| District Name | Srikakulam |
| Mandal Name | Kothuru |
| Panchayat Name | SIRUSUVADA |
| VO Name | Sirusuwada VO |
| Application Number | 23383 |
| Policy Holder Name | SANTHI NAIKO |
| Father / Husband Name | SIMHACHALAM |
| Gender | Female |
| Age | 33 |
| Caste | BC |
| Nominee Name | SIMHACHALAM |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP0115001C0068 |
| StreeNo | KOTTAVEEDHI |
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