| District Name | Srikakulam |
| Mandal Name | Vangara |
| Panchayat Name | V.V.R.PETA |
| VO Name | VVRPETA |
| Application Number | 3454 |
| Policy Holder Name | Shobarani Siralapu |
| Father / Husband Name | Sambrayya |
| Gender | Female |
| Age | 27 |
| Caste | SC |
| Nominee Name | Sambarayya |
| Nominee Age | 32 |
| Nominee Gender | Male |
| RationCard | wap010250600280 |
| StreeNo | SC Vvedi |
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