[c#] define a List like List<int,string>?

Since your example uses a generic List, I assume you don't need an index or unique constraint on your data. A List may contain duplicate values. If you want to insure a unique key, consider using a Dictionary<TKey, TValue>().

var list = new List<Tuple<int,string>>();

list.Add(Tuple.Create(1, "Andy"));
list.Add(Tuple.Create(1, "John"));
list.Add(Tuple.Create(3, "Sally"));

foreach (var item in list)
{
    Console.WriteLine(item.Item1.ToString());
    Console.WriteLine(item.Item2);
}