| District Name | Srikakulam |
| Mandal Name | Polaki |
| Panchayat Name | BALAMARAPOLAVALASA |
| VO Name | Belamarapolavalasa |
| Application Number | 10998 |
| Policy Holder Name | Ghatta Sridevi |
| Father / Husband Name | Siddila Neelakantaswara Rao |
| Gender | Female |
| Age | 38 |
| Caste | BC |
| Nominee Name | Neelakantaswara Rao |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | WAP012100056 |
| StreeNo | Belamara |