| District Name | Visakhapatnam |
| Mandal Name | Paravada |
| Panchayat Name | Cheepurupalle (West) |
| VO Name | VADACHEEPURUPALLI III GRAMYKYA SANGAM |
| Application Number | 3940 |
| Policy Holder Name | Kundrapu Uma Venakatalakshmi |
| Father / Husband Name | Lakshmana Rao |
| Gender | Female |
| Age | 28 |
| Caste | BC |
| Nominee Name | Lakshmana Rao |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP0332028A0058 |
| StreeNo | Vissannapeta |