| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Panchayat Name | CHOWDAVADA |
| VO Name | KRISHNAPURAM PSSGS LTD |
| Application Number | 17070 |
| Policy Holder Name | goru suvarna mala |
| Father / Husband Name | sankara rao |
| Gender | Female |
| Age | 28 |
| Caste | BC |
| Nominee Name | kamaraju |
| Nominee Age | 24 |
| Nominee Gender | Male |
| RationCard | wap022502300199 |
| StreeNo | bc colony |
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