Insurance Application ID :

RPG-INS-2026-0048

Mahesh

First Name :

Surname :

Anaveni

Mobile Number :

9989024719

Address :

Hno:2-69, srinivasa nagar,manakondur,Karimangar

pincode :

505469

Bank Account :

33619440968

Nominee Name :

Tara

Nominee Surname :

Anaveni

Nominee Relation :

Mother

Nominee Mobile Number :

9989024719

I hereby declare that the details furnished above are true and correct to the best of my knowledge. I agree to abide by the Bye-laws of RapidGrow Mutually Aided Cooperative Thrift and Credit Society Ltd. and accept the terms and conditions governing this insurance application. I authorize the Society to verify my Aadhaar and KYC details for processing this request.

Signature :
(Please sign it with BLUE INK PEN only)

Insurance Application ID :

RPG-INS-2026-0048

Mahesh

First Name :

Surname :

Anaveni

Mobile Number :

9989024719

Address :

Hno:2-69, srinivasa nagar,manakondur,Karimangar

pincode :

505469

Bank Account :

33619440968

Nominee Name :

Tara

Nominee Surname :

Anaveni

Nominee Relation :

Mother

Nominee Mobile Number :

9989024719

Signature : (Please sign it with BLUE INK PEN only)

Signature :
(Please sign it with BLUE INK PEN only)