| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Peda labudu |
| VO Name | Karasaliguda |
| Application Number | 4008 |
| Policy Holder Name | LABUDUBARIKI RAJKUMAR |
| Father / Husband Name | GURU |
| Gender | Male |
| Age | 32 |
| Caste | ST |
| Nominee Name | THULAVATHI |
| Nominee Age | 26 |
| Nominee Gender | Female |
| RationCard | WAP0305179B0337 |
| StreeNo | PANIRANGINI |
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