| District Name | East Godavari |
| Mandal Name | Ambajipeta |
| Panchayat Name | MOSALIPALLI |
| VO Name | Mosalipalli |
| Application Number | 9366 |
| Policy Holder Name | ambati durgadevi |
| Father / Husband Name | Anandarao |
| Gender | Female |
| Age | 34 |
| Caste | SC |
| Nominee Name | Anandarao |
| Nominee Age | 30 |
| Nominee Gender | Male |
| RationCard | wap044801100373 |
| StreeNo | mosalapalli |
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