| District Name | Srikakulam |
| Mandal Name | Vangara |
| Panchayat Name | K.CH.PALLI |
| VO Name | K.CH.Palli |
| Application Number | 3474 |
| Policy Holder Name | Chinnamalu Bejjipuram |
| Father / Husband Name | Ramu |
| Gender | Female |
| Age | 38 |
| Caste | BC |
| Nominee Name | Ramu |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | wap010248200125 |
| StreeNo | BC Veedi |
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