| District Name | Guntur |
| Mandal Name | Karlapalem |
| Panchayat Name | PEDAGOLLAPALEM |
| VO Name | MOTHER TERRISA |
| Application Number | 1400 |
| Policy Holder Name | Chimata Sivaparwathi |
| Father / Husband Name | Dharmarao |
| Gender | Female |
| Age | 26 |
| Caste | BC |
| Nominee Name | Dharmarao |
| Nominee Age | 32 |
| Nominee Gender | Male |
| RationCard | WAP075603100377 |
| StreeNo | Bathulavaripalem |
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