| District Name | Guntur |
| Mandal Name | Tenali |
| Panchayat Name | NANDIVELUGU |
| VO Name | Sai Baba |
| Application Number | 10530 |
| Policy Holder Name | KASUKURTHY PEDDAMMAYI |
| Father / Husband Name | JAYAPAL |
| Gender | Female |
| Age | 50 |
| Caste | SC |
| Nominee Name | JAYAPAL |
| Nominee Age | 47 |
| Nominee Gender | Male |
| RationCard | WAP073207400152 |
| StreeNo | Nadivelugu |
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