| District Name | Srikakulam |
| Mandal Name | Seethampeta |
| Panchayat Name | KODISA |
| VO Name | THOTTADI VO |
| Application Number | 28554 |
| Policy Holder Name | GANESWARARAO ARIKA |
| Father / Husband Name | SATYAM |
| Gender | Male |
| Age | 23 |
| Caste | ST |
| Nominee Name | VIJAYASANTHI |
| Nominee Age | 38 |
| Nominee Gender | Female |
| RationCard | WAP011331500250 |
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