| District Name | Kurnool |
| Mandal Name | Veldurthi |
| Panchayat Name | KALUGOTLA |
| VO Name | SIDDANAGATTU G IS |
| Application Number | 12340 |
| Policy Holder Name | Vadla Premkumar |
| Father / Husband Name | V.Venkateswarlu |
| Gender | Male |
| Age | 18 |
| Caste | BC |
| Nominee Name | Venkateswarlu |
| Nominee Age | 45 |
| Nominee Gender | Male |
| RationCard | WAP132903700048 |
| StreeNo | Siddanagattu |
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