| District Name | Kurnool |
| Mandal Name | Nandi Kotkur |
| Panchayat Name | BRAHMANAKOTKUR |
| VO Name | sailaja gramaikya sangam |
| Application Number | 7071 |
| Policy Holder Name | karivena mallikarjuna |
| Father / Husband Name | karivena chinnaswamanna |
| Gender | Male |
| Age | 25 |
| Caste | BC |
| Nominee Name | karivena laksmidevi |
| Nominee Age | 60 |
| Nominee Gender | Female |
| RationCard | WAP130802200059 |
| StreeNo | Bijinavemula |
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