| District Name | Kurnool |
| Mandal Name | Pedda Kadubur |
| Panchayat Name | KAMBADAHAL |
| VO Name | PRASANNA |
| Application Number | 30327 |
| Policy Holder Name | HARIJANA ANJINAYYA |
| Father / Husband Name | RANGANNA |
| Gender | Male |
| Age | 38 |
| Caste | SC |
| Nominee Name | SUVARNA |
| Nominee Age | 34 |
| Nominee Gender | Female |
| RationCard | WAP132202800123 |
| StreeNo | SC COLONY |
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