| District Name | Visakhapatnam |
| Mandal Name | Paravada |
| Panchayat Name | Cheepurupalle (West) |
| VO Name | VADACHEEPURUPALLI IV GRAMYKYA SANGAM |
| Application Number | 3973 |
| Policy Holder Name | Kundrapu Rama |
| Father / Husband Name | Ramana Babu |
| Gender | Female |
| Age | 37 |
| Caste | BC |
| Nominee Name | Ramana Babu |
| Nominee Age | 35 |
| Nominee Gender | Male |
| RationCard | WAP0332028A0068 |
| StreeNo | Utageddapalem |