| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Lotheru |
| VO Name | Antiparthi |
| Application Number | 3987 |
| Policy Holder Name | BURIDI NARSINGRAO |
| Father / Husband Name | SOMAYYA |
| Gender | Male |
| Age | 20 |
| Caste | ST |
| Nominee Name | PRASNTHI |
| Nominee Age | 21 |
| Nominee Gender | Female |
| RationCard | RAP030518300552 |
| StreeNo | OLDIPANASA |
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