| District Name | Y.S.R(Kadapa) |
| Mandal Name | S Mydukur |
| Panchayat Name | ANNALURU |
| VO Name | N YERRABALLI VO 2 |
| Application Number | 20152 |
| Policy Holder Name | Chukka Ravi |
| Father / Husband Name | Obaiah |
| Gender | Male |
| Age | 30 |
| Caste | SC |
| Nominee Name | Jyothi |
| Nominee Age | 20 |
| Nominee Gender | Female |
| RationCard | wap1106012A0061 |
| StreeNo | Uppagunta Palle (h.w) |
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