| District Name | Kurnool |
| Mandal Name | Adoni |
| Panchayat Name | MANTRIKI |
| VO Name | PRIYANKA MAHILA KOTHUR |
| Application Number | 28950 |
| Policy Holder Name | GOLLA CHALEENDRA NARASAPPA |
| Father / Husband Name | NARASAPPA |
| Gender | Male |
| Age | 37 |
| Caste | BC |
| Nominee Name | LAXMI NARASAMMA |
| Nominee Age | 31 |
| Nominee Gender | Female |
| RationCard | WAP132301700400 |
| StreeNo | BC COLONY |