| District Name | Srikakulam |
| Mandal Name | Kaviti |
| Panchayat Name | SILAGAM |
| VO Name | SILAGAM |
| Application Number | 20629 |
| Policy Holder Name | LATHA GONAPA |
| Father / Husband Name | SARVESWARARAO |
| Gender | Female |
| Age | 37 |
| Caste | BC |
| Nominee Name | SRAVANI |
| Nominee Age | 18 |
| Nominee Gender | Female |
| RationCard | WAP013602500076 |
| StreeNo | SILAGAM |
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