| District Name | Srikakulam |
| Mandal Name | Meilaputti |
| Panchayat Name | KERASINGI |
| VO Name | godda |
| Application Number | 19853 |
| Policy Holder Name | DORA GANGADHAR |
| Father / Husband Name | DANDASI |
| Gender | Male |
| Age | 26 |
| Caste | ST |
| Nominee Name | VENKATA RAO |
| Nominee Age | 20 |
| Nominee Gender | Male |
| RationCard | WAP012603400387 |
| StreeNo | NELABONTU STREET |
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