| District Name | Kurnool |
| Mandal Name | Dhone |
| Panchayat Name | EDDUPENTA |
| VO Name | ANUMPALLI GRAMA IKYA SANGHAM |
| Application Number | 12567 |
| Policy Holder Name | Golla Urukundu |
| Father / Husband Name | Naganna |
| Gender | Male |
| Age | 44 |
| Caste | BC |
| Nominee Name | Leelavathi |
| Nominee Age | 39 |
| Nominee Gender | Female |
| RationCard | WAP134902600413 |
| StreeNo | Anumpalli |