| District Name | Visakhapatnam |
| Mandal Name | Madugula |
| Panchayat Name | M.K. Vallapuram |
| VO Name | M.K.VALLAPURAM GRAMA PEDALAIKHYA SANGHAM |
| Application Number | 4333 |
| Policy Holder Name | EMANDI MALLESWARI |
| Father / Husband Name | RAJU |
| Gender | Female |
| Age | 28 |
| Caste | BC |
| Nominee Name | RAJU |
| Nominee Age | 33 |
| Nominee Gender | Male |
| RationCard | WAP030901700017 |
| StreeNo | M K VALLAPURAM |