| District Name | Vizianagaram |
| Mandal Name | Garividi |
| Panchayat Name | CHUKKAVALASA |
| VO Name | venkatesavara |
| Application Number | 29399 |
| Policy Holder Name | Santhoshi Patharlapalli |
| Father / Husband Name | Mahesh |
| Gender | Female |
| Age | 24 |
| Caste | BC |
| Nominee Name | Mahesh |
| Nominee Age | 28 |
| Nominee Gender | Male |
| RationCard | wap022202100000 |
| StreeNo | bc colany |
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