| District Name | Srikakulam |
| Mandal Name | Vangara |
| Panchayat Name | MADDIVALASA |
| VO Name | Maddivalasa |
| Application Number | 3472 |
| Policy Holder Name | Chinnayya Tiralangi |
| Father / Husband Name | Chinaappayya |
| Gender | Male |
| Age | 45 |
| Caste | SC |
| Nominee Name | Somulamma |
| Nominee Age | 39 |
| Nominee Gender | Female |
| RationCard | wap010250300095 |
| StreeNo | SC Vvedi |
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