| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Madala |
| VO Name | Dappuguda |
| Application Number | 4065 |
| Policy Holder Name | DUSARI APPANNA |
| Father / Husband Name | MADANNA |
| Gender | Male |
| Age | 30 |
| Caste | ST |
| Nominee Name | AMMALU |
| Nominee Age | 26 |
| Nominee Gender | Female |
| RationCard | WAP030518100374 |
| StreeNo | KOSIGUDA |
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