| District Name | S.P.S Nellore |
| Mandal Name | Marripadu |
| Panchayat Name | PEGALLAPADU |
| VO Name | PEGALLAPADU |
| Application Number | 17928 |
| Policy Holder Name | GADDI PENCHALAMMA |
| Father / Husband Name | PENCHALAIAH |
| Gender | Female |
| Age | 23 |
| Caste | SC |
| Nominee Name | NARASAMMA |
| Nominee Age | 35 |
| Nominee Gender | Female |
| RationCard | yap091100800224 |
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