| District Name | Visakhapatnam |
| Mandal Name | Pedabayalu |
| Panchayat Name | Gampari |
| VO Name | KAGULA |
| Application Number | 4259 |
| Policy Holder Name | DESARI NAGARAJU |
| Father / Husband Name | KONDANNA |
| Gender | Male |
| Age | 29 |
| Caste | ST |
| Nominee Name | KONDANNA |
| Nominee Age | 45 |
| Nominee Gender | Male |
| StreeNo | KAGULA |
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