| District Name | Srikakulam |
| Mandal Name | Kotabommili |
| Panchayat Name | YETHURALLAPADU |
| VO Name | Mugammatalli WMACS |
| Application Number | 16466 |
| Policy Holder Name | mojjada ganpathi |
| Father / Husband Name | satyam |
| Gender | Male |
| Age | 40 |
| Caste | BC |
| Nominee Name | kamala |
| Nominee Age | 34 |
| Nominee Gender | Female |
| RationCard | wapo12710100149 |
| StreeNo | kovelaveedhi |
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