| District Name | Kurnool |
| Mandal Name | Koilkuntla |
| Panchayat Name | CHINNA KOPPERLA |
| VO Name | Chaithanya gis |
| Application Number | 11722 |
| Policy Holder Name | CHINNA RAJA HUSSAIN CHAKALI |
| Father / Husband Name | DEVARA USENAIAH |
| Gender | Male |
| Age | 23 |
| Caste | BC |
| Nominee Name | GURRAMMA |
| Nominee Age | 46 |
| Nominee Gender | Female |
| RationCard | WAP134302100001 |
| StreeNo | MAIN ROAD |