| District Name | Chittoor |
| Mandal Name | Peddamandyam |
| Panchayat Name | C.GOLLA PALLE |
| VO Name | MALLALAMMA |
| Application Number | 13163 |
| Policy Holder Name | CHATALA BHAGYAMMA |
| Father / Husband Name | T RAMACHANDRA |
| Gender | Female |
| Age | 40 |
| Caste | SC |
| Nominee Name | T RAMACHANDRA |
| Nominee Age | 43 |
| Nominee Gender | Male |
| RationCard | YAP100100600223 |
| StreeNo | KANAMALOPALLI |
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