| District Name | Srikakulam |
| Mandal Name | Kotabommili |
| Panchayat Name | CHITTIVALASA |
| VO Name | Chittivalasa WMACS |
| Application Number | 12548 |
| Policy Holder Name | seetamma ronaki |
| Father / Husband Name | apparao |
| Gender | Female |
| Age | 38 |
| Caste | BC |
| Nominee Name | APPARAO |
| Nominee Age | 47 |
| Nominee Gender | Male |
| StreeNo | main strret |
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