| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Panchayat Name | CHODAMMAAGRAHARAM |
| VO Name | PORAM PSSGS LTD |
| Application Number | 17086 |
| Policy Holder Name | burle bhagyalakshmi |
| Father / Husband Name | vijaya shakar |
| Gender | Female |
| Age | 25 |
| Caste | BC |
| Nominee Name | vijaya shankar |
| Nominee Age | 36 |
| Nominee Gender | Male |
| RationCard | rap022501501274 |
| StreeNo | bc colony |
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