| Policy Details |
| District Name | East Godavari |
| Mandal Name | Kothapeta |
| Policy No | 517262 |
| Lic / India First ID | SNL680257 |
| Appno No. | 01044604004010301103 |
| Policy Holder Name | Khairunnisusayyad |
| Father/Husband Name | phiyajuddin |
| Nominee Name | Sri Uma Koppulingeswara |
| Gender | |
| Age | 21 |
| Address | East Godavari |
| Loan Amount | 20000 |
| Policy Period | 13/03/2015 To 12/03/2017 |
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