| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | THIMMASAMUDRAM |
| VO Name | KEERTI |
| Application Number | 17769 |
| Policy Holder Name | Mariya kumari Yajarla |
| Father / Husband Name | Syam babu |
| Gender | Female |
| Age | 39 |
| Caste | SC |
| Nominee Name | Visweswa rao |
| Nominee Age | 18 |
| Nominee Gender | Male |
| RationCard | WAP084504000015 |
| StreeNo | SC COLONY |
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