| District Name | Guntur |
| Mandal Name | Achampeta |
| Panchayat Name | CHIGURUPADU |
| VO Name | MARUTHI |
| Application Number | 2797 |
| Policy Holder Name | KOTA NIRMALA JYOTHI |
| Father / Husband Name | BABURAO |
| Gender | Female |
| Age | 28 |
| Caste | SC |
| Nominee Name | BABURAO |
| Nominee Age | 32 |
| Nominee Gender | Male |
| RationCard | WAP0707015A0349 |
| StreeNo | R K G Palem |
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