M/S.PRUDENT INS. BROKERS PVT. LTD. /9004815552...through toll free no: 1800 425 2255 or 1800 102...

100
For and on behalf of Star Health and Allied Insurance Company Ltd. Authorised Signatory Please see overleaf 25/02/2019 Date : Gurgaon Place : Corporate Identity Number U66010TN2005PLC056649 Email ID : [email protected] IRDAI Regn. No 129 SH43829 SH41063 Entered by Approved by : : Page 1 of 100 P/161130/01/2019/046645 Policy No. Previous Policy No. : : 161130 Issuing Office Code : ISBT Kashmere Gate, Inter state Bus Terminal, New Delhi,Central,Delhi-110006 Address : Kashmere Gate New Delhi - 110006 1st Floor, Maharana Pratap Building, NIL/8527091976/ Phone No : Email id [email protected] : Fulfiller Code SH42341 : Receipt No : 1439055508 Receipt Date : 18/02/2019 : tatacapital@prudentbrokers .com : /9004815552 : M/S.PRUDENT INS. BROKERS PVT. LTD. : LC0000000049 Intermediary Code Proposer's Code 10762955 : Proposer's Name DELHI INTEGRATED MULTI MODAL TRANSIT SYSTEM LIMITED : Issue Office Name Branch Office - Gurgaon III : Name Phone Email id Total Premium in words Period Of Insurance From : Hrs 26/02/2019 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 : GSTIN SAC Code 997133/Accident and Health Insurance Services : 1 Rs. 1,11,00,000 Stamp Duty Total Premium : Re. : Premium Rs. 94,06,780 : : 1,693,220 IGST @18% /- 07AACCD4970D2ZT : Proposer GSTIN : Delhi / State Code : 7 Place of Supply Address : Near Payal Cinema, Gurgaon Ist Floor,, SCO 4, Sector 14 Market Gurgaon-122001 0124-4797452 : Phone No Email id : [email protected]

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

: [email protected]

: /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

Approved by:

:

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

SH41063Entered by

Approved by:

:

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