| District Name | Anantapur |
| Mandal Name | Kalyandurg |
| Panchayat Name | MANIREVU |
| VO Name | SAI LATHA |
| Application Number | 20204 |
| Policy Holder Name | Harijana Ramachandra |
| Father / Husband Name | Nallappa |
| Gender | Male |
| Age | 43 |
| Caste | SC |
| Nominee Name | Peddakka |
| Nominee Age | 38 |
| Nominee Gender | Female |
| RationCard | wap122305200014 |
| StreeNo | sc colony |
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