| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | POTHAVARAM |
| VO Name | jalajeevani |
| Application Number | 12909 |
| Policy Holder Name | Parvathi Podha |
| Father / Husband Name | Srinivasa Rao |
| Gender | Female |
| Age | 38 |
| Nominee Name | Sai Kiran |
| Nominee Age | 18 |
| Nominee Gender | Male |
| RationCard | WAP084500600189 |
| StreeNo | T-Agraharam |
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