| District Name | Visakhapatnam |
| Mandal Name | Cheedikada |
| Panchayat Name | Chukkapalle |
| VO Name | CHUKKAPALLI GRAMA PARASPARA SHG |
| Application Number | 4187 |
| Policy Holder Name | CHAMANTHULA SRINU |
| Father / Husband Name | THATARAO LATE |
| Gender | Male |
| Age | 26 |
| Nominee Name | CHAMANTHULA RAMANAMMA |
| Nominee Age | 21 |
| Nominee Gender | Female |
| RationCard | WAP030800900234 |
| StreeNo | CHUKKAPALLI |