| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Lotheru |
| VO Name | Borakalavalasa |
| Application Number | 4040 |
| Policy Holder Name | BARIKI PREMAMANI |
| Father / Husband Name | GASI |
| Gender | Female |
| Age | 32 |
| Caste | ST |
| Nominee Name | RAHUL |
| Nominee Age | 09 |
| Nominee Gender | Male |
| RationCard | XXX |
| StreeNo | lotheru |
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