| District Name | Srikakulam |
| Mandal Name | Ranastalam |
| Panchayat Name | KOTAPALEM |
| VO Name | Jai Badrakali |
| Application Number | 1954 |
| Policy Holder Name | Ramarao Jalumuru |
| Father / Husband Name | Apparao |
| Gender | Male |
| Age | 33 |
| Nominee Name | Adhilaxmi |
| Nominee Age | 53 |
| Nominee Gender | Female |
| RationCard | yap010704600268 |
| StreeNo | Main Street |
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