| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | H.NIDAMANUR |
| VO Name | JAIAJEEVANI |
| Application Number | 13266 |
| Policy Holder Name | Jasmin Madala |
| Father / Husband Name | Vijaya Babu |
| Gender | Female |
| Age | 32 |
| Caste | SC |
| Nominee Name | Vijay Babu |
| Nominee Age | 34 |
| Nominee Gender | Male |
| RationCard | WAP084504800497 |
| StreeNo | SC COLONY |
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