| District Name | Visakhapatnam |
| Mandal Name | Golugonda |
| Panchayat Name | YETIGAIRAMPETA |
| VO Name | MUNGARLAPALEM GRAMAPEDALAIKYASANGAM |
| Application Number | 18402 |
| Policy Holder Name | SRINIVASA PRAKASHARAO |
| Father / Husband Name | CHANDRARAO |
| Gender | Male |
| Age | 27 |
| Caste | ST |
| Nominee Name | CHANDRARAO |
| Nominee Age | 62 |
| Nominee Gender | Male |
| RationCard | WAP031502500272 |
| StreeNo | MUNGARLAPALEM |