| District Name | Srikakulam |
| Mandal Name | Ichchapuram |
| Panchayat Name | PAITHARI |
| VO Name | PAITARI |
| Application Number | 618 |
| Policy Holder Name | NEERAJA LOPINTI |
| Father / Husband Name | KRISHNARAO |
| Gender | Female |
| Age | 25 |
| Caste | BC |
| Nominee Name | NEELAVENI |
| Nominee Age | 35 |
| Nominee Gender | Female |
| RationCard | YAP0137024.00065 |
| StreeNo | TELAGA STREET |
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