| District Name | Visakhapatnam |
| Mandal Name | Munagapaka |
| Panchayat Name | Nagulapalli |
| VO Name | VASUNDARA GRAMA SANGAM |
| Application Number | 11350 |
| Policy Holder Name | JANAKI MALLA |
| Father / Husband Name | SIVA |
| Gender | Male |
| Age | 39 |
| Caste | BC |
| Nominee Name | MALLA SIVA |
| Nominee Age | 33 |
| Nominee Gender | Male |
| RationCard | WAP033401000146 |
| StreeNo | NAGULAPALLI |
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