| District Name | Srikakulam |
| Mandal Name | Santhakaviti |
| Panchayat Name | TALATAMPARA |
| VO Name | TALTAMPARA |
| Application Number | 11603 |
| Policy Holder Name | Polaki Dalinaidu |
| Father / Husband Name | Chayannaidu |
| Gender | Male |
| Age | 43 |
| Caste | SC |
| Nominee Name | Hemalatha |
| Nominee Age | 28 |
| Nominee Gender | Female |
| RationCard | Wap011005300066 |
| StreeNo | Sc Street |
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