| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Kothabhalluguda |
| VO Name | Kothaballuguda |
| Application Number | 4068 |
| Policy Holder Name | BARIKI BHANU |
| Father / Husband Name | KRISHNAMURTHI |
| Gender | Female |
| Age | 26 |
| Caste | ST |
| Nominee Name | KRISHNAMURTHI |
| Nominee Age | 27 |
| Nominee Gender | Male |
| RationCard | WAP0305180A0340 |
| StreeNo | KOTHABALLUGUDA |
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