| District Name | Visakhapatnam |
| Mandal Name | Paravada |
| Panchayat Name | Cheepurupalle (West) |
| VO Name | VADA CHEEPURUPALLI I |
| Application Number | 3926 |
| Policy Holder Name | Masavarapu Uma Maheswari |
| Father / Husband Name | Satya Venkata Murali Mohan Kumar |
| Gender | Female |
| Age | 41 |
| Caste | BC |
| Nominee Name | Satya Venkata Murali Mohan Kumar |
| Nominee Age | 44 |
| Nominee Gender | Male |
| RationCard | WAP0332027A0253 |
| StreeNo | Vissannapeta |