| District Name | Guntur |
| Mandal Name | Tenali |
| Panchayat Name | MALLEPADU |
| VO Name | SRI SHIRIDISAI |
| Application Number | 10080 |
| Policy Holder Name | CHILLA MANGAMMA |
| Father / Husband Name | SRINIVASARAO |
| Gender | Female |
| Age | 33 |
| Nominee Name | SRINIVASARAO |
| Nominee Age | 30 |
| Nominee Gender | Male |
| RationCard | WAP0732068A0059 |
| StreeNo | KHAZIPET |
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