| District Name | Guntur |
| Mandal Name | Achampeta |
| Panchayat Name | VELPURU |
| VO Name | SANGHAMITRA |
| Application Number | 2668 |
| Policy Holder Name | CHILAKA LAKSHMAIAH |
| Father / Husband Name | PRASADARAO |
| Gender | Male |
| Age | 40 |
| Caste | SC |
| Nominee Name | SUJATHA |
| Nominee Age | 26 |
| Nominee Gender | Female |
| RationCard | WAP070702300416 |
| StreeNo | VELPURU |
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