| District Name | S.P.S Nellore |
| Mandal Name | Pellakur |
| Panchayat Name | ARDHAMALA |
| VO Name | Ardhmala 2nd |
| Application Number | 15261 |
| Policy Holder Name | TAMIDALA SUDARSANA |
| Father / Husband Name | RAMAIAH |
| Gender | Female |
| Age | 41 |
| Caste | SC |
| Nominee Name | RAMAIAH |
| Nominee Age | 38 |
| Nominee Gender | Male |
| RationCard | WAP094300300033 |
| StreeNo | SC COLONY |
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