| District Name | Kurnool |
| Mandal Name | Gospadu |
| Panchayat Name | S.NAGULAVARAM |
| VO Name | Sravanthi |
| Application Number | 15106 |
| Policy Holder Name | MULLA HUSSAINBASHA |
| Father / Husband Name | M.MAHAMAD ISMAIL |
| Gender | Male |
| Age | 26 |
| Nominee Name | M.RAMIJABI |
| Nominee Age | 35 |
| Nominee Gender | Female |
| RationCard | WAP134201800126 |
| StreeNo | BCCOLONY |
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