Insurance Application ID :

RPG-INS-2026-0080

Raju

First Name :

Surname :

Voddamalla

Mobile Number :

9441618516

Address :

Hno:1-112 SC Colony Jangaon Akkannapet Karimnagar

pincode :

505466

Bank Account :

100204001000242

Nominee Name :

Bhujatha

Nominee Surname :

Voddamalla

Nominee Relation :

Wife

Nominee Mobile Number :

9676251053

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-2026-0080

Raju

First Name :

Surname :

Voddamalla

Mobile Number :

9441618516

Address :

Hno:1-112 SC Colony Jangaon Akkannapet Karimnagar

pincode :

505466

Bank Account :

100204001000242

Nominee Name :

Bhujatha

Nominee Surname :

Voddamalla

Nominee Relation :

Wife

Nominee Mobile Number :

9676251053

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

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