| District Name | Anantapur |
| Mandal Name | Roddam |
| Panchayat Name | CHINNAMANTHUR |
| VO Name | VADASALAMMA DEVATA |
| Application Number | 11409 |
| Policy Holder Name | GAJULA GOVINDAPPA GARI PRABAKAR |
| Father / Husband Name | GOVINDAPPA |
| Gender | Male |
| Age | 43 |
| Caste | BC |
| Nominee Name | G.CHANDAKALA |
| Nominee Age | 28 |
| Nominee Gender | Female |
| RationCard | Wap125302000401 |
| StreeNo | chinamanthur |