| District Name | Chittoor |
| Mandal Name | Peddamandyam |
| Panchayat Name | SIDDAVARAM |
| VO Name | SRISAI |
| Application Number | 12516 |
| Policy Holder Name | PEDDAKOTAM ARUNA KUMARI |
| Father / Husband Name | SREENIVASULU REDDY |
| Gender | Female |
| Age | 27 |
| Nominee Name | SREENIVASULU REDDY |
| Nominee Age | 28 |
| Nominee Gender | Male |
| StreeNo | SIDDAVARAM |
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