Insurance Application ID :

RPG-INS-2026-0092

Kavitha

First Name :

Surname :

Yagandla

Mobile Number :

8106266500

Address :

Hno:8-2-60,Pochammawada,Mallial Karimnagar.

pincode :

505452

Bank Account :

340402010035426

Nominee Name :

Sri Charan

Nominee Surname :

Yagandla

Nominee Relation :

Son

Nominee Mobile Number :

8106266500

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-2026-0092

Kavitha

First Name :

Surname :

Yagandla

Mobile Number :

8106266500

Address :

Hno:8-2-60,Pochammawada,Mallial Karimnagar.

pincode :

505452

Bank Account :

340402010035426

Nominee Name :

Sri Charan

Nominee Surname :

Yagandla

Nominee Relation :

Son

Nominee Mobile Number :

8106266500

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

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