| District Name | Chittoor |
| Mandal Name | Peddamandyam |
| Panchayat Name | SIVAPURAM |
| VO Name | AMBEDTHKAR |
| Application Number | 13165 |
| Policy Holder Name | KALAVAPALLI RAGHUNADHA |
| Father / Husband Name | K VENKATARAMANA |
| Gender | Male |
| Age | 36 |
| Caste | SC |
| Nominee Name | K REDDY RANI |
| Nominee Age | 30 |
| Nominee Gender | Female |
| RationCard | RAP100101500505 |
| StreeNo | SIVAPURAM |
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