| District Name | Guntur |
| Mandal Name | Karlapalem |
| Panchayat Name | NALLAMOTHUVARIPALEM |
| VO Name | Ayyappa |
| Application Number | 1368 |
| Policy Holder Name | Gorremuchu Ratna Kumari |
| Father / Husband Name | Baburao |
| Gender | Female |
| Age | 38 |
| Caste | SC |
| Nominee Name | Baburao |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | WAP075601500205 |
| StreeNo | Kasturibanagar |
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