| District Name | Anantapur |
| Mandal Name | Roddam |
| Panchayat Name | KALIPI |
| VO Name | SAI RAM |
| Application Number | 11178 |
| Policy Holder Name | KORASAPPA GARI MALLIKHARJUNA |
| Father / Husband Name | K MALLAIAH |
| Gender | Male |
| Age | 47 |
| Caste | BC |
| Nominee Name | K RAMAKKA |
| Nominee Age | 38 |
| Nominee Gender | Female |
| RationCard | WAP1253026A0014 |
| StreeNo | K MARUVAPALLI |