| District Name | Visakhapatnam |
| Mandal Name | Butchayyapeta |
| Panchayat Name | Komallapudi |
| VO Name | KOMALLAPUDIGRAMEKYA SANGAM |
| Application Number | 4998 |
| Policy Holder Name | YALAMKAYALA LAXMI |
| Father / Husband Name | KANNAMNAIDU |
| Gender | Female |
| Age | 28 |
| Nominee Name | KANNAMNAIDU |
| Nominee Age | 34 |
| Nominee Gender | Male |
| RationCard | WAP032000100419 |
| StreeNo | KOMMALLAPUDI |