| District Name | Guntur |
| Mandal Name | Achampeta |
| Panchayat Name | AMBADIPUDI |
| VO Name | PALLE VELUGU |
| Application Number | 2796 |
| Policy Holder Name | KOMMAVARAPU CHINA NAGESWARARAO |
| Father / Husband Name | SUBBAIAH |
| Gender | Male |
| Age | 42 |
| Caste | SC |
| Nominee Name | PUSPA RANI |
| Nominee Age | 34 |
| Nominee Gender | Female |
| RationCard | WAP070702700381 |
| StreeNo | AMBHADIPUDI |