Insurance Application ID :

RPG-INS-2026-0162

Ramesh Kumar Goud

First Name :

Surname :

Akula

Mobile Number :

8099709899

Address :

2-10-386, Jyothinagar, Karimnagar, Telangana 505001, India

pincode :

505001

Bank Account :

30295327594

Nominee Name :

Ashritha

Nominee Surname :

Akula

Nominee Relation :

Daughter

Nominee Mobile Number :

9493339421

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-2026-0162

Ramesh Kumar Goud

First Name :

Surname :

Akula

Mobile Number :

8099709899

Address :

2-10-386, Jyothinagar, Karimnagar, Telangana 505001, India

pincode :

505001

Bank Account :

30295327594

Nominee Name :

Ashritha

Nominee Surname :

Akula

Nominee Relation :

Daughter

Nominee Mobile Number :

9493339421

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

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