| District Name | Guntur |
| Mandal Name | Achampeta |
| Panchayat Name | TALLACHERUVU |
| VO Name | Margadarsi mactv society |
| Application Number | 17919 |
| Policy Holder Name | CHINTAPALLI VIJAYALAKSHMI |
| Father / Husband Name | MARIYADAS |
| Gender | Female |
| Age | 54 |
| Caste | SC |
| Nominee Name | MARIYADAS |
| Nominee Age | 33 |
| Nominee Gender | Male |
| StreeNo | SC COLONY |