| District Name | Prakasam |
| Mandal Name | Naguluppalapadu |
| Panchayat Name | CHOUTAPALEM |
| VO Name | jalajeevani |
| Application Number | 18763 |
| Policy Holder Name | Venkayamma Gattu Palli |
| Father / Husband Name | Singayya |
| Gender | Female |
| Age | 22 |
| Caste | BC |
| Nominee Name | Singayya |
| Nominee Age | 45 |
| Nominee Gender | Male |
| RationCard | WAP084500100405 |
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