| District Name | Chittoor |
| Mandal Name | Renigunta |
| Panchayat Name | GAJULAMANDYAM |
| VO Name | Gajulamandyam IV |
| Application Number | 9447 |
| Policy Holder Name | Sumathi Koramutlla |
| Father / Husband Name | K kishorekumar |
| Gender | Female |
| Age | 26 |
| Nominee Name | kishore kumar |
| Nominee Age | 45 |
| Nominee Gender | Male |
| RationCard | wap101201500032 |
| StreeNo | turpu veedhi |
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