| District Name | Anantapur |
| Mandal Name | Rolla |
| Panchayat Name | BOMMAGONDANAHATTI |
| VO Name | SreeBasaveswara |
| Application Number | 3336 |
| Policy Holder Name | RAMEGOWDGARI R MARAPPA |
| Father / Husband Name | RAMEGOWDA |
| Gender | Male |
| Age | 59 |
| Caste | BC |
| Nominee Name | SHANTHKUMAR |
| Nominee Age | 27 |
| Nominee Gender | Male |
| RationCard | WAP126300700347 |
| StreeNo | MALLINAMADUGU |
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