| Claim Details |
| District Name | West Godavari |
| Mandal Name | Gopalapuram |
| Claim Code | 24051400027 |
| Policy No | G0000178 |
| Lic / India First ID | 1000 |
| Appno No. | 01050504004010102207 |
| Policy Holder Name | Nagamani pulapalli |
| Father/Husband Name | siluvayya pulapalli |
| Loan Amount | 18182 |
| Incident Date | 16/09/2013 |
| Incident Place | chagallu |
| Cause | Fever |
| Status | Rejected |
| S.No | Status | Date |
|
1
| Registration | 11/03/2014 |
|
2
| Intimation | 11/03/2014 |
|
3
| Rejected | 08/10/2015 |
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