| District Name | Srikakulam |
| Mandal Name | Kotabommili |
| Panchayat Name | DANTHA |
| VO Name | Sri durgabhavani WMACS |
| Application Number | 12576 |
| Policy Holder Name | Sulochana chinthu |
| Father / Husband Name | yearrapadu |
| Gender | Female |
| Age | 38 |
| Caste | BC |
| Nominee Name | YEARRAPADU |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | Wapo12870600218 |
| StreeNo | main strret |
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