| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | THOKALAVALASA |
| VO Name | Veeranjaneeya |
| Application Number | 22389 |
| Policy Holder Name | PONDURU RAMBABU |
| Father / Husband Name | SURYAPRAKASH |
| Gender | Male |
| Age | 40 |
| Caste | BC |
| Nominee Name | GOWRISWARI |
| Nominee Age | 34 |
| Nominee Gender | Female |
| RationCard | WAP010301900008 |
| StreeNo | peddaveedi |
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