| District Name | Guntur |
| Mandal Name | Repalle |
| Panchayat Name | GANGADIPALEM |
| VO Name | JANA SAKTHI |
| Application Number | 14112 |
| Policy Holder Name | kavitha chennu |
| Father / Husband Name | ravibabu |
| Gender | Female |
| Age | 41 |
| Caste | BC |
| Nominee Name | charansaichandu |
| Nominee Age | 18 |
| Nominee Gender | Male |
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