| District Name | Visakhapatnam |
| Mandal Name | Pendurthi |
| Panchayat Name | Saripalle |
| VO Name | DATTATREYA |
| Application Number | 6771 |
| Policy Holder Name | Gorle Yerniramanamma |
| Father / Husband Name | Satyam |
| Gender | Female |
| Age | 34 |
| Nominee Name | Apparao |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP0324008A0498 |
| StreeNo | Saripalli |
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