| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Madala |
| VO Name | Nandivalasa |
| Application Number | 28283 |
| Policy Holder Name | setty appalaswamy |
| Father / Husband Name | arakuvalley |
| Gender | Male |
| Age | 25 |
| Caste | ST |
| Nominee Name | savithri |
| Nominee Age | 25 |
| Nominee Gender | Female |
| RationCard | wap030518600262 |
| StreeNo | madala |
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