| District Name | Visakhapatnam |
| Mandal Name | Pedabayalu |
| Panchayat Name | Adugula puttu |
| VO Name | ADUGULAPUT |
| Application Number | 4711 |
| Policy Holder Name | KORRA DANAJAYA |
| Father / Husband Name | SONNA |
| Gender | Male |
| Age | 27 |
| Caste | ST |
| Nominee Name | SONNA |
| Nominee Age | 27 |
| Nominee Gender | Male |
| StreeNo | TAMARADA |
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