| District Name | Anantapur |
| Mandal Name | Roddam |
| Panchayat Name | M.KOTHAPALLE |
| VO Name | SRI LAKSHMI |
| Application Number | 11442 |
| Policy Holder Name | MANGA SURESH |
| Father / Husband Name | M NARAYANAPPA |
| Gender | Male |
| Age | 21 |
| Caste | SC |
| Nominee Name | NARAYANAPPA |
| Nominee Age | 50 |
| Nominee Gender | Male |
| RationCard | WAP125301600184 |
| StreeNo | GOWRAJIPALLI SC COLONY |
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