| Claim Details |
| District Name | Chittoor |
| Mandal Name | Peddathippasamudram |
| Claim Code | 24101500301 |
| Policy No | 517262 |
| Lic / India First ID | SNL278858 |
| Appno No. | 01100406007010300101 |
| Policy Holder Name | Chinnappa Kase |
| Father/Husband Name | Chinnavenkatramana |
| Loan Amount | 25000.00 |
| Incident Date | 13/11/2015 |
| Incident Place | PTM |
| Cause | Fever |
| Status | Rejected |
| S.No | Status | Date | Status Changed By |
|
1
| Registration | 13/11/2015 | kumarip |
|
2
| Intimation | 13/11/2015 | kumarip |
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