| District Name | Guntur |
| Mandal Name | Chilakaluripet |
| Panchayat Name | GOPALAMVARIPALEM |
| VO Name | Vennela V Macts |
| Application Number | 29015 |
| Policy Holder Name | Kambampati Sujatha |
| Father / Husband Name | Mahesh |
| Gender | Female |
| Age | 23 |
| Caste | SC |
| Nominee Name | Kambampati Mahesh |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | WAP074505200224 |
| StreeNo | Gopalamvaripalem |
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