| District Name | Kurnool |
| Mandal Name | Gadivemula |
| Panchayat Name | THIRUPADU |
| VO Name | Pragathi Bata |
| Application Number | 21160 |
| Policy Holder Name | KOPPERA MOHAN RAO |
| Father / Husband Name | K DEVANANDAM |
| Gender | Male |
| Age | 36 |
| Caste | SC |
| Nominee Name | K JAYAMMA |
| Nominee Age | 32 |
| Nominee Gender | Female |
| RationCard | WAP133202600024 |
| StreeNo | SC COLONY |
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