| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | MATTIGUNTA |
| VO Name | jalajeevani |
| Application Number | 13116 |
| Policy Holder Name | Anusha Gundala |
| Father / Husband Name | Venugopal |
| Gender | Female |
| Age | 23 |
| Caste | SC |
| Nominee Name | Venugopal |
| Nominee Age | 30 |
| Nominee Gender | Male |
| RationCard | RAP084504600816 |
| StreeNo | Pothavaram |
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