| District Name | East Godavari |
| Mandal Name | Kotananduru |
| Panchayat Name | S.R.PETA |
| VO Name | Appalarajupeta |
| Application Number | 7789 |
| Policy Holder Name | MADEM VENKATANAGARATNAM |
| Father / Husband Name | SEERAM VARA SATYANARANA |
| Gender | Female |
| Age | 33 |
| Caste | BC |
| Nominee Name | VARA SATYANARAYANA |
| Nominee Age | 41 |
| Nominee Gender | Male |
| RationCard | WAP040500900169 |
| StreeNo | BC COLONI |
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