| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Chompi |
| VO Name | Kothavalasa |
| Application Number | 4043 |
| Policy Holder Name | LENKA JYOTHI |
| Father / Husband Name | RAMESH |
| Gender | Female |
| Age | 19 |
| Caste | ST |
| Nominee Name | RAMESH |
| Nominee Age | 28 |
| Nominee Gender | Male |
| RationCard | XXX |
| StreeNo | KOTHAVALASA |
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