| District Name | Kurnool |
| Mandal Name | Orvakal |
| Panchayat Name | NANNUR |
| VO Name | Swasakthi |
| Application Number | 12864 |
| Policy Holder Name | PUTTAGOSULA AHAMMAD RASOOL |
| Father / Husband Name | MAHAMMED GOUSE |
| Gender | Male |
| Age | 31 |
| Caste | BC |
| Nominee Name | SHALI BEE |
| Nominee Age | 62 |
| Nominee Gender | Female |
| RationCard | WAP131702900078 |
| StreeNo | BY REDDY COLONY |