| District Name | East Godavari |
| Mandal Name | Kotananduru |
| Panchayat Name | K.A.MALLAVARAM |
| VO Name | K.A.Mallavaram |
| Application Number | 8474 |
| Policy Holder Name | DEVARAPU PRABHAVATHI |
| Father / Husband Name | RAMBABU |
| Gender | Female |
| Age | 46 |
| Nominee Name | SURYAPRAKASH |
| Nominee Age | 24 |
| Nominee Gender | Male |
| RationCard | WAP040503600240 |
| StreeNo | OC COLONY |
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