| Name Of the Firm : | Life Line Agency |
| Zone : | Southern Zone |
| Range : | Ganjam I Range |
| Police Station : | |
| Address : | Plot No.1605/7619,Khata No. 1166/3193,Kamalvari Street,Berhampur |
| RP Name : | |
| Registration Number : | |
| Competent Person : | Smt.Gouri Sahu |
| Qualification : | B.A |
| Name of the Proprietor : | Sri Uma Shankar Sahu |
| R : | |
| RC : | |
| RX : | |
| RR : | |
| RRC : | |
| W : | GAI 571 |
| WC : | GAI 572 |
| WX : | GAI 573 |
| Date of Issue : | 4/2/2002 |
| Date of Expiry : | 3/31/2017 |
| Remarks : |