| District Name | East Godavari |
| Mandal Name | Kotananduru |
| Panchayat Name | KOTANANDURU |
| VO Name | Omkar |
| Application Number | 7803 |
| Policy Holder Name | GADI SURYA PRAKASH |
| Father / Husband Name | RAMBABU |
| Gender | Male |
| Age | 30 |
| Nominee Name | GADI RAMBABU |
| Nominee Age | 53 |
| Nominee Gender | Male |
| RationCard | WAP040503600240 |
| StreeNo | OC COLONY |
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