| District Name | Srikakulam |
| Mandal Name | Rajam |
| Panchayat Name | OMMI |
| VO Name | Nava Durga |
| Application Number | 22682 |
| Policy Holder Name | Vasireddi Nagamani |
| Father / Husband Name | Appalanaidu |
| Gender | Female |
| Age | 33 |
| Caste | BC |
| Nominee Name | Appalanaidu |
| Nominee Age | 30 |
| Nominee Gender | Male |
| RationCard | wap010404100081 |
| StreeNo | MAIN STREET |
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