| Claim Details |
| District Name | Chittoor |
| Mandal Name | Rompicherla |
| Claim Code | 24101701125 |
| Policy No | 517262 |
| Lic / India First ID | SNL1702684 |
| Appno No. | 01103005004110101707 |
| Policy Holder Name | Rajeswaramma Veerabommala |
| Father/Husband Name | Anjeneyulu chetty |
| Loan Amount | 25000.00 |
| Incident Date | 10/09/2016 |
| Incident Place | |
| Cause | Fever |
| Status | Rejected |