| District Name | Chittoor |
| Mandal Name | Peddamandyam |
| Panchayat Name | BANDAMEEDA PALLE |
| VO Name | SRIJYOTHI |
| Application Number | 15119 |
| Policy Holder Name | POOLAKUNDI RAMADEVI |
| Father / Husband Name | K RAMOHAN |
| Gender | Female |
| Age | 42 |
| Caste | BC |
| Nominee Name | K RAMMOHAN |
| Nominee Age | 44 |
| Nominee Gender | Male |
| StreeNo | THURAKAPALLI |
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