| District Name | East Godavari |
| Mandal Name | Kakinada (Rural) |
| Panchayat Name | SURYARAO PETA |
| VO Name | surya |
| Application Number | 28502 |
| Policy Holder Name | Narsamma Garikina |
| Father / Husband Name | Ammoriyya |
| Gender | Female |
| Age | 22 |
| Caste | BC |
| Nominee Name | Ammoriyya |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | wap0423024A0210 |
| StreeNo | Ramalayam Street |
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