| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Chompi |
| VO Name | Chompi |
| Application Number | 4085 |
| Policy Holder Name | RAVALA PARVATHI |
| Father / Husband Name | SANYASIRAO |
| Gender | Female |
| Age | 25 |
| Caste | ST |
| Nominee Name | SANYASIRAO |
| Nominee Age | 30 |
| Nominee Gender | Male |
| RationCard | WAP0305179D0469 |
| StreeNo | CHOMPI |
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