| State | Odisha |
|---|---|
| District | |
| Constituency No. & Name | |
| Part No. & Location | |
| Part Serial No | |
| EPIC No | |
| Name | |
| Relative Name | |
| Relation Type | |
| Age | |
| Gender |
CERTIFICATE
This is to certify that the above is a translation of the extract from the electoral roll of last intensive revision, 2002 in Odisha.