| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Peda labudu |
| VO Name | Pedalabudu |
| Application Number | 4054 |
| Policy Holder Name | VANTHALA SAIBU |
| Father / Husband Name | GASI |
| Gender | Male |
| Age | 29 |
| Caste | ST |
| Nominee Name | KUMARI |
| Nominee Age | 28 |
| Nominee Gender | Female |
| RationCard | WAP0305179E0067 |
| StreeNo | PEDALABUDU |
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