| District Name | Guntur |
| Mandal Name | Piduguralla |
| Panchayat Name | PANDHITIVARIPALEM |
| VO Name | Sri pujitha Gramikhya Sangam |
| Application Number | 6763 |
| Policy Holder Name | Kothapalli Srinivasa Rao |
| Father / Husband Name | Venkateswarlu |
| Gender | Male |
| Age | 35 |
| Caste | BC |
| Nominee Name | Lakshmi |
| Nominee Age | 33 |
| Nominee Gender | Female |
| RationCard | WAP071706600471 |
| StreeNo | Cheruvukatta Bazar |