| District Name | Guntur |
| Mandal Name | Repalle |
| Panchayat Name | GANGADIPALEM |
| VO Name | Velugu |
| Application Number | 14105 |
| Policy Holder Name | mariyamma thamma |
| Father / Husband Name | sambasivarao |
| Gender | Female |
| Age | 31 |
| Caste | BC |
| Nominee Name | sambasivarao |
| Nominee Age | 38 |
| Nominee Gender | Male |
| RationCard | wap075206400289 |
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