| District Name | Kurnool |
| Mandal Name | Nandyal |
| Panchayat Name | PULIMADDI |
| VO Name | SWARUPA GRAMA SANGAM |
| Application Number | 22770 |
| Policy Holder Name | CHILLA DEVAMMA |
| Father / Husband Name | C.BALAIAH |
| Gender | Female |
| Age | 30 |
| Caste | SC |
| Nominee Name | C.BALAIAH |
| Nominee Age | 40 |
| Nominee Gender | Male |
| RationCard | WAP133400100317 |
| StreeNo | SC COLONY |
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