| District Name | Guntur |
| Mandal Name | Tenali |
| Panchayat Name | PEDARAVURU |
| VO Name | NAVODAYA GRAMA SAMAKYA |
| Application Number | 5761 |
| Policy Holder Name | THUMMALA SUJATHA(JHANSIRANI) |
| Father / Husband Name | KRUPARAO |
| Gender | Female |
| Age | 51 |
| Caste | SC |
| Nominee Name | VIJAYAKANTH |
| Nominee Age | 22 |
| Nominee Gender | Male |
| RationCard | WAP073209800128 |
| StreeNo | PEDARAVURU |