| District Name | Anantapur |
| Mandal Name | Rolla |
| Panchayat Name | ROLLA |
| VO Name | SREE GOPALAKRISNA |
| Application Number | 3853 |
| Policy Holder Name | Balija Venkataswamy Venkataramanappa |
| Father / Husband Name | Venakataswamy |
| Gender | Male |
| Age | 48 |
| Nominee Name | Narayanamma |
| Nominee Age | 35 |
| Nominee Gender | Female |
| RationCard | WAP1263006A0053 |
| StreeNo | Hottebetta |