| District Name | Visakhapatnam |
| Mandal Name | Golugonda |
| Panchayat Name | YETIGAIRAMPETA |
| VO Name | YETIGYRAMPETA GRAMAPEDALAIKYASANGAM |
| Application Number | 14097 |
| Policy Holder Name | GOVINDHA MADAGUDHI |
| Father / Husband Name | SATYANARAYANA POTHALA |
| Gender | Female |
| Age | 20 |
| Caste | BC |
| Nominee Name | LAKSHMI |
| Nominee Age | 40 |
| Nominee Gender | Male |
| RationCard | WAP0315027A0075 |
| StreeNo | RAVANAPALLI |