| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Madala |
| VO Name | Madagada |
| Application Number | 3742 |
| Policy Holder Name | Eragayi Donnu |
| Father / Husband Name | guru |
| Gender | Male |
| Age | 39 |
| Caste | ST |
| Nominee Name | addi |
| Nominee Age | 32 |
| Nominee Gender | Female |
| RationCard | wap0305180a0275 |
| StreeNo | m hattaguda |
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