| District Name | Chittoor |
| Mandal Name | Renigunta |
| Panchayat Name | KOTRMANGALAM |
| VO Name | KOTRMANGALAM |
| Application Number | 7331 |
| Policy Holder Name | parvathi kuraakalva |
| Father / Husband Name | eeswaraiah |
| Gender | Female |
| Age | 35 |
| Caste | BC |
| Nominee Name | eeswaraiah |
| Nominee Age | 42 |
| Nominee Gender | Male |
| RationCard | wap101202300019 |
| StreeNo | venkatareddy kandriga |
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