| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | H.NIDAMANUR |
| VO Name | JALAJEEVANI |
| Application Number | 17722 |
| Policy Holder Name | Valeti Sarala |
| Father / Husband Name | Veraiah |
| Gender | Female |
| Age | 37 |
| Nominee Name | Sai Tulasi |
| Nominee Age | 10 |
| Nominee Gender | Female |
| RationCard | RAP084500401766 |
| StreeNo | OC Colony |
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