| District Name | East Godavari |
| Mandal Name | Ambajipeta |
| Panchayat Name | MACHAVARAM |
| VO Name | Ambajipeta3 |
| Application Number | 8696 |
| Policy Holder Name | KOTA Baby kumari |
| Father / Husband Name | CHANDRARAO |
| Gender | Female |
| Age | 26 |
| Caste | SC |
| Nominee Name | CHANDRARAO |
| Nominee Age | 61 |
| Nominee Gender | Male |
| RationCard | WAP044800400239 |
| StreeNo | AMBAJIPETA |
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