| District Name | Kurnool |
| Mandal Name | Gadivemula |
| Panchayat Name | BILAKALA GUDUR |
| VO Name | Surya Teja |
| Application Number | 21145 |
| Policy Holder Name | VADALA RAJ KUMAR |
| Father / Husband Name | VIJAYA RAJU |
| Gender | Male |
| Age | 23 |
| Caste | SC |
| Nominee Name | V JYOTHI |
| Nominee Age | 20 |
| Nominee Gender | Female |
| RationCard | WAP133203100144 |
| StreeNo | SC COLONY |
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