| District Name | Srikakulam |
| Mandal Name | Regidiamadalavalasa |
| Panchayat Name | VAVILA VALASA |
| VO Name | Siridi sai Gramayka Sangam |
| Application Number | 22393 |
| Policy Holder Name | GANDU MANIKUMARI |
| Father / Husband Name | SURYA RAO |
| Gender | Female |
| Age | 36 |
| Caste | BC |
| Nominee Name | SURYA RAO |
| Nominee Age | 30 |
| Nominee Gender | Female |
| RationCard | WA[010302900201 |
| StreeNo | main road |