| District Name | S.P.S Nellore |
| Mandal Name | Sydapuram |
| Panchayat Name | UTUKUR |
| VO Name | UTUKUR 2ND SANGHABANDAM |
| Application Number | 28862 |
| Policy Holder Name | NAKKA SIVAKUMARI |
| Father / Husband Name | VENKATESWARLU |
| Gender | Female |
| Age | 25 |
| Caste | SC |
| Nominee Name | VENKATESWARLU |
| Nominee Age | 30 |
| Nominee Gender | Male |
| StreeNo | SC COLONY |
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