| District Name | Kurnool |
| Mandal Name | Kowthalam |
| Panchayat Name | SULAKERI |
| VO Name | ADRSHA |
| Application Number | 30405 |
| Policy Holder Name | MANGALI PANDU RANGAPPA |
| Father / Husband Name | ERANNA |
| Gender | Male |
| Age | 44 |
| Caste | BC |
| Nominee Name | URUKUNDAMMA |
| Nominee Age | 25 |
| Nominee Gender | Female |
| RationCard | WAP130102800070 |
| StreeNo | BC COLONY |
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