| District Name | Guntur |
| Mandal Name | Achampeta |
| Panchayat Name | CHALLAGARIGA |
| VO Name | SRAVANTHI |
| Application Number | 2867 |
| Policy Holder Name | KANNEGANTI POTHAIAH |
| Father / Husband Name | MANIKYARAO |
| Gender | Male |
| Age | 30 |
| Caste | SC |
| Nominee Name | SAROJINI |
| Nominee Age | 24 |
| Nominee Gender | Female |
| RationCard | TAP070707332659 |
| StreeNo | SC CALONY |
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