| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | PURLI |
| VO Name | Purli Wmacvs |
| Application Number | 22352 |
| Policy Holder Name | GOWRI POGARI |
| Father / Husband Name | SATYAM |
| Gender | Female |
| Age | 37 |
| Caste | BC |
| Nominee Name | SATYAM |
| Nominee Age | 36 |
| Nominee Gender | Male |
| RationCard | WAP010303600236 |
| StreeNo | main road |
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