| District Name | Visakhapatnam |
| Mandal Name | Dumbriguda |
| Panchayat Name | Guntaseema |
| VO Name | Guntaseema |
| Application Number | 4147 |
| Policy Holder Name | Korra Seethanna |
| Father / Husband Name | Lachumanna |
| Gender | Male |
| Age | 23 |
| Caste | ST |
| Nominee Name | Neelamma |
| Nominee Age | 45 |
| Nominee Gender | Female |
| RationCard | YAP030416800210 |
| StreeNo | Gangavalasa |
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