| District Name | Srikakulam |
| Mandal Name | Vajrapukothuru |
| Panchayat Name | GOVINDAPURAM |
| VO Name | PATHATEKKALI VO |
| Application Number | 28180 |
| Policy Holder Name | Vajja Sumalatha |
| Father / Husband Name | Narasimhamurthy |
| Gender | Female |
| Age | 36 |
| Caste | BC |
| Nominee Name | Narasimhamurthy |
| Nominee Age | 38 |
| Nominee Gender | Male |
| RationCard | wap013102600022 |
| StreeNo | lpadu |
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