| District Name | Krishna |
| Mandal Name | Gudivada |
| Panchayat Name | TATIVARRU |
| VO Name | TATIVARRU I |
| Application Number | 22427 |
| Policy Holder Name | Chappidi Rajini |
| Father / Husband Name | Tammaiah |
| Gender | Female |
| Age | 26 |
| Caste | SC |
| Nominee Name | RajaGowthamray |
| Nominee Age | 26 |
| Nominee Gender | Male |
| RationCard | WAP064200200212 |
| StreeNo | Tativerru |
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