| District Name | Visakhapatnam |
| Mandal Name | Pendurthi |
| Panchayat Name | Pinagadi |
| VO Name | SRI RAMA GRAMA IKYA SANGAM |
| Application Number | 6764 |
| Policy Holder Name | Kadavala Varalakshmi |
| Father / Husband Name | Apparao |
| Gender | Female |
| Age | 41 |
| Caste | BC |
| Nominee Name | B Suryanarayana |
| Nominee Age | 46 |
| Nominee Gender | Male |
| RationCard | RAP032401400350 |
| StreeNo | Pinagadi |