| District Name | Anantapur |
| Mandal Name | Kalyandurg |
| Panchayat Name | E.KODIPALLE |
| VO Name | SREE ANJANEYASWAMY |
| Application Number | 19702 |
| Policy Holder Name | harijanachinna mutyalamma |
| Father / Husband Name | k.lakshmanna |
| Gender | Female |
| Age | 38 |
| Caste | SC |
| Nominee Name | k.ajay |
| Nominee Age | 17 |
| Nominee Gender | Male |
| RationCard | wap122302400020 |
| StreeNo | sc colony |