| Policy Details |
| District Name | Chittoor |
| Mandal Name | B Kothakota |
| Policy No | 517262 |
| Lic / India First ID | OSNLAP57643 |
| Appno No. | 01100505005070100106 |
| Policy Holder Name | samudramthippasamudram |
| Father/Husband Name | pedda venkataramana |
| Nominee Name | Vijayalakshmi |
| Gender | Female |
| Age | 25 |
| Address | Chittoor |
| Loan Amount | 30000.00 |
| Policy Period | 30/11/2015 To 29/11/2018 |
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