| District Name | Visakhapatnam |
| Mandal Name | Gudem Kothaveedhi |
| Panchayat Name | Mondigedda |
| VO Name | Ginjangi |
| Application Number | 5173 |
| Policy Holder Name | Sagina Ramurthy |
| Father / Husband Name | Bodayyapadal |
| Gender | Male |
| Age | 43 |
| Caste | ST |
| Nominee Name | Sriramulu |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | wap031304600117 |
| StreeNo | Ginjangi |
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