| District Name | Visakhapatnam |
| Mandal Name | Dumbriguda |
| Panchayat Name | Guntaseema |
| VO Name | Soburu |
| Application Number | 4579 |
| Policy Holder Name | Gaddangi Dhamodar |
| Father / Husband Name | Karthik |
| Gender | Male |
| Age | 25 |
| Caste | ST |
| Nominee Name | Radhika |
| Nominee Age | 23 |
| Nominee Gender | Female |
| RationCard | TAP030403052566 |
| StreeNo | Dhoraguda |
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