| District Name | Vizianagaram |
| Mandal Name | Pusapatirega |
| Panchayat Name | CHINTAPALLI |
| VO Name | CHINTAPALLI VGIS |
| Application Number | 17123 |
| Policy Holder Name | budumuru sureedu |
| Father / Husband Name | somaraju |
| Gender | Female |
| Age | 21 |
| Caste | SC |
| Nominee Name | somaraju |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | rap022502103665 |
| StreeNo | SC COLONY |
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