| District Name | Y.S.R(Kadapa) |
| Mandal Name | Kamalapuram |
| Panchayat Name | PEDDACHAPALLE |
| VO Name | PEDDACHEPPALI 1 |
| Application Number | 10538 |
| Policy Holder Name | DANDUBOINA BABU |
| Father / Husband Name | DANDUBOINAVENKATASUBBAIAH |
| Gender | Male |
| Age | 30 |
| Caste | BC |
| Nominee Name | DANDUBOINA SIVAJYOTHI |
| Nominee Age | 24 |
| Nominee Gender | Female |
| RationCard | WAP112501800162 |
| StreeNo | P.KOTHAPPALI VILLEGE PEDDACHEPPALI POST |