| District Name | Visakhapatnam |
| Mandal Name | Paderu |
| Panchayat Name | Kinchuru |
| VO Name | Bantrothuputtu |
| Application Number | 29907 |
| Policy Holder Name | SANJEEVARAO GADUTURU |
| Father / Husband Name | VALASAYYA |
| Gender | Male |
| Age | 37 |
| Caste | ST |
| Nominee Name | PUNYAVATHI |
| Nominee Age | 30 |
| Nominee Gender | Female |
| RationCard | WAPO310147B0113 |
| StreeNo | BANTROTUPUTTU |
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