| District Name | Srikakulam |
| Mandal Name | Amadalavalasa |
| Panchayat Name | CHEEMALAVALASA |
| VO Name | Cheemalavalasa |
| Application Number | 11864 |
| Policy Holder Name | Padmasri Gurugubelli |
| Father / Husband Name | Sathavhanarao |
| Gender | Female |
| Age | 39 |
| Caste | BC |
| Nominee Name | Gurugubelli Sathavhana Rao |
| Nominee Age | 45 |
| Nominee Gender | Male |
| RationCard | wap011800400175 |
| StreeNo | Main Street |