| District Name | Anantapur |
| Mandal Name | Kalyandurg |
| Panchayat Name | GOLLA |
| VO Name | veeranjaneya |
| Application Number | 25889 |
| Policy Holder Name | Jampu Manohar |
| Father / Husband Name | venkatesulu |
| Gender | Male |
| Age | 33 |
| Caste | BC |
| Nominee Name | nagaveni |
| Nominee Age | 22 |
| Nominee Gender | Female |
| RationCard | wap1223020a0083 |
| StreeNo | BC colony |
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