| District Name | Visakhapatnam |
| Mandal Name | Devarapalle |
| Panchayat Name | Devarapalle |
| VO Name | DEVARAPALLI 2 GRAMA IKY SANGHAM |
| Application Number | 6840 |
| Policy Holder Name | PALAKURTI GUPTAJI |
| Father / Husband Name | PALAKURTI NARAYANARAO |
| Gender | Male |
| Age | 34 |
| Nominee Name | LAKSHMI DEVI |
| Nominee Age | 30 |
| Nominee Gender | Female |
| RationCard | WAP0307002A0054 |
| StreeNo | DEVARAPALLI RAJULA VEEDHI |