| District Name | Visakhapatnam |
| Mandal Name | Hukumpeta |
| Panchayat Name | Boddaputtu |
| VO Name | B.THADIPUTUU |
| Application Number | 4007 |
| Policy Holder Name | Padi Konda Babu |
| Father / Husband Name | Buttu Babu |
| Gender | Male |
| Age | 24 |
| Caste | ST |
| Nominee Name | Rajeswari |
| Nominee Age | 21 |
| Nominee Gender | Female |
| RationCard | TAP030303058258 |
| StreeNo | Borramamidi |
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