| District Name | East Godavari |
| Mandal Name | Ambajipeta |
| Panchayat Name | MACHAVARAM |
| VO Name | Ambajipeta5 |
| Application Number | 9509 |
| Policy Holder Name | Gosangi Nagamani |
| Father / Husband Name | Itikalu |
| Gender | Female |
| Age | 25 |
| Caste | SC |
| Nominee Name | G.Venkatalaxmi |
| Nominee Age | 40 |
| Nominee Gender | Female |
| RationCard | wap044800400029 |
| StreeNo | ambajipeta |
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