| District Name | Kurnool |
| Mandal Name | Kowthalam |
| Panchayat Name | SULAKERI |
| VO Name | ANJINEYASWAMY |
| Application Number | 2260 |
| Policy Holder Name | Shivananda Madira |
| Father / Husband Name | Chidanandappa |
| Gender | Male |
| Age | 29 |
| Caste | BC |
| Nominee Name | Anjinamma |
| Nominee Age | 24 |
| Nominee Gender | Female |
| RationCard | WAP130102900211 |
| StreeNo | BC Colini |
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