| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Kothabhalluguda |
| VO Name | Similiguda |
| Application Number | 4153 |
| Policy Holder Name | PANGI BABURAO |
| Father / Husband Name | BUDDU |
| Gender | Male |
| Age | 27 |
| Caste | ST |
| Nominee Name | METHULA |
| Nominee Age | 24 |
| Nominee Gender | Female |
| RationCard | TAP030502070571 |
| StreeNo | SIMILIGUDA |
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