| District Name | Kurnool |
| Mandal Name | Kowthalam |
| Panchayat Name | UPPARAHAL |
| VO Name | SNEHA |
| Application Number | 30354 |
| Policy Holder Name | KURUVA CHINNA BHERAPPA |
| Father / Husband Name | ERANNA |
| Gender | Male |
| Age | 33 |
| Caste | BC |
| Nominee Name | RENUKAMMA |
| Nominee Age | 25 |
| Nominee Gender | Female |
| RationCard | WAP130101200165 |
| StreeNo | Bc colony |
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