| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | AMBADA |
| VO Name | A.V Puram |
| Application Number | 22409 |
| Policy Holder Name | SIRISETTI NIRMALA |
| Father / Husband Name | GURANADHAM |
| Gender | Female |
| Age | 45 |
| Caste | BC |
| Nominee Name | GURANADHAM |
| Nominee Age | 41 |
| Nominee Gender | Male |
| RationCard | WAP010305400042 |
| StreeNo | main road |
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