| District Name | Srikakulam |
| Mandal Name | Palasa |
| Panchayat Name | LUTHURU |
| VO Name | LOTTURU |
| Application Number | 656 |
| Policy Holder Name | KUMAR SAVARA |
| Father / Husband Name | GANGANNA |
| Gender | Male |
| Age | 49 |
| Caste | ST |
| Nominee Name | RAVI SANKAR |
| Nominee Age | 13 |
| Nominee Gender | Male |
| RationCard | WAP013203200252 |
| StreeNo | HOLDIGAM |
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