| District Name | Guntur |
| Mandal Name | Narasaraopeta |
| Panchayat Name | KOTHAPALEM |
| VO Name | MAKKA MADEENA GRAMA SAMIKYA |
| Application Number | 30047 |
| Policy Holder Name | Noorjahan Chavapati |
| Father / Husband Name | Khadar Mastan |
| Gender | Female |
| Age | 28 |
| Caste | BC |
| Nominee Name | Khadar mastan |
| Nominee Age | 41 |
| Nominee Gender | Male |
| RationCard | WAP073917600176 |