| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | MADDIRALA MUPPALLA |
| VO Name | PRAKASAM |
| Application Number | 17766 |
| Policy Holder Name | Sujatha Devarakonda |
| Father / Husband Name | KOTESWARAO |
| Gender | Female |
| Age | 30 |
| Caste | ST |
| Nominee Name | Manikantha |
| Nominee Age | 10 |
| Nominee Gender | Male |
| RationCard | WAP084503400402 |
| StreeNo | ST COLONY |
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