| District Name | Visakhapatnam |
| Mandal Name | Pedabayalu |
| Panchayat Name | Pedakodapalli |
| VO Name | BANGARUPUT |
| Application Number | 4140 |
| Policy Holder Name | tangula chinnarao |
| Father / Husband Name | bonju babu |
| Gender | Male |
| Age | 26 |
| Caste | ST |
| Nominee Name | KOTESWARI |
| Nominee Age | 26 |
| Nominee Gender | Female |
| RationCard | YAP030240000276 |
| StreeNo | KODAPUTT VILLAGE |
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