| District Name | East Godavari |
| Mandal Name | Kakinada (Rural) |
| Panchayat Name | PANDURU |
| VO Name | panduru |
| Application Number | 11085 |
| Policy Holder Name | Themanaboeina Bhavani |
| Father / Husband Name | Kanda Suribabu late |
| Gender | Female |
| Age | 38 |
| Nominee Name | Rajavaraprasad |
| Nominee Age | 25 |
| Nominee Gender | Male |
| RationCard | wap042801900192 |
| StreeNo | near dhanalakshmi funtionhall street |