| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Baski |
| VO Name | Devarapalle |
| Application Number | 4015 |
| Policy Holder Name | PADI RAMESH |
| Father / Husband Name | GASI |
| Gender | Male |
| Age | 31 |
| Caste | ST |
| Nominee Name | LAXMI |
| Nominee Age | 25 |
| Nominee Gender | Female |
| RationCard | WAP030518800230 |
| StreeNo | DEVARAPALLI |
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