| District Name | Srikakulam |
| Mandal Name | Laveru |
| Panchayat Name | POTHAYYAVALASA |
| VO Name | POTHAYYAVALASA |
| Application Number | 2306 |
| Policy Holder Name | Nageswara rao Palakodeti |
| Father / Husband Name | Jagannada rao |
| Gender | Male |
| Age | 51 |
| Nominee Name | Rajeswari |
| Nominee Age | 36 |
| Nominee Gender | Female |
| RationCard | YAP010600900202 |
| StreeNo | main street |
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