| District Name | Visakhapatnam |
| Mandal Name | Madugula |
| Panchayat Name | Lovaponnavolu |
| VO Name | NARASAYYAPETA GRAMA IKYA SANGAM |
| Application Number | 4256 |
| Policy Holder Name | KOSIREDDY DEMULLU NAIDU |
| Father / Husband Name | ACHIM NAIDU |
| Gender | Male |
| Age | 30 |
| Nominee Name | ACHIM NAIDU |
| Nominee Age | 49 |
| Nominee Gender | Male |
| RationCard | RAP030903500948 |