| District Name | Visakhapatnam |
| Mandal Name | Munagapaka |
| Panchayat Name | Nagulapalli |
| VO Name | NAGULAPALLI GRAMA PARASPARA |
| Application Number | 11357 |
| Policy Holder Name | YSODHA POLAMARASETTI |
| Father / Husband Name | VENUGOPAL |
| Gender | Female |
| Age | 40 |
| Caste | BC |
| Nominee Name | VENUGOPAL |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP0334010A0156 |
| StreeNo | NAGULAPALLI |