| District Name | Chittoor |
| Mandal Name | Renigunta |
| Panchayat Name | GAJULAMANDYAM |
| VO Name | GAJULAMADYAM I |
| Application Number | 7044 |
| Policy Holder Name | Koramuttla K Ramalakshimi |
| Father / Husband Name | K Ravikumar |
| Gender | Female |
| Age | 34 |
| Nominee Name | K Ravikumar |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | W A P 101201500013 |
| StreeNo | Turpu veedi |