| District Name | Srikakulam |
| Mandal Name | Kothuru |
| Panchayat Name | MAKAVARAM |
| VO Name | Makavaram VO |
| Application Number | 22659 |
| Policy Holder Name | Tatipuram Narasimhulu |
| Father / Husband Name | Buganna |
| Gender | Male |
| Age | 33 |
| Caste | ST |
| Nominee Name | Laxmi |
| Nominee Age | 28 |
| Nominee Gender | Female |
| RationCard | yap0115040300013 |
| StreeNo | main |
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