| District Name | Krishna |
| Mandal Name | Vijayawada Rural |
| Panchayat Name | AMBAPURAM |
| VO Name | Sruthichaitanya |
| Application Number | 21580 |
| Policy Holder Name | Taneti Adi Lakshmi |
| Father / Husband Name | Taneti Sunil |
| Gender | Female |
| Age | 30 |
| Nominee Name | T Sunil |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | 480899849235 |
| StreeNo | Loyabaata |
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