| District Name | Guntur |
| Mandal Name | Tenali |
| Panchayat Name | KOLAKALUR |
| VO Name | SRISAMATHA GRAMASAMAKYASANGAM |
| Application Number | 4367 |
| Policy Holder Name | PONNEKATI BABYKUSUMALATHAI |
| Father / Husband Name | VIJENDRAPAL |
| Gender | Female |
| Age | 51 |
| Caste | SC |
| Nominee Name | PONNEKATI MEDHA |
| Nominee Age | 24 |
| Nominee Gender | Female |
| RationCard | WAP07320640045 |
| StreeNo | KOLAKALUR |