| District Name | Guntur |
| Mandal Name | Ipuru |
| Panchayat Name | AGNIGUNDALA |
| VO Name | Agnigundala Gramaikya Sangham |
| Application Number | 2646 |
| Policy Holder Name | MACHARLA SURESH |
| Father / Husband Name | VEERAIAH |
| Gender | Male |
| Age | 24 |
| Caste | SC |
| Nominee Name | SILUVA JOYTHI |
| Nominee Age | 20 |
| Nominee Gender | Female |
| RationCard | WAP074100100127 |
| StreeNo | AGNIGUNDALA |