| District Name | West Godavari |
| Mandal Name | Kovvur |
| Panchayat Name | PASIVEDALA |
| VO Name | Pasivadala Mactcs |
| Application Number | 26217 |
| Policy Holder Name | GANGARATHNAM DUNNA |
| Father / Husband Name | GELLA SRINIVASU |
| Gender | Female |
| Age | 34 |
| Caste | SC |
| Nominee Name | GELLA SRINIVASU |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | WAP051604700203 |
| StreeNo | WATER TANK |
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