| District Name | Visakhapatnam |
| Mandal Name | Pedabayalu |
| Panchayat Name | Gampari |
| VO Name | GAMPARAI |
| Application Number | 4873 |
| Policy Holder Name | VANTHALA LAKSHMI |
| Father / Husband Name | MATYALINGAM |
| Gender | Female |
| Age | 26 |
| Caste | ST |
| Nominee Name | RAMALINGAM |
| Nominee Age | 20 |
| Nominee Gender | Male |
| RationCard | WAP0302092A0137 |
| StreeNo | GAMPARAI |
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