M/S.PRUDENT INS. BROKERS PVT. LTD. /9004815552...through toll free no: 1800 425 2255 or 1800 102...
Transcript of M/S.PRUDENT INS. BROKERS PVT. LTD. /9004815552...through toll free no: 1800 425 2255 or 1800 102...
For and on behalf ofStar Health and Allied Insurance Company Ltd.
Authorised Signatory Please see overleaf
25/02/2019Date :
GurgaonPlace :
Corporate Identity Number U66010TN2005PLC056649 Email ID : [email protected]
IRDAI Regn. No 129
SH43829
SH41063Entered by
Approved by:
:
Page 1 of 100
P/161130/01/2019/046645Policy No. Previous Policy No. ::
161130Issuing Office Code :
ISBT Kashmere Gate, Inter stateBus Terminal,
New Delhi,Central,Delhi-110006
Address :
Kashmere Gate New Delhi -110006
1st Floor, Maharana PratapBuilding,
NIL/8527091976/Phone No :Email id [email protected]:
Fulfiller Code SH42341:
Receipt No : 1439055508
Receipt Date : 18/02/2019
: /9004815552
: M/S.PRUDENT INS.BROKERS PVT. LTD.
: LC0000000049Intermediary Code
Proposer's Code 10762955:
Proposer's Name DELHI INTEGRATED MULTIMODAL TRANSIT SYSTEMLIMITED
:
Issue Office Name Branch Office - Gurgaon III:
Name
Phone
Email id
Total Premium in words
Period Of Insurance From : Hrs26/02/2019 00:00:00 To Midnight Of : 25/02/2020 23:59:59
Co-insurance
Star Group Health Insurance Unique id : SHAHLGP19028V011819
Policy Schedule
Risk Coverage Details
No. of Employees / Members Covered
No. of Dependents Covered
Total No. of Persons covered
Sum Insured Slab
Total Sum Insured
Total Sum Insured (in words)
463
1561
2024
Various Sum Insured as per list attached
Rs. 12,92,00,000/- only
Indian Rupees Twelve Crores Ninety-Two Lakhs Only
Indian Rupees One Crore Eleven Lakhs Only:
Rs.
06AAJCS4517L1Z2:GSTINSAC Code 997133/Accident and Health Insurance
Services:
1
Rs. 1,11,00,000
Stamp Duty
Total Premium :
Re.:
Premium Rs. 94,06,780:
: 1,693,220IGST @18% /-
07AACCD4970D2ZT:Proposer GSTIN
: Delhi / State Code : 7Place of Supply
Address :Near Payal Cinema, GurgaonIst Floor,, SCO 4, Sector 14 Market
Gurgaon-122001
0124-4797452:Phone No
Email id : [email protected]
For and on behalf ofStar Health and Allied Insurance Company Ltd.
Authorised Signatory Please see overleaf
25/02/2019Date :
GurgaonPlace :
SH43829
SH41063Entered by
Approved by:
:
Page 2 of 100
30 days waiting Period
First Year Exclusion
First Two Year Exclusion
Pre-existing Diseases Exclusion
Delivery Expenses
New Born Baby cover
Waiting Period for Delivery
Corporate Buffer
Exclusion no.1 appearing in the policy clause stands deleted
Exclusion no.2 appearing in the policy clause stands deleted
Exclusion no.3 appearing in the policy clause stands deleted
Exclusion no.4 appearing in the policy clause stands deleted
Covered subject to limits provided in the special conditions
New born baby is covered from day one up to the end of the policyperiod provided the mother is covered under the policy up to the extentprovided in the special conditions.
Waiting period of 9 months for Delivery is hereby waived.
Extended with corporate buffer sum insured, the limit and usage ofcorporate buffer sum insured will be as mentioned in the specialconditions.
Family Floater(Employee, Spouse, Children and Parents)
Room rent : 2%of sum insured for Below GM and 3% of sum insuredfor GM & Above GM for Normal Room.
- ICU on actual.
Proportionate charges : NOT Applicable : AGREED
Treatment in our network hospitals only, However in the case ofMedical Emergencies & Accidents, treatment can be taken in otherHospitals. In all cases immediate intimation shall be given to our CallCenter within 24 hours of Hospitalization
Maternity Benefits limits :Normal - Rs. 65,000/-Caesarean - Rs. 65,000/-
Maternity benefits, applicable only for the Employee or Dependentspouse.
Pre and post natal expenses up to 5% of sum insured with max limit ofINR 5000 should be on OPD basis (as part of above mentionedmaternity limits)
This policy is extended to cover the child delivery expenses incurred bythe insured up to the limits indicated in the special conditions. Inconsequence thereof, exclusion no.12 stands amended as follows:
Attached to and forming part of Policy No : P/161130/01/2019/046645
Extensions Offered
Special Conditions
Family Definition
Room Rent limits including Boarding, NursingCharges, etc,
Maternity Benefits limits
For and on behalf ofStar Health and Allied Insurance Company Ltd.
Authorised Signatory Please see overleaf
25/02/2019Date :
GurgaonPlace :
SH43829
SH41063Entered by
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Page 3 of 100
The company shall not be liable to make any payments under thispolicy in respect of any expenses what so ever incurred by the insuredperson in connection with or in respect of:
Family planning treatment and all types of treatment for infertility and itscomplications thereof.
The benefit payable hereunder shall be up to full floater sum insured.
Corporate buffer with the limit of Rs. 20,00,000/-
Corporate Buffer limit restricted to Individual/Individual Family SumInsured. Corporate buffer benefit can be utilized for all ailments.Corporate buffer cannot be used by the parents
Health Check-up covered for 10 employees subject to a limit ofRs.10,000/- per employee
- Pre Hospitalization - 30 Days
- Post Hospitalization - 60 Days
AMBULANCE CHARGES :- Upto 1% of SI subject to max Rs. 2500 perincident
No capping on cataract
After the inception of the Policy , NO midterm inclusion of anyemployee & dependants unless he is a new joinee and dependents ofthe already insured employee unless they are newly married spouseand new born child and such inclusion is also subject to payment ofadditional premium on pro rata basis. For newly joined employees, theInsured shall provide the date of joining & for inclusion of dependents ofthe already insured employees, the Insured should provide the date ofmarriage for newly married spouse & date of birth for newly born child.
Insured will be allowed a window period of 30 days from the policyInception date to review the employee list covered under the policy . AllAddition / deletion / Correction of the persons to be done subject toadditional premium . if there is a change in the group size.
The coverage under the policy in respect of the insured persons willcease once they cease to be an employee/ member of the Insured oron the expiry of the policy, whichever is earlier. In respect of deletions,refund will be effected on prorate basis from the date of deletion of theemployee under the policy - subject to NO claim for the employee orthe family members, for which the Insured shall provide date ofrelieving of the employee
Attached to and forming part of Policy No : P/161130/01/2019/046645
Day 1 cover for New born baby coverage limit
Corporate Buffer limits
Health Checkup limits
Pre & Post Hospitalisation limits
Ambulance Expenses limits
Sub Limits
Addition / Deletion of Employees & Dependents
For and on behalf ofStar Health and Allied Insurance Company Ltd.
Authorised Signatory Please see overleaf
25/02/2019Date :
GurgaonPlace :
SH43829
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Page 4 of 100
We agree for providing cover for additions from the date of joining ofthe new employee by charging prorate premium from the date of joiningtill the expiry of the policy, subject to maintenance of free and adequatebalance under Cash Deposit maintained by the Insured with us or thecoverage will be effective from the date of payment of premium.
The Insured shall submit of list of additions and deletions on monthlybasis to reach us at the latest by the 10th of subsequent month.
The Cover for Children is only for dependent children. In the case offemale children, the cover will cease once they become earningmember or on getting married. In the case of dependent Male Children,the cover will cease once they become earning member.
We shall issue photo ID cards in respect of all the covered persons andwe require the passport size/stamp size photo for the same
AYUSH Treatment: Expenses incurred on treatment under Ayurveda,Unani, Sidha and Homeopathy systems of medicines in a GovernmentHospital or in any institute recognized by the government and/oraccredited by the Quality Council of India/National Accreditation Boardon Health up to 25% of the sum insured subject to a maximum ofRs.25,000/- per policy period.
Day care procedures are allowed, as per the printed procedures (405nos.) attached to this policy
Dependent Child means a child (natural or legally adopted) who isfinancially dependent and does not have his or her independent sourceof income and not over 30 years
Robotic Surgery Covered
LIMIT ON SURGEON CHARGES, ANESTHETIC CHARGES,CONSULTANTS, SPECIALIST FEES, ANAESTHESIA, BLOOD, OTCHARGES, MEDICINES & DRUGS AND THE LIKES NOTAPPLICABLE
Internal congenital diseases covered
All Other Terms & Conditions Subject to printed Policy (Star GroupHealth Insurance Policy) Clauses attached
Attached to and forming part of Policy No : P/161130/01/2019/046645
Other conditions
Other conditions
Other conditions
The coverage under the policy in respect of the insured persons will cease once they cease to be an employee/ member of theInsured or on the expiry of the policy, whichever is earlier. In respect of deletions, refund will be effected on prorata basis fromthe date of deletion of the employee under the policy - subject to NO claim for the employee or the family members, for which
For and on behalf ofStar Health and Allied Insurance Company Ltd.
Authorised Signatory Please see overleaf
25/02/2019Date :
GurgaonPlace :
SH43829
SH41063Entered by
Approved by:
:
Page 5 of 100
Warranted that in case of dishonour of premium cheque(s) the Company shall not be liable under the policy and the policyshall be void abinitio (from inception).
The insurance under this policy is subject to conditions, clauses, warranties, endorsements as per forms attached.
STAR value added unique services Web enabled service for Policy details and health tipsInhouse Cashless facility for treatment at network hospitals acrossindia.24*7 customer care centerFree General Physician advice
Attached to and forming part of Policy No : P/161130/01/2019/046645
Sector Classification :
Urban
Renewability: In the event of the group policy being discontinued or not renewed or when the members of the group leave thegroup on account of resignation/retirement/termination or otherwise, the following provision shall apply.
The cover for the persons covered earlier under the group policy will be granted only as per standard retail policies.However, in respect of persons who have been covered continuously for a period of one year under the group policywith our Company, we shall waive the 30 days waiting period and First year exclusions. In respect of persons who havebeen covered continuously for a period of two years under the group policy with our Company, we shall waive the 30days waiting period, First year exclusions and First two year exclusions.
In respect of persons who have been continuously covered for a period a four years under the group policy with ourCompany, we shall grant cover for Pre Existing diseases also.
Condition precedent: In the event of any claim under the policy or intimation should be given to the company immediately,through toll free no: 1800 425 2255 or 1800 102 4477, 044 2826 3300 (chargeable), or email: [email protected] or fax - 1800425 5522.
:
the Insured shall provide date of relieving of the employee.
Claims will be settled through Inhouse claims team.
For and on behalf ofStar Health and Allied Insurance Company Ltd.
Authorised Signatory Please see overleaf
25/02/2019Date :
GurgaonPlace :
SH43829
SH41063Entered by
Approved by:
:
Page 6 of 100
TAX Invoice
Invoice Date Policy No
Recipient Supplier
P/161130/01/2019/04664522/02/19
Invoice No. Customer ID CB0000055929
GSTIN GSTIN 06AAJCS4517L1Z207AACCD4970D2ZT
Proposer'sName
DELHI INTEGRATED MULTIMODAL TRANSIT SYSTEMLIMITED
:
ISBT Kashmere Gate, Inter stateBus Terminal,
Address :
Kashmere Gate New Delhi -110006
1st Floor, Maharana PratapBuilding,
Address :Near Payal Cinema, GurgaonIst Floor,, SCO 4, Sector 14 Market
Gurgaon-122001
:
:
:
:
:
:
:
Star Health and Allied Insurance Co Ltd- Branch Office - Gurgaon III
GURGAON IIICity City: :
State State
Pincode Pincode
:
:
:
:
Client Category Place of Supply : :
110006
CORP
122001
Haryana
HSN /SACCode
Description ofService(s)
Total Discount TaxableValue IGST @ 18%
9406780 1693220
CGST @9% UT/SGST@9% Total Invoice Value
A B
Total Invoice Value (in Figures)
Total Invoice Value (in Words)
:
:
Amount of Tax Subject to reverse Charge : No
C = A - B D = C * IGST E = C*CGST
F = C*UTGST or
SGST
H = C + D + E+F
Insurance Services 0 9406780
6 - Haryana
Delhi
Rs. 1,11,00,000
Indian Rupees One Crore ElevenLakhs Only
6K439Y19P0004219
Important Note:
The invoice is issued as per Section 31 of the CGST Act
In case no GSTIN or incorrect GSTIN is provided by the Proposer at Proposal stage, Star Health and Allied Insurance Co Ltd shall not beresponsible for any Input Tax Credit losses and no subsequent revision of invoice will be undertaken.
E. & O.E
IRDAI Regn. No 129 Corporate Identity Number U66010TN2005PLC056649 Email ID : [email protected]
This is a digitally signed document and hence no physical signature is required
Rs. 1,11,00,000 99173
NAME
INSURED PERSON DETAILS : No of Persons Covered : 2024
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Anubha Khanna
Lakshya Khanna
Pravesh Khanna
Shashi Khanna
Avichal Parashar
Vivek Sharma
Aditesh Parashar
Mukul Kumar Gupta
Atharv Gupta
Chander Mohan
Shubham
Deepak Arora
Ketan Arora
Chetan Sharma
Kadambari
Geeta Thakur
Vani Priya
Tanisi Priya
Jaimala Thakur
Umesh Chandra Thakur
Spouse
Son
Father
Mother
Son
Spouse
Son
Spouse
Son
Spouse
Son
Spouse
Son
Spouse
Mother
Spouse
Daughter
Daughter
Mother
Father
12/12/1980
11/03/2008
14/11/1952
25/10/1955
30/11/2013
12/12/1975
13/07/2006
16/06/1973
14/05/2009
22/06/1977
08/07/2009
15/07/1980
07/11/2009
02/12/1976
14/08/1960
31/01/1981
03/07/2005
02/10/2008
14/05/1963
20/01/1941
38
10
66
63
5
43
12
45
9
41
9
38
9
42
58
38
13
10
55
78
Female
Male
Male
Female
Male
Male
Male
Male
Male
Male
Male
Male
Male
Male
Female
Female
Female
Female
Female
Male
1
2
3
4
5
6
7
Karan Khanna
Hema Sharma
Mona Gupta
Sukhmani
Deepti Arora
Megha Sharma
Sudhir Kumar Thakur
Employee
Employee
Employee
Employee
Employee
Employee
Employee
18/03/1978
10/04/1981
07/08/1973
23/04/1979
19/08/1981
13/09/1984
03/04/1976
40
37
45
39
37
34
42
Male
Female
Female
Female
Female
Female
Male
22
38
41
52
53
66
67
Others
Others
Others
Others
Others
Others
Others
250000
250000
300000
250000
250000
250000
250000
4
3
2
2
2
2
5
107629551900000100
107629551900000200
107629551900000300
107629551900000400
107629551900000500
107629551900000600
107629551900000700
Age in Mths
11
10
6
10
6
5
10
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
2
11
3
4
2
2
7
8
9
8
7
7
3
2
6
0
7
4
9
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900000101
107629551900000102
107629551900000103
107629551900000104
107629551900000201
107629551900000202
107629551900000203
107629551900000301
107629551900000302
107629551900000401
107629551900000402
107629551900000501
107629551900000502
107629551900000601
107629551900000602
107629551900000701
107629551900000702
107629551900000703
107629551900000704
107629551900000705
MANAGER
EXECUTIVE SECRETARY
SENIOR MANAGER
EXECUTIVE SECRETARY
SENIOR SECRETARY
SECRETARY
MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Indira Mudgal
Chandramolee
Shanti Devi
Anju Goyal
Indu Bala
Ritika Gupta
Shrey Gupta
Sushila Devi
S. Prema
T.A.Sundaram
Renu
Aarushi
Rauhi
Bhagwati
Gurvinder Kaur Chugh
Namandeep Singh Chugh
Harsween Kaur Chugh
Neelu
Shagun
Delisha
Krishna Malhotra
Spouse
Son
Mother
Spouse
Spouse
Daughter
Son
Mother
Mother
Father
Spouse
Daughter
Daughter
Mother
Spouse
Son
Daughter
Spouse
Daughter
Daughter
Mother
31/10/1966
13/02/2006
15/01/1941
01/06/1967
19/07/1964
02/04/1991
18/09/1994
01/09/1946
13/07/1952
05/10/1945
11/12/1972
13/02/2002
08/02/2005
01/10/1940
19/04/1966
27/05/1991
02/07/1993
23/08/1974
18/09/2001
15/10/2005
30/09/1940
52
13
78
51
54
27
24
72
66
73
46
17
14
78
52
27
25
44
17
13
78
Female
Male
Female
Female
Female
Female
Male
Female
Female
Male
Female
Female
Female
Female
Female
Male
Female
Female
Female
Female
Female
8
9
10
11
12
13
14
Suneet Mudgal
C. K. Goyal
Ajay Gupta
S. Anbuchezhiyan
Ashvini Parashar
H.P.S. Chugh
Ajay Kumar Malhotra
Employee
Employee
Employee
Employee
Employee
Employee
Employee
23/09/1963
15/12/1962
16/09/1965
25/03/1976
24/01/1968
21/10/1961
17/05/1972
55
56
53
42
51
57
46
Male
Male
Male
Male
Male
Male
Male
76
78
79
80
84
85
86
Others
Others
Others
Others
Others
Others
Others
500000
500000
500000
500000
500000
500000
250000
3
1
4
2
4
3
4
107629551900000800
107629551900000900
107629551900001000
107629551900001100
107629551900001200
107629551900001300
107629551900001400
Age in Mths
5
2
5
11
1
4
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
0
1
8
7
10
5
5
7
4
2
0
0
4
10
8
7
6
5
4
4
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900000801
107629551900000802
107629551900000803
107629551900000901
107629551900001001
107629551900001002
107629551900001003
107629551900001004
107629551900001101
107629551900001102
107629551900001201
107629551900001202
107629551900001203
107629551900001204
107629551900001301
107629551900001302
107629551900001303
107629551900001401
107629551900001402
107629551900001403
107629551900001404
GENERAL MANAGER
ASSOCIATE VICE PRESIDENT
GENERAL MANAGER
GENERAL MANAGER
EXECUTIVE VICE PRESIDENT
FIN. CONTROLLER & CO. SECY.
EXECUTIVE SECRETARY
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sunita Saji
Anshu S. Thomas
Kajal Khanduja
Poorvi Khanduja
Leela Devi
Vandana Srivastava
U.N. Srivastava
Reena Rawat
Tarun Singh Rawat
Gayatri Devi
Sandhya Singh
Rishav Raj
Shwetanshu
Piyari Devi
Bhikshuk Prasad
Sukhdev Banerjee
Anjali Banerjee
Preeti Chatterjee
Rashmi Mahajan
Shreya Mahajan
Namrta Mahajan
Spouse
Daughter
Spouse
Daughter
Mother
Spouse
Father
Spouse
Son
Mother
Spouse
Son
Daughter
Mother
Father
Spouse
Daughter
Mother
Spouse
Daughter
Daughter
Mother
20/10/1973
26/02/1998
17/08/1978
31/10/2005
16/08/1940
30/11/1964
30/12/1936
25/05/1986
22/11/2008
02/08/1959
15/06/1974
08/12/2003
25/03/2000
15/08/1943
05/06/1938
03/01/1966
02/04/1999
25/03/1950
15/05/1967
14/09/1992
02/09/1995
45
21
40
13
78
54
82
32
10
59
44
15
18
75
80
53
19
68
51
26
23
Female
Female
Female
Female
Female
Female
Male
Female
Male
Female
Female
Male
Female
Female
Male
Male
Female
Female
Female
Female
Female
15
16
17
18
19
20
21
Saji Thomas
Yogesh Kumar Khanduja
Rajiva K. Srivastava
Jagpal Singh Rawat
Shailendra Kumar Singh
Sushma Banerjee
Rakesh Mahajan
Employee
Employee
Employee
Employee
Employee
Employee
Employee
29/05/1967
06/03/1975
24/03/1960
02/08/1982
05/12/1970
03/03/1974
12/06/1963
51
43
58
36
48
44
55
Male
Male
Male
Male
Male
Female
Male
90
95
98
99
110
111
120
Others
Others
Others
Others
Others
Others
Others
250000
500000
500000
250000
300000
300000
500000
2
3
2
3
5
3
5
107629551900001500
107629551900001600
107629551900001700
107629551900001800
107629551900001900
107629551900002000
107629551900002100
Age in Mths
8
11
11
6
2
11
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
0
6
3
6
2
1
9
3
6
8
2
11
6
8
1
10
11
9
5
5
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900001501
107629551900001502
107629551900001601
107629551900001602
107629551900001603
107629551900001701
107629551900001702
107629551900001801
107629551900001802
107629551900001803
107629551900001901
107629551900001902
107629551900001903
107629551900001904
107629551900001905
107629551900002001
107629551900002002
107629551900002003
107629551900002101
107629551900002102
107629551900002103
107629551900002104
DEPUTY MANAGER
GENERAL MANAGER
SENIOR VICE PRESIDENT
DEPUTY MANAGER
SENIOR MANAGER
ASSISTANT GENERAL MANAGER
VICE PRESIDENT
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Santosh Gupta
J. R. Gupta
Varsha Gaur
Pushpa Sharma
Mausam Pankaj Gupta
Pratham Gupta
Poornima Gupta
Rama Gupta
Asha Ram Gupta
Usha Chaudhary
Chhavi Singh
Radhika
Shanti Devi
Mahendra Singh
Ranu Jain
Aarushi Jain
Jyoti Rani Jain
Jyoti
Vaishali
Himanshu
Neelam Kushwaha
Kritika Kushwaha
Pratyaksh Kushwaha
Rajaveti Kushwaha
Father
Spouse
Mother
Spouse
Son
Daughter
Mother
Father
Spouse
Daughter
Daughter
Mother
Father
Spouse
Daughter
Mother
Spouse
Daughter
Daughter
Spouse
Daughter
Son
Mother
30/09/1937
24/04/1933
22/09/1988
11/11/1957
26/03/1977
11/03/2005
06/07/2007
01/01/1956
03/02/1950
31/07/1970
27/11/1997
27/10/2001
15/01/1941
01/01/1939
28/07/1973
29/07/2002
01/06/1951
01/03/1973
23/08/2000
23/08/2000
03/01/1982
08/04/2010
21/01/2014
01/01/1958
81
85
30
61
41
13
11
63
69
48
21
17
78
80
45
16
67
45
18
18
37
8
5
61
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Female
Female
Female
Male
Female
Female
Female
Female
Female
Female
Female
Female
Male
Female
22
23
24
25
26
27
Deepak Bhardwaj
Pankaj Kumar Gupta
Haripal Singh
Rakesh Kumar Jain
Satish Kumar
Mahendra Pratap SinghKushwaha
Employee
Employee
Employee
Employee
Employee
Employee
25/02/1982
11/12/1976
12/02/1970
02/05/1973
01/03/1969
01/01/1982
37
42
49
45
49
37
Male
Male
Male
Male
Male
Male
121
123
135
148
150
151
Others
Others
Others
Others
Others
Others
250000
300000
300000
500000
250000
250000
2
5
5
3
3
5
107629551900002200
107629551900002300
107629551900002400
107629551900002500
107629551900002600
107629551900002700
Age in Mths
0
2
0
9
11
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
10
5
3
11
11
7
1
0
6
2
3
1
1
6
6
8
11
6
6
1
10
1
1
ID No
ID No
ID No
ID No
ID No
ID No
107629551900002105
107629551900002201
107629551900002202
107629551900002301
107629551900002302
107629551900002303
107629551900002304
107629551900002305
107629551900002401
107629551900002402
107629551900002403
107629551900002404
107629551900002405
107629551900002501
107629551900002502
107629551900002503
107629551900002601
107629551900002602
107629551900002603
107629551900002701
107629551900002702
107629551900002703
107629551900002704
DEPUTY MANAGER
ASSISTANT GENERAL MANAGER
DEPUTY GENERAL MANAGER
VICE PRESIDENT
DRIVER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Prabhu Dayal Kushwaha
Preeti Vats
Vidushi
Rudransh
Kanta Vats
Satpal Vats
Ritu Tyagi
Himani Tyagi
Rajat Tyagi
Premvati
Shweta Verma
Pratik Verma
Nishit Verma
Kiran Devi Verma
Birendra Kumar Verma
Kusum
Shivam
Gaurav
Sohan Vati
Simran
Aryan Sethi
Reshma Kumari
Megha Singh
Arjun Singh
Father
Spouse
Daughter
Son
Mother
Father
Spouse
Daughter
Son
Mother
Spouse
Son
Son
Mother
Father
Spouse
Son
Son
Mother
Spouse
Son
Spouse
Daughter
Son
30/06/1954
02/02/1983
15/11/2004
24/11/2011
07/05/1955
16/08/1948
01/11/1974
21/11/1997
04/12/1999
29/01/1946
30/05/1981
14/04/2007
29/01/2017
16/04/1933
12/01/1929
09/11/1978
15/01/2003
11/01/2005
05/07/1952
27/01/1981
11/11/2010
01/07/1967
07/02/1994
29/11/1998
64
36
14
7
63
70
44
21
19
73
37
11
2
85
90
40
16
14
66
38
8
51
25
20
Male
Female
Female
Male
Female
Male
Female
Female
Male
Female
Female
Male
Male
Female
Male
Female
Male
Male
Female
Female
Male
Female
Female
Male
28
29
30
31
32
33
Rajesh Kumar Vats
Naresh Kumar
Nitesh Kumar Verma
Subhash Chand
Alok Sethi
Mahesh Kumar
Employee
Employee
Employee
Employee
Employee
Employee
16/07/1977
05/06/1973
10/01/1975
09/11/1977
01/07/1976
05/06/1965
41
45
44
41
42
53
Male
Male
Male
Male
Male
Male
152
155
156
163
164
177
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
500000
250000
5
4
5
4
2
4
107629551900002800
107629551900002900
107629551900003000
107629551900003100
107629551900003200
107629551900003300
Age in Mths
7
8
1
3
7
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
0
3
3
9
6
3
3
2
0
8
10
0
10
1
3
1
1
7
0
3
7
0
2
ID No
ID No
ID No
ID No
ID No
ID No
107629551900002705
107629551900002801
107629551900002802
107629551900002803
107629551900002804
107629551900002805
107629551900002901
107629551900002902
107629551900002903
107629551900002904
107629551900003001
107629551900003002
107629551900003003
107629551900003004
107629551900003005
107629551900003101
107629551900003102
107629551900003103
107629551900003104
107629551900003201
107629551900003202
107629551900003301
107629551900003302
107629551900003303
EXECUTIVE
ASSISTANT MANAGER
EXECUTIVE
EXECUTIVE
GENERAL MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Ram Kali
Gaurav Puri
Paksh Puri
Indra Sarin
Navneet Kumar Sarin
Hemlata
Drishti
Himanshu
Meena Mishra
S. K. Mishra
Rashmi
Kushagra N. Varshney
Megha Sharma
Urmila Sharma
M. D. Sharma
Priyanka Srivastava
Atulya Srivastava
Ankit Srivastava
Sehajbir Singh
Manpreet Kaur
Jasween Kaur
Mother
Spouse
Son
Mother
Father
Spouse
Daughter
Son
Mother
Father
Spouse
Son
Spouse
Mother
Father
Spouse
Son
Son
Son
Spouse
Mother
Father
01/07/1943
29/11/1984
10/02/2012
10/05/1957
20/05/1955
15/01/1979
20/10/2003
06/02/2012
24/01/1964
04/07/1959
26/12/1978
18/10/2011
18/06/1984
18/04/1953
01/01/1951
05/05/1979
28/04/2007
28/06/2010
18/04/2014
08/10/1982
10/02/1950
75
34
7
61
63
40
15
7
55
59
40
7
34
65
68
39
11
8
4
36
69
Female
Male
Male
Female
Male
Female
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Male
Male
Male
Female
Female
34
35
36
37
38
39
40
Anshuli Puri
Rakesh Kumar Singh
Vipul Mishra
Nirupam Varshney
Pradeep Sharma
Ashish Srivastava
Manpreet Singh Kapoor
Employee
Employee
Employee
Employee
Employee
Employee
Employee
04/05/1983
15/08/1974
09/01/1990
01/07/1977
01/06/1979
28/04/1976
25/03/1978
35
44
29
41
39
42
40
Female
Male
Male
Male
Male
Male
Male
179
183
188
192
195
196
197
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
300000
300000
300000
4
3
2
2
3
3
4
107629551900003400
107629551900003500
107629551900003600
107629551900003700
107629551900003800
107629551900003900
107629551900004000
Age in Mths
9
6
1
7
8
9
11
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
2
0
9
9
1
4
0
1
7
2
4
8
10
1
9
9
7
10
4
0
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900003304
107629551900003401
107629551900003402
107629551900003403
107629551900003404
107629551900003501
107629551900003502
107629551900003503
107629551900003601
107629551900003602
107629551900003701
107629551900003702
107629551900003801
107629551900003802
107629551900003803
107629551900003901
107629551900003902
107629551900003903
107629551900004001
107629551900004002
107629551900004003
107629551900004004
DEPUTY MANAGER
MANAGER
ASSISTANT MANAGER
MANAGER
SENIOR MANAGER
ASSISTANT VICE PRESIDENT
DEPUTY GENERAL MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
J. S. Kapoor
Kavita Tiwari
Vasudha Tiwari
Prashasti Tiwari
Pushpa Tewari
P. S. Tiwari
Seema Rai
Shambhavi Rai
Jaivardhan Rai
Dinesh Chandra Rai
Divya Bansal
Avika Gupta
Anushka Gupta
Anita Gupta
V. K. Gupta
Anjali Kanchan
Aashvi Saxena
Sarita Saxena
Kaushal Kishore
Rinky Singh
Geeta Devi
Abhay Narain Singh
Nishat Fatima
Ayaan Kauser
Spouse
Daughter
Daughter
Mother
Father
Spouse
Daughter
Son
Father
Spouse
Daughter
Daughter
Mother
Father
Spouse
Daughter
Mother
Father
Spouse
Mother
Father
Spouse
Son
23/09/1942
13/01/1975
22/11/1997
17/09/2001
14/08/1950
02/01/1947
14/11/1970
04/08/1994
28/08/1999
18/07/1943
21/02/1983
21/06/2010
16/03/2014
26/11/1954
24/01/1952
17/11/1985
07/08/2014
21/02/1956
01/02/1951
27/07/1990
10/04/1949
01/01/1946
25/01/1992
30/08/2012
76
44
21
17
68
72
48
24
19
75
36
8
4
64
67
33
4
63
68
28
69
73
27
6
Male
Female
Female
Female
Female
Male
Female
Female
Male
Male
Female
Female
Female
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
41
42
43
44
45
46
Prashant Kumar Tiwari
Tribhuwan Narayan Rai
Nishi Kant Gupta
Shashank Saxena
Ajay Singh
Asif Tamanna
Employee
Employee
Employee
Employee
Employee
Employee
02/02/1970
21/09/1969
24/08/1978
24/02/1984
23/03/1979
02/11/1983
49
49
40
35
39
35
Male
Male
Male
Male
Male
Male
199
204
207
209
210
214
Others
Others
Others
Others
Others
Others
500000
500000
500000
250000
250000
250000
5
4
5
4
3
4
107629551900004100
107629551900004200
107629551900004300
107629551900004400
107629551900004500
107629551900004600
Age in Mths
0
5
6
0
11
3
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
5
1
3
5
6
1
3
6
5
7
0
8
11
3
1
3
6
0
0
6
10
1
1
5
ID No
ID No
ID No
ID No
ID No
ID No
107629551900004101
107629551900004102
107629551900004103
107629551900004104
107629551900004105
107629551900004201
107629551900004202
107629551900004203
107629551900004204
107629551900004301
107629551900004302
107629551900004303
107629551900004304
107629551900004305
107629551900004401
107629551900004402
107629551900004403
107629551900004404
107629551900004501
107629551900004502
107629551900004503
107629551900004601
107629551900004602
ASSOCIATE VICE PRESIDENT
GENERAL MANAGER
ADDITIONAL VICE PRESIDENT
EXECUTIVE
ASSISTANT MANAGER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Rukshana Kauser
Mashroob Kauser
Jaspreet Kaur Mahi
Balwinder Kaur
Hardeep Singh
Pinki
Munni Devi
Kumar Kant Chaudhary
Vandana Pal
Sunita
Bhagwat Prasad
Seema Sharma
Kanishk Sharma
Darsheel Sharma
Roshani Sharma
Puran Chand Sharma
Sushila Devi
Punydeo Prasad Yadav
Niharika Jena
Pushpalata Sahoo
Daityari Sahoo
Mother
Father
Spouse
Mother
Father
Spouse
Mother
Father
Spouse
Mother
Father
Spouse
Son
Son
Mother
Father
Mother
Father
Spouse
Mother
Father
Spouse
02/02/1965
08/11/1956
25/03/1989
20/09/1969
28/08/1961
20/02/1992
04/09/1966
24/06/1964
20/12/1985
25/09/1959
02/11/1955
23/07/1987
24/12/2007
07/08/2012
20/04/1964
16/03/1960
05/12/1963
07/01/1959
15/05/1984
01/04/1957
17/03/1952
54
62
29
49
57
27
52
54
33
59
63
31
11
6
54
58
55
60
34
61
66
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Male
Male
Female
Male
Female
Male
Female
Female
Male
47
48
49
50
51
52
53
Atinder Pal Singh
Manoj Kumar Chaudhary
Dushyant Kumar
Manish Sharma
Rakesh Kumar Yadav
Subhrajit Sahoo
Ravi Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
22/10/1989
13/01/1990
08/06/1981
29/08/1981
05/11/1987
12/07/1980
29/03/1986
29
29
37
37
31
38
32
Male
Male
Male
Male
Male
Male
Male
219
222
224
227
230
232
233
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
300000
250000
3
3
3
5
2
3
5
107629551900004700
107629551900004800
107629551900004900
107629551900005000
107629551900005100
107629551900005200
107629551900005300
Age in Mths
4
1
8
5
3
7
10
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
0
3
11
5
5
0
5
8
2
5
3
7
2
6
10
11
2
1
9
10
11
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900004603
107629551900004604
107629551900004701
107629551900004702
107629551900004703
107629551900004801
107629551900004802
107629551900004803
107629551900004901
107629551900004902
107629551900004903
107629551900005001
107629551900005002
107629551900005003
107629551900005004
107629551900005005
107629551900005101
107629551900005102
107629551900005201
107629551900005202
107629551900005203
107629551900005301
OFFICER
OFFICER
DEPUTY MANAGER
EXECUTIVE
ASSISTANT MANAGER
SENIOR MANAGER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Archana
Priyanshi
Reyansh Kumar
Rani Devi
Upender Kumar
Madhu Tanwar
Deepa Tanwar
Om Tanwar
Kamala Devi
Kalpana Kumari P.
Gatik Das
Sanvi Das
Bina Devi
Dr. B.K.Lal
Yamini Sharma
Sumedha Sharma
Bimla Devi
G. P. Sharma
Ajay Yadav
Aryan Yadav
Shakuntla Yadav
G. K. Yadav
Rupa Trivedi
Aarush Trivedi
Kamala Trivedi
Bishwanath Trivedi
Daughter
Son
Mother
Father
Spouse
Daughter
Son
Mother
Spouse
Son
Daughter
Mother
Father
Spouse
Daughter
Mother
Father
Spouse
Son
Mother
Father
Spouse
Son
Mother
Father
05/01/1991
15/01/2012
28/12/2016
01/01/1968
05/01/1958
01/03/1975
24/02/1997
09/09/2001
01/01/1950
24/08/1981
20/11/2012
09/02/2015
09/09/1950
25/06/1941
02/04/1979
20/01/2004
30/04/1938
01/06/1935
04/07/1971
12/09/2003
12/02/1954
01/12/1950
11/03/1983
14/04/2010
01/12/1958
01/01/1953
28
7
2
51
61
43
22
17
69
37
6
4
68
77
39
15
80
83
47
15
65
68
35
8
60
66
Female
Female
Male
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Female
Male
Male
Male
Female
Male
Female
Male
Female
Male
54
55
56
57
58
Lalit Prasad
Sudhir Priyadarshi
Virender Kumar Sharma
Neelu Yadav
Vijay Kumar Trivedi
Employee
Employee
Employee
Employee
Employee
01/03/1971
29/06/1976
22/05/1974
15/06/1976
20/01/1982
47
42
44
42
37
Male
Male
Male
Female
Male
238
242
244
249
252
Others
Others
Others
Others
Others
250000
300000
300000
300000
250000
4
5
4
4
4
107629551900005400
107629551900005500
107629551900005600
107629551900005700
107629551900005800
Age in Mths
11
7
9
8
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
1
1
1
1
11
0
5
1
6
3
0
5
8
10
1
9
8
7
5
0
2
11
10
2
1
ID No
ID No
ID No
ID No
ID No
107629551900005302
107629551900005303
107629551900005304
107629551900005305
107629551900005401
107629551900005402
107629551900005403
107629551900005404
107629551900005501
107629551900005502
107629551900005503
107629551900005504
107629551900005505
107629551900005601
107629551900005602
107629551900005603
107629551900005604
107629551900005701
107629551900005702
107629551900005703
107629551900005704
107629551900005801
107629551900005802
107629551900005803
107629551900005804
DRIVER
SENIOR MANAGER
SENIOR MANAGER
SENIOR MANAGER
EXECUTIVE
In the event of the policy being withdrawn in future, intimation about the withdrawal will be sent 3 months prior to the date when renewal falls
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Jyoti Goyal
Ishita Aggarwal
Basmati Singh
Sowaran Singh
Kavita
Sanyam Wadhwa
Vidita Wadhwa
Ved Kumari Wadhwa
Chitra Singh
Ananya Chauhan
Sobha Chauhan
H. N. Singh
Santanu Saha
Kakoli Mazumdar
Indrajit Mazumdar
Harneet
Mehar Kaur Ms.
Lavlin Kaur Sidana
Harmahinder Singh Sidana
Kunal Kumar
Kabeer Krishna
Spouse
Daughter
Mother
Father
Spouse
Son
Daughter
Mother
Spouse
Daughter
Mother
Father
Spouse
Mother
Father
Spouse
Daughter
Mother
Father
Spouse
Son
Mother
27/04/1974
11/03/2001
04/04/1959
11/07/1955
02/12/1984
27/06/2011
26/01/2016
05/01/1946
28/11/1985
24/10/2013
18/04/1946
12/08/1942
19/09/1978
23/08/1951
18/05/1951
14/07/1979
04/12/2007
22/05/1951
07/01/1947
10/03/1971
03/10/2008
44
17
59
63
34
7
3
73
33
5
72
76
40
67
67
39
11
67
72
47
10
Female
Female
Female
Male
Female
Male
Female
Female
Female
Female
Female
Male
Male
Female
Male
Female
Female
Female
Male
Male
Male
59
60
61
62
63
64
65
Ratan Sandeep
Vandana Singh
Saurabh Wadhwa
Chandra Prakash Chauhan
Anupama Saha
Navjot Singh Sidana
Manisha Upadhyaya
Employee
Employee
Employee
Employee
Employee
Employee
Employee
26/06/1970
01/03/1983
23/05/1983
01/12/1979
06/07/1979
05/08/1979
21/10/1980
48
35
35
39
39
39
38
Male
Female
Male
Male
Female
Male
Female
260
261
263
267
269
271
274
Others
Others
Others
Others
Others
Others
Others
300000
250000
250000
250000
300000
500000
300000
2
2
4
4
3
4
4
107629551900005900
107629551900006000
107629551900006100
107629551900006200
107629551900006300
107629551900006400
107629551900006500
Age in Mths
8
11
9
2
7
6
4
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
9
11
10
7
2
7
0
1
2
4
10
6
5
6
9
7
2
9
1
11
4
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900005901
107629551900005902
107629551900006001
107629551900006002
107629551900006101
107629551900006102
107629551900006103
107629551900006104
107629551900006201
107629551900006202
107629551900006203
107629551900006204
107629551900006301
107629551900006302
107629551900006303
107629551900006401
107629551900006402
107629551900006403
107629551900006404
107629551900006501
107629551900006502
107629551900006503
ASSISTANT VICE PRESIDENT
EXECUTIVE
DEPUTY MANAGER
DEPUTY MANAGER
SENIOR MANAGER
GENERAL MANAGER
ASSISTANT GENERAL MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Manju Upadhyaya
Narayan Upadhyaya
Shehela Khan
Nuseba Anzar
Mazz Khan
Sarfaraz Jahan
A. H. Khan
Bhavana Sharma
Sakshi Sharma
Aditya Sharma
Triveni Devi
Ram Krishna Sharma
Kavita Devi
Tarun Kumar
Manisha
Ram Rati
Raj Pal
Venus Gautam
Divita Gautam
Bhawana Gautam
Priyanka Verma
Sushila Verma
Anurag Madhur
Devanti Devi
Father
Spouse
Daughter
Son
Mother
Father
Spouse
Daughter
Son
Mother
Father
Spouse
Son
Daughter
Mother
Father
Spouse
Daughter
Daughter
Spouse
Mother
Father
Spouse
10/01/1952
01/02/1951
01/07/1970
09/11/1997
07/10/2005
02/07/1946
01/01/1942
22/11/1971
13/04/1998
14/11/2002
01/01/1941
25/10/1937
15/03/1978
30/01/1997
30/08/2000
08/03/1948
06/09/1945
26/07/1976
19/11/1999
04/07/2001
10/12/1990
30/09/1963
01/08/1964
08/12/1965
67
68
48
21
13
72
77
47
20
16
78
81
40
22
18
70
73
42
19
17
28
55
54
53
Female
Male
Female
Female
Male
Female
Male
Female
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Female
Female
Female
Female
Male
Female
66
67
68
69
70
71
Anzar Hasan Khan
Samir Kumar Sharma
Naresh Kumar Dalal
Devendra Kumar Gautam
Vikrant Verma
Manohar Sharma
Employee
Employee
Employee
Employee
Employee
Employee
29/11/1969
05/04/1968
15/01/1972
05/06/1971
04/12/1987
02/01/1967
49
50
47
47
31
52
Male
Male
Male
Male
Male
Male
277
278
279
281
283
284
Others
Others
Others
Others
Others
Others
300000
500000
250000
300000
250000
250000
5
5
5
3
3
4
107629551900006600
107629551900006700
107629551900006800
107629551900006900
107629551900007000
107629551900007100
Age in Mths
2
10
1
8
2
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
0
7
3
4
7
1
3
10
3
1
4
11
0
5
11
5
6
3
7
2
4
6
2
ID No
ID No
ID No
ID No
ID No
ID No
107629551900006504
107629551900006601
107629551900006602
107629551900006603
107629551900006604
107629551900006605
107629551900006701
107629551900006702
107629551900006703
107629551900006704
107629551900006705
107629551900006801
107629551900006802
107629551900006803
107629551900006804
107629551900006805
107629551900006901
107629551900006902
107629551900006903
107629551900007001
107629551900007002
107629551900007003
107629551900007101
ASSISTANT GENERAL MANAGER
VICE PRESIDENT
EXECUTIVE
DEPUTY GENERAL MANAGER
ASSISTANT OFFICER
JUNIOR ENGINEER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Jyoti
Shiv Kumar Sharma
Kumari Devi
Shanti Devi
Kaushal Kishor Mani
Vandana Sharma
Utkarsh Pandey
Leela Devi
Khushiram Sharma
Alka Khanna
Devisha
P. L. Khanna
Nitika Singh
Ekansh Singh
Kalavati Singh
R. C. Singh
Rishant
Nandani Kumari
Savita Devi Dobhal
Pooja Dobhal
Sukhdev Dobhal
Saraswati Dobhal
Daughter
Son
Mother
Mother
Father
Spouse
Son
Mother
Father
Spouse
Daughter
Father
Spouse
Son
Mother
Father
Son
Spouse
Spouse
Daughter
Son
Mother
04/10/2003
18/02/2005
02/07/1940
27/04/1962
08/12/1959
08/08/1981
22/06/2004
20/08/1960
02/05/1957
20/07/1974
26/01/2004
29/11/1948
18/11/1986
14/07/2010
08/08/1947
07/07/1944
20/10/2014
05/10/1973
22/02/1987
30/10/2007
22/09/2009
12/10/1963
15
14
78
56
59
37
14
58
61
44
15
70
32
8
71
74
4
45
32
11
9
55
Female
Male
Female
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Male
Female
Male
Male
Female
Female
Female
Male
Female
72
73
74
75
76
77
78
Ashutosh Kumar Mani
Harish Kumar Sharma
Gaurav Khanna
Anand Prakash Singh
Dhananjay Kumar
Keshav Nand Dobhal
Kiran S. Narang
Employee
Employee
Employee
Employee
Employee
Employee
Employee
18/11/1990
10/04/1978
21/11/1974
05/08/1980
01/03/1979
20/05/1980
19/11/1979
28
40
44
38
39
38
39
Male
Male
Male
Male
Male
Male
Female
285
286
287
288
289
290
291
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
2
4
3
4
2
4
5
107629551900007200
107629551900007300
107629551900007400
107629551900007500
107629551900007600
107629551900007700
107629551900007800
Age in Mths
3
10
3
6
11
9
3
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
0
7
9
2
6
8
6
9
7
0
2
3
7
6
7
4
4
0
3
5
4
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900007102
107629551900007103
107629551900007104
107629551900007201
107629551900007202
107629551900007301
107629551900007302
107629551900007303
107629551900007304
107629551900007401
107629551900007402
107629551900007403
107629551900007501
107629551900007502
107629551900007503
107629551900007504
107629551900007601
107629551900007602
107629551900007701
107629551900007702
107629551900007703
107629551900007704
OFFICER
OFFICER
EXECUTIVE
ASSISTANT MANAGER
JUNIOR ENGINEER
JUNIOR ENGINEER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Pradeep Narang
Anshika Narang
Ayaansh Narang
Asha Saluja
Surinder Kumar Saluja
Garima Patel
Pranav Kumar
Om Vati
Ram Pal Singh
Umeet Kaur
Agriya Jeet Singh
Trilochan Kaur
Gurmukh Singh
Sukhvinder Kaur
Surjeet Kaur
Nikhil Badhwar
Nitya Badhwar
Bhavya Badhwar
S. K. Madan
S. S. Madan
Renu Verma
Aayush Verma
Sunita Verma
Ashok Kumar Verma
Spouse
Daughter
Son
Mother
Father
Spouse
Son
Mother
Father
Spouse
Son
Mother
Father
Spouse
Mother
Spouse
Daughter
Son
Mother
Father
Spouse
Son
Mother
Father
10/10/1979
08/01/2015
29/05/2017
01/09/1946
21/05/1941
10/04/1986
05/07/2016
15/08/1962
02/10/1953
29/06/1984
07/01/2014
18/01/1954
15/10/1952
15/09/1991
23/01/1961
14/05/1979
13/10/2004
14/08/2008
17/10/1946
03/03/1943
30/04/1991
19/04/2015
28/06/1966
10/02/1962
39
4
1
72
77
32
2
56
65
34
5
65
66
27
58
39
14
10
72
75
27
3
52
57
Male
Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
79
80
81
82
83
84
Muneesh Kumar
Harminder Singh
Bhavjot Singh
Sunaina Badhwar
Bharat Bhushan Verma
Laxmi Kant Tripathi
Employee
Employee
Employee
Employee
Employee
Employee
10/12/1982
21/02/1982
16/11/1985
29/07/1979
12/03/1988
05/07/1979
36
37
33
39
30
39
Male
Male
Male
Female
Male
Male
292
293
295
297
298
301
Others
Others
Others
Others
Others
Others
250000
250000
250000
300000
250000
250000
4
4
2
5
4
3
107629551900007900
107629551900008000
107629551900008100
107629551900008200
107629551900008300
107629551900008400
Age in Mths
2
0
3
6
11
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
1
8
5
9
10
7
6
4
7
1
1
4
5
1
9
4
6
4
11
9
10
7
0
ID No
ID No
ID No
ID No
ID No
107629551900007801
107629551900007802
107629551900007803
107629551900007804
107629551900007805
107629551900007901
107629551900007902
107629551900007903
107629551900007904
107629551900008001
107629551900008002
107629551900008003
107629551900008004
107629551900008101
107629551900008102
107629551900008201
107629551900008202
107629551900008203
107629551900008204
107629551900008205
107629551900008301
107629551900008302
107629551900008303
107629551900008304
ASSISTANT MANAGER
DEPUTY MANAGER
ASSISTANT MANAGER
SENIOR MANAGER
EXECUTIVE
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Deep Sikha
Rani Tripathi
Satish Chandra Tripathi
Nidhi Joshi Pathak
Aariketh Pathak
Beneta Pathak
P. C. Pathak
Paramita Bhattacharjee
Aaroh Bhattacharjya
Aadriti Bhattacharjya
Bishwarathi Bhattacharjee
Manoj Kumar
Tanishka Manoj
Anita Thilakan
T. G. Thilakan
Sanjeev Sharma
Akshit Sharma
Anjana Dogra
Raj Kumar Dogra
Neelofar
Muheez Hasan
Naba Hasan
Mohd. Yaseen
Spouse
Mother
Father
Spouse
Son
Mother
Father
Spouse
Son
Daughter
Father
Spouse
Daughter
Mother
Father
Spouse
Son
Mother
Father
Spouse
Son
Daughter
Father
15/08/1981
05/09/1962
10/03/1960
08/02/1983
01/10/2016
25/12/1956
31/10/1951
21/10/1981
14/08/2008
22/12/2016
21/08/1942
27/12/1977
10/06/2008
29/05/1963
01/12/1953
06/12/1973
14/01/2004
01/01/1950
13/03/1945
08/09/1979
23/09/2004
21/08/2012
01/02/1940
37
56
58
36
2
62
67
37
10
2
76
41
10
55
65
45
15
69
73
39
14
6
79
Female
Female
Male
Female
Male
Female
Male
Female
Male
Female
Male
Male
Female
Female
Male
Male
Male
Female
Male
Female
Male
Female
Male
85
86
87
88
89
90
Dewesh Pathak
Saumya Bhattacharya
Nidhi Manoj
Monika Sharma
Abid Hasan
Rajman
Employee
Employee
Employee
Employee
Employee
Employee
11/02/1979
19/03/1979
14/02/1984
10/05/1977
02/02/1975
01/06/1987
40
39
35
41
44
31
Male
Male
Female
Female
Male
Male
302
304
307
308
311
312
Others
Others
Others
Others
Others
Others
300000
300000
250000
250000
300000
250000
4
4
4
4
4
5
107629551900008500
107629551900008600
107629551900008700
107629551900008800
107629551900008900
107629551900009000
Age in Mths
0
11
0
9
0
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
6
5
11
0
4
2
3
4
6
2
6
1
8
8
2
2
1
1
11
5
5
6
0
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900008401
107629551900008402
107629551900008403
107629551900008501
107629551900008502
107629551900008503
107629551900008504
107629551900008601
107629551900008602
107629551900008603
107629551900008604
107629551900008701
107629551900008702
107629551900008703
107629551900008704
107629551900008801
107629551900008802
107629551900008803
107629551900008804
107629551900008901
107629551900008902
107629551900008903
107629551900008904
SENIOR MANAGER
ASSISTANT GENERAL MANAGER
SENIOR SECRETARY
EXECUTIVE SECRETARY
SENIOR MANAGER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Meera Devi
Vansh
Anshika
Munnilal Prajapati
Krishna Devi
Neha Devi
Tejas Pandey
Tanishka Pandey
Manik Chandra Sharma
Asha Devi
Poonam Rawal
Bhargavi
Raj Rani
Renu Sharma
Lavanya Sharma
Kartik Sharma
Santosh Sharma
Radhey Shyam Sharma
Smita
Anant Sharma
Aniket Sharma
Indu Sharma
Vijay Kumar Sharma
Neha Sharma
Rohan Sharma
Laxmi
Santosh Sharma
Spouse
Son
Daughter
Father
Mother
Spouse
Son
Daughter
Father
Mother
Spouse
Daughter
Mother
Spouse
Daughter
Son
Mother
Father
Spouse
Son
Son
Mother
Father
Spouse
Son
Daughter
Mother
15/04/1990
20/06/2011
22/07/2015
14/11/1950
01/01/1964
17/04/1990
09/04/2012
02/08/2017
01/09/1951
01/01/1951
30/07/1984
21/10/2012
01/09/1959
28/03/1989
26/11/2010
26/04/2015
30/04/1958
08/06/1950
24/02/1985
24/10/2012
12/08/2017
01/07/1964
02/10/1960
23/06/1989
07/10/2013
24/05/2017
01/07/1961
28
7
3
68
55
28
6
1
67
68
34
6
59
29
8
3
60
68
34
6
1
54
58
29
5
1
57
Female
Male
Female
Male
Female
Female
Male
Female
Male
Female
Female
Female
Female
Female
Female
Male
Female
Male
Female
Male
Male
Female
Male
Female
Male
Female
Female
91
92
93
94
95
Pradeep Kumar
Chander Kant
Pramod Kumar Sharma
Neelmani
Sumit Kumar
Employee
Employee
Employee
Employee
Employee
06/04/1988
07/12/1981
28/07/1982
31/07/1983
23/05/1984
30
37
36
35
34
Male
Male
Male
Male
Male
313
317
318
328
329
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
5
3
5
5
4
107629551900009100
107629551900009200
107629551900009300
107629551900009400
107629551900009500
Age in Mths
10
2
6
6
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
10
8
7
3
1
10
10
6
5
1
6
4
5
10
3
9
9
8
0
4
6
7
4
8
4
9
7
ID No
ID No
ID No
ID No
ID No
107629551900009001
107629551900009002
107629551900009003
107629551900009004
107629551900009005
107629551900009101
107629551900009102
107629551900009103
107629551900009104
107629551900009105
107629551900009201
107629551900009202
107629551900009203
107629551900009301
107629551900009302
107629551900009303
107629551900009304
107629551900009305
107629551900009401
107629551900009402
107629551900009403
107629551900009404
107629551900009405
107629551900009501
107629551900009502
107629551900009503
107629551900009504
ASSISTANT OFFICER
ASSISTANT MANAGER
ASSISTANT MANAGER
DEPUTY MANAGER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Smita Kanwasi
Sakshi Kanwasi
Saket Kanwasi
Ram Devi
Poonam Giri
Aryan Kumar Giri
Akanksha
Shivratri Devi
Sammelal Giri
Saloni Gupta
Shashi Gupta
Anand Kumar Gupta
Shalini
Shreya
Yash
Rajesh Devi
Shanti
Shaurya Singh
Shrishti
Hukmu Devi
Beena Gupta
Naina Gupta
Yajat Gupta
Lakshiv Gupta
Spouse
Daughter
Son
Mother
Spouse
Son
Daughter
Mother
Father
Spouse
Mother
Father
Spouse
Daughter
Son
Mother
Spouse
Son
Daughter
Mother
Mother
Spouse
Son
Son
15/05/1982
18/05/2004
01/08/2007
01/01/1946
09/03/1982
28/09/2003
26/01/2011
03/06/1961
28/03/1957
24/02/1990
20/08/1963
18/01/1958
06/04/1987
19/11/2006
05/07/2009
01/01/1964
02/07/1981
05/11/2014
19/03/2011
21/04/1941
04/04/1961
25/03/1986
04/09/2011
03/07/2013
36
14
11
73
36
15
8
57
61
29
55
61
31
12
9
55
37
4
7
77
57
32
7
5
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Female
Female
Male
Male
96
97
98
99
100
101
Vijay Pal Singh Kanwasi
Vinod Kumar Giri
Varun Gupta
Pankaj Kumar
Chand Bir Singh
Manish Gupta
Employee
Employee
Employee
Employee
Employee
Employee
01/02/1974
05/03/1977
23/09/1987
03/05/1981
01/03/1983
23/06/1980
45
41
31
37
35
38
Male
Male
Male
Male
Male
Male
332
336
337
339
340
346
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
4
5
3
4
4
4
107629551900009600
107629551900009700
107629551900009800
107629551900009900
107629551900010000
107629551900010100
Age in Mths
0
11
5
9
11
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
9
9
6
1
11
4
0
8
10
0
6
1
10
3
7
1
7
3
11
10
10
11
5
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900009601
107629551900009602
107629551900009603
107629551900009604
107629551900009701
107629551900009702
107629551900009703
107629551900009704
107629551900009705
107629551900009801
107629551900009802
107629551900009803
107629551900009901
107629551900009902
107629551900009903
107629551900009904
107629551900010001
107629551900010002
107629551900010003
107629551900010004
107629551900010101
107629551900010102
107629551900010103
107629551900010104
MANAGER
OFFICER
ASSISTANT MANAGER
OFFICER
EXECUTIVE
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Seema Shrivastava
Hashita Shrivastava
Gunjal Shrivastava
Kishori Devi
Shyam Bihari Shrivastava
Mamta Rani
Mann Kaushik
Bhawana
Jai Prakash Sharma
Sheela Sharma
Neelima Patheja
Sahana Patheja
Durvish Patheja
Parveen Patheja
R. L. Patheja
Anuradha Sharma
New Born Boy Child
Sudesh Sharma
Sarvajeet Sharma
Saksham Kumar Singh
Akshita
Neetam Singh
Asha Devi
Tajinder Kaur
Spouse
Daughter
Daughter
Mother
Father
Spouse
Son
Daughter
Father
Mother
Spouse
Daughter
Son
Mother
Father
Spouse
Son
Mother
Father
Son
Daughter
Spouse
Mother
Spouse
01/08/1970
17/11/2001
12/07/2017
02/03/1948
01/10/1942
12/06/1984
03/03/2007
03/08/2009
15/07/1951
03/02/1955
22/03/1984
24/10/2012
11/08/2018
15/09/1956
05/01/1956
25/11/1988
11/09/2015
15/05/1951
14/05/1944
01/09/2012
31/07/2014
01/09/1983
30/05/1967
29/11/1982
48
17
1
70
76
34
11
9
67
64
34
6
0
62
63
30
3
67
74
6
4
35
51
36
Female
Female
Female
Female
Male
Female
Male
Female
Male
Female
Female
Female
Male
Female
Male
Female
Male
Female
Male
Male
Female
Female
Female
Female
102
103
104
105
106
107
Arvind Kumar Shrivastava
Ravinder Kumar Sharma
Anuj Patheja
Sonu Sharma
Ranjit Kumar
Deepak Yadav
Employee
Employee
Employee
Employee
Employee
Employee
22/07/1963
28/06/1977
01/11/1982
26/06/1977
11/06/1982
10/01/1981
55
41
36
41
36
38
Male
Male
Male
Male
Male
Male
350
352
353
355
383
387
Others
Others
Others
Others
Others
Others
300000
250000
250000
250000
300000
250000
5
5
5
4
4
5
107629551900010200
107629551900010300
107629551900010400
107629551900010500
107629551900010600
107629551900010700
Age in Mths
7
7
3
8
8
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
6
3
7
11
4
8
11
6
7
0
11
4
6
5
1
3
5
9
9
5
6
5
8
2
ID No
ID No
ID No
ID No
ID No
ID No
107629551900010201
107629551900010202
107629551900010203
107629551900010204
107629551900010205
107629551900010301
107629551900010302
107629551900010303
107629551900010304
107629551900010305
107629551900010401
107629551900010402
107629551900010403
107629551900010404
107629551900010405
107629551900010501
107629551900010502
107629551900010503
107629551900010504
107629551900010601
107629551900010602
107629551900010603
107629551900010604
107629551900010701
DEPUTY GENERAL MANAGER
EXECUTIVE
MANAGER
ASSISTANT MANAGER
ASSISTANT GENERAL MANAGER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Mayank Yadav
Lavaniya Yadav
Shashi Yadav
Naval Kishore
Peeyusha Sharma
Usha Juyal
A. M. Juyal
Poonam Yadav
Ankush Yadav
Saloni Yadav
Sudama Devi
Ram Ajor Yadav
Priyanka
Kartik Bisht
Devaki Devi
Swati Dixit
Vijay Lakshmi Dixit
Jyoti Soie
Amrit Soie
Avyan Soie
Achla Soie
Avtar Singh
Neelima Gupta
Dhruv Kuchhal
Son
Daughter
Mother
Father
Spouse
Mother
Father
Spouse
Son
Daughter
Mother
Father
Spouse
Son
Mother
Spouse
Mother
Spouse
Daughter
Son
Mother
Father
Spouse
Son
12/05/2008
24/11/2015
01/07/1961
01/01/1950
27/10/1989
29/11/1962
01/06/1952
29/05/1982
02/01/2006
25/10/2010
12/05/1958
25/02/1955
24/06/1993
30/07/2016
01/07/1942
11/04/1984
23/11/1946
03/09/1982
01/12/2010
03/04/2014
15/06/1967
15/10/1958
29/09/1965
03/09/1996
10
3
57
69
29
56
66
36
13
8
60
64
25
2
76
34
72
36
8
4
51
60
53
22
Male
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
Male
Female
Male
Female
Female
Female
Female
Female
Male
Female
Male
Female
Male
108
109
110
111
112
113
Vineet Juyal
Dinesh Kumar
Digambar Singh Bisht
Mayank Dixit
Pankaj Soie
Alok Kuchhal
Employee
Employee
Employee
Employee
Employee
Employee
22/08/1985
05/01/1983
04/06/1990
07/07/1979
29/05/1983
11/01/1966
33
36
28
39
35
53
Male
Male
Male
Male
Male
Male
391
393
399
400
401
402
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
500000
3
5
3
2
5
3
107629551900010800
107629551900010900
107629551900011000
107629551900011100
107629551900011200
107629551900011300
Age in Mths
6
1
8
7
8
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
9
3
7
1
3
2
8
8
1
4
9
0
8
6
7
10
3
5
2
10
8
4
4
5
ID No
ID No
ID No
ID No
ID No
ID No
107629551900010702
107629551900010703
107629551900010704
107629551900010705
107629551900010801
107629551900010802
107629551900010803
107629551900010901
107629551900010902
107629551900010903
107629551900010904
107629551900010905
107629551900011001
107629551900011002
107629551900011003
107629551900011101
107629551900011102
107629551900011201
107629551900011202
107629551900011203
107629551900011204
107629551900011205
107629551900011301
107629551900011302
ASSISTANT MANAGER
OFFICER
OFFICER
MANAGER
CHIEF FINANCIAL OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Bala Rani Kuchhal
Priya Hitkari
Siddhartha Hitkari
Vasudev Hitkari
Usha Hitkari
J. S. Hitkari
Sonia Batra
Prabhmeet Singh Batra
Keerat Kaur
Pritam Kaur
Ram Singh Batra
Vijay Laxmi
Aishvee
Devi Gulshan
Lekhraj Gulshan
Priyanka Tyagi
Mohini
Divyansh Tyagi
Munni Devi
Jasbir Singh
Uma Sharma
Triveni Devi
Fateh Chand Gaur
Neha
Mother
Spouse
Son
Son
Mother
Father
Spouse
Son
Daughter
Mother
Father
Spouse
Daughter
Mother
Father
Spouse
Daughter
Son
Mother
Father
Spouse
Mother
Father
Spouse
16/05/1943
14/09/1970
23/11/1995
23/06/1999
10/04/1942
27/06/1931
22/08/1983
23/02/2006
04/10/2010
24/10/1947
01/01/1943
23/06/1985
08/11/2014
12/02/1959
06/07/1954
23/11/1991
13/10/2012
06/01/2014
10/06/1966
09/02/1962
26/02/1979
21/10/1952
14/04/1946
02/08/1985
75
48
23
19
76
87
35
13
8
71
76
33
4
60
64
27
6
5
52
57
40
66
72
33
Female
Female
Male
Male
Female
Male
Female
Male
Female
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
Male
Female
114
115
116
117
118
119
Amit Hitkari
Baljeet Singh Batra
Arun Gulshan
Sachin Tyagi
Sukesh Chandra Gaur
Ganesh Kumar
Employee
Employee
Employee
Employee
Employee
Employee
27/03/1967
21/07/1978
21/12/1984
01/04/1987
01/06/1976
28/06/1983
51
40
34
31
42
35
Male
Male
Male
Male
Male
Male
411
413
416
431
432
433
Others
Others
Others
Others
Others
Others
500000
250000
250000
250000
250000
250000
5
5
4
5
3
4
107629551900011400
107629551900011500
107629551900011600
107629551900011700
107629551900011800
107629551900011900
Age in Mths
10
7
2
10
8
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
9
5
3
8
10
7
6
0
4
4
1
8
3
0
7
3
4
1
8
0
0
4
10
6
ID No
ID No
ID No
ID No
ID No
ID No
107629551900011303
107629551900011401
107629551900011402
107629551900011403
107629551900011404
107629551900011405
107629551900011501
107629551900011502
107629551900011503
107629551900011504
107629551900011505
107629551900011601
107629551900011602
107629551900011603
107629551900011604
107629551900011701
107629551900011702
107629551900011703
107629551900011704
107629551900011705
107629551900011801
107629551900011802
107629551900011803
107629551900011901
GENERAL MANAGER
MANAGER
OFFICER
ASSISTANT OFFICER
OFFICER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Nishita
Sheela Rani
Jagrat Lal
Nariksha Bansal
Liza
Mishti
Chanderkanta
Pawan Kumar
Usha Rani
Meenal
Bhavishya
Patashi Devi
Rohitashwa Kumar
Rekha Yadav
Rishu Yadav
Rounak Yadav
Dhanshira Devi
Pradeep Gosain
Riyanshi Gosain
Prachi Gosain
Shanki Devi
Guman Singh
Imrana Begum
Shadan
Sarika
Sahanjahan
Gul Mohammad
Daughter
Mother
Father
Spouse
Daughter
Daughter
Mother
Father
Spouse
Daughter
Son
Mother
Father
Spouse
Daughter
Son
Mother
Spouse
Daughter
Daughter
Mother
Father
Spouse
Son
Daughter
Mother
Father
16/01/2015
20/10/1954
08/01/1951
10/10/1983
20/02/2010
04/06/2014
01/12/1963
28/12/1961
05/05/1982
21/12/2004
13/11/2007
25/01/1962
30/07/1958
10/01/1984
21/03/2009
05/03/2011
10/03/1950
10/12/1979
29/06/2013
21/03/2009
16/08/1955
14/09/1954
17/04/1991
27/05/2009
20/01/2012
20/06/1964
10/01/1960
4
64
68
35
9
4
55
57
36
14
11
57
60
35
9
7
68
39
5
9
63
64
27
9
7
54
59
Female
Female
Male
Female
Female
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
Male
Female
Male
Female
Female
Female
Male
Female
Male
Female
Female
Male
120
121
122
123
124
Yogesh Bansal
Vinod Kumar Baghoria
Gopal Krishna Yadav
Ruchi Gosain
Mohd. Lukman
Employee
Employee
Employee
Employee
Employee
28/05/1983
29/07/1980
10/08/1979
28/06/1982
16/06/1985
35
38
39
36
33
Male
Male
Male
Female
Male
436
439
440
441
444
Others
Others
Others
Others
Others
300000
250000
300000
300000
250000
5
5
4
5
5
107629551900012000
107629551900012100
107629551900012200
107629551900012300
107629551900012400
Age in Mths
8
6
6
7
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
4
1
4
0
8
2
1
9
2
3
1
6
1
11
11
11
2
7
11
6
5
10
8
1
8
1
ID No
ID No
ID No
ID No
ID No
107629551900011902
107629551900011903
107629551900011904
107629551900012001
107629551900012002
107629551900012003
107629551900012004
107629551900012005
107629551900012101
107629551900012102
107629551900012103
107629551900012104
107629551900012105
107629551900012201
107629551900012202
107629551900012203
107629551900012204
107629551900012301
107629551900012302
107629551900012303
107629551900012304
107629551900012305
107629551900012401
107629551900012402
107629551900012403
107629551900012404
107629551900012405
SENIOR MANAGER
OFFICER
SENIOR MANAGER
ASSISTANT GENERAL MANAGER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Anamika Pandey
Saanvi
Usha Pandey
Ram Surat Pandey
Ramkanti
Gungun
Sneh Patel
Bhagawati Devi
Laxmi Prasad
Milan Devi
Abhishek Kumar
Aryan
Giraja Rani Kushwaha
Suraj Singh Kushwaha
Ms. Jigyasa Choudhary
Raj Saluja
Sarita
Keshav Choudhary
Yash Choudhary
Ram Dulari
Babu Lal
Kaushalya Devi
Chirag Bisht
Yogesh Bisht
Spouse
Daughter
Mother
Father
Spouse
Daughter
Daughter
Mother
Father
Spouse
Son
Son
Mother
Father
Spouse
Mother
Spouse
Son
Son
Mother
Father
Spouse
Son
Son
08/07/1987
16/12/2017
15/07/1965
10/07/1962
17/06/1990
14/11/2007
15/09/2011
01/07/1959
01/01/1956
07/04/1983
07/09/2002
07/01/2008
10/07/1960
07/04/1958
17/05/1979
15/05/1951
05/09/1984
06/07/2005
29/09/2006
30/10/1966
01/02/1963
07/05/1988
01/01/2009
27/09/2011
31
1
53
56
28
11
7
59
63
35
16
11
58
60
39
67
34
13
12
52
56
30
10
7
Female
Female
Female
Male
Female
Female
Female
Female
Male
Female
Male
Male
Female
Male
Female
Female
Female
Male
Male
Female
Male
Female
Male
Male
125
126
127
128
129
130
Saurabh Kumar Pandey
Gajendra Pratap
Ram Babu Kushwaha
Rajneesh Saluja
Alam Singh
Bhupender Singh Bisht
Employee
Employee
Employee
Employee
Employee
Employee
30/06/1987
20/01/1987
07/08/1981
01/09/1976
25/04/1983
09/09/1975
31
32
37
42
35
43
Male
Male
Male
Male
Male
Male
445
447
448
481
483
485
Others
Others
Others
Others
Others
Others
250000
250000
250000
300000
250000
250000
4
5
5
2
5
4
107629551900012500
107629551900012600
107629551900012700
107629551900012800
107629551900012900
107629551900013000
Age in Mths
7
1
6
5
10
5
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
2
7
7
8
3
5
7
1
10
5
1
7
10
9
9
5
7
4
3
0
9
1
4
ID No
ID No
ID No
ID No
ID No
ID No
107629551900012501
107629551900012502
107629551900012503
107629551900012504
107629551900012601
107629551900012602
107629551900012603
107629551900012604
107629551900012605
107629551900012701
107629551900012702
107629551900012703
107629551900012704
107629551900012705
107629551900012801
107629551900012802
107629551900012901
107629551900012902
107629551900012903
107629551900012904
107629551900012905
107629551900013001
107629551900013002
107629551900013003
OFFICER
OFFICER
OFFICER
SENIOR MANAGER
EXECUTIVE
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Dhannuli Devi
Garima Sharma
Raj Bala Shrma
Raj Kishore Sharma
Anshu Sinha
Navneet Raj Srivastava
Sumati Srivastava
Bhagwati Prasad
Isha Chandok
Kunal Chandok
Ishita Chandok
Meenakshi Gulati
Shreya Gulati
Prince Gulati
N. D. Gulati
Chander Kanta
Manie Khaneja
Pranav Khaneja
Ananya Khaneja
Prem Khaneja
Vansh Yadav
Kavita Kumari
Vidya Devi
Mehar Chand Yadav
Mother
Spouse
Mother
Father
Spouse
Son
Mother
Father
Spouse
Son
Daughter
Spouse
Daughter
Son
Father
Mother
Spouse
Son
Daughter
Mother
Son
Spouse
Mother
Father
02/04/1940
17/08/1993
01/01/1966
04/04/1961
12/03/1981
09/01/2012
25/02/1950
08/11/1941
21/09/1974
04/10/1996
04/09/2004
15/02/1974
29/01/1998
08/07/2003
01/08/1951
29/01/1958
03/06/1970
04/03/1999
12/03/2003
12/02/1940
11/09/2015
07/04/1992
01/06/1965
07/07/1955
78
25
53
57
37
7
69
77
44
22
14
45
21
15
67
61
48
19
15
79
3
26
53
63
Female
Female
Female
Male
Female
Male
Female
Male
Female
Male
Female
Female
Female
Male
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
131
132
133
134
135
136
Ashish Sharma
Sunit Raj
Rajesh Chandok
Parveen Gulati
Vikram Khaneja
Raj Kumar Yadav
Employee
Employee
Employee
Employee
Employee
Employee
01/06/1988
10/07/1975
04/04/1968
10/11/1972
05/03/1969
12/12/1987
30
43
50
46
49
31
Male
Male
Male
Male
Male
Male
486
508
511
514
520
535
Others
Others
Others
Others
Others
Others
250000
300000
250000
250000
500000
250000
3
4
3
5
4
4
107629551900013100
107629551900013200
107629551900013300
107629551900013400
107629551900013500
107629551900013600
Age in Mths
8
7
10
3
11
2
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
10
6
1
10
11
1
0
3
5
4
5
0
0
7
6
0
8
11
11
0
5
10
8
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900013004
107629551900013101
107629551900013102
107629551900013103
107629551900013201
107629551900013202
107629551900013203
107629551900013204
107629551900013301
107629551900013302
107629551900013303
107629551900013401
107629551900013402
107629551900013403
107629551900013404
107629551900013405
107629551900013501
107629551900013502
107629551900013503
107629551900013504
107629551900013601
107629551900013602
107629551900013603
107629551900013604
OFFICER
DEPUTY GENERAL MANAGER
EXECUTIVE
MANAGER
VICE PRESIDENT
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Kajal Vohra
Inaya Chandra
Shanta Devi
Utsav Saini
Manbhar
Pyare Lal
Amairaa Koundal
Rajesh Kumar Rana
Binta Devi
Sangeeta Devi
Kavyansh Kaintura
Bidyawati Devi Negi
Purnima Sharma
Arundhati Sharma
Anupama
Dwarika Prasad Sharma
Jaspreet
Aarav
Neelam
Rakesh Kumar
D. Lydia Samuel
Spouse
Daughter
Mother
Spouse
Mother
Father
Daughter
Spouse
Mother
Spouse
Son
Mother
Spouse
Daughter
Mother
Father
Spouse
Son
Mother
Father
Spouse
Daughter
03/06/1994
15/07/2017
11/10/1965
31/10/1985
10/10/1969
12/05/1968
19/08/2016
24/07/1984
23/06/1964
10/05/1993
23/01/2016
01/01/1967
01/07/1992
01/07/2015
31/08/1962
17/01/1956
17/05/1990
07/05/2018
08/05/1959
01/10/1960
29/12/1970
24
1
53
33
49
50
2
34
54
25
3
52
26
3
56
63
28
0
59
58
48
Female
Female
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Female
Female
Female
Male
Female
Male
Female
Male
Female
137
138
139
140
141
142
143
Lokesh
Meenakshi
Indu Kashav
Vipin Kumar
Rahul Sharma
Aasar Kumar
D. John Samuel
Employee
Employee
Employee
Employee
Employee
Employee
Employee
04/06/1986
18/10/1985
06/11/1984
18/07/1988
12/09/1985
11/10/1989
04/02/1965
32
33
34
30
33
29
54
Male
Female
Female
Male
Male
Male
Male
543
557
559
560
562
562
585
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
300000
3
3
3
3
4
4
4
107629551900013700
107629551900013800
107629551900013900
107629551900014000
107629551900014100
107629551900014200
107629551900014300
Age in Mths
8
4
3
7
5
4
0
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
7
4
3
4
9
6
7
8
9
1
1
7
7
5
1
9
9
9
4
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900013701
107629551900013702
107629551900013703
107629551900013801
107629551900013802
107629551900013803
107629551900013901
107629551900013902
107629551900013903
107629551900014001
107629551900014002
107629551900014003
107629551900014101
107629551900014102
107629551900014103
107629551900014104
107629551900014201
107629551900014202
107629551900014203
107629551900014204
107629551900014301
107629551900014302
OFFICER
ASSISTANT MANAGER
ASSISTANT MANAGER
ASSISTANT OFFICER
OFFICER
OFFICER
ASSISTANT GENERAL MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
D. Lily Susanna
D. Jim David
D. John Gerahardt
Anil Kumar
Rita
Rajni Chauhan
Viaan Gahlot
Sudha Khanduri
Navni Khanduri
Jagdish Prasad
Indu Devi
Preeti
Sonal Singh
Bhavy Singh
Usha Rani
Kamlesh
Ami Chand
Madhuri
Garv
Aarav
Gyan Prakash
Keser Devi
Rekha
Prince
Son
Father
Father
Mother
Spouse
Son
Spouse
Daughter
Father
Mother
Spouse
Daughter
Son
Mother
Mother
Father
Spouse
Son
Son
Father
Mother
Spouse
Son
07/10/1995
20/05/1999
14/07/1930
07/04/1959
05/01/1962
13/09/1985
07/07/2013
01/07/1990
06/07/2017
07/02/1948
02/06/1947
12/11/1989
01/09/2012
08/10/2016
01/01/1959
21/06/1961
01/07/1957
22/10/1992
28/02/2014
15/08/2017
15/07/1962
01/01/1967
18/05/1991
07/07/2011
23
19
88
59
57
33
5
28
1
71
71
29
6
2
60
57
61
26
4
1
56
52
27
7
Female
Male
Male
Male
Female
Female
Male
Female
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
Male
Male
Female
Female
Male
144
145
146
147
148
149
Vivek Gahlot
Praveen Prasad
Akhilesh Kumar
Deepesh Kumar
Pawan Kumar
Pardeep Kumar
Employee
Employee
Employee
Employee
Employee
Employee
04/01/1985
20/06/1985
11/06/1987
25/03/1987
01/09/1986
11/03/1988
34
33
31
31
32
30
Male
Male
Male
Male
Male
Male
616
617
618
636
637
638
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
4
4
4
2
5
5
107629551900014400
107629551900014500
107629551900014600
107629551900014700
107629551900014800
107629551900014900
Age in Mths
1
8
8
11
5
11
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
9
7
10
1
5
7
7
7
0
8
3
5
4
1
8
7
4
11
6
7
1
9
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900014303
107629551900014304
107629551900014401
107629551900014402
107629551900014403
107629551900014404
107629551900014501
107629551900014502
107629551900014503
107629551900014504
107629551900014601
107629551900014602
107629551900014603
107629551900014604
107629551900014701
107629551900014702
107629551900014801
107629551900014802
107629551900014803
107629551900014804
107629551900014805
107629551900014901
107629551900014902
ASSISTANT OFFICER
ASSISTANT OFFICER
OFFICER
OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Vansh
Narender
Roshni
Payal Sachdeva
Neelam
Surender Kumar
Priyanka Bansal
Rajat Bansal
Vijay Bansal
V. B. Bansal
Geeta Devi
Anil Kumar Singh
Seema Sharma
Avni Sharma
Ritvik Sharma
Jag Mohan
Sunita
Neelam
Utkarsh Chaurasiya
Manni
Banshi Lal
Nirmala
Ruma Devi
Mohar Singh
Son
Father
Mother
Spouse
Mother
Father
Spouse
Son
Mother
Father
Mother
Father
Spouse
Daughter
Son
Father
Mother
Spouse
Son
Mother
Father
Spouse
Mother
Father
07/12/2014
04/08/1961
05/10/1971
26/11/1988
15/06/1962
17/01/1959
31/07/1978
07/08/2009
05/11/1950
01/07/1949
01/01/1964
23/10/1953
20/07/1983
10/06/2008
20/10/2012
01/01/1965
01/02/1964
30/05/1992
13/05/2017
01/01/1957
01/01/1955
13/03/1985
16/07/1966
15/08/1956
4
57
47
30
56
60
40
9
68
69
55
65
35
10
6
54
55
26
1
62
64
33
52
62
Male
Male
Female
Female
Female
Male
Female
Male
Female
Male
Female
Male
Female
Female
Male
Male
Female
Female
Male
Female
Male
Female
Female
Male
150
151
152
153
154
155
Lalit Kumar
Pramendra Bansal
Shweta Singh
Viresh Kumar
Sunil Kumar Chaurasiya
Nimesh Kant
Employee
Employee
Employee
Employee
Employee
Employee
23/08/1989
28/08/1976
01/11/1986
07/04/1985
05/10/1987
16/09/1989
29
42
32
33
31
29
Male
Male
Female
Male
Male
Male
641
646
647
649
664
665
Others
Others
Others
Others
Others
Others
250000
300000
250000
250000
250000
250000
3
4
2
5
4
3
107629551900015000
107629551900015100
107629551900015200
107629551900015300
107629551900015400
107629551900015500
Age in Mths
6
5
3
10
4
5
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
2
6
4
3
8
1
6
6
3
7
1
4
7
8
4
1
0
8
9
1
1
11
7
6
ID No
ID No
ID No
ID No
ID No
ID No
107629551900014903
107629551900014904
107629551900014905
107629551900015001
107629551900015002
107629551900015003
107629551900015101
107629551900015102
107629551900015103
107629551900015104
107629551900015201
107629551900015202
107629551900015301
107629551900015302
107629551900015303
107629551900015304
107629551900015305
107629551900015401
107629551900015402
107629551900015403
107629551900015404
107629551900015501
107629551900015502
107629551900015503
OFFICER
SENIOR MANAGER
ASSISTANT MANAGER
Officer
ASSISTANT OFFICER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Neera Sharma
Lovya Sharma
Kamlesh Devi
Shakuntla
Rohit Meena
Anjali Meena
Ramswaroop Meena
Rampati
Ruchi Kaushik
Vanshika Kaushik
Tek Chand Kaushik
Chander Devi
Shakti Gaur
Kamal Kishore Gaur
Beena Prasad
Parmila Devi
Shivji Prasad
Kanchan Negi
Samundari Negi
Sohan Singh Negi
Hari Narayan Singh
Spouse
Daughter
Mother
Spouse
Son
Daughter
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Spouse
Mother
Father
Spouse
Mother
Father
Father
Mother
06/08/1995
31/03/2017
01/01/1964
12/07/1987
17/09/2004
22/08/2006
01/01/1954
01/01/1955
22/10/1988
21/10/2013
12/07/1961
02/12/1964
24/03/1991
22/06/1961
23/09/1990
24/05/1971
27/07/1969
16/10/1988
15/11/1960
03/11/1955
31/12/1959
23
1
55
31
14
12
65
64
30
5
57
54
27
57
28
47
49
30
58
63
59
Female
Female
Female
Female
Male
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Male
156
157
158
159
160
161
162
Dheeraj Sharma
Chetram Meena
Ashok Kaushik
Gagan Gaur
Dinesh Prasad
Pradeep Singh Negi
Mahender Pratap Singh
Employee
Employee
Employee
Employee
Employee
Employee
Employee
27/09/1991
01/07/1979
14/04/1987
16/11/1988
11/05/1988
20/08/1985
14/09/1988
27
39
31
30
30
33
30
Male
Male
Male
Male
Male
Male
Male
667
669
675
676
677
680
694
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
3
5
4
2
3
3
5
107629551900015600
107629551900015700
107629551900015800
107629551900015900
107629551900016000
107629551900016100
107629551900016200
Age in Mths
4
7
10
3
9
6
5
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
6
10
1
7
5
6
1
1
4
4
7
2
11
8
5
9
6
4
3
3
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900015601
107629551900015602
107629551900015603
107629551900015701
107629551900015702
107629551900015703
107629551900015704
107629551900015705
107629551900015801
107629551900015802
107629551900015803
107629551900015804
107629551900015901
107629551900015902
107629551900016001
107629551900016002
107629551900016003
107629551900016101
107629551900016102
107629551900016103
107629551900016201
107629551900016202
OFFICER
ASSISTANT OFFICER
ASSISTANT MANAGER
ASSISTANT MANAGER
OFFICER
EXECUTIVE
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Asha Devi
Rajni Singh
Sidhi
Nitya
Laxmina Gautam
Aadi Gautam
Arnav Gautam
Neha Jha
Vaishnavi Devi
Ayushi Kumari
Chandra Nath Jha
Asha Kumari
Bharti Sharma
Parul Sharma
Atul Parashar
Daya Chand
Anguri Devi
Ram Singh
Sangeeta Devi
Vinie Khanna
Nikhar Khanna
Ish Khanna
P. C. Khanna
Sarala Khanna
Spouse
Daughter
Daughter
Spouse
Son
Son
Spouse
Daughter
Daughter
Father
Mother
Spouse
Daughter
Son
Father
Mother
Father
Mother
Spouse
Daughter
Son
Father
Mother
22/10/1953
07/05/1990
21/08/2013
22/06/2015
01/05/1989
13/04/2007
03/08/2012
08/02/1995
07/11/2015
30/11/2018
02/01/1953
12/06/1962
03/08/1975
31/10/2005
28/09/2006
05/04/1956
08/07/1959
10/09/1968
01/01/1972
29/04/1971
24/08/1993
26/10/1999
05/11/1934
15/07/1938
65
28
5
3
29
11
6
24
3
0
66
56
43
13
12
62
59
50
47
47
25
19
84
80
Female
Female
Female
Female
Female
Male
Male
Female
Female
Female
Male
Female
Female
Female
Male
Male
Female
Male
Female
Female
Female
Male
Male
Female
163
164
165
166
167
168
Haribansh Kumar Gautam
Ashutosh Kumar Jha
Jitender Sharma
Harsh Vardhan
Rajesh Khanna
Amardeep Kanojia
Employee
Employee
Employee
Employee
Employee
Employee
01/07/1978
06/10/1982
20/12/1971
15/01/1992
28/06/1966
16/07/1981
40
36
47
27
52
37
Male
Male
Male
Male
Male
Female
697
698
699
700
705
708
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
300000
300000
3
5
5
2
5
3
107629551900016300
107629551900016400
107629551900016500
107629551900016600
107629551900016700
107629551900016800
Age in Mths
7
4
2
1
7
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
9
6
8
9
10
6
0
3
2
1
8
6
3
4
10
7
5
1
9
6
3
3
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900016203
107629551900016204
107629551900016205
107629551900016301
107629551900016302
107629551900016303
107629551900016401
107629551900016402
107629551900016403
107629551900016404
107629551900016405
107629551900016501
107629551900016502
107629551900016503
107629551900016504
107629551900016505
107629551900016601
107629551900016602
107629551900016701
107629551900016702
107629551900016703
107629551900016704
107629551900016705
ASSISTANT OFFICER
OFFICER
ASSISTANT OFFICER
OFFICER
DEPUTY GENERAL MANAGER
SENIOR MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Naresh Kanojia
Madhav Kanojia
Bhupinder Singh
Rupawali Yadav
Rudra Yadav
Phool Jhari Devi
Deep Mala
Arnav
Kamlesh
Ajab Singh
Priyanka Satija
Vedik Satija
Ram Devi Satija
Pramod Kumar Kulashari
Mayur Kulashari
Shubham Kulashari
M. P. Thapliyal
Kalpana
Jai Chaudhary
Chandra Prakash Singh
Radha
Navya Parashar
Prasiddh Parashar
Anand Kumar Sharma
Spouse
Son
Father
Spouse
Son
Mother
Spouse
Son
Mother
Father
Spouse
Son
Mother
Spouse
Son
Son
Father
Spouse
Son
Father
Spouse
Daughter
Son
Father
01/07/1974
13/03/2007
04/11/1942
20/05/1994
02/05/2016
10/05/1963
08/05/1985
28/05/2010
08/06/1957
15/01/1962
02/01/1986
11/08/2012
01/01/1951
24/11/1973
07/02/2004
19/11/2007
31/12/1947
01/06/1991
19/07/2016
01/01/1967
01/01/1990
02/10/2011
01/11/2013
01/02/1970
44
11
76
24
2
55
33
8
61
57
33
6
68
45
15
11
71
27
2
52
29
7
5
49
Male
Male
Male
Female
Male
Female
Female
Male
Female
Male
Female
Male
Female
Male
Male
Male
Male
Female
Male
Male
Female
Female
Male
Male
169
170
171
172
173
174
Bal Kishan Prasad Yadav
Vikas Kumar
Sachin Satija
Ranjana Kulashari
Dhirendra Singh
Ashutosh Parashar
Employee
Employee
Employee
Employee
Employee
Employee
18/04/1986
10/08/1985
17/01/1984
26/04/1971
20/11/1993
25/06/1989
32
33
35
47
25
29
Male
Male
Male
Female
Male
Male
709
710
714
719
725
741
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
3
4
3
4
3
5
107629551900016900
107629551900017000
107629551900017100
107629551900017200
107629551900017300
107629551900017400
Age in Mths
10
6
1
9
3
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
11
3
9
9
9
9
8
8
1
1
6
1
3
0
3
1
8
7
1
1
4
3
0
ID No
ID No
ID No
ID No
ID No
ID No
107629551900016801
107629551900016802
107629551900016803
107629551900016901
107629551900016902
107629551900016903
107629551900017001
107629551900017002
107629551900017003
107629551900017004
107629551900017101
107629551900017102
107629551900017103
107629551900017201
107629551900017202
107629551900017203
107629551900017204
107629551900017301
107629551900017302
107629551900017303
107629551900017401
107629551900017402
107629551900017403
107629551900017404
EXECUTIVE
ASSISTANT MANAGER
DEPUTY MANAGER
OFFICER
ASSISTANT OFFICER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Shashi Sharma
Priyanka
Pranav
Jasbir Singh
Satyavati
Meenakshi
Vishal Attrey
Sahil Attrey
Raj Pal
Satya Wati
Jagdish Chand Semwal
Anita Semwal
Kamini
Ritik
Tanya
Ganga Baksh Singh
Sham Parveen
Mohammad Ahmed Khan
Mohammad Ajmal Khan
Alisher Ali
Balkees
Sukhbir Singh¿
Babita Devi
Mother
Spouse
Son
Father
Mother
Spouse
Son
Son
Father
Mother
Father
Mother
Spouse
Son
Daughter
Father
Spouse
Son
Son
Father
Mother
Father
Mother
05/03/1972
15/01/1985
29/05/2012
15/06/1952
01/03/1963
07/01/1977
03/10/1998
18/01/2002
01/05/1948
01/06/1948
14/05/1965
01/01/1968
01/01/1982
28/10/2002
01/01/2006
15/01/1952
08/07/1986
16/10/2012
04/10/2017
21/02/1963
10/10/1966
05/01/1974
04/04/1980
46
34
6
66
55
42
20
17
70
70
53
51
37
16
13
67
32
6
1
56
52
45
38
Female
Female
Male
Male
Female
Female
Male
Male
Male
Female
Male
Female
Female
Male
Female
Male
Female
Male
Male
Male
Female
Male
Female
175
176
177
178
179
180
181
Bhupender Dabas
Neeraj Kumar
Mr Nakshtra Kumar Semwal
Bhuperdra Singh
Yousuf Khan
Somit Kumar
Rajender Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
09/01/1984
03/01/1973
21/09/1993
01/01/1977
10/02/1986
18/06/1994
10/07/1982
35
46
25
42
33
24
36
Male
Male
Male
Male
Male
Male
Male
742
743
744
745
746
748
751
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
4
5
2
4
5
2
2
107629551900017500
107629551900017600
107629551900017700
107629551900017800
107629551900017900
107629551900018000
107629551900018100
Age in Mths
1
1
5
1
0
8
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
11
1
8
8
11
1
4
1
9
8
9
1
1
3
1
1
7
4
4
0
4
1
10
ID No
ID No
ID No
ID No
ID No
ID No
107629551900017405
107629551900017501
107629551900017502
107629551900017503
107629551900017504
107629551900017601
107629551900017602
107629551900017603
107629551900017604
107629551900017605
107629551900017701
107629551900017702
107629551900017801
107629551900017802
107629551900017803
107629551900017804
107629551900017901
107629551900017902
107629551900017903
107629551900017904
107629551900017905
107629551900018001
107629551900018002
ASSISTANT OFFICER
OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
OFFICER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Hari Ram
Poonam
Payal Jain
Navika Kumar
Prashant Kumar
Beena Kumar
Priyanka Choudhary
Desh Raj
Krishna
Pushpa
Manik Gola
Beena Devi
Shabnam
Shadik
Asad Usamani
Aziz Baksh
Shameem Begum
Rakhi Lakhera
Vaishnav
D. P. Lakhera
Kartik Sonpar
Surendra Kumar Sonune
Geetanjali Sonune
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Mother
Spouse
Son
Mother
Spouse
Son
Son
Father
Mother
Spouse
Son
Father
Spouse
Father
Mother
01/12/1960
01/12/1962
18/12/1978
07/01/2014
26/08/1948
15/06/1953
17/04/1988
03/01/1950
05/01/1955
01/04/1988
11/09/2015
20/10/1959
03/05/1987
07/05/2012
23/11/2016
01/10/1959
10/01/1965
01/07/1982
30/09/2008
03/07/1950
19/06/1981
19/05/1951
20/02/1957
58
56
40
5
70
65
30
69
64
30
3
59
31
6
2
59
54
36
10
68
37
67
62
Male
Female
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Male
Male
Female
Female
Male
Male
Male
Male
Female
182
183
184
185
186
187
Vaibhav Kumar
Madhur Anand
Deepak
Aasif Usmani
Manoj Kant Lakhera
Shraddhanjali Sonune
Employee
Employee
Employee
Employee
Employee
Employee
18/10/1978
07/11/1985
27/11/1987
19/07/1986
05/03/1977
06/10/1984
40
33
31
32
41
34
Male
Male
Male
Male
Male
Female
757
760
780
781
784
786
Others
Others
Others
Others
Others
Others
300000
250000
250000
250000
250000
250000
4
3
3
5
3
3
107629551900018200
107629551900018300
107629551900018400
107629551900018500
107629551900018600
107629551900018700
Age in Mths
4
3
2
7
11
4
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
2
2
2
1
6
8
10
1
1
10
5
4
9
9
3
4
1
7
4
7
8
9
0
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900018101
107629551900018102
107629551900018201
107629551900018202
107629551900018203
107629551900018204
107629551900018301
107629551900018302
107629551900018303
107629551900018401
107629551900018402
107629551900018403
107629551900018501
107629551900018502
107629551900018503
107629551900018504
107629551900018505
107629551900018601
107629551900018602
107629551900018603
107629551900018701
107629551900018702
107629551900018703
SENIOR MANAGER
EXECUTIVE
OFFICER
OFFICER
EXECUTIVE
MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sandeep Kaur Gill
Sukhpreet Kaur
Jasmeet Kaur
Sukhdev Singh
Jasveer Kaur
Raj Kumar Gupta
Suman Gupta
Alisha
Pankaj
Santari Devi
Rekha
Shivi
Rakshit
Rukaiyya Parveen
Shariya Parveen
Aizah Noor
Hasrat Begum
Rakhi
Anishka
Parkash Chand
Nirmala
Spouse
Daughter
Daughter
Father
Mother
Father
Mother
Daughter
Spouse
Mother
Spouse
Daughter
Son
Spouse
Daughter
Daughter
Mother
Spouse
Daughter
Father
Mother
Spouse
15/05/1984
20/01/2007
30/03/2009
19/01/1954
20/12/1951
15/09/1967
01/01/1972
30/01/2015
02/07/1988
01/01/1943
24/03/1976
01/06/1998
15/06/1999
01/12/1989
16/11/2013
10/09/2017
01/01/1943
30/08/1994
25/03/2017
01/01/1959
01/01/1952
34
12
9
65
67
51
47
4
30
76
42
20
19
29
5
1
76
24
1
60
67
Female
Female
Female
Male
Female
Male
Female
Female
Female
Female
Female
Female
Male
Female
Female
Female
Female
Female
Female
Male
Female
188
189
190
191
192
193
194
Vikram Singh Gill
Tushar Gupta
Madan Mohan
Praveen Garg
Dilshad Mansoori
Pawan Kumar
Surender
Employee
Employee
Employee
Employee
Employee
Employee
Employee
03/06/1982
21/05/1991
05/04/1988
23/09/1971
25/02/1987
01/06/1983
31/12/1984
36
27
30
47
32
35
34
Male
Male
Male
Male
Male
Male
Male
787
788
790
791
792
793
794
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
5
2
3
3
4
4
4
107629551900018800
107629551900018900
107629551900019000
107629551900019100
107629551900019200
107629551900019300
107629551900019400
Age in Mths
8
9
10
5
0
8
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
9
1
10
1
2
5
1
0
7
1
11
8
8
2
3
5
1
5
11
1
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900018801
107629551900018802
107629551900018803
107629551900018804
107629551900018805
107629551900018901
107629551900018902
107629551900019001
107629551900019002
107629551900019003
107629551900019101
107629551900019102
107629551900019103
107629551900019201
107629551900019202
107629551900019203
107629551900019204
107629551900019301
107629551900019302
107629551900019303
107629551900019304
107629551900019401
ASSISTANT OFFICER
ASSISTANT OFFICER
OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Jyoti Saini
Lavyansh Saini
Sukhdei Devi
Jagmahender Singh
Sushila Kumari
Vihaan Gupta
Aarav Gupta
Desh Raj
Pushap Lata
Jai Pal Singh
Sudesh
Neelam
Arnav Kumar
Raksha Devi
Macwan Manishaben S.
Macwan Joshua S.
Valiant
Macwan Dahyabhai P.
Macwan Mariyamben D.
Sanchan
Priyanshi
Balwant Singh
Champa Devi
Anjali Jadav
Son
Mother
Father
Spouse
Son
Son
Father
Mother
Father
Mother
Spouse
Son
Mother
Spouse
Son
Son
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
31/05/1992
18/01/2016
05/10/1970
15/01/1955
26/05/1980
02/12/2009
09/01/2014
10/07/1954
08/01/1961
22/07/1968
21/06/1972
19/10/1990
12/12/2016
21/12/1972
22/03/1978
22/09/2007
30/01/2015
07/03/1934
01/06/1941
01/05/1988
07/03/2015
01/02/1956
02/01/1974
13/07/1993
26
3
48
64
38
9
5
64
58
50
46
28
2
46
40
11
4
84
77
30
3
63
45
25
Female
Male
Female
Male
Female
Male
Male
Male
Female
Male
Female
Female
Male
Female
Female
Male
Male
Male
Female
Female
Female
Male
Female
Female
195
196
197
198
199
200
Manoj Kumar
Vishal Singh
Anumeha Meehnia
Macwan Shashikant D.
Sanjay Kumar
Amit Kumar
Employee
Employee
Employee
Employee
Employee
Employee
05/10/1980
26/01/1992
23/01/1987
17/03/1977
19/08/1983
22/07/1987
38
27
32
41
35
31
Male
Male
Female
Male
Male
Male
795
797
802
810
814
815
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
5
4
1
5
4
3
107629551900019500
107629551900019600
107629551900019700
107629551900019800
107629551900019900
107629551900020000
Age in Mths
4
0
1
11
6
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
1
4
1
9
2
1
7
1
7
8
4
2
2
11
5
0
11
8
9
11
0
1
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900019402
107629551900019403
107629551900019404
107629551900019501
107629551900019502
107629551900019503
107629551900019504
107629551900019505
107629551900019601
107629551900019602
107629551900019603
107629551900019604
107629551900019701
107629551900019801
107629551900019802
107629551900019803
107629551900019804
107629551900019805
107629551900019901
107629551900019902
107629551900019903
107629551900019904
107629551900020001
MANAGER
SENIOR ASSISTANT
EXECUTIVE
OFFICER
EXECUTIVE
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sanjeev Kumar
Sunita Kumari
Smita Saxena
Aaryan Saxena
Anand Kumar Saxena
Ratna Saxena
Raj Rani Singh
Pinki
Chahak
Savita
Pratigya
Satbir Singh
Ram Pyari
Brijesh Kumari
Sumoksh Kumar
Kanishq Kumar
Rohtash Singh
Manorama Rani
Neetu
Nikita
Harish Chandra Sharma
Sharda Devi
Father
Mother
Spouse
Son
Father
Mother
Mother
Spouse
Daughter
Spouse
Daughter
Father
Mother
Spouse
Son
Son
Father
Mother
Spouse
Daughter
Father
Mother
06/06/1968
11/10/1967
22/12/1991
22/06/2018
12/03/1946
27/05/1958
02/09/1965
28/08/1990
11/05/2014
19/06/1991
22/10/2014
01/02/1961
01/06/1965
10/03/1980
27/08/2008
06/11/2009
20/03/1962
15/12/1961
11/12/1987
28/08/2009
11/08/1953
25/11/1956
50
51
27
0
72
60
53
28
4
27
4
58
53
38
10
9
56
57
31
9
65
62
Male
Female
Female
Male
Male
Female
Female
Female
Female
Female
Female
Male
Female
Female
Male
Male
Male
Female
Female
Female
Male
Female
201
202
203
204
205
206
207
Akshay Saxena
Abhijeet Kumar Singh
Pardeep
Sumit Kumar
Bhoopendra Kumar
Dileep Kumar Sharma
Pankaj Joshiya
Employee
Employee
Employee
Employee
Employee
Employee
Employee
15/06/1987
13/09/1987
22/09/1988
02/06/1989
25/02/1986
07/05/1984
25/05/1987
31
31
30
29
33
34
31
Male
Male
Male
Male
Male
Male
Male
818
820
821
823
825
833
834
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
4
1
2
4
5
4
3
107629551900020100
107629551900020200
107629551900020300
107629551900020400
107629551900020500
107629551900020600
107629551900020700
Age in Mths
8
5
5
8
0
9
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
4
2
8
11
8
5
5
9
8
4
0
8
11
5
3
11
2
2
5
6
3
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900020002
107629551900020003
107629551900020101
107629551900020102
107629551900020103
107629551900020104
107629551900020201
107629551900020301
107629551900020302
107629551900020401
107629551900020402
107629551900020403
107629551900020404
107629551900020501
107629551900020502
107629551900020503
107629551900020504
107629551900020505
107629551900020601
107629551900020602
107629551900020603
107629551900020604
ASSISTANT MANAGER
SUPERVISOR
SENIOR ASSISTANT
ASSISTANT OFFICER
OFFICER
ASSISTANT OFFICER
SENIOR ASSISTANT
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Ruchi
Tanish
Avni
Suchi Srivastava
Abhik Srivastava
Prem Lata Srivastava
Vandana Kumari
Aradhya Kumari
Adesh Kumar
Deenbandhu Sharma
Kalpana Devi
Mrunalini Tayade
Tvisha Tayade
Usha Tayade
Sumod Khanna
Kamal Pahwa
Taruna Pahwa
Akhilesh Kumar Sachan
Deepa Srivastava
Ankit
Aman
K. L. Srivastava
Gyanwati Srivastava
Spouse
Daughter
Daughter
Spouse
Son
Mother
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Mother
Spouse
Father
Mother
Spouse
Spouse
Son
Son
Father
Mother
18/01/1990
26/07/2011
12/07/2012
31/07/1984
03/12/2011
13/04/1954
07/01/1995
21/05/2016
08/06/2018
01/01/1965
01/01/1974
29/11/1980
19/04/2011
31/03/1960
31/05/1982
17/02/1955
24/09/1960
11/09/1978
11/01/1969
15/11/1992
12/12/1993
02/07/1933
16/02/1939
29
7
6
34
7
64
24
2
0
54
45
38
7
58
36
64
58
40
50
26
25
85
80
Female
Female
Female
Female
Male
Female
Female
Female
Male
Male
Female
Female
Female
Female
Male
Male
Female
Male
Female
Male
Male
Male
Female
208
209
210
211
212
213
Abhishek Srivastava
Amresh Kumar
Atul Tayade
Pooja Pahwa Khanna
Rashi Gupta Sachan
Ajay Kumar Srivastava
Employee
Employee
Employee
Employee
Employee
Employee
03/05/1979
25/12/1987
04/11/1978
26/04/1984
19/11/1982
26/06/1965
39
31
40
34
36
53
Male
Male
Male
Female
Female
Male
836
837
847
849
851
863
Others
Others
Others
Others
Others
Others
300000
250000
300000
250000
250000
500000
3
5
3
3
1
5
107629551900020800
107629551900020900
107629551900021000
107629551900021100
107629551900021200
107629551900021300
Age in Mths
9
2
3
9
3
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
6
7
6
2
10
1
9
8
1
1
2
10
10
8
0
5
5
1
3
2
7
0
ID No
ID No
ID No
ID No
ID No
ID No
107629551900020701
107629551900020702
107629551900020703
107629551900020801
107629551900020802
107629551900020803
107629551900020901
107629551900020902
107629551900020903
107629551900020904
107629551900020905
107629551900021001
107629551900021002
107629551900021003
107629551900021101
107629551900021102
107629551900021103
107629551900021201
107629551900021301
107629551900021302
107629551900021303
107629551900021304
107629551900021305
SENIOR MANAGER
SENIOR ASSISTANT
ASSISTANT GENERAL MANAGER
DEPUTY MANAGER
EXECUTIVE
GENERAL MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Teena
Dharmvir Singh
Krishna Devi
Alka Sharma
Prince Sharma
Birbal Sharma
Kamla Devi Sharma
Seema
Nyra Dahiya
Darshana Singh
Khazan Singh
Sakshi Sharma
Himanshi Sharma
Hritik Sharma
Shakuntla Devi
Priyanka Singh
Aishvi Singh Jadon
Satya Bhan Singh
Vijay Laxmi
Shikha Chaturvedi
Shivansh Chaturvedi
Vimal Kumar
Maryada Devi
Spouse
Father
Mother
Spouse
Son
Father
Mother
Spouse
Daughter
Mother
Father
Spouse
Daughter
Son
Mother
Spouse
Daughter
Father
Spouse
Daughter
Son
Father
Mother
15/11/1994
02/04/1963
31/03/1978
17/01/1991
18/11/2015
11/04/1956
13/03/1960
25/07/1992
22/01/2017
01/01/1975
27/02/1956
30/04/1980
09/05/2000
09/01/2005
08/07/1945
15/07/1987
06/02/2014
08/07/1954
01/10/1972
11/04/1999
01/10/2006
22/03/1943
17/07/1972
24
55
40
28
3
62
58
26
2
44
62
38
18
14
73
31
5
64
46
19
12
75
46
Female
Male
Female
Female
Male
Male
Female
Female
Female
Female
Male
Female
Female
Male
Female
Female
Female
Male
Female
Female
Male
Male
Female
214
215
216
217
218
219
220
Hitesh Kumar
Manish Sharma
Prem Singh
Vipin Sharma
Awadhesh Kumar
Anil Kumar
Neeraj Kumar Rohtagi
Employee
Employee
Employee
Employee
Employee
Employee
Employee
11/01/1990
19/05/1984
05/03/1991
06/10/1975
30/08/1986
02/12/1974
10/05/1972
29
34
27
43
32
44
46
Male
Male
Male
Male
Male
Male
Male
864
865
866
867
868
870
871
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
3
4
4
4
3
5
3
107629551900021400
107629551900021500
107629551900021600
107629551900021700
107629551900021800
107629551900021900
107629551900022000
Age in Mths
1
9
11
4
5
2
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
10
10
1
3
10
11
7
1
1
11
9
9
1
7
7
0
7
4
10
4
11
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900021401
107629551900021402
107629551900021403
107629551900021501
107629551900021502
107629551900021503
107629551900021504
107629551900021601
107629551900021602
107629551900021603
107629551900021604
107629551900021701
107629551900021702
107629551900021703
107629551900021704
107629551900021801
107629551900021802
107629551900021803
107629551900021901
107629551900021902
107629551900021903
107629551900021904
107629551900021905
ASSISTANT OFFICER
OFFICER
ASSISTANT OFFICER
EXECUTIVE
EXECUTIVE
SENIOR ASSISTANT
DEPUTY MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Neha Rohtagi
Isha Rohtagi
Vidushi Rohtagi
Renu Tomar
Agrima Tomar
Advik Tomar
Rajendra Pal Singh
Usha Rani
Neeraj Rani
Hanishka
Ramesh Kumar
Chhotee
Sheela
Umang Aggarwal
Anjali Chaudhary
Ramvir Singh
Rajesh Chaudhary
Raj Kumar Thakur
Kauslya Devi
Pushpa Vats
Spouse
Daughter
Daughter
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Son
Spouse
Father
Mother
Father
Mother
Mother
05/09/1977
17/09/2000
22/06/2007
15/05/1984
03/01/2013
24/12/2018
15/01/1952
02/10/1958
02/09/1996
10/03/2017
08/07/1964
01/01/1968
30/07/1993
21/09/2016
10/11/1991
01/01/1957
05/08/1967
14/04/1964
06/03/1972
22/10/1972
41
18
11
34
6
0
67
60
22
1
54
51
25
2
27
62
51
54
46
46
Female
Female
Female
Female
Female
Male
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
Female
Male
Female
Female
221
222
223
224
225
226
227
Shailendra Pal Singh
Manoj Kumar
Umesh Kumar
Dinesh Kumar
Ajay Thakur
Puneet Vats
Aman Kishore
Employee
Employee
Employee
Employee
Employee
Employee
Employee
07/03/1982
26/01/1988
03/04/1990
10/03/1992
22/04/1993
15/10/1994
05/08/1969
36
31
28
26
25
24
49
Male
Male
Male
Male
Male
Male
Male
872
874
879
880
882
883
899
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
5
4
2
3
2
1
0
107629551900022100
107629551900022200
107629551900022300
107629551900022400
107629551900022500
107629551900022600
107629551900022700
Age in Mths
11
0
10
11
10
4
6
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
5
5
8
9
1
2
1
4
5
11
7
1
6
5
3
1
6
10
11
4
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900022001
107629551900022002
107629551900022003
107629551900022101
107629551900022102
107629551900022103
107629551900022104
107629551900022105
107629551900022201
107629551900022202
107629551900022203
107629551900022204
107629551900022301
107629551900022302
107629551900022401
107629551900022402
107629551900022403
107629551900022501
107629551900022502
107629551900022601
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Rachna Sharma
Aarav Kumar Sharma
Hari Shankar Sharma
Bina Devi
Sushma Devi
Geeta Devi
Rohan Khulbe
Mayank Khulbe
Madhav Prasadsharma
Shakuntla Sharma
Maya Devi
Reshma
Maaz Ahmed
Feriha
Tosif Ahmed
Sayra
Pragti Baliyan
Omvir Singh
Suman Devi
Spouse
Son
Father
Mother
Mother
Spouse
Son
Son
Father
Mother
Mother
Spouse
Son
Daughter
Father
Mother
Spouse
Father
Mother
14/10/1986
10/07/2013
01/07/1949
22/01/1956
02/05/1965
15/03/1991
13/08/2013
24/10/2016
12/11/1954
20/11/1958
01/01/1963
20/01/1991
01/09/2014
30/10/2017
10/08/1969
05/10/1972
17/10/1987
01/06/1962
01/01/1966
32
5
69
63
53
27
5
2
64
60
56
28
4
1
49
46
31
56
53
Female
Male
Male
Female
Female
Female
Male
Male
Male
Female
Female
Female
Male
Female
Male
Female
Female
Male
Female
228
229
230
231
232
233
234
235
Manish Kumar Sharma
Mukesh Kumar
Jagdish Chandra
Ambrish Sharma
Krishan Kumar Sharma
Shavej Ebrahim
Sachin Deshwal
Vipin Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
10/05/1981
01/02/1991
05/05/1986
07/03/1989
02/07/1990
22/05/1992
04/07/1988
12/06/1987
37
28
32
29
28
26
30
31
Male
Male
Male
Male
Male
Male
Male
Male
928
929
930
931
932
933
934
936
Others
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
250000
4
1
3
2
1
5
3
3
107629551900022800
107629551900022900
107629551900023000
107629551900023100
107629551900023200
107629551900023300
107629551900023400
107629551900023500
Age in Mths
9
0
9
11
7
9
7
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
7
7
1
9
11
6
4
3
3
1
1
5
3
6
4
4
8
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900022801
107629551900022802
107629551900022803
107629551900022804
107629551900022901
107629551900023001
107629551900023002
107629551900023003
107629551900023101
107629551900023102
107629551900023201
107629551900023301
107629551900023302
107629551900023303
107629551900023304
107629551900023305
107629551900023401
107629551900023402
107629551900023403
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Rashmi
Rishi Kumar Mishra
Ram Sumiran Mishra
Kajal Rawat
Harendra Singh Rawat
Rani Devi
Shilpa Rani
Rajesh Kumar Chawla
Indira Rani
Rakhi Paswan
Chirag
Phool Kanti Devi
Sumit Malhotra
Shriya Malhotra
Rindu Rai
Annupriya Rai
Harshraj
Sarita
Akshit
Ramkanwar Rohilla
Paremlata
Spouse
Son
Father
Spouse
Father
Mother
Spouse
Father
Mother
Spouse
Son
Mother
Spouse
Daughter
Spouse
Daughter
Son
Spouse
Son
Father
Mother
Father
25/12/1990
07/08/2013
04/05/1950
16/01/1996
15/09/1960
01/01/1970
30/01/1986
21/07/1961
01/01/1964
14/08/1992
30/12/2014
01/04/1963
18/05/1983
03/11/2011
20/11/1984
08/02/2003
12/02/2007
11/02/1991
09/04/2016
10/06/1951
01/01/1958
28
5
68
23
58
49
33
57
55
26
4
55
35
7
34
16
12
28
2
67
61
Female
Male
Male
Female
Male
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
Female
Male
Female
Male
Male
Female
236
237
238
239
240
241
242
Pankaj Rawat
Jitesh Chawla
Akhilesh Paswan
Ranjita Malhotra
Ajit Kumar Rai
Navdeep Rohilla
Ashish Kumar Labh
Employee
Employee
Employee
Employee
Employee
Employee
Employee
31/12/1988
06/12/1985
01/08/1989
08/01/1982
01/06/1977
18/08/1989
12/08/1990
30
33
29
37
41
29
28
Male
Male
Male
Female
Male
Male
Male
937
938
944
945
952
954
957
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
3
3
3
2
3
4
2
107629551900023600
107629551900023700
107629551900023800
107629551900023900
107629551900024000
107629551900024100
107629551900024200
Age in Mths
1
2
6
1
8
6
6
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
2
6
9
1
5
1
0
7
1
6
1
10
9
3
3
0
0
0
10
8
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900023501
107629551900023502
107629551900023503
107629551900023601
107629551900023602
107629551900023603
107629551900023701
107629551900023702
107629551900023703
107629551900023801
107629551900023802
107629551900023803
107629551900023901
107629551900023902
107629551900024001
107629551900024002
107629551900024003
107629551900024101
107629551900024102
107629551900024103
107629551900024104
107629551900024201
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSITANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Kamal Narayan Labh
Bina Devi
Archna Devi
Avni Chaudhary
Brajpal
Kamlesh
Mohan Lal
Kela Devi
Rameshwar Dayal
Pooja
Bhavya
Utkarsh
Renu Devi
Chaitanya
Prakash Singh
Dharam Kaur
Umed Singh
Nirmla
Suresh Kumar Verma
Padma Verma
Pooja
Mother
Spouse
Daughter
Father
Mother
Father
Mother
Father
Spouse
Daughter
Son
Spouse
Son
Father
Mother
Father
Mother
Father
Mother
Spouse
Daughter
27/02/1952
10/05/1956
03/04/1992
07/11/2018
12/06/1957
01/01/1954
20/05/1953
13/04/1958
02/12/1961
10/04/1986
15/03/2012
08/11/2014
04/10/1984
22/10/2010
08/08/1952
07/08/1963
17/04/1951
26/02/1951
03/05/1962
09/12/1964
02/02/1995
66
62
26
0
61
65
65
60
57
32
6
4
34
8
66
55
67
68
56
54
24
Male
Female
Female
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Male
Male
Female
Male
Female
Male
Female
Female
243
244
245
246
247
248
249
Vikas Kumar
Virender Kumar
Deshraj Singh
Dinesh Kumar Sehrawat
Ramesh Kumar
Gulshan Kumar Verma
Varun Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
12/12/1982
20/07/1989
20/07/1981
09/08/1982
08/01/1979
28/10/1990
13/03/1989
36
29
37
36
40
28
29
Male
Male
Male
Male
Male
Male
Male
959
960
961
968
969
970
971
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
4
2
4
4
2
2
4
107629551900024300
107629551900024400
107629551900024500
107629551900024600
107629551900024700
107629551900024800
107629551900024900
Age in Mths
2
7
7
6
1
3
11
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
11
9
10
3
8
1
9
10
2
10
11
3
4
4
6
6
10
0
9
2
0
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900024202
107629551900024301
107629551900024302
107629551900024303
107629551900024304
107629551900024401
107629551900024402
107629551900024501
107629551900024502
107629551900024503
107629551900024504
107629551900024601
107629551900024602
107629551900024603
107629551900024604
107629551900024701
107629551900024702
107629551900024801
107629551900024802
107629551900024901
107629551900024902
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
OFFICER
SENIOR ASSISTANT
SENIOR ASSISTANT
SENIOR ASSISTANT
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Jiyana
Sukhbir Singh
Sarla Devi
Meenakshi
Tanush Kaushik
Krishan Sawroop
Raj Bala
Rajkumar Mittal
Sunita Mittal
Jasleen Kaur
Darshpreet Singh Nanda
Keeratpreet Singh Nanda
Virender Singh Nanda
Jagdish Nanda
Sangeeta
Siddharth Singh
Mahima Singh
Nain Singh
Santosh Devi
Poonam Chauhan
Kavyansh Chauhan
Bikram Singh
Purni Devi
Pooja Jha
Father
Mother
Spouse
Son
Father
Mother
Father
Mother
Spouse
Son
Son
Father
Mother
Spouse
Son
Daughter
Father
Mother
Spouse
Son
Father
Mother
Spouse
22/03/2017
01/12/1959
15/10/1962
16/02/1990
24/12/2013
09/12/1962
01/01/1970
16/05/1965
19/09/1971
26/09/1978
25/01/2003
21/03/2007
04/09/1942
24/05/1945
06/06/1983
08/08/2012
08/05/2014
15/05/1962
25/08/1965
25/11/1993
02/04/2017
24/05/1959
05/05/1962
18/08/1993
1
59
56
29
5
56
49
53
47
40
16
11
76
73
35
6
4
56
53
25
1
59
56
25
Female
Male
Female
Female
Male
Male
Female
Male
Female
Female
Male
Male
Male
Female
Female
Male
Female
Male
Female
Female
Male
Male
Female
Female
250
251
252
253
254
255
Ajay Kumar
Sunny Mittal
Charanjit Singh Nanda
Manoj Kumar
Sunil Singh
Bibhuti Narayan Jha
Employee
Employee
Employee
Employee
Employee
Employee
05/05/1987
20/11/1989
08/08/1974
04/01/1984
03/03/1986
29/10/1986
31
29
44
35
32
32
Male
Male
Male
Male
Male
Male
972
973
999
1030
1031
1032
Others
Others
Others
Others
Others
Others
250000
250000
300000
250000
250000
250000
4
2
5
5
4
3
107629551900025000
107629551900025100
107629551900025200
107629551900025300
107629551900025400
107629551900025500
Age in Mths
9
3
6
1
11
3
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
11
2
4
0
2
2
1
9
5
5
1
11
5
9
8
6
9
9
6
3
10
9
9
6
ID No
ID No
ID No
ID No
ID No
ID No
107629551900024903
107629551900024904
107629551900025001
107629551900025002
107629551900025003
107629551900025004
107629551900025101
107629551900025102
107629551900025201
107629551900025202
107629551900025203
107629551900025204
107629551900025205
107629551900025301
107629551900025302
107629551900025303
107629551900025304
107629551900025305
107629551900025401
107629551900025402
107629551900025403
107629551900025404
107629551900025501
ASSISTANT OFFICER
SENIOR ASSISTANT
ASSISTANT GENERALMANAGER
SUPERVISOR
OFFICER
SUPERVISOR
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Aditya Narayan Jha
Adya Narayani Jha
Manisha Kaushik
Rohtash
Sarla Devi
Santosh Thakur
Anjali Thakur
Akshay Thakur
Matbar Singh
Chanchal Devi
Santosh Sharma
Ardhya
Jagdish Prasad
Chandar Vati
Dimple
Gaurav Singh
Bhumika
Kamla Devi
Indra Kumar Baghel
Shakuntala Baghel
Usha Devi
Hardik Maurya
Rajmani Maurya
Prabhawati
Father
Mother
Spouse
Father
Mother
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Son
Daughter
Mother
Father
Mother
Spouse
Son
Father
Mother
05/07/1945
01/02/1955
25/09/1991
28/06/1966
01/01/1974
06/11/1967
13/10/1990
06/04/1994
24/10/1938
01/01/1945
20/07/1988
16/06/2016
01/01/1962
08/01/1973
27/01/1986
19/09/2010
22/12/2014
01/01/1962
28/08/1955
06/03/1960
07/12/1993
16/09/2017
03/03/1966
01/01/1970
73
64
27
52
45
51
28
24
80
74
30
2
57
46
33
8
4
57
63
58
25
1
52
49
Male
Female
Female
Male
Female
Female
Female
Male
Male
Female
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Male
Male
Female
256
257
258
259
260
261
Sachin
Bimal Singh Thakur
Sanju Sharma
Narender Singh
Bhawani Baghel
Tej Narayan Mourya
Employee
Employee
Employee
Employee
Employee
Employee
11/01/1993
04/05/1963
01/07/1989
07/04/1983
30/12/1987
01/12/1991
26
55
29
35
31
27
Male
Male
Male
Male
Male
Male
1042
1043
1045
1053
1054
1068
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
3
5
4
4
2
4
107629551900025600
107629551900025700
107629551900025800
107629551900025900
107629551900026000
107629551900026100
Age in Mths
1
9
7
10
1
2
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
0
5
7
1
3
4
10
4
1
7
8
1
1
0
5
2
1
5
11
2
5
11
1
ID No
ID No
ID No
ID No
ID No
ID No
107629551900025502
107629551900025503
107629551900025601
107629551900025602
107629551900025603
107629551900025701
107629551900025702
107629551900025703
107629551900025704
107629551900025705
107629551900025801
107629551900025802
107629551900025803
107629551900025804
107629551900025901
107629551900025902
107629551900025903
107629551900025904
107629551900026001
107629551900026002
107629551900026101
107629551900026102
107629551900026103
107629551900026104
ASSISTANT OFFICER
EXECUTIVE
ASSISTANT OFFICER
OFFICER
EXECUTIVE
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Nibha
Somya Kumari
Adrash Kumar
Ram Vinod Sharma
Mithlesh Devi
Preeti
Jessica Baliyan
Salek Chand
Satbiri Devi
Mamta Raghav
New Born Baby
Eaga Swapna Latha
Eaga Nithya Sahasra
Eaga Mokshith Mokshagna
Eaga Umadevi
Indu Prabhat
Aniekaa Prabhat
Udit Ratna
Anita Devi
Indu Varshney
Nishi Varshney
Ketan Varshney
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Son
Spouse
Daughter
Son
Mother
Spouse
Daughter
Father
Mother
Spouse
Daughter
Son
15/01/1986
14/06/2010
09/09/2012
10/02/1963
15/01/1966
29/12/1984
30/12/2008
10/09/1959
10/01/1962
07/12/1985
19/06/2015
06/04/1984
01/10/2011
31/08/2016
18/06/1960
27/09/1983
09/10/2014
01/07/1961
02/03/1963
24/11/1974
20/02/1998
25/08/2000
33
8
6
56
53
34
10
59
57
33
3
34
7
2
58
35
4
57
55
44
21
18
Female
Female
Male
Male
Female
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Female
Female
Male
Female
Female
Female
Male
262
263
264
265
266
267
268
Akshay Kumar
Gulshan
Ranjit Singh
Kiran Kumar Eaga
Arun Prabhat
Laxmi Kant Varshney
Dinesh Kaniyal
Employee
Employee
Employee
Employee
Employee
Employee
Employee
10/01/1984
26/10/1982
19/11/1982
02/10/1980
18/06/1987
13/11/1970
25/05/1977
35
36
36
38
31
48
41
Male
Male
Male
Male
Male
Male
Male
1074
1075
1078
1079
1095
1100
1101
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
5
4
2
4
4
3
2
107629551900026200
107629551900026300
107629551900026400
107629551900026500
107629551900026600
107629551900026700
107629551900026800
Age in Mths
1
3
3
4
8
3
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
8
5
0
1
1
1
5
1
2
8
10
4
5
8
4
4
7
11
3
0
6
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900026201
107629551900026202
107629551900026203
107629551900026204
107629551900026205
107629551900026301
107629551900026302
107629551900026303
107629551900026304
107629551900026401
107629551900026402
107629551900026501
107629551900026502
107629551900026503
107629551900026504
107629551900026601
107629551900026602
107629551900026603
107629551900026604
107629551900026701
107629551900026702
107629551900026703
EXECUTIVE
EXECUTIVE
MANAGER
MANAGER
OFFICER
EXECUTIVE
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Vimla Kaniyal
Naman Kaniyal
Santosh
Ekta Kumari
Hiren
Suman Devi
Arman
Akshit
Sangeeta
Kanak
Lakshay
Puran Singh
Simla Devi
Lalita
Harshima
Saumy
Archana
Dhikshita Anand
Babu Lal
Neeru
Shubhankar Nanda
Saisha Nanda
Madan Mohan Nanda
Spouse
Son
Mother
Spouse
Son
Spouse
Son
Son
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Son
Spouse
Daughter
Father
Spouse
Son
Daughter
Father
25/03/1980
16/08/2002
15/01/1993
15/01/1993
12/02/2014
05/05/1985
13/05/2009
13/11/2011
01/05/1989
25/03/2011
29/11/2012
07/08/1954
10/05/1959
13/11/1981
15/10/2006
07/07/2012
19/08/1989
09/01/2016
23/08/1956
22/07/1964
11/02/1992
10/06/1995
17/08/1929
38
16
26
26
5
33
9
7
29
7
6
64
59
37
12
6
29
3
62
54
27
23
89
Female
Male
Female
Female
Male
Female
Male
Male
Female
Female
Male
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
Female
Male
269
270
271
272
273
274
Sandeep Kumar
Pardeep Kumar
Vikrant
Mahesh Chand
Vivekanand
Munish Nanda
Employee
Employee
Employee
Employee
Employee
Employee
19/03/1989
09/03/1982
04/10/1982
01/07/1975
03/11/1982
26/03/1963
29
36
36
43
36
55
Male
Male
Male
Male
Male
Male
1103
1104
1106
1107
1128
1140
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
300000
3
3
5
3
3
5
107629551900026900
107629551900027000
107629551900027100
107629551900027200
107629551900027300
107629551900027400
Age in Mths
11
11
4
7
3
11
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
11
6
1
1
0
9
9
3
9
11
2
6
9
3
4
7
6
1
6
7
0
8
6
ID No
ID No
ID No
ID No
ID No
ID No
107629551900026801
107629551900026802
107629551900026901
107629551900026902
107629551900026903
107629551900027001
107629551900027002
107629551900027003
107629551900027101
107629551900027102
107629551900027103
107629551900027104
107629551900027105
107629551900027201
107629551900027202
107629551900027203
107629551900027301
107629551900027302
107629551900027303
107629551900027401
107629551900027402
107629551900027403
107629551900027404
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
EXECUTIVE
EXECUTIVE
DEPUTY GENERAL MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Kailash Nanda
Chandani Singh
Devendra Singh Deora
Madhu Singh
Sudha
Muskan
Harshit
Udesh Bharti
Usha Rani
Shalabh Gupta
Minakshi Gupta
Shakuntla Devi
Vijay Kumar
Deepak
Nisha Kumari
Arju
Purav
Om Parkash
Murti
Manju
Palaque
Rudraksha
Prem Lata
Mother
Spouse
Father
Mother
Spouse
Daughter
Son
Father
Mother
Father
Mother
Spouse
Son
Son
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Son
Mother
17/11/1936
10/07/1990
19/12/1958
11/11/1965
10/04/1984
30/09/2005
21/01/1998
09/11/1958
09/11/1960
02/10/1961
22/11/1964
20/05/1970
08/12/1988
30/10/1989
20/07/1992
23/09/2013
04/03/2018
15/12/1954
01/01/1961
30/09/1968
31/08/2000
25/10/2003
01/01/1944
82
28
60
53
34
13
21
60
58
57
54
48
30
29
26
5
0
64
58
50
18
15
75
Female
Female
Male
Female
Female
Female
Male
Male
Female
Male
Female
Female
Male
Male
Female
Female
Male
Male
Female
Female
Female
Male
Female
275
276
277
278
279
280
281
Himanshu Singh
Vikas Kumar Bharti
Ankush Gupta
Suresh Kumar Punia
Naresh
Atul Kumar
Dinesh Prasad Sharma
Employee
Employee
Employee
Employee
Employee
Employee
Employee
19/12/1988
03/04/1979
26/11/1989
22/07/1967
01/08/1986
20/02/1969
09/06/1979
30
39
29
51
32
50
39
Male
Male
Male
Male
Male
Male
Male
1156
1160
1163
1175
1177
1185
1188
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
300000
250000
3
5
2
3
5
4
1
107629551900027500
107629551900027600
107629551900027700
107629551900027800
107629551900027900
107629551900028000
107629551900028100
Age in Mths
2
10
3
7
6
0
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
7
2
3
10
4
1
3
3
4
3
9
2
3
7
5
11
2
1
4
5
4
1
ID No
ID No
ID No
ID No
ID No
ID No
107629551900027405
107629551900027501
107629551900027502
107629551900027503
107629551900027601
107629551900027602
107629551900027603
107629551900027604
107629551900027605
107629551900027701
107629551900027702
107629551900027801
107629551900027802
107629551900027803
107629551900027901
107629551900027902
107629551900027903
107629551900027904
107629551900027905
107629551900028001
107629551900028002
107629551900028003
107629551900028004
ASSISTANT OFFICER
OFFICER
EXECUTIVE
OFFICER
OFFICER
DEPUTY GENERAL MANAGER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Rashmi Sharma
Mithlesh
Gaurav Verma
Aarti Verma
Jagdish Parshad
Swati Singh
Aditya Singh
Vedic
Satish Chandra Singh
Pratibha Singh
Surekha
Ananya
Aikya
Shivani Sharma
R.K. Sharma
Savita Sharma
Neeraj Kumar
Rishav
Premlata Singh
Ashokbhai Patel
Bhagwatiben Patel
Spouse
Spouse
Son
Daughter
Father
Spouse
Son
Son
Father
Mother
Spouse
Daughter
Daughter
Spouse
Father
Mother
Spouse
Son
Mother
Father
Mother
27/09/1982
25/11/1969
12/10/1992
25/09/1994
01/01/1936
26/10/1986
07/12/2010
13/10/2016
07/07/1950
15/07/1956
01/06/1962
10/04/1991
20/10/1999
14/01/1986
30/12/1958
04/02/1962
05/08/1973
28/11/2003
01/01/1954
27/02/1955
01/06/1960
36
49
26
24
83
32
8
2
68
62
56
27
19
33
60
57
45
15
65
63
58
Female
Female
Male
Female
Male
Female
Male
Male
Male
Female
Female
Female
Female
Female
Male
Female
Male
Male
Female
Male
Female
282
283
284
285
286
287
288
Satish Kumar
Vaibhav Kumar Singh
M. Ramsekhar
Mukul Kumar Sharma
Rupam Singh
Jigish Ashokbhai Patel
Arun Gupta
Employee
Employee
Employee
Employee
Employee
Employee
Employee
01/08/1966
09/12/1982
05/07/1963
26/10/1986
22/09/1981
16/10/1983
29/06/1960
52
36
55
32
37
35
58
Male
Male
Male
Male
Female
Male
Male
1190
1192
1199
1201
1210
1224
1236
Others
Others
Others
Others
Others
Others
Others
250000
250000
500000
250000
300000
250000
250000
4
5
3
3
3
2
3
107629551900028200
107629551900028300
107629551900028400
107629551900028500
107629551900028600
107629551900028700
107629551900028800
Age in Mths
6
2
7
3
5
4
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
3
4
5
1
3
2
4
7
7
8
10
4
1
1
0
6
2
1
11
8
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900028101
107629551900028201
107629551900028202
107629551900028203
107629551900028204
107629551900028301
107629551900028302
107629551900028303
107629551900028304
107629551900028305
107629551900028401
107629551900028402
107629551900028403
107629551900028501
107629551900028502
107629551900028503
107629551900028601
107629551900028602
107629551900028603
107629551900028701
107629551900028702
OFFICER
DEPUTY MANAGER
MD & CEO
OFFICER
SENIOR MANAGER
OFFICER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Savita Gupta
Ankit Gupta
Sakshi Gupta
Babita
Deepali
Abhijit
Murti Devi
Kirti Kaushal
Pihu
Renu Sharma
Bhanu Sharma
Anubhav Sharma
Anita Jha
Aditya Jha
Abhigyan Jha
K. K. Jha
Anita Jha
Aditya
Sangita
Shyam Kumar
Deepawali
Spouse
Son
Daughter
Spouse
Daughter
Son
Mother
Spouse
Daughter
Spouse
Son
Son
Spouse
Son
Son
Father
Mother
Son
Spouse
Father
Mother
03/06/1963
05/02/1989
25/09/1992
26/06/1974
25/08/1995
09/04/2000
01/01/1956
10/06/1981
21/06/2013
14/02/1971
27/04/1994
18/01/1998
25/08/1984
04/07/2013
09/11/2016
17/01/1955
01/01/1958
09/02/2016
27/10/1989
25/01/1966
06/01/1968
55
30
26
44
23
18
63
37
5
48
24
21
34
5
2
64
61
3
29
53
51
Female
Male
Female
Female
Female
Male
Female
Female
Female
Female
Male
Male
Female
Male
Male
Male
Female
Male
Female
Male
Female
289
290
291
292
293
294
295
Mukesh Kumar
Vijendra Singh
Bhupendra Sharma
Jitendra Jha
Shakti Singh
Sandeep Kumar
Ashok Kumar Sharma
Employee
Employee
Employee
Employee
Employee
Employee
Employee
22/12/1971
11/01/1977
05/09/1965
10/11/1978
23/12/1983
28/01/1993
04/01/1993
47
42
53
40
35
26
26
Male
Male
Male
Male
Male
Male
Male
1237
1248
1249
1250
1260
1263
1264
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
4
2
3
5
2
2
4
107629551900028900
107629551900029000
107629551900029100
107629551900029200
107629551900029300
107629551900029400
107629551900029500
Age in Mths
2
1
5
3
2
0
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
0
5
8
6
10
1
8
8
0
9
1
6
7
3
1
1
0
3
1
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900028801
107629551900028802
107629551900028803
107629551900028901
107629551900028902
107629551900028903
107629551900028904
107629551900029001
107629551900029002
107629551900029101
107629551900029102
107629551900029103
107629551900029201
107629551900029202
107629551900029203
107629551900029204
107629551900029205
107629551900029301
107629551900029302
107629551900029401
107629551900029402
OFFICER
ENGINEER
ASSISTANT MANAGER
MANAGER
SENIOR ASSISTANT
SENIOR ASSISTANT
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Deepa
Parth Sharma
Nanda Vallabh Sharma
Nandi Devi
Abha Singh
Alan Singh
Samarthya M.P. Singh
Sushma E. Singh
Anita Agarwal
Kushagra Agarwal
R. K. Agarwal
Rani Agarwal
Suman Panwar
Riya Panwar
Yuvraj Singh
Ram Kunwar Singh
Omkali Devi
Vandana Khare
Avishree Khare
Abhinav Khare
Sheela Devi Khare
Umesh Dutt Sharma
Udi Sharma
P. R. Bhardwaj
Mamta Bhardwaj
Spouse
Son
Father
Mother
Spouse
Son
Son
Mother
Spouse
Son
Father
Mother
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Son
Mother
Spouse
Daughter
Father
Mother
05/06/1994
04/02/2018
06/03/1973
20/03/1975
02/10/1976
15/03/2004
29/10/2012
07/10/1946
19/05/1984
04/08/2013
14/04/1950
17/06/1955
02/05/1975
16/10/2001
04/06/2004
18/07/1949
01/07/1951
18/10/1968
14/03/2000
14/06/2003
10/04/1942
29/03/1987
29/05/2014
26/11/1959
09/08/1961
24
1
45
43
42
14
6
72
34
5
68
63
43
17
14
69
67
50
18
15
76
31
4
59
57
Female
Male
Male
Female
Female
Male
Male
Female
Female
Male
Male
Female
Female
Female
Male
Male
Female
Female
Female
Male
Female
Male
Female
Male
Female
296
297
298
299
300
Naveen Singh
Deepak Agarwal
Neeraj Panwar
Anand Bakshi Khare
Deepika Sharma
Employee
Employee
Employee
Employee
Employee
05/03/1974
28/04/1984
05/06/1976
20/06/1968
29/06/1988
44
34
42
50
30
Male
Male
Male
Male
Female
1265
1267
1268
1270
1272
Others
Others
Others
Others
Others
300000
250000
250000
500000
250000
4
4
5
4
4
107629551900029600
107629551900029700
107629551900029800
107629551900029900
107629551900030000
Age in Mths
11
9
8
8
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
0
11
11
4
11
3
4
9
6
10
8
9
4
8
7
7
4
11
8
10
10
8
3
6
ID No
ID No
ID No
ID No
ID No
107629551900029501
107629551900029502
107629551900029503
107629551900029504
107629551900029601
107629551900029602
107629551900029603
107629551900029604
107629551900029701
107629551900029702
107629551900029703
107629551900029704
107629551900029801
107629551900029802
107629551900029803
107629551900029804
107629551900029805
107629551900029901
107629551900029902
107629551900029903
107629551900029904
107629551900030001
107629551900030002
107629551900030003
107629551900030004
SENIOR MANAGER
DEPUTY MANAGER
EXECUTIVE
ADDITIONAL VICE PRESIDENT
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Anoop Duggal
Sarthak Duggal
Neelam Mehra
Anita
Deepansha
Partyaksh
Balbir Singh
Santra Devi
Sangeeta Kumari
Mamta
Srishti
Rachit
Vineeta Choudhary
Akshita
Bimal Kant Jha
Pratima Jha
Suman Bansal
Ananya Bansal
Ishita Bansal
Gita Ram Bansal
Ram Pati Devi
Spouse
Son
Mother
Spouse
Daughter
Son
Father
Mother
Spouse
Spouse
Daughter
Son
Spouse
Daughter
Father
Mother
Spouse
Son
Daughter
Father
Mother
Daughter
06/11/1978
25/08/2011
27/01/1950
04/03/1984
08/02/2011
09/12/2012
05/11/1953
09/06/1956
08/10/1993
31/12/1983
30/04/2008
29/09/2011
05/01/1980
28/03/2014
19/07/1949
31/01/1954
09/06/1974
16/02/1998
02/04/2001
05/05/1946
01/01/1954
40
7
69
34
8
6
65
62
25
35
10
7
39
4
69
65
44
21
17
72
65
Male
Male
Female
Female
Female
Male
Male
Female
Female
Female
Female
Male
Female
Female
Male
Female
Female
Male
Female
Male
Female
301
302
303
304
305
306
307
Pooja Duggal
Naresh Kumar
Sumit Kumar
Suresh Kumar
Rabindra Kumar Jha
Praween Kumar Bansal
Amit
Employee
Employee
Employee
Employee
Employee
Employee
Employee
26/07/1983
12/03/1984
20/01/1991
17/04/1975
24/12/1980
05/02/1971
02/10/1985
35
34
28
43
38
48
33
Female
Male
Male
Male
Male
Male
Male
1274
1285
1286
1291
1292
1320
1323
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
500000
250000
3
5
1
3
4
5
3
107629551900030100
107629551900030200
107629551900030300
107629551900030400
107629551900030500
107629551900030600
107629551900030700
Age in Mths
6
11
1
10
2
0
4
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
6
0
11
0
2
3
8
4
1
9
4
1
10
7
0
8
0
10
9
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900030101
107629551900030102
107629551900030103
107629551900030201
107629551900030202
107629551900030203
107629551900030204
107629551900030205
107629551900030301
107629551900030401
107629551900030402
107629551900030403
107629551900030501
107629551900030502
107629551900030503
107629551900030504
107629551900030601
107629551900030602
107629551900030603
107629551900030604
107629551900030605
107629551900030701
OFFICER
ASSISTANT OFFICER
SENIOR ASSISTANT
EXECUTIVE
ASSISTANT MANAGER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sanskriti
Chaman Singh
Atro Devi
Priya
Aarav Gupta
Pushpa Devi
Vinita Yadav
Arpit Yadav
Jaswant Singh Yadav
Susheela Devi
Soniya Anand
Soham
Palak Chainani
Drishti Chainani
Prateek Chainani
Moti Lal Chainani
Indra Devi
Dhirendra Kumar
Premlata Srivastava
Anita Rana
Elisha Rana
Anaisha Rana
Sundri Devi
Father
Mother
Spouse
Son
Mother
Spouse
Son
Father
Mother
Spouse
Son
Spouse
Daughter
Son
Father
Mother
Father
Mother
Spouse
Daughter
Daughter
Mother
10/08/2016
27/04/1941
01/01/1950
09/01/1998
22/08/2018
15/02/1967
20/06/1993
12/01/2014
20/06/1964
01/10/1967
29/01/1982
22/05/2013
14/05/1976
18/12/2004
06/11/2007
25/12/1944
08/09/1951
25/06/1952
05/05/1953
21/01/1987
03/05/2010
16/12/2015
01/01/1938
2
77
69
21
0
52
25
5
54
51
37
5
42
14
11
74
67
66
65
32
8
3
81
Female
Male
Female
Female
Male
Female
Female
Male
Male
Female
Female
Male
Female
Female
Male
Male
Female
Male
Female
Female
Female
Female
Female
308
309
310
311
312
313
314
Harkesh Gupta
Devendra Kumar Yadav
Anand Sagar
Kapil Chainani
Ritu Srivastava
Vikas Rana
Jasmine Arora
Employee
Employee
Employee
Employee
Employee
Employee
Employee
02/07/1986
14/12/1987
11/08/1974
22/04/1977
12/07/1977
30/06/1980
02/12/1989
32
31
44
41
41
38
29
Male
Male
Male
Male
Female
Male
Female
1335
1338
1340
1341
1348
1361
1366
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
300000
250000
250000
250000
3
4
2
5
2
4
3
107629551900030800
107629551900030900
107629551900031000
107629551900031100
107629551900031200
107629551900031300
107629551900031400
Age in Mths
7
2
6
10
7
7
2
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
6
9
1
1
6
0
8
1
8
4
0
9
9
2
3
2
5
8
9
1
9
2
1
ID No
ID No
ID No
ID No
ID No
ID No
107629551900030702
107629551900030703
107629551900030801
107629551900030802
107629551900030803
107629551900030901
107629551900030902
107629551900030903
107629551900030904
107629551900031001
107629551900031002
107629551900031101
107629551900031102
107629551900031103
107629551900031104
107629551900031105
107629551900031201
107629551900031202
107629551900031301
107629551900031302
107629551900031303
107629551900031304
ASSISTANT OFFICER
ASSISTANT MANAGER
SENIOR SECRETARY
SENIOR MANAGER
MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Rahul Ahluwalia
Raj Kumar Arora
Sunita Arora
Asha Nautiyal
Prabha Tripathi
Ananya Tripathi
Prakash Narain Tripathi
Mithlesh Tripathi
Sourav Mondal
Niranjan Roy
Sunita Roy
Manoj Kumar Yadav
Ahilya Devi
Sanjana Srivastava
Swastika Srivastava
Hemlata Srivastava
Narasinga Rao
Nagalakshmi
Sarika Aggarwal
Rishit Aggarwal
Spouse
Father
Mother
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Mother
Father
Mother
Spouse
Daughter
Mother
Father
Mother
Spouse
Son
16/07/1987
18/07/1962
17/08/1965
25/01/1946
08/08/1985
26/03/2012
18/12/1954
21/10/1958
03/04/1986
15/01/1958
01/01/1967
02/01/1965
02/04/1970
15/01/1988
08/09/2014
01/01/1960
17/04/1968
15/06/1974
03/09/1977
25/06/2006
31
56
53
73
33
6
64
60
32
61
52
54
48
31
4
59
50
44
41
12
Male
Male
Female
Female
Female
Female
Male
Female
Male
Male
Female
Male
Female
Female
Female
Female
Male
Female
Female
Male
315
316
317
318
319
320
321
Sarita Nautiyal
Durgesh Kumar Tripathi
Sharmishtha Roy
Ramesh Kumar Anand
Praveen Kumar Srivastava
Upendra Kumar Aleti
Neeraj Aggarwal
Employee
Employee
Employee
Employee
Employee
Employee
Employee
25/11/1982
04/07/1985
15/08/1989
02/07/1993
20/07/1983
04/04/1992
03/12/1975
36
33
29
25
35
26
43
Female
Male
Female
Male
Male
Male
Male
1379
1390
1392
1394
1406
1407
1430
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
500000
1
4
3
2
3
2
5
107629551900031500
107629551900031600
107629551900031700
107629551900031800
107629551900031900
107629551900032000
107629551900032100
Age in Mths
3
7
6
7
7
10
2
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
7
6
1
6
11
2
4
10
1
1
1
10
1
5
1
10
8
5
8
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900031401
107629551900031402
107629551900031403
107629551900031501
107629551900031601
107629551900031602
107629551900031603
107629551900031604
107629551900031701
107629551900031702
107629551900031703
107629551900031801
107629551900031802
107629551900031901
107629551900031902
107629551900031903
107629551900032001
107629551900032002
107629551900032101
107629551900032102
OFFICER
ASSISTANT MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
DEPUTY MANAGER
ASSISTANT MANAGER
GENERAL MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Ishanvi Aggarwal
H. R. Aggarwal
Memo Aggarwal
S. V. Yadav
Sunita Yadav
Khushboo Sinha
Ramchandra Prasad
Sushila Devi
Nikhil Ahuja
R.K. Manga
Sushma Manga
Priya Saxena
Sharvi Shrivastava
A.K. Shrivastava
Sangeeta Shrivastava
Gitika Bhatia
Paavni Bhatia
Anveer Bhatia
Sri Ram Bhatia
Vinay Bhatia
Ch. Chitti Rao
Ch. Rajya Lakshmi
Daughter
Father
Mother
Father
Mother
Spouse
Father
Mother
Spouse
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Daughter
Son
Father
Mother
Father
Mother
25/03/2011
30/06/1949
01/03/1954
05/06/1959
20/08/1966
16/03/1989
15/08/1965
27/02/1968
24/10/1983
21/12/1951
16/03/1956
21/03/1986
25/11/2016
06/06/1956
01/06/1962
06/01/1984
05/10/2013
15/11/2016
15/12/1940
01/05/1949
13/06/1960
12/06/1967
7
69
64
59
52
29
53
50
35
67
62
32
2
62
56
35
5
2
78
69
58
51
Female
Male
Female
Male
Female
Female
Male
Female
Male
Male
Female
Female
Female
Male
Female
Female
Female
Male
Male
Female
Male
Female
322
323
324
325
326
327
328
Abhay Yadav
Ravi Kumar
Ritu Manga
Gaurav Shrivastava
Saurabh Bhatia
Cheekati SriharshaChowdary
Gurpreet Singh Wadhwa
Employee
Employee
Employee
Employee
Employee
Employee
Employee
11/12/1993
25/03/1989
18/11/1987
21/09/1982
07/05/1979
11/12/1991
10/12/1989
25
29
31
36
39
27
29
Male
Male
Female
Male
Male
Male
Male
1435
1438
1447
1448
1449
1450
1453
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
2
3
3
4
5
2
2
107629551900032200
107629551900032300
107629551900032400
107629551900032500
107629551900032600
107629551900032700
107629551900032800
Age in Mths
2
11
3
5
9
2
2
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
11
7
11
8
6
11
6
11
4
2
11
11
3
8
8
1
4
3
2
9
8
8
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900032103
107629551900032104
107629551900032105
107629551900032201
107629551900032202
107629551900032301
107629551900032302
107629551900032303
107629551900032401
107629551900032402
107629551900032403
107629551900032501
107629551900032502
107629551900032503
107629551900032504
107629551900032601
107629551900032602
107629551900032603
107629551900032604
107629551900032605
107629551900032701
107629551900032702
ASSISTANT ENGINEER
ASSISTANT ENGINEER
ASSISTANT MANAGER
DEPUTY MANAGER
DEPUTY MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Bhupinder Singh Wadhwa
Balbir Kaur Wadhwa
Priyanka Shukla
Riaan
Devi Das Rai
Jaya Rai
Mannu
Hari Chand
Vimlesh
Nidhi
Dhruv Kashyap
Tvisha Kashyap
Swatantra Kashyap
Chinnamma Varghese
Sharone Varghese
Reuben Varghese
Mariamma John
Pousali Dey Mazumder
Parag Kanti Nag
Lila Nag
Anita Rani Patnaik
Deepshikha Patra
Anudeep Patra
Father
Mother
Spouse
Son
Father
Mother
Spouse
Father
Mother
Spouse
Son
Daughter
Mother
Spouse
Daughter
Son
Mother
Spouse
Father
Mother
Spouse
Daughter
Son
09/09/1952
10/07/1956
15/10/1983
19/06/2015
18/08/1955
22/08/1961
01/04/1989
15/10/1962
10/01/1966
22/03/1980
19/03/2009
11/12/2012
20/12/1949
26/04/1972
30/08/1998
29/04/2002
16/05/1942
24/03/1986
22/01/1950
01/10/1952
28/01/1963
09/09/1992
28/07/1998
66
62
35
3
63
57
29
56
53
38
9
6
69
46
20
16
76
32
69
66
56
26
20
Male
Female
Female
Male
Male
Female
Female
Male
Female
Female
Male
Female
Female
Female
Female
Male
Female
Female
Male
Female
Female
Female
Male
329
330
331
332
333
334
Anand Rai
Gaurav
Amit Kashyap
Varghese John
Priyankur Nag
Sudeep Kumar Patra
Employee
Employee
Employee
Employee
Employee
Employee
30/06/1981
27/01/1989
11/10/1979
24/04/1969
14/08/1981
25/05/1960
37
30
39
49
37
58
Male
Male
Male
Male
Male
Male
1469
1470
1479
1496
1497
1500
Others
Others
Others
Others
Others
Others
250000
250000
300000
250000
250000
500000
4
3
4
4
3
3
107629551900032900
107629551900033000
107629551900033100
107629551900033200
107629551900033300
107629551900033400
Age in Mths
7
0
4
10
6
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
5
7
4
8
6
6
10
4
1
11
11
2
2
9
5
9
9
11
1
4
0
5
6
ID No
ID No
ID No
ID No
ID No
ID No
107629551900032801
107629551900032802
107629551900032901
107629551900032902
107629551900032903
107629551900032904
107629551900033001
107629551900033002
107629551900033003
107629551900033101
107629551900033102
107629551900033103
107629551900033104
107629551900033201
107629551900033202
107629551900033203
107629551900033204
107629551900033301
107629551900033302
107629551900033303
107629551900033401
107629551900033402
107629551900033403
MANAGER
ASSISTANT OFFICER
ASSISTANT VICE PRESIDENT
MANAGER
EXECUTIVE
ASSOCIATE VICE PRESIDENT
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Asha Rani
Shabana Zakir
Zainab
Yaminah Bint Meraj
Mukesh Singh
Tara Singh Rawat
Vimla Rawat
Reeta Dixit
Tiya Dixit
Mahaveer Sharma
Shakuntala Devi
Mohan Lal
Chameli Devi
Preeta Lall
Utsavi Singh
Arti Gupta
Shivam Gupta
Daksh Gupta
Bindeshwari Prasad
Meera Devi
Mother
Spouse
Daughter
Daughter
Spouse
Father
Mother
Spouse
Daughter
Father
Mother
Father
Mother
Spouse
Daughter
Spouse
Son
Son
Father
Mother
01/01/1965
19/02/1982
13/01/2013
11/03/2016
11/10/1986
04/04/1956
21/07/1961
03/11/1991
18/04/2017
01/01/1958
03/05/1955
02/03/1957
10/11/1963
11/05/1968
09/06/1991
12/01/1984
20/12/2006
26/02/2017
01/01/1955
01/01/1958
54
37
6
2
32
62
57
27
1
61
63
61
55
50
27
35
12
2
64
61
Female
Female
Female
Female
Male
Male
Female
Female
Female
Male
Female
Male
Female
Female
Female
Female
Male
Male
Male
Female
335
336
337
338
339
340
341
342
Rajat Papneja
Merajul Hasan Ansari
Pooja Rawat
Hariom Dixit
Sanjay Kumar
Samir Kumar Singh
Manoj Kumar
Abhishek Singh
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
25/11/1993
06/01/1975
18/06/1989
01/07/1991
19/12/1985
02/08/1961
20/04/1977
13/09/1992
25
44
29
27
33
57
41
26
Male
Male
Female
Male
Male
Male
Male
Male
1502
1504
1517
1519
1521
1529
1536
1539
Others
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
500000
250000
250000
1
3
3
4
2
2
5
2
107629551900033500
107629551900033600
107629551900033700
107629551900033800
107629551900033900
107629551900034000
107629551900034100
107629551900034200
Age in Mths
3
1
8
7
2
6
10
5
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
0
1
11
4
10
7
3
10
1
9
11
3
9
8
1
2
0
1
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900033501
107629551900033601
107629551900033602
107629551900033603
107629551900033701
107629551900033702
107629551900033703
107629551900033801
107629551900033802
107629551900033803
107629551900033804
107629551900033901
107629551900033902
107629551900034001
107629551900034002
107629551900034101
107629551900034102
107629551900034103
107629551900034104
107629551900034105
OFFICER
MANAGER
SECRETARY
ASSISTANT OFFICER
OFFICER
SENIOR VICE PRESIDENT
OFFICER
EXECUTIVE
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Arvind Kumar Singh
Bindu Singh
Prahlad Singh
Raj Bala
Anupama Malhotra
Avishi Malhotra
J.K. Malhotra
Rajni Malhotra
Suresh Sant
Neeru Sant
Kunj Bihari Yadav
Sangeeta Yadav
Ashu Sharma
Shanaya Rajput
N.S. Rajput
Sushila Pal
Salil Joshi
Shridhar Tripathi
Bhagwati Tripathi
Laxmi Singh
Father
Mother
Father
Mother
Spouse
Daughter
Father
Mother
Father
Mother
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Mother
Spouse
15/01/1968
24/04/1971
06/03/1966
01/01/1971
08/04/1978
15/11/2008
18/04/1946
19/11/1952
06/07/1950
25/07/1954
02/05/1960
01/09/1967
28/07/1982
05/12/2015
10/07/1944
01/01/1951
10/06/1988
01/09/1947
26/06/1957
05/01/1978
51
47
52
48
40
10
72
66
68
64
58
51
36
3
74
68
30
71
61
41
Male
Female
Male
Female
Female
Female
Male
Female
Male
Female
Male
Female
Female
Female
Male
Female
Male
Male
Female
Female
343
344
345
346
347
348
349
Mohit Dhankhar
Namit Malhotra
Nihit Sant
Ankur Yadav
Rohit Rajput
Preety Tripathi
Ashok Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
10/02/1991
09/03/1976
18/06/1989
02/09/1995
30/07/1979
12/03/1990
15/06/1971
28
42
29
23
39
28
47
Male
Male
Male
Male
Male
Female
Male
1546
1548
1551
1567
1568
1569
1572
Others
Others
Others
Others
Others
Others
Others
250000
300000
250000
250000
300000
250000
250000
2
4
2
2
4
3
3
107629551900034300
107629551900034400
107629551900034500
107629551900034600
107629551900034700
107629551900034800
107629551900034900
Age in Mths
0
11
8
5
6
11
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
10
11
1
10
3
10
3
7
7
9
5
6
2
7
1
8
5
8
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900034201
107629551900034202
107629551900034301
107629551900034302
107629551900034401
107629551900034402
107629551900034403
107629551900034404
107629551900034501
107629551900034502
107629551900034601
107629551900034602
107629551900034701
107629551900034702
107629551900034703
107629551900034704
107629551900034801
107629551900034802
107629551900034803
107629551900034901
OFFICER
SENIOR MANAGER
ASSISTANT OFFICER
ASSISTANT ENGINEER
SENIOR MANAGER
ASSISTANT MANAGER
SENIOR ASSISTANT
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Harsh Pratap Singh
Dushyant Pratap Singh
Sangeeta Bhatia
Anisha Bhatia
Lavith Bhatia
Madan Lal Bhatia
Rita Bhatia
Rajni
Saurya Raj Singh
Lallan Singh
Usha Devi
Nisha Kandari
Hema Kandari
Madhu Kandari
Chandan Singh
Shila Devi
Anadi Kumar Singh
Sharanya Singh
Pradeep Dube
Suniti Dube
Anurag Tyagi
Dinesh Tyagi
Babita Tyagi
Jagpreet Kaur
Son
Son
Spouse
Daughter
Son
Father
Mother
Spouse
Son
Father
Mother
Spouse
Daughter
Daughter
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Mother
Spouse
17/11/2001
25/09/2018
05/07/1977
09/04/2005
27/02/2012
15/08/1948
23/08/1958
19/12/1990
05/06/2015
01/01/1977
01/01/1977
01/07/1974
26/12/1996
23/10/1999
02/06/1939
01/07/1945
20/08/1984
09/04/2015
09/04/1954
02/02/1959
11/10/1988
04/11/1966
05/12/1970
09/09/1975
17
0
41
13
6
70
60
28
3
42
42
44
22
19
79
73
34
3
64
60
30
52
48
43
Male
Male
Female
Female
Male
Male
Female
Female
Male
Male
Female
Female
Female
Female
Male
Female
Male
Female
Male
Female
Male
Male
Female
Female
350
351
352
353
354
355
Jitendra Bhatia
Raja Singh
Mahender Singh
Saloni Dube
Kirtika Tyagi
Neel Paliwal
Employee
Employee
Employee
Employee
Employee
Employee
06/06/1977
01/01/1993
08/07/1970
11/12/1984
31/03/1990
21/09/1976
41
26
48
34
28
42
Male
Male
Male
Female
Female
Male
1589
1594
1597
1598
1607
1608
Others
Others
Others
Others
Others
Others
300000
250000
250000
250000
250000
500000
5
4
5
4
3
5
107629551900035000
107629551900035100
107629551900035200
107629551900035300
107629551900035400
107629551900035500
Age in Mths
8
1
7
2
10
5
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
5
7
10
11
6
6
2
8
1
1
7
2
4
8
7
6
10
10
0
4
3
2
5
ID No
ID No
ID No
ID No
ID No
ID No
107629551900034902
107629551900034903
107629551900035001
107629551900035002
107629551900035003
107629551900035004
107629551900035005
107629551900035101
107629551900035102
107629551900035103
107629551900035104
107629551900035201
107629551900035202
107629551900035203
107629551900035204
107629551900035205
107629551900035301
107629551900035302
107629551900035303
107629551900035304
107629551900035401
107629551900035402
107629551900035403
107629551900035501
SENIOR MANAGER
ASSISTANT OFFICER
EXECUTIVE
ASSISTANT MANAGER
ASSISTANT MANAGER
ASSOCIATE VICE PRESIDENT
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Niharika Paliwal
Devank Paliwal
N.K. Paliwal
Uma Paliwal
Dhavala Lakshmi
Dhavala V. S. Aditya
Dhavala Arvind
Manju Singh
Trisha Singh
Vardhan Singh
Virendra Pratap Singh
Vijya Singh
Heena Jain
Anaisha Jain
S.K. Jain
Neelam Jain
Prabhati Kumari
Hare Shankar Jha
Manjula Devi
Deblina Sarkar
Aheli Halder
Bisweswar Halder
Reeta Halder
Sumit Kakkar
Daughter
Son
Father
Mother
Spouse
Son
Son
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
26/04/2006
27/05/2011
19/08/1943
24/08/1949
25/01/1972
29/09/1997
16/08/2005
20/11/1985
20/09/2012
04/02/2015
05/02/1965
01/05/1967
26/03/1987
10/04/2016
10/09/1955
30/05/1961
23/11/1994
01/12/1959
01/01/1965
01/01/1989
15/08/2011
19/11/1957
25/02/1961
25/12/1982
12
7
75
69
47
21
13
33
6
4
54
51
31
2
63
57
24
59
54
30
7
61
58
36
Female
Male
Male
Female
Female
Male
Male
Female
Female
Male
Male
Female
Female
Female
Male
Female
Female
Male
Female
Female
Female
Male
Female
Male
356
357
358
359
360
361
Dhavala Bhaskara Srinivas
Lokesh Bahadur Singh
Anshul Jain
Ratish Kumar Jha
Barun Halder
Parvinder Kaur Kakkar
Employee
Employee
Employee
Employee
Employee
Employee
18/09/1966
04/11/1984
12/02/1983
15/01/1983
17/05/1984
02/07/1986
52
34
36
36
34
32
Male
Male
Male
Male
Male
Female
1611
1654
1655
1656
1670
1671
Others
Others
Others
Others
Others
Others
500000
250000
250000
250000
250000
250000
3
5
4
3
4
4
107629551900035600
107629551900035700
107629551900035800
107629551900035900
107629551900036000
107629551900036100
Age in Mths
5
3
0
1
9
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
9
8
6
6
1
4
6
3
5
0
0
9
11
10
5
8
3
2
1
1
6
3
0
2
ID No
ID No
ID No
ID No
ID No
ID No
107629551900035502
107629551900035503
107629551900035504
107629551900035505
107629551900035601
107629551900035602
107629551900035603
107629551900035701
107629551900035702
107629551900035703
107629551900035704
107629551900035705
107629551900035801
107629551900035802
107629551900035803
107629551900035804
107629551900035901
107629551900035902
107629551900035903
107629551900036001
107629551900036002
107629551900036003
107629551900036004
107629551900036101
ASSOCIATE VICE PRESIDENT
DEPUTY MANAGER
MANAGER
EXECUTIVE
MANAGER
FRONT DESK OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Guneesha Kakkar
Amrik Singh
Baljit Kaur
Rinki Sadawarte
Swara
Pramila
Ravindra Kumar
Poonam Devi
Poornima Singh
Umang Singh Chauhan
Jagdamba Singh
Janak Dulari
Smridhi Lail
Paramjit Lail
Sheela Lail
Amandeep Kaur
Amarjit Singh
Jagmohan Kaur
Atul Kumar Jain
Anita Jain
Neetu Chand
Daughter
Father
Mother
Spouse
Daughter
Mother
Father
Mother
Spouse
Son
Father
Mother
Spouse
Father
Mother
Spouse
Father
Mother
Father
Mother
Spouse
Son
01/11/2014
12/08/1955
13/10/1956
07/11/1989
25/01/2014
16/09/1958
09/08/1961
22/09/1970
17/05/1994
09/02/2016
05/04/1952
15/04/1966
05/09/1990
19/01/1957
07/03/1959
04/07/1994
08/09/1950
01/01/1958
11/06/1961
17/02/1967
21/07/1983
4
63
62
29
5
60
57
48
24
3
66
52
28
62
59
24
68
61
57
52
35
Female
Male
Female
Female
Female
Female
Male
Female
Female
Male
Male
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
362
363
364
365
366
367
368
Satish Vitthalrao Sadawarte
Sahil Kumar Rajak
Bharo Shankar
Vardaan Lail
Lucky Singh
Prashant Jain
Deepak Chand
Employee
Employee
Employee
Employee
Employee
Employee
Employee
10/02/1986
20/11/1994
26/01/1989
30/03/1990
01/04/1985
04/11/1991
21/02/1982
33
24
30
28
33
27
37
Male
Male
Male
Male
Male
Male
Male
1672
1724
1743
1748
1750
1755
1766
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
3
2
4
3
3
2
5
107629551900036200
107629551900036300
107629551900036400
107629551900036500
107629551900036600
107629551900036700
107629551900036800
Age in Mths
0
3
0
10
10
3
0
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
6
4
3
1
5
6
5
9
0
10
10
5
1
11
7
5
1
8
0
7
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900036102
107629551900036103
107629551900036104
107629551900036201
107629551900036202
107629551900036203
107629551900036301
107629551900036302
107629551900036401
107629551900036402
107629551900036403
107629551900036404
107629551900036501
107629551900036502
107629551900036503
107629551900036601
107629551900036602
107629551900036603
107629551900036701
107629551900036702
107629551900036801
107629551900036802
OFFICER
ASSISTANT ENGINEER
ASSISTANT OFFICER
OFFICER
ASSISTANT OFFICER
EXECUTIVE TRAINEE
DEPUTY MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Ayush Chand
Aanya Chand
Dayal Chand
Gyan Devi
Sujata Kaul
Shuhul Kaul
Kishan Lal Kaul
Parveen Kumar Aggarwal
Deepak Kumar Singh
Diva Lohtamia
Basanti Devi Waila
Anjana Kumari
Nitin Kumar
Abhishek Kumar
Kanta Devi
Rita Agarwal
Tarang Agarwal
Vedant Agarwal
U.K. Agarwal
Sheela Agarwal
Neha Rai
Aahan Parashar
Sushil Kumar Rai
Arti Devi
Daughter
Father
Mother
Spouse
Son
Father
Father
Spouse
Daughter
Mother
Spouse
Son
Son
Mother
Spouse
Son
Son
Father
Mother
Spouse
Son
Father
Mother
15/06/2009
08/10/2014
10/04/1957
18/06/1960
31/03/1963
01/01/1996
15/04/1935
13/06/1959
22/01/1989
08/04/2018
25/05/1964
13/12/1974
24/07/1997
22/04/2001
01/07/1946
07/03/1965
29/12/1989
10/01/1994
28/05/1933
01/09/1938
15/02/1987
24/12/2016
01/02/1955
15/07/1958
9
4
61
58
55
23
83
59
30
0
54
44
21
17
72
53
29
25
85
80
32
2
64
60
Male
Female
Male
Female
Female
Male
Male
Male
Male
Female
Female
Female
Male
Male
Female
Female
Male
Male
Male
Female
Female
Male
Male
Female
369
370
371
372
373
374
Rakesh Kaul
Anmol Aggarwal
Dipti Waila
Kuldeep Kumar
Rajesh Agarwal
Abhishek Rai
Employee
Employee
Employee
Employee
Employee
Employee
10/10/1961
04/03/1994
07/08/1990
12/04/1967
06/09/1962
01/07/1987
57
24
28
51
56
31
Male
Male
Female
Male
Male
Male
1809
1813
1815
1818
1834
1835
Others
Others
Others
Others
Others
Others
500000
250000
250000
250000
500000
250000
3
1
3
4
5
4
107629551900036900
107629551900037000
107629551900037100
107629551900037200
107629551900037300
107629551900037400
Age in Mths
4
11
6
10
5
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
4
10
8
10
1
10
8
1
10
9
2
7
10
7
11
1
1
8
5
0
2
0
7
ID No
ID No
ID No
ID No
ID No
ID No
107629551900036803
107629551900036804
107629551900036805
107629551900036901
107629551900036902
107629551900036903
107629551900037001
107629551900037101
107629551900037102
107629551900037103
107629551900037201
107629551900037202
107629551900037203
107629551900037204
107629551900037301
107629551900037302
107629551900037303
107629551900037304
107629551900037305
107629551900037401
107629551900037402
107629551900037403
107629551900037404
VICE PRESIDENT
EXECUTIVE TRAINEE
OFFICER
ASSISTANT OFFICER
SENIOR VICE PRESIDENT
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
M. Srinivasa Rao
M. Padma Latha
Teeka Ram
Saroj
Anamika Chandra
Anushka Aadya
Ameesh
R.N. Baitha
Anshu Yadav
Mehansh Yadav
R.A. Yadav
Rameshwari Yadav
Veena Juyal
Aditya Juyal
Anjali Juyal
Sushila Devi Juyal
Nilam Kumari
Rajendra Pandit
Meera Devi
Daya Chand
Saroj Bharti
Father
Mother
Father
Mother
Spouse
Daughter
Son
Father
Spouse
Son
Father
Mother
Spouse
Son
Daughter
Mother
Spouse
Father
Mother
Father
Mother
19/07/1962
09/01/1966
01/01/1963
30/06/1969
26/01/1984
16/04/2010
30/03/2017
30/01/1953
19/10/1986
19/01/2014
07/04/1950
01/01/1955
01/01/1975
23/08/2001
21/08/2003
10/09/1943
21/07/1989
21/02/1952
15/01/1956
19/09/1970
05/09/1969
56
53
56
49
35
8
1
66
32
5
68
64
44
17
15
75
29
67
63
48
49
Male
Female
Male
Female
Female
Female
Male
Male
Female
Male
Male
Female
Female
Male
Female
Female
Female
Male
Female
Male
Female
375
376
377
378
379
380
381
Amal Datta Mikkilineni
Deepti
Manish Kumar Pankaj
Nitin Yadav
Chander Mani Juyal
Shyamal Kishore Pandit
Mohit Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
30/10/1990
19/08/1989
10/12/1978
19/08/1981
10/06/1977
16/09/1987
07/07/1995
28
29
40
37
41
31
23
Male
Female
Male
Male
Male
Male
Male
1836
1846
1847
1860
1900
1911
1918
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
2
2
4
4
4
3
2
107629551900037500
107629551900037600
107629551900037700
107629551900037800
107629551900037900
107629551900038000
107629551900038100
Age in Mths
3
6
2
6
8
5
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
7
1
1
7
0
10
10
0
4
1
10
1
1
6
6
5
7
0
1
5
5
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900037501
107629551900037502
107629551900037601
107629551900037602
107629551900037701
107629551900037702
107629551900037703
107629551900037704
107629551900037801
107629551900037802
107629551900037803
107629551900037804
107629551900037901
107629551900037902
107629551900037903
107629551900037904
107629551900038001
107629551900038002
107629551900038003
107629551900038101
107629551900038102
ASSISTANT MANAGER
EXECUTIVE
MANAGER
MANAGER
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT ENGINEER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Mahpara Reshmi
Nudrat Rahman
Nabiha Rahman
Obaida Khatoon
Ashok Kumar Shrivastava
Prity Shrivastava
Vijay Kumar Varshney
Kumud Varshney
Ram Nath Singh
Punam Singh
Reema
Tejas Mahour
Savitri
Sushma Mahajan
Laxmi Rawat
Digyansh Singh Rawat
Darshan Singh
Guddi Devi
Sonam Shah
Spouse
Daughter
Daughter
Mother
Father
Mother
Father
Mother
Father
Mother
Spouse
Son
Mother
Mother
Spouse
Son
Father
Mother
Spouse
19/12/1982
13/09/2009
09/10/2014
01/01/1950
12/01/1963
22/02/1963
01/12/1972
30/04/1994
31/03/1957
12/12/1964
18/05/1988
18/08/2018
01/01/1967
20/11/1958
05/11/1987
26/10/2015
12/05/1964
28/11/1967
05/09/1989
36
9
4
69
56
56
46
24
61
54
30
0
52
60
31
3
54
51
29
Female
Female
Female
Female
Male
Female
Male
Female
Male
Female
Female
Male
Female
Female
Female
Male
Male
Female
Female
382
383
384
385
386
387
388
389
Akilur Rahman
Rohit Raj
Neeraj Varshney
Pranay Kumar
Lalit Kumar
Rupesh Mahajan
Amit Singh
Ashish Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
25/12/1976
24/06/1989
14/08/1994
24/11/1994
17/04/1988
19/10/1990
16/01/1990
10/06/1985
42
29
24
24
30
28
29
33
Male
Male
Male
Male
Male
Male
Male
Male
1919
1925
1929
1930
1931
1934
1952
1954
Others
Others
Others
Others
Others
Others
Others
Others
300000
250000
250000
250000
250000
250000
250000
250000
4
2
2
2
3
1
4
4
107629551900038200
107629551900038300
107629551900038400
107629551900038500
107629551900038600
107629551900038700
107629551900038800
107629551900038900
Age in Mths
2
8
6
3
10
4
1
8
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
2
5
4
1
1
0
2
9
10
2
9
6
1
3
3
3
9
2
5
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900038201
107629551900038202
107629551900038203
107629551900038204
107629551900038301
107629551900038302
107629551900038401
107629551900038402
107629551900038501
107629551900038502
107629551900038601
107629551900038602
107629551900038603
107629551900038701
107629551900038801
107629551900038802
107629551900038803
107629551900038804
107629551900038901
DEPUTY GENERAL MANAGER
MANAGEMENT TRAINEE
ASSISTANT ENGINEER
ASSISTANT ENGINEER
OFFICER
EXECUTIVE
EXECUTIVE
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Aarohi Shah
Ashok Kumar Shah
Nirmala Shah
Sunita
Harashita
Jaswant Singh
Bimla Devi
Shailesh V. Paghadar
Kanta Ben S. Paghadar
Chittamma
D. Athiyaman
A. Dhanalakshmi
Sarika Meew
Rajesh Mohan Gupta
Manju Gupta
Rajesh Kumar Srivastava
Kanak Lata Srivastava
Anju Singh
Pratishtha Singh
Jagdish Singh
Narendri Devi
Daughter
Father
Mother
Spouse
Daughter
Father
Mother
Father
Mother
Mother
Father
Mother
Spouse
Father
Mother
Father
Mother
Spouse
Daughter
Father
Mother
04/11/2014
01/01/1949
01/01/1958
01/05/1975
23/09/2000
16/09/1952
22/01/1955
18/04/1968
14/06/1962
09/06/1968
24/09/1957
09/12/1967
28/08/1985
05/04/1958
12/04/1962
05/05/1963
01/01/1962
31/08/1985
23/03/2016
01/01/1962
25/04/1968
4
70
61
43
18
66
64
50
56
50
61
51
33
60
56
55
57
33
2
57
50
Female
Male
Female
Female
Female
Male
Female
Male
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
Female
Male
Female
390
391
392
393
394
395
396
Sanjeet Kumar
Pooja Shailesh Paghadar
Bolem L.V.S.S. Phaneendra
A. Pradeep Ram
Abhay Mahajan
Archita Srivastava
Mohit Singh
Employee
Employee
Employee
Employee
Employee
Employee
Employee
01/05/1977
10/02/1993
01/05/1993
08/08/1991
13/12/1985
03/01/1993
07/12/1987
41
26
25
27
33
26
31
Male
Female
Male
Male
Male
Female
Male
1955
1985
1996
2004
2019
2021
2023
Others
Others
Others
Others
Others
Others
Others
300000
250000
250000
250000
250000
250000
250000
4
2
1
2
3
2
4
107629551900039000
107629551900039100
107629551900039200
107629551900039300
107629551900039400
107629551900039500
107629551900039600
Age in Mths
9
0
9
6
2
1
2
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
3
1
1
9
5
5
1
10
8
8
5
2
5
10
10
9
1
5
11
1
10
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900038902
107629551900038903
107629551900038904
107629551900039001
107629551900039002
107629551900039003
107629551900039004
107629551900039101
107629551900039102
107629551900039201
107629551900039301
107629551900039302
107629551900039401
107629551900039402
107629551900039403
107629551900039501
107629551900039502
107629551900039601
107629551900039602
107629551900039603
107629551900039604
ASSISTANT GENERAL MANAGER
MANAGEMENT TRAINEE
MANAGEMENT TRAINEE
ASSISTANT MANAGER
MANAGER
ASSISTANT OFFICER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
P.K. Tiwari
Archana Tiwari
Kanti Prasad Sharma
Sita Sharma
M. Poothapandian
N. Jeyalakshmi
Bhairon Singh Shekhawat
Rajeshwari Singh Shekhawat
Srishti Arora
Krisha Arora
Jagdish Lal Arora
Kamal Arora
Poonam Singh
Gauri Singh
Daksh Somvanshi
Surya Pal Singh Somvanshi
Saroj
Suneeta Raizada
Vatsal Raizada
Priyal Raizada
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Daughter
Son
Father
Mother
Spouse
Son
Daughter
15/02/1959
07/12/1972
04/01/1951
10/06/1952
19/03/1958
28/06/1964
28/07/1970
08/11/1972
23/01/1989
31/07/2016
22/06/1955
18/02/1956
22/03/1973
01/03/2003
13/05/2008
10/01/1941
05/09/1943
01/12/1967
02/01/1995
11/08/1999
60
46
68
66
60
54
48
46
30
2
63
63
45
15
10
78
75
51
24
19
Male
Female
Male
Female
Male
Female
Male
Female
Female
Female
Male
Female
Female
Female
Male
Male
Female
Female
Male
Female
397
398
399
400
401
402
403
404
Ratna Priya
Banshi Sharma
Sundar Raj P.J.
Ravinder Singh Shekhawat
Vanshul Arora
Anurag Somvanshi
Sandeep Raizada
Avinash Dubedi
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
25/12/1988
05/02/1991
17/06/1992
09/08/1993
24/02/1988
08/01/1973
27/10/1965
28/03/1985
30
28
26
25
31
46
53
33
Female
Male
Male
Male
Male
Male
Male
Male
2028
2042
2043
2044
2045
2046
2047
2063
Others
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
500000
500000
250000
2
2
2
2
4
5
3
4
107629551900039700
107629551900039800
107629551900039900
107629551900040000
107629551900040100
107629551900040200
107629551900040300
107629551900040400
Age in Mths
2
0
8
6
0
1
3
10
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
0
2
1
8
11
7
6
3
1
6
8
0
11
11
9
1
5
2
1
6
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900039701
107629551900039702
107629551900039801
107629551900039802
107629551900039901
107629551900039902
107629551900040001
107629551900040002
107629551900040101
107629551900040102
107629551900040103
107629551900040104
107629551900040201
107629551900040202
107629551900040203
107629551900040204
107629551900040205
107629551900040301
107629551900040302
107629551900040303
OFFICER
MANAGEMENT TRAINEE
ASSISTANT MANAGER
MANAGEMENT TRAINEE
DEPUTY MANAGER
VICE PRESIDENT
GENERAL MANAGER
MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Shivani
Atyaveer
Ashok Kumar
Lata
Ghausia Saba
Aleema Fatima
Md. Huzaifa Akbar
Md. Akbar H. Quraishi
Parijan Bano
Varsha Bhisikar
Aarav Bhisikar
Vishwanath Bhisikar
Pushpa Bhisikar
Promila Devi
Hardik
Ishwar Singh
Sumitra Devi
Vidhi Singh
Subhag BhaskjaraoDaptardar
Prerna Subhag Daptardar
Priyanka H. Kawle
Bhavy H. Kawle
Spouse
Son
Father
Mother
Spouse
Daughter
Son
Father
Mother
Spouse
Son
Father
Mother
Spouse
Son
Father
Mother
Mother
Father
Mother
Spouse
Son
15/04/1985
11/09/2016
05/07/1953
01/01/1961
25/09/1989
29/11/2014
03/03/2017
01/01/1955
26/08/1955
05/11/1981
15/10/2009
01/04/1950
30/07/1960
03/05/1987
11/01/2009
15/06/1960
23/12/1962
18/03/1970
22/02/1950
19/05/1956
15/12/1988
15/02/2015
33
2
65
58
29
4
1
64
63
37
9
68
58
31
10
58
56
48
69
62
30
4
Female
Male
Male
Female
Female
Female
Male
Male
Female
Female
Male
Male
Female
Female
Male
Male
Female
Female
Male
Female
Female
Male
405
406
407
408
409
410
Mohammad Kaif AkbarQuraishi
Arvind Bhisikar
Deepak Kumar
Abhaye Singh
Chintan Subhag Daftardar
Hemant N. Kawle
Employee
Employee
Employee
Employee
Employee
Employee
01/03/1980
01/06/1979
26/06/1983
18/10/1993
15/07/1984
09/03/1982
38
39
35
25
34
36
Male
Male
Male
Male
Male
Male
2064
2065
2066
2072
2084
2088
Others
Others
Others
Others
Others
Others
300000
300000
250000
250000
250000
250000
5
4
4
1
2
3
107629551900040500
107629551900040600
107629551900040700
107629551900040800
107629551900040900
107629551900041000
Age in Mths
11
8
8
4
7
11
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
10
5
7
1
5
2
11
1
6
3
4
10
6
9
1
8
2
11
0
9
2
0
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900040401
107629551900040402
107629551900040403
107629551900040404
107629551900040501
107629551900040502
107629551900040503
107629551900040504
107629551900040505
107629551900040601
107629551900040602
107629551900040603
107629551900040604
107629551900040701
107629551900040702
107629551900040703
107629551900040704
107629551900040801
107629551900040901
107629551900040902
107629551900041001
107629551900041002
SENIOR MANAGER
ASSISTANT GENERAL MANAGER
EXECUTIVE
MANAGEMENT TRAINEE
MANAGER
MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Asha N. Kawle
Ragini Ranjan
Tanshika Ranjan
Pushpa Bisht
Nikhil Singh Bisht
Ishani Bisht
M.S. Bisht
Pooja Verma
Surbhi Verma
Chetan Prakash Verma
Ramkishor Verma
Pushpa Verma
Radhika
Bhagya
Madhuri
Anjana Vishnoi
Vivaan Vishnoi
Yuvaan Vishnoi
Anil Nakra
Sapna Nakra
Sumit C. Raman
Mother
Spouse
Daughter
Spouse
Son
Daughter
Father
Spouse
Daughter
Son
Father
Mother
Spouse
Daughter
Mother
Spouse
Son
Son
Father
Mother
Spouse
Father
20/10/1953
26/03/1979
15/12/2010
25/06/1987
06/06/2009
01/01/2015
01/01/1949
01/12/1981
07/11/2007
03/04/2009
15/08/1954
17/12/1956
16/09/1988
30/06/2015
21/08/1958
26/02/1982
04/01/2012
12/10/2015
02/01/1965
21/03/1969
12/01/1986
65
39
8
31
9
4
70
37
11
9
64
62
30
3
60
37
7
3
54
49
33
Female
Female
Female
Female
Male
Female
Male
Female
Female
Male
Male
Female
Female
Female
Female
Female
Male
Male
Male
Female
Male
411
412
413
414
415
416
417
Anand Ranjan
Kailash Singh Bisht
Sanjeev Verma
Sagar M. Padhye
Vikas Vishnoi
Anmol Nakra
Vinky Bharadwaj
Employee
Employee
Employee
Employee
Employee
Employee
Employee
02/09/1978
03/12/1982
25/06/1978
10/12/1982
14/09/1979
04/11/1991
15/07/1985
40
36
40
36
39
27
33
Male
Male
Male
Male
Male
Male
Female
2099
2100
2103
2104
2117
2118
2131
Others
Others
Others
Others
Others
Others
Others
250000
250000
300000
250000
250000
250000
250000
2
4
5
3
3
2
3
107629551900041100
107629551900041200
107629551900041300
107629551900041400
107629551900041500
107629551900041600
107629551900041700
Age in Mths
5
2
8
2
5
3
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
4
11
2
8
8
1
1
2
3
10
6
2
5
7
6
0
1
4
1
11
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900041003
107629551900041101
107629551900041102
107629551900041201
107629551900041202
107629551900041203
107629551900041204
107629551900041301
107629551900041302
107629551900041303
107629551900041304
107629551900041305
107629551900041401
107629551900041402
107629551900041403
107629551900041501
107629551900041502
107629551900041503
107629551900041601
107629551900041602
107629551900041701
107629551900041702
MANAGER
ASSISTANT OFFICER
DEPUTY GENERAL MANAGER
ASSISTANT MANAGER
MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
D. S. Sharma
Yashi Sharma
Poonam
Ramit
Kamla
Reva
Arantxa Sugara
Ritwik Leewin Sugara
Anandi Sugara
Sonika Dogra
Arika Dogra
Brijander Singh Dogra
Sudershana Dogra
Ruchi Pandey
Baldev Prasad
Karun
R.P. Sharma
Anita Sharma
Suchi Sinha
Uday Kumar Sinha
Chanchal Mohini
Mother
Spouse
Son
Mother
Spouse
Daughter
Son
Mother
Spouse
Daughter
Father
Mother
Spouse
Father
Mother
Father
Mother
Spouse
Father
Mother
Spouse
02/04/1949
04/12/1955
11/07/1991
10/03/2018
01/01/1971
01/01/1978
15/02/2011
17/10/2016
04/04/1941
17/03/1990
16/07/2018
10/04/1964
13/04/1964
29/05/1991
01/06/1945
01/01/1946
10/07/1959
09/01/1961
05/01/1991
20/04/1953
16/04/1962
69
63
27
0
48
41
8
2
77
28
0
54
54
27
73
73
59
58
28
65
56
Male
Female
Female
Male
Female
Female
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
Female
Female
Male
Female
418
419
420
421
422
423
424
Ravi Kumar
Puran Singh
Rohit Dogra
Abhishek Kumar
Kani Sharma
Shishir Kishan
Sumit Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
13/10/1985
10/07/1977
06/08/1988
01/07/1986
15/08/1989
31/08/1986
28/10/1992
33
41
30
32
29
32
26
Male
Male
Male
Male
Female
Male
Male
2132
2133
2134
2136
2156
2157
2172
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
3
4
4
3
2
3
4
107629551900041800
107629551900041900
107629551900042000
107629551900042100
107629551900042200
107629551900042300
107629551900042400
Age in Mths
4
7
6
7
6
5
3
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
10
2
7
11
1
1
0
4
10
11
7
10
10
8
8
1
7
1
1
10
10
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900041703
107629551900041801
107629551900041802
107629551900041803
107629551900041901
107629551900041902
107629551900041903
107629551900041904
107629551900042001
107629551900042002
107629551900042003
107629551900042004
107629551900042101
107629551900042102
107629551900042103
107629551900042201
107629551900042202
107629551900042301
107629551900042302
107629551900042303
107629551900042401
EXECUTIVE
OFFICER
EXECUTIVE
ASSISTANT MANAGER
ASSISTANT MANAGER
DEPUTY MANAGER
OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Menka
Nitisha
Mool Chand
Munesh Devi
Sanjay Srivastava
Vandana Srivastava
Pawan Kumar Jain
Babita Jain
Pallavi Gaur
Sudershan Gaur
Mahendra Singh
Ganga Devi
Sarmistha Biswas
Ankan Biswas
Shweta Khare
Abhimanyu Khare
Aand Kumar Khare
Sunita Khare
Rena Rani
Nabh Kushwaha
Yug Kushwaha
Daughter
Father
Mother
Father
Mother
Father
Mother
Spouse
Mother
Father
Mother
Spouse
Son
Spouse
Son
Father
Mother
Spouse
Son
Son
Father
10/03/1995
14/04/2018
05/03/1968
01/01/1970
05/10/1966
30/11/1971
27/02/1961
01/08/1969
25/07/1989
05/10/1950
10/07/1968
04/04/1970
27/07/1963
11/11/1995
11/09/1982
25/05/2012
13/04/1955
10/06/1961
03/05/1990
15/05/2014
18/03/2017
23
0
50
49
52
47
57
49
29
68
50
48
55
23
36
6
63
57
28
4
1
Female
Female
Male
Female
Male
Female
Male
Female
Female
Female
Male
Female
Female
Male
Female
Male
Male
Female
Female
Male
Male
425
426
427
428
429
430
431
Prakhar Srivastava
Sambhav Jain
Ayush Gaur
Manoj Kumar
Arnab Kumar Biswas
Ashutosh Khare
Yogesh Kumar
Employee
Employee
Employee
Employee
Employee
Employee
Employee
05/12/1995
05/02/1992
05/02/1985
13/04/1994
11/01/1965
06/08/1983
21/07/1987
23
27
34
24
54
35
31
Male
Male
Male
Male
Male
Male
Male
2190
2192
2201
2225
2232
2236
2254
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
500000
300000
250000
2
2
2
2
2
4
5
107629551900042500
107629551900042600
107629551900042700
107629551900042800
107629551900042900
107629551900043000
107629551900043100
Age in Mths
2
0
0
10
1
6
7
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
11
10
11
1
4
2
11
6
7
4
7
10
6
3
5
9
10
8
9
9
11
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900042402
107629551900042403
107629551900042404
107629551900042501
107629551900042502
107629551900042601
107629551900042602
107629551900042701
107629551900042702
107629551900042801
107629551900042802
107629551900042901
107629551900042902
107629551900043001
107629551900043002
107629551900043003
107629551900043004
107629551900043101
107629551900043102
107629551900043103
107629551900043104
OFFICER
ASSISTANT MANAGER
DEPUTY MANAGER
EXECUTIVE
SENIOR VICE PRESIDENT
SENIOR MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Mool Chand
Raj Kumari
Akanksha Jain
Siya Jain
Om Prakash Jain
Maya Jain
Deeksha Mahajan
Puru Mahajan
Ashita Mahajan
Shashi Mahajan
Harsh Wardhan Bajpai
Aparna Bajpai
Dinesh Kumar
Raj Rani
S.K. Das
Jayanti Das
Harkesh Chand
Rumalo Devi
Meena Rani
Mother
Spouse
Daughter
Father
Mother
Spouse
Daughter
Daughter
Mother
Father
Mother
Father
Mother
Father
Mother
Father
Mother
Spouse
02/01/1955
12/09/1968
26/12/1990
10/01/2016
15/09/1963
08/02/1966
27/05/1976
11/09/2004
26/07/2013
20/04/1940
01/01/1952
23/11/1961
29/11/1956
18/01/1964
12/12/1952
04/04/1956
15/07/1956
01/01/1964
27/08/1990
64
50
28
3
55
53
42
14
5
78
67
57
62
55
66
62
62
55
28
Male
Female
Female
Female
Male
Female
Female
Female
Female
Female
Male
Female
Male
Female
Male
Female
Male
Female
Female
432
433
434
435
436
437
438
439
Pankaj Jain
Munish Mahajan
Amitesh Bajpai
Jatin Gemini
Shatadru Sekhar Das
Pintu Saini
Vimal Chaudhary
Abha Gupta
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
15/12/1987
12/05/1972
01/09/1992
06/02/1991
04/02/1980
04/03/1993
18/08/1988
09/01/1984
31
46
26
28
39
25
30
35
Male
Male
Male
Male
Male
Male
Male
Female
2274
2278
2279
2280
2281
2287
2288
2299
Others
Others
Others
Others
Others
Others
Others
Others
250000
500000
250000
250000
250000
250000
250000
300000
4
4
2
2
2
2
1
3
107629551900043200
107629551900043300
107629551900043400
107629551900043500
107629551900043600
107629551900043700
107629551900043800
107629551900043900
Age in Mths
2
9
5
0
0
11
6
1
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
5
2
1
5
0
8
5
6
10
1
3
2
1
2
10
7
1
5
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900043105
107629551900043201
107629551900043202
107629551900043203
107629551900043204
107629551900043301
107629551900043302
107629551900043303
107629551900043304
107629551900043401
107629551900043402
107629551900043501
107629551900043502
107629551900043601
107629551900043602
107629551900043701
107629551900043702
107629551900043801
DEPUTY MANAGER
GENERAL MANAGER
ASSISTANT MANAGER
OFFICER
MANAGER
ASSISTANT MANAGER
MANAGER
SENIOR MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Asim Gupta
Angel Gupta
Alisha Gupta
Chaman Lal
Kamlesh Kumari
Paramita
Ayushi
P.K. Banerjee
Rita Banerjee
Vinesh Choudhary
Nipun Choudhary
Saksham Choudhary
Sohan Veer Singh
Santosh Devi
Dinesh Kumar Singhal
Saroj Singhal
Laxmikant Tyagi
Aabha Tyagi
Vidya Harsha Kanak
Anvit Harsha Kanak
Ramachandra LaxminarayanKanak
Sharada Kanak
Spouse
Daughter
Daughter
Father
Mother
Spouse
Daughter
Father
Mother
Spouse
Son
Son
Father
Mother
Father
Mother
Father
Mother
Spouse
Son
Father
Mother
10/01/1985
08/06/2010
25/06/2014
04/12/1943
07/05/1968
03/11/1986
09/09/2018
07/01/1950
28/12/1940
12/01/1979
04/12/2002
20/02/2008
22/01/1950
01/01/1955
07/11/1962
09/01/1970
08/07/1974
03/05/1969
15/10/1979
28/02/2013
17/08/1949
29/09/1958
34
8
4
75
50
32
0
69
78
40
16
11
69
64
56
49
44
49
39
5
69
60
Male
Female
Female
Male
Female
Female
Female
Male
Female
Female
Male
Male
Male
Female
Male
Female
Male
Female
Female
Male
Male
Female
440
441
442
443
444
445
446
Sahil Chawla
Aniruddha Banerjee
Praveen Choudhary
Aakash Singhal
Gaurav Kumar
Harsha Ramachandra Kanak
Ankur Dixit
Employee
Employee
Employee
Employee
Employee
Employee
Employee
17/10/1991
16/05/1975
06/04/1977
16/06/1992
04/03/1994
21/07/1978
19/11/1991
27
43
41
26
24
40
27
Male
Male
Male
Male
Male
Male
Male
2300
2310
2314
2336
2338
2339
2353
Others
Others
Others
Others
Others
Others
Others
250000
300000
250000
250000
250000
300000
250000
2
4
5
2
2
4
2
107629551900044000
107629551900044100
107629551900044200
107629551900044300
107629551900044400
107629551900044500
107629551900044600
Age in Mths
4
9
10
8
11
7
3
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
8
8
2
9
3
5
1
1
1
2
0
1
1
3
1
7
9
4
11
6
4
ID No
ID No
ID No
ID No
ID No
ID No
107629551900043901
107629551900043902
107629551900043903
107629551900044001
107629551900044002
107629551900044101
107629551900044102
107629551900044103
107629551900044104
107629551900044201
107629551900044202
107629551900044203
107629551900044204
107629551900044205
107629551900044301
107629551900044302
107629551900044401
107629551900044402
107629551900044501
107629551900044502
107629551900044503
107629551900044504
ASSISTANT MANAGER
ASSISTANT GENERAL MANAGER
DEPUTY MANAGER
ASSISTANT MANAGER
OFFICER
ASSISTANT GENERAL MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Asha Dixit
A.P. Dixit
Jai Singh Ratnu
Meena Ratnu
Cheena Lalit
Raghunath Dhingra
Neelam Rani
Mithilesh Sharma
Meena Kumari Sharma
Sarita Sati
Saanvi Sati
Mohani Devi
Charanjit Singh
Jasmeet Kaur
Darshan Lal
Krishna
Monali Vinod Raut
Mother
Father
Father
Mother
Spouse
Father
Mother
Father
Mother
Spouse
Daughter
Mother
Father
Mother
Father
Mother
Spouse
Son
02/01/1960
01/07/1956
05/08/1958
24/09/1963
25/09/1991
01/01/1963
01/01/1965
21/02/1962
13/10/1967
28/06/1990
19/08/2016
01/01/1953
12/12/1959
31/08/1963
04/03/1954
31/10/1960
29/07/1985
59
62
60
55
27
56
54
57
51
28
2
66
59
55
64
58
33
Female
Male
Male
Female
Female
Male
Female
Male
Female
Female
Female
Female
Male
Female
Male
Female
Female
447
448
449
450
451
452
453
454
Pooja Ratnu
Virender Kumar
Pranshu Dhingra
Manish Kumar
Dinesh Chandra
Ramanjit Singh
Gaurav Kumar
Vinod Govindrao Raut
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
24/10/1993
07/10/1984
16/05/1989
28/05/1988
28/06/1984
23/06/1990
06/05/1988
07/11/1977
25
34
29
30
34
28
30
41
Female
Male
Male
Male
Male
Male
Male
Male
2354
2355
2356
2357
2358
2359
2393
2403
Others
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
250000
2
0
3
2
3
2
2
4
107629551900044700
107629551900044800
107629551900044900
107629551900045000
107629551900045100
107629551900045200
107629551900045300
107629551900045400
Age in Mths
4
4
9
8
7
8
9
3
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
1
7
6
5
5
1
1
0
4
7
6
1
2
5
11
3
6
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900044601
107629551900044602
107629551900044701
107629551900044702
107629551900044901
107629551900044902
107629551900044903
107629551900045001
107629551900045002
107629551900045101
107629551900045102
107629551900045103
107629551900045201
107629551900045202
107629551900045301
107629551900045302
107629551900045401
107629551900045402
EXECUTIVE
EXECUTIVE
DEPUTY MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
ASSISTANT MANAGER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Dependant Details
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
Relationship
DOB
DOB
DOB
DOB
DOB
DOB
DOB
DOB
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Age in Yrs
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Sex
Soham Vinod Raut
Govind Mahadev Raut
Lilabai Govind Raut
Sapan Kumar Chanda
Smriti Chanda
Anil Kumar Verma
Ramesh Chander
Veena Setia
Premalatha Ramaswamy
Pan Singh
Pratima Devi
Shivdutt
Yashviri
Naseem Raja Mansoori
Tahera Begum
Madhu Kumari
Bhavya Shree
Dayanand Chaudhary
Rita Devi
Father
Mother
Father
Mother
Father
Father
Mother
Mother
Father
Mother
Father
Mother
Father
Mother
Spouse
Daughter
Father
Mother
10/06/2014
25/09/1949
11/07/1954
21/05/1958
07/05/1960
31/01/1956
04/01/1949
18/05/1956
18/08/1960
10/09/1971
01/01/1975
01/01/1963
01/01/1956
02/10/1952
12/06/1965
10/12/1993
29/07/2015
01/01/1960
01/01/1961
4
69
64
60
58
63
70
62
58
47
44
56
63
66
53
25
3
59
58
Male
Male
Female
Male
Female
Male
Male
Female
Female
Male
Female
Male
Female
Male
Female
Female
Female
Male
Female
455
456
457
458
459
460
461
462
Ishan Chanda
Rishabh Verma
Deepak Kumar
Arvind Manickam
Harish Singh
Sachin
Shamim Raja Mansoori
Anand Kumar Chaudhary
Employee
Employee
Employee
Employee
Employee
Employee
Employee
Employee
03/08/1987
24/01/1994
10/08/1990
26/06/1992
19/04/1992
05/05/1992
05/01/1989
20/05/1988
31
25
28
26
26
26
30
30
Male
Male
Male
Male
Male
Male
Male
Male
2410
2413
2414
2416
1520
1757
1097
1667
Others
Others
Others
Others
Others
Others
Others
Others
250000
250000
250000
250000
250000
250000
250000
250000
2
1
2
1
2
2
2
4
107629551900045500
107629551900045600
107629551900045700
107629551900045800
107629551900045900
107629551900046000
107629551900046100
107629551900046200
Age in Mths
6
1
6
8
10
9
1
9
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
Age in Mths
8
5
7
9
9
0
1
9
6
5
1
1
1
4
8
2
6
1
1
ID No
ID No
ID No
ID No
ID No
ID No
ID No
ID No
107629551900045403
107629551900045404
107629551900045501
107629551900045502
107629551900045601
107629551900045701
107629551900045702
107629551900045801
107629551900045901
107629551900045902
107629551900046001
107629551900046002
107629551900046101
107629551900046102
107629551900046201
107629551900046202
107629551900046203
107629551900046204
DEPUTY MANAGER
EXECUTIVE
ASSISTANT MANAGER
ASSISTANT MANAGER
SENIOR ASSISTANT
ASSISTANT OFFICER
ASSISTANT OFFICER
ASSISTANT OFFICER
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Remarks
Attached to and forming part of Policy P/161130/01/2019/046645
S.No Name of Employee Relationship DOB Age in Yrs ID No Emp IdSex Occupation Floater SI NoDep.
Dependant Details Relationship DOB Age in Yrs Sex
Harinder Rekhi Spouse 21/06/1968 50 Female
463 I. S. Rekhi Employee 09/08/1962 56 Male C-2282 Others 500000 1107629551900046300
Age in Mths
6
Age in Mths
8
ID No
107629551900046301
SENIOR CONSULTANT
due.The insured will have the option of migrating to any other similar health insurance policy offered by the Company at the relevant time.Continuity of benefits for waiting period and bonus, if any and if applicable, will be given provided the insured had been renewing the policywithout any break (or renewing within the grace period offered)
Remarks
Remarks
In witness whereof the undersigned being authorised by and on behalf of the company has / have herein to set his/ their hands at Branch Office - Gurgaon III on 22nd Day of February 2019 .
Policy Wordings
The declaration and other documents if any shall be the basis of this Contract and is deemed to beincorporated herein.
In consideration of the premium paid, subject to the terms, conditions, exclusions and definitions containedherein the Company agrees as under.
That if during the period stated in the Schedule the insured person shall contract any disease or suffer fromany illness or sustain bodily injury through accident and if such disease or injury shall require the insuredPerson/s, upon the advice of a duly Qualified Physician/Medical Specialist /Medical Practitioner or of dulyQualified Surgeon to incur Hospitalization expenses for medical/surgical treatment at any Nursing Home /Hospital in India as an in-patient, the Company will pay to the Insured Person/s the amount of suchexpenses as are reasonably and necessarily incurred up-to the limits mentioned in the schedule but notexceeding the sum insured stated in the schedule hereto.
1.COVERAGE
A)Room, boarding, nursing expenses as provided by the Hospital / Nursing Home up to the limits mentionedin the scheduleB)Surgeon, Anesthetist, Medical Practitioner, Consultants, Specialist Fees.C)Anesthesia, blood, oxygen, operation theatre charges, surgical appliances, medicines and drugs,diagnostic materials and X-ray, diagnostic imaging modalities, dialysis, chemotherapy, radiotherapy, cost ofpacemaker, stent and similar expenses D)Emergency ambulance charges up to the limits mentioned in the schedule for transportation of the insuredperson by private ambulance service when this is needed for medical reasons to go to hospital for treatment,provided however there is an admissible claim under the policy.E)Relevant Pre-Hospitalization and Post-Hospitalization medical expenses up to the limits mentioned in thescheduleF)AYUSH Treatment: Expenses incurred on treatment under Ayurveda, Unani, Sidha and Homeopathysystems of medicines in a Government Hospital or in any institute recognized by the government and/oraccredited by the Quality Council of India/National Accreditation Board on Health up to 25% of the suminsured subject to a maximum of Rs.25,000/- per policy period.
Expenses on Hospitalization are payable provided the hospitalization is for minimum period of 24 hours.However this time limit will not apply for the day care treatments / procedures taken in the Hospital / NursingHome where the Insured is discharged on the same day. The company's liability for specified ailment /surgical procedure is up to the limits mentioned in the schedule.
Exenses relating to hospitalization will be considered in proportion to the room rent stated in thepolicy schedule.
Co-payment: Claims payable subject to copayment as stated in the schedule
Star Group Health Insurance Unique id : SHAHLGP19028V011819
Policy Clause
2. DEFINITIONS
Accident / Accidental - means a sudden unforeseen and involuntary event caused by external, visible andviolent means.
Any One Illness means continuous period of illness and it includes relapse within 45 days from the date of last
Policy Wordings
consultation with the Hospital/Nursing Home where treatment has been taken. Occurrence of the same illnessafter a lapse of 45 days as stated above will be considered as fresh illness for the purpose of this policy.
AYUSH Treatment refers to the medical and / or hospitalization treatments given under 'Ayurveda, Yoga andNaturopathy, Unani, Siddha and Homeopathy systems.
Condition Precedent means the policy term or condition upon which the insurer's liability under the policy isconditional upon.
Congenital Anomaly: means a condition which is present since birth, and which is abnormal with reference toform, structure or position. a) Internal Congenital Anomaly : Congenital anomaly which is not in the visible and accessible parts of thebody. b) External Congenital Anomaly : Congenital anomaly which is in the visible and accessible parts of the body
Co-payment is a cost-sharing requirement under a health insurance policy that provides that the policyholder/insured will bear a specified percentage of the admissible claim amount. A Co-payment does not reducethe Sum Insured.
Company means Star Health and Allied Insurance Company Limited
Day Care treatment means medical treatment and/or surgical procedure which is :- a. Undertaken under general or local anesthesia in a hospital/day care centre in less than 24 hrs because oftechnological advancement and b. Which would have otherwise required a hospitalization of more than 24 hours Treatment normally taken on an out-patient basis is not included in the scope of this definition.
Day Care Centre means any institution established for day care treatment of illness and / or injuries or amedical set up within a hospital and which has been registered with the local authorities, wherever applicable,and is under the supervision of a registered and qualified medical practitioner and must comply with all minimumcriteria as under I. has qualified nursing staff under its employment ; II. has qualified medical practitioner (s) in charge ; III. has a fully equipped operation theatre of its own where surgical procedures are carried out IV. maintains daily records of patients and will make these accessible to the Insurance company's authorizedpersonnel.
Dental Treatment means a treatment carried out by a dental practitioner including examinations, fillings (whereappropriate), crowns, extractions and surgery excluding any form of cosmetic surgery/implants.
Dependent Child means a child (natural or legally adopted) who is financially dependent and does not havehis or her independent source of income and not over 30 years
Diagnosis means Diagnosis by a registered medical practitioner, supported by clinical, radiological andhistological, histo-pathological and laboratory evidence and also surgical evidence wherever applicable,acceptable to the Company.
Disclosure to information norm means the policy shall be void and all premium paid hereon shall forfeited to
Policy Wordings
the Company, in the event of mis-representation, mis description or non disclosure of any material fact
Group Administrator / Proposer means the person/organization who has signed in the proposal form /declaration form and named in the Policy Schedule. He may or may not be insured under the policy
Hospitalization means admission in a Hospital for a minimum period of 24 consecutive 'In-patient Care' hoursexcept for specified procedures/ treatments, where such admission could be for a period of less than 24consecutive hours.
Hospital/Nursing Home means any institution established for in-patient care and day care treatment of illnessand/or injuries and which has been registered as a hospital with the local authorities under the ClinicalEstablishments (Registration and Regulation) Act, 2010 or under the enactments specified under the Scheduleof Section 56(1) of the said Act OR complies with all minimum criteria as under: -Has qualified nursing staff under its employment round the clock; -Has at least 10 in-patient beds in towns having a population of less than 10,00,000 and at least 15 in-patient beds in all other places; -Has qualified medical practitioner(s) in charge round the clock. -Has a fully equipped operation theatre of its own where surgical procedures are carried out; -Maintains daily records of patients and makes these accessible to the insurance company's authorizedpersonnel.
In-Patient means an Insured Person who is admitted to Hospital and stays there for a minimum period of 24hours for the sole purpose of receiving treatment.
Illness means a sickness or a disease or pathological condition leading to the impairment of normalphysiological function and requires medical treatment.
a) Acute condition - Acute condition is a disease, illness or injury that is likely to respond quickly to treatmentwhich aims to return the person to his or her state of health immediately before suffering the disease/ illness/injury which leads to full recovery
b) Chronic condition - A chronic condition is defined as a disease, illness, or injury that has one or more ofthe following characteristics:
1. it needs ongoing or long-term monitoring through consultations, examinations, check-ups, and /or tests 2. it needs ongoing or long-term control or relief of symptoms 3. it requires rehabilitation for the patient or for the patient to be specially trained to cope with it 4. it continues indefinitely 5. it recurs or is likely to recur
Injury means accidental physical bodily harm excluding illness or disease solely and directly caused byexternal, violent, visible and evident means which is verified and certified by a Medical Practitioner.
Insured Person means the name/s of persons shown in the schedule of the Policy
Intensive Care Unit means an identified section, ward or wing of a hospital which is under the constantsupervision of a dedicated medical practitioner(s), and which is specially equipped for the continuous monitoringand treatment of patients who are in a critical condition, or require life support facilities and where the level of
Policy Wordings
care and supervision is considerably more sophisticated and intensive than in the ordinary and other wards
Medically Necessary means any treatment, tests, medication, or stay in hospital or part of a stay in hospitalwhich- is required for the medical management of the illness or injury suffered by the insured;- must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration, or intensity;- must have been prescribed by a medical practitioner;- must conform to the professional standards widely accepted in international medical practice or by the medical community in India
Maternity expense shall include a) Medical Expenses traceable to child birth (including complicated deliveriesand caesarean sections) incurred during Hospitalization b) expenses towards the lawful medical termination ofpregnancy during the Policy Period.
Medical Practitioner is a person who holds a valid registration from the Medical Council of any State or MedicalCouncil of India or Council for Indian Medicine or for Homeopathy set up by the Government of India or a StateGovernment and is there by entitled to practice medicine within its jurisdiction; and is acting within the scopeand jurisdiction of licence.
Network Hospital means hospitals or health care providers enlisted by an insurer, TPA or jointly by an insurerand TPA to provide medical services to an insured by a cashless facility
Non Network Hospital means any hospital, day care centre or other provider that is not part of the network
Notification of claim means the process of intimating a claim to the insurer or TPA through any of therecognized modes of communication.
Newborn baby means baby born during the Policy Period and is aged between 1 day and 90 days, both daysinclusive.
Out-patient treatment is one in which the Insured visits a clinic/hospital or associated facility like a consultationroom for diagnosis and treatment based on the advice of a medial practitioner. The insured is not admitted as aday care or in-patient.
Pre-Existing Disease means ailment or injury or related condition(s) for which the insured person had signs orsymptoms and/or was diagnosed and/or received medical advice /treatment within 48 months prior to insuredperson's first policy with the Company.
Pre Hospitalization means Medical Expenses incurred immediately before the Insured Person is Hospitalised,provided that :
a.Such Medical Expenses are incurred for the same condition for which the Insured Person's Hospitalizationwas required, and b.The In-patient Hospitalization claim for such Hospitalization is admissible by the Insurance Company
Post Hospitalization means Medical Expenses incurred immediately after the insured person is dischargedfrom the hospital provided that:
Policy Wordings
3. EXCLUSIONS
The Company shall not be liable to make any payments under this policy in respect of any expenses what soever incurred by the insured person in connection with or in respect of:1. Any disease contracted by the insured person during the first 30 days from the commencement date of thepolicy.
2. During the first year of operation of the Insurance cover, the expenses on treatments (conservative,interventional, laparoscopic and open) related to Hepato-pancreato-biliary diseases including Gall bladder andPancreatic calculi, all types of management for kidney and genitourinary tract calculi., all Diseases of Prostate,all types of Hernia,, Hydrocele, Congenital Internal disease/defect anomalies (Except to the extent coveredunder Newborn Baby Cover if specifically opted) Pilonidal sinus and Fistula / Fissure in ano, Piles, Sinusitisand related disorders, If these are Pre-Existing at the time of proposal they will be covered subject to exclusionnumber 4 mentioned below.
3. During the first two years of continuous operation of Insurance Policy, any expenses on
a) Cataract and diseases of the anterior and posterior chamber of the Eye, Diseases of ENT, Diseases related
a.Such Medical Expenses are incurred for the same condition for which the insured person's hospitalizationwas required and b.The inpatient hospitalization claim for such hospitalization is admissible by the insurance company.
Qualified Nurse means a person who holds a valid registration from the Nursing Council of India or theNursing Council of any state in India
Reasonable and Customary charges means the charges for services or supplies, which are the standardcharges for the specific provider and consistent with the prevailing charges in the geographical area for identicalor similar services, taking into account the nature of the illness / injury involved
Room Rent means the amount charged by a Hospital towards Room and Boarding expenses and shall includethe associated medical expenses.
Single Standard A/C means a single occupancy air-conditioned room with attached wash room and a couchfor the attendant. The room may have a television and /or a telephone. Such room must be the most economicalof all accommodations available in that hospital as single occupancy. This does not include Deluxe room or asuite
Sum Insured wherever it appears shall mean the amount of insurance for which the premium has been paid.Where coverage is on individual basis / family floater basis the sum insured is the amount shown against eachindividual / family unit respectively
Surgery/Surgical Operation means manual and / or operative procedure (s) required for treatment of an illnessor injury, correction of deformities and defects, diagnosis and cure of diseases, relief of suffering or prolongationof life, performed in a hospital or day care centre by a medical practitioner.
Unproven/Experimental treatment is treatment, including drug Experimental therapy, which is based onestablished medical practice in India, is treatment experimental or unproven
Policy Wordings
to Thyroid, Prolapse of intervertebral disc (other than caused by accident), Varicose veins and Varicose ulcers,all Stricture Urethra, all Obstructive Uropathies, Epididymal Cyst, Benign Tumours of Epididymis,Spermatocele, Varicocele, Hemorrhoids, Rectal Prolapse, Stress Incontinence.
b) Desmoid tumour of anterior abdominal wall.
c) All treatments (conservative, interventional, laparoscopic and open) related to all Diseases of Uterus,Fallopian tubes, Cervix and Ovaries, Uterine bleeding, Pelvic Inflammatory Diseases, Benign breast diseases,Umbilical sinus, Umbilical fistula.
d) Conservative, operative treatment and all types of intervention for Diseases related to Tendon, Ligament,Fascia, Bones and Joint Including Arthroscopy and Arthroplasty [other than caused by accident]
e) Degenerative disc and Vertebral diseases including Replacement of bones and joints and Degenerativediseases of the Musculo-skeletal system
f) Subcutaneous Benign lumps, Sebaceous cyst, Dermoid cyst, Mucous cyst lip / cheek, Carpal tunnelsyndrome, Trigger finger, Lipoma , Neurofibroma, Fibroadenoma, Ganglion and similar pathology
g) Any transplant and related surgery
Note : If these are pre-existing at the time of proposal, the will be covered subject to exclusion number 4mentioned below
4. Pre Existing Diseases as defined in the policy until 48 consecutive months of continuous coverage haveelapsed under this Group Health Insurance policy since inception of the first policy with the Company.
Note : In the event of this Star Group Health Insurance Policy not being renewed or when the Individualmember of the group leaves the group on account of resignation / retirement / termination or otherwise, suchindividual member has the option to migrate to any individual health insurance policy on indemnity basis offeredby the Company. In such an event the continuity of benefits with respect to waiting periods under exclusions 1,2, 3 and 4 will be given in the individual health insurance policy according to the number of years coveredcontinuously under this Star Group Health Insurance
5. Circumcision, Preputioplasty, Frenuloplasty, Preputial Dilatation and Removal of SMEGMA, Inoculation or Vaccination(except for post-bite treatment and for medical treatment other than for prevention of diseases)
6. Congenital External diseases/condition defects or anomalies
7. Dental treatment or surgery unless necessitated due to accidental injuries and requiring hospitalization.(Dental implants are not payable)
8. Convalescence, general debility, run-down condition or rest cure, Nutritional deficiency states, Psychiatric,mental and behavioral disorders, Venereal disease and Sexually transmitted diseases, intentional self injuryand use of intoxicating drugs / alcohol, smoking and tobacco chewing
9. Injury/disease directly or indirectly caused by or arising from or attributable to war, invasion, act of foreignenemy, warlike operations (whether war be declared or not)
Policy Wordings
10. Injury or disease directly or indirectly caused by or contributed to by nuclear weapons/materials
11. All expenses arising out of any condition directly or indirectly caused due to or associated with Human T-cell Lympho Trophic Virus type III (HTLV-III) or Lymphadenopathy Associated Virus (LAV) or the MutantsDerivative or Variations Deficiency Syndrome or any Syndrome or condition of a similar kind commonly referredto as AIDS. It is however made clear that such of those who are positive for HIV (Human Immuno DeficiencyVirus) would be entitled for expenses incurred for treatment, other than for opportunistic infections and fortreatment of HIV/AIDS, provided at the time of first commencement of insurance under this policy, their CD4count is not less than 350.
12. Treatment arising from or traceable to pregnancy, childbirth, miscarriage, abortion or complications of anyof these (other than ectopic pregnancy), family planning treatment and all types of treatment for infertility and itscomplications thereof.
13. Expenses incurred on weight control services including surgical procedures for treatment of obesity,medical treatment for weight control, treatment for genetic and endocrine disorders, treatment for sleep apnea
14. Expenses incurred on High Intensity Focused Ultra Sound, Uterine fibroid embolisation, Balloon Sinoplasty,Enhanced External Counter Pulsation Therapy and related therapies, Chelation therapy, Deep BrainStimulation, Hyperbaric Oxygen Therapy, Rotational Field Quantum Magnetic Resonance Therapy, VAX-D,Low level laser therapy, Photodynamic therapy and such other therapies similar to those mentioned hereinunder exclusion no14
15. Expenses incurred on Lasik Laser or Refractive Error Correction and its complications all treatment fordisorders of eye requiring intra-vitreal injections and related procedures.
16. Charges incurred at Hospital or Nursing Home primarily for diagnostic, Radiology or laboratory Tests notconsistent with or incidental to the diagnosis and treatment of the positive existence or presence of any ailment,sickness or injury, for which confinement is required at hospital/nursing home.
17. Expenses on vitamins and tonics unless forming part of treatment for injury or disease as certified by theattending Physician.
18. Naturopathy Treatment, unconventional, untested, unproven, experimental therapies.
19. Stem cell Therapy, Chondrocyte Implantation, Procedures using Platelet Rich plasma and Intra articularinjection therapy. Immunotherapy without proper indication.
20. Oral Chemotherapy, Immuno therapy and Biologicals, except when administered as an in-patient, whenclinically indicated and hospitalization warranted.
21. Hospital registration charges, admission charges, record charges, telephone charges and such othercharges
22. Change of sex or cosmetic or aesthetic treatment of any description, plastic surgery (other than asnecessitated due to an accident or as a part of any illness), all treatment for erectile dysfunctions.
23. Cost of spectacles and contact lens, hearing aids, Cochlear implants and procedures, walkers and
Policy Wordings
crutches, wheel chairs, CPAP, BIPAP, Continuous Ambulatory Peritoneal Dialysis, infusion pump and suchother similar aids.
24. Other expenses as detailed under "Other Excluded Expenses"
4. CONDITIONS:
1. The premium payable under this policy shall be payable in advance. No receipt of premium shall be validexcept acknowledged on the official form of the company signed by a duly authorized official of the company.The due payment of premium and the observance of fulfillment of the terms, provision, conditions andendorsements of this policy by the Insured Person/s, in so far as they relate to anything to be done orcomplied with by the Insured Person/s, shall be a condition precedent to any liability of the Company to makeany payment under this policy. No waiver of any terms, provisions, conditions, and endorsements of this policyshall be valid unless made in writing and signed by an authorized official of the Company.
2. Upon the happening of any event, which may give rise to a claim under this policy, notice with fullparticulars shall be sent to the Company within 24 hours from the date of occurrence of the event.
3. Claim must be filed within 15 days from the date of discharge from the Hospital. Note: Conditions 2 & 3 are precedent to admission of liability under the policy. However the Companywill examine and relax the time limit mentioned in these conditions depending upon the merits of thecase.
4. The Insured Person shall obtain and furnish the Company with all original bills, receipts and otherdocuments upon which a claim is based and shall also give the Company such additional information andassistance as the Company may require in dealing with the claim
Documents to be submitted in support of claim are - For Reimbursement claims:a. Duly completed claim form, andb. Pre Admission investigations and treatment papers.c. Discharge Summary from the hospital in originald. Cash receipts from hospital, chemistse. Cash receipts and reports for tests done f. Receipts from doctors, surgeons, anaesthetistg. Certificate from the attending doctor regarding the diagnosis.
Claims of Out Patient Consultations / treatments (wherever applicable) will be settled on a reimbursementbasis on production of cash receipts in original and supporting medical records.
For Cashless Treatment:a. Call the 24 hour help-line for assistance - 1800 425 2255b. Inform the ID number for easy referencec. On admission in the hospital, produce the ID Card issued by the Company at the Hospital Helpdeskd. Obtain the Pre-authorisation Form from the Hospital Help Desk, complete the Patient Information andresubmit to the Hospital Help Desk. e. The Treating Doctor will complete the hospitalisation/ treatment information and the hospital will fill upexpected cost of treatment.f. This form is submitted to the Company
Policy Wordings
g. The Company will process the request and call for additional documents/ clarifications if the informationfurnished is inadequate.h. Once all the details are furnished, the Company will process the request as per the terms and conditions aswell as the exclusions therein and either approve or reject the request based on the merits.i. In case of emergency hospitalization information to be given within 24 hours of hospitalizationj. Cashless facility can be availed only in networked Hospitalsk. In non-network hospitals payment must be made up-front and then reimbursement will be effected onsubmission of documents Note: The Company reserves the right to call for additional documents wherever required.
Please note that denial of a Pre-authorization request is in no way to be construed as denial of treatment ordenial of coverage. The Insured Person can go ahead with the treatment, settle the hospital bills and submitthe claim for a possible reimbursement.
The Company shall pay interest as per Insurance Regulatory and Development Authority of India (Protectionof Policyholders' Interests) Regulations, 2017, in case of delay in payment of an admitted claim under thePolicy.
5.Any medical practitioner authorized by the company shall be allowed to examine the Insured Person/s incase of any alleged injury or diseases requiring hospitalization when and as often as the same mayreasonably be required on behalf of the Company at the Company's cost.
6.The Company shall not be liable to make any payment under the policy in respect of any claim if such claimis in any manner fraudulent or supported by any fraudulent means or device, misrepresentation /nondisclosure at the time of proposal / at the time of claim, whether by the Insured Person/s or by any otherperson acting on his behalf.
7.Renewal: The policy may be renewed subject to mutual consent and mutually agreed terms and conditions.The Company, however, shall not be bound to give notice that the policy is due for renewal.
8.Cancellation: The Company may cancel this policy on grounds of misrepresentation, fraud, Moral Hazard,non disclosure of material fact as declared at the inception of the policy / at the time of claim, or non-co-operation by the proposer / group administrator, by sending the proposer / group administrator 30 days noticeby registered letter to its last known address. Where the misrepresentation, fraud, moral hazard, nondisclosure either at inception or at the time of claim is by the insured person , then the insurance cover inrespect of such insured person will cease immediately. The proposer / group administrator may at any timecancel this policy and in such event the Company shall allow refund only for those insured person / familywho have not made claim as on the date of cancellation, after retaining premium at Company's short periodrate only (table given below)
Policy Wordings
9. Automatic Termination: The insurance under this policy with respect to each relevant insured person /family shall terminate immediately on the earlier of the following events: 1.Upon the death of the Insured Person. This also means that in case of family floater policy, cover for theother surviving members of the family will continue, subject to other terms of the policy.
2.Upon exhaustion of the sum insured
10. Automatic Termination of Individual Certificate of Insurance. The Certificate of Insurance willterminate on the earliest of the following dates:The date of expiry of certificate of insurance orThe date the Insured Person is no longer eligible within the classification of Insured Person(s) described in thePolicy Schedule orThe Insured person ceases to be a resident of India orFrom the date the Certificate of Insurance is cancelled either by the Company or Insured Person(s)
11. Role of Group Administrator / ProposerThe Group administrator / Proposer shall play a facilitative role between the Insurer and the Insured Person.Such role includes 1) Furnish to the Company detailed list of Insured Person/s for preparation of Individual Certificate and IDcards
2) Distribute Individual Certificate and ID cards received from the Company. (However, where the Companyissues ID card / Individual Certificates in electronic form directly to the Insured Person/s this will not apply). 3) To facilitate Insured Person / s in availing all insurance related services including cashless facility whereverrequired.
4) If a member leaves the group as per group rules, group administrator should facilitate to provide option tomigrate to another policy at premium as applicable for such individual insurance. In such event :- a. Members who have been covered continuously for a period of one year under this Star Group HealthInsurance with the Company, 30 days waiting period and First year exclusions shall be waived. b. Members who have been covered continuously for a period of two years under this Star Group HealthInsurance with the Company, 30 days waiting period, First year exclusions and First two year exclusions / Firsttwo year waiting period shall be waived. c. In respect of members who have been covered continuously for a period a four years under this StarGroup Health Insurance with the Company, 30 days waiting period, First year, First two year exclusions, 48months waiting period with reference to Pre Existing diseases shall be waived.
PERIOD ON RISK RATE OF PREMIUM TO BE RETAINED
Exceeding one month and Up to three months
Exceeding three months and Up to six months
Exceeding six months and Up to nine months
Exceeding nine months
40% of annual premium
60% of annual premium
80% of annual premium
Full annual premium
Up to one-month 25% of annual premium
Policy Wordings
12. Arbitration If any dispute or difference shall arise as to the quantum to be paid under this policy (liabilitybeing otherwise admitted) such difference shall independently of all other questions be referred to the decisionof a sole arbitrator to be appointed in writing by the parties to the dispute/difference, or if they cannot agreeupon a single arbitrator within 30 days of any party invoking arbitration, the same shall be referred to a panelof three arbitrators, comprising of two arbitrators, one to be appointed by each of the parties to thedispute/difference and the third arbitrator to be appointed by such two arbitrators. Arbitration shall beconducted under and in accordance with the provisions of the Arbitration and Conciliation Act, 1996.
It is clearly agreed and understood that no difference or dispute shall be referable to arbitration, ashereinbefore provided, if the Company has disputed or not accepted liability under or in respect of this policy.
It is hereby expressly stipulated and declared that it shall be a condition precedent to any right of action or suitupon this policy that the award by such arbitrator/ arbitrators of the amount of the loss or damage shall be firstobtained.
It is also further expressly agreed and declared that if the Company shall disclaim liability to the Insured forany claim hereunder and such claim shall not, within three years from the date of such disclaimer have beenmade the subject matter of a suit in a Court of Law, then the claim shall for all purposes be deemed to havebeen abandoned and shall not thereafter be recoverable hereunder.
13. All claims under this policy shall be payable in Indian currency. All medical /surgical treatments under thispolicy shall have to be taken in India.
14. Important Note: a. Where the policy is on floater basis the sum insured and sub-limits float amongst family members covered b. The Policy Schedule, Certificate of Insurance and Endorsement are to be read together and any word orsuch meaning wherever it appears shall have the meaning as stated in the Act / Indian Laws. The SpecialConditions if any stated in the Schedule supersede these policy wordings. c. The terms conditions and exceptions that appear in the Policy or in any Endorsement are part of thecontract, must be complied with. Failure to comply may result in the claim being denied. d. The attention of the policy holder / Insured Person is drawn to our website www.starhealth.in for anti fraudpolicy of the company for necessary compliance by all stake holders
15. Policy disputes: Any dispute concerning the interpretation of the terms, conditions, limitations and/or exclusions containedherein is understood and agreed to by both the Insured and the Company to be subject to Indian Law.
16. NoticesAny notice, direction or instruction given under this policy shall be in writing and delivered by hand, post, orfacsimile/email to Star Health and Allied Insurance Company Limited, No 1, New Tank Street, Valluvar KottamHigh Road, Nungambakkam, Chennai-600034. Toll free no: 1800-425-2255 / 1800-102-4477 Email:[email protected]
Notice and instructions will be deemed served 7 days after posting or immediately upon receipt in the case ofhand delivery, facsimile or e-mail.
Policy Wordings
17. Customer Service If at any time the Insured Person requires any clarification or assistance, the insured may contact the offices ofthe Company at the address specified, during normal business hours
18. Grievances:In case the Insured Person is aggrieved in any way, the insured may contact the Company at the specifiedaddress, during normal business hours. Grievance Department, Star Health and Allied Insurance Company Limited, No 1, New Tank Street, ValluvarKottam High Road, Nungambakkam, Chennai - 600034. or Call 044-28243921 during normal businesshours. or Send e-mail to [email protected]
In the event of the following grievances:
a.any partial or total repudiation of claims by the Companyb.any dispute in regard to premium paid or payable in terms of the policy; c.any dispute on the legal construction of the policies in so far as such disputes relate to claims;d.delay in settlement of claims;e.non-issuance of any insurance document to customer after receipt of the premium
the insured person may approach the Insurance Ombudsman at the address given below, within whosejurisdiction the branch or office of Star Health and Allied Insurance Company Limited or the residentialaddress or place of the Insured Person is located
Policy Wordings
AHMEDABADOffice of the Insurance Ombudsman, 6th floor, Jeevan Prakash Building, Near S.V.College, Relief Road, Ahmedabad 380001, Tel 079-25501201-02-05-06. Email:[email protected] : www.ecoi.co.in
Gujarat, Dadra & Nagar Haveli, Daman and Diu
CONTACT DETAILS JURISDICTION
BENGALURUOffice of the Insurance Ombudsman, Jeevan Soudha Building, PID No.57-27-N-19, Ground Floor, 19/19, 24th Main Road,JP Nagar, 1st Phase, Bengaluru-560 078. Tel.:-080-26652048/26652049Email:[email protected]
Karnataka.
BHOPALOffie of the Insurance Ombudsman,Janak Vihar Complex, 2nd Floor, 6, MalviyaNagar, Opp.Airtel Office, Near New Market,Bhopal - 462 033. Tel.:- 0755-2769201/202Fax:- 0755-2769203Email:[email protected]
States of Madhya Pradesh and Chattisgarh.
BHUBANESHWAROffice of the Insurance Ombudsman,62, Forest park, Bhubneshwar - 751 009.Tel.:- 0674-2596461 / 2596455 Fax:- 0674-2596429Email:- [email protected]
State of Orissa.
CHANDIGARHOffice of the Insurance Ombudsman,S.C.O. No. 101, 102 & 103, 2nd Floor,Batra Building, Sector 17 - D, Chandigarh - 160017. Tel.:- 0172-2706196/ 2706468 Fax:- 0172-2708274Email:- [email protected]
States of Punjab, Haryana, Himachal Pradesh,Jammu & Kashmir and Union territory ofChandigarh.
List of Insurance Ombudsman
Policy Wordings
CHENNAIOffce of the Insurance Ombudsman,Fatima Akhtar Court, 4th Floor, 453, Anna Salai,Teynampet, CHENNAI - 600 018.Tel.:- 044-24333668 / 24335284Fax:- 044-24333664 Email:[email protected]
State of Tamil Nadu and Union Territories -Pondicherry Town and Karaikal (which are part ofUnion Territory of Pondicherry).
DELHIOffice of the Insurance Ombudsman,2/2 A, Universal Insurance Building, Asaf AliRoad, New Delhi - 110 002. Tel.:- 011-23239633/23237532Fax:- 011-23230858 Email:[email protected]
State of Delhi
ERNAKULAMOffice of the Insurance Ombudsman,2nd floor, Pulinat Building, Opp. CochinShipyard,M.G. Road, Ernakulum - 682 015. Tel.:- 0484-2358759/2359338 Fax:- 0484-2359336 Email:[email protected]
Kerala, Lakshadweep, Mahe-a part ofPondicherry
GUWAHATIOffice of the Insurance Ombudsman,'Jeevan Nivesh', 5th Floor, Nr. Panbazar overbridge, S.S. Road,Guwahati - 781001(ASSAM). Tel.:- 0361-2132204 / 2132205Fax:- 0361-2732937 Email:[email protected]
States of Assam, Meghalaya, Manipur, Mizoram,Arunachal Pradesh, Nagaland and Tripura.
HYDERABADOffice of the Insurance Ombudsman,6-2-46, 1st floor, "Moin Court" Lane Opp.Saleem Function Palace, A. C. Guards, Lakdi-Ka-Pool, Hyderabad - 500 004.Tel.:- 040-65504123/23312122 Fax:- 040-23376599Email:- [email protected]
States of Andhra Pradesh, Telangana and UnionTerritory of Yanam - a part of the Union Territoryof Pondicherry.
JAIPUROffice of the Insurance Ombudsman,Jeevan Nidhi-II Bldg., Ground Floor,
State of Rajasthan.
Policy Wordings
Bhawani Singh Marg, Jaipur - 302005.Tel.:- 0141-2740363 Email:[email protected]
KOLKATAOffice of the Insurance Ombudsman,Hindustan Building Annexe, 4th floor, 4, CRAvenue,Kolkata - 700 072. Tel.:- 033-22124339 /22124340Fax:- 033-22124341 Email:[email protected]
States of West Bengal, Bihar, Sikkim and UnionTerritories of Andaman and Nicobar Islands.
LUCKNOWOffice of the Insurance Ombudsman,6th Floor, Jeevan Bhawan,Phase-II, Nawal Kishore Road,Hazratganj,Lucknow-226 001.Tel.:- 0522-2231330 / 2231331Fax:- 0522-2231310.Email:- [email protected]
District of Uttar Pradesh: Lalitpur, Jhansi,Mahoba, Hamirpur, Banda, Chitrakoot, Allahabad,Mirzapur, Sonbhabdra, Fatehpur, Pratapgarh,Jaunpur, Varansi, Gazipur, Jalaun, Kanpur,Lucknow, Unnao, Sitapur, Lakhimpur, Bahraich,Barabanki, Raebareli, Sravasti, Gonda, Faizabad,Amethi, Kaushambi, Balrampur, Basti,Ambedkarnagar, Sulanpur, Maharajganj,Santkabirnagar, Azamgarh, Kaushinagar,Gorkhpur, Deoria, Mau, Chandauli, Ballia,Sidharathnagar.
MUMBAIOffice of the Insurance Ombudsman,3rd Floor, Jeevan Seva Annexe, S. V. Road,Santacruz (W),Mumbai - 400 054. Tel.:- 022-26106552/26106960Fax:- 022-26106052 Email:[email protected]
States of Goa, Mumbai Metropolitan Regionexcluding Navi Mumbai & Thane.
NOIDAOffice of the Insurance Ombudsman,Bhagwan Sahai Palace, 4th Floor, Main Road,Naya Bans, Sector-15, Distt: Gautam BudhNagar, U.P-201301Tel: 0120-2514250 / 2514252 / 2514253Email:- [email protected]
States of Uttaranchal and the following Districts ofUttar Pradesh:. Agra, Aligarh, Bagpat, Bareilly,Bijnor, Budaun, Bulandshehar, Etah, Kanooj,Mainpuri, Mathura, Meerut, Moradabad,Muzaffarnagar, Oraiyya, Pilibhit, Etawah,Farrukhabad, Firozabad, Gautam Budh Nagar,Ghaziabad, Hardoi, Shahjahanpur, Hapur, Shamli,Rampur, Kashganj, Sambhal, Amroha, Hathras,Kanshiramnagar, Saharanpur.
Policy Wordings
TOILETRIES/ COSMETICS/ PERSONAL COMFORT OR CONVENIENCE ITEMS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
HAIR REMOVAL CREAM
BABY CHARGES (UNLESSSPECIFIED/INDICATED)
BABY FOOD
BABY UTILITES CHARGES
BABY SET
BABY BOTTLES
BRUSH
COSY TOWEL
HAND WASH
MOISTURISER PASTE BRUSH
POWDER
RAZOR
SHOE COVER
BEAUTY SERVICES
BELTS/ BRACES
BUDS
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Payable
Not Payable
Not Payable
Essential and may be paid specifically for cases whohave undergone surgery of thoracic or lumbar spine
Not Payable
Sl.No. Other Excluded Expenses
PATNAOffice of the Insurance Ombudsman,1st Floor, Kalpana Arcade Building, Bazar SamitiRoad,Bahadurpur, Patna - 800 006.Tel:0612-2680952Email:- [email protected]
States of Bihar and Jharkhand.
PUNEOffice of the Insurance Ombudsman,Jeevan Darshan Building, 3rd Floor, CTS Nos.195 to 198,NC Kelkar Road, Narayan Peth, Pune - 411030Tel: 020 -41312555 Email:[email protected]
States of Maharashtra, Area of Navi Mumbai andThane excluding Mumbai Metropolitan Region.
Policy Wordings
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
BARBER CHARGES
CAPS
COLD PACK/HOT PACK
CARRY BAGS
CRADLE CHARGES
COMB
DISPOSABLES RAZORS CHARGES ( forsite preparations)
EAU-DE-COLOGNE / ROOMFRESHNERS
EYE PAD
EYE SHEILD
EMAIL / INTERNET CHARGES
FOOD CHARGES (OTHER THANPATIENTs DIET PROVIDED BYHOSPITAL)
FOOT COVER
GOWN
LEGGINGS
LAUNDRY CHARGES
MINERAL WATER
OIL CHARGES
SANITARY PAD
SLIPPERS
TELEPHONE CHARGES
TISSUE PAPER
TOOTH PASTE
TOOTH BRUSH
GUEST SERVICES
BED PAN
BED UNDER PAD CHARGES
CAMERA COVER
CLINIPLAST
CREPE BANDAGE
CURAPORE
DIAPER OF ANY TYPE
DVD, CD CHARGES
EYELET COLLAR
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Essential in bariatric and varicose vein surgery andshould be considered for these conditions wheresurgery itself is payable.
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable/Payable by the patient
Not Payable
Not Payable
Not Payable (However if CD is specifically sought byInsurer/TPA then payable)
Not Payable
Policy Wordings
51
52
53
54
55
56
57
58
FACE MASK
FLEXI MASK
GAUSE SOFT
GAUZE
HAND HOLDER
HANSAPLAST/ ADHESIVE BANDAGES
INFANT FOOD
SLINGS
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Reasonable costs for one sling in case of upper armfractures should be considered
ITEMS SPECIFICALLY EXCLUDED IN THE POLICIES
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
WEIGHT CONTROL PROGRAMS/ SUPPLIES/SERVICES
COST OF SPECTACLES/ CONTACT LENSES/HEARING AIDS ETC.,
DENTAL TREATMENT EXPENSES THATDO NOT REQUIRE HOSPITALISATION
HORMONE REPLACEMENT THERAPY
HOME VISIT CHARGES
INFERTILITY/ SUBFERTILITY/ ASSISTEDCONCEPTION PROCEDURE
OBESITY (INCLUDING MORBID OBESITY)TREATMENT IF EXCLUDED IN POLICY
PSYCHIATRIC & PSYCHOSOMATICDISORDERS
CORRECTIVE SURGERY FOR REFRACTIVEERROR
TREATMENT OF SEXUALLYTRANSMITTED DISEASES
DONOR SCREENING CHARGES
ADMISSION/REGISTRATION CHARGES
HOSPITALISATION FOR EVALUATION/DIAGNOSTIC PURPOSE
EXPENSES FOR INVESTIGATION/TREATMENT IRRELEVANT TO THEDISEASE FOR WHICH ADMITTED ORDIAGNOSED
ANY EXPENSES WHEN THE PATIENT ISDIAGNOSED WITH RETRO VIRUS + ORSUFFERING FROM /HIV/ AIDS ETC ISDETECTED/ DIRECTLY OR INDIRECTLY
STEM CELL IMPLANTATION/ SURGERYand Storage
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable except to the extent provided underexclusion no.11
Not Payable except Bone Marrow Transplantationwhere covered by policy
ITEMS WHICH FORM PART OF HOSPITAL SERVICES WHERE SEPARATE CONSUMABLES ARE NOT PAYABLE BUTTHE SERVICE IS
Policy Wordings
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
WARD AND THEATRE BOOKINGCHARGESARTHROSCOPY & ENDOSCOPYINSTRUMENTSMICROSCOPE COVER
SURGICAL BLADES,HARMONICSCALPEL,SHAVERSURGICAL DRILL
EYE KIT
EYE DRAPE
X-RAY FILM
SPUTUM CUP
BOYLES APPARATUS CHARGES
BLOOD GROUPING AND CROSSMATCHING OF DONORS SAMPLESAntiseptic or disinfectant lotions
BAND AIDS, BANDAGES, STERLILEINJECTIONS, NEEDLES, SYRINGESCOTTON
COTTON BANDAGE
MICROPORE/ SURGICAL TAPE
BLADE
APRON
TORNIQUET
ORTHOBUNDLE, GYNAEC BUNDLE
URINE CONTAINER
Payable under OT Charges, not payable separately
Rental charged by the hospital payable. Purchase ofInstruments not payable.Payable under OT Charges, not separately.
Payable under OT Charges, not separately
Payable under OT Charges, not separately
Payable under OT Charges, not separately
Payable under OT Charges, not separately
Payable under Radiology Charges, not asconsumablePayable under Investigation charges, not asconsumablePart of OT charges, not separately
Part of Cost of Blood, not payable
Not Payable-Part of Dressing Charges
Not Payable-Part of Dressing Charges
Not Payable-Part of Dressing Charges
Not Payable-Part of Dressing Charges
Not Payable- Payable by the patient whenprescribed, otherwise included as Dressing ChargesNot Payable
Not Payable-Part of Hospital Services/Disposablelinen to be part of OT/ICU chargesNot Payable(service is charged by hospitals,consumables cannot be separately charged)Part of Dressing Charges
Not Payable
ELEMENTS OF ROOM CHARGE
96
97
98
99
100
101
102
103
104
LUXURY TAX
HVAC
HOUSE KEEPING CHARGES
SERVICE CHARGES WHERE NURSINGCHARGE ALSO CHARGED
TELEVISION & AIR CONDITIONERCHARGES
SURCHARGES
ATTENDANT CHARGES
IM IV INJECTION CHARGES
CLEAN SHEET
Actual tax levied by government is payable. Part ofroom charge for sub limits
Part of room charge not payable separately
Part of room charge not payable separately
Part of room charge not payable separately
Payable under room charges not if separately levied
Part of room charge not payable separately
Not Payable-Part of Room Charges
Part of nursing charges, not payable
Part of Laundry/Housekeeping not payable separately
Policy Wordings
105
106
EXTRA DIET OF PATIENT(OTHERTHAN THAT WHICH FORMS PART OFBED CHARGE)
BLANKET/WARMER BLANKET
Patient Diet provided by hospital is payable
Not payable-part of room charges
ADMINISTRATIVE OR NON-MEDICAL CHARGES
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
ADMISSION KIT
BIRTH CERTIFICATE
BLOOD RESERVATION CHARGESAND ANTE NATAL BOOKINGCHARGES
CERTIFICATE CHARGES
COURIER CHARGES
CONVENYANCE CHARGES
DIABETIC CHART CHARGES
DOCUMENTATION CHARGES /ADMINISTRATIVE EXPENSES
DISCHARGE PROCEDURE CHARGES
DAILY CHART CHARGES
ENTRANCE PASS / VISITORS PASSCHARGES
EXPENSES RELATED TOPRESCRIPTION ON DISCHARGE
FILE OPENING CHARGES
INCIDENTAL EXPENSES / MISC.CHARGES (NOT EXPLAINED)
MEDICAL CERTIFICATE
MAINTAINANCE CHARGES
MEDICAL RECORDS
PREPARATION CHARGES
PHOTOCOPIES CHARGES
PATIENT IDENTIFICATION BAND /NAME TAG
WASHING CHARGES
MEDICINE BOX
MORTUARY CHARGES
MEDICO LEGAL CASE CHARGES(MLC CHARGES)
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
To be claimed by patient under Post Hosp whereadmissible
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Payable upto 24 hrs, shifting charges not payable
Not Payable
EXTERNAL DURABLE DEVICES
131132133
WALKING AIDS CHARGESBIPAP MACHINECOMMODE
Not PayableNot PayableNot Payable
Policy Wordings
134135136
137138139140141142143144145146147148
149
150
151
152153154155
CPAP/ CAPD EQUIPMENTSINFUSION PUMP - COSTOXYGEN CYLINDER (FOR USAGEOUTSIDE THE HOSPITAL)PULSEOXYMETER CHARGESSPACERSPIROMETRESPO2 PROBENEBULIZER KITSTEAM INHALERARMSLINGTHERMOMETERCERVICAL COLLARSPLINTDIABETIC FOOT WEARKNEE BRACES ( LONG/ SHORT/HINGED)KNEE IMMOBILIZER/SHOULDERIMMOBILIZERLUMBO SACRAL BELT
NIMBUS BED OR WATER OR AIR BEDCHARGES
AMBULANCE COLLARAMBULANCE EQUIPMENTMICROSHEILDABDOMINAL BINDER
Device not PayableDevice not PayableNot Payable
Device not PayableNot PayableDevice not PayableNot PayableNot PayableNot PayableNot PayableNot Payable (paid by patient)Not PayableNot PayableNot PayableNot Payable
Not Payable
Essential and should be paid specifically for caseswho have undergone surgery of lumbar spine.Payable for any ICU patient requiring more than 3days in ICU, all patients with paraplegia/quadriplegiafor any reason and at reasonable cost ofapproximately Rs.200/dayNot PayableNot PayableNot PayableEssential and should be paid in post surgery patientsof major abdominal surgery including TAH, LSCS,incisional hernia repair, exploratory laparotomy forintestinal obstruction, liver transplant etc.
ITEMS PAYABLE IF SUPPORTED BY A PRESCRIPTION
156
157
158
159
160
BETADINE \ HYDROGENPEROXIDE\SPIRIT\DISINFECTANTSETC
PRIVATE NURSES CHARGES-SPECIAL NURSING CHARGES
NUTRITION PLANNING CHARGES -DIETICIAN CHARGES-DIET CHARGES
SUGAR FREE Tablets
CREAMS POWDERS LOTIONS(TOILETERIES ARE NOT PAYABLE,ONLY PRESCRIBED MEDICALPHARMACEUTICALS PAYABLE)
May be payable when prescribed for patient, notpayable for hospital use in OT or ward or fordressings in hospital
Post hospitalization nursing charges not payable
Patient Diet provided by hospital is payable
Payable-Sugar free variants of admissiblemedicines are notEXCLUDED
Payable when prescribed
Policy Wordings
161
162
163
164
165
166
167
168
169
170
171
172
Digestion gels
ECG ELECTRODES
GLOVES
HIV KIT
LISTERINE/ ANTISEPTICMOUTHWASH
LOZENGES
MOUTH PAINT
NEBULISATION KIT
NOVARAPID
VOLINI GEL/ ANALGESIC GEL
ZYTEE GEL
VACCINATION CHARGES
Payable when prescribed
Upto 5 electrodes are required for every casevisiting OT or ICU, For longer stay in ICU, mayrequire a change and at least one set every secondday must be payable.
Sterilized Gloves payable/unsterilized gloves notpayable
Payable - payable pre operative screening
Payable when prescribed
Payable when prescribed
Payable when prescribed
If used during hospitalization is payable reasonably
Payable when prescribed
Payable when prescribed
Payable when prescribed
Routine Vaccination not payable/Post BiteVaccination payable
PART OF HOSPITAL'S OWN COSTS AND NOT PAYABLE
173
174
175
AHD
ALCOHOL SWABES
SCRUB SOLUTION/STERILLIUM
Not Payable-Part of Hospital's internal Cost
Not Payable-Part of Hospital's internal Cost
Not Payable-Part of Hospital's internal Cost
OTHERS
176
177
178
179
180
181
182
183
184
185
186
VACCINE CHARGES FOR BABY
AESTHETIC TREATMENT /SURGERY
TPA CHARGES
VISCO BELT CHARGES
ANY KIT WITH NO DETAILSMENTIONED [DELIVERYKIT,ORTHOKIT, RECOVERY KIT,ETC]
EXAMINATION GLOVES
KIDNEY TRAY
MASK
OUNCE GLASS
OUTSTATION CONSULTANTS/SURGEONS FEES
OXYGEN MASK
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Not Payable
Policy Wordings
187
188
189
190
191
192
193
194
195
196
197
198
199
PAPER GLOVES
PELVIC TRACTION BELT
REFERAL DOCTORS FEES
ACCU CHECK ( Glucometery/ Strips)
PAN CAN
SOFNET
TROLLY COVER
UROMETER, URINE JUG
AMBULANCE
TEGADERM / VASOFIX SAFETY
URINE BAG
SOFTOVAC
STOCKINGS
Not Payable
Should be payable in case of PIVD requiring traction asthis is generally not reused
Not Payable
Not Payable pre hospitalization or post hospitalization/Reports and Charts required/Device not payable
Not Payable
Not Payable
Not Payable
Not Payable
Payable-Ambulance from home to hospital orinterhospital shifts is payable/RTA as specificrequirement is payable
Payable-maximum of 3 in 48 hrs and then 1 in 24 hrs
Payable where medically necessary till a reasonablecost-maximum 1 per 24 hrs
Not Payable
Essential for case like CABG etc, where it should bepaid