| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | BURADA |
| VO Name | Santhosimatha Macvs |
| Application Number | 22378 |
| Policy Holder Name | CHINTHADA MADHAVI |
| Father / Husband Name | BHASKARA RAO |
| Gender | Male |
| Age | 29 |
| Caste | BC |
| Nominee Name | BHASKARA RAO |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | WAP010300500298 |
| StreeNo | main road |
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