| District Name | Visakhapatnam |
| Mandal Name | Madugula |
| Panchayat Name | SAGARAM |
| VO Name | SANKARAM GRAMA PEDALA IKYA SANGAM |
| Application Number | 4278 |
| Policy Holder Name | gutla nagaraju |
| Father / Husband Name | rajubabu |
| Gender | Male |
| Age | 27 |
| Caste | ST |
| Nominee Name | kondamma |
| Nominee Age | 23 |
| Nominee Gender | Female |
| RationCard | wa030901500135 |
| StreeNo | sankaram |