| District Name | Srikakulam |
| Mandal Name | Vangara |
| Panchayat Name | SIVVAM |
| VO Name | Sivvam |
| Application Number | 3470 |
| Policy Holder Name | Kalavathi Maddila |
| Father / Husband Name | Simhachalam |
| Gender | Female |
| Age | 37 |
| Caste | SC |
| Nominee Name | Simhachalam |
| Nominee Age | 39 |
| Nominee Gender | Male |
| RationCard | wap010249800253 |
| StreeNo | SC Vvedi |
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