| Claim Details |
| District Name | Visakhapatnam |
| Mandal Name | Gudem Kothaveedhi |
| Claim Code | 24031700255 |
| Policy No | 517262 |
| Lic / India First ID | OSNLAP99077 |
| Appno No. | 01031308047010100305 |
| Policy Holder Name | somuka vantala |
| Father/Husband Name | gasi |
| Loan Amount | 30000.00 |
| Incident Date | 06/11/2017 |
| Incident Place | G K VEEDHI |
| Cause | Fever |
| Status | Forms Received |
| S.No | Status | Date | Status Changed By |
|
1
| Registration | 24/11/2017 | Auto Insert |
|
2
| Intimation | 11/12/2017 | ykumari |
|
3
| Forms Received | 11/12/2017 | varalakshmi |
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