| District Name | Chittoor |
| Mandal Name | Peddamandyam |
| Panchayat Name | PEDDAMANDYAM |
| VO Name | SRILAKSHMI |
| Application Number | 12524 |
| Policy Holder Name | KOSU MALLIKARJUNA NAIDU |
| Father / Husband Name | K NARASIMHAPPA NAIDU |
| Gender | Male |
| Age | 39 |
| Caste | BC |
| Nominee Name | K RAMANAMMA |
| Nominee Age | 35 |
| Nominee Gender | Female |
| StreeNo | CHERUVU KINDHAPALLI |
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