| District Name | Y.S.R(Kadapa) |
| Mandal Name | Simhadripuram |
| Panchayat Name | Y.KOTHAPALLE |
| VO Name | Y.KOTHAPALLI |
| Application Number | 7470 |
| Policy Holder Name | LINGIREDDY JAYALAKSHMI |
| Father / Husband Name | SRINIVASULAREDDY |
| Gender | Female |
| Age | 45 |
| Nominee Name | NITHIS REDDY |
| Nominee Age | 17 |
| Nominee Gender | Male |
| RationCard | WAP111801100157 |
| StreeNo | Y KOTHAPALLI |
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