| District Name | Kurnool |
| Mandal Name | Pedda Kadubur |
| Panchayat Name | HANUMAPURAM |
| VO Name | Jyoti |
| Application Number | 24005 |
| Policy Holder Name | ATAKAM SRI HARI |
| Father / Husband Name | THAMANNA |
| Gender | Male |
| Age | 36 |
| Caste | BC |
| Nominee Name | SUNITHA |
| Nominee Age | 25 |
| Nominee Gender | Female |
| RationCard | WAP132202400410 |
| StreeNo | B.C COLONY |
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