| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Madala |
| VO Name | Dabuguda |
| Application Number | 3735 |
| Policy Holder Name | duriya sanyasi |
| Father / Husband Name | pandu |
| Gender | Male |
| Age | 27 |
| Caste | ST |
| Nominee Name | susheela |
| Nominee Age | 27 |
| Nominee Gender | Female |
| RationCard | yap030518100112 |
| StreeNo | musiriguda |
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