- - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - CERTIFICATE OF REGISTRATION AS A VOTER Serial No. This is to certify that …………………………………………………… has been registered as a Voter on the Voter’s Roll for the Constituency of …………………………………………………………………. Block number: ……………………………………………………………………………………………. National registration number: ……………………………………………………………………………. Place of registration: ……………………………………………………………………………………… Name of Registrar in print form: …………………………………………………………………………. Date: …………………………………………… Signature: ………………………………………. - 20 -