| District Name | Guntur |
| Mandal Name | Piduguralla |
| Panchayat Name | JULLAKALLU |
| VO Name | Sairam Gramikhya Sangam ZKL |
| Application Number | 7084 |
| Policy Holder Name | SHAIK HUSSENBI |
| Father / Husband Name | SUBHANI |
| Gender | Female |
| Age | 28 |
| Caste | BC |
| Nominee Name | SUBHANI |
| Nominee Age | 31 |
| Nominee Gender | Male |
| RationCard | WAP071706100013 |