| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | ADAVARAM |
| VO Name | Padmavathi |
| Application Number | 22356 |
| Policy Holder Name | PINNATI SARASWAVATHI |
| Father / Husband Name | KOTISWARA RAO |
| Gender | Female |
| Age | 36 |
| Caste | BC |
| Nominee Name | KOTISWARA RAO |
| Nominee Age | 33 |
| Nominee Gender | Male |
| RationCard | WAP010300900118 |
| StreeNo | peddaveedi |
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