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Andhra Pradesh Brahmin Welfare Corporation Ltd.

,
(A Govt. of A.P., Undertaking)
Kashyapa Scheme for Food and Shelter
APPLICATION FORM
Regd.No: KS-FS-21307
Kashyapa Scheme for Elder - staying on his / her own
Sect

-NA-

Gothram

Koundinyasa

Sur Name

DHARMAVARAM

Applicant Name

SUDHAKARA RAO

Gender

Male

Date of Birth

21/08/1951

Languages Known

Telugu

Type of disability

% of disability

Guardian

W/o SAVITHRI

Status of Parents

NA

Profession

HOUSE WIFE

Annual Income

Ration Card No

RAP106101301734

AADHAAR No

379621188715

24,000

Present Address

Permanent Address

Door No

6-57

Street Name

ACHARYA STREET

Land mark

BAZAR STREET

Village

BAIREDDIPALLI

Mandal

BAIREDDIPALLE

District

CHITTOOR, PIN Code : 517415

STD & Land Line

Mobile No

9490504084

e-Mail ID

vaiswanara@gmail.com

Bank details:
IFS CODE

ANDB0001818

Bank Name

ANDHRA BANK

Branch Name

PALAMANERU

Student's SB A/c No.

181810100117617

21/06/2016

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