| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | AMADALAVALASA |
| VO Name | vijayalalaxmi |
| Application Number | 22347 |
| Policy Holder Name | BHAGAYAM BALAVALADA |
| Father / Husband Name | KRASHNAMURTY |
| Gender | Female |
| Age | 42 |
| Caste | BC |
| Nominee Name | KRASHNAMURTY |
| Nominee Age | 39 |
| Nominee Gender | Male |
| RationCard | WAP010300900118 |
| StreeNo | main road |
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