| District Name | East Godavari |
| Mandal Name | Ambajipeta |
| Panchayat Name | PULLETIKURRU |
| VO Name | Pulletikurru4 |
| Application Number | 28106 |
| Policy Holder Name | Suryakumari pilli |
| Father / Husband Name | janardhanaRao |
| Gender | Female |
| Age | 42 |
| Caste | BC |
| Nominee Name | JanardhanaRao |
| Nominee Age | 57 |
| Nominee Gender | Male |
| RationCard | wap044802100156 |
| StreeNo | Pulletikurru Marketpalem |
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