| District Name | Visakhapatnam |
| Mandal Name | Pedabayalu |
| Panchayat Name | GALAGONDA |
| VO Name | GALAGANDA |
| Application Number | 4238 |
| Policy Holder Name | THERAVADA CHANTIBABU |
| Father / Husband Name | KOMATAYYA |
| Gender | Male |
| Age | 18 |
| Caste | ST |
| Nominee Name | KOMATAYA |
| Nominee Age | 33 |
| Nominee Gender | Male |
| RationCard | WAP03020120A0111 |
| StreeNo | GUNDALAGARUV |
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