| District Name | Guntur |
| Mandal Name | Repalle |
| Panchayat Name | PENUMUDI |
| VO Name | Mahatma Gandhi Gramaikhya Sangham |
| Application Number | 14143 |
| Policy Holder Name | venkatalakshmi peeta |
| Father / Husband Name | sambasivarao |
| Gender | Female |
| Age | 40 |
| Caste | BC |
| Nominee Name | sambasivarao |
| Nominee Age | 47 |
| Nominee Gender | Male |
| RationCard | wap075205600128 |