| District Name | Kurnool |
| Mandal Name | Adoni |
| Panchayat Name | MANTRIKI |
| VO Name | INDIRA G.I.S |
| Application Number | 29292 |
| Policy Holder Name | chimpiri veeresh |
| Father / Husband Name | urukundappa |
| Gender | Male |
| Age | 20 |
| Caste | BC |
| Nominee Name | parvathi |
| Nominee Age | 45 |
| Nominee Gender | Female |
| RationCard | wap132301700420 |
| StreeNo | BC COLONY |
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