| District Name | Chittoor |
| Mandal Name | Vayalpad |
| Panchayat Name | NAGARIMADUGU |
| VO Name | NAGIRIMADUGU1 |
| Application Number | 7765 |
| Policy Holder Name | PALREDDYGARI SURENDHAR REDDY |
| Father / Husband Name | P SIDDA REDDY |
| Gender | Male |
| Age | 52 |
| Nominee Name | P SANTHA KUMARI |
| Nominee Age | 38 |
| Nominee Gender | Female |
| RationCard | WAP103303800129 |
| StreeNo | BURUJUGADDA |