| District Name | Srikakulam |
| Mandal Name | Bhamini |
| Panchayat Name | SATHIVADA |
| VO Name | POLISHKOTA Village Organisation |
| Application Number | 7832 |
| Policy Holder Name | VOOYAKA RAVI |
| Father / Husband Name | KONDAYYA |
| Gender | Male |
| Age | 20 |
| Caste | ST |
| Nominee Name | KONDAYYA |
| Nominee Age | 52 |
| Nominee Gender | Male |
| RationCard | WAP011454800072 |
| StreeNo | POLISHIKOTA |