| District Name | Anantapur |
| Mandal Name | Rolla |
| Panchayat Name | M.RAYAPURAM |
| VO Name | SREE THIPPERUDRASWAMY |
| Application Number | 3858 |
| Policy Holder Name | Puttannagari Pandurangappa |
| Father / Husband Name | Puttanna |
| Gender | Male |
| Age | 48 |
| Caste | BC |
| Nominee Name | Kavithamma |
| Nominee Age | 35 |
| Nominee Gender | Female |
| RationCard | WAP126301100038 |
| StreeNo | Cherlopalli |