| District Name | West Godavari |
| Mandal Name | Kovvur |
| Panchayat Name | PASIVEDALA |
| VO Name | PASIVEDALA CHAITANYA MACTCS LTD |
| Application Number | 27768 |
| Policy Holder Name | TULASI KUMARI NALLURI |
| Father / Husband Name | MUTTINA VENKATA RATNAM |
| Gender | Female |
| Age | 28 |
| Nominee Name | MUTTINA VENKATA RATNAM |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP051603100297 |
| StreeNo | GEETHAMANDIR STREET |