| District Name | Visakhapatnam |
| Mandal Name | Madugula |
| Panchayat Name | Lovaponnavolu |
| VO Name | ONDRUVEEDHI GRAMA PEDALA IKYA SANGAM |
| Application Number | 4249 |
| Policy Holder Name | KODAM SRINIVASARAO |
| Father / Husband Name | POLAYYA |
| Gender | Male |
| Age | 31 |
| Caste | ST |
| Nominee Name | ESWARAMMA |
| Nominee Age | 26 |
| Nominee Gender | Female |
| RationCard | WAP030903500396 |
| StreeNo | ONDRUVEEDHI |