| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | RAPARLA |
| VO Name | JALAJEEVANI |
| Application Number | 13141 |
| Policy Holder Name | Sri Devi Mareddy |
| Father / Husband Name | Jaya Rami Reddy |
| Gender | Female |
| Age | 40 |
| Nominee Name | Jayarami Reddy |
| Nominee Age | 38 |
| Nominee Gender | Male |
| RationCard | PAP084504500062 |
| StreeNo | Reddy Bazar |
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