| District Name | East Godavari |
| Mandal Name | Kotananduru |
| Panchayat Name | P.KOTTAM |
| VO Name | Sanghavaka |
| Application Number | 7638 |
| Policy Holder Name | THOLEM VARALAKSHMI |
| Father / Husband Name | RAJULU |
| Gender | Female |
| Age | 22 |
| Caste | SC |
| Nominee Name | RAJULU |
| Nominee Age | 50 |
| Nominee Gender | Male |
| RationCard | WAP040501300057 |
| StreeNo | SC COLONY |
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