| District Name | Visakhapatnam |
| Mandal Name | Pedabayalu |
| Panchayat Name | GALAGONDA |
| VO Name | MANGABANDA |
| Application Number | 4481 |
| Policy Holder Name | KORRA SILLY |
| Father / Husband Name | RELLI |
| Gender | Male |
| Age | 30 |
| Caste | ST |
| Nominee Name | NOOKAMMA |
| Nominee Age | 22 |
| Nominee Gender | Female |
| RationCard | YAP0302092A0418 |
| StreeNo | MANGABANDA |
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