| District Name | West Godavari |
| Mandal Name | Chagallu |
| Panchayat Name | KALAVALAPALLE |
| VO Name | Kalavalapalli 2 |
| Application Number | 26995 |
| Policy Holder Name | A.V.JAYA SRI LAKSHMI VAISHNAPU |
| Father / Husband Name | KONDAYYA |
| Gender | Female |
| Age | 40 |
| Nominee Name | SUMASRI |
| Nominee Age | 20 |
| Nominee Gender | Female |
| RationCard | WAP0515006A0129 |
| StreeNo | O C Peta |