| District Name | Visakhapatnam |
| Mandal Name | Paderu |
| Panchayat Name | Devapuram |
| VO Name | Devapuram |
| Application Number | 4407 |
| Policy Holder Name | TAMARBA VENKATARAMANA |
| Father / Husband Name | BAPANNAPADAL |
| Gender | Male |
| Age | 32 |
| Caste | ST |
| Nominee Name | PREMILA KUMARI |
| Nominee Age | 25 |
| Nominee Gender | Female |
| RationCard | WAP031014100153 |
| StreeNo | DEVAPURAM |
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