| District Name | Kurnool |
| Mandal Name | Gadivemula |
| Panchayat Name | KARIMADDALA |
| VO Name | Jyothi |
| Application Number | 21068 |
| Policy Holder Name | MALE CHANTI |
| Father / Husband Name | M THIRUPALU |
| Gender | Male |
| Age | 38 |
| Caste | SC |
| Nominee Name | RAJItha |
| Nominee Age | 18 |
| Nominee Gender | Female |
| RationCard | WAP133202000470 |
| StreeNo | SC COLONY |
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