| District Name | West Godavari |
| Mandal Name | Chagallu |
| Panchayat Name | DARAVARAM |
| VO Name | villageorganisation |
| Application Number | 26727 |
| Policy Holder Name | kameswari mallula |
| Father / Husband Name | srinivasu |
| Gender | Female |
| Age | 40 |
| Nominee Name | srinivasu |
| Nominee Age | 36 |
| Nominee Gender | Male |
| RationCard | wap051500200154 |
| StreeNo | O C Peta |
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