| District Name | Anantapur |
| Mandal Name | Roddam |
| Panchayat Name | NALLUR |
| VO Name | SRI SAI |
| Application Number | 11447 |
| Policy Holder Name | PULETI ASWINI |
| Father / Husband Name | PULETI RAMU |
| Gender | Male |
| Age | 22 |
| Nominee Name | PULETI RAMU |
| Nominee Age | 35 |
| Nominee Gender | Female |
| StreeNo | KALLUKUNTA |
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