| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | CHATAYYAVALASA |
| VO Name | Jai Santhosimatha Wmacvs |
| Application Number | 22375 |
| Policy Holder Name | DUVARUKU LAKSHMI |
| Father / Husband Name | APPANNA |
| Gender | Female |
| Age | 33 |
| Caste | BC |
| Nominee Name | APPANNA |
| Nominee Age | 30 |
| Nominee Gender | Male |
| RationCard | WAP010300500298 |
| StreeNo | peddaveedi |
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