| District Name | Kurnool |
| Mandal Name | Panyam |
| Panchayat Name | MADDUR |
| VO Name | teja |
| Application Number | 20317 |
| Policy Holder Name | RAJESWARAMMA T |
| Father / Husband Name | SRINIVASULU |
| Gender | Male |
| Age | 35 |
| Caste | BC |
| Nominee Name | SRINIVASULU |
| Nominee Age | 33 |
| Nominee Gender | Male |
| RationCard | WAP13310500302 |
| StreeNo | 00 |
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