| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | EDUMUDI |
| VO Name | jeevanajyothi |
| Application Number | 17770 |
| Policy Holder Name | Sandya rani Bakka |
| Father / Husband Name | Rosayya |
| Gender | Female |
| Age | 27 |
| Caste | SC |
| Nominee Name | Anusha |
| Nominee Age | 7 |
| Nominee Gender | Female |
| RationCard | WAP084503200224 |
| StreeNo | SC COLONY |
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