| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | DEVUDALA |
| VO Name | Gopempeta Wmacvs |
| Application Number | 22354 |
| Policy Holder Name | KAGATAPALLI RAMADEVI |
| Father / Husband Name | BHARAGAVA RAO |
| Gender | Female |
| Age | 40 |
| Caste | BC |
| Nominee Name | BRANDHA |
| Nominee Age | 19 |
| Nominee Gender | Male |
| RationCard | WAP010303700307 |
| StreeNo | main road |
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