| District Name | East Godavari |
| Mandal Name | Ambajipeta |
| Panchayat Name | MACHAVARAM |
| VO Name | Ambajipeta2 |
| Application Number | 8947 |
| Policy Holder Name | KOTA PADMAVATHI |
| Father / Husband Name | RAMARAO |
| Gender | Female |
| Age | 32 |
| Caste | SC |
| Nominee Name | RAMARAO |
| Nominee Age | 45 |
| Nominee Gender | Male |
| RationCard | WAP044800100145 |
| StreeNo | MACHAVARAM |
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