| Policy Details |
| District Name | Prakasam |
| Mandal Name | Kothapatnam |
| Policy No | 517262 |
| Lic / India First ID | SNL101776 |
| Appno No. | 01084713006030102803 |
| Policy Holder Name | Gollapothu NarayanammaGollapothu |
| Father/Husband Name | Ramulu |
| Nominee Name | Ethamukkalamma |
| Gender | Female |
| Age | 50 |
| Address | Prakasam |
| Loan Amount | 15000.00 |
| Policy Period | 05/08/2013 To 04/08/2015 |