| District Name | S.P.S Nellore |
| Mandal Name | Thotapalligudur |
| Panchayat Name | POTLAPUDI |
| VO Name | POYLAPUDI |
| Application Number | 15774 |
| Policy Holder Name | Geddi Santhamma |
| Father / Husband Name | Bujjaiah |
| Gender | Female |
| Age | 27 |
| Caste | SC |
| Nominee Name | Bujjaiah |
| Nominee Age | 46 |
| Nominee Gender | Male |
| RationCard | wap092800800353 |
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