| District Name | Srikakulam |
| Mandal Name | Kanchili |
| Panchayat Name | POLERU |
| VO Name | Poleru |
| Application Number | 23226 |
| Policy Holder Name | LINGAM RAJESWARI |
| Father / Husband Name | KRISHANA RAO |
| Gender | Female |
| Age | 26 |
| Caste | SC |
| Nominee Name | KRISHNA RAO |
| Nominee Age | 32 |
| Nominee Gender | Male |
| RationCard | WAP1739030G0048 |
| StreeNo | JINNARAM |
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