| District Name | Visakhapatnam |
| Mandal Name | Araku Valley |
| Panchayat Name | Baski |
| VO Name | Guggudu |
| Application Number | 4951 |
| Policy Holder Name | PANGI JAGANADAM |
| Father / Husband Name | SAHADEV |
| Gender | Male |
| Age | 28 |
| Caste | ST |
| Nominee Name | BHANUMATHI |
| Nominee Age | 20 |
| Nominee Gender | Female |
| RationCard | WAP0305184A0363 |
| StreeNo | GUGUDU |
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