Sex: Male Age: 43 Sex: Female

967 GRD2243632 968 GRD2243643 969 GRD0001213 Name: BIPIN BHUYAN Name: BICHITRA BHUYAN Name: JITEN BHUYAN Father: BIDUR BHUYAN Husband: BIPIN BHUYAN Father: BIDUR BHUYAN House No: 170 House No: 170 House No: 170 Age: 41 Sex: Male Age: 37 Sex: Female Age: 31 Sex: Male

970 GRD0329219 971 GRD0001214 972 GRD0001215 Name: CHAYANIKA BHUYAN Name: BIREN SAIKIA Name: LAKHIMAI SAIKIA Father: BUBUL BHUYAN Father: BALORAM SAIKIA Husband: BIREN SAIKIA House No: 170 House No: 171 House No: 171 Age: 19 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

973 GRD0001216 974 GRD0045286 975 GRD0329417 Name: DEBAJIT SAIKIA Name: JIBAKANTA SAIKIA Name: SIMANTA SAIKIA Father: BIREN SAIKIA Father: BIREN SAIKIA Father: BIREN SAIKIA House No: 171 House No: 171 House No: 171 Age: 21 Sex: Male Age: 19 Sex: Male Age: 18 Sex: Male

976 GRD0001217 977 GRD0001218 978 GRD0001219 Name: BOGAI NEOG Name: BULU NEOG Name: DHRUBAJYOTI NEOG Father: JOGESWAR NEOG Husband: BOGAI NEOG Father: BAGAI NEOG House No: 172 House No: 172 House No: 172 Age: 51 Sex: Male Age: 46 Sex: Female Age: 22 Sex: Male

979 GRD0001220 980 GRD0001221 981 GRD0001222 Name: JOGESWAR SAIKIA Name: RUPALI SAIKIA Name: FULESWAR BORA Father: PUWAI SAIKIA Husband: JOGESWAR SAIKIA Father: LUHIT BORA House No: 173ক House No: 173ক House No: 174 Age: 41 Sex: Male Age: 36 Sex: Female Age: 43 Sex: Male

982 GRD0001223 983 GRD0236547 984 GRD0001225 Name: ANJANA BORA Name: JITUMONI BORAH Name: JOGESWAR BORA Husband: FULESWAR BORA Father: GOBIN BORAH Father: LUHIT BORA House No: 174 House No: 174 House No: 174ক Age: 37 Sex: Female Age: 18 Sex: Male Age: 41 Sex: Male

985 GRD0001226 986 GRD2245490 987 GRD0001227 Name: RUPALI BORA Name: PABAR MAHANTA Name: GOBIN BORA Husband: JOGESWAR BORA Father: SHARAT MAHANTA Father: LOHIT BORA House No: 174ক House No: 174ক House No: 174ক Age: 36 Sex: Female Age: 23 Sex: Male Age: 46 Sex: Male

988 GRD0001228 989 GRD0001229 990 GRD0001230 Name: KALPANA BORA Name: GANESH SAIKIA Name: DIPA SAIKIA Husband: GOBIN BORA Father: BAPAI SAIKIA Husband: GANESH SAIKIA House No: 174ক House No: 174ক House No: 174ক Age: 41 Sex: Female Age: 46 Sex: Male Age: 42 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 34 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 991 GRD0001231 992 GRD0001232 993 GRD0001233 Name: TILESWAR BARUAH Name: MUHINI BARUAH Name: SANCHIT BARUAH Father: MANIK BARUAH Husband: TILESWAR BARUAH Father: GERELA BARUAH House No: 174ক House No: 174ক House No: 174ক Age: 46 Sex: Male Age: 41 Sex: Female Age: 51 Sex: Male

994 GRD0001234 995 GRD1762987 996 GRD0001235 Name: RINA BARUAH Name: RIJU PACHUNG Name: BABU DAS Husband: SANCHIT BARUAH Father: DOLOI PACHUNG Father: PUJARI DAS House No: 174ক House No: 174ক House No: 174ক Age: 43 Sex: Female Age: 22 Sex: Male Age: 41 Sex: Male

997 GRD2243870 998 GRD2243905 999 GRD2243916 Name: MANOMATI DAS Name: JOYCHANDRA PEGU Name: NALINI PEGU Husband: BABU DAS Father: LOLIT PEGU Husband: JOYCHANDRA PEGU House No: 174ক House No: 174ক House No: 174ক Age: 36 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

1000 GRD0001236 1001 GRD0001237 1002 GRD0001238 Name: NAMITRA MAHANTA Name: MUHIDHAR SAIKIA Name: BHADRESWAR SAIKIA Husband: SHARAT MAHANTA Father: KULAI SAIKIA Husband: MUHIDHAR SAIKIA House No: 174ক House No: 174ক House No: 174ক Age: 41 Sex: Female Age: 61 Sex: Male Age: 56 Sex: Female

1003 GRD0001239 1004 GRD0001240 1005 GRD0001241 Name: BISHNU SAIKIA Name: BABU SAIKIA Name: KHAGEN SAIKIA Father: MUHIDHAR SAIKIA Father: MUHIDHAR SAIKIA Father: MUHIDHAR SAIKIA House No: 174ক House No: 174ক House No: 174ক Age: 33 Sex: Male Age: 31 Sex: Male Age: 29 Sex: Male

1006 GRD2243994 1007 GRD0001242 1008 GRD0001243 Name: DALOI PACHUNG Name: JOYMOTI PACHUNG Name: ACHI PATIR Father: JAPAK PACHUNG Husband: DOLOI PACHUNG Husband: RATNESWAR PATIR House No: 174ক House No: 174ক House No: 174ক Age: 50 Sex: Male Age: 45 Sex: Female Age: 86 Sex: Female

1009 GRD0001245 1010 GRD0001246 1011 GRD0001247 Name: DEHIRAM PATIR Name: TANUJA PATIR Name: JUNUMANI PATIR Father: RATNESWAR PATIR Husband: DEHIRAM PATIR Husband: TUNIRAM PATIR House No: 174ক House No: 174ক House No: 174ক Age: 57 Sex: Male Age: 53 Sex: Female Age: 48 Sex: Female

1012 GRD0001249 1013 GRD0001250 1014 GRD0329979 Name: ANIL PATIR Name: KANACHI PATIR Name: MINAKHI PACHUNG Father: RATNESWAR PATIR Husband: ANIL PATIR Husband: RIJU PACHUNG House No: 174ক House No: 174ক House No: 174DA Age: 46 Sex: Male Age: 41 Sex: Female Age: 24 Sex: Female

1015 GRD0329987 1016 GRD0330068 1017 GRD0330209 Name: RAJIYA PACHUNG Name: MITUN PACHUNG Name: AJOY PACHUNG Father: DOLOI PACHUNG Father: DLOI PACHUNG Father: DOLOI PACHUNG House No: 174DA House No: 174DA House No: 174DA Age: 22 Sex: Male Age: 20 Sex: Male Age: 18 Sex: Male

1018 GRD0046516 1019 GRD0330027 1020 GRD0330159 Name: JITUMONI BORAH Name: BITUMONI BORA Name: MRINALI BORA Father: GUBIN BORAH Father: GUBIN BORA Husband: JITUMONI BORA House No: 174KHA House No: 174KHA House No: 174KHA Age: 21 Sex: Male Age: 20 Sex: Male Age: 18 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 35 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 1021 GRD0330019 1022 GRD0330167 1023 GRD2244113 Name: HIMAKHI BORUAH Name: PURNAKANTA BORUAH Name: CHARAMI DOLEY Father: SANCHIT BORUAH Father: SANSIT BORUAH Husband: BANUWA DOLEY House No: 174UNGA House No: 174UNGA House No: 175 Age: 21 Sex: Female Age: 18 Sex: Male Age: 69 Sex: Female

1024 GRD0001251 1025 GRD0001252 1026 GRD0001253 Name: DIPKUMAR DOLEY Name: UPANYA DOLEY Name: BETUNI DOLEY Father: BANUWA DOLEY Husband: DIPKUMAR DOLEY Husband: BHARAT DOLEY House No: 175 House No: 175 House No: 175 Age: 45 Sex: Male Age: 43 Sex: Female Age: 39 Sex: Female

1027 GRD0001254 1028 GRD2244179 1029 GRD0001256 Name: AMULYA DOLEY Name: RINTU DOLEY Name: JAYLAS DOLEY Father: BANUWA DOLEY Husband: AMULYA DOLEY Father: BANIKANTA DOLEY House No: 175 House No: 175 House No: 175 Age: 37 Sex: Male Age: 35 Sex: Female Age: 33 Sex: Male

1030 GRD0001257 1031 GRD2244204 1032 GRD2245503 Name: DIPA DOLEY Name: MATIRAM DOLEY Name: PRADIP DOLEY Husband: JOYCHAL DOLEY Father: BANUWA DOLEY Father: BANUWA DOLEY House No: 175 House No: 175 House No: 175ক Age: 31 Sex: Female Age: 29 Sex: Male Age: 22 Sex: Male

1033 GRD2244215 1034 GRD0001258 1035 GRD0001259 Name: PRABIR PEGU Name: LAKSHESWARI PEGU Name: PRAFULLA PEGU Father: MATIRAM PEGU Husband: PRABIR PEGU Father: PRABIR PEGU House No: 176 House No: 176 House No: 176 Age: 61 Sex: Male Age: 56 Sex: Female Age: 35 Sex: Male

1036 GRD0001260 1037 GRD0001261 1038 GRD2244260 Name: PHULA PEGU Name: AKTOBAR PEGU Name: PURABI PEGU Husband: PRAFULLA PEGU Father: PRABIR PEGU Husband: AKTOBAR PEGU House No: 176 House No: 176 House No: 176 Age: 31 Sex: Female Age: 29 Sex: Male Age: 28 Sex: Female

1039 GRD1715282 1040 GRD0236968 1041 GRD2244271 Name: MILAN JYOTI PEGU Name: BORNALI PEGU Name: DIPANJALI PEGU Father: PRABIR PEGU Husband: MILANJYOTI PEGU Husband: PRAFULLA PEGU House No: 176 House No: 176 House No: 176ক Age: 22 Sex: Male Age: 20 Sex: Female Age: 30 Sex: Female

1042 GRD0001262 1043 GRD0001263 1044 GRD0001264 Name: SUBHAS PEGU Name: GANESH PEGU Name: BIRMANI PEGU Father: DINIRAM PEGU Father: SUBHAS PEGU Husband: GANESH PEGU House No: 177 House No: 177 House No: 177 Age: 76 Sex: Male Age: 56 Sex: Male Age: 53 Sex: Female

1045 GRD0001265 1046 GRD0001266 1047 GRD0001267 Name: PABITRA PEGU Name: KABITEE PEGU Name: DIPEN PEGU Father: SUBHAS PEGU Husband: PABITRA PEGU Father: SUBHAS PEGU House No: 177 House No: 177 House No: 177 Age: 51 Sex: Male Age: 48 Sex: Female Age: 46 Sex: Male

1048 GRD0001268 1049 GRD0001269 1050 GRD0001270 Name: KANACHI PEGU Name: KRISHNARAM PEGU Name: RACHANTI DOLEY Husband: DIPEN PEGU Father: SUBHAS PEGU Husband: HARUWA DOLEY House No: 177 House No: 177 House No: 178 Age: 41 Sex: Female Age: 30 Sex: Male Age: 76 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 36 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 1051 GRD0001272 1052 GRD0001273 1053 GRD0001274 Name: URBAMATI KAMAN Name: USHARANI KAMAN Name: KAMAN Husband: EAGUM KAMAN Husband: MANOJ KUMAR KAMAN Father: EAGUM KAMAN House No: 179 House No: 179 House No: 179ক Age: 51 Sex: Female Age: 24 Sex: Female Age: 26 Sex: Male

1054 GRD0001275 1055 GRD0001276 1056 GRD0001277 Name: BIKASH KAMAN Name: RAJIB PEGU Name: HEMALATA PEGU Father: EAGUM KAMAN Father: SHARMA PEGU Husband: RAJIB PEGU House No: 179ক House No: 180 House No: 180 Age: 24 Sex: Male Age: 46 Sex: Male Age: 41 Sex: Female

1057 GRD0001278 1058 GRD0001282 1059 GRD0332619 Name: BOGIRAM BORA Name: JUNUKI CHETRY Name: GOPAL CHETRY Father: GOPIRAM BORA Husband: CHANE CHETRY Father: SANE CHETRY House No: 181 House No: 186 House No: 186 Age: 76 Sex: Male Age: 56 Sex: Female Age: 22 Sex: Male

1060 GRD0001284 1061 GRD0001285 1062 GRD0001286 Name: BHUGAMATI PATIR Name: GAJENDRA PATIR Name: BABUL MILI Husband: ATUL PATIR Father: ATUL PATIR Father: JOYGYURAM MILI House No: 186ক House No: 186ক House No: 186ক Age: 54 Sex: Female Age: 29 Sex: Male Age: 56 Sex: Male

1063 GRD0001287 1064 GRD1762998 1065 GRD0001288 Name: LAKSHIMAI MILI Name: BISHNU MILI Name: RAJENDRA HARIJAN Husband: BABUL MILI Father: BABUL MILI Father: DAJU HARIJAN House No: 186ক House No: 186ক House No: 186ক Age: 51 Sex: Female Age: 22 Sex: Male Age: 53 Sex: Male

1066 GRD0001290 1067 GRD0001291 1068 GRD0001292 Name: PARWATI HARIJAN Name: ANIL HARIJAN Name: KALYASH HARIJAN Husband: RAJENDRA HARIJAN Father: DAJU HARIJAN Father: DAJU HARIJAN House No: 186ক House No: 186ক House No: 186ক Age: 51 Sex: Female Age: 46 Sex: Male Age: 41 Sex: Male

1069 GRD2244748 1070 GRD0001293 1071 GRD2244771 Name: MANU HARIJAN Name: AMULYA NEOG Name: SARUMAI NEOG Husband: KALYASH HARIJAN Father: MOHAN NEOG Husband: AMULYA NEOG House No: 186ক House No: 186ক House No: 186ক Age: 29 Sex: Female Age: 51 Sex: Male Age: 46 Sex: Female

1072 GRD0053058 1073 GRD0001283 1074 GRD0001295 Name: BIMAN NEOG Name: BHIMARI HARIJAN Name: HIRA CHETRY Father: AMULYA NEOG Father: HIRA HARIJAN Father: OJHA CHETRY House No: 186SA House No: 186KHA House No: 187 Age: 21 Sex: Male Age: 66 Sex: Male Age: 34 Sex: Male

1075 GRD0001296 1076 GRD0001298 1077 GRD0001299 Name: BOGI CHETRY Name: RAMEN BORA Name: DIGANTA BORA Husband: HIRA CHETRY Father: KATIRAM BORA Father: KRISHNARAM BORA House No: 187 House No: 187ক House No: 187ক Age: 31 Sex: Female Age: 51 Sex: Male Age: 50 Sex: Male

1078 GRD0001300 1079 GRD1763004 1080 GRD0001301 Name: BIJU BORA Name: SIMANTA BORA Name: NIRU BORA Husband: DIGANTA BORA Father: DIGANTA BORA Husband: RAMEN BORA House No: 187ক House No: 187ক House No: 188ক Age: 46 Sex: Female Age: 21 Sex: Male Age: 46 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 37 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 1081 GRD0001302 1082 GRD0001303 1083 GRD0001304 Name: JIBAN SINGH Name: PREMADA SINGH Name: MEHMUD PEGU Father: CHUKHANANDA SINGH Husband: JIBAN SINGH Father: GELA PEGU House No: 189 House No: 189 House No: 190 Age: 56 Sex: Male Age: 46 Sex: Female Age: 56 Sex: Male

1084 GRD0001306 1085 GRD0001307 1086 GRD1715293 Name: SWARNA PEGU Name: HITESWAR PEGU Name: RUPA DOLEY PEGU Husband: MEHMUD PEGU Father: MEHMUD PEGU Husband: HITESHWAR PEGU House No: 190 House No: 190 House No: 190 Age: 51 Sex: Female Age: 31 Sex: Male Age: 31 Sex: Female

1087 GRD1763015 1088 GRD1715306 1089 GRD0001308 Name: JIMI PEGU Name: NALIN PEGU Name: BUBUL SAIKIA Husband: NALIN PEGU Father: MEHAMUD PEGU Father: BHURAM SAIKIA House No: 190 House No: 190 House No: 191 Age: 26 Sex: Female Age: 23 Sex: Male Age: 43 Sex: Male

1090 GRD0001309 1091 GRD0001310 1092 GRD0001311 Name: TARUN DHONDIA Name: RUPA PANDE Name: BIPUL PANDE Father: KALIYA DHONDIA Husband: ROHIT PANDE Father: ROHIT PANDE House No: 192 House No: 193 House No: 193 Age: 36 Sex: Male Age: 49 Sex: Female Age: 31 Sex: Male

1093 GRD0001312 1094 GRD0001313 1095 GRD0001314 Name: BABUL SAIKIA Name: BULUMANI SAIKIA Name: GAKUL SAIKIA Father: JOGEN SAIKIA Husband: BABUL SAIKIA Father: BHURAM SAIKIA House No: 194ক House No: 194ক House No: 194ক Age: 41 Sex: Male Age: 36 Sex: Female Age: 46 Sex: Male

1096 GRD0001315 1097 GRD0001316 1098 GRD0001317 Name: JONAKI SAIKIA Name: SHON SAIKIA Name: PATALI SAIKIA Husband: GAKUL SAIKIA Father: DINAI SAIKIA Husband: SHON SAIKIA House No: 194ক House No: 195 House No: 195 Age: 41 Sex: Female Age: 69 Sex: Male Age: 61 Sex: Female

1099 GRD0001318 1100 GRD2245127 1101 GRD0001319 Name: CHAMPA PEGU Name: JITEN PEGU Name: AINI PEGU Husband: DEBIDHAR PEGU Father: DEBALINE PEGU Husband: JITEN PEGU House No: 195 House No: 195 House No: 195 Age: 51 Sex: Female Age: 49 Sex: Male Age: 46 Sex: Female

1102 GRD0001320 1103 GRD1715317 1104 GRD2245172 Name: BHASKARJYOTI PEGU Name: CHIRI PEGU Name: DEBIDHAR PEGU Father: DEBIDHAR PEGU Husband: JITEN PEGU Father: LINE PEGU House No: 195 House No: 195 House No: 196 Age: 29 Sex: Male Age: 28 Sex: Female Age: 53 Sex: Male

1105 GRD1715328 1106 GRD1715339 1107 GRD1763026 Name: DIBAKAR PEGU Name: PAMPI PAO PEGU Name: BIMAN PEGU Father: DEBIDHAR PEGU Husband: DIBAKAR PEGU Father: DEBIDHAR PEGU House No: 196 House No: 196 House No: 196 Age: 25 Sex: Male Age: 22 Sex: Female Age: 20 Sex: Male

1108 GRD2245183 1109 GRD0001321 1110 GRD0001322 Name: CHENIRAM BORA Name: AIMA BORA Name: NARAYAN BORA Father: KATIYA BORA Husband: CHENIRAM BORA Father: CHENIRAM BORA House No: 197 House No: 197 House No: 197 Age: 68 Sex: Male Age: 61 Sex: Female Age: 41 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 38 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI 1111 GRD0001323 1112 GRD1715340 1113 GRD0334987 Name: KANAKJYOTI BORA Name: TUTUMANI SINGH Name: BORNALI SING Father: CHENIRAM BORA Father: JIBAN SINGH Father: JIBAN SING House No: 197 House No: 198 House No: 198 Age: 36 Sex: Male Age: 21 Sex: Female Age: 19 Sex: Female

1114 GRD0335018 1115 GRD0132126 1116 GRD0133439 Name: MONUJ SINGH Name: PAPU MUDOI Name: PINKUMONI HAZARIKA Father: JIBAN SINGH Father: SAGAR MUDOI Father: PODMESWAR HAZARIKA House No: 198 House No: 774 House No: 791 Age: 18 Sex: Male Age: 19 Sex: Male Age: 22 Sex: Female

1117 GRD0133447 1118 GRD0135087 1119 GRD0137489 Name: RINKUMONI HAZARIKA Name: BHUPEN MUKTI Name: DIPIKA MUDOI Father: PODMESWAR HAZARIKA Father: MONESWAR MUDOI Husband: BISHNUPRASAD MUDOI House No: 791 House No: 817 House No: 855 Age: 22 Sex: Female Age: 20 Sex: Male Age: 19 Sex: Female

Total for Section : 1 SHIRISHATIKA NATUN CHAPARI

Male Female Third Total

592 527 0 1,119

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 39 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Supplementary Roll 2017 S03 - Assam

DETAILS OF REVISION : Special Summary Revision

Roll Identification: Basic roll of Special Summary Revision, 2017 Final Publication Date : 20/01/2017 integrated with all supplements 2017 preceding special summary revision, Year of Revision : 2016. Qualifying Date : 01/01/2017

Type of Revision Special Summary Revision

Form 6 : Addition List

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI

1120 GRD0074633 1121 GRD0085001 1122 GRD0086850 Name: KAJU PEGU Name: RADHESYAM SINGH Name: MAMATA DOLEY PEGU Father: KULAGAM PEGU Father: RAJ KUMAR SINGH Husband: MALEK PEGU House No: 32 House No: 69 House No: 72KHA Age: 21 Sex: Male Age: 18 Sex: Male Age: 22 Sex: Female

1123 GRD0087734 1124 GRD0087791 1125 GRD0088310 Name: MALEK PEGU Name: KRISHNA JYOTI MILI Name: DIPAMONI MILI Father: KAMAL SINGH PEGU Father: PROFULLA MILI Father: GOLAP MILI House No: 72KHA House No: 72GA House No: 72GHA Age: 33 Sex: Male Age: 20 Sex: Male Age: 18 Sex: Female

1126 GRD0089383 1127 GRD0090910 1128 GRD0098970 Name: TIRTHA NATH MILI Name: PAPU MILI Name: MRIDUL MILI Father: GOLAP MILI Father: AMUL MILI Father: ZADAB MILI House No: 72GHA House No: 72UNGA House No: 72SA Age: 18 Sex: Male Age: 19 Sex: Male Age: 18 Sex: Male

1129 GRD0099002 1130 GRD0099481 1131 GRD0099762 Name: CHAYANIKA MILI Name: BOBITA BORA HAZARIKA Name: SIBANI PEGU Father: BHUPEN MILI Husband: UPEN HAZARIKA Father: KULAGAM PEGU House No: 72CHHA House No: 150 House No: 32 Age: 18 Sex: Female Age: 25 Sex: Female Age: 18 Sex: Female

1132 GRD0100024 1133 GRD0102095 1134 GRD0102210 Name: PRANJAL BORA Name: GAMUNI PEGU Name: BHAIKAN PEGU Father: MUNINDA BORA Father: NOMAL PEGU Father: PORIMOL PEGU House No: 66 House No: 70KA House No: 70KHA Age: 20 Sex: Male Age: 20 Sex: Female Age: 19 Sex: Male

1135 GRD0103382 1136 GRD0104703 1137 GRD0104711 Name: REKHA MONI PEGU Name: MUKESH PEGU Name: PRONAB JYOTI BORAH Father: MOHESH PEGU Father: BIREN PEGU Father: KESHAB BORAH House No: 72KA House No: 73GA House No: 96KA Age: 19 Sex: Female Age: 18 Sex: Male Age: 21 Sex: Male

1138 GRD0104810 1139 GRD0105403 1140 GRD0105601 Name: SANJOY SAIKIA Name: POPPY RAJKHOWA BORA Name: KHAGEN HAZARIKA Father: DHARMESWAR SAIKIA Husband: AJOY BORA Father: THANESWAR HAZARIKA House No: 109 House No: 11OKA House No: 114 Age: 22 Sex: Male Age: 21 Sex: Female Age: 31 Sex: Male

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 40 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

1141 GRD0106351 1142 GRD0106401 1143 GRD0107045 Name: PANKAJ PEGU Name: PANKAJ BORA Name: JUNU MILI Father: KULAGAM PEGU Father: MUNINDA BORA Husband: DILIP MILI House No: 32 House No: 66 House No: 66GA Age: 21 Sex: Male Age: 21 Sex: Male Age: 35 Sex: Female

1144 GRD0107300 1145 GRD0120394 1146 GRD0122465 Name: RAJENDRA SINGH Name: KABITA DUTTA MUDOI Name: MOUSUMI BORUAH MUDOI Father: RAJ KUMAR SINGH Husband: KRISHNA MUDOI Husband: RANJIT MUDOI House No: 69 House No: 137 House No: 136 Age: 21 Sex: Male Age: 27 Sex: Female Age: 26 Sex: Female

1147 GRD0123703 1148 GRD0126045 1149 GRD0128454 Name: AMIYA BORUAH Name: ARCHANA MUDOI Name: TRIDIP MUDOI Husband: PURNA MUDOI Husband: ATUL MUDOI Father: ANANDA MUDOI House No: 137 House No: 138 House No: 147 Age: 33 Sex: Female Age: 33 Sex: Female Age: 21 Sex: Male

1150 GRD0131292 1151 GRD0131540 1152 GRD0131821 Name: PRIYANKA HAZARIKA Name: SUNIL CHOKIAL Name: PADMA PEGU Father: CHENIRAM HAZARIKA Father: RANJIT CHOKIAL Father: BROJEN PEGU House No: 157KA House No: 35 House No: 36KA Age: 21 Sex: Female Age: 18 Sex: Male Age: 18 Sex: Male

1153 GRD0132225 1154 GRD0132472 1155 GRD0132662 Name: POBITRA PEGU Name: PROTIMA KAMAN PEGU Name: ABHIJIT MUDOI Father: BROJEN PEGU Husband: POBITRA PEGU Father: KAMAL MUDOI House No: 36KA House No: 36KA House No: 41 Age: 18 Sex: Male Age: 23 Sex: Female Age: 18 Sex: Male

1156 GRD0132845 1157 GRD0135780 1158 GRD0136622 Name: SULI SAIKIA Name: JUNALI PEGU Name: RITU SINGH Father: PUTUL SAIKIA Father: BIREN PEGU Father: RAJ KUMAR SINGH House No: 42 House No: 63GA House No: 69 Age: 26 Sex: Male Age: 21 Sex: Female Age: 20 Sex: Male

1159 GRD0136861 1160 GRD0138040 1161 GRD0138131 Name: JITU PEGU Name: MENOKA DAS Name: DIGANTA BORAH Father: BAMUN PEGU Husband: POBITRA DAS Father: JOGAI BORAH House No: 32KA House No: 168 House No: 174KA Age: 18 Sex: Male Age: 23 Sex: Female Age: 18 Sex: Male

1162 GRD0138693 1163 GRD0138750 1164 GRD0140624 Name: TARUN SAIKIA Name: JYOTI SAIKIA Name: UMAKANTA PANDE Father: MUHIDHAR SAIKIA Husband: BISNU SAIKI Father: ROHIM PANDE House No: 178THA House No: 174THA House No: 193 Age: 30 Sex: Male Age: 29 Sex: Female Age: 19 Sex: Male

1165 GRD0140632 1166 GRD0141234 1167 GRD0142232 Name: RUPA HAZARIKA Name: JAYA PEGU Name: MINA MORANG PEGU Husband: DIMBESWAR HAZARIKA Husband: UMESH PEGU Husband: DINESH PEGU House No: 114 House No: 4 House No: 8 Age: 35 Sex: Female Age: 19 Sex: Female Age: 27 Sex: Female

1168 GRD0142240 1169 GRD0142265 1170 GRD0142273 Name: SUNITA PANDEY Name: PODUMI PEGU CHOKIAL Name: ANITA PEGU Father: ROHIM PANDEY Husband: POREN CHOKIAL Husband: RUSHIA PEGU House No: 193 House No: 8 House No: 5 Age: 19 Sex: Female Age: 18 Sex: Female Age: 19 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 41 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

1171 GRD0142281 1172 GRD0142315 1173 GRD0142323 Name: POREN CHOKIAL Name: SUSILA CHOKIAL Name: SUMI BORA Father: BOLIN CHOKIAL Husband: KELOM CHOKIAL Father: ANIL BORA House No: 8 House No: 10 House No: 16 Age: 21 Sex: Male Age: 18 Sex: Female Age: 18 Sex: Female

1174 GRD0142331 1175 GRD0142364 1176 GRD0142372 Name: NIKHIL CHOKIAL Name: SRABAN CHOKIAL Name: ABIKANTA PEGU Father: NOGEN CHOKIAL Father: NOGEN CHOKIAL Father: BIMAL PEGU House No: 19 House No: 19 House No: 23KA Age: 22 Sex: Male Age: 19 Sex: Male Age: 20 Sex: Male

1177 GRD0142380 1178 GRD0142414 1179 GRD0142422 Name: BOLIN PEGU Name: RONUJ PEGU Name: MONUJ PEGU Father: BIMAL PEGU Father: MONI KANTA PEGU Father: MONI KANTA PEGU House No: 23KA House No: 27 House No: 27 Age: 19 Sex: Male Age: 18 Sex: Male Age: 19 Sex: Male

Total for Section : 1 SHIRISHATIKA NATUN CHAPARI

Male Female Third Total

34 26 0 60

Form 7 : Deletion List

Form 8 : Modification List

Section No and Name : 1 SHIRISHATIKA NATUN CHAPARI

205 GRD0000665 Name: DIPA PEGU Husband: BROJEN PEGU House No: 36KA Age: 33 Sex: Female

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 42 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 State Name and Code : S03 / Assam Electoral Roll : 2017

Ac No and Name: 097 DERGAON (SC) Part No: 2

Form 8 Total for Section : 1 SHIRISHATIKA NATUN CHAPARI

Male Female Third Total

0 1 0 1

Form 8A : Transposition List

Age as on : 01.01. 2017 Published by Electoral Registration Officer , 2017 Page 43 of 44

Corrected - as per Supplement Form 8 Reason of Deletion : E-Expired, S-Shifted, R-Repeated / Duplicate and O-Others as per Form 7 Voter Details S03, Assam

A) Total Voters

Total Voters Type Of Roll Voter Roll Identification Male Female Third Total

SPECIAL Revision 2017

I Mother Roll Mother Roll 592 527 0 1119

SPECIAL Revision 2017 34 26 0 60 Supplement 1

II Addition Roll Continious 1 0 0 0 0

Continious 2 0 0 0 0

SPECIAL Revision 2017 0 0 0 0 Supplement 1

III Deletion Roll Continious 1 0 0 0 0

Continious 2 0 0 0 0

Total Voters ( (I + II) - III ) 626 553 0 1179

B) Modification Roll Total

Type Of Roll Voter Roll Identification Total Modifications

Supplement 1 SPECIAL Revision 2017 1

Continious 1 0

Continious 2 0

Date : 20/01/2017

(Signature) Place : Jorhat Sultana Akhtara Ahmed Electoral Registration Officer 097 DERGAON (SC) Assembly Constituancy