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TRANSCRIPT
GROUP MEDICLAIM SCHEDULE
Policy Branch Office Code: 1602 Agent/Broker Code:Direct
Policy No: 1602362812000171
Date of proposal:07/09/2016 Details of previous policy (in case of renewal)
ProposalNo:P090116101042 Previous policy No:1602352812000156
Date of expiry: 31/08/2016
INSURED NAME : DAIICT
ADDRESS:
NR INDRODA CIRCLE,GANDHINAGAR
GUJARAT
GANDHINAGAR
382007
Period of Insurance: From 01/09/2016 to mid night on 31/08/2017
Total No of Employees Covered 1573
Total No of Lives Covered 1573
Basis of Sum Insured Individual
Total Sum Insured(Rs) 94380000.00
Coverage Details and List of members covered as per Schedule attached.
Premium (Rs) 847826.09
Service Tax 118695.65
Education Cess 0.00
Secondary & Higher Education Cess 0.00
Sales Tax** 0.00
Surcharge** 0.00
Swachh Bharat Cess 4239.13
Krishi Kalyan Cess 4239.13
TOTAL PREMIUM PAYABLE(Rs) 975000.00
Consolidated Stamp duty Paid vide GRAS GRN No. MH001675469201617E dated 09 June 2016**** Not Applicable for the State of Jammu & KashmirCategory-General Insurance Business Service 00440005.Service Tax Regn. No. : AABCR6747BST001** Applicable for the state of Jammu & Kashmir**Sales Tax Registration No. 01101051414
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Notice of communication to be given in respect of claim to :
Name: Reliance HCMT
Address: Reliance General Insurance Company .Ltd. HCMT HUB 1-89/3/B/40 to 42/ks/301 3rd floor, Krishe block, Krishe Sapphire Madhapur, Hyderabad Pincode: 500081
City: Hyderabad
Website Address:
Customer care No 1800-3009
Email id: [email protected]
In the event of dishonor of Cheque, this policy automatically stands cancelled from inception irrespective of whether a separate communication is sent or not.
In witness whereof this policy has been signed at Mumbai on 07/09/2016
For and on behalf of
Reliance General Insurance Company Limited.
Agent Code Direct
Agent Contact No Authorised Signatory
User ID: 70175496 Policy Generation Date :07/09/2016
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule attached to and forming part of Policy No.1602362812000171
Cover Name Sum insured Co-pay Special Conditions
Hospitalization -
Pre Hospitalization 30 DAYS
Post Hospitalization 60 DAYS
Ambulance charges Ambulance charges is covered in case of emergency hospitalization INR 1500
Domiciliary hospitalization Domiciliary hospitalisation not covered
Pre-existing illness cover Pre-existing diseases to be covered
Cover for first year excluded diseases Waiver of 1st and 2nd yr exclusions
Cover for first 30 days Exclusion Waiver of 30 day waiting period
Family Definition Non Floater – Self Students only
Member Addition and Deletion Process 1) Mid-term increase in sum insured is not permitted.2) Addition-deletion will be done on pro-rata premium basis for employees along with dependants once in a month only, subject to all relevant details being forwarded to insurer before 7th day of succeeding month.3) For cover wef from Date of Joining, sufficient CD balance to be maintained with us.4) Addition of existing employees will not be allowed after policy inception.
Room Rent Room Rent including nursing & RMO charges capped at 2% for normal room and 2% for ICU of sum insured per day and all other related charges in accordance with room rent restriction or actual whichever is lower. In the event of a person getting admitted in higher category all hospital related charges will be pro-rated to the eligibility limit as per the room rent restriction.
Day care procedure Day care treatment covered as per RGICL policy terms and conditions
General Conditions: 1) It is hereby agreed between the Proposer and the Company that any addition / deletion to the list of insured members shall be communicated to the Insurer in writing within a reasonable time but not later than 30 days from the date of the employee joining or being relieved from the organization.2) Surcharges, service charges, miscellaneous charges and other non treatment related expenses are not payable.3) Ailment/ Conditions not covered: Robotic surgery/treatment done using this technology/Robotically assisted Surgery, Stem Cell Transplantation/bone marrow transplant, Septoplasty, Cochlear Implant or related aids, RFQMR - Rotational Field Quantum Magnetic Resonance Device - Cytotron, C3R, Balloon Sinuplasty, Bariatric surgery, Inj Avastin /Lucentis/Macugen, Ozone Therapy, Enhanced External Counter Pulsation Therapy (EECP), Rejuvenation therapy, Lasik Surgery.4) Rest all other terms & conditions strictly as per Reliance group mediclaim insurance policy.
Warranted that the exclusions mentioned below stand deleted : PolicyNo. 1602362812000171
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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30 day Exclusion
First Year exclusion
Pre- existing illness
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1 201021004
CHANDRA PRAKASH SELF STUDENT
42 Yr 00 M
M 60000
2 201021009
CH V NARASIMHA RAO SELF STUDENT
48 Yr 00 M
M 60000
3 201021010
DOSHI RAMESHKUMAR JASHVANTLAL
SELF STUDENT
50 Yr 00 M
M 60000
4 201021013
SONAM NAHAR SELF STUDENT
29 Yr 00 M
F 60000
5 201021015
DESAI NIKITA SUNIL SELF STUDENT
34 Yr 00 M
F 60000
6 201101149
GUPTA DEEP PINAKIN SELF STUDENT
22 Yr 00 M
M 60000
7 201121001
SHAH JALPA BHARATKUMAR
SELF STUDENT
35 Yr 00 M
F 60000
8 201121003
MAULIK CHANDULAL MADHAVI
SELF STUDENT
28 Yr 00 M
M 60000
9 201121004
V. RAM NARESH KUMAR SELF STUDENT
34 Yr 00 M
M 60000
10 201121007
NILESHKUMAR VAISHNAV
SELF STUDENT
31 Yr 00 M
M 60000
11 201121009
PATEL RASHMIT KUMAR SELF STUDENT
40 Yr 00 M
M 60000
12 201121010
SANJAY KUMAR KASODNIYA
SELF STUDENT
40 Yr 00 M
M 60000
13 201121011
VASAVADA TEJAS MUKESHBHAI
SELF STUDENT
34 Yr 00 M
M 60000
14 201121013
SARITA AGRAWAL SELF STUDENT
41 Yr 00 M
F 60000
15 201121014
CHAUDHARI PAYAL DEVENDRABHAI
SELF STUDENT
33 Yr 00 M
F 60000
16 201121016
SHRISHAIL SHARAD GAJBHAR
SELF STUDENT
29 Yr 00 M
M 60000
17 201201003
MAKWANA HARSH DIPAKBHAI
SELF STUDENT
22 Yr 00 M
M 60000
18 201201040
AGRAWAL ANSUL NARAYANBHAI
SELF STUDENT
21 Yr 00 M
M 60000
19 201201049
HARDIK JAYESHKUMAR SONI
SELF STUDENT
21 Yr 00 M
M 60000
20 201201052
ZALA ROHAN VASANTBHAI
SELF STUDENT
21 Yr 00 M
M 60000
21 201201066
ARCHIT MANISHKUMAR GAJJAR
SELF STUDENT
21 Yr 00 M
M 60000
22 201201089
CHIRAG SHAILESH CHANGRANI
SELF STUDENT
22 Yr 00 M
M 60000
23 201201118
SOURABH MESHRAM SELF STUDENT
22 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
24 201201127
SIDDHARTH DALMIA SELF STUDENT
22 Yr 00 M
M 60000
25 201201128
DODIA ASHKA BHAGIRATH
SELF STUDENT
22 Yr 00 M
F 60000
26 201201172
SHIVAM CHAUDHARY SELF STUDENT
23 Yr 00 M
M 60000
27 201201174
TAPAN KUMAR SELF STUDENT
22 Yr 00 M
M 60000
28 201201208
SHAH SHAUNAK MANOJ SELF STUDENT
22 Yr 00 M
M 60000
29 201201211
ANKIT NAGARWAL SELF STUDENT
22 Yr 00 M
M 60000
30 201201232
HIMANSHU DIXIT SELF STUDENT
22 Yr 00 M
M 60000
31 201221001
MODHA SANDIP JAYANTILAL
SELF STUDENT
35 Yr 00 M
M 60000
32 201221002
PADIYA TRUPTI JAYANTILAL
SELF STUDENT
34 Yr 00 M
F 60000
33 201221003
TANVINA BHUPENDRABHAI PATEL
SELF STUDENT
28 Yr 00 M
F 60000
34 201221005
PATEL HARDIK NAYANKUMAR
SELF STUDENT
30 Yr 00 M
M 60000
35 201221007
KRISHNA GOPAL SELF STUDENT
31 Yr 00 M
M 60000
36 201221008
NUPUR JAIN SELF STUDENT
28 Yr 00 M
F 60000
37 201221009
SHAH HIRAVKUMAR JAGATBHAI
SELF STUDENT
27 Yr 00 M
M 60000
38 201221013
VANDANA RAVINDRAN SELF STUDENT
28 Yr 00 M
F 60000
39 201221014
DIXITA HASMUKHBHAI LIMBACHIYA
SELF STUDENT
27 Yr 00 M
F 60000
40 201221015
JADEJA MAHIPAL PRITHVISINH
SELF STUDENT
25 Yr 00 M
M 60000
41 201301001
SIMLAI SAMRIDDHI SHIBAJI
SELF STUDENT
20 Yr 00 M
F 60000
42 201301002
PATEL HIMANSHU BALDEV BHAI
SELF STUDENT
21 Yr 00 M
M 60000
43 201301003
BARKHA BHOJAK SELF STUDENT
21 Yr 00 M
F 60000
44 201301005
DHOLAKIYA PRERAK NANDISH
SELF STUDENT
20 Yr 00 M
M 60000
45 201301006
VIKANI BHAGYESH RAJNIKANT
SELF STUDENT
20 Yr 00 M
M 60000
46 201301007
PANCHAL SAURABH RAJESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
7 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
47 201301008
PATEL YASH SELF STUDENT
20 Yr 00 M
M 60000
48 201301009
KALOLA VIVEKKUMAR SELF STUDENT
20 Yr 00 M
M 60000
49 201301010
SHAH RAJAT ASHWINBHAI
SELF STUDENT
21 Yr 00 M
M 60000
50 201301011
VYAS UTSAV NEHALBHAI
SELF STUDENT
20 Yr 00 M
M 60000
51 201301012
PATEL PARIN ALPESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
52 201301013
JASOLIYA HARSHKUMAR VINODBHAI
SELF STUDENT
20 Yr 00 M
M 60000
53 201301014
PATEL NAMAN SHASHIKANT
SELF STUDENT
21 Yr 00 M
M 60000
54 201301015
SHAH HEM RAJENDRAKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
55 201301016
KAMARIA SIDDHARTH SELF STUDENT
20 Yr 00 M
M 60000
56 201301017
PARIKH JINAL NITISHKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
57 201301018
PATEL TEJ NAGINBHAI SELF STUDENT
20 Yr 00 M
M 60000
58 201301019
KALARIA PARTHKUMAR BHARATBHAI
SELF STUDENT
20 Yr 00 M
M 60000
59 201301020
VYAS KARAN PRAVINCHANDRA
SELF STUDENT
20 Yr 00 M
M 60000
60 201301021
KEYA RAJUL MEHTA SELF STUDENT
20 Yr 00 M
F 60000
61 201301022
SHAH HARSHIL RAJESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
62 201301023
PATEL MANALI JITENDRABHAI
SELF STUDENT
20 Yr 00 M
F 60000
63 201301024
BHAVSAR SHIVAM KAMLESHKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
64 201301025
NEHA AGARWAL SELF STUDENT
21 Yr 00 M
F 60000
65 201301026
SHAH CHAITANYA MINESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
66 201301027
KOMAL JAIN SELF STUDENT
20 Yr 00 M
F 60000
67 201301028
ANURAG GUPTA SELF STUDENT
21 Yr 00 M
M 60000
68 201301029
JHALA HIMANJALI JAYDEEPSINH
SELF STUDENT
20 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
8 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
69 201301030
JHALA KULJEETSINH SELF STUDENT
20 Yr 00 M
M 60000
70 201301031
MANGROLIYA PARTH MANSUKHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
71 201301032
PARSANA DARSHAN ATULBHAI
SELF STUDENT
21 Yr 00 M
M 60000
72 201301033
RASHMI WILSON SELF STUDENT
21 Yr 00 M
F 60000
73 201301034
SHAH DHRUMIL AJAYBHAI
SELF STUDENT
20 Yr 00 M
M 60000
74 201301035
PARIKH RUSHIN DEEPAK
SELF STUDENT
20 Yr 00 M
M 60000
75 201301036
ALAMURU NIHIT RAMIREDDY
SELF STUDENT
20 Yr 00 M
M 60000
76 201301037
PARMAR NEEL HASMUKHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
77 201301038
DESAI DHWANIL SANJAYBHAI
SELF STUDENT
20 Yr 00 M
M 60000
78 201301039
SUVARIYA RAJ RAMNIKBHAI
SELF STUDENT
20 Yr 00 M
M 60000
79 201301040
PADALIYA PRIYESHKUMAR SHANTILAL
SELF STUDENT
21 Yr 00 M
M 60000
80 201301041
BHAYANI GAURAV POPATBHAI
SELF STUDENT
20 Yr 00 M
M 60000
81 201301042
SUKRITI JHINGTA SELF STUDENT
21 Yr 00 M
F 60000
82 201301043
SHREYANS PRADEEP GANDHI
SELF STUDENT
21 Yr 00 M
M 60000
83 201301044
PANDIT NEEL RAKESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
84 201301045
SHAH VIRAJ PRADIPKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
85 201301046
JADAV KRUPAL SELF STUDENT
20 Yr 00 M
M 60000
86 201301047
YASHWANT RAMESH KESWANI
SELF STUDENT
20 Yr 00 M
M 60000
87 201301048
BERWANI MANISH MOHAN
SELF STUDENT
21 Yr 00 M
M 60000
88 201301049
MARKANDEYA RIDDHESH SHRIKRISHNA
SELF STUDENT
19 Yr 00 M
M 60000
89 201301050
DAXINI DHRUMAN MAHESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
90 201301051
GANDHI KUSH NITESH SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
9 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
91 201301053
PANDYA NIKUNJ SELF STUDENT
20 Yr 00 M
M 60000
92 201301054
CHAVDA ANKUR ASHOKBHAI
SELF STUDENT
20 Yr 00 M
M 60000
93 201301055
SUTARIA AAYUSHI PANKAJ
SELF STUDENT
20 Yr 00 M
F 60000
94 201301057
BATHWAR VIRAJ RAJABHAI
SELF STUDENT
20 Yr 00 M
M 60000
95 201301058
PARTH RAJENDRAKUMAR MODH
SELF STUDENT
20 Yr 00 M
M 60000
96 201301059
TANK NISHANT HARESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
97 201301060
KEVAL HADIYA SELF STUDENT
20 Yr 00 M
M 60000
98 201301061
CHAUDHARI MOINAKHTAR ALIHUSEN
SELF STUDENT
20 Yr 00 M
M 60000
99 201301062
SHREYANSH PRAJAPATI SELF STUDENT
20 Yr 00 M
M 60000
100 201301063
AHIR KIRANKUMAR BACHUBHAI
SELF STUDENT
20 Yr 00 M
M 60000
101 201301065
GOSAI PRERNA PRAVINPARI
SELF STUDENT
20 Yr 00 M
F 60000
102 201301066
EKTABEN DODIYA SELF STUDENT
22 Yr 00 M
M 60000
103 201301067
PANCHAL UMANG SELF STUDENT
19 Yr 00 M
M 60000
104 201301068
HARIYANI JAY SELF STUDENT
21 Yr 00 M
M 60000
105 201301069
CHAUDHARY YOGESHKUMAR HARIBHAI
SELF STUDENT
20 Yr 00 M
M 60000
106 201301070
BAKARANIYA DHARMIN BIPINBHAI
SELF STUDENT
20 Yr 00 M
M 60000
107 201301071
PRAJAPATI MUKESH SURYNARAYAN
SELF STUDENT
21 Yr 00 M
M 60000
108 201301072
CHAUDHARY MAULIK DALSANGBHAI
SELF STUDENT
20 Yr 00 M
M 60000
109 201301073
CHAUDHARI JAYKUMAR SELF STUDENT
20 Yr 00 M
M 60000
110 201301074
RAMANUJ CHINTAN SURESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
111 201301075
DUDHREJIYA AJAY DAYARAMBHAI
SELF STUDENT
21 Yr 00 M
M 60000
112 201301076
GOHIL MAULIK RAJENDRAKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
10 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
113 201301077
PARMAR PARESHKUMAR ARAJANBHAI
SELF STUDENT
20 Yr 00 M
M 60000
114 201301078
MODI MRUGESH KAMLESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
115 201301079
CHAUHAN DWIMITRA DHARMENDRA
SELF STUDENT
21 Yr 00 M
M 60000
116 201301080
GAJJAR TIRTH JAGDISH SELF STUDENT
21 Yr 00 M
M 60000
117 201301081
SOLANKI GAURAVKUMAR NATVARSINH
SELF STUDENT
20 Yr 00 M
M 60000
118 201301082
VEGAD JAHNAVI JAYANTIBHAI
SELF STUDENT
20 Yr 00 M
F 60000
119 201301083
JADAV HARSH MUKESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
120 201301084
PATEL NISARG KIRIT SELF STUDENT
21 Yr 00 M
M 60000
121 201301085
CHAUHAN PARAG PUNJALAL
SELF STUDENT
21 Yr 00 M
M 60000
122 201301087
TARAL ANKITKUMAR SELF STUDENT
21 Yr 00 M
M 60000
123 201301089
PATEL AYUSH KAMLESH SELF STUDENT
22 Yr 00 M
M 60000
124 201301090
PARTH P CHAUDHARY SELF STUDENT
21 Yr 00 M
M 60000
125 201301091
PATEL RISHITA PRASHANT
SELF STUDENT
20 Yr 00 M
F 60000
126 201301092
PATEL DIGVIJAYKUMAR JUGALBHAI
SELF STUDENT
20 Yr 00 M
M 60000
127 201301094
SABUWALA MUSTUFA SELF STUDENT
21 Yr 00 M
M 60000
128 201301095
PATEL HARSHIT SELF STUDENT
20 Yr 00 M
M 60000
129 201301096
VYAS NIDHI SELF STUDENT
21 Yr 00 M
F 60000
130 201301097
PATEL ANAND PRAVINBHAI
SELF STUDENT
20 Yr 00 M
M 60000
131 201301098
PANCHAL PARTH DIXITBHAI
SELF STUDENT
20 Yr 00 M
M 60000
132 201301099
ANKIT K MUCHHALA SELF STUDENT
21 Yr 00 M
M 60000
133 201301100
SAUMYA BHADANI SELF STUDENT
21 Yr 00 M
F 60000
134 201301101
RAHUL SHASHANK SARANJAME
SELF STUDENT
21 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
11 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
135 201301102
SISHTLA CHAITANYA PRASAD
SELF STUDENT
21 Yr 00 M
M 60000
136 201301103
PARSHWA BHAVESH MEHTA
SELF STUDENT
20 Yr 00 M
M 60000
137 201301104
ROSHANI NARASIMHAN SELF STUDENT
20 Yr 00 M
F 60000
138 201301105
MAHIMA TARAK PATEL SELF STUDENT
21 Yr 00 M
F 60000
139 201301106
TARUSHI BHATIA SELF STUDENT
21 Yr 00 M
F 60000
140 201301107
JAYA MUNDRA SELF STUDENT
20 Yr 00 M
F 60000
141 201301108
KRATI AGRAWAL SELF STUDENT
20 Yr 00 M
F 60000
142 201301109
SHAH VAISHAV BHAVESH
SELF STUDENT
20 Yr 00 M
M 60000
143 201301110
ANSHUMAN AGARWAL SELF STUDENT
20 Yr 00 M
M 60000
144 201301111
SAHIL JAIN SELF STUDENT
20 Yr 00 M
M 60000
145 201301112
ASHWIN KIRTANE SELF STUDENT
21 Yr 00 M
M 60000
146 201301113
TEJASV GUPTA SELF STUDENT
22 Yr 00 M
M 60000
147 201301114
SHAH MALAV MITESH SELF STUDENT
21 Yr 00 M
M 60000
148 201301115
YASH INDRAWAT SELF STUDENT
21 Yr 00 M
M 60000
149 201301116
RUPANK BANSAL SELF STUDENT
19 Yr 00 M
M 60000
150 201301117
GAURUV SINGH SELF STUDENT
21 Yr 00 M
M 60000
151 201301118
RISHABH TRIVEDI SELF STUDENT
21 Yr 00 M
M 60000
152 201301119
PANDYA BHAVARTH BHAVINKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
153 201301120
KOMAL FALODIYA SELF STUDENT
20 Yr 00 M
F 60000
154 201301121
TANAY AGRAWAL SELF STUDENT
21 Yr 00 M
M 60000
155 201301122
PRATYUSH REDDY PONAKA
SELF STUDENT
20 Yr 00 M
M 60000
156 201301123
ANUBHAV JAIN SELF STUDENT
21 Yr 00 M
M 60000
157 201301124
SANGEETA MEENA SELF STUDENT
20 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
12 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
158 201301126
SHAH ALAY DIVYESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
159 201301127
KISHANBHAI BALDEVBHAI PUJARA
SELF STUDENT
20 Yr 00 M
M 60000
160 201301128
KALLAM RAJIV REDDY SELF STUDENT
20 Yr 00 M
M 60000
161 201301129
SUBHODEEP MAJI SELF STUDENT
20 Yr 00 M
M 60000
162 201301130
BARUNI GOEL SELF STUDENT
20 Yr 00 M
F 60000
163 201301131
ROHAN AGARWAL SELF STUDENT
20 Yr 00 M
M 60000
164 201301132
PATEL SNEH SELF STUDENT
20 Yr 00 M
M 60000
165 201301133
GAURAV BANSAL SELF STUDENT
20 Yr 00 M
M 60000
166 201301134
SALONI JAIN SELF STUDENT
21 Yr 00 M
F 60000
167 201301135
PATEL ZEEL PRAVINBHAI
SELF STUDENT
20 Yr 00 M
F 60000
168 201301136
DEVESH SINGH SELF STUDENT
20 Yr 00 M
M 60000
169 201301137
ANKIT LAKRA SELF STUDENT
22 Yr 00 M
M 60000
170 201301138
RISHAB SINGLA SELF STUDENT
21 Yr 00 M
M 60000
171 201301139
PATTIPATI CHAREESH SAI
SELF STUDENT
20 Yr 00 M
M 60000
172 201301140
VELAGA RAMA KRISHNA SELF STUDENT
20 Yr 00 M
M 60000
173 201301141
KETAN MITTAL SELF STUDENT
21 Yr 00 M
M 60000
174 201301142
BOPALIA MAULIK NARESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
175 201301143
TALLURI SAI SRUTHI SELF STUDENT
21 Yr 00 M
F 60000
176 201301144
TOOMKUNTA NITHIN KUMAR REDDY
SELF STUDENT
20 Yr 00 M
M 60000
177 201301145
G OMKAR REDDY SELF STUDENT
21 Yr 00 M
M 60000
178 201301146
MOHAMMAD SAIFUDDIN SAIFEE
SELF STUDENT
21 Yr 00 M
M 60000
179 201301147
VARUN SUNIL GARG SELF STUDENT
21 Yr 00 M
M 60000
180 201301148
SHIVANG AGARWAL SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
13 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
181 201301149
DHRUV CHETANKUMAR SHAH
SELF STUDENT
21 Yr 00 M
M 60000
182 201301150
RASHI JAIN SELF STUDENT
22 Yr 00 M
F 60000
183 201301151
NIKHIL TEKWANI SELF STUDENT
21 Yr 00 M
M 60000
184 201301152
FATNANI VARUN KUMARBHAI
SELF STUDENT
20 Yr 00 M
M 60000
185 201301153
DHAVAL V VORA SELF STUDENT
21 Yr 00 M
M 60000
186 201301154
PARTH NIGAM SELF STUDENT
21 Yr 00 M
M 60000
187 201301155
NIKITA JAIN SELF STUDENT
22 Yr 00 M
F 60000
188 201301156
SMRUTI NIRAJKUMAR PARIKH
SELF STUDENT
21 Yr 00 M
F 60000
189 201301157
VISHAL RATWANI SELF STUDENT
21 Yr 00 M
M 60000
190 201301158
GOLLA CHINNA SAI BHARATHI
SELF STUDENT
20 Yr 00 M
F 60000
191 201301159
ABHISHEK JAIN SELF STUDENT
21 Yr 00 M
M 60000
192 201301161
KUMAR DHWANIT SELF STUDENT
22 Yr 00 M
M 60000
193 201301162
VELAGANDULA SHRAVANI
SELF STUDENT
20 Yr 00 M
F 60000
194 201301163
SANKALP NIGAM SELF STUDENT
21 Yr 00 M
M 60000
195 201301164
YASH BHIMARAO DESHMUKH
SELF STUDENT
21 Yr 00 M
M 60000
196 201301165
PATEL ANUBEN JITENDRA
SELF STUDENT
20 Yr 00 M
F 60000
197 201301166
VINAYAK DUBEY SELF STUDENT
21 Yr 00 M
M 60000
198 201301167
KALAVADIA BHUMIKA ASHVIN
SELF STUDENT
21 Yr 00 M
F 60000
199 201301168
KARRI KIRAN SATISH REDDY
SELF STUDENT
20 Yr 00 M
M 60000
200 201301169
MAHIMA SOGANI SELF STUDENT
22 Yr 00 M
F 60000
201 201301170
PATEL VISMAY DHIRAJBHAI
SELF STUDENT
20 Yr 00 M
M 60000
202 201301171
CHILLAKURU NIKHIL REDDY
SELF STUDENT
20 Yr 00 M
M 60000
203 201301172
CHATURVEDULA SAI SRIKANTH
SELF STUDENT
21 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
14 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
204 201301174
M MEENAKSHI SELF STUDENT
21 Yr 00 M
F 60000
205 201301175
BATHULA AJAY RAJ SELF STUDENT
20 Yr 00 M
M 60000
206 201301176
DHRUV BHUTANI SELF STUDENT
21 Yr 00 M
M 60000
207 201301177
ZARANA PARESHKUMAR PAREKH
SELF STUDENT
22 Yr 00 M
F 60000
208 201301178
AVIRAL MITHAL SELF STUDENT
20 Yr 00 M
M 60000
209 201301179
SAHIJWANI HARSHITA JAGDISH
SELF STUDENT
20 Yr 00 M
F 60000
210 201301180
LADLA KARAN GIANO SELF STUDENT
21 Yr 00 M
M 60000
211 201301181
PARCHURI MOURYA TEJA
SELF STUDENT
21 Yr 00 M
M 60000
212 201301183
SARTHAK KHANDEKAR SELF STUDENT
20 Yr 00 M
M 60000
213 201301184
NICCHANAMETLA ABHISHEK
SELF STUDENT
20 Yr 00 M
M 60000
214 201301185
STUTI MOHGAONKAR SELF STUDENT
21 Yr 00 M
F 60000
215 201301186
RUCHI JAIN SELF STUDENT
20 Yr 00 M
F 60000
216 201301187
SHUBHRANSHU JHA SELF STUDENT
21 Yr 00 M
M 60000
217 201301188
MAVANI BHAUTIKKUMAR ANANDBHAI
SELF STUDENT
21 Yr 00 M
M 60000
218 201301189
KUSHAN JOSHI SELF STUDENT
22 Yr 00 M
M 60000
219 201301191
GOPU ROSHINI REDDY SELF STUDENT
20 Yr 00 M
F 60000
220 201301192
YOGESH KUMAR SELF STUDENT
21 Yr 00 M
M 60000
221 201301193
NIRJHAR BALA SELF STUDENT
20 Yr 00 M
M 60000
222 201301194
SUMIT SINGH SELF STUDENT
21 Yr 00 M
M 60000
223 201301195
SHANKAR LAL PARMAR SELF STUDENT
23 Yr 00 M
M 60000
224 201301196
KUNDAN KUMAR ARYA SELF STUDENT
20 Yr 00 M
M 60000
225 201301197
DEEPALI VERMA SELF STUDENT
21 Yr 00 M
F 60000
226 201301198
ARAVIND KUMAR BAIRWA
SELF STUDENT
21 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
15 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
227 201301199
MAHIMA ACHHPAL SELF STUDENT
21 Yr 00 M
F 60000
228 201301200
SHEFALI KASHYAP SELF STUDENT
21 Yr 00 M
F 60000
229 201301202
RAMAN KUMAR DOUCHANIYA
SELF STUDENT
23 Yr 00 M
M 60000
230 201301204
RAHUL KUMAR SELF STUDENT
20 Yr 00 M
M 60000
231 201301206
ISHITA CHOURASIA SELF STUDENT
21 Yr 00 M
F 60000
232 201301207
MRIDUL SINGH SELF STUDENT
20 Yr 00 M
M 60000
233 201301208
KARTIK SANKHLA SELF STUDENT
20 Yr 00 M
M 60000
234 201301209
RAJAT DHOOT SELF STUDENT
22 Yr 00 M
M 60000
235 201301210
DILIP KUMAR MEENA SELF STUDENT
20 Yr 00 M
M 60000
236 201301211
UMANG ULIANA SELF STUDENT
21 Yr 00 M
M 60000
237 201301212
SAKSHI MANGAL SELF STUDENT
21 Yr 00 M
F 60000
238 201301213
RATHOD RAHUL NAYAK SELF STUDENT
21 Yr 00 M
M 60000
239 201301215
ROHIT MEENA SELF STUDENT
22 Yr 00 M
M 60000
240 201301216
MALLIPEDDI AKSHAY SELF STUDENT
20 Yr 00 M
M 60000
241 201301218
SUNEET MEENA SELF STUDENT
22 Yr 00 M
M 60000
242 201301223
PARNAVI CHETANBHAI SHAH
SELF STUDENT
20 Yr 00 M
F 60000
243 201301224
SHEETAL SELF STUDENT
20 Yr 00 M
F 60000
244 201301225
YASHODHAN MOHAN BHATNAGAR
SELF STUDENT
20 Yr 00 M
M 60000
245 201301226
MOHIT KAMAL SELF STUDENT
21 Yr 00 M
M 60000
246 201301227
SHUBHAM CHATURVEDI SELF STUDENT
22 Yr 00 M
M 60000
247 201301228
SHUBAM SINGH JAMWAL
SELF STUDENT
19 Yr 00 M
M 60000
248 201301229
PATEL RAJ SELF STUDENT
21 Yr 00 M
M 60000
249 201301230
PATEL SHREYAS GAUTAMBHAI
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
16 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
250 201301231
SACHAPARA KIRTI RAMESHBHAI
SELF STUDENT
20 Yr 00 M
F 60000
251 201301232
PATEL KARANKUMAR JITENDRABHAI
SELF STUDENT
20 Yr 00 M
M 60000
252 201301233
PATEL VIVEKKUMAR SELF STUDENT
20 Yr 00 M
M 60000
253 201301234
SHAH FORAM SANJAYBHAI
SELF STUDENT
19 Yr 00 M
F 60000
254 201301235
MAYATRA AKSHIN KAUSHIKBHAI
SELF STUDENT
20 Yr 00 M
M 60000
255 201301237
VAGHELA TAPASVI AJIT SELF STUDENT
20 Yr 00 M
M 60000
256 201301238
KAUSHAL JETHVA SELF STUDENT
20 Yr 00 M
M 60000
257 201301239
PANCHAL JINAL RAJENDRAKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
258 201301240
GOHIL JAY RITESH SELF STUDENT
20 Yr 00 M
M 60000
259 201301241
PARMAR MEET SELF STUDENT
21 Yr 00 M
M 60000
260 201301242
PATEL MAUSAMEEBEN PARESHKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
261 201301401
ANTHONY MARKPIERCE SELF STUDENT
20 Yr 00 M
M 60000
262 201301402
VARMA SUMEET BHARATBHAI
SELF STUDENT
20 Yr 00 M
M 60000
263 201301403
KANAKIA HITARTH MUKUNDRAY
SELF STUDENT
20 Yr 00 M
M 60000
264 201301404
NIDHI SELF STUDENT
20 Yr 00 M
F 60000
265 201301405
JOSHI KANDARP RAJESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
266 201301406
KHYATI CHANDRASHEKHAR MAHAJAN
SELF STUDENT
20 Yr 00 M
F 60000
267 201301407
POPAT SMIT NATVARLAL
SELF STUDENT
20 Yr 00 M
M 60000
268 201301408
PATEL BHAVYABAHEN PRAVINBHAI
SELF STUDENT
20 Yr 00 M
F 60000
269 201301409
PARMAR DIVYESH BHARATKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
270 201301410
SOKHADIA HARSHIL MAHENDRAKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
271 201301411
MODI UJASH DHARMENKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
17 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
272 201301412
TERAIYA VATSAL HITESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
273 201301413
GUJJAR TAPAN JAYESH SELF STUDENT
21 Yr 00 M
M 60000
274 201301414
SUTHAR JAHNAVI LALITKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
275 201301415
PALASARA SHALIN HUSAINALI
SELF STUDENT
20 Yr 00 M
M 60000
276 201301416
PATEL DHWANIL JAGDISHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
277 201301417
SHREYAS CHAUDHARY SELF STUDENT
22 Yr 00 M
M 60000
278 201301419
THAKAR RAJ JAYRAJBHAI
SELF STUDENT
21 Yr 00 M
M 60000
279 201301422
KULDEEP PATEL SELF STUDENT
20 Yr 00 M
M 60000
280 201301423
SHETH DEVARSH KARTIK
SELF STUDENT
20 Yr 00 M
M 60000
281 201301424
KHANDERIA JAIMIN DINESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
282 201301427
PEESAPATI SRI VENKATASATYA ADITYA
SELF STUDENT
19 Yr 00 M
M 60000
283 201301428
SHARVI KALPESH TALATI
SELF STUDENT
21 Yr 00 M
F 60000
284 201301429
SHALEEN KUMAR GUPTA
SELF STUDENT
20 Yr 00 M
M 60000
285 201301430
ABHISHEK KAMLESHBHAI PARIKH
SELF STUDENT
20 Yr 00 M
M 60000
286 201301431
RISHABH BHARDWAJ SELF STUDENT
21 Yr 00 M
M 60000
287 201301432
MEHTA CHARMI KAMLESH
SELF STUDENT
20 Yr 00 M
F 60000
288 201301433
CHITTOORY NAGA PRADEET SWAMY
SELF STUDENT
21 Yr 00 M
M 60000
289 201301434
SONEJI ANANTA BALKRISHNA
SELF STUDENT
20 Yr 00 M
F 60000
290 201301435
DEEKSHA KOUL SELF STUDENT
22 Yr 00 M
F 60000
291 201301436
SHAH HENIL KETANBHAI SELF STUDENT
20 Yr 00 M
F 60000
292 201301438
VISHARAD BANSAL SELF STUDENT
21 Yr 00 M
M 60000
293 201301439
GANATRA PARTH VINOD SELF STUDENT
20 Yr 00 M
M 60000
294 201301440
DESAI RAJ CHETANBHAI SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
18 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
295 201301441
GANDHI SHUCHIT VIPUL SELF STUDENT
20 Yr 00 M
M 60000
296 201301442
VARMA AKSHAR JAYANTH
SELF STUDENT
20 Yr 00 M
M 60000
297 201301443
SHERYANSH JAIN SELF STUDENT
20 Yr 00 M
M 60000
298 201301444
ANKUL JAIN SELF STUDENT
21 Yr 00 M
M 60000
299 201301445
MIHIR JOSHI SELF STUDENT
20 Yr 00 M
M 60000
300 201301446
PRASHANT RAJORIYA SELF STUDENT
20 Yr 00 M
M 60000
301 201301447
BHUPATHI VADHIR BABU SELF STUDENT
21 Yr 00 M
M 60000
302 201301450
DUSHYANTKUMAR PARMAR
SELF STUDENT
20 Yr 00 M
M 60000
303 201301452
SHRUTI SINGH SELF STUDENT
20 Yr 00 M
F 60000
304 201301453
PATEL KHUSHBU SELF STUDENT
20 Yr 00 M
F 60000
305 201301454
JAY PRAVINKUMAR BHATT
SELF STUDENT
20 Yr 00 M
M 60000
306 201301455
DADHANIYA DIPEN RAMNIKLAL
SELF STUDENT
20 Yr 00 M
M 60000
307 201301456
DESAI SAMARTH NISHITH
SELF STUDENT
20 Yr 00 M
M 60000
308 201301457
GOHEL SACHIN VINODKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
309 201301458
SHETHNA PINAKINBHAI DHARMESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
310 201301459
GOHIL DEERGHA BATUKBHAI
SELF STUDENT
20 Yr 00 M
F 60000
311 201321002
SAILOR HARDIK BHUPENDRA
SELF STUDENT
27 Yr 00 M
M 60000
312 201321003
KAMAL MANHARLAL CAPTAIN
SELF STUDENT
28 Yr 00 M
M 60000
313 201321004
VINEET KUMAR DAD SELF STUDENT
31 Yr 00 M
M 60000
314 201321005
PARTH MEHTA SELF STUDENT
26 Yr 00 M
M 60000
315 201321009
SHAH NIRMESH JAYESHKUMAR
SELF STUDENT
27 Yr 00 M
M 60000
316 201321010
KORINGA PURVI A. SELF STUDENT
27 Yr 00 M
F 60000
317 201401001
MEHTA MEDHA RAJESH SELF STUDENT
19 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
19 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
318 201401002
PENUGONDA VINEETH SELF STUDENT
19 Yr 00 M
M 60000
319 201401003
SHARMA SMRITI MAN PRAKASH
SELF STUDENT
20 Yr 00 M
F 60000
320 201401004
KOTHARI SAMARTH KETANKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
321 201401005
BALDHA PINAL VINODBHAI
SELF STUDENT
19 Yr 00 M
F 60000
322 201401006
DAIYA BRIJESH BHARAT SELF STUDENT
19 Yr 00 M
M 60000
323 201401007
PIRATLA SHOURI SELF STUDENT
19 Yr 00 M
M 60000
324 201401008
AKSHAT DUA SELF STUDENT
19 Yr 00 M
M 60000
325 201401009
THAKKAR AADITYA RAJESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
326 201401010
MUTTINENI AAKASH SELF STUDENT
20 Yr 00 M
M 60000
327 201401011
KONICA TALLARI SELF STUDENT
19 Yr 00 M
F 60000
328 201401012
PATEL KISHAN PRAFULBHAI
SELF STUDENT
19 Yr 00 M
M 60000
329 201401013
KADAKIA URMIL VIPULBHAIL
SELF STUDENT
20 Yr 00 M
M 60000
330 201401014
KEVIN VEGDA SELF STUDENT
20 Yr 00 M
M 60000
331 201401016
SHASHWAT MISHRA SELF STUDENT
19 Yr 00 M
M 60000
332 201401017
ABHINAV GADDE SELF STUDENT
19 Yr 00 M
M 60000
333 201401018
SHAH RISHI DILPESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
334 201401019
CHAKKA THARUN SELF STUDENT
19 Yr 00 M
M 60000
335 201401020
KENIL AMIT SHAH SELF STUDENT
20 Yr 00 M
M 60000
336 201401021
KORADIA AKASHKUMAR AMRUTLAL
SELF STUDENT
19 Yr 00 M
M 60000
337 201401022
PANKAJ SIROHI SELF STUDENT
20 Yr 00 M
M 60000
338 201401023
DIVYA VERMA SELF STUDENT
20 Yr 00 M
F 60000
339 201401024
URVASHI BANTHIA SELF STUDENT
19 Yr 00 M
F 60000
340 201401025
SHILPI CHAUDHURI SELF STUDENT
20 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
20 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
341 201401027
JADAV ROHAN DILIP SELF STUDENT
19 Yr 00 M
M 60000
342 201401028
TANAY MADHUKAR BORKAR
SELF STUDENT
20 Yr 00 M
M 60000
343 201401029
SHAH AASKA JIGNESHKUMAR
SELF STUDENT
19 Yr 00 M
F 60000
344 201401030
HARSHUL VAISHNAV SELF STUDENT
20 Yr 00 M
M 60000
345 201401031
AGRAWAL AMAY AJAYKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
346 201401032
SARODE KARTIKEY SANJAY
SELF STUDENT
19 Yr 00 M
M 60000
347 201401033
JOSHI TORAL JAYANTKUMAR
SELF STUDENT
19 Yr 00 M
F 60000
348 201401034
GAJJAR ANIKET JAYESH SELF STUDENT
20 Yr 00 M
M 60000
349 201401036
VASIREDDY V SAI TEJA SELF STUDENT
20 Yr 00 M
M 60000
350 201401037
SHINJINI GOSWAMI SELF STUDENT
20 Yr 00 M
F 60000
351 201401038
YASH KUMAR SELF STUDENT
20 Yr 00 M
M 60000
352 201401039
RAHI UTPAL SHETH SELF STUDENT
19 Yr 00 M
F 60000
353 201401040
SAI SWETHA PASAM SELF STUDENT
19 Yr 00 M
F 60000
354 201401041
THAKKAR KARAN DEVIDAS
SELF STUDENT
19 Yr 00 M
M 60000
355 201401043
BHAWANA JALORIA SELF STUDENT
21 Yr 00 M
F 60000
356 201401045
ANAMIKA MODI SELF STUDENT
19 Yr 00 M
F 60000
357 201401046
SHIVANJALI S MEENA SELF STUDENT
20 Yr 00 M
F 60000
358 201401047
NACHIKET VIKRAM TRIVEDI
SELF STUDENT
19 Yr 00 M
M 60000
359 201401048
EAGAPATI INDRANI CHOWDARY
SELF STUDENT
19 Yr 00 M
F 60000
360 201401049
BHANDERI SHREYAS VELJIBHAI
SELF STUDENT
20 Yr 00 M
M 60000
361 201401051
TRAPASIYA MAULIK AMRUTLAL
SELF STUDENT
20 Yr 00 M
M 60000
362 201401052
SUDIPTA HALDAR SELF STUDENT
20 Yr 00 M
M 60000
363 201401054
UDGIRKAR SANKET SHRIKANT
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
21 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
364 201401055
KRITIKA SOMANI SELF STUDENT
20 Yr 00 M
F 60000
365 201401056
ANEREE MEHTA SELF STUDENT
20 Yr 00 M
F 60000
366 201401057
DHRUV SINGH SELF STUDENT
20 Yr 00 M
M 60000
367 201401058
PATEL ABHISHEK DIPAKBHAI
SELF STUDENT
19 Yr 00 M
M 60000
368 201401059
UDHANI JAYESH BHAGWANDAS
SELF STUDENT
19 Yr 00 M
M 60000
369 201401060
MAYANK KUMAR SAHLOT
SELF STUDENT
20 Yr 00 M
M 60000
370 201401061
AKSHAY BHAGCHAND VIJAYVERGIA
SELF STUDENT
20 Yr 00 M
M 60000
371 201401063
BHAGAT NIKITA RAJENBHAI
SELF STUDENT
20 Yr 00 M
F 60000
372 201401064
BALVINDER SINGH SETHI
SELF STUDENT
20 Yr 00 M
M 60000
373 201401065
CHIMBILI SAI NEERAJ SELF STUDENT
19 Yr 00 M
M 60000
374 201401066
ADARSH JAIN SELF STUDENT
19 Yr 00 M
M 60000
375 201401067
KIKANI KARNAV MANISH SELF STUDENT
19 Yr 00 M
M 60000
376 201401068
SHUBHAM KHANDELWAL
SELF STUDENT
20 Yr 00 M
M 60000
377 201401069
VERTIKA K BINDAL SELF STUDENT
19 Yr 00 M
F 60000
378 201401070
ANURAG VIJAY GUPTA SELF STUDENT
19 Yr 00 M
M 60000
379 201401072
NEELAMRAJU SRISAI KARTHIK
SELF STUDENT
19 Yr 00 M
M 60000
380 201401073
PITTA NANCY SELF STUDENT
19 Yr 00 M
F 60000
381 201401074
RASHI GUPTA SELF STUDENT
20 Yr 00 M
M 60000
382 201401075
DEEPIT PATEL SELF STUDENT
19 Yr 00 M
M 60000
383 201401076
SHAH PARTH BHAVESH SELF STUDENT
19 Yr 00 M
M 60000
384 201401077
GHADIA DIVYESH GIRDHARBHAI
SELF STUDENT
20 Yr 00 M
M 60000
385 201401078
AAYUSH DESHRAJ SELF STUDENT
20 Yr 00 M
M 60000
386 201401079
SALONI DALAL SELF STUDENT
20 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
22 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
387 201401080
PATIL PRANAY KUMAR REDDY
SELF STUDENT
19 Yr 00 M
M 60000
388 201401081
GEOLANGSAT NARZARY SELF STUDENT
19 Yr 00 M
M 60000
389 201401082
NADGERI ABHISHEK SANJEEV
SELF STUDENT
20 Yr 00 M
M 60000
390 201401083
TANGUDU SRIHITHA SELF STUDENT
19 Yr 00 M
F 60000
391 201401084
BASIREDDYGARI JAYANTHESWAR REDDY
SELF STUDENT
19 Yr 00 M
M 60000
392 201401085
DARJI VAIDEHI PRAKASH
SELF STUDENT
20 Yr 00 M
F 60000
393 201401086
JOGLEKAR ADITYA VAIBHAV
SELF STUDENT
19 Yr 00 M
M 60000
394 201401087
KATRAGADDA PAAVAN PRANEETH
SELF STUDENT
19 Yr 00 M
M 60000
395 201401088
AKSHAY DHANANJAY BHAMARE
SELF STUDENT
20 Yr 00 M
M 60000
396 201401089
PARTH RATHOD SELF STUDENT
20 Yr 00 M
M 60000
397 201401090
AVINASH CHAUDHARY SELF STUDENT
21 Yr 00 M
M 60000
398 201401091
PATEL HETKUMAR SURESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
399 201401093
PADARTHY ABHISHANTH
SELF STUDENT
19 Yr 00 M
M 60000
400 201401094
VIJAY KUMAR SELF STUDENT
20 Yr 00 M
M 60000
401 201401095
ATRAYEE DEB SELF STUDENT
20 Yr 00 M
F 60000
402 201401096
SHAH UMANG PANKAJKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
403 201401097
LAGADAPATI KRISHNA CHAITHVIKA
SELF STUDENT
19 Yr 00 M
F 60000
404 201401098
ANUSHA PHADNIS SELF STUDENT
20 Yr 00 M
F 60000
405 201401099
PATEL ABHISHEK JITENDRABHAI
SELF STUDENT
20 Yr 00 M
M 60000
406 201401100
PARTH NITESH KANAKIYA
SELF STUDENT
19 Yr 00 M
M 60000
407 201401101
GAMITA BANAPHAL SELF STUDENT
20 Yr 00 M
F 60000
408 201401102
JONNALAGADDA DHARANI CHOWDARY
SELF STUDENT
19 Yr 00 M
F 60000
409 201401103
PINGE RAJDEEP SANTOSHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
23 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
410 201401104
SONAL DAMOR SELF STUDENT
20 Yr 00 M
F 60000
411 201401105
SHAH RUCHITA CHANDRESH
SELF STUDENT
20 Yr 00 M
F 60000
412 201401106
RUSHIKESH NALLA SELF STUDENT
20 Yr 00 M
M 60000
413 201401108
TIRTH CHETAN SHAH SELF STUDENT
19 Yr 00 M
M 60000
414 201401110
SHASHANK BISWAS SELF STUDENT
20 Yr 00 M
M 60000
415 201401111
BHIMANI MILANKUMAR KANTILAL
SELF STUDENT
19 Yr 00 M
M 60000
416 201401112
VINAY KUMAR MEENA SELF STUDENT
19 Yr 00 M
M 60000
417 201401113
BIRVA HEMEN PATEL SELF STUDENT
20 Yr 00 M
F 60000
418 201401114
DAMLE OMKAR VISHWESH
SELF STUDENT
20 Yr 00 M
M 60000
419 201401115
DEVANSHI BANSAL SELF STUDENT
19 Yr 00 M
F 60000
420 201401116
JUGAL KALAL SELF STUDENT
20 Yr 00 M
M 60000
421 201401117
URVASHI SINGH SELF STUDENT
20 Yr 00 M
F 60000
422 201401118
SIDDHARTH SINH M RANA
SELF STUDENT
20 Yr 00 M
M 60000
423 201401119
DESAI BRIJ SURESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
424 201401120
BHUT HARSHIT ANILBHAI
SELF STUDENT
19 Yr 00 M
M 60000
425 201401121
NERURKAR NANDINI SUJIT
SELF STUDENT
20 Yr 00 M
F 60000
426 201401122
ANCHIT DAVE SELF STUDENT
20 Yr 00 M
M 60000
427 201401123
PAREKH KEVAL MAYUR SELF STUDENT
20 Yr 00 M
M 60000
428 201401124
NARMIT SWETAL MASHRUWALA
SELF STUDENT
19 Yr 00 M
M 60000
429 201401125
PATEL PANTH PRANAVBHAI
SELF STUDENT
20 Yr 00 M
M 60000
430 201401126
GOPAL SHAH SELF STUDENT
19 Yr 00 M
M 60000
431 201401127
KRISHANU KONAR SELF STUDENT
20 Yr 00 M
M 60000
432 201401128
VANDIT DARSHAN MODI SELF STUDENT
19 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
24 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
433 201401129
CHANDAK RUDRA CHAMANLAL
SELF STUDENT
20 Yr 00 M
M 60000
434 201401130
DATANI PIYUSH SELF STUDENT
20 Yr 00 M
M 60000
435 201401131
SUTHAR KUNAL VINAYKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
436 201401132
TRIVEDI JAY KETANKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
437 201401133
BHAVSAR ANUJKUMAR ASHOKKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
438 201401134
SARADAVA RAVIBHAI SELF STUDENT
19 Yr 00 M
M 60000
439 201401135
DAVE MITHIL PARESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
440 201401136
KOSHIYAR DHRUV ASHOKBHAI
SELF STUDENT
19 Yr 00 M
M 60000
441 201401137
SAVALIYA MOHIT JAGDISHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
442 201401138
PRAJAPATI DHAVAL HARSHADBHAI
SELF STUDENT
19 Yr 00 M
M 60000
443 201401139
SARDHARA HARDIK SELF STUDENT
19 Yr 00 M
M 60000
444 201401140
CHAUHAN PARTH ASHOKKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
445 201401141
SHRIMALI NILAY KANUBHAI
SELF STUDENT
19 Yr 00 M
M 60000
446 201401142
PARATE HITESHKUMAR PRABHAKARBHAI
SELF STUDENT
19 Yr 00 M
M 60000
447 201401143
PATEL AKSHAYKUMAR MAHESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
448 201401144
SHAH KISHAN VIJAYKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
449 201401145
PALADIYA KETAN HARIBHAI
SELF STUDENT
19 Yr 00 M
M 60000
450 201401146
CHAUDHARI PRASHANTKUMAR KIRANBHAI
SELF STUDENT
19 Yr 00 M
M 60000
451 201401147
PATEL VINAYKUMAR MERUBHAI
SELF STUDENT
19 Yr 00 M
M 60000
452 201401148
PATEL MITALI NARENDRABHAI
SELF STUDENT
19 Yr 00 M
F 60000
453 201401149
MEHUL N VASAVA SELF STUDENT
19 Yr 00 M
M 60000
454 201401152
DODIA DIMPLE MANOJBHAI
SELF STUDENT
19 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
25 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
455 201401154
GUNDIGARA MIT JAYDEEPBHAI
SELF STUDENT
19 Yr 00 M
M 60000
456 201401155
SHETH VIRAJ APURVABHAI
SELF STUDENT
19 Yr 00 M
M 60000
457 201401156
PATEL YASH ATULKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
458 201401157
BORISAGAR PANAV ASHISHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
459 201401158
BORISAGAR PALLAV ASHISHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
460 201401159
KACHHIA RUCHI MILANBHAI
SELF STUDENT
20 Yr 00 M
F 60000
461 201401161
VALA SURJIT BAVKUBHAI
SELF STUDENT
19 Yr 00 M
M 60000
462 201401162
PANJWANI DHAVAL PRAKASH
SELF STUDENT
20 Yr 00 M
M 60000
463 201401163
PIPALIYA RAJAN DINESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
464 201401164
TARUNKUMAR BARIA SELF STUDENT
20 Yr 00 M
M 60000
465 201401165
SHAH HARSHAL BHADRESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
466 201401166
PARMAR RAHUL DILIPBHAI
SELF STUDENT
19 Yr 00 M
M 60000
467 201401167
GHUSAR HARDIK SELF STUDENT
19 Yr 00 M
M 60000
468 201401168
KACHA GAURAV SELF STUDENT
19 Yr 00 M
M 60000
469 201401169
SHAH MILAP CHIRAG SELF STUDENT
19 Yr 00 M
M 60000
470 201401170
LALAIYA MAYANK DINESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
471 201401171
DAVE HEET AMITKUMAR SELF STUDENT
19 Yr 00 M
M 60000
472 201401172
BHUSARA ARCHANAKUMAREE DINESHBHAI
SELF STUDENT
19 Yr 00 M
F 60000
473 201401173
DRASHTI BIPINCHANDRA BHARTI
SELF STUDENT
20 Yr 00 M
F 60000
474 201401174
MEHTA SUPARSHVA RAKESH
SELF STUDENT
20 Yr 00 M
M 60000
475 201401175
PRATIHAR SAURAVKUMAR KIRANKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
476 201401176
DEVARSHI CHANDRAKANT KACHA
SELF STUDENT
19 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
26 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
477 201401177
VAGHELA PARTH DINESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
478 201401178
KACHARIYA JAYRAJ MAHESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
479 201401179
PATEL NIRAV KAMLESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
480 201401180
SHAH KELAY KANUBHAI SELF STUDENT
20 Yr 00 M
M 60000
481 201401182
SINGAL KEYUR ANILKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
482 201401183
VAJA NISHANT DINESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
483 201401184
PATEL PARTH VIJAYKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
484 201401185
PATEL DIGMAKUMARI SELF STUDENT
19 Yr 00 M
F 60000
485 201401186
AKSHAT PATEL SELF STUDENT
19 Yr 00 M
M 60000
486 201401187
ARPIT PRAJAPATI SELF STUDENT
19 Yr 00 M
M 60000
487 201401189
LIMBADIYA MAULIK VAJUBHAI
SELF STUDENT
19 Yr 00 M
M 60000
488 201401190
RONAK CHANDRAKANT ODHAVIYA
SELF STUDENT
19 Yr 00 M
M 60000
489 201401191
PRATISH ANAND SELF STUDENT
20 Yr 00 M
M 60000
490 201401192
PARMAR HIRAL UMAKANT
SELF STUDENT
19 Yr 00 M
F 60000
491 201401194
GAJJAR PRATIK MAHESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
492 201401195
CHAUDHARY AMITKUMAR DHAGALCHAND
SELF STUDENT
19 Yr 00 M
M 60000
493 201401199
AGARWAL RESHEIL SANJEEV
SELF STUDENT
20 Yr 00 M
M 60000
494 201401200
PIYUSHI PAWAN SELF STUDENT
20 Yr 00 M
F 60000
495 201401201
AYUSHI JAIN SELF STUDENT
20 Yr 00 M
F 60000
496 201401202
PRAJAPATI SMITKUMAR MAHENDRABHAI
SELF STUDENT
19 Yr 00 M
M 60000
497 201401204
GAJJAR MANAN BHARATBHAI
SELF STUDENT
19 Yr 00 M
M 60000
498 201401205
DALIA BHARGAV OJASKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
27 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
499 201401206
VAGHELA VIRALKUMAR CHANDRAKANTBHAI
SELF STUDENT
19 Yr 00 M
M 60000
500 201401207
ASHUTOSH ADHIKARI SELF STUDENT
20 Yr 00 M
M 60000
501 201401208
MALIK AASIM MOHMMODASFAK
SELF STUDENT
19 Yr 00 M
M 60000
502 201401210
SAPARIYA ABHI MUKESHKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
503 201401211
DIVECHA RUSHI ASHOKKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
504 201401212
KOSHIYA JAYMIL BHARATBHAI
SELF STUDENT
19 Yr 00 M
M 60000
505 201401213
PRAJAPATI KALPESH TULSHIBHAI
SELF STUDENT
19 Yr 00 M
M 60000
506 201401214
MANVA MOHIBAHEMAD ABDULMAZID
SELF STUDENT
19 Yr 00 M
M 60000
507 201401215
PATEL DHRUV PRAKASHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
508 201401216
VIMAL PRAJAPATI SELF STUDENT
20 Yr 00 M
M 60000
509 201401217
DALSANIYA VIVEKKUMAR SURESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
510 201401218
PARMAR VIKAS SURESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
511 201401219
AGRAWAL PRACHI RAJESH
SELF STUDENT
20 Yr 00 M
F 60000
512 201401221
RAIYA DEEP KIRTIKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
513 201401222
PATEL VAIBHAVKUMAR SELF STUDENT
19 Yr 00 M
M 60000
514 201401223
NAYAK KUNTAL KETANKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
515 201401224
TRADA JASMIN KANTIBHAI
SELF STUDENT
19 Yr 00 M
M 60000
516 201401225
THAKKAR HARSH KIRITKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
517 201401226
SHAH DEVAM NRUPESH SELF STUDENT
19 Yr 00 M
M 60000
518 201401227
CHHATRALA NISHIT ASHISHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
519 201401228
MANAN ASHISH KSHATRIYA
SELF STUDENT
19 Yr 00 M
M 60000
520 201401229
BODA NISHTHA AMRUTBHAI
SELF STUDENT
20 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
28 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
521 201401230
ROHAN BANSAL SELF STUDENT
20 Yr 00 M
M 60000
522 201401231
SHETH AKAR JAYESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
523 201401232
SORIYA MANTHAN SELF STUDENT
19 Yr 00 M
M 60000
524 201401233
SHAH PARSHWA RAVINDRA
SELF STUDENT
19 Yr 00 M
M 60000
525 201401234
PARTH VASAVA SELF STUDENT
20 Yr 00 M
M 60000
526 201401235
DIVYESHKUMAR SAVALIYA
SELF STUDENT
19 Yr 00 M
M 60000
527 201401236
PATEL MITESHKUMAR KIRTIKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
528 201401237
PATEL MITHIL PRAVINBHAI
SELF STUDENT
20 Yr 00 M
M 60000
529 201401238
PATEL MEET SHAILESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
530 201401239
RAJDEV PARTH DINESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
531 201401240
PALOD PRACHI GHANSHYAM
SELF STUDENT
19 Yr 00 M
F 60000
532 201401241
SHAH JAY GAURANG SELF STUDENT
19 Yr 00 M
M 60000
533 201401242
PATEL JAY SHAILESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
534 201401243
PATEL SAUMIL KAMLESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
535 201401244
PARIKH SAMARTH SANJAY
SELF STUDENT
20 Yr 00 M
M 60000
536 201401245
SHAH SAURABH VINAY SELF STUDENT
20 Yr 00 M
M 60000
537 201401246
PATEL DVIJESH NANDLAL
SELF STUDENT
19 Yr 00 M
M 60000
538 201401247
PARMAR DHAVAL JAGDISHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
539 201401401
ADITYA RAJ SELF STUDENT
20 Yr 00 M
M 60000
540 201401402
GOHEL KUNAL KAMLESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
541 201401403
AARUSHI ILESH SANGHANI
SELF STUDENT
19 Yr 00 M
F 60000
542 201401404
VIRENDRA PRATAP SELF STUDENT
21 Yr 00 M
M 60000
543 201401405
LALCHETA NIHAR SHARADBHAI
SELF STUDENT
19 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
29 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
544 201401406
SHAH JINESH JAYESH SELF STUDENT
19 Yr 00 M
M 60000
545 201401407
KAPADIA AAYUSH SHRIKANT
SELF STUDENT
19 Yr 00 M
M 60000
546 201401408
KEVAL DHRUVESHKUMAR SHAH
SELF STUDENT
20 Yr 00 M
M 60000
547 201401409
TANMAY BHUPESH PATEL
SELF STUDENT
19 Yr 00 M
M 60000
548 201401410
SINGULUR SURYA VAMSI GOWTAM
SELF STUDENT
19 Yr 00 M
M 60000
549 201401411
SYED MOHAMMAD FUZAIL AHAMED
SELF STUDENT
18 Yr 00 M
M 60000
550 201401412
PARVATANENI MANASA SELF STUDENT
19 Yr 00 M
F 60000
551 201401413
K.KAMALESH SELF STUDENT
19 Yr 00 M
M 60000
552 201401414
VYAS MAHARSHI DIPAKKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
553 201401415
HARSH DILIPKUMAR GAGLANI
SELF STUDENT
19 Yr 00 M
M 60000
554 201401416
BHAVYA MITESH MEHTA SELF STUDENT
19 Yr 00 M
M 60000
555 201401417
SHAH PURVIK HITESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
556 201401418
DHRUV NARESHBHAI SACHDEV
SELF STUDENT
19 Yr 00 M
M 60000
557 201401420
ADITYA VYAS SELF STUDENT
19 Yr 00 M
M 60000
558 201401421
MANKAD NIRVISHA PIYUSH
SELF STUDENT
19 Yr 00 M
F 60000
559 201401422
SNEHA MANDAN SELF STUDENT
20 Yr 00 M
F 60000
560 201401423
SURBHIT RAO SELF STUDENT
20 Yr 00 M
M 60000
561 201401424
CHAUDHARI HARSH SHANKAR
SELF STUDENT
19 Yr 00 M
M 60000
562 201401425
NAIK TWISHA GAURANG SELF STUDENT
19 Yr 00 M
F 60000
563 201401426
PREETI MINJ SELF STUDENT
20 Yr 00 M
F 60000
564 201401427
HARSH VARDHAN HYANKEY
SELF STUDENT
19 Yr 00 M
M 60000
565 201401428
MALVIKA SINGH SELF STUDENT
21 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
30 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
566 201401429
PANDYA SHAIRIL BHAVINKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
567 201401431
CHANDWANI KHUSHBOO MUKESH
SELF STUDENT
19 Yr 00 M
F 60000
568 201401432
PATEL ABHIJIT SUNIL SELF STUDENT
20 Yr 00 M
M 60000
569 201401433
DALAL AALISHA PRANAV SELF STUDENT
19 Yr 00 M
F 60000
570 201401434
PRAJAPATI BIREN GANPATBHAI
SELF STUDENT
19 Yr 00 M
M 60000
571 201401435
MODI AKASH MUKESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
572 201401436
JARIWALA SAUMYA NIRAV
SELF STUDENT
19 Yr 00 M
M 60000
573 201401437
SHAH ABHI DHARMESH SELF STUDENT
19 Yr 00 M
M 60000
574 201401438
GANDHI ADWAIT ALKESH
SELF STUDENT
19 Yr 00 M
M 60000
575 201401439
ANISHI MEHTA SELF STUDENT
19 Yr 00 M
F 60000
576 201401440
DANGAR MAYURKUMAR VINUBHAI
SELF STUDENT
19 Yr 00 M
M 60000
577 201401442
SHAH KARTIK PARESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
578 201401443
AKSHAY MITERANI SELF STUDENT
19 Yr 00 M
M 60000
579 201401444
THAKKAR VATSAL JAYESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
580 201401446
GELAT HARSHIT SELF STUDENT
19 Yr 00 M
M 60000
581 201401447
CHANGELA ISHAN NARENDRABHAI
SELF STUDENT
19 Yr 00 M
M 60000
582 201401448
NARIA MIT JAYANTIBHAI SELF STUDENT
19 Yr 00 M
M 60000
583 201401449
GANDHI PARTHKUMAR ANILKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
584 201401450
SHAH RAJ KETAN SELF STUDENT
19 Yr 00 M
M 60000
585 201401451
DEVANSH ASHWINKUMAR GOHIL
SELF STUDENT
19 Yr 00 M
M 60000
586 201401452
GHETIA KISHAN BIPINBHAI
SELF STUDENT
19 Yr 00 M
M 60000
587 201401453
CHAUDHARI APURV JAYANTBHAI
SELF STUDENT
20 Yr 00 M
M 60000
588 201401455
VIRAL PANDEY SELF STUDENT
19 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
31 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
589 201401456
LIMBACHIA MIHIR SELF STUDENT
19 Yr 00 M
M 60000
590 201401457
CHAUDHARI UTTAMKUMAR SHANKARBHAI
SELF STUDENT
19 Yr 00 M
M 60000
591 201401459
DETROJA MAYUR NILESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
592 201401461
VAGHELA RONAKSINH RAMSINH
SELF STUDENT
19 Yr 00 M
M 60000
593 201411014
SHAH KUSHAN RAJNIKANT
SELF STUDENT
23 Yr 00 M
M 60000
594 201411052
ABHAY SINGH SELF STUDENT
34 Yr 00 M
M 60000
595 201412088
RANA DHARABEN KAMLESHKUMAR
SELF STUDENT
22 Yr 00 M
F 60000
596 201412090
SHIKHA SANADHYA SELF STUDENT
23 Yr 00 M
F 60000
597 201421001
ARCHANA NIGAM SELF STUDENT
27 Yr 00 M
F 60000
598 201421002
SUMUKH BANSAL SELF STUDENT
27 Yr 00 M
M 60000
599 201421003
PATEL NIKITABEN RATILAL
SELF STUDENT
24 Yr 00 M
F 60000
600 201421004
HARDIK GAJERA SELF STUDENT
26 Yr 00 M
M 60000
601 201421005
DESAI NIDHI NITINBHAI SELF STUDENT
28 Yr 00 M
F 60000
602 201421006
RAHUL VASHISTH SELF STUDENT
28 Yr 00 M
M 60000
603 201501001
PATELIYA JEETESHKUMAR RAMANBHAI
SELF STUDENT
18 Yr 00 M
M 60000
604 201501002
PARV CHADHA SELF STUDENT
19 Yr 00 M
M 60000
605 201501003
HIMANSHU CHANDAK SELF STUDENT
20 Yr 00 M
M 60000
606 201501004
AASHINI NILESHKUMAR SONI
SELF STUDENT
19 Yr 00 M
F 60000
607 201501005
AMARNATH KARTHI SELF STUDENT
18 Yr 00 M
M 60000
608 201501006
SOUMYA AGRAWAL SELF STUDENT
18 Yr 00 M
F 60000
609 201501007
AGRAWAL ABHISHEK MANOJ
SELF STUDENT
18 Yr 00 M
M 60000
610 201501008
RAVIRAM MAMIDI SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
32 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
611 201501009
PRAKHAR ANANYA SELF STUDENT
19 Yr 00 M
M 60000
612 201501010
ISAAC MALSAWMA SELF STUDENT
18 Yr 00 M
M 60000
613 201501011
KUNAL NIRAV KHATRI SELF STUDENT
18 Yr 00 M
M 60000
614 201501012
KEYA DESAI SELF STUDENT
18 Yr 00 M
F 60000
615 201501013
KOLI POOJA TUKARAM SELF STUDENT
19 Yr 00 M
F 60000
616 201501014
NIKITA VERMA SELF STUDENT
20 Yr 00 M
F 60000
617 201501015
PATEL PARTH HITENDRAKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
618 201501016
SALONI MUNDRA SELF STUDENT
19 Yr 00 M
F 60000
619 201501017
PATEL RAHUL HASMUKHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
620 201501018
VARIA NEELANSHI ATUL SELF STUDENT
18 Yr 00 M
F 60000
621 201501019
RAGHAV AGARWAL SELF STUDENT
19 Yr 00 M
M 60000
622 201501020
SHUBHAM D ANNADATE SELF STUDENT
18 Yr 00 M
M 60000
623 201501021
ROSHAN ASHOKBHAI SHAH
SELF STUDENT
19 Yr 00 M
M 60000
624 201501022
SHETH RUTVIK LALITKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
625 201501023
PATEL DEV NARENDRAKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
626 201501024
PARAMJEET SUNIL DESAI
SELF STUDENT
18 Yr 00 M
M 60000
627 201501025
SHUBHAM SONKAR SELF STUDENT
20 Yr 00 M
M 60000
628 201501026
SHUBHAM S MEENA SELF STUDENT
20 Yr 00 M
M 60000
629 201501027
PRASHIK NAGRALE SELF STUDENT
19 Yr 00 M
M 60000
630 201501028
BHANSALI YASH GAURANGBHAI
SELF STUDENT
18 Yr 00 M
M 60000
631 201501029
VANAMALA VYSHNAVI SELF STUDENT
18 Yr 00 M
F 60000
632 201501030
PUROHIT DEVANSH NARESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
633 201501031
SHAH MIHIR BIRENDRAKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
33 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
634 201501032
DIVYANSHU SINGH SELF STUDENT
19 Yr 00 M
M 60000
635 201501033
DAVAWALA NIDHI DEVANG
SELF STUDENT
18 Yr 00 M
F 60000
636 201501034
HARDIK BANSAL SELF STUDENT
20 Yr 00 M
M 60000
637 201501035
PATEL HARSH ALPESH SELF STUDENT
18 Yr 00 M
M 60000
638 201501036
SHAH DHAIRYA MUKESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
639 201501037
GOSWAMI JAY SURESHGIRI
SELF STUDENT
18 Yr 00 M
M 60000
640 201501038
DOBARIYA HARDIK PARESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
641 201501039
MEENA ABHISHEK HARI SHANKAR
SELF STUDENT
18 Yr 00 M
M 60000
642 201501040
MAYANK NAHAR SELF STUDENT
19 Yr 00 M
M 60000
643 201501041
VIDISH PANKAJKUMAR TRIVEDI
SELF STUDENT
18 Yr 00 M
M 60000
644 201501042
VINEETA MEENA SELF STUDENT
19 Yr 00 M
F 60000
645 201501043
R P KOUSHIK SELF STUDENT
18 Yr 00 M
M 60000
646 201501044
PRAKRUTI HASIT JOSHI SELF STUDENT
19 Yr 00 M
F 60000
647 201501045
PATEL SHREEMAD SANSKAR
SELF STUDENT
19 Yr 00 M
M 60000
648 201501046
PATEL YASH MANHARBHAI
SELF STUDENT
18 Yr 00 M
M 60000
649 201501047
JAYANTHI ARAVIND SELF STUDENT
18 Yr 00 M
M 60000
650 201501048
SHIWANGI KASHYAP SELF STUDENT
19 Yr 00 M
F 60000
651 201501049
SHUBHAM ATRI SELF STUDENT
18 Yr 00 M
M 60000
652 201501050
CHAUDHARY KEYURKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
653 201501051
RAMAVATH SASANK RATHOD
SELF STUDENT
18 Yr 00 M
M 60000
654 201501052
BAROCHIYA DHRUV DILIPBHAI
SELF STUDENT
18 Yr 00 M
M 60000
655 201501053
KHATNANI BHAVESH SELF STUDENT
18 Yr 00 M
M 60000
656 201501054
RATHOD MIHIRBHAI MANSUKHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
34 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
657 201501055
SAI ANISH GARAPATI SELF STUDENT
18 Yr 00 M
M 60000
658 201501056
DOSHI NIRAV JAYANTILAL
SELF STUDENT
18 Yr 00 M
M 60000
659 201501057
DHANVANTHRI KUMAR AGARWAL
SELF STUDENT
18 Yr 00 M
M 60000
660 201501058
PATEL RAVIBHAI BHARATBHAI
SELF STUDENT
18 Yr 00 M
M 60000
661 201501059
SHAH FENIL MUKESH SELF STUDENT
18 Yr 00 M
M 60000
662 201501060
VIDHI SHAILESHBHAI KATKORIA
SELF STUDENT
18 Yr 00 M
F 60000
663 201501061
MAVURAPU UMESH REDDY
SELF STUDENT
17 Yr 00 M
M 60000
664 201501062
BHATT RISHIKESH JAYESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
665 201501063
VIKANI PREMANG BHARATBHAI
SELF STUDENT
18 Yr 00 M
M 60000
666 201501065
GUNDAPANENI LOHITA SELF STUDENT
18 Yr 00 M
F 60000
667 201501066
CHINTALAPATI VENKATA RAMA RAHUL
SELF STUDENT
18 Yr 00 M
M 60000
668 201501067
UPPU KAAVYA SELF STUDENT
18 Yr 00 M
F 60000
669 201501068
RAM NIRBHAY JESABHAI SELF STUDENT
19 Yr 00 M
M 60000
670 201501069
KASHISH SELF STUDENT
20 Yr 00 M
M 60000
671 201501070
RISHAB ARORA SELF STUDENT
19 Yr 00 M
M 60000
672 201501071
SHAH JAY NILESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
673 201501072
SOLANKI SHARVIL ATULBHAI
SELF STUDENT
18 Yr 00 M
M 60000
674 201501073
SHAH MALHAR BHARAT SELF STUDENT
19 Yr 00 M
M 60000
675 201501074
RAJAT GARG SELF STUDENT
20 Yr 00 M
M 60000
676 201501075
ASHUTOSH MAHESHWARI
SELF STUDENT
19 Yr 00 M
M 60000
677 201501076
DHOLAKIA NINAD SHIRISHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
678 201501077
PATEL DARSHAN BHARATKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
679 201501078
KUNJAL RUPALA SELF STUDENT
18 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
35 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
680 201501079
ANUPRIYA JAJU SELF STUDENT
19 Yr 00 M
F 60000
681 201501080
JADAV HARDIK PRAVINBHAI
SELF STUDENT
18 Yr 00 M
M 60000
682 201501081
SHAH MEGH RAJESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
683 201501082
NASIT SAMARTH GORDHANBHAI
SELF STUDENT
18 Yr 00 M
M 60000
684 201501083
RUTVIK SHAH SELF STUDENT
19 Yr 00 M
M 60000
685 201501085
AKSHIT SONI SELF STUDENT
19 Yr 00 M
M 60000
686 201501086
LILA DHAVALKUMAR JAYANTILAL
SELF STUDENT
18 Yr 00 M
M 60000
687 201501087
BHUVA JAYKUMAR ANILKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
688 201501088
ETTA SRI POOJITHA SELF STUDENT
18 Yr 00 M
F 60000
689 201501089
SANGHANI ANILKUMAR GOPALBHAI
SELF STUDENT
18 Yr 00 M
M 60000
690 201501090
PIYUSH AJMERIA SELF STUDENT
18 Yr 00 M
M 60000
691 201501091
DHOLIYA DHUMIL ASHOK
SELF STUDENT
19 Yr 00 M
M 60000
692 201501092
CHIRANG MALVIYA SELF STUDENT
20 Yr 00 M
M 60000
693 201501093
GOTI MEET RAJENDRAKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
694 201501095
DIVYANSHU SHEKHAR SELF STUDENT
18 Yr 00 M
M 60000
695 201501096
PATEL SHASHANK NARESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
696 201501097
KRITI UPADHYAY SELF STUDENT
18 Yr 00 M
F 60000
697 201501098
THAKRANI POOJA AMRUTLAL
SELF STUDENT
19 Yr 00 M
F 60000
698 201501099
AGAM ALKESHKUMAR SHAH
SELF STUDENT
18 Yr 00 M
M 60000
699 201501100
AMIN MEET ANILKUMAR SELF STUDENT
19 Yr 00 M
M 60000
700 201501101
HARSH VYAS SELF STUDENT
18 Yr 00 M
M 60000
701 201501102
SAKET JAJOO SELF STUDENT
19 Yr 00 M
M 60000
702 201501103
HITESH KAUSHIK KORABATHINA
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
36 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
703 201501104
KALANGI SRAVANI SELF STUDENT
18 Yr 00 M
F 60000
704 201501105
SAINI KARAN RAJSINGH SELF STUDENT
19 Yr 00 M
M 60000
705 201501107
SHRIMALI JAY SELF STUDENT
18 Yr 00 M
M 60000
706 201501108
SOLANKI DIVYAKUMAR BIPINKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
707 201501109
MADHURYA SANKHLA SELF STUDENT
20 Yr 00 M
M 60000
708 201501110
MISTRY DARREN JAYKANT
SELF STUDENT
18 Yr 00 M
M 60000
709 201501111
MITESH KAPASIA SELF STUDENT
19 Yr 00 M
M 60000
710 201501112
SAKSHI SHARMA SELF STUDENT
19 Yr 00 M
F 60000
711 201501113
SHAH SHREY MANISHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
712 201501114
VAGHELA BHARAT JETHALAL
SELF STUDENT
19 Yr 00 M
M 60000
713 201501115
MAKWANA VIRAJ SELF STUDENT
19 Yr 00 M
M 60000
714 201501116
VADALIYA KARN KAUSHIK
SELF STUDENT
18 Yr 00 M
M 60000
715 201501117
GANATRA HARMISH SANDIPBHAI
SELF STUDENT
19 Yr 00 M
M 60000
716 201501118
KAUSHIK P MAKWANA SELF STUDENT
18 Yr 00 M
M 60000
717 201501119
PATIL TEJASKUMAR RAVINDRA
SELF STUDENT
19 Yr 00 M
M 60000
718 201501120
ETTA MADHUMITHA SELF STUDENT
18 Yr 00 M
F 60000
719 201501121
ANDHARIA DHAVAL KALPESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
720 201501122
HIMANSHU GUPTA SELF STUDENT
19 Yr 00 M
M 60000
721 201501123
ASHRAY BHARAMBE SELF STUDENT
19 Yr 00 M
M 60000
722 201501124
SHUBHANGI MEHROTRA SELF STUDENT
19 Yr 00 M
F 60000
723 201501125
PATEL POOJA KALPESHBHAI
SELF STUDENT
18 Yr 00 M
F 60000
724 201501126
ATKURI SRI DUTTA SAI SANDEEP
SELF STUDENT
19 Yr 00 M
M 60000
725 201501127
GAJERA MIHIR HASMUKHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
37 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
726 201501128
SHIRISH JAIN SELF STUDENT
20 Yr 00 M
M 60000
727 201501129
PRATIK N WANKHEDE SELF STUDENT
18 Yr 00 M
M 60000
728 201501130
RAVAL PARTH SANJAYBHAI
SELF STUDENT
19 Yr 00 M
M 60000
729 201501131
ADITI SOGRA SELF STUDENT
20 Yr 00 M
F 60000
730 201501132
SHAH MAULI NILESH SELF STUDENT
18 Yr 00 M
F 60000
731 201501133
MEHTA AAGAM PARESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
732 201501134
NISARG PATEL SELF STUDENT
19 Yr 00 M
M 60000
733 201501135
GADHVI VEDANT SELF STUDENT
18 Yr 00 M
M 60000
734 201501136
MEHTA YASH DIPAK SELF STUDENT
18 Yr 00 M
M 60000
735 201501137
RATHOD KAUSTUK AJAYBHAI
SELF STUDENT
19 Yr 00 M
M 60000
736 201501138
PRIYANKKUMAR PRAJAPATI
SELF STUDENT
18 Yr 00 M
M 60000
737 201501139
AGRAWAL AAYUSH KAILASH
SELF STUDENT
19 Yr 00 M
M 60000
738 201501140
MACHIRAJU UNNATHI SELF STUDENT
19 Yr 00 M
F 60000
739 201501141
ENGINEER TIRTH JIGNESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
740 201501142
SHAH LABDHI JIGNESHKUMAR
SELF STUDENT
18 Yr 00 M
F 60000
741 201501143
ONKAR PANDIT SELF STUDENT
18 Yr 00 M
M 60000
742 201501144
KHOKHAR SOHIL ABDULRASID
SELF STUDENT
18 Yr 00 M
M 60000
743 201501145
CHANDNANI CHIRAG KHUSHIRAM
SELF STUDENT
19 Yr 00 M
M 60000
744 201501146
AKSHAY MARU SELF STUDENT
18 Yr 00 M
M 60000
745 201501147
PATEL KISHANKUMAR HASMUKHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
746 201501148
RATHOD ANKITKUMAR DHIRAJLAL
SELF STUDENT
18 Yr 00 M
M 60000
747 201501149
PANCHAL UMANG HASMUKHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
748 201501150
SAJAL TIWARI SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
38 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
749 201501151
VIKASH KUMAR SELF STUDENT
19 Yr 00 M
M 60000
750 201501152
MUKUL JOSHI SELF STUDENT
18 Yr 00 M
M 60000
751 201501153
TIWARI RAVIKUMAR VYAS
SELF STUDENT
19 Yr 00 M
M 60000
752 201501154
RIYA TALWAR SELF STUDENT
19 Yr 00 M
F 60000
753 201501155
AASHAY BINAYKIA SELF STUDENT
19 Yr 00 M
M 60000
754 201501156
VAISHNAV ASHISH ANIRUDHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
755 201501157
PATEL NIKISHA SELF STUDENT
19 Yr 00 M
F 60000
756 201501158
BRINDA JENA SELF STUDENT
27 Yr 00 M
F 60000
757 201501159
KIRTANKUMAR A PATEL SELF STUDENT
19 Yr 00 M
M 60000
758 201501160
SIDDHARTH MISHRA SELF STUDENT
18 Yr 00 M
M 60000
759 201501163
CHINMAY V GAMETI SELF STUDENT
19 Yr 00 M
M 60000
760 201501164
PATEL DHVANI PRASHANT
SELF STUDENT
19 Yr 00 M
F 60000
761 201501165
AJAYKUMAR SHAMLA SELF STUDENT
20 Yr 00 M
M 60000
762 201501166
NEHALKUMAR VASAVA SELF STUDENT
18 Yr 00 M
M 60000
763 201501171
RAJ AJITKUMAR GAMIT SELF STUDENT
19 Yr 00 M
M 60000
764 201501172
CHAUDHARI DVEEP PARESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
765 201501173
GAMIT DEEP KANALAL SELF STUDENT
18 Yr 00 M
M 60000
766 201501174
KARTIK MUDGAL SELF STUDENT
18 Yr 00 M
M 60000
767 201501175
PATEL MAULIK BHARATKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
768 201501176
SHAH HET PRASHANTBHAI
SELF STUDENT
18 Yr 00 M
M 60000
769 201501177
DODIA NAITIK SELF STUDENT
18 Yr 00 M
M 60000
770 201501178
BHAGYASHREE SOLANKI
SELF STUDENT
19 Yr 00 M
F 60000
771 201501179
SHAH ADIT JAYESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
39 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
772 201501180
KRUTI VYOMESH SHETH SELF STUDENT
18 Yr 00 M
F 60000
773 201501181
PRIYAM MALAYKUMAR VORA
SELF STUDENT
18 Yr 00 M
M 60000
774 201501182
LUKHI DRASHTI DHIRAJLAL
SELF STUDENT
18 Yr 00 M
F 60000
775 201501183
AMAN VANGANI SELF STUDENT
18 Yr 00 M
M 60000
776 201501184
HEMIL HASMUKHBHAI JAIN
SELF STUDENT
18 Yr 00 M
M 60000
777 201501185
SHAH MEET DIMPLEKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
778 201501186
PATEL JAY RASIKBHAI SELF STUDENT
19 Yr 00 M
M 60000
779 201501187
KAPADIA AASHKA BHADRESH KUMAR
SELF STUDENT
19 Yr 00 M
F 60000
780 201501188
PRAJAPATI DHAVALKUMAR GOVINDBHAI
SELF STUDENT
18 Yr 00 M
M 60000
781 201501189
PATEL NIRMAL JAGDISHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
782 201501190
VORA DARSHIT GIRISHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
783 201501191
MAKWANA HARSH JAYVEERBHAI
SELF STUDENT
18 Yr 00 M
M 60000
784 201501192
PARMAR MIHIR SELF STUDENT
18 Yr 00 M
M 60000
785 201501193
BAMBHANIA PRATIK JAYANTI
SELF STUDENT
19 Yr 00 M
M 60000
786 201501194
NAIK DHAIWAT SELF STUDENT
19 Yr 00 M
M 60000
787 201501195
CHAUHAN HIRENKUMAR JITENDRA
SELF STUDENT
19 Yr 00 M
M 60000
788 201501196
DARJI CHIRAG BHAVESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
789 201501197
MODI SMIT JIGNESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
790 201501198
PRAJAPATI PRATIK ARVINDBHAI
SELF STUDENT
18 Yr 00 M
M 60000
791 201501199
MODI TAPAN RAJNIKANT SELF STUDENT
18 Yr 00 M
M 60000
792 201501200
SACHIN CHAUHAN SELF STUDENT
19 Yr 00 M
M 60000
793 201501201
GOHIL AJAY ASHOKKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
40 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
794 201501203
SHUKLA ADARSH DWARIKANATH
SELF STUDENT
18 Yr 00 M
M 60000
795 201501204
MISTRY KHUSHIL BHADRESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
796 201501205
PATEL SKENY SATISHCHANDRA
SELF STUDENT
18 Yr 00 M
F 60000
797 201501206
CHAUHAN YAGNESH SURESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
798 201501207
GOHIL AVANIBEN ASHOKKUMAR
SELF STUDENT
19 Yr 00 M
F 60000
799 201501208
VRAJ JITENDRA MEHTA SELF STUDENT
18 Yr 00 M
M 60000
800 201501209
CHAUDHARI PRIYANGIKUMARI KALPESHBHAI
SELF STUDENT
20 Yr 00 M
F 60000
801 201501210
BHAT KOPAL VIR KUMAR SELF STUDENT
19 Yr 00 M
F 60000
802 201501211
PRAJAPATI PARTH RAMESHCHANDRA
SELF STUDENT
18 Yr 00 M
M 60000
803 201501212
GAJJAR AKASHKUMAR ASHOKBHAI
SELF STUDENT
18 Yr 00 M
M 60000
804 201501213
PRAJAPATI JEELKUMAR MAHENDRABHAI
SELF STUDENT
18 Yr 00 M
M 60000
805 201501214
DARJI ATMAN JAYESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
806 201501215
VADHAIYA NIRAJKUMAR SURESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
807 201501216
DARJI JAYMINKUMAR NAVINBHAI
SELF STUDENT
19 Yr 00 M
M 60000
808 201501217
APPURVA MURAWAT SELF STUDENT
18 Yr 00 M
M 60000
809 201501218
HIMANSHU AGARWAL SELF STUDENT
20 Yr 00 M
M 60000
810 201501219
PATEL KAUSHAL PANKAJKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
811 201501220
DOSHI SAVAN DIXESH SELF STUDENT
18 Yr 00 M
M 60000
812 201501221
KALYANI RISHABH SANJAYKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
813 201501223
MEGHPARA RAJKUMAR PRAVINBHAI
SELF STUDENT
18 Yr 00 M
M 60000
814 201501224
SHAH ROMIL RAJESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
815 201501225
OZA DHRUMIL UMESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
41 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
816 201501226
PATEL NILKUMAR BABUBHAI
SELF STUDENT
18 Yr 00 M
M 60000
817 201501227
PATEL AMAN MUKESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
818 201501228
KAHODARIYA MAHARSHI MAHESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
819 201501229
DOSHI PARTH SELF STUDENT
18 Yr 00 M
M 60000
820 201501230
PATEL PRITHVI VIJAYKUMAR
SELF STUDENT
18 Yr 00 M
F 60000
821 201501231
PATEL HELLY JIGNESHBHAI
SELF STUDENT
18 Yr 00 M
F 60000
822 201501232
SHAH ANURAG AJAYKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
823 201501233
TAPODHAN KIRTI DINESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
824 201501234
PATEL KAVAN SELF STUDENT
18 Yr 00 M
M 60000
825 201501235
JEEL SANTOKI SELF STUDENT
18 Yr 00 M
M 60000
826 201501236
ARNAV KAUSHIK SHARMA
SELF STUDENT
19 Yr 00 M
M 60000
827 201501237
DARSH BHARAT VAJARIA
SELF STUDENT
18 Yr 00 M
M 60000
828 201501238
PATEL BRIJESHKUMAR SELF STUDENT
18 Yr 00 M
M 60000
829 201501240
BHUPTANI DHRUVIL MITESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
830 201501241
KASUNDRA TEJAS RAJESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
831 201501242
KAVAR RUSHIKESH PRAFULBHAI
SELF STUDENT
18 Yr 00 M
M 60000
832 201501243
GOSALIYA KAJAL PARESH
SELF STUDENT
18 Yr 00 M
F 60000
833 201501244
PATEL RUTUL SELF STUDENT
18 Yr 00 M
M 60000
834 201501245
PATEL KADAMKUMAR BHARATBHAI
SELF STUDENT
19 Yr 00 M
M 60000
835 201501246
PATEL MANTHAN DILIPBHAI
SELF STUDENT
18 Yr 00 M
M 60000
836 201501247
LAD GAURAVKUMAR JAYESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
837 201501248
KAYASTHA PRATIK JAYESH
SELF STUDENT
18 Yr 00 M
M 60000
838 201501249
SUTHAR PRIYAM DIPAKBHAI
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
42 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
839 201501250
PATEL KUSH DIPESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
840 201501251
MIT SWAMI SELF STUDENT
18 Yr 00 M
M 60000
841 201501401
JIVANI KARAN PRAFULBHAI
SELF STUDENT
19 Yr 00 M
M 60000
842 201501402
BHORANIYA EKTA NITINBHAI
SELF STUDENT
18 Yr 00 M
F 60000
843 201501403
BHATT UJAVAL GUNVANTBHAI
SELF STUDENT
18 Yr 00 M
M 60000
844 201501404
VINEET MEHTA SELF STUDENT
19 Yr 00 M
M 60000
845 201501405
VASOYA HARSH DINESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
846 201501406
UNNATI PARESHBHAI PAREKH
SELF STUDENT
19 Yr 00 M
F 60000
847 201501407
SAVALIYA SAGARKUMAR NAVNITBHAI
SELF STUDENT
18 Yr 00 M
M 60000
848 201501408
RAJ ASHOKBHAI JAKASANIYA
SELF STUDENT
19 Yr 00 M
M 60000
849 201501409
THESIYA KISHAN MOHANBHAI
SELF STUDENT
18 Yr 00 M
M 60000
850 201501410
PATEL SMIT JASHVANTBHAI
SELF STUDENT
18 Yr 00 M
M 60000
851 201501411
JOSHI RUTVIK BHARATKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
852 201501412
MANVAR KRISHNA ARVINDBHAI
SELF STUDENT
19 Yr 00 M
F 60000
853 201501413
KOTHARI YASH SANJAYBHAI
SELF STUDENT
18 Yr 00 M
M 60000
854 201501414
PATEL GAURANG SURESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
855 201501415
DOSHI SAUMYA PARESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
856 201501416
HASNAIN AKIL GANDHI SELF STUDENT
18 Yr 00 M
M 60000
857 201501417
RAMRAKHIA YASH RAJENDRA
SELF STUDENT
18 Yr 00 M
M 60000
858 201501418
MAKADIYA SAVAN MAHESHBHAI
SELF STUDENT
19 Yr 00 M
M 60000
859 201501419
KAKKAD ABHIN KETAN SELF STUDENT
18 Yr 00 M
M 60000
860 201501420
MEHTA MANTHAN DHARMESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
43 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
861 201501421
GOYAL VISHAL NARENDRABHAI
SELF STUDENT
19 Yr 00 M
M 60000
862 201501422
MEHTA CHAHAK PARAS SELF STUDENT
18 Yr 00 M
M 60000
863 201501423
SWASTIKA SATISH NAYAK
SELF STUDENT
18 Yr 00 M
F 60000
864 201501424
PATEL ANERI ASHISH SELF STUDENT
18 Yr 00 M
F 60000
865 201501425
DARSHAN Y MAKWANA SELF STUDENT
18 Yr 00 M
M 60000
866 201501426
CHAVDA JAKSHIL DHIRUBHAI
SELF STUDENT
18 Yr 00 M
M 60000
867 201501427
PARMAR EKTA PANKAJBHAI
SELF STUDENT
18 Yr 00 M
F 60000
868 201501428
MAHESHWARI ROHAN PREMJI
SELF STUDENT
18 Yr 00 M
M 60000
869 201501429
PARMAR VYOM JAYSUKHLAL
SELF STUDENT
18 Yr 00 M
M 60000
870 201501430
PRAJEET THAKUR SELF STUDENT
18 Yr 00 M
M 60000
871 201501431
AKRITI THAKUR SELF STUDENT
19 Yr 00 M
F 60000
872 201501432
MAKWANA BHARGAV MAHESHKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
873 201501433
SUBHANIYA AYUB ANWER
SELF STUDENT
19 Yr 00 M
M 60000
874 201501434
SISODIYA SIDDHARAJ SADURBHAI
SELF STUDENT
20 Yr 00 M
M 60000
875 201501435
CHAUDHARY MAULIKKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
876 201501436
KALASWA RAJDEEPKUMAR CHANDULAL
SELF STUDENT
18 Yr 00 M
M 60000
877 201501437
SELOT PRIYANSHIBEN SELF STUDENT
18 Yr 00 M
F 60000
878 201501438
PATEL HIRAL ASHVINKUMAR
SELF STUDENT
18 Yr 00 M
F 60000
879 201501439
KARNAVAT PRADIPKUMAR MAHESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
880 201501440
THAKKAR SMIT RAJESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
881 201501441
THAKKER DHRUV VIKRAM
SELF STUDENT
19 Yr 00 M
M 60000
882 201501442
JOSHI ISHANI BHASKARBHAI
SELF STUDENT
19 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
44 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
883 201501443
PATEL UTSAV PRAHLADBHAI
SELF STUDENT
18 Yr 00 M
M 60000
884 201501444
RAYVADERA MEET HITESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
885 201501445
PARMAR UMANG JASHVANTBHAI
SELF STUDENT
18 Yr 00 M
M 60000
886 201501446
MASTER KARAN RAJENDRABHAI
SELF STUDENT
19 Yr 00 M
M 60000
887 201501447
MORI ABHIJITSINH SHAILESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
888 201501448
PRAJAPATI KAVI YAGNESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
889 201501449
GANDHI DHARMIL SELF STUDENT
18 Yr 00 M
M 60000
890 201501450
SHINGALA VISHALKUMAR BABUBHAI
SELF STUDENT
18 Yr 00 M
M 60000
891 201501452
PATEL DHRUV MAHESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
892 201501453
PATEL TIRTH JITENDRA SELF STUDENT
19 Yr 00 M
M 60000
893 201501454
ANUSHRUTI PANDEY SELF STUDENT
19 Yr 00 M
F 60000
894 201501456
DHARAK CHANDUBHAI GAMETI
SELF STUDENT
17 Yr 00 M
M 60000
895 201501457
GAMIT PROMIL LAXMANBHAI
SELF STUDENT
19 Yr 00 M
M 60000
896 201501458
UPADHYAY UMANGBHAI SELF STUDENT
18 Yr 00 M
M 60000
897 201501459
PATEL LUV DIPESHBHAI SELF STUDENT
18 Yr 00 M
M 60000
898 201501460
CHAUDHARY VISHNUKUMAR BHARMALBHAI
SELF STUDENT
19 Yr 00 M
M 60000
899 201501461
KHODIFAD HARSHAL VALLABHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
900 201511001
PEDHADIYA NIRAVKUMAR SURESHBHAI
SELF STUDENT
24 Yr 00 M
M 60000
901 201511002
DESAI MEET NITIN SELF STUDENT
22 Yr 00 M
M 60000
902 201511003
PATEL VISMAY NAVINKUMAR
SELF STUDENT
24 Yr 00 M
M 60000
903 201511004
SHARMA AYUSHI RAMPRAKASH
SELF STUDENT
23 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
45 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
904 201511005
SHAH AKASH PRAVINCHANDRA
SELF STUDENT
23 Yr 00 M
M 60000
905 201511006
MISHRA AJAY SURENDRA
SELF STUDENT
22 Yr 00 M
M 60000
906 201511007
DHOLARIYA PANKAJKUMAR VRAJLAL
SELF STUDENT
22 Yr 00 M
M 60000
907 201511008
SEKSARIA KHUSHBOO SURYAKANT
SELF STUDENT
22 Yr 00 M
F 60000
908 201511009
HARSHIT BHATNAGAR SELF STUDENT
23 Yr 00 M
M 60000
909 201511010
TRIVEDI SHAILI NARESHKUMAR
SELF STUDENT
24 Yr 00 M
F 60000
910 201511011
BADGUJAR JIGNESH SANTOSHBHAI
SELF STUDENT
24 Yr 00 M
M 60000
911 201511012
AGRAWAL JATIN BHARAT
SELF STUDENT
24 Yr 00 M
M 60000
912 201511013
TUSHIN SHROTRIYA SELF STUDENT
23 Yr 00 M
M 60000
913 201511014
HARSHIT PRATIK SELF STUDENT
24 Yr 00 M
M 60000
914 201511015
JAINIKKUMAR PRAVINCHANDRA RANPURA
SELF STUDENT
24 Yr 00 M
M 60000
915 201511016
POPAT NIRALI DINESHBHAI
SELF STUDENT
23 Yr 00 M
F 60000
916 201511017
RAJPUT PRUTHVISH RAJESH
SELF STUDENT
25 Yr 00 M
M 60000
917 201511018
SHIHORA RUTVI NAYANKUMAR
SELF STUDENT
23 Yr 00 M
F 60000
918 201511019
KARAVADRA RAJU DUDA
SELF STUDENT
26 Yr 00 M
M 60000
919 201511020
KADIYA BHAUMIK ASHWINKUMAR
SELF STUDENT
23 Yr 00 M
M 60000
920 201511021
MANSI SINGH SELF STUDENT
25 Yr 00 M
F 60000
921 201511023
NEELASHA SEN SELF STUDENT
28 Yr 00 M
F 60000
922 201511024
K. HEMANTHA SELF STUDENT
22 Yr 00 M
F 60000
923 201511025
CHRISTIAN RUZVELT RAMESHBHAI
SELF STUDENT
23 Yr 00 M
M 60000
924 201511026
TANDEL DEEP ISHVARBHAI
SELF STUDENT
23 Yr 00 M
M 60000
925 201511027
BATAVIA DARSHAN NARESH
SELF STUDENT
22 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
46 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
926 201511028
MULLA ZUBAIN CHANDSAHEB
SELF STUDENT
27 Yr 00 M
M 60000
927 201511029
ANUBHA JAIN SELF STUDENT
25 Yr 00 M
F 60000
928 201511030
MARAL VISHAL RANGNATH
SELF STUDENT
26 Yr 00 M
M 60000
929 201511031
APEKSHA JAGDISHBHAI NAIK
SELF STUDENT
24 Yr 00 M
F 60000
930 201511032
DHARMESHKUMAR MAHESHCHANDRA AGRAWAL
SELF STUDENT
23 Yr 00 M
M 60000
931 201511033
DHAVAL PATEL SELF STUDENT
22 Yr 00 M
M 60000
932 201511034
RATHOD SAMKIT DINESHBHAI
SELF STUDENT
23 Yr 00 M
M 60000
933 201511035
PRIYANKA SHARMA SELF STUDENT
26 Yr 00 M
F 60000
934 201511036
RISHABH AGARWAL SELF STUDENT
24 Yr 00 M
M 60000
935 201511037
BHANUSHALI ARTIBEN KAMLESHKUMAR
SELF STUDENT
25 Yr 00 M
F 60000
936 201511038
POOJA TIWARI SELF STUDENT
23 Yr 00 M
F 60000
937 201511039
SAYAN CHAKRABORTY SELF STUDENT
22 Yr 00 M
M 60000
938 201511040
SADHWANI JAY DILIPKUMAR
SELF STUDENT
24 Yr 00 M
M 60000
939 201511042
SAURABH TYAGI SELF STUDENT
35 Yr 00 M
M 60000
940 201511043
MAYANK DUBEY SELF STUDENT
26 Yr 00 M
M 60000
941 201511044
ANKIT PALIWAL SELF STUDENT
24 Yr 00 M
M 60000
942 201511045
PRADIP TILALA SELF STUDENT
23 Yr 00 M
M 60000
943 201511047
DIGANT DILIPBHAI DOSHI
SELF STUDENT
23 Yr 00 M
M 60000
944 201511049
SURABHI JAIN SELF STUDENT
24 Yr 00 M
F 60000
945 201511050
MANGUKIYA CHIRAGKUMAR PRAVINBHAI
SELF STUDENT
24 Yr 00 M
M 60000
946 201511051
KAMLESH KARKI SELF STUDENT
28 Yr 00 M
M 60000
947 201511052
VINAY LATA SELF STUDENT
23 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
47 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
948 201511053
LATHIYA MAYUR NAROTTAMBHAI
SELF STUDENT
25 Yr 00 M
M 60000
949 201511054
RISHABH TAK SELF STUDENT
22 Yr 00 M
M 60000
950 201511055
SATYAM SATYAJEET SELF STUDENT
25 Yr 00 M
M 60000
951 201511056
KOTAK NISHITH ASHOKKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
952 201511057
DAVE KEVAL NARAYANBHAI
SELF STUDENT
22 Yr 00 M
M 60000
953 201511058
SHRUTI RAJENDRAKUMAR NAIK
SELF STUDENT
23 Yr 00 M
F 60000
954 201511059
THAKKAR SHAIVAL YOGESH
SELF STUDENT
23 Yr 00 M
M 60000
955 201511060
DHWANI D PATEL SELF STUDENT
24 Yr 00 M
F 60000
956 201511061
HEMANT KAUSHIK SELF STUDENT
29 Yr 00 M
M 60000
957 201511062
LANKA MOHAN SELF STUDENT
33 Yr 00 M
M 60000
958 201512001
KHEDKAR KAPIL DINESH SELF STUDENT
23 Yr 00 M
M 60000
959 201512002
RAUT PRIYANKA MOHAN SELF STUDENT
21 Yr 00 M
F 60000
960 201512003
RUTUL MANGESHBHAI THAKKAR
SELF STUDENT
22 Yr 00 M
M 60000
961 201512004
SHAH SAGAR MUKESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
962 201512005
SUNIL SURESH CHAWLA SELF STUDENT
22 Yr 00 M
M 60000
963 201512006
SANGHAVI CHINTAN CHANDRAKANT
SELF STUDENT
21 Yr 00 M
M 60000
964 201512007
PADHYA DARSHIT BHAVESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
965 201512008
VIRANI JITENDRAKUMAR BAVACHANDBHAI
SELF STUDENT
22 Yr 00 M
M 60000
966 201512009
BUHA SAGARKUMAR RAMJIBHAI
SELF STUDENT
21 Yr 00 M
M 60000
967 201512010
PATEL SAVANKUMAR ARVINDBHAI
SELF STUDENT
22 Yr 00 M
M 60000
968 201512011
SAXENA TIKSHA PRADIPKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
969 201512013
FANSE ANUSHKA APURVA
SELF STUDENT
21 Yr 00 M
F 60000
970 201512014
PATEL DHYAN CHANDULAL
SELF STUDENT
21 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
48 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
971 201512015
KUKAWALA MOHINI RAMKRISHNA
SELF STUDENT
21 Yr 00 M
F 60000
972 201512016
CHHABRA JASPREET KAUR HARVINDER
SELF STUDENT
22 Yr 00 M
F 60000
973 201512017
GANDHI VISHAL KANAIYABHAI
SELF STUDENT
21 Yr 00 M
M 60000
974 201512018
FATEMA M K SELF STUDENT
23 Yr 00 M
F 60000
975 201512019
TANVI SAXENA SELF STUDENT
22 Yr 00 M
F 60000
976 201512020
PARASIA BHARAT AMRUTBHAI
SELF STUDENT
21 Yr 00 M
M 60000
977 201512021
PATEL VISHAL YOGESHKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
978 201512022
MISTRY AKSHAR PARESH
SELF STUDENT
21 Yr 00 M
M 60000
979 201512023
BINU FRANCIS JOSEPH SELF STUDENT
21 Yr 00 M
M 60000
980 201512024
BATHIA YASH VIMALBHAI
SELF STUDENT
21 Yr 00 M
M 60000
981 201512025
SHAH MANSI MUKESHBHAI
SELF STUDENT
22 Yr 00 M
F 60000
982 201512026
DESAI MITULKUMAR BHUPATBHAI
SELF STUDENT
21 Yr 00 M
M 60000
983 201512027
PRAJAPATI DEEPAK TARAJI
SELF STUDENT
21 Yr 00 M
M 60000
984 201512028
BHATT URMIL NIKUNJKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
985 201512029
PRACHI NARENDRA MODI
SELF STUDENT
22 Yr 00 M
F 60000
986 201512030
PATEL HERAT BABUBHAI
SELF STUDENT
21 Yr 00 M
M 60000
987 201512031
MAJMUDAR GAURAV VINAY
SELF STUDENT
22 Yr 00 M
M 60000
988 201512032
AKSHAY JAIN SELF STUDENT
22 Yr 00 M
M 60000
989 201512033
SINGHAL SANCHI MUKESH
SELF STUDENT
22 Yr 00 M
F 60000
990 201512034
BHAVESH GOYAL SELF STUDENT
22 Yr 00 M
M 60000
991 201512036
GEETIKA SHARMA SELF STUDENT
22 Yr 00 M
F 60000
992 201512037
MEHTA DHRUVA PULKESHBHAI
SELF STUDENT
21 Yr 00 M
F 60000
993 201512038
RAMNANI NITIN GOPALDAS
SELF STUDENT
22 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
49 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
994 201512039
JANI VIRAL KAMLESHKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
995 201512040
AKASH GOSALIA SELF STUDENT
22 Yr 00 M
M 60000
996 201512041
JUHI PURSWANI SELF STUDENT
22 Yr 00 M
F 60000
997 201512042
SHAH KUSH RAJESH SELF STUDENT
21 Yr 00 M
M 60000
998 201512043
RITU GARG SELF STUDENT
22 Yr 00 M
F 60000
999 201512044
JAIN ADITI RAJENDRA SELF STUDENT
21 Yr 00 M
F 60000
1000 201512045
DESAI SHIVANI JANAKBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1001 201512046
VEJANI UTSAV MANISH SELF STUDENT
21 Yr 00 M
M 60000
1002 201512047
SHIVANGINI KOTIYAL SELF STUDENT
22 Yr 00 M
F 60000
1003 201512048
DESAI SHWET ANANTBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1004 201512049
SHAH VISMAY KETANBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1005 201512050
CONTRACTOR GOPAL BHUPENDRABHAI
SELF STUDENT
21 Yr 00 M
M 60000
1006 201512051
LAKKAD PRITESHKUMAR PRABHUDASBHAI
SELF STUDENT
23 Yr 00 M
M 60000
1007 201512052
MEHTA JAINAM NILESHBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1008 201512053
VORA TEJAS BHARATKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1009 201512055
LATHIYA ANKURKUMAR SELF STUDENT
22 Yr 00 M
M 60000
1010 201512057
GUPTA SHUBHAM CHHOTELAL
SELF STUDENT
21 Yr 00 M
M 60000
1011 201512058
KANANI KARAN YASHWANTKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1012 201512059
KUNDNANI PIYUSH JAIDEV
SELF STUDENT
21 Yr 00 M
M 60000
1013 201512060
GOSALIYA KAUSHAL SELF STUDENT
21 Yr 00 M
M 60000
1014 201512061
AGGARWAL INDU BAJRANGLAL
SELF STUDENT
22 Yr 00 M
F 60000
1015 201512062
BOHRA HARDIK UTTAMKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
50 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1016 201512063
MAYANK LADDHA SELF STUDENT
24 Yr 00 M
M 60000
1017 201512064
LAKHENDER SINGH SELF STUDENT
23 Yr 00 M
M 60000
1018 201512065
GADHVI JANKIBEN RAMESH
SELF STUDENT
22 Yr 00 M
F 60000
1019 201512066
SHIVENDRA PRATAP SELF STUDENT
24 Yr 00 M
M 60000
1020 201512067
SHAH HARSHIT PRADIPKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
1021 201512068
LAKHWANI JITESH DILIP SELF STUDENT
21 Yr 00 M
M 60000
1022 201512069
AMI JAYESHKUMAR THAKKAR
SELF STUDENT
22 Yr 00 M
F 60000
1023 201512070
BAMBHANIA ANAND MAHENDRABHAI
SELF STUDENT
27 Yr 00 M
M 60000
1024 201512071
DASWANI PRATHAM DEEPAKKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1025 201512072
PALASH KHANDELWAL SELF STUDENT
22 Yr 00 M
M 60000
1026 201512073
RADADIYA ARTI GOGANBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1027 201512074
RAM KRISHAN SHARMA SELF STUDENT
22 Yr 00 M
M 60000
1028 201512075
SAXENA ADITYA MANOJKUMAR
SELF STUDENT
23 Yr 00 M
M 60000
1029 201512076
JOSHI JAGRUTI ANANDBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1030 201512077
WATWANI KHUSHBU JAIKISHIN
SELF STUDENT
20 Yr 00 M
M 60000
1031 201512078
SHAH SARTHAK HIMANSHUBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1032 201512079
SONPARATE KRUNAL PRAKASHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1033 201512080
JETANI RAVIBHAI MANJIBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1034 201512081
MEHTA HEMANG DILIPKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1035 201512082
SHRADDHA RANPURWALA
SELF STUDENT
21 Yr 00 M
F 60000
1036 201512083
CHAUHAN SHREYABEN GOVINDBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1037 201512084
THAKKAR HARDIK RAJANIKANTBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1038 201512085
PATEL PRATIKKUMAR BABUBHAI
SELF STUDENT
23 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
51 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1039 201512086
MEMON JABBAR RAZAKBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1040 201512087
ANSARI TANVIRAEHMAD AKILAEHMAD
SELF STUDENT
21 Yr 00 M
M 60000
1041 201512088
CHOUDHARY MANOJ DEVARAM
SELF STUDENT
22 Yr 00 M
M 60000
1042 201512089
PATEL DISHANT MUKESHBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1043 201512090
VANSADIA PRIYANKAKUMARI PRAVINSINH
SELF STUDENT
21 Yr 00 M
F 60000
1044 201512092
NATHWANI KHUSHBOO HARESHKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
1045 201512093
SHAH SHIVANI NILESHKUMAR
SELF STUDENT
22 Yr 00 M
F 60000
1046 201512094
SHAH DHRUVI MEHULBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1047 201513001
TRIVEDI DRASHTI SELF STUDENT
21 Yr 00 M
F 60000
1048 201513002
SHAH SNEHA KANAIYALAL
SELF STUDENT
21 Yr 00 M
F 60000
1049 201513003
KARNAVAT DILIP KARSANBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1050 201513004
ASHISH AGARWAL SELF STUDENT
22 Yr 00 M
M 60000
1051 201513005
RITESH UPADHYAY SELF STUDENT
25 Yr 00 M
M 60000
1052 201513009
PATEL ASHVINIBEN KANUBHAI
SELF STUDENT
23 Yr 00 M
F 60000
1053 201513010
HIMANSHU CHOUBISA SELF STUDENT
23 Yr 00 M
M 60000
1054 201514001
SAURAV SHARMA SELF STUDENT
26 Yr 00 M
M 60000
1055 201514002
KAVTHEKAR PRAJAKTA UDAY
SELF STUDENT
22 Yr 00 M
F 60000
1056 201514003
DESAI RIDDHI DEVANGKUMAR
SELF STUDENT
24 Yr 00 M
F 60000
1057 201514004
KUNAL GUPTA SELF STUDENT
27 Yr 00 M
M 60000
1058 201514005
KRINA PRAJAPATI SELF STUDENT
23 Yr 00 M
F 60000
1059 201514006
SHYAM ATTREYA SELF STUDENT
26 Yr 00 M
M 60000
1060 201514007
AKANKSHA GUPTA SELF STUDENT
24 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
52 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1061 201514008
VANSHIKA ARORA SELF STUDENT
23 Yr 00 M
F 60000
1062 201514009
ASHITA JAIN SELF STUDENT
24 Yr 00 M
F 60000
1063 201521001
CHAUDHARY PANKAJ PRABHUBHAI
SELF STUDENT
26 Yr 00 M
M 60000
1064 201521002
RAHUL MANE SELF STUDENT
33 Yr 00 M
M 60000
1065 201521003
SUJATA SELF STUDENT
23 Yr 00 M
F 60000
1066 201521004
SANKHAVARA JAINISHA SELF STUDENT
23 Yr 00 M
F 60000
1067 201521005
KAMBLE MADHU RAYAPPA
SELF STUDENT
25 Yr 00 M
F 60000
1068 201521006
RISHIKANT RAJDEEPAK SELF STUDENT
24 Yr 00 M
M 60000
1069 201521007
MADHULIKA AGRAWAL SELF STUDENT
27 Yr 00 M
F 60000
1070 201521008
PATEL PURVIBEN JAYPRAKASH
SELF STUDENT
24 Yr 00 M
F 60000
1071 201521009
SHAIKH MOHAMMEDSAYEEMUDDIN KALIMUDDIN
SELF STUDENT
38 Yr 00 M
M 60000
1072 201521010
DOMADIYA PRASHANT MANSHUKHBHAI
SELF STUDENT
26 Yr 00 M
M 60000
1073 201521011
PATEL JIGNESH RAMESHCHANDRA
SELF STUDENT
28 Yr 00 M
M 60000
1074 201521012
PATEL MAYANKKUMAR LALABHAI
SELF STUDENT
26 Yr 00 M
M 60000
1075 201521013
ANJALI DIWAN SELF STUDENT
39 Yr 00 M
F 60000
1076 201601001
SHIVANI BHANDARI SELF STUDENT
18 Yr 00 M
F 60000
1077 201601002
SHETH VISHWA VILPESHKUMAR
SELF STUDENT
18 Yr 00 M
F 60000
1078 201601003
VIDHIN HITESH PARMAR SELF STUDENT
17 Yr 00 M
M 60000
1079 201601004
ADARSH MISRA SELF STUDENT
18 Yr 00 M
M 60000
1080 201601005
RAVAL DEVARSHI JAGATKISHORE
SELF STUDENT
17 Yr 00 M
M 60000
1081 201601006
SWAPNIL DHIMMAR SELF STUDENT
17 Yr 00 M
M 60000
1082 201601007
PONAKA PRAYAG REDDY
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
53 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1083 201601008
BHUMITRA SAHWAL SELF STUDENT
19 Yr 00 M
M 60000
1084 201601009
TIRTH BHAVESHBHAI SHAH
SELF STUDENT
17 Yr 00 M
M 60000
1085 201601010
PATEL JAINUL SURESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1086 201601011
SHAH DHRUVIL MANISH SELF STUDENT
17 Yr 00 M
M 60000
1087 201601012
AJINKYA JEETENDRA MATSAWAR
SELF STUDENT
18 Yr 00 M
M 60000
1088 201601013
PATEL SMIT BHAVESHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1089 201601014
JOSHI SHIVANG GIRISHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
1090 201601015
SHREYA SANJAYKUMAR SAGAR
SELF STUDENT
17 Yr 00 M
F 60000
1091 201601016
SASTRY SRIKUMAR SELF STUDENT
18 Yr 00 M
M 60000
1092 201601017
BADIYANI GAURANG KAMLESHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1093 201601018
PATEL RIDDHI DIPAKBHAI
SELF STUDENT
17 Yr 00 M
F 60000
1094 201601019
SHETH PARITA MANOJBHAI
SELF STUDENT
17 Yr 00 M
F 60000
1095 201601020
PRAPTI TRIVEDI SELF STUDENT
17 Yr 00 M
F 60000
1096 201601021
JANI VISHVESH MUKESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
1097 201601022
ARNAV SAHA SELF STUDENT
18 Yr 00 M
M 60000
1098 201601023
ASHWIN PORWAL SELF STUDENT
19 Yr 00 M
M 60000
1099 201601024
PATEL PARTHKUMAR VASUDEVBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1100 201601025
MAYANK SHANTILAL SAVALIYA
SELF STUDENT
18 Yr 00 M
M 60000
1101 201601026
MANSI OD SELF STUDENT
17 Yr 00 M
F 60000
1102 201601027
ZANZARUKIYA ABHI RAJENDRABHAI
SELF STUDENT
17 Yr 00 M
M 60000
1103 201601028
ANKIT SELF STUDENT
18 Yr 00 M
M 60000
1104 201601029
MALONDKAR VISMAY JAYDIP
SELF STUDENT
19 Yr 00 M
M 60000
1105 201601030
TIKAM ALMA SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
54 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1106 201601031
SHAH HILLONI HITESH SELF STUDENT
18 Yr 00 M
F 60000
1107 201601032
JAINIL MANOJKUMAR PARIYA
SELF STUDENT
18 Yr 00 M
M 60000
1108 201601033
TANYA PUSHKIN GARG SELF STUDENT
18 Yr 00 M
F 60000
1109 201601034
HET THAKKAR SELF STUDENT
17 Yr 00 M
M 60000
1110 201601035
SANJOLI CHAUHAN SELF STUDENT
17 Yr 00 M
F 60000
1111 201601036
PATEL ARPITKUMAR JAYESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1112 201601037
DIVAKAR BHARGAV JAGDISHCHANDRA
SELF STUDENT
17 Yr 00 M
M 60000
1113 201601038
DESAI ANUSHKA BHUPENDRA
SELF STUDENT
17 Yr 00 M
F 60000
1114 201601039
MAVANI TARUN JAYESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1115 201601040
BHAVSAR SHACHI DIVYANG
SELF STUDENT
17 Yr 00 M
F 60000
1116 201601041
SHAH MANISH RASIKLAL SELF STUDENT
18 Yr 00 M
M 60000
1117 201601042
MUNSHI JALANSH SAUMIL
SELF STUDENT
17 Yr 00 M
M 60000
1118 201601043
DOSHI PRITHVISH RAKESH
SELF STUDENT
17 Yr 00 M
M 60000
1119 201601044
MIRANI YASH NILESHKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
1120 201601045
JAIN ISHITA HEMENDRA SELF STUDENT
17 Yr 00 M
F 60000
1121 201601046
PAREKH YASH ATULBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1122 201601047
SARANGI PATEL SELF STUDENT
18 Yr 00 M
F 60000
1123 201601048
NIDHI GUPTA SELF STUDENT
17 Yr 00 M
F 60000
1124 201601049
SONI MONIL PINAKIN SELF STUDENT
17 Yr 00 M
M 60000
1125 201601050
VAGHELA MAULIK JITENDRA
SELF STUDENT
17 Yr 00 M
M 60000
1126 201601051
PARTH ARUN DADHANIA SELF STUDENT
17 Yr 00 M
M 60000
1127 201601052
SHRUTI ARVIND CHAUDHARI
SELF STUDENT
17 Yr 00 M
F 60000
1128 201601053
BHAVSAR MAHER SELF STUDENT
17 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
55 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1129 201601054
VANDAN SONI SELF STUDENT
17 Yr 00 M
M 60000
1130 201601055
RANK RAKSHA ARVINDBHAI
SELF STUDENT
18 Yr 00 M
F 60000
1131 201601056
MARU PRANJALI RAJIV SELF STUDENT
18 Yr 00 M
F 60000
1132 201601057
SHEREKAR VAIBHAV RAJU
SELF STUDENT
18 Yr 00 M
M 60000
1133 201601058
PRAJAPATI NISHIT PRAHLADBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1134 201601059
ROSHANI SELF STUDENT
17 Yr 00 M
F 60000
1135 201601060
DHRUV JADAV SELF STUDENT
18 Yr 00 M
M 60000
1136 201601061
PAREKH NIKESH BHARAT
SELF STUDENT
18 Yr 00 M
M 60000
1137 201601062
SHIVAM AGARWAL SELF STUDENT
19 Yr 00 M
M 60000
1138 201601063
CHIRAG PODDAR SELF STUDENT
18 Yr 00 M
M 60000
1139 201601064
SHAH RIYA HEMENDRA SELF STUDENT
17 Yr 00 M
F 60000
1140 201601065
GUNDAM SAMHITHA SELF STUDENT
17 Yr 00 M
F 60000
1141 201601066
JAIN PRIYA PRITAMCHANDRA
SELF STUDENT
17 Yr 00 M
F 60000
1142 201601067
ROHIT CHAKU SELF STUDENT
17 Yr 00 M
M 60000
1143 201601068
THANKI DEEP JAYSUKH SELF STUDENT
18 Yr 00 M
M 60000
1144 201601069
GHATE AMEY ABHAY SELF STUDENT
18 Yr 00 M
M 60000
1145 201601070
MUNENDRA RATHOOD SELF STUDENT
18 Yr 00 M
M 60000
1146 201601071
VISHRUT CHETAN JETLY SELF STUDENT
18 Yr 00 M
M 60000
1147 201601072
RAJANI PRATIK PRAVINBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1148 201601073
JAYATI AMRUTBHAI PATEL
SELF STUDENT
18 Yr 00 M
F 60000
1149 201601074
BRIJESH PANARA SELF STUDENT
18 Yr 00 M
M 60000
1150 201601075
MAYANK KUMAR JETHWA
SELF STUDENT
18 Yr 00 M
M 60000
1151 201601076
NILESH MEENA SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
56 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1152 201601077
ANERY KIRTIBHAI PATEL SELF STUDENT
18 Yr 00 M
F 60000
1153 201601078
KALLAKURI N V S PUSHPA RAMA MANASA
SELF STUDENT
17 Yr 00 M
F 60000
1154 201601079
RITWIK BHARADWAJ SELF STUDENT
18 Yr 00 M
M 60000
1155 201601080
HARSHA MAHAVER SELF STUDENT
18 Yr 00 M
F 60000
1156 201601081
PATEL KIRTAN DARSHANKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1157 201601082
PURVA MAKARAND MHASAKAR
SELF STUDENT
18 Yr 00 M
F 60000
1158 201601083
GARIKIPATI GANESHSAI SELF STUDENT
17 Yr 00 M
M 60000
1159 201601084
PATEL KSHITIJ DINESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1160 201601085
PANDIT ADITYA SHIRISHBHAI
SELF STUDENT
16 Yr 00 M
M 60000
1161 201601086
PARTH RAJESHBHAI SHAH
SELF STUDENT
18 Yr 00 M
M 60000
1162 201601087
HIMANSHU KUMAR SELF STUDENT
16 Yr 00 M
M 60000
1163 201601088
VISHNU KANDURI SREENIVAS
SELF STUDENT
18 Yr 00 M
M 60000
1164 201601089
HARDIK MODI SELF STUDENT
18 Yr 00 M
M 60000
1165 201601090
JANI SMEET BHAVESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1166 201601091
GAURAV SOFAT SELF STUDENT
18 Yr 00 M
M 60000
1167 201601092
NONGHANVADRA PRAGNESH BHARATBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1168 201601093
MEGH MAHESHKUMAR CHOKSI
SELF STUDENT
19 Yr 00 M
M 60000
1169 201601094
CHANDAN VATSAL VISHALBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1170 201601095
KHATRI HARSH RAVINDRA
SELF STUDENT
18 Yr 00 M
M 60000
1171 201601096
DUNGARANI MILAN VINODKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1172 201601097
KEYUR GARSONDIYA SELF STUDENT
18 Yr 00 M
M 60000
1173 201601098
DESAI MUDRA PIYUSH SELF STUDENT
17 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
57 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1174 201601099
SANMUKHANI DHWANI GOPAL
SELF STUDENT
17 Yr 00 M
F 60000
1175 201601100
AVINASH AREKATLA SELF STUDENT
17 Yr 00 M
M 60000
1176 201601101
JIGNESH BAJAK SELF STUDENT
16 Yr 00 M
M 60000
1177 201601102
PATEL NISHARG SHANKARBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1178 201601103
PATEL DHARMIL CHANDRESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1179 201601104
PAREEK CHHAVI SURESH
SELF STUDENT
17 Yr 00 M
F 60000
1180 201601105
ATHARVA SUNE SELF STUDENT
17 Yr 00 M
M 60000
1181 201601106
E SAHITHI SELF STUDENT
17 Yr 00 M
F 60000
1182 201601107
AARUSH SINGH SELF STUDENT
18 Yr 00 M
M 60000
1183 201601108
SAI ADITYA PARUCHURI SELF STUDENT
18 Yr 00 M
M 60000
1184 201601109
VAISHYA ABHINAV RAJESHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1185 201601110
YASH PANWAR SELF STUDENT
16 Yr 00 M
M 60000
1186 201601111
RAJKOTIYA DIVYESH SHAILESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1187 201601112
SHREYANSH KUMAR SELF STUDENT
17 Yr 00 M
M 60000
1188 201601113
DETROJA SMIT CHANDULAL
SELF STUDENT
17 Yr 00 M
M 60000
1189 201601114
RUPAPARA ANKIT NARANBHI
SELF STUDENT
17 Yr 00 M
M 60000
1190 201601115
RADADIYA GAUTAMKUMAR HIMMATBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1191 201601116
DOBARIYA NIRAV CHATURBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1192 201601117
SUNNAM CHANDRA LEKHA
SELF STUDENT
18 Yr 00 M
F 60000
1193 201601118
DHAMELIYA DIPESH SHAMJIBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1194 201601119
JADHWANI RISHABH KAMAL
SELF STUDENT
17 Yr 00 M
M 60000
1195 201601120
SAWLANI RAVI GHANSHYAMDAS
SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
58 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1196 201601121
SAMARTH SAXENA SELF STUDENT
17 Yr 00 M
M 60000
1197 201601122
PATEL DARSHANKUMAR SELF STUDENT
17 Yr 00 M
M 60000
1198 201601123
PATEL UMANG SELF STUDENT
17 Yr 00 M
M 60000
1199 201601125
JETHWA BHARGAV HARISHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1200 201601126
MEET PRAVINBHAI SINOJIA
SELF STUDENT
18 Yr 00 M
M 60000
1201 201601127
JETHWA SWAPNIL SELF STUDENT
18 Yr 00 M
M 60000
1202 201601129
KRITIKA GUPTA SELF STUDENT
18 Yr 00 M
F 60000
1203 201601131
SHAH BHAVYA BIMAL SELF STUDENT
17 Yr 00 M
M 60000
1204 201601132
PATEL SAKSHEE SELF STUDENT
17 Yr 00 M
F 60000
1205 201601133
AAYUSH BHAT SELF STUDENT
18 Yr 00 M
M 60000
1206 201601134
BHALANI UMANG GANESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1207 201601135
ABHISHEK BHOWMIK SELF STUDENT
19 Yr 00 M
M 60000
1208 201601136
AJUDIYA BHARGAV GIRDHARBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1209 201601137
SHAH KALPIT SELF STUDENT
17 Yr 00 M
M 60000
1210 201601140
YASH DEVANG SHAH SELF STUDENT
18 Yr 00 M
M 60000
1211 201601141
PANCHAL PANKIL SELF STUDENT
17 Yr 00 M
M 60000
1212 201601142
KUNIYA SANJAY BHAVANBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1213 201601143
PATEL VISHVAKUMARI BHARATBHAI
SELF STUDENT
17 Yr 00 M
F 60000
1214 201601147
MALAVIYA HARSHIT SELF STUDENT
17 Yr 00 M
M 60000
1215 201601148
PATEL MAYURBHAI JAGDISHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1216 201601150
KACHHADIYA RAVI SELF STUDENT
17 Yr 00 M
M 60000
1217 201601151
PATEL KAVAN SELF STUDENT
17 Yr 00 M
M 60000
1218 201601153
PATEL YOGESH SELF STUDENT
17 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
59 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1219 201601154
PANDYA SHLOKA SELF STUDENT
17 Yr 00 M
F 60000
1220 201601157
PARMAR NAYAN SELF STUDENT
17 Yr 00 M
M 60000
1221 201601158
MEHTA MAUSAM SELF STUDENT
18 Yr 00 M
F 60000
1222 201601160
PATEL MAITREYA SELF STUDENT
18 Yr 00 M
M 60000
1223 201601161
HARSH KOTTA SELF STUDENT
18 Yr 00 M
M 60000
1224 201601162
RATHOD SONALI RAJESHBHAI
SELF STUDENT
17 Yr 00 M
F 60000
1225 201601163
PATEL JEET SELF STUDENT
17 Yr 00 M
M 60000
1226 201601164
CHAUDHARY NEEL SELF STUDENT
18 Yr 00 M
M 60000
1227 201601165
MODI CHIRAG NARESHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1228 201601166
PANCHASARA MILIT DIXITBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1229 201601167
RABADIYA JINAL SELF STUDENT
17 Yr 00 M
F 60000
1230 201601168
DASA VISHAL MENANDBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1231 201601169
GOHIL KASHYAP DINESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1232 201601170
DAVE KEVAL SELF STUDENT
17 Yr 00 M
M 60000
1233 201601171
CHOTALIYA KARAN NITINBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1234 201601174
MODI PRAHAR SELF STUDENT
17 Yr 00 M
M 60000
1235 201601175
SUTHAR DHRUVAL MINESH KUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1236 201601176
KAVIT AMIT SHAH SELF STUDENT
18 Yr 00 M
M 60000
1237 201601177
PRAJAPATI DEVEN SELF STUDENT
17 Yr 00 M
M 60000
1238 201601178
PATEL HARSHILKUMAR VIPULKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1239 201601179
KAPADIYA DARSHANKUMAR MADHABHAI
SELF STUDENT
17 Yr 00 M
M 60000
1240 201601180
CHAUHAN SUJITSINH SUNILSINH
SELF STUDENT
17 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
60 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1241 201601181
PRAJAPATI NAMRA BHARATKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1242 201601182
VAGHELA KISHANBHAI BHURSINGBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1243 201601183
CHAUDHARI ARPITKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1244 201601184
RATHVA KALPESH SUBHASHCHANDRA
SELF STUDENT
17 Yr 00 M
M 60000
1245 201601185
PATEL RAVIKUMAR BALKRISHNA
SELF STUDENT
18 Yr 00 M
M 60000
1246 201601187
CHAUDHARI VAISHVIKKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
1247 201601188
PRANAV PARIMALBHAI CHAUDHARI
SELF STUDENT
18 Yr 00 M
M 60000
1248 201601189
NISHITH VASAVA SELF STUDENT
18 Yr 00 M
M 60000
1249 201601190
GAMAR VISHNUBHAI SELF STUDENT
18 Yr 00 M
M 60000
1250 201601191
CHARPOT KAUSHIL SELF STUDENT
17 Yr 00 M
M 60000
1251 201601192
NAJA MAKWANA SELF STUDENT
18 Yr 00 M
M 60000
1252 201601193
BHAVESH K DAMOR SELF STUDENT
18 Yr 00 M
M 60000
1253 201601194
PRIYANK ASHWINKUMAR PATEL
SELF STUDENT
17 Yr 00 M
M 60000
1254 201601195
PATEL YAGNESH SELF STUDENT
18 Yr 00 M
M 60000
1255 201601196
PARADHI DHRUVILKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1256 201601197
PARADHI DHVANILKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1257 201601200
STAVAN SUMANT PATEL SELF STUDENT
17 Yr 00 M
M 60000
1258 201601201
GANDHI PIYUSH SELF STUDENT
18 Yr 00 M
M 60000
1259 201601202
JOGI YASH SELF STUDENT
17 Yr 00 M
M 60000
1260 201601203
VAGHELA HIREN SELF STUDENT
17 Yr 00 M
M 60000
1261 201601204
MAINAK CHAUDHURI SELF STUDENT
18 Yr 00 M
M 60000
1262 201601205
NISHTHA DHARMESH PANDYA
SELF STUDENT
18 Yr 00 M
F 60000
1263 201601206
PANKTI B SHAH SELF STUDENT
17 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
61 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1264 201601207
SWETAL VRAJ MASHRUWALA
SELF STUDENT
17 Yr 00 M
M 60000
1265 201601208
PATEL MITULKUMAR RAJENDRABHAI
SELF STUDENT
18 Yr 00 M
M 60000
1266 201601209
AAKLIT TANEJA SELF STUDENT
18 Yr 00 M
M 60000
1267 201601210
KIRTANA SUNIL PHATNANI
SELF STUDENT
17 Yr 00 M
F 60000
1268 201601211
MOHAMED SHADAB SELF STUDENT
18 Yr 00 M
M 60000
1269 201601212
AKSHAT GAUTAM SELF STUDENT
18 Yr 00 M
M 60000
1270 201601213
MOHMEDSAIF MOHMEDHABIB KOTWAL
SELF STUDENT
18 Yr 00 M
M 60000
1271 201601214
RAGHAV MATTAD SELF STUDENT
17 Yr 00 M
M 60000
1272 201601215
GUPTA ARNAB ARUP SELF STUDENT
18 Yr 00 M
M 60000
1273 201601216
BHARDA PRASHANT PARESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1274 201601217
SIDDHANT JAIN SELF STUDENT
17 Yr 00 M
M 60000
1275 201601220
PATEL JEET SELF STUDENT
17 Yr 00 M
M 60000
1276 201601222
CHHATRALA HARDIKKUMAR KANTILAL
SELF STUDENT
17 Yr 00 M
M 60000
1277 201601223
MEHTA BHAVIK SELF STUDENT
17 Yr 00 M
M 60000
1278 201601224
DAVE JAY SELF STUDENT
17 Yr 00 M
M 60000
1279 201601225
RANA MANOHARSINH BABUJI
SELF STUDENT
17 Yr 00 M
M 60000
1280 201601228
PATEL DHRUMIL BHUPENDRAKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1281 201601229
VAGHASIYA PRIYANKABEN ISHWARBHAI
SELF STUDENT
17 Yr 00 M
F 60000
1282 201601230
SHAH NILAY SELF STUDENT
17 Yr 00 M
M 60000
1283 201601231
THAKKAR AVAN SELF STUDENT
18 Yr 00 M
M 60000
1284 201601232
JOBANPUTRA YASH SELF STUDENT
17 Yr 00 M
M 60000
1285 201601233
MALHOTRA AYUSHI SELF STUDENT
17 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
62 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1286 201601234
PATEL UJJVAL SELF STUDENT
18 Yr 00 M
M 60000
1287 201601236
RADIA KISHAN BHUPENDRABHAI
SELF STUDENT
18 Yr 00 M
M 60000
1288 201601237
VALA MEETRAJSINH HARESHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1289 201601238
SHAH MEET SELF STUDENT
17 Yr 00 M
M 60000
1290 201601239
HIRPARA VATSAL PARESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1291 201601240
PANCHANI MEET ASHOKBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1292 201601241
SOLANKIKETUL SELF STUDENT
17 Yr 00 M
M 60000
1293 201601243
ABHI RATNMAN SELF STUDENT
18 Yr 00 M
M 60000
1294 201601244
PARMAR DARSHAN VINODBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1295 201601245
PANCHAL HAVYAKUMAR SELF STUDENT
17 Yr 00 M
M 60000
1296 201601246
MADAKIYA FAIZAN SELF STUDENT
17 Yr 00 M
M 60000
1297 201601248
POGUL SIDDHARTH SELF STUDENT
17 Yr 00 M
M 60000
1298 201601250
TADHA NILESHBHAI SELF STUDENT
17 Yr 00 M
M 60000
1299 201601252
CHAUHAN JAMIL SALIMBHAI
SELF STUDENT
19 Yr 00 M
M 60000
1300 201601253
CHAUDHARI JAIMINKUMAR ASHOKBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1301 201601254
VADHER DHAVAL MATHURKUMARDAS
SELF STUDENT
17 Yr 00 M
M 60000
1302 201601255
PANCHAL VISHVESH ASHWINBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1303 201601256
PRAJAPATI ASHOKKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1304 201601257
CHAVDA HIMANSHU SELF STUDENT
17 Yr 00 M
M 60000
1305 201601401
VASANI MIT PADMANABHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1306 201601402
SANGHVI JITESH HEMANSHUBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1307 201601403
ABHIGNYANA LAKSHMI CHALAMCHARLA
SELF STUDENT
17 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
63 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1308 201601404
AYUSH JAIN SELF STUDENT
17 Yr 00 M
M 60000
1309 201601405
PANDYA KALPESH ARUN SELF STUDENT
18 Yr 00 M
M 60000
1310 201601406
SHAH SULAY ANANDBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1311 201601407
CELLY PRATEEK KAPIL SELF STUDENT
18 Yr 00 M
M 60000
1312 201601408
DOSHI NISHI MITESHKUMAR
SELF STUDENT
17 Yr 00 M
F 60000
1313 201601409
PATEL HIMILKUMAR JITENDRABHAI
SELF STUDENT
17 Yr 00 M
M 60000
1314 201601410
SMIT SHAH SELF STUDENT
17 Yr 00 M
M 60000
1315 201601411
SAKSENA DEVANSH JAYANTKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1316 201601412
RINDANI KHANTI NISHCHALBHAI
SELF STUDENT
17 Yr 00 M
F 60000
1317 201601413
BISHESH ORAM SELF STUDENT
18 Yr 00 M
M 60000
1318 201601414
BHAVSAR SHIVAM RAKESHKUMAR
SELF STUDENT
17 Yr 00 M
M 60000
1319 201601415
PATEL PARVA CHANDUBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1320 201601416
RUTVIK SHAH SELF STUDENT
17 Yr 00 M
M 60000
1321 201601417
RUTVIK JAYESHBHAI KOTHARI
SELF STUDENT
17 Yr 00 M
M 60000
1322 201601418
SARDHARA PREETKUMAR JAYSUKHLAL
SELF STUDENT
17 Yr 00 M
M 60000
1323 201601419
KARAN JAIN SELF STUDENT
18 Yr 00 M
M 60000
1324 201601420
MEHTA DHVANEE MANISH
SELF STUDENT
17 Yr 00 M
F 60000
1325 201601421
ROHAN DHANWANI SELF STUDENT
18 Yr 00 M
M 60000
1326 201601422
VACHHANI RUSHI UMANGBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1327 201601423
ASNANI DHRUVESH PAHARJIT
SELF STUDENT
17 Yr 00 M
M 60000
1328 201601424
VRUND SHAH SELF STUDENT
17 Yr 00 M
M 60000
1329 201601425
MALLAVARAPU ROHIT SELF STUDENT
17 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
64 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1330 201601426
RAJPARA UTSAV RASHMIKANT
SELF STUDENT
17 Yr 00 M
M 60000
1331 201601427
SAVANI DEEP DEEPAKKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
1332 201601428
KATBA YOGI RAJESHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1333 201601429
MIHIR THAKKAR SELF STUDENT
17 Yr 00 M
M 60000
1334 201601430
AYUSHI MAYAL SELF STUDENT
17 Yr 00 M
F 60000
1335 201601431
PATEL PARTHKUMAR SELF STUDENT
18 Yr 00 M
M 60000
1336 201601432
KISHAN KUMAR PATEL SELF STUDENT
18 Yr 00 M
M 60000
1337 201601433
VADGAMA MAITREY NAVINCHANDRA
SELF STUDENT
17 Yr 00 M
M 60000
1338 201601434
VANSHIKA DARBARI SELF STUDENT
17 Yr 00 M
F 60000
1339 201601436
DETROJA SAKET SANJAYKUMAR
SELF STUDENT
18 Yr 00 M
M 60000
1340 201601437
SOLANKI ATREY SELF STUDENT
17 Yr 00 M
M 60000
1341 201601438
CHAVDA VIVEK SELF STUDENT
17 Yr 00 M
M 60000
1342 201601439
MEHTA SHYAMKUMAR CHANDRAKANTBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1343 201601440
CHUDASAMA SATISH MAHESHBHAI
SELF STUDENT
18 Yr 00 M
M 60000
1344 201601442
VASAVA DHAVALKUMAR SELF STUDENT
17 Yr 00 M
M 60000
1345 201601443
HARDIKI MUKESH DEVRE
SELF STUDENT
18 Yr 00 M
F 60000
1346 201601444
KUNAL MANISH JANI SELF STUDENT
18 Yr 00 M
M 60000
1347 201601445
ANERI PIYUSH KUMAR PATEL
SELF STUDENT
18 Yr 00 M
F 60000
1348 201601446
KSHITIZ SAREEN SELF STUDENT
18 Yr 00 M
M 60000
1349 201601447
PATEL ANSHU SELF STUDENT
17 Yr 00 M
M 60000
1350 201601448
ACHARYA ADITI SELF STUDENT
17 Yr 00 M
F 60000
1351 201601450
DHAMELIYA POOJAN SELF STUDENT
18 Yr 00 M
M 60000
1352 201601451
KAMARIA PARTH SELF STUDENT
18 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
65 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1353 201601452
PADARIYA ABHISHEK SELF STUDENT
17 Yr 00 M
M 60000
1354 201601453
BABRIYA RAVIKUMAR SELF STUDENT
17 Yr 00 M
M 60000
1355 201601454
PATEL YATINKUMAR SHASHIVADANBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1356 201601455
KALAVADIYA ANKIT SELF STUDENT
18 Yr 00 M
M 60000
1357 201601457
PIPALIYA ANAND JAYSUKHBHAI
SELF STUDENT
17 Yr 00 M
M 60000
1358 201601458
PARMAR JAYKISHAN SELF STUDENT
17 Yr 00 M
M 60000
1359 201601459
BRAHMBHATT VAISHVIK SELF STUDENT
18 Yr 00 M
M 60000
1360 201601460
BAROT KULDIPSINH SELF STUDENT
17 Yr 00 M
M 60000
1361 201601461
RANSARIYA DIVYESH SELF STUDENT
18 Yr 00 M
M 60000
1362 201601462
PANSURIYA TANIK SELF STUDENT
17 Yr 00 M
M 60000
1363 201611001
BHAVSAR TRUPAL PRADEEPKUMAR
SELF STUDENT
23 Yr 00 M
M 60000
1364 201611002
TARUN PATIDAR SELF STUDENT
22 Yr 00 M
M 60000
1365 201611003
SHAH JENI SNEHAL SELF STUDENT
22 Yr 00 M
M 60000
1366 201611004
VISHAKHA AGRAWAL SELF STUDENT
24 Yr 00 M
F 60000
1367 201611005
RAHUL RATHORE SELF STUDENT
23 Yr 00 M
M 60000
1368 201611006
MORADIYA BHARGAV DULABHAI
SELF STUDENT
22 Yr 00 M
M 60000
1369 201611007
LOKESH KUMAR SELF STUDENT
23 Yr 00 M
M 60000
1370 201611008
CHIRAGBHAI PARABAT USDADIYA
SELF STUDENT
23 Yr 00 M
M 60000
1371 201611009
DEBADUTTA ROUT SELF STUDENT
23 Yr 00 M
M 60000
1372 201611010
TRIVEDI VISHWAS VINODKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1373 201611011
SAMKIT RAKESHBHAI GANDHI
SELF STUDENT
21 Yr 00 M
M 60000
1374 201611012
SURAJ SURESH OGALE SELF STUDENT
23 Yr 00 M
M 60000
1375 201611013
SUSHANTINI N SELF STUDENT
25 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
66 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1376 201611014
PATWA DOLLYBEN RAKESHBHAI
SELF STUDENT
22 Yr 00 M
F 60000
1377 201611015
B RAJARAMAN SELF STUDENT
23 Yr 00 M
M 60000
1378 201611016
PRATIK RAJENDRA LODHA
SELF STUDENT
22 Yr 00 M
M 60000
1379 201611017
UDIT SHRIVASTAVA SELF STUDENT
25 Yr 00 M
M 60000
1380 201611019
DOSHI PRARTHANA KALPESHBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1381 201611020
KHALPADA VAIDEHI SHAILESH
SELF STUDENT
21 Yr 00 M
F 60000
1382 201611021
PURABIA POOJA RAJESHKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
1383 201611022
KOSHTI NISHANT PUSHPAKBHAI
SELF STUDENT
25 Yr 00 M
M 60000
1384 201611023
PALAK THAKUR SELF STUDENT
21 Yr 00 M
F 60000
1385 201611024
DEORE PRAJAKTA BALWANT
SELF STUDENT
21 Yr 00 M
F 60000
1386 201611025
THAKKER AVANI DEEPAKKUMAR
SELF STUDENT
23 Yr 00 M
F 60000
1387 201611026
SREERAJ R. SELF STUDENT
27 Yr 00 M
M 60000
1388 201611027
TAPKIR PRASAD ANIL SELF STUDENT
21 Yr 00 M
M 60000
1389 201611028
ANJANA RITABEN ARJUNBHAI
SELF STUDENT
23 Yr 00 M
F 60000
1390 201611029
LOKESH JIGALUR SELF STUDENT
23 Yr 00 M
M 60000
1391 201611030
SHAH VIDHI KAMLESHKUMAR
SELF STUDENT
22 Yr 00 M
F 60000
1392 201611031
CHINTAN SURYAKANT SHAH
SELF STUDENT
21 Yr 00 M
M 60000
1393 201611032
PANARA BHAVIKABAHEN BACHUBHAI
SELF STUDENT
23 Yr 00 M
F 60000
1394 201611033
SHETH HELI BIJALKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
1395 201611034
KOTAWALA FATEMA HAKIMUDDIN
SELF STUDENT
24 Yr 00 M
F 60000
1396 201611035
SHUBHAM CHANDRA SELF STUDENT
22 Yr 00 M
M 60000
1397 201611036
JINITA PATEL SELF STUDENT
23 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
67 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1398 201611037
PAREKH KRISHNA ASHISHKUMAR
SELF STUDENT
22 Yr 00 M
F 60000
1399 201611038
GOSWAMI JANKHANA JITENDRAGIRI
SELF STUDENT
22 Yr 00 M
F 60000
1400 201611039
RIDDHI KETANBHAI SOLANI
SELF STUDENT
22 Yr 00 M
F 60000
1401 201611040
SAGATHIYA RIDHAMKUMAR DAHYALAL
SELF STUDENT
21 Yr 00 M
M 60000
1402 201611041
PRASHANTKUMAR GOHEL
SELF STUDENT
24 Yr 00 M
M 60000
1403 201611042
NIKITA LODHA SELF STUDENT
23 Yr 00 M
F 60000
1404 201611043
KAMAL VERMA SELF STUDENT
31 Yr 00 M
M 60000
1405 201611044
CHOTHANI CHINTANIKA MANSUKHLAL
SELF STUDENT
22 Yr 00 M
F 60000
1406 201611045
DEEPANKAR DUBEY SELF STUDENT
23 Yr 00 M
M 60000
1407 201611046
THAKKAR SANKET NAVINKUMAR
SELF STUDENT
24 Yr 00 M
M 60000
1408 201611047
THANKI JIGAR NARBHESHANKER
SELF STUDENT
21 Yr 00 M
M 60000
1409 201611048
KANTHETI SRINIVAS SELF STUDENT
23 Yr 00 M
M 60000
1410 201611049
NIKITA VISHWAKARMA SELF STUDENT
22 Yr 00 M
F 60000
1411 201611050
NEHA KUMARI SINGHAL SELF STUDENT
22 Yr 00 M
F 60000
1412 201611051
PANCHAL NAMRATA PRAKASHBHAI
SELF STUDENT
22 Yr 00 M
F 60000
1413 201611052
KOTHURI VENKATA NAGA NEHA RAVALI
SELF STUDENT
22 Yr 00 M
F 60000
1414 201611053
SHUBHANGI GUPTA SELF STUDENT
21 Yr 00 M
F 60000
1415 201611054
KRITI SELF STUDENT
24 Yr 00 M
F 60000
1416 201611055
SHAH NEILKUMAR MILANKUMAR
SELF STUDENT
23 Yr 00 M
M 60000
1417 201611056
RAHUL CHAUHAN SELF STUDENT
23 Yr 00 M
M 60000
1418 201611057
NEHA RANI SELF STUDENT
23 Yr 00 M
F 60000
1419 201611058
KOTECHA DHARA PRADIPKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
68 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1420 201611059
AARUSHI DHAMI SELF STUDENT
22 Yr 00 M
F 60000
1421 201611061
HEMLATA TAK SELF STUDENT
23 Yr 00 M
F 60000
1422 201611062
SATYANJALI YADAV SELF STUDENT
22 Yr 00 M
F 60000
1423 201611063
RONAK H DHOKAI SELF STUDENT
23 Yr 00 M
M 60000
1424 201612001
VYAS DHWANIL NITIN SELF STUDENT
21 Yr 00 M
M 60000
1425 201612002
JADHAV DHRUVDUTT RANJITSINH
SELF STUDENT
21 Yr 00 M
M 60000
1426 201612003
SHARMA DIPESH SHIVKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
1427 201612004
MANIYAR SURBHI HARISHBHAI
SELF STUDENT
23 Yr 00 M
F 60000
1428 201612005
RANADE SANKALP PRASHANT
SELF STUDENT
20 Yr 00 M
M 60000
1429 201612006
JAY BHARATBHAI SHAH SELF STUDENT
20 Yr 00 M
M 60000
1430 201612007
MUKESH BANSAL SELF STUDENT
20 Yr 00 M
M 60000
1431 201612008
PARIKH KUSHAL JAYESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1432 201612009
ASHWANI TANWAR SELF STUDENT
22 Yr 00 M
M 60000
1433 201612010
JOSHI ASHWINI MILIND SELF STUDENT
20 Yr 00 M
F 60000
1434 201612011
MANVENDRA SINGH SELF STUDENT
23 Yr 00 M
M 60000
1435 201612012
HALANI DIP NATVARLAL SELF STUDENT
20 Yr 00 M
M 60000
1436 201612013
SHETTY ADITYA VITTAL SELF STUDENT
21 Yr 00 M
M 60000
1437 201612014
THAKKAR CHANDNIBEN SHAILESHBHAI
SELF STUDENT
20 Yr 00 M
F 60000
1438 201612015
PARIKH DIPEN VITTHALBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1439 201612016
PATEL RIYA MANISHKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1440 201612017
MAKHIJA AMAR TIRTHDAS
SELF STUDENT
21 Yr 00 M
M 60000
1441 201612018
JADAV NIKITA BIPINKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
1442 201612019
KAKADIYA HARDIKBHAI BHANUBHAI
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
69 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1443 201612020
DAVE PRIYA ASHOKKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1444 201612021
SHAH YESHA MEHULBHAI
SELF STUDENT
20 Yr 00 M
F 60000
1445 201612022
TIKEKAR SIDDHARTHA NAVINCHANDRA
SELF STUDENT
20 Yr 00 M
M 60000
1446 201612023
SHAH SHARVIL PIYUSHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1447 201612024
KHATRI JEET GAUTAMKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
1448 201612025
SONAVANE VARUN PRAKASH
SELF STUDENT
22 Yr 00 M
M 60000
1449 201612026
PURAN SUTHAR SELF STUDENT
20 Yr 00 M
M 60000
1450 201612027
SHAH DRASHTI MITESHBHAI
SELF STUDENT
20 Yr 00 M
F 60000
1451 201612028
PRIYANKA NITINKUMAR SHAH
SELF STUDENT
21 Yr 00 M
F 60000
1452 201612029
DELHIWALA RONAK YOGESH
SELF STUDENT
21 Yr 00 M
M 60000
1453 201612030
AMRELIYA UDIT SURESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1454 201612031
ANAM DIVYA SHAILESH ARUNA
SELF STUDENT
22 Yr 00 M
F 60000
1455 201612032
HITAISHI DINESHBHAI MARFATIYA
SELF STUDENT
19 Yr 00 M
F 60000
1456 201612033
ZARANA KISHORBHAI VYAS
SELF STUDENT
21 Yr 00 M
F 60000
1457 201612034
SHAH HELI PARESHKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1458 201612035
PANDYA POORVA SELF STUDENT
20 Yr 00 M
F 60000
1459 201612036
ASHIM KUMAR UPADHYAY
SELF STUDENT
23 Yr 00 M
M 60000
1460 201612037
SOLANKI PANTH KIRANKUMAR
SELF STUDENT
22 Yr 00 M
M 60000
1461 201612038
THAKKAR AVNISH VINODCHANDRA
SELF STUDENT
20 Yr 00 M
M 60000
1462 201612039
PATEL RUTVIJ MAYURKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1463 201612040
PRAJAPATI ARCHIL SELF STUDENT
20 Yr 00 M
M 60000
1464 201612041
DHOLAKIA MANASI ATUL SELF STUDENT
20 Yr 00 M
F 60000
1465 201612042
KEWALRAMANI VIKAS GOVINDBHAI
SELF STUDENT
21 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
70 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1466 201612043
GANDHI SHREYANSH SELF STUDENT
22 Yr 00 M
M 60000
1467 201612044
PATEL RIDDHI SELF STUDENT
20 Yr 00 M
F 60000
1468 201612045
MAHMADSOHIL DADHORIYA
SELF STUDENT
22 Yr 00 M
M 60000
1469 201612046
HATHI SAGAR KAMLESH SELF STUDENT
21 Yr 00 M
M 60000
1470 201612047
PANCHAL KRUPALI KISHOR
SELF STUDENT
20 Yr 00 M
F 60000
1471 201612048
GUPTA ADITI SANJAY SELF STUDENT
20 Yr 00 M
F 60000
1472 201612049
VORA ISHANI SAURINKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1473 201612050
SHAH JANAHVEE RASHMIKANT
SELF STUDENT
20 Yr 00 M
F 60000
1474 201612051
MANDALIYA ABHILASH BHANUKANT
SELF STUDENT
20 Yr 00 M
M 60000
1475 201612052
SHAH MANSI PRAKASHCHANDRA
SELF STUDENT
20 Yr 00 M
F 60000
1476 201612053
RATHORE AKSHAY PRADEEPSINGH
SELF STUDENT
21 Yr 00 M
M 60000
1477 201612054
CHOTALIYA CHINTAN LABHUBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1478 201612055
SHAH VIRAL RAHULKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
1479 201612056
VAGHANI ATISH RAMESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1480 201612057
CHAUHAN JAYENDRASINH KIRANKUMAR
SELF STUDENT
26 Yr 00 M
M 60000
1481 201612058
RANA YUVRAJSINH ASHVINSINH
SELF STUDENT
22 Yr 00 M
M 60000
1482 201612059
FARHAN ANSARI SELF STUDENT
21 Yr 00 M
M 60000
1483 201612060
SHAH HARSHIL PRUTHVISH
SELF STUDENT
20 Yr 00 M
M 60000
1484 201612061
LAKHANI ANKIT RAJUBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1485 201612062
DIVEN KUMAR SAMBHWANI
SELF STUDENT
20 Yr 00 M
M 60000
1486 201612063
HARMEET SINGH SAINI SELF STUDENT
21 Yr 00 M
M 60000
1487 201612064
VISHAL GARG SELF STUDENT
22 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
71 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1488 201612065
VAMSI KRISHNAGUNTHI SELF STUDENT
20 Yr 00 M
M 60000
1489 201612066
KANIYA DHIRAL SHAILESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1490 201612067
DHRUVIL SHAH SELF STUDENT
22 Yr 00 M
M 60000
1491 201612068
DEVAM SHAH SELF STUDENT
20 Yr 00 M
M 60000
1492 201612069
BINAYAK GOURI SHANKAR
SELF STUDENT
20 Yr 00 M
M 60000
1493 201612070
NIRALI UPADHYAY SELF STUDENT
20 Yr 00 M
F 60000
1494 201612071
SHAH KAVISHA SELF STUDENT
21 Yr 00 M
F 60000
1495 201612072
MEHTA NINAD HARSHADBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1496 201612073
UNDHAD HEMANSHI RASIKBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1497 201612074
AKHANI HARSHADKUMAR MAHESHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1498 201612075
SADHWANI SNEHA MAHESHKUMAR
SELF STUDENT
21 Yr 00 M
F 60000
1499 201612076
ANIL KUMAR TUDU SELF STUDENT
22 Yr 00 M
M 60000
1500 201612077
VARMA KUNAL VIJAYKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
1501 201612078
MEHTA DIMPLE SIDDHARTH
SELF STUDENT
21 Yr 00 M
F 60000
1502 201612079
PATEL AMISHA JITENDRABHAI
SELF STUDENT
21 Yr 00 M
F 60000
1503 201612080
PUJA SINGH SELF STUDENT
21 Yr 00 M
F 60000
1504 201612081
LUHAR SAVAN KISHORBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1505 201612082
AASTHA DWIVEDI SELF STUDENT
22 Yr 00 M
F 60000
1506 201612083
PARIKH SHLOK KISHORE
SELF STUDENT
20 Yr 00 M
M 60000
1507 201612084
THAKKAR KISHANKUMAR JAGDISHBHAI
SELF STUDENT
21 Yr 00 M
M 60000
1508 201612085
MEENAKSHI PRAVINSINH ZALA
SELF STUDENT
20 Yr 00 M
F 60000
1509 201612086
THAKOR MITESH NEHALKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
72 of 75
Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1510 201612087
SHAH KARAN HIREN SELF STUDENT
20 Yr 00 M
M 60000
1511 201612088
SUNIL KUMAWAT SELF STUDENT
20 Yr 00 M
M 60000
1512 201612089
DESAI PRITESH JAYESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1513 201612090
SHETH BIJEN RAKESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1514 201612091
SHAAZ MANJIYANI SELF STUDENT
21 Yr 00 M
M 60000
1515 201612092
KADIYA STUTI GAURANGBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1516 201612093
VASUNDHARA GUPTA SELF STUDENT
22 Yr 00 M
F 60000
1517 201612094
AGRAWAL JEETU KEDARNATH
SELF STUDENT
20 Yr 00 M
M 60000
1518 201612095
CHANDAN KUMAR VISHWAKARMA
SELF STUDENT
20 Yr 00 M
M 60000
1519 201612096
SHAH DEVANSHI BHARATKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1520 201612097
VANANI VIRAL BATUKBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1521 201612098
SHAH KUSHAL KETANKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1522 201612099
VAGHASIYA GOPAL PARSOTAMBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1523 201612100
JIANDANI GAURAV KESHAV
SELF STUDENT
20 Yr 00 M
M 60000
1524 201612101
SHAH NILAM SHAILESHKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1525 201612102
PRATHAM JAIN SELF STUDENT
23 Yr 00 M
M 60000
1526 201612103
LILAN SHRESHTHA DINESHRAJ
SELF STUDENT
23 Yr 00 M
F 60000
1527 201612104
SHAH PARIN VIKRAMBHAI
SELF STUDENT
21 Yr 00 M
F 60000
1528 201612105
MAKHIJA SAGAR GURMUKH
SELF STUDENT
22 Yr 00 M
M 60000
1529 201612106
ANIMESH KUMAR SELF STUDENT
22 Yr 00 M
M 60000
1530 201612107
SHAILESH MISHRA SELF STUDENT
22 Yr 00 M
M 60000
1531 201612108
NASIT SAGAR PRAFULBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1532 201612109
MAHETA PARTH RAJESHBHAI
SELF STUDENT
20 Yr 00 M
M 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1533 201612110
RUPAREL JANVI PRAKASHBHAI
SELF STUDENT
20 Yr 00 M
F 60000
1534 201612111
PARESH KUMAR SELF STUDENT
21 Yr 00 M
M 60000
1535 201612112
PRAJAPATI DIPAK PRATAPBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1536 201612113
ANSHIKA SINHA SELF STUDENT
21 Yr 00 M
F 60000
1537 201612114
CHAUHAN KELIN LAWRENCEBHAI
SELF STUDENT
22 Yr 00 M
M 60000
1538 201612115
TAGADIYA MITESHKUMAR RAJUBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1539 201612116
RATHOD AUDARYA LALITNARAYAN
SELF STUDENT
21 Yr 00 M
M 60000
1540 201612117
RISHABH CHAUHAN SELF STUDENT
21 Yr 00 M
M 60000
1541 201612118
KAMDAR RAJ ASHWINBHAI
SELF STUDENT
20 Yr 00 M
M 60000
1542 201612119
OMISHA GUPTA SELF STUDENT
21 Yr 00 M
F 60000
1543 201612120
SEVAK PRIYANK KIRITKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
1544 201613001
JARIWALA HARSH HITESHKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1545 201613002
PRIYANKA HANSAWAT SELF STUDENT
22 Yr 00 M
F 60000
1546 201613003
AGARKAR HARSH ATULKUMAR
SELF STUDENT
20 Yr 00 M
M 60000
1547 201613004
SHINAI MALLIKA KRISHNKUMAR
SELF STUDENT
20 Yr 00 M
F 60000
1548 201613005
MEET JAYESHBHAI THAKER
SELF STUDENT
20 Yr 00 M
M 60000
1549 201613006
DVIVEDI SATYAM ASHOKKUMAR
SELF STUDENT
19 Yr 00 M
M 60000
1550 201614001
ASHWIN SHARMA SELF STUDENT
22 Yr 00 M
M 60000
1551 201614002
AYUSHI SHARMA SELF STUDENT
24 Yr 00 M
F 60000
1552 201614003
SHAINA GULATI SELF STUDENT
21 Yr 00 M
F 60000
1553 201614004
HIMANSHU VARDHAN SELF STUDENT
23 Yr 00 M
M 60000
1554 201614006
SHAH SHAILAJA SHALINBHAI
SELF STUDENT
23 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule of Members covered attached to and forming part of Policy No '1602362812000171
S No. Emp Code
Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining
Location Remarks
1555 201614007
SARATH K SELF STUDENT
24 Yr 00 M
M 60000
1556 201614008
GANDAMALLA PRAKRUTHI PULE
SELF STUDENT
23 Yr 00 M
F 60000
1557 201614009
SHETH AARSH JAYKUMAR
SELF STUDENT
21 Yr 00 M
M 60000
1558 201614010
NEERJA JAIN SELF STUDENT
23 Yr 00 M
F 60000
1559 201614011
ANANDITA AGRAWAL SELF STUDENT
23 Yr 00 M
F 60000
1560 201614012
ROSHNI PRAKASH THARIAN
SELF STUDENT
21 Yr 00 M
F 60000
1561 201614013
YAIPHAHENBA LAISHRAM
SELF STUDENT
22 Yr 00 M
M 60000
1562 201614014
SAURABH SINGH SELF STUDENT
22 Yr 00 M
M 60000
1563 201621001
AMIT KISHORCHANDRA MANKODI
SELF STUDENT
46 Yr 00 M
M 60000
1564 201621002
PANDYA JUHI MEHULKUMAR
SELF STUDENT
23 Yr 00 M
F 60000
1565 201621003
JOSHI NIKITA RAJESHBHAI
SELF STUDENT
24 Yr 00 M
F 60000
1566 201621004
VYAS HARDIK SHYAM SELF STUDENT
23 Yr 00 M
M 60000
1567 201621005
MANAS SINGH SAKRWAR
SELF STUDENT
26 Yr 00 M
M 60000
1568 201621006
TEJENDRA PRATAP GAUTAM
SELF STUDENT
29 Yr 00 M
M 60000
1569 201621007
SHAH MIRAL ASHOKKUMAR
SELF STUDENT
30 Yr 00 M
F 60000
1570 201621008
PATIL ANKUR TUKARAM SELF STUDENT
28 Yr 00 M
M 60000
1571 201621009
GADHIYA TUSHARKUMAR DAMJIBHAI
SELF STUDENT
25 Yr 00 M
M 60000
1572 201621010
SHAH AMI MAHENDRABHAI
SELF STUDENT
23 Yr 00 M
F 60000
1573 201621011
EKTA RAJPUT SELF STUDENT
25 Yr 00 M
F 60000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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