|
/
asthsSdy Wotypd 58 SHY, Sebscho
isqrin00
Part A
, 8
ebartod do : DIVA LAKSHMIDEVAMMA — 8°6 32= 210807637480
Set /SrSGywod: | MARK ySa0e: 6909868182
Secretariat name: RAJUPALEM Volunteer 10790643002
Cluster id:
Beneficiary Id: (071051607P1280396
Part B ( areodS5 ogo")
(a) aot Ser, cls, Bers
2.6 80. OS OTS Ap TEN,
($76 (e2sw 0)
(2) oSsaSSio ans, HyorSS0
edrae eaeb/ Seo wae] sé cutie — wabid/ se
a, |
inspection HHoLSNS SHAS Sy 538, 9S6S002
(3) 2(b) ds 2(c) covs.s,
Clait Pry J oo . ' a
genet se) Divya ole Deven LOFOI6 S743 0
D.80G/2ir55, uhm rE
Claimant 20 db 38 Myers Gayo wa aSdSaw SStod G06 / SL —
(4) sR asesinen
a. Hyirsw 6S) /O Cea wrd,ot5 Bo (40d /AUD). Sy S
bindoyS ew S365 2. Gy (426s A-4@
iho
SFO
Part C (VRO org)
1.Document available with the beneficiary: (For Joan data
prepopulated, for other seek details)2.0ird dingy agar Saw: (56 ODS TT ake) Doudos"oe) 4
1 mgofoda Sgbds tira,
3. dS cir 4, Objectionable artoxS'8o (2tasS'so Dgersso: )
(3) airs DSS i
Adds emg hq0- D.atigs trea, we Bor ;
BSrtoy oe, Digte Hoya, Koma E.can int, ath! etpebay
Cae och,
Sok. O82 se Sb. — a
(4)Part B (3) Sdsim Boe) Auk, easwisan TST TG ED (By) geben Od, $965
DOLS TOP AUP —-/ 6HSO Dada ESSISD
(g)Q) D form 88 adIS Hp akp/sirdoy/SaoAw asso
okey Syprdh/odardoos D es r.. i
oriniou See ES waesrertots ESTO SoS
jo DQgo a.
os Hossyds0
Dodehy Sao
(@) SRO RODSALTS — eared DS6s009 (SSNS: OLAS SHAT ogo"
SoySypnd: STW SES — POE OKT IO Sry fyi Goce, Soot wd Sader oven o8)
Od SLOTS: DULCE — AUIS Ayo Sarto doI10 SeSeygabvw Stood aN Gor)
a ‘ fin 7
aescodSoreos So 50°5 So
D.SoG/ SOTO dH | c
gonriicthe a,
VRO iee58o
Part D (qoes60of ebay or30")
Bndle ye Bae F080 |
(G08) | (eeoroes) | +6
aa vo (SOL i A.
7 | \ | €
wares) \EX LE ato ak
y
owAIOoh OADot5 Loeb o