| District Name | Srikakulam |
| Mandal Name | Mandasa |
| Panchayat Name | BHOGABANDA |
| VO Name | BHOGABANDA WMACS |
| Application Number | 21893 |
| Policy Holder Name | paila govindarao |
| Father / Husband Name | narasimhamurty |
| Gender | Male |
| Age | 50 |
| Caste | SC |
| Nominee Name | yasodha |
| Nominee Age | 38 |
| Nominee Gender | Female |
| RationCard | wap013305700184 |
| StreeNo | bhogabandha |
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