| District Name | Visakhapatnam |
| Mandal Name | Kasimkota |
| Panchayat Name | Chintalapalem |
| VO Name | SRI KANAKA DURGA GRAMA SANGAM |
| Application Number | 6755 |
| Policy Holder Name | KOTA VARALAKSHMI |
| Father / Husband Name | BUDIREDDY BABURAO |
| Gender | Female |
| Age | 37 |
| Nominee Name | BUDIREDDY BABURAO |
| Nominee Age | 31 |
| Nominee Gender | Male |
| RationCard | WAP033502300090 |