list of teachers enrolled under mediclaim policy of bank … 28.01.1974 m bandana mondal anubhav...

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Page 1 of 34 Sl No. Name of the Employee PF Code Bank A/C No. Date of Birth Sex Name(s) of the family Date of Birth Sex Sum insured Mobile No. Previous Policy date Previous Policy No. Remarks Premium Amount 1 Goutam Chandra 1860 420110110005065 01.08.1963 M Roma Chandra Antara Chandra(D) Ananya Chandra 17.09.1964 16.12.1991 06.09.1995 F F F 100000 31.03 15/4146 Same 1790 2 Sunil Karfoma 2030 420110110004950 07.11.1971 M Debolina Karfoma Srijani Karfoma(D) 26.06.1975 01.01.2009 F F 100000 31.03 15/4160 Same 1790 3 Naba Kumar Mondal 2125 420110110006636 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak Kumar Ghosh 2365 420110110004963 16.01.1964 M Anupama Ghosh Ankita Ghosh(D) Antara Ghosh(D) 21.04.1976 17.12.1998 11.03.2004 F F F 100000 31.03 15/4087 Same 1790 5 Dr. Rupa Gupta 2543 420110110004930 15.08.1965 F Hitendra Kumar Patel Mohan Patel(S) 18.06.1968 25.02.2001 M M 100000 31.03 15/4103 Same 1790 6 Subal Chandra Biswas 1941 420110110005857 29.11.1955 M Lalita Biswas Madhurima Biswas(D) Meghna Biswas(D) 20.01.1969 17.11.1991 23.12.2000 F F F 150000 31.03 15/4129 Same 2701 7 Santosh Kumar Pal 2106 420110110005923 17.08.1963 M Padmabati Pal Nilkantha Pal(S) 01.01.1968 12.05.1998 F M 150000 31.03 15/4186 Same 2701 8 Paresh Kr Acharya 1857 420110110006746 10.11.1956 M 1.Sujata Acharya 2.Spandan Acharya 07.11.1962 29.04.1994 F M 200000 13.07 16/1369 Same 3473 9 Pabitra Chattopadhyay 1973 420110110004969 04.11.1996 M Sanchita Chattopadhyay(M) Sohini Chattopadhyay(D) 15.12.1974 23.05.2001 F F 200000 31.03 15/4156 Same 3473 10 Absos Ali Shaikh 2353 422210100016040 07.11.1970 M Sabina Eyasmin Afrin Jinat Shaikh(D) 11.08.1980 02.03.2010 F F 200000 31.03 15/4082 Same 3473 11 Tuhin Kumar Samanta 2372 420110110005865 02.12.1961 M Rina Bhattacheryya (Samanta) Ratul Samanta(S) 31.12.1963 29.11.1998 F M 200000 9475375676 31.03 15/3971 Same 3473 13 Soumendranath Chaterjee 2414 420110110005803 12.01.1970 M Raktima Bandyopadhyay (Chatterjee) Soumalya Chaterjee(S) 11.12.1982 25.102007 F M 200000 31.03 15/4091 Same 3473 14 Arindam Gupta 2637 420110110006646 14.10.1977 M 200000 9433261178 31.03 15/3997 Same 3473 15 Pabitra Kumar Chakraborty 2459 420110110009060 14.02.1966 M Shruti Chakraborty (Lahiri) Deeptu Chakraborty(S) 27.06.1971 30.07.2002 F M 250000 9432351736 5.04 16/0261 Same 4158 16 Sarbeswar Chaudhuri 2618 420110100007504 03.11.1955 M Seema Chaudhuri Avinanda Chaudhuri(S) 01.04.1956 11.07.1983 F M 250000 31.03 15/4130 Same 4158 17 Dr. Atis Chandra Mandal 2105 420110110006637 31.10.1973 M Rubi Monal Aradhya Mondal(D) 21.01.1977 25.03.2009 F M 300000 9434471190 31.03 15/4270 Same 4845 18 Saswati Gangopadhyay 2115 420110110005823 12.11.1971 F 300000 9433010583 31.03 15/3928 Same 4845 154100/48/XX/850000XX List of Teachers enrolled under Mediclaim Policy of Bank of India (BOI)

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Page 1: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 1 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex Suminsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

1 Goutam Chandra 1860 420110110005065 01.08.1963 M Roma ChandraAntara Chandra(D)Ananya Chandra

17.09.196416.12.199106.09.1995

FFF

100000 31.03 15/4146 Same 1790

2 Sunil Karfoma 2030 420110110004950 07.11.1971 M Debolina KarfomaSrijani Karfoma(D)

26.06.197501.01.2009

FF

100000 31.03 15/4160 Same 1790

3 Naba Kumar Mondal 2125 420110110006636 28.01.1974 M Bandana MondalAnubhav Mondal(S)

01.10.198112.07.2000

FM

100000 9434545694 31.03 15/3931 Same 1790

4 Alak Kumar Ghosh 2365 420110110004963 16.01.1964 M Anupama GhoshAnkita Ghosh(D)Antara Ghosh(D)

21.04.197617.12.199811.03.2004

FFF

100000 31.03 15/4087 Same 1790

5 Dr. Rupa Gupta 2543 420110110004930 15.08.1965 F Hitendra Kumar PatelMohan Patel(S)

18.06.196825.02.2001

MM

100000 31.03 15/4103 Same 1790

6 Subal Chandra Biswas 1941 420110110005857 29.11.1955 M Lalita BiswasMadhurima Biswas(D)Meghna Biswas(D)

20.01.196917.11.199123.12.2000

FFF

150000 31.03 15/4129 Same 2701

7 Santosh Kumar Pal 2106 420110110005923 17.08.1963 M Padmabati PalNilkantha Pal(S)

01.01.196812.05.1998

FM

150000 31.03 15/4186 Same 2701

8 Paresh Kr Acharya 1857 420110110006746 10.11.1956 M 1.Sujata Acharya2.Spandan Acharya

07.11.196229.04.1994

FM

200000 13.07 16/1369 Same 3473

9 Pabitra Chattopadhyay 1973 420110110004969 04.11.1996 M Sanchita Chattopadhyay(M)Sohini Chattopadhyay(D)

15.12.197423.05.2001

FF

200000 31.03 15/4156 Same 3473

10 Absos Ali Shaikh 2353 422210100016040 07.11.1970 M Sabina EyasminAfrin Jinat Shaikh(D)

11.08.198002.03.2010

FF

200000 31.03 15/4082 Same 3473

11 Tuhin Kumar Samanta 2372 420110110005865 02.12.1961 M Rina Bhattacheryya (Samanta)Ratul Samanta(S)

31.12.1963

29.11.1998

F

M

200000 9475375676 31.03 15/3971 Same 3473

13 Soumendranath Chaterjee

2414 420110110005803 12.01.1970 M Raktima Bandyopadhyay (Chatterjee)Soumalya Chaterjee(S)

11.12.198225.102007

FM

200000 31.03 15/4091 Same 3473

14 Arindam Gupta 2637 420110110006646 14.10.1977 M 200000 9433261178 31.03 15/3997 Same 3473

15 Pabitra Kumar Chakraborty

2459 420110110009060 14.02.1966 M Shruti Chakraborty (Lahiri)Deeptu Chakraborty(S)

27.06.197130.07.2002

FM

250000 9432351736 5.04 16/0261 Same 4158

16 Sarbeswar Chaudhuri 2618 420110100007504 03.11.1955 M Seema ChaudhuriAvinanda Chaudhuri(S)

01.04.195611.07.1983

FM

250000 31.03 15/4130 Same 4158

17 Dr. Atis Chandra Mandal 2105 420110110006637 31.10.1973 M Rubi MonalAradhya Mondal(D)

21.01.197725.03.2009

FM

300000 9434471190 31.03 15/4270 Same 4845

18 Saswati Gangopadhyay 2115 420110110005823 12.11.1971 F 300000 9433010583 31.03 15/3928 Same 4845

154100/48/XX/850000XX

List of Teachers enrolled under Mediclaim Policy of Bank of India (BOI)

Page 2: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 2 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex Suminsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

154100/48/XX/850000XX

List of Teachers enrolled under Mediclaim Policy of Bank of India (BOI)

19 Asoke Kumar Bhunia 2139 420110110005733 20.06.1960 M Shila Rani BhuniaPayel Bhunia(D)Aninday Bhunia(S)

30.11.196520.01.199203.02.1996

FFM

300000 31.03 15/4046 Same 4845

20 Angshuman Kar 2161 420110110005927 31.01.1975 M Soma Banerjee (Kar)Anadi Kar(D)

28.12.197319.05.2003

FF

300000 31.03 15/4048 Same 4845

21 Sanjoy Mukherjeee 2461 420110110006800 03.01.1968 M Sebanti MukherjeeNibedita Mukheerjee(D)Srimanti Mukherjee(D)

23.08.197030.10.200025.06.2004

FFF

300000 31.03 15/4095 Same 4845

22 Kanchan Kamila 2550 420110110005954 22.11.1968 M Sumita KamilaDipanwita Kamila(D)

28.11.197712.12.2002

FF

300000 9476420962 31.03 15/4230 Same 4845

23 Jayanta Kumar Saha 1470 420110110006688 28.04.1962 M Manidipa SahaSoumya Saha(S)Shreya Saha(D)

12.12.197123.04.199706.07.2000

FMF

400000 9474362850 31.03 15/4292 Same 6044

24 Subhasis Das 1939 420110110006683 29.02.1960 M Jayanti DasShuvayanti Das(D)

26.12.196510.06.1997

FF

400000 9153152843 31.03 15/4283 Enhanced 6044

25 Neeraj Sharma 2884 420910310000018 13.07.1977 M Pratichi MalviyaAwwal Sharma(S)Sulakshya Sharma(S)

11.11.198012.03.200712.03.2014

FMM

400000 9477228902 31.03 15/4031 Same 6044

26 Tanmoy Dasgupta 1944 420110110004638 12.04.1967 M Sunita DasguptaSohini Dasgupta(D)Nirvan Dasgupta(S)

31.12.196830.11.199702.04.2003

FFM

500000 9434113809 31.03 15/4275 Same 7246

27 Bholanath Mondal 2025 420110110006510 05.05.1969 M Tumpa DeyPratyusha Mondal(D)

18.01.19763108.2003

FM

500000 31.03 15/4159 Same 7246

28 Santanu Kumar Ghosh 2036 420910110012415 02.05.1957 M Sova GhoshRikhiya Ghosh(D)

05.10.195801.09.1988

FF

500000 9434360561 31.03 15/3913 Same 7246

29 Rabindranath Das 2114 420110110006755 28.12.1963 M Kumkum DasMahashwata Das(D)

22.08.196725.09.1995

FF

500000 9232638970 31.03 15/3927 Same 7246

30 Dr. Tanmoy Das 2538 420110110005814 10.05.1964 M 1.Tanusree Das2.Joydeep Das

08.01.196821.05.2002

FM

500000 31.03 15/4101 Same 7246

31 Biswajit Das 2551 420110110006670 16.11.1971 M Susmita DasAbhinaba Das(S)

29.06.197306.08.2008

FM

500000 9433339016 31.03 15/3986 Same 7246

32 Niladri Hazra 2584 420110110005029 06.07.1970 M Mamata HazraManoswita Haz(D)Satodru Hazra(S)

27.09.197925.04.200402.10.2010

FFM

500000 31.03 15/4105 Same 7246

33 Rajib Bandyopadhyay 2901 420110110009097 01.01.1974 M Prink Chakraborty 18.07.1986 F 500000 8170995469 15.04 16/0434 Same 7246

34 Prasanta Sarkar

Kamala Rani Sarakar

2668 420110110006698 18.02.1979

01.01.1968

MF

1. Deboshri Karmakar (W)2. Anishka Sarkar (D)1.Bimal Kumar Sarkar

15.11.198908.02.201501.01.1950

FFM

100000

50000

31.0331.03

15/411315/4114

Enhanced InclusionInclusion

Same

1790

953

Page 3: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 3 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex Suminsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

154100/48/XX/850000XX

List of Teachers enrolled under Mediclaim Policy of Bank of India (BOI)

35 Amir JafarAyesha Sultana

2355 420110110004967 19.11.197514.02.1955

MF

Shabana Akbari 05.12.1984 F 100000100000

31.0331.03

15/408315/4084

Same 17901790

36 Shashi Kumar SharmaBinda Sharma

2883 420910110012417 07.12.198401.01.1963

MF Raj Kishore Sharma 01.01.1960 M

100000100000

8509580494 05.0407.04

16/017916/0026

ReducedReduced

1790 1790

37 Arindam Das

Rupa Das

2322 420110110005024 06.07.1976

01.01.1958

MF

Mohua Das MazumdarAnkita Das(D)

25.12.197522.02.2007

FF

150000

100000

9732049027 31.03

31.03

15/3852

15/3853

Same 2701

179038 Dr. Sumanta Bhattacharya

Arati Bhattacharyya

2621 420110110004961 09.09.1974

01.07.1950

M

F

Shrabanti BhattacharyaShalmali Bhattacharya

09.03.197428.07.2004

FF

200000

100000

9433962777 13.07

31.03

16/1367

15/3859

Same 3473

179039 Dillip Kumar Das

Nakhetra Malini Das

2357 420110110006638 12.07.1974

01.01.1951

M

F

Tripti DasGayatri Das(D)

24.10.198206.08.2009

FF

200000

200000

31.03 15/4085

15/4086

Same 3473

179040 Dr. Kaushik Ghosh

Anima Ghosh

2335 420110110005041 01.12.1975

26.12.1946

M

F

Srabani GhoshAishiki Ghosh(D)

04.08.197829.05.2007

FF

250000

150000

31.03

31.03

15/4079

15/4080

Same 4158

270141 Sanjoy Malik

Rabi Malik

2666 420110110006780 14.03.1982

21.06.1956

M

M

Totapandit MalikSrijani Malik(S)Bandana Malik

02.05.199207.11.201111.06.1966

FFF

50000

50000

31.03

31.03

15/4111

15/4112

Same 953

95342 Achintya Kr. Dutta 1972 420110110009592 1/2/1951 M Sharmistha Gupta Dutta (W)

Arunima Dutta(D)2-10-1970

10-07-1997F F 500000 2-Feb

Policy Done 7246

155922

Page 4: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 4 of 34

154100/48/XX/8500

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex SumInsured Mobile

Previous Policy

date

PreviousPolicy

No.Remarks Premium

Amount

1 Santu Ghosh 2928 420110110009040 05.11.1990 M 50000 9732226459 5.04 16/0260 Same 953

2 Sudha Bindu Dhar 1974 420110110004945 24.05.1961 M Jhumi DharSoumalaya Dhar(S)

05.01.197208.05.2000

FM

200000 9474553526 31.03 15/3905 Same 3473

3 Bhubaneswar Gorai 2329 420110110005828 09.05.1958 M Shila GoraiSudeshna Gorai(D)

15.04.197018.10.1996

FF

100000 9434834477 31.03 15/3969 Same 1790

4Subrata Nandi 1641 420110110005742 16.04.1964 M Swapna Nandi

Sourav Nandi(S)Shreyashi Nandi(D)

15.09.197003.04.199325.03.1997

FMF

2500009832291178 19.03 Policy

Done Same 4158

5Kalyan Kishore Chatterjee

1707 420110110005829 29.09.1960 M Sipra ChatterjeeManas Chatterjee(S)Aditi Chatterjee(D)

01.01.196203.11.198816.06.1993

FMF

20000031.03 15/4184

Same 3473

6 Ashima Rez 1926 420110110004960 18.01.1962 F 200000 9475101666 31.03 15/4032 Same 3473

7Indrajit Roy 2328 420110110006793 02.01.1973 M Sanchita Gupta Roy

Prama Roy(D)Pragna Roy(D)

18.01.197930.03.200630.03.2006

FFF

2000009474486308 31.03 15/3968

Same 3473

8 Susobhan Ghosh 2859 420110110009102 25.12.1980 M Pialee Ghosh 25.04.1988 F 200000 8961257040 15.04 16/0435 Same 34739 Subhadip Bhaumik 2931 420110110009033 03.01.1983 M Roshni Bhaumik 25.04.1988 F 200000 9836261992 5.04 16/0271 Same 3473

10 Rangan Kanti Jana 1982 420110110004798 23.02.1961 M Debjani JanaSravanangshu Jana(S)

20.11.197818.07.2000

FM

250000 9231683104 31.03 15/3858 Same 4158

11 Md Najimuddin Biswas 2012 420110110006730 07.01.1965 M Sharmili BegumRafat Avee Biswas(S)

09.07.197314.12.2005

FM

300000 9434163784 31.03 15/3911 Same 4845

12 Anindya Bose 2032 420110110005779 10.10.1969 M Arpita BoseAnamitra Bose(S)

16.03.197030.08.1999

FM

500000 9434004478 31.03 Policy Done

Same 7246

13 Subhajit Karmokar 2863 420110110009042 07.03.1978 M Osmita DhatSarbani Karmokar(S)

24.05.198303.04.2015

FM

300000 9433855925 5.04 16/0284 Same 4845

14 Gispati Chakrabarti 1588 420110210000047 23.12.1958 M Rita ChakrabartiGourab Chakrabarti(S)

01.07.196715.09.2000

FM

400000 31.03 15/4181 Same 6044

15 Shorosimohan Dan 1665 420110110004744 21.03.1953 M Supta Dan 06.06.1967 F 400000 31.03 15/4132 Same 6044

List of Officers enrolled under Mediclaim Policy of Bank of India (BOI)

Page 5: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 5 of 34

154100/48/XX/8500

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex SumInsured Mobile

Previous Policy

date

PreviousPolicy

No.Remarks Premium

Amount

List of Officers enrolled under Mediclaim Policy of Bank of India (BOI)

16Dr Debidas Mondal 1999 420110110005020 16.03.1963 M Mina Ghosh Mondal

Debasmita Mondal(D)Debolina Mondal(D)

05.12.196222.09.199314.10.1998

FFF

40000031.03 15/3910

Same 6044

17 Biplab Sarkar 1666 420110110004873 23.01.1963 M Pompa Sarkar 07.01.1963 F 500000 9232380329 5.04 16/0219 Same 7246

18Soubhatra Bandopadhyay 1865 420110110004642 05.01.1963 M Madhumita Bandopadhyay

Saujatya Bandopadhyay(S)Sulagna Bandopadhyay(D)

17.09.196503.12.199703.12.1997

FMF

5000009433156497 31.03 Policy

Done Same 7246

19 Partha Narayan Ghosh 2016 420110100020702 17.03.1959 M Madhabi GhoshSandip Ghosh(S)

02.01.196515.06.1988

FM

500000 9434673494 31.03 15/4158 Same 7246

20 Bikash Mukhopadhyay 2140 420110110005000 30.11.1969 M Anindita MukhopadhyayAishi Mukhopadhyay(D)

30.08.197817.01.2003

FF

500000 31.03 15/4047 Same 7246

21

Ajay Auddy 2231 420110110006788 01.01.1975 M Supta AuddyAyushmann Auddy(S)Rajrishi Auddy (S)

27.06.198207.12.198202.05.2016

FM 500000

9232472182 31.03 15/3954 SameSameSame,

Inclusion

7246

22 Kalyan Kumar Mukhopadhyay

2333 420110110005815 22.02.1964 M Soma MukhopadhyayDiya Mukhopadhyay(D)

25.01.197014.03.1999

FF

500000 9434311886 31.03 15/3970 Same 7246

23

Subho Prasad Nandi Majumder

2582 420110110005949 05.08.1963 M Jayeeta Nandi MajumderShabnam Surita Nandi Majumder(D)Swapnil Saikat Nandi Majumder(S)

05.08.196631.01.199204.01.1999

FFM

500000

9434000814 31.03 15/3991

Same 7246

24

Sujan Das

Kalipada Das

2864 420110110009064 07.11.1979

20.12.1954

M Paramita DasSayantan Das(S)Sudha Rani Das

07.12.199321.05.201313.10.1959

FMF

200000

200000

9547998988 05.04

05.04

16/0268

16/0269

Enhanced

Enhanced

3473

3473

Page 6: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 6 of 34

154100/48/XX/8500

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex SumInsured Mobile

Previous Policy

date

PreviousPolicy

No.Remarks Premium

Amount

List of Officers enrolled under Mediclaim Policy of Bank of India (BOI)

25

Debasis Pal 420110110009240 02.08.1966 MParomita Pal (W)Mrinmoyee Pal (D)Monikuntala Pal(D)

24.12.196614.10.200122.07.2003

FFF

200000 3473

26Dipendra Nath De 420110110009691 17-03-1975 M Swati De (w),

Damayanti De(D) Ambarish De(S)

16-05-1977 19-04-2006 17-11-2007

FFS 5000009434199750

New 7246

128406

Page 7: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 7 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

1 Gauri Sankar Deb 1824 420110110004882 21.05.1963 M 1.Kanika Deb2.Sabyasachi Deb

06.04.197325.08.1995

FM

50000 9732328366 5.04 16/0244 Same 953

2 Tapan Kr Sar 1827 420110110004885 19.08.1957 M 1.Snigdha Sar2.Souvik Sar3.Soumitra Sar

16.11.196622.05.198627.03.1993

FMM

50000 31.03 15/4144Same

953

3 Shambhu Karmakar 1828 420110110005006 12.03.1972 M 1.Bela Karmakar2.Amit Karmakar

15.06.197429.02.1996

FM

50000 31.03 15/4177 Same 953

4 Netai Ch Bhanja 1894 420110110005883 10.02.1973 M 1.Krishna Bhanja (Bhattacharyya)2.Jyotirmoy Bhanja3.Debjyoti Bhanja

29.06.198323.03.200509.03.2010

FMM

50000 9933629357 5.04 16/0254Same

953

5 Haradhan Manna 1905 420110110009055 30.09.1962 M 1.Dipanjali Manna2.Haimanti Manna

05.01.196115.04.1996

FF

50000 9332635652 5.04 16/0276 Same 953

6 Soma Banerjee 1958 401010100020555 31.01.1967 F 50000 9831940443 31.03 15/3900 Same 953

7 Tarun Kr Das 2043 420110110004971 05.01.1972 M 1.Bobby Das2.Dipak Das3.Dipika Das

01.01.197509.08.199001.09.1996

FMF

50000 31.03 15/4164Same

953

8 Gopal Bahadur Pulami 2047 420110110005025 16.01.1976 M 1.Ganga Maya Pulami2.Ganesh Bahadur Pulami3.Karan Bahadur Pulami

01.01.198411.11.199728.08.2001

FMM

50000 9732290765 31.03 15/3914Same

953

9 Bir Bahadur 2048 420110110004783 17.10.1968 M 1.Kalpana bahadur2.Bikram Bahadur3.Sumitra Bahadur

01.01.196701.12.200016.12.1996

FMF

1500000 9749247944 31.03 15/3915Same

2701

10 Bhaskar Patra 2070 420110110004805 13.06.1976 M 1.Shrabani Patra2.Ratul Patra

29.05.199012.07.2008

FM

50000 8145523480 31.03 15/3919 Same 953

11 Muzara Khatun 2085 420110110004850 25.11.1964 F 2.Seikh Nasir3.Seikh Miraz

15.08.197828.07.1985

MM

50000 9476488157 31.03 15/3922 Same 953

12 Sofia Mirza 2086 420110110006690 09.08.1959 F 50000 9832268624 31.03 15/3923 Same 953

13 Soumen Sar 2169 420110110009072 18.01.1975 M 1.Moumita Sar2.Soham Sar

19.04.198628.06.2007

FM

50000 8670935763 1.04 16/0029 Same 953

14 Sanjoy Prokash Nanday 2197 420110100002137 23.01.1973 M 1.Sanghamitra Nanday2.Srijani Nanday3. Suhani Nandy

20.01.197820.09.200911.09.2014

FFF

100000 9232350310 13.07 16/1361 Enhanced

Inclusion

1790

15 Sk Kamaluddin 2222 420110110004953 01.01.1971 M 1.Nazreem Parvin2.Sk. Arishuddin

29.07.197920.05.2006

FM

50000 31.03 15/4058 Same 953

16 Chandrima Hazra 2227 420110110005821 19.101966 F 50000 9434576168 31.03 15/3952 Same 953

17 Sujit Das 2239 420110210000041 11.01.1971 M 1.Jhumpa Das2.Sana Das

16.05.198321.07.2005

FF

50000 9474697323 31.03 15/3907 Same 953

18 Satyanarayan Sadhu 2246 420110110005844 05.01.1969 M 1.Shankari Sadhu2.Mandira Sadhu

20.02.197825.03.1998

FF

50000 31.03 15/4060 Same 953

19 Sk Sarif Hossain 2447 420910110010827 18.12.1972 M 1.Rajia Sultana2.Sk. Afroz Hossion3.Sk. Safroz Hossion

16.03.198507.09.200412.102006

FMM

50000 31.03 15/4093Same

953

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

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Sl No. Name of the Employee PF

Code Bank A/C No.Date

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Sex Name(s) of the family Date of Birth Sex SumInsured

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List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

20 Sampa Roy 2465 420110210000033 21.12.1971 F 2.Debapriya Roy3.Debdip Roy

19.12.199212.09.1998

FM

50000 9474960154 31.03 15/3984 Same 953

21 Sukumar Mandal 2500 418410110002133 07.03.1979 M 50000 9239232019 31.03 15/3985 Same 953

22 Lal Babu Ray 2670 420110110009059 25.04.1983 M 1.Bindu Ray2.Sona Ray3.Sunny Ray

01.01.198701.04.200110.05.2002

FMM

50000 9932940041 5.04 16/0265Same

953

23 Abhijit Maji 2693 420110210000039 25.10.1989 M 50000 9614685227 31.03 15/4000 Same 953

24 Arunava Mondal 2701 420110110007316 08.06.1983 M 1.Sunanda Mondal2.Arohi Mondal

01.02.198630.01.2015

FM

50000 9732259313 31.03 15/4001 Same 953

25 Kunal Kr Gupta 2711 420110110006689 19.05.1987 M 1.Ipshita Gupta 14.02.1990 F 50000 7384843216 31.03 15/4004 Same 953

26 Shankar Mukherjee 2715 420110110004943 26.12.1985 M 50000 31.03 15/4119 Same 953

27 Isto Charan Bag 2753 420110110008350 10.10.1984 M 50000 9749456306 31.03 15/4012 Same 953

28 Baisakhi Murmu (Baskey) 2758 420110110005894 21.08.1983 F 1.Buddhadev Baskey2.Barnali Baskey3.Arka Baskey

19.01.197717.06.200902.02.2013

MFM

50000 31.03 15/4135Same

953

29 Baidyanath Tudu 2762 420110110008351 20.04.1987 M 50000 9153277571 31.03 15/3958 Same 953

30 Anandamoy Das 2764 420110110006760 14.04.1970 M 1.Anjana Das2.Subhendu Das3.Arabinda Das

02.06.196913.07.199402.04.1998

FMM

50000 8016418931 31.03 15/4015Same

953

31 Kamal Rajak Das 2767 420110110004871 09.09.1980 M 1.Rita Das2.Ayantika Das

04.06.1989 FF

50000 9474363483 31.03 15/4016 Same 953

32 Swapan Kr Biswas 2773 420110110007336 04.06.1974 M 1.Aparna Biswas2.Ankur Biswas

01.07.197806.12.2005

FM

50000 31.03 15/4124 Same 953

33 Arkojit Bhattacharyya 2791 420110110004929 29.11.1985 M 50000 31.03 15/4125 Same 953

34 Banani Das 2796 420110110008098 07.01.1973 F 1.Sankar Das 15.05.1969 M 50000 9874737310 31.03 15/3897 Same 953

35 Pratyush Kumar Ghosh 2806 420110110005866 21.10.1988 M 50000 9734573972 31.03 15/4028 Same 953

36 Mritunjoy Pal 2844 420110110006765 09.01.1979 M 50000 9046364443 13.07 16/1360 Same 953

37 Naren Roy 2845 420110110006782 04.11.1981 M 1.Smriti Roy2.Sandip Roy

05.03.198809.06.2008

FM

50000 9933484609 31.03 15/4030 Same 953

38 Ritomoy Bhattacharya 2897 420110110008950 29.01.1982 M 50000 9830199393 5.04 16/0273 Same 953

39 Priyajit Chatterjee 2939 420110110009063 31.08.1984 M 1.Munna Chatterjee 01.04.1990 F 50000 9933100981 5.04 16/0270 Same 953

40 Srikanta Roy Choudhury Fixd 420110110006810 09.02.1982 M 50000 31.03 15/4131 953

41 Sarat Ch Pandit 1061 420110110006668 03.05.1956 M Rita Pandit 28.07.1969 F 100000 9933023120 5.04 16/0187 Same 1790

43 Niranjan Ray 1096 420110110004857 01.06.1956 M 100000 9434701371 5.04 16/0189 Same 1790

44 Bimal Mondal 1222 420110110006787 12.01.1957 M Mamata MondalDeeojoy Mondal(S)

07.03.196401.01.1988

FM

100000 9851888575 5.04 16/0190 Same 1790

45 Dilip Kumar Chakraborty 1280 420110110004968 01.07.1956 M Mithu ChakrabortyAnish Chakraborty(S)

24.02.196513.01.1992

FM

100000 9474638052 5.04 16/0192 Same 1790

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Code Bank A/C No.Date

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Sex Name(s) of the family Date of Birth Sex SumInsured

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154100/48/XX/850000XXXX

46 Kartik Chandra Choudhury 1297 420110110006790 04.06.1960 M Bharti Choudhury 13.03.1964 F 100000 9434644350 5.04 16/0194 Same 1790

47 Debdatta Chatterjee 1304 420110210000016 08.02.1959 M Krishna ChatterjeeShambo Chatterjee(S)

01.09.196129.10.1987

FM

100000 9434211062 5.04 16/0195 Same 1790

48 Susanta Patra 1403 420110110006772 21.09.1958 M Kajal Patra 01.01.1963 F 100000 9564467604 31.03 15/4258 Same 1790

49 Kazi Jaynal Abebin 1464 420110110004781 03.02.1957 M Sabina YasminJesmin Sultana(D)Kazi Nasim Akter(S)

12.01.197325.09.198917.05.1991

FFM

100000 31.03 15/3723Same

1790

50 Somnath Chowdhury 1475 420110110004941 05.11.1963 M Rekha ChowdhuryKheali Chowdhury(D)

06.10.197014.04.1994

FF

100000 8116113196 5.04 16/0200 Same 1790

51 Suvasis Mukherjee 1479 420110110005011 15.08.1960 M Manashi MukherjeeSibasis Mukherjee(S)

22.01.196821.10.1990

FM

100000 31.03 15/4178 Same 1790

52 Chandi Charan Mondal 1481 420110110004854 02.02.1961 M Bulu MondalProsenjit Mondal(S)Piu Mondal(D)

08.04.196507.03.198911.06.1992

FMF

100000 9609696643 5.04 16/0201Same

1790

53 Bishnu Prasad Bahadur Sherestha 1484 420110110007328 28.04.1964 M Roma ShresthaDolly Shrestha(D)Bijoy Prosad Shrestha(S)

01.01.196810.01.198605.09.1992

FFM

100000 31.03 15/4179Same

1790

54 Goshailal Sil 1488 420110110004883 26.11.1956 M Shyamali Sil 10.12.1961 F 100000 9434387501 5.04 16/0202 Same 1790

55 Sahabuddin Sk 1548 420110110006713 10.02.1957 M 100000 5.04 16/0204 Same 1790

56 Sambhu Nath Chatterjee 1560 420110110005833 05.05.1960 M Soma Chatterjee 01.04.1967 F 150000 9474554552 5.04 16/0205 Same 2701

57 Tapasi Rakshit (Banerjee) 1594 420110110004835 11.11.1964 F 1.Debabrata Banerjee2.Arnab Banerjee3.Deblina Banerjee

05.07.196030.04.199507.07.1999

MMF

100000 9474602561 5.04 16/0209Same

1790

58 Dilip Kumar Mondal 1598 420110110006771 03.07.1963 M Tapati Mondal 04.09.1967 F 100000 31.03 15/4182 Same 1790

59 Satyendra Kumar 1624 420110110009068 01.04.1962 M Geeta DeviRudra Prakash(S)

01.04.197101.04.1995

FM

100000 9832290458 1.04 16/0037 Same 1790

60 Sukumar Chandra Das 1662 420110110005831 26.02.1961 M Rupa DasPijush Das(S)Dipayan Das(S)

20.01.196623.04.198520.11.1986

FMM

100000 9679937599 5.04 16/0217Same

1790

61 Bhabani Prosad Majumdar 1678 420110210000024 21.07.1961 M Keya MajumderAnanyaa Majumdar(D)

25.09.197113.02.1993

FF

100000 9735800215 5.04 16/0223 Same 1790

62 Supravat Kumar Ray 1679 420110110004982 29.11.1964 M Nabanita RaySampriti Ray(D)

25.12.197805.03.2002

FF

100000 9378166334 5.04 16/0224 Same 1790

63 Dhananjoy Nandi 1693 420110110005859 13.08.1961 M Shyamli Nandi 01.01.1963 F 100000 9474486300 5.04 16/0227 Same 1790

64 Raghunath Ghosh 1727 420110110005832 25.08.1958 M Sumana GhoshMouli Ghosh(D)

24.09.197422.08.1996

FF

100000 9475124654 5.04 16/0230 Same 1790

65 Pradip Kr Patra 1729 420110110004847 27.12.1960 M Madhabi PatraProtima Patra(D)

22.04.196112.05.1986

FF

100000 9474784701 5.04 16/0231 Same 1790

66 Qazi Nurul Huda 1730 420110110004942 24.12.1958 M Aliza RahamanKazi Sarmin Sabnam(D)Kazi Fardeen(S)

20.10.196324.08.199020.10.1995

FFM

100000 9434333923 5.04 16/0232Same

1790

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Code Bank A/C No.Date

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Sex Name(s) of the family Date of Birth Sex SumInsured

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List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

67 Probhat Kumar Ghosal 1746 420110110007323 08.09.1961 M Chaina GhosalNarayan Chandra Ghosal(S)Somnath Ghosal(S)

01.01.197001.08.199303.02.1997

FMF

100000 31.03 15/4138Same

1790

68 Kalyani Bhattacharyya 1754 420110110005026 03.01.1959 M 100000 31.03 15/4139 Same 1790

69 Sukdeb Mitra 1773 420110110004778 13.03.1961 M 1.Molina Mitra2.Aniket Mitra

12.02.197102.03.1993

FM

100000 7384588949 5.04 16/0184 Same 1790

70 Sk. Mahbub Alam 1775 420110110004782 14.03.1962 M 1.Rousonara Alam2.Sk. Saidul Alam3.Sk. Minul Alam

30.12.197708.09.199808.09.2004

FMM

100000 9332373278 5.04 16/0185Same

1790

71 Sk Enamul Haque 1776 420110110004853 06.02.1959 M 1.Hafiza Haque2.Sahanaz Enam3.Skimdadul Haque

10.10.196806.02.199230.11.1998

FFM

100000 8642032655 5.04 16/0188Same

1790

72 Banshi Badan Dutta 1781 420110110006804 15.02.1959 M 1.Kanupriya Dutta2.Pritha Dutta

26.01.196710.12.1994

FF

100000 9476313274 5.04 16/0234 Same 1790

73 Uday Chand Das 1782 420110110005818 21.10.1961 M 1.Chandan Das2.Anirban Das

01.01.197127.06.1992

FF

100000 9641705297 5.04 16/0235 Same 1790

74 Bejoy Chandra Banerjee 1786 420110110005825 12.10.1961 M 1.Shiule Banerjee2.Sudipa Banerjee

21.01.197909.02.1999

FF

100000 8388849696 5.04 16/0236 Same 1790

75 Dipak Paul 1791 420110110006702 12.11.1958 M 1.Agnikana Paul2.Dipika Paul3.Debabrata Paul

03.05.196725.10.199204.12.1997

FFM

100000 8900137656 5.04 16/0238Same

1790

76 Gopal Chandra Dey 1804 420110110004985 13.01.1970 M 1.Jaya Dey2.Subho Dey3.Rinki Dey

04.03.197305.06.199415.08.2003

FMF

100000 31.03 15/4141Same

1790

77 Kartick Bej 1812 420110110009062 01.04.1960 M 1.Kajal Bej2.Kakali Bej

01.04.197401.04.1994

FF

100000 7407934720 1.04 16/0038 Same 1790

78 Mir Sawkat Ali 1815 420110110005073 12.02.1967 M 1.Sabina Begam2.Julekha Begam

05.01.197326.05.1993

FF

100000 9474492549 5.04 16/0242 Same 1790

79 Kalyan Kr Chhatterjee 1841 420910100006460 02.02.1965 M 1.Chandra Chhatterjee2.Jaydeep Chhatterjee3.Sswagata Chhatterjee

01.01.197214.09.199521.03.2002

FMF

100000 9093934891 5.04 16/0259Same

1790

80 Sudhamoy Malick 1849 420110110005047 10.11.1960 M 1.Manju Malick2.Sandip Malick3.Sudip Malick

02.03.196804.04.199004.11.1993

FMM

100000 31.03 15/4145Same

1790

81 Ayub Mondal 1852 420110110005044 02.02.1959 M 1.Jahanara Begam2.Jinnatara Khatun3.Amina Khatun

05.02.196305.04.199206.01.2000

FFF

100000 8972967747 5.04 16/0252Same

1790

82 Lakhmi Balmik 1863 420110110004851 09.02.1962 F 100000 31.03 15/4147 Same 1790

83 Shyama Prosad Banerjee 1893 420110210000013 01.01.1971 M Arpita BanerjeeDiya Banerjee(D)

14.03.198216.06.2001

FF

100000 9635170518 5.04 16/0253 Same 1790

84 Shyamal Sharma 1898 420110110006797 03.01.1970 M 1.Aparma Sharma 02.04.1984 F 100000 31.03 15/4148 Same 1790

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List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

85 Bikash Biswas 1903 420110110006647 01.08.1959 M 1.Mousumi Biswas2.Bartika Biswas3.Bimugdha Biswas

16.12.197111.12.199917.02.2004

FFM

100000 9434673573 5.04 16/0256Same

1790

86 Dhrubajyoti Chattopadhyay 1906 420110110009044 12.08.1964 M 1.Mou Chattopadhyay2.Souryjyoti Chattopadhyay

18.10.197618.01.2000

FM

100000 31.03 15/3896 Same 1790

87 Tapan Kr Chakraborty 1913 420110110006625 13.03.1964 M 1.Purnima Chakraborty2.Subhajit Chakraborty

02.04.197017.10.1995

FM

100000 9476491966 31.03 15/4034 Same 1790

88 Lakshmi Bahadur 1917 420110110005873 11.01.1964 F 1.Bir Bahadur 02.05.1989 M 100000 31.03 15/4150 Same 1790

89 Champa Nandi 1959 420110110005822 29.06.1963 F 2.Anirban Nandi 30.11.1989 M 100000 9832260425 31.03 15/3901 Same 1790

90 Swapan Kumar Chakraborty 1960 420110110008331 01.09.1965 M Jaba ChakrabortyJaita Chakraborty(D)Sangita Chakraborty(D)

01.01.197722.06.200113.11.2005

FFF

100000 31.03 15/4152Same

1790

91 Manik Choudhury 1966 420110110006723 01.01.1970 M 1.Baisakhi Choudhury2.Meghna Choudhury3.Manali Choudhury

20.04.198627.04.200607.09.2011

FFF

100000 9093180260 31.03 15/3902Same

1790

92 Ujjawala Sai 1968 420110110004958 16.10.1971 F 1.Goutam Panja2.Malay Panja

01.08.196905.01.1998

MM

100000 9083383870 31.03 15/4277 Same 1790

93 Subhamoy Chattoraj 1971 420110110004614 26.11.1966 M 1.Indrani Chattoraj2.Subham Chattoraj

10.10.197331.05.2000

MF

100000 9733064250 31.03 15/3904 Same 1790

94 Avijit Ray 1996 420110110004848 05.08.1970 M 1.Baby Ray2.Basab Ray

24.07.197606.09.2000

FM

100000 9232707786 31.03 15/3909 Same 1790

95 Gopal Mondal 2027 420110110005878 15.08.1971 M Ruma MondalSanchari Mondal(D)

01.06.198124.02.2008

FF

100000 9153212426 31.03 15/3912 Same 1790

96 Nilay Kr Adhikary 2033 420110110006774 31.12.1968 M 1.Anjan Adhikary2.Nilanjan Adhikary

03.01.197521.08.2001

FM

100000 31.03 15/4161 Same 1790

97 Sumanta Kr Pal 2065 420110110004892 05.01.1974 M 1.Sumita Pal2.Soumit Pal

29.07.198416.06.2008

FM

100000 9434331384 31.03 15/3917 Same 1790

98 Dharmendra Singh 2066 420110110004879 02.01.1976 M 1.Anjali Singh2.Vandana Singh Singh

01.01.198324.08.2011

FF

100000 31.03 15/4165 Same 1790

99 Rajarshi Mukherjee 2074 420910110012416 01.01.1975 M 1.Sriparna Mukherjee2.Saptarshi Mukherjee

16.10.197830.01.2004

FM

100000 31.03 15/4166 Same 1790

100 Chandan Choudhury 2077 420110110004731 01.12.1965 M 1.Mousumi Choudhury2.Adrija Choudhury

28.11.197803.09.2002

FF

100000 9434665607 31.03 15/3920 Same 1790

101 Gautam Ghosh 2089 420110110004974 06.12.1960 M 1.Bula Ghosh2.Jit Ghosh

01.11.197603.10.1998

FM

100000 9474374647 31.03 15/3924 Same 1790

102 Biswajit Chatterjee 2095 420110110004887 19.10.1976 M 1.Sumana Chatterjee2.Soumyajit Chatterjee3.Subhojit Chatterjee

19.10.197608.03.200019.11.2008

FMM

100000 31.03 15/4167Same

1790

103 Manoj Tiwari 2096 420110110005879 09.12.1975 M 1.Shanti Ghosh2.Riva Ghosh3.Vishal Ghosh

15.09.197810.01.199902.10.2001

FFM

100000 9547790063 31.03 15/3925Same

1790

104 Rajesh Singha 2102 420110110004986 25.01.1972 M 1.Bulbul Singha2.Somujit Singha

05.01.198710.06.2005

FM

100000 31.03 15/4185 Same 1790

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Code Bank A/C No.Date

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List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

105 Somnath Sen 2109 420110110006693 21.12.1973 M 1.Swatee Sen2.Souradipto sen

04.10.197916.12.2004

FM

100000 9474602146 31.03 15/3926 Same 1790

106 Babludas Boiragya 2117 420110110004897 03.03.1968 M 1.Rekha Boiragya 02.05.1978 F 100000 31.03 15/4187 Same 1790

107 Raj Kumar Shaw 2120 420110110006806 10.03.1970 M 1.Usha Debi Shaw2.Rohit Kr Shaw3.Rohan Kr Shaw

14.04.197610.04.199412.10.1996

FMM

100000 31.03 15/4188Same

1790

108 Ashok Kr Chakraborty 2123 420110110005049 02.01.1964 M 1.Mallika Chakraborty2.Ankita Chakraborty

14.06.197025.08.1999

FF

100000 9932250872 31.03 15/3929 Same 1790

109 Bholanath Bag 2124 420110110005850 03.11.1976 M 1.Minu Bag2.Sankhodeep bag

10.11.198223.10.2009

FM

100000 9732160655 31.03 15/3930 Same 1790

110 Amar Sarkar 2170 420110110006697 17.01.1966 M 1.Rajlakshmi Sarkar (Mondal)2.Utsa Sarkar

04.08198308.05.2008

FF

100000 9475054989 31.03 15/3933 Same 1790

111 Salim Khan 2175 420110110004794 11.01.1967 M 1.Tahamina Khan2.Sabir Khan3.Sajid Khan

22.05.197108.10.198628.04.1989

FMM

100000 8900332168 31.03 15/3936Same

1790

112 Ranjit Das 2176 420110110004830 02.07.1964 M 1.Mita Das 02.11.1963 F 100000 9474603388 31.03 15/3937 Same 1790

113 Anshuman Ghosh 2177 420110110004944 15.07.1974 M 1.Santa Roy Ghosh2.Archishman Ghosh

22.02.197222.02.1972

FM

500000 9434545828 31.03 15/3938 Same 7246

114 Kaushik Ghosh 2188 420110110004900 17.06.1975 M 1.Barnali Ghosh2.Ankit Ghosh

19.05.198329.06.2006

FM

100000 9434585948 31.03 15/3943 Same 1790

115 Ashim Kr Roy 2191 420110110005849 15.01.1965 M 1.Susmita Roy2.Arijit Roy

27.10.197030.09.2005

FM

100000 9564611810 31.03 15/3944 Same 1790

116 Subrata Kr Palit 2200 420110100010075 02.01.1970 M 1.Namita Palit2.Saeya Palit3.Sneha Palit

30.01.197504.03.199604.01.2006

FFF

100000 9046822360 31.03 15/3947Enhanced

1790

117 Srimanta Mallick 2201 420110110005876 20.01.1975 M 1.Padma Mallick2.Sutapa Mallick3.Salyam Mallick

05.02.197607.07.200304.04.2007

FFM

100000 8972612181 31.03 15/3948Same

1790

118 Sunil Kumar Mondal 2209 420110110005898 03.08.1966 M 1.Sima Mondal 15.06.1968 F 100000 31.03 15/4054 Same 1790

119 Goutam Sen 2212 420110110004991 15.10.1965 M 1.Rupa Sen2.Rishita Sen

19.11.197424.08.2006

FF

100000 31.03 15/4055 Same 1790

120 Debasis Garai 2216 420110110004948 06.11.1971 M 1.Puspa Garai2.Akash Garai3.Arnab Garai

05.10.197503.09.199630.06.2003

FMM

100000 31.03 15/4056Same

1790

121 Paresh Nath Das 2220 420110110008365 01.05.1975 M 1.Munmun Das2.Joyjit Das3.Bhaswati Das

04.01.198618.08.200509.05.2012

FMF

100000 9433416846 31.03 15/3949Same

1790

122 Debasis Dutta 2221 420110110004898 01.11.1964 M 1.Mousumi Dutta2.Kankana Dutta

05.01.197801.01.2002

FF

100000 31.03 15/4057 Same 1790

123 Achintya Mohanta 2225 420110110004912 26.11.1967 M 1.Jhumpa Mohanta2.Ayan Mohanta3.Archita Mohanta

11.01.197814.12.199702.11.2005

FMF

100000 9564631916 31.03 15/3951Same

1790

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Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

124 Debasis Banerjee 2232 420110210000034 26.01.1971 M 1.Mithu Banerjee2.Debmalya Banerjee3.Dyutimy Banerjee

31.12.197708.10.200515.01.2013

FMM

100000 31.03 15/4059Same

1790

125 Madhumita Konar 2234 420110110006649 23.12.1964 F 1.Sk Kausar Ali2.Sk Parikshit3.Sk Shreya

19.04.195913.12.199122.01.1999

MMF

100000 9593541253 31.03 15/3955Same

1790

126 Tripti Roy (Das) 2237 420110110006657 20.12.1967 F 1.Sibangsu Das2.Swarnadip Das

22.02.196516.03.1992

MM

100000 9735888207 31.03 15/3956 Same 1790

127 Ajoy Kumar Majhi 2241 420110110005830 08.01.1974 M 1.Sujata Majhi2.Soma Majhi3.Avijet Majhi

24.01.197319.02.199430.04.1997

FFM

100000 9474054439 31.03 15/3957Same

1790

128 Moni Sankar Roy 2242 420110110004878 10.03.1972 M 1.Mousumi Roy 25.05.1966 F 100000 8116982411 31.03 15/3959 Same 1790

129 Pareshnath Pal 2244 420110110005004 15.06.1970 M 1.Kabita Pal2.Raktim Pal

01.01.197206.111991

FM

100000 9800928239 31.03 15/3961 Same 1790

130 Amit Kr Banerjee

Mamata Banerjee

2253 420110110006803 07.12.1973

06.11.1995

M

F

1.Mukta Banerjee2.Raima Banerjee

01.08.198311.09.2004

FF

100000 9474553518 31.03

13.07

15/3849

16/1366Same

1790

131 Subrata Das 2261 420110110004779 22.08.1973 M 1.Sudipa Das2.Shreyasi Das3.Srijata Das

08.10.197525.08.200324.08.2006

FFF

100000 9434016224 31.03 15/3963Same

1790

132 Bimal Kr Chakraborty 2315 420110110007588 24.04.1959 M 1.Pratima Chakraborty2.Arnab Chakraborty

26.10.197324.03.1999

FM

100000 9475056281 31.03 15/3966 Same 1790

133 Mala Ray Konar 2327 420110110009056 19.02.1980 F 1.Avijit Konar2.Mandira Konar

10.07.198111.08.2007

MM

100000 8900506074 5.04 16/0278 Same 1790

134 Basanti Pathak 2341 420110110009071 21.04.1970 M 2.Indrayan Pathak3.Sandipta Pathak

27.09.199228.04.2000

MM

100000 8906762448 31.03 15/3895 Same 1790

135 Aditya Sarkar 2347 420110110008339 15.04.1969 M 1.Chumki Sarkar2.Aniket Sarkar

01.01.198018.08.2004

FF

100000 9564390403 31.03 15/4219 Same 1790

136 Md Asalam 2423 420110110005860 10.01.1973 M 1.Lutfa Begum2.Nurjahan Khatun3.Raisa Khatun

20.08.198008.07.200107.10.2006

FFF

100000 7872579389 31.03 15/3972Same

1790

137 Padam Bhadur Gurung 2426 420110110004786 16.08.1972 M 1.Madhumita Gurung2.Ranadip Bahadur Gurung

07.10.198731.12.2010

FM

100000 8768682848 31.03 15/3973 Same 1790

138 Samir Kr Mohanta 2427 420110110005882 13.03.1965 M 1.Santwana Mohanta 01.01.1960 F 100000 9734206977 31.03 15/3974 Same 1790

139 Tamal Bandhu Majumder 2428 420110110003201 16.11.1964 M 1.Anita Majumder2.Anindita Majumder3.Atanu Majumder

02.02.196803.12.199209.11.2002

FFM

100000 9474780588 31.03 15/3975Same

1790

140 Kapil Singha 2430 420110110005836 02.02.1961 M 1.Kiran Singha2.Priya Singha3.Ankit Singha

04.05.198022.06.199519.11.1998

FFM

100000 9564537639 31.03 15/3976Same

1790

141 Binoy Roy 2433 420110110005819 14.07.1966 M 1.Lili Roy2.Sayan Roy

19.09.197728.04.1999

FM

100000 9474603664 31.03 15/3978 Same 1790

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Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

142 Pradip Acharya 2434 420110110004820 03.06.1969 M 1.Babita Acharya2.Ayan Acharya

06.06.198128.09.2002

FM

100000 9474129980 31.03 15/3979 Same 1790

143 Alok Ghar 2435 420110110004962 01.01.1968 M 1.Dipali Ghar2.Deblina Ghar3.Nilanjan Ghar

06.11.197902.12.200621.07.2011

FFM

100000 9474695928 31.03 15/3980Same

1790

144 Panchugopal Singharoy 2438 420110110004934 30.03.1966 M 1.Mollik Singharoy2.Payel Singharoy3.Koyel Singharoy

01.01.197420.02.199530.10.2002

FFF

100000 9735800293 31.03 15/4228Same

1790

145 Amar Pramanik 2444 420110110008358 07.01.1967 M 1.Barnali Pramanik2.Suman Pramanik3.Rupam Pramanik

17.02.197515.02.200225.02.2008

FMM

100000 9734225060 31.03 15/3982Same

1790

146 Susanta Dutta 2446 420110110004886 14.10.1968 M 1.Uma Dutta2.Rintu Dutta3.Rinkey Dutta

01.12.197003.02.198817.08.1990

FMF

100000 31.03 15/4092Same

1790

147 Jadu Gopal Goswami 2448 420110110005864 08.05.1959 M 1.Alpana Goswami2.Prosenjit Goswami

01.01.196802.02.1989

FM

100000 9732755377 31.03 15/3983 Same 1790

148 Dibyendu Dubey 2460 420110110006742 09.11.1977 M 1.Pampa Dubey2.Debadrita Dubey

02.12.197830.09.2006

FF

100000 31.03 15/4094 Same 1790

149 Shyama Pada Kundu 2473 420110110006629 07.11.1959 M 1.Sova Kundu2.Sirsendu Kundu

02.08.196025.08.1984

FM

100000 31.03 15/4098 Same 1790

150 Tapan Kr Das 2474 420110110006767 17.07.1960 M 1.Gita Das2.Nandita Das

01.01.196504.01.1989

FM

100000 31.03 15/4099 Same 1790

151 Tushar Kanti Sarkar 2481 420110110006696 24.05.1958 M 1.Kanaklata Sarkar2.Probir Sarkar

14.09.196906.12.1988

FM

100000 31.03 15/4100 Same 1790

152 Shyamal Chakraborty 2512 420110110006720 05.05.1966 M 1.Mithu Chakraborty 19.10.1969 F 100000 31.03 15/4052 Same 1790

153 Shib Sankar Shil 2516 420110110005835 05.04.1966 M 1.Khuku Shil2.Sanchita Shil3.Suchana Shil

18.11.196629.01.199409.08.1999

FFF

100000 9932925352 31.03 15/4229Same

1790

154 Gobinda Baidya 2566 420110110005817 10.01.1970 M 1.Sunita Baidya2.Ankita Baidya3.Ayan Baidya

09.11.197620.09.199807.09.2000

FFM

100000 9735808236 31.03 15/3989Same

1790

155 Dhira Chowdhury 2567 420110110004932 12.02.1960 F 100000 9474779344 31.03 15/4231 Same 1790

156 Rana Roy 2588 420110110006699 12.03.1985 M 1.Chandana Roy2.Ayanwita Roy

19.02.198605.02.2014

FF

100000 9232583238 31.03 15/3992 Enhanced 1790

157 Jianna Khatun 2590 420110110004910 04.09.1984 F 1.Golam Gaffar2.Sanjida

12.12.197807.09.2008

MF

100000 9474937780 31.03 15/3993 Same 1790

158 Md Musleuddin 2604 420110110005001 01.09.1969 M 1.Sabina Yeasmin2.Mehfuz Akhtar

09.01.197709.01.2008

FM

100000 9153061754 31.03 15/3994 Same 1790

159 Jhunu Garai 2607 420110110006783 09.02.1974 F 100000 9474090412 31.03 15/3995 Same 1790

160 Prabir Kumar Bas 2628 420110110005890 19.11.1971 M 1.Alpana Das2.Parnabha Bas

19.12.197625.12.2010

FM

100000 31.03 15/4108 Same 1790

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Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

161 Achintya Das 2641 420110110006768 04.11.1979 M 1.Soma Das2.Asmi Das3.Arish Das

12.10.198319.06.201319.01.2015

FFM

100000 31.03 15/4109Same

1790

162 Santanu Nandi 2662 420110110005007 02.12.1977 M 1.Chhanda Nandi2.Sayan Nandi

08.02.198813.12.2010

FM

100000 7797582898 31.03 15/3998 Enhanced 1790

163 Somenath Chakraborty 2663 420110110006632 20.11.1980 M 1.Pragati Chakraborty 08.03.1989 F 100000 31.03 15/4110 Same 1790

164 Syamsundar Ghosh 2684 420110110004988 19.03.1970 M 1.Basanyi Ghosh2.Subrata Ghosh

18.09.198525.03.2005

FM

100000 31.03 15/4115 Same 1790

165 Sumit Roy 2698 420110110006627 01.08.1989 M 100000 9232794424 31.03 15/4195 Same 1790

166 Sudip Saha 2704 428910110009568 16.12.1981 M 100000 9903035529 31.03 15/4196 Same 1790

167 Murshed Ahmed Layek 2710 420110110005834 08.03.1986 M 1.Johny Begam 16.10.1986 F 100000 9734741094 31.03 15/4198 Same 1790

168 Diganta Mohanto 2712 420110110006658 21.02.1988 M 1.Alpana Mohanto2.Cimili Mohanto3. Diptarko Mohanta (S)

02.03.198727.04.201205.01.2016

FFM

100000 31.03 15/4118 Same

Inclusion

1790

169 Aritra Dana 2714 422610100003978 07.01.1981 M 1.Rima Dana 07.02.1988 F 100000 9732290721 31.03 15/4199 Same 1790

170 Supravat Chakraborty 2732 420110110005905 14.01.1976 M 1.Sangita Chakraborty2.Sangato Chakraborty

03.05.199029.08.2011

FM

100000 9474039985 31.03 15/4205 Same 1790

171 Sukanta Kora 2736 420110110002715 29.08.1982 M 1.Jaya Oraon Kora 11.01.1982 F 100000 9647476965 31.03 15/4007 Same 1790

172 Swati Adhikari 2738 420110110004804 21.09.1972 M 100000 9831590676 31.03 15/4008 Same 1790

173 Sanjoy Kr Dey 2740 420110110004866 23.09.1973 M 1.Barnali Dey2.Susnarta Dey

31.01.198122.09.2010

FM

100000 9733618700 31.03 15/4009 Same 1790

174 Arjun Kumar Mondal 2745 420110110008349 29.06.1971 M 1.Monalisa Mondal (Roy)2.Manika Mondal

20.05.198426.08.2010

FM

100000 9153125701 31.03 15/4206 Same 1790

175 Chandan Pal 2748 420110110006695 31.01.1975 M 1.Tanusree Dey 19.01.1988 F 100000 9832977179 31.03 15/4266 Same 1790

176 Sudip Kr Sen 2751 420110110007312 10.11.1981 M 1.Mala Sen 19.071989 F 100000 9474607898 31.03 15/4011 Same 1790

177 Harekrishna Das 2759 420110110004891 11.10.1985 M 1.Mou Roy Choudhury 04.08.1991 F 100000 9800723703 31.03 15/4211 Same 1790

178 Nimai Hemram 2761 420110110007344 21.01.1980 M Sova Rani HembramSubhajit Hembram(S)

05.04.198901.11.2008

FM

100000 9679979146 31.03 15/4014 Same 1790

179 Susanta Ruidas 2763 420110110004651 20.09.1975 M 1.Mamata Ruidas2.Riya Ruidas3.Diya Ruidas

01.01.198302.12.201018.10.2013

FFF

100000 9002294527 13.03 Policy Done Same

1790

180 Ganapati Das 2766 420110110008338 29.03.1985 M 100000 9046668468 31.03 15/4212 Same 1790

181 Sanjit Biswas 2768 420110110007327 19.04.1987 M 1.Shampa Biswas2.Shreyasi Biswas

05.05.198919.08.2013

FF

100000 8927095745 31.03 15/4017 Same 1790

182 Asamanja Majhi 2769 420110110006640 11.12.1980 M 1.Madhumita Majhi2. Ipshita Majhi(D)

04.01.199417.01.2016

FF

100000 9734080727 31.03 15/4257 SameInclusion

1790

183 Sanjay Mridha 2770 420110100018355 15.02.1984 M 1.Subhasree Mistry2. Srijoyee Mridha (D)

09.01.199014.07.2016

FF

100000 9832229014 31.03 15/4213 SameInclusion

1790

184 Subrata Halder 2772 420110110006744 28.04.1980 M 1.Priya Halder 18.05.1994 F 100000 9475060433 31.03 15/4018 Same 1790

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Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

185 Swarup Dhar 2776 420110110004784 05.01.1972 M 1.Lipika Dhar2.Souhardo Dhar

10.01.198027.05.2013

FM

100000 9932116355 31.03 15/4261 Same 1790

186 Rabindranath Poddar 2777 420110110006644 01.02.1973 M 1.Nira Poddar2.Anindita Poddar3.Ishita Poddar

25.05.197703.04.199614.05.2010

FFF

100000 9332833103 31.03 15/4019Same

1790

187 Debas Majumdar 2779 420110110007317 10.08.1975 M 1.Jhumpa Majumdar2.Debdeep Majumdar

04.03.198218.04.2010

FM

100000 9732364116 31.03 15/4020 Same 1790

188 Molla Ujjal 2780 420110110005887 03.01.1977 M 1.Nargis Sultana2.Mohammad Khalid Molla

26.02.198918.01.2010

FM

100000 9547170270 31.03 15/4260 Same 1790

189 Shajhan Mirja 2782 420110110006855 22.03.1979 M 1.Papiya Mirja2. Mirja Rajehar Boni Amin (S)

28.02.198604.01.2016

FM

150000 9732317040 31.03 15/4207 EnhancedInclusion

2701

190 Manasi Bhowmick 2784 420110110005868 05.01.1976 F 1.Manabendra Bhowmick2.Parichya Bhowmick

11.12.196919.06.2001

MM

100000 9609519087 31.03 15/4021 Same 1790

191 Dhirendranath Pal 2785 420110110006651 09.08.1972 M 1.Sukla Pal2.Aniket Pal3.Anindita Pal

15.08.198020.10.200829.07.2011

FMF

100000 9476319550 31.03 15/4022Same

1790

192 Sailendra Nath Koley 2797 420110110004811 10.02.1975 M 1.China Koley2.Dipayan Koley

17.12.197913.02.2008

FF

100000 8158936567 31.03 15/4209 Same 1790

193 Biplab Kower 2799 420110110005851 20.07.1975 M 1.Mala Kower2.Debmalya Kower

05.03.198325.08.2011

FM

100000 8001690243 31.03 15/4024 Same 1790

194 Hasanur Jaman 2800 420110110007308 06.02.1982 M 1.Jinnat Ferdous2.Nusrat Jaman

06.03.198916.07.2014

FF

100000 9749497858 31.03 15/4278 Same 1790

195 Subrata Ghosh 2802 420110110004748 01.02.1976 M 1.Susmita Ghosh2.Shreya Ghosh

01.09.197428.02.2002

FF

100000 9475244933 31.03 15/4026 Same 1790

196 Debraj Dutta 2805 420110110008342 09.02.1980 M 1.Poulami Dutta2.Aishee Dutta

17.03.199114.11.2012

FF

100000 9434219016 31.03 15/4027 Same 1790

197 Satyajit Sen 2807 420110110004899 28.02.1976 M 1.Baisakhi Sen2.Krishna Sen

01.05.198701.11.2004

FM

100000 9832822848 31.03 15/4240 Same 1790

198 Arunava Mukherjee 2811 420110110009067 16.01.1987 M 1.Shipra Mukherjee 18.04.1990 F 100000 8016284934 5.04 16/0279 Same 1790

199 Mrinal Kanti Mondal 2813 420110110009069 20.04.1984 M 1.Tota Mondal 23.02.1990 F 100000 9832672072 5.04 16/0280 Same 1790

200 Kachi Kisku 2814 420110110009066 07.07.1983 M 1.Fulmoni Hansda 24.01.1995 F 100000 8768830240 5.04 16/0281 Same 1790

201 Sarajuk Paswan 2820 420110110008372 28.12.1974 M 1.Asha Paswan2.Souman Paswan

01.01.198016.05.2005

FM

100000 9734265302 31.03 15/4029 Enhanced 1790

202 Subodh Kr Singh 2841 420110110009025 15.10.1979 M 1.Rinki Kumari Singh2.Ritu kumari3.Harsh Raj Singh

28.01.198216.02201414.08.2009

FFM

100000 9333177042 5.04 16/0283Same

1790

203 Joy Saha 2904 420110110009061 22.10.1983 M Arpita Parui (W) 24.09.1989 F 200000 9830016781 5.04 16/0272 ENhanced, Inclusion

3473

204 Kartik Gharami 2909 420110110008374 12.08.1979 M Sumitra Gharami (W) 20.08.1990 F 100000 9832801971 31.03 15/4234 Same, Inclusion

1790

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Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

205 Sanjoy Kr Banerjee 2910 420110110008888 30.09.1977 M 1.Chandana Banerjee2.Sourik Kr Banerjee (Included w.e.f. 27.06.16)

21.01.198810.01.2016

FM

100000 9007062323 1.04 16/0039Same

1790

206 Babita Rauth Fixd 420110110007342 01.07.1981 F 1.Ajay Rauth2.Simran Rauth

01.06.199611.07.2001

M F 100000 9733010071 31.03 15/4033 Same 1790

207 Anjan Kumar Palit 1578 420110110004995 01.01.1961 M 150000 9434574058 5.04 16/0206 Same 2701

208 Abul Hossain 1798 420110110004852 27.10.1971 M 1.Ruksana Banu2.MD Darab3.Samima Aktar

26.02.197327.12.199427.02.2000

FMF

150000 9476319587 5.04 16/0241Same

2701

209 Sk.Kasem Ali 1967 420110110005837 25.10.1969 M 1.Monalisha Khatun2.Sk. Wasim AliSk. Waqib Ali

16.01.197503.07.200126.08.2006

FMM

150000 31.03 15/3903Same

2701

210 Subharshi Deb 2062 420110110009046 18.08.1973 M 1.Soma Deb2.Abhignan Deb

21.11.197720.08.2006

FM

150000 8697032998 5.04 16/0275 Same 2701

211 Ashok Kr Garai 2079 420110110004895 04.12.1959 M 1.Sulata garai2.Sumit garai

01.01.196418.11.1990

FM

150000 9732010443 31.03 15/3921 Same 2701

212 Namita Mondal 2083 420110210000040 09.01.1973 F 1.Tarun Kr Mondal2.Promite Mondal

05.09.197105.11.2003

MM

150000 9332649762 31.03 Policy Done Same 2701

213 Sivaji Bose 2093 420110110004665 27.02.1968 M 1.Mitali Bose2.Debasrita Bose

06.11.197423.01.2003

FF

150000 9474491204 31.03 Policy Done Same 2701

214 Tanmoy Chowdhury 2208 420110110005845 24.07.1981 M 1.Nandita Mondal (Chowdhury)2.Monalisa Chowdhury3.Monisha Chowdhury

25.02.198916.07.201316.07.2013

FFF

150000 31.03 15/4053Same

2701

215 Shyamsundar Bera 2228 420110110004880 10.03.1967 M 1.Mita Bera2.Kaustav Bera3.Balarka Bera

08.10.197215.11.199714.05.2007

FMM

150000 9433281639 31.03 15/3953Same

2701

216 Naba Kumar Gupta 2243 420110210000026 04.10.1965 M 1.Poli Gupta2.Piya Gupta3.Aritra Gupta

22.06.197522.06.199817.05.2004

FFM

150000 9732076799 31.03 15/3960Same

2701

217 Manab Kr Das 2443 420110210000019 17.08.1966 M 1.Bulu Das2.Chayan Das

02.01.197614.02.1997

FM

150000 9775394460 31.03 15/3981 Same 2701

218 Amit Mukherjee 2702 420110110005881 15.02.1973 M 1.Piyali Mukherjee2.Anisha Mukherjee

10.12.197603.05.2003

FF

150000 9434360622 31.03 15/4002 Enhanced 2701

219 Somenath Mallick 2801 420110110006645 14.01.1981 M 1.Satabdi Mallick2.Titas Mallick

04.05.198813.05.2014

FF

150000 9093178260 31.03 15/4025 Same 2701

220 Ajit Banerjee 1279 420110110004919 28.03.1957 M Kaberi BanerjeeAmartya Banerjee(S)

09.09.196301.10.1992

FM

200000 9434832146 5.04 16/0191 SAME 3473

221 Bindey Roy 1288 420110110004313 02.04.1959 M Golap Devi RoyAnanda Roy(S)

04.06.196705.06.1986

FM

200000 9474178156 31.03 15/3872 Enhanced 3473

222 Asok Kumar Nandi 1289 420110110005888 10.07.1957 M Sikha NandiAbhijit Nandi(S)

01.01.196701.01.1984

FM

200000 31.03 15/4176 Same 3473

223 Sumit Mukherjee 1293 420110110004890 25.12.1957 M Ratna MukherjeeSayantan Mukherjee(S)

27.11.197017.01.1991

FM

200000 9332123258 5.04 16/0193 Same 3473

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Code Bank A/C No.Date

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Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

224 Gangadhar Das 1325 420110110004965 06.06.1960 M Sefali DasAvjit Kr Das(S)Barnali Das(D)

05.02.197029.10.199129.10.1994

FMF

200000 9475104302 5.04 16/0196Same

3473

225 Durga Prasanna Mukherjee 1341 420110100019559 19.04.1964 M Gopa MukherjeeRima Mukherjee(D)Riya Mukherjee(D)

19.04.196420.11.198821.07.1991

FFF

200000 9093547048 5.04 16/0197Same

3473

226 Priyaranjan Roy 1354 420110110004998 07.05.1957 M Tapasi RoyAbhisek Roy(S)Ipsita Roy(D)

15.01.196519.08.198723.01.1997

FMF

200000 9474054811 5.04 16/0178 Enhanced Date of

Retirement :

31.05.2017

3473

227 Sitaram Mukherjee 1359 420110110004952 16.02.1958 M Rita Mukherjee 13.03.1962 F 200000 9434168857 31.03 15/4259 Same 3473

228 Sudarsan Sengupta 1375 420110110004701 26.12.1960 M Swati SenguptaSucheta Segupta(D)Sanchari Sengupta(D)

14.07.196504.01.198811.01.1998

FFF

200000 9851172781 31.03 15/4223Same

3473

229 Abdul Amin 1411 420110110004618 06.04.1961 M Hasnahana BegamMD Abdul Hassan(S)Abul Kalam(S)

30.01.197230.12.198902.01.1994

FMM

200000 31.03 15/3735Enhanced

3473

230 Amit Kumar Halder 1449 420910110000885 21.06.1957 M Soumita HalderSoumya Halder(S)Subhrokanti Halder(S)

18.02.196707.11.198508.07.1991

FMM

200000 9434250644 5.04 16/0198Same

3473

231 Sumita Goswami 1471 420110110005841 01.06.1962 F Pradip GoswamiAbhik Goswami(S)

15.08.195015.02.1986

MM

200000 9932818850 5.04 16/0199 Same 3473

232 Bidhan Chandra Roy 1472 420110110004936 12.01.1962 M Bula RoyAnurag Roy(S)Ankita Roy(D)

27.09.196713.01.199314.05.2000

FMM

200000 8016498558 31.03 15/4293Same

3473

233 Sanat Kumar Chakraboty 1545 420110110005906 17.01.1965 M Chandana ChakrabotySayan Chakraboty(S)Ayan Chakraboty(S)

06.04.197912.10.199619.12.2001

FMM

200000 9733269579 5.04 16/0203Same

3473

234 Subrata Roy 1579 420110110004712 10.02.1962 M Roma RoySarani Roy(D)

02.01.196906.101996

FF

200000 9475052614 31.03 15/4295 Same 3473

235 Kartick Oraw 1591 420110110006739 06.05.1962 M Pratima OrawSmritikona Oraw(D)

03.05.197224.08.1988

FF

200000 9474484508 5.04 16/0208 Same 3473

236 Aveek Mukhopadhyay 1593 420110110005917 03.09.1963 M 1.Trina Mukhopadhyay2.Aritra Mukhopadhyay

31.08.197228.07.1999

FM

200000 9775730838 13.07 16/1364 Same 3473

237 Madan Mohan Banerjee 1599 420110110004681 08.06.1960 M Mitali BanerjeeArpan Banerjee(S)

21.09.196202.06.1988

FM

200000 9732010398 31.03 15/4296 Same 3473

238 Md Hossain 1625 420110110004864 16.12.1958 M Ismatara BegumNahed Sabnam(D)Fatema Begum(D)

27.01.196902.07.199301.07.1997

FFF

200000 31.03 15/4183Same

3473

239 Sanjoy Kumaar Roy 1628 420110110004806 07.01.1961 M Papiya RoyAnanya Roy(D)

30.05.197002.06.1994

FF

200000 9474642030 5.04 16/0211 Same 3473

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Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

240 Tarun Kumar Haldar 1633 420110110004837 06.08.1959 M Ruma HaldarTiyasa Haldar(D)

31.12.196707.05.1998

FF

200000 9232689238 5.04 16/0212 Same 3473

241 Biswabandhu Roychoudhury 1634 420110110004920 02.09.1960 M Barnali RoychoudhuryRumela Roychoudhury(D)

17.07.196725.01.1990

FF

200000 9474551903 5.04 16/0213 Same 3473

242 Ruma Lahiri (Haque) 1645 420110100020179 30.12.1962 F Ainul Haque 10.11.1958 M 200000 9434477088 5.04 16/0215 Same 3473

243 Gopal Chandra Malik 1648 420110110006633 17.11.1962 M Mira MalikKaushik Malik(S)

01.01.197429.09.1992

FM

200000 9932090007 31.03 15/4298 Same 3473

244 Ujjwal Dutta Roy 1668 420110110004846 12.12.1969 M Mantu Dutta RoyAnuradha Dutta Roy(D)

01.01.197512.12.1995

FF

200000 9474488494 31.03 15/4280 Same 3473

245 Subimal Das 1676 420110110005040 01.01.1958 M Jaya DasSupratim Das(S)

01.01.196801.01.1992

FM

200000 9434468655 5.04 16/0222 Enhanced 3473

246 Kalidas Chatterjee 1685 420110110004796 01.01.1962 M Anjana ChatterjeeNilanjana ChatterjeeKrishnapriyo Chatterjee

10.04.196824.12.199326.08.1995

FFM

200000 8145291835 5.04 16/0225Enhanced

3473

247 Sankar Mohan Nag 1692 420110110005012 02.02.1960 M Sarama NagSamiran Nag(S)Sukanya Nag(D)

02.10.196711.06.199227.05.2000

FMF

200000 9474642482 5.04 16/0226Enhanced

3473

248 Anisul Ambia 1757 420110110004927 02.03.1962 M Anwara BegamAyesha Parvin(D)Afroj Ahammed(S)

25.11.197015.08.198812.07.2003

FFM

200000 31.03 15/4140Same

3473

249 Akinchan Roy Chowdhury 1790 420110110005922 04.11.1963 M 1.Saraswati Roy Chowdhury2.Mou Roy Chowdhury3.Abhijit Roy Chowdhury

01.06.197604.08.199103.11.1993

FFM

200000 9378368929 5.04 16/0237Same

3473

250 Debiprosad Majumder 1792 420110210000021 25.01.1965 M 1.Jyotsna Majumder2.Koyek Majumder3.Abhik Majumder

01.01.197031.01.199402.05.1997

FFM

200000 9378150282 5.04 16/0239Same

3473

251 Anupam Hazra Choudhury 1795 420110110006622 04.09.1964 M 1.Sipra Hazra Choudhury2.Arpan Hazra Choudhury

12.09.197509.04.1994

FM

200000 9474172850 31.03 15/4290 Same 3473

252 Uttam Kr Kar 1801 420110110004901 01.01.1969 M 1.Rina Kar2.Aishi Kar

20.02.197325.11.1996

FM

200000 9433373744 31.03 15/4291 Enhanced 3473

253 Arijit Bandyopadhyay 1817 420110110006789 14.03.1969 M 1.Subarna Banerjee2.Indrayudh Bandyopadhyay

01.01.198008.01.2006

FM

200000 9232360251 31.03 15/4286 Same 3473

254 Sajal Kr Banerjee 1819 425210110004472 11.05.1957 M 1.Tapasi Banerjee2.Moumita Banerjee

02.01.196903.10.1991

FF

200000 9088888972 5.04 16/0243 Enhanced 3473

255 Sankar Prasad Dey 1835 420110110005896 05.07.1961 M 1.Chaitaly Dey2.Shreyasi Dey3.Sammridhi Dey

07.04.198025.02.200101.12.2006

FFM

200000 9434313126 31.03 15/4287Same

3473

256 Samit Ranjan Biswas 1838 420110110004809 20.12.1969 M 1.Kaberi Biswas2.Diya Biswas

07.02.197722.05.2002

FF

200000 9679857047 5.04 16/0248 Same 3473

257 Sribas Ch Nag 1842 420110110006722 19.02.1958 M 1.Swapan Nag 02.01.1959 F 200000 9434833659 5.04 16/0249 Same 3473

258 Dibyendu Koner 1844 420110110006630 06.06.1963 M 1.Sabita Koner2.Sutapa Koner

01.01.197003.06.1992

FF

200000 9734783453 5.04 16/0250 Enhanced 3473

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Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

259 Aminur Rahman 1851 420110110004793 12.07.1960 M 1.Ajmira Rahaman2.Amina Rahaman3.Alisha Rahaman

20.01.196911.05.198908.06.1992

FFF

200000 9635893534 5.04 16/0251Enhanced

3473

260 Debasis Biswas 1911 420110110006758 01.11.1968 M 1.Pousali Biswas2.Monosij Biswas

31.07.197503.05.2002

FM

200000 9635654440 31.03 15/3386 Same 3473

261 Mihir Kr Ghosh 1912 420110110004807 23.05.1960 M 1.Sukla Ghosh2.Sinchan Ghosh

06.10.197419.02.2000

FM

200000 9647684373 13.07 16/1365 Same 3473

262 Siddhartha Kr Sen 1914 420110100018240 30.11.1968 M 1.Jayati Sen2.Suchitra Sen3.Arindam Sen

05.06.197327.08.199827.08.1998

FFF

200000 31.03 15/4149Same

3473

263 Dr Shuvendu Sekhar Bhattacharjee 1946 420110110006692 04.01.1960 M Suparna Bhattacharjee(D) 19.10.1998 F 200000 31.03 15/4151 Same 3473

264 Abhoy Chand Mondal 1965 420110110004970 27.12.1964 M 1.Kajal Lata Mondl2.Akash Mondal3.Ankan Mondal

17.06.196816.06.199825.11.2002

FMF

200000 9434386968 31.03 15/4276Same

3473

265 Ashis Bindu Bhattacharyya 1980 420110110004836 18.09.1964 M 1.Madhumita Bhattacharyya2.Anannya Bhattacharyya3.Meghna Bhattacharyya

06.12.197806.12.199709.11.2003

FFF

200000 9474778801 31.03 15/3906Enhanced

3473

266 Manas Tewari 1989 420110110000996 10.01.1967 M 1.Ranju tewari2.Shreya Tewari3.Soumadeep Tewari

02.11.197815.05.200209.10.2005

FFM

200000 9434238516 31.03 15/3908Enhanced

3473

267 Probodh Kr Dey 1994 420110110005877 27.11.1969 M Kaberi DeyRitosree Dey(D)Sharnav Dey(S)

03.01.197510.02.200301.01.2013

FFM

200000 9433225838 31.03 15/4274Same

3473

268 Parikshit Ghosh 1995 420110110005916 18.01.1967 M 1.Sulekha Ghosh2.Piyasi Ghosh

02.03.197802.05.2001

FF

200000 31.03 15/4157 Enhanced 3473

269 Nilendu Kr Ghosh 2063 420110110004973 21.01.1973 M Dipali GhoshAnnesha Ghosh(D)Ankit Ghosh(S)

04.08.197817.02.200226.08.2009

FFM

200000 9832774399 31.03 15/4273Same

3473

270 Asish Kr Ghosh 2064 420110210000023 25.03.1970 M 1.Sangita Ghosh2.Arpita Ghosh3.Arkaprabha Ghosh

04.11.197328.01.199609.05.2001

FFM

200000 9232665756 31.03 15/3916Enhanced

3473

271 Narayan Hazra 2068 420110110004594 10.11.1967 M 1.Santana Hazra2.Manosita Hazra3.Susmita Hazra

01.01.198309.01.200118.10.2003

FFF

200000 9475345876 31.03 15/3918Same

3473

272 Sukumar Sinha 2092 420110110004821 13.09.1964 M 1.Sutapa Sinha2.Sanchita Sinha

27.09.196929.07.1993

FF

200000 9474724982 31.03 15/4272 Same 3473

273 Snehansu Chakraborty 2094 420110110004795 07.12.1963 M 1.Jayati Chakraborty2.Sounak Chakraborty

02.09.197119.08.2001

FM

200000 9232670183 31.03 15/4271 Same 3473

274 Himadri Sankar Ghosh 2165 420110110004824 20.11.1965 M 1.Sujata Ghosh2.Soham Krishna Ghosh

18.02.197926.06.2005

FM

200000 9933977935 31.03 15/3932 Enhanced 3473

275 Abhoy Sankar Sengupta 2173 420110110004855 06.01.1965 M 1.Kalpana Sengupta 08.10.1961 F 200000 9474375524 31.03 15/3934 Same 3473

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Code Bank A/C No.Date

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Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

276 Sourav Bandyopadhyay 2174 420110110004815 21.01.1973 M 1.Champa Bandyopadhyay2.Sanchita Bandyopadhyay3.Sanchan Bandyopadhyay

15.01.198206.10.200420.06.2009

FFM

200000 9734288866 31.03 15/3935Enhanced

3473

277 Arindam Sarkar 2180 420110110005743 27.01.1969 M 1.Shukla Sarkar2.Anwesha Sarkar

18.02.197804.04.2004

FF

250000 9434236694 31.03 15/3939 Same 4158

278 Santanu Kr Sen 2185 420110110006025 01.10.1966 M 1.Baisakhi Sen2.Roshni Sen

14.04.198111.12.2002

FF

200000 9434712842 31.03 15/3940 Same 3473

279 Surajit Paul 2187 420110110007318 16.07.1963 M 1.Manju Paul2.Joyjit Paul

03.04.196703.03.1997

FM

200000 8906982325 31.03 15/3942 Enhanced 3473

280 Khan Md Golam Afsar 2193 420110110005900 01.07.1964 M 1.Reshmi Khatun2.Afroja Sultana

01.01.197624.03.2003

FF

200000 9933083261 31.03 15/3945 Same 3473

281 Suprokash Bose 2196 420110110004789 09.01.1968 M 1.Madhumita Bose2.Souvik Bose

18.11.197111.01.1991

FM

200000 9932945846 31.03 15/3946 Enhanced 3473

282 Amitava Nandi 2205 42011010017822 29.09.1970 M 1.Madhabi Nandi2.Anudeep Nandi

27.08.197010.12.2006

FM

200000 31.03 15/4049 Same 3473

283 Anarul Karim 2207 420110110004987 01.03.1967 M 1.Lutfunessa Karim2.Pravin Sultana3.Ashraful Karim

05.04.197011.05.197027.09.2003

FFM

200000 31.03 15/4051Same

3473

284 Buchi Lal Yadav 2219 420110110007320 09.10.1974 M 1.Kiran Yadav2.Roshan Kr Yadav

15.05.198019.11.2000

FM

200000 9475054456 31.03 15/4268 Same 3473

285 Syama Prasad Bhattacharya 2249 420110210000028 02.01.1961 M 1.Piru Bhattacharya 25.01.1965 F 200000 9832757189 31.03 15/3962 Same 3473

286 Sankar Roy 2257 420110110005826 02.05.1963 M 1.Shyyamali Roy2.Dibyayn Roy3.Ayayn Roy

14.02.197010.12.199502.01.2002

FMM

200000 9231843479 31.03 15/4214Same

3473

287 Nikhil De 2318 420110110004992 17.03.1962 M 1.Kabita De2.Arnab De

25.01.197305.09.1999

FM

200000 9475854667 31.03 15/3967 Enhanced 3473

288 Pradip Rajak Das 2343 420110110006805 12.01.1979 M 1.Mou Rajak Das2.Pritam Rajak Das

03.07.199015.11.2009

FM

200000 9563912335 31.03 15/4218 Same 3473

289 Shibu Kr Singh 2432 420110110006753 05.12.1970 M 1.Dipika Singha2.Prabhat Singha

01.01.197105.08.1998

FM

200000 9002869273 31.03 15/3977 Enhanced 3473

290 Jata Sankar Tiwary 2436 420110110004862 24.02.1965 M 1.Sunita Tiwary2.Alok Tiwary3.Alka Tiwary

01.01.196906.01.199307.09.1996

FMF

200000 9732064994 31.03 15/4227Same

3473

291 Buro Rajbanshi 2562 420110110004849 30.12.1976 M 200000 9332859697 31.03 15/3987 Same 3473

292 Amarendra Kr Dwivedi 2563 420110100020006 01.05.1972 M 1.Saraswati Dwivedi2.Rahul Kr Dwivedi3.Rohit Kr Dwivedi

20.01.197422.05.199326.02.1998

FMM

200000 9434331314 31.03 15/3988Enhanced

3473

293 Mili Nandy 2613 400210110001386 08.01.1973 M 2.Kaulik Nandy 26.02.2004 M 200000 31.03 15/4106 Same 3473

294 Abdul Ahad Midda 2656 420110110007319 25.10.1989 M 1.Rupsana Akthar 2. Rishan Midda(S)

25.10.198925.08.2016

FM

200000 9474778683 31.03 15/4192 SameInclusion

3473

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Code Bank A/C No.Date

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Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

295 Joydeep Ganguly 2706 420110210000020 20.05.1987 M 1.Priyanka Ganguly2.Joypriya Ganguly

30.03.199324.02.2014

FF

200000 9232585378 31.03 15/4003 Same 3473

296 Raja Bhowmick 2709 420110110006656 02.10.1974 M 200000 8972299885 31.03 15/4197 Same 3473

297 Karuna Sindhu Malik 2721 420110110007311 01.01.1983 M 1.Minakshi Malik2.Mrigyanka Malik

20.02.199507.04.2014

FM

200000 9735868969 31.03 15/4006 Enhanced 3473

298 Nasim Uddin Ahmmad 2741 420110110004826 02.04.1987 M 1.Bilkish Sultana 16.05.1988 F 200000 9609674769 31.03 15/4010 Enhanced 3473

299 Tanmoy Chatterjee 2792 420110110006704 20.11.1980 M 1.Saptadipa Roy2.Tinish Chatterjee

30.01.198518.12.2015

FF

200000 9735199815 31.03 15/4023 Same 3473

300 Santosh Mallick 2810 420110110006779 22.01.1980 M 1.Shrabani Mallick2.Debabrata Malick

05.07.198520.10.2009

FM

200000 9474133956 31.03 15/4256 Same 3473

301 Suman Das 2816 420110110009047 06.01.1987 M 200000 8906068680 5.04 16/0282 Enhanced 3473

302 Bhairab Mohanta 2849 420110110007321 10.10.1982 M 1.Chamli Mohanta2.Ishani Mohanta

11.12.198822.03.2013

FF

200000 9093547907 31.03 15/4285 Enhaced 3473

303 Kalyan Kumar Choudhury 1651 420110110004904 01.11.1956 M Mamata ChoudhuryKrishnendu Choudhury(S)

07.06.196315.07.1989

FM

250000 9434674286 5.04 16/0216 Same 4158

304 Subhendu Mukherjee 1675 420110110009045 07.09.1957 M Keya MukherjeeArghya Mukherjee(D)

05.08.196019.08.1993

FF

250000 31.03 15/4168 Same 4158

305 Partha Pratim Mondal 1680 420110110009041 03.01.1965 M Ruma MondalDeblina Mondal(D)

31.08.197325.06.1995

FF

250000 31.03 15/4169 Same 4158

306 Swapan Kr Karmakar 1794 420110110006641 04.11.1959 M 1.Sova Karmakar2.Arnab Karmakar

20.04.196701.09.1992

FM

250000 9474179066 5.04 16/0240 Enhanced 4158

307 Kazi Ziamol Hossain 1825 420110210000014 20.07.1957 M 1.Nazma Begam2.Kazi Injamul Haque3.Kazi Nazmul Haque

12.08.196810.08.199313.06.1997

FFM

250000 9434211057 5.04 16/0245Same

4158

308 Ashok Kr Shaw 1826 420110110006809 05.04.1962 M 1.Champa Shaw2.Arijit Shaw

20.11.197016.08.1995

FM

250000 9434011342 5.04 16/0246 Enhanced 4158

309 Partha Saha 1837 420110110004865 25.12.1967 M 1.Sima Saha2.Pratim Saha3.Ankhi Saha

21.06.197519.03.200024.04.2010

FMF

250000 9434666635 5.04 16/0247Enhanced

4158

310 Suvra Mukherjee (Sengupta) 2206 420110110004931 01.01.1970 F 1.Kalyan Sengupta 29.09.1967 M 250000 31.03 15/4050 Enhanced 4158

311 Syed Muzaffar Hossain 2716 420110110005846 18.11.1972 M 1.Jinnatunnassa Khatun2.Syed Mafruza Mahanaz3.Sayeda Zeba Hossion

22.03.198214.02.200911.04.2013

FFF

250000 9564061614 31.03 15/4005Enhanced

4158

312 Sankar Deb 1067 420110110006799 18.05.1957 M Sonali Deb 12.08.1963 F 300000 31.03 15/4173 Enhanced 4845

313 Chinmoy Dutta 1468 420110110005706 16.03.1964 M Maitrayee DuttaAmitava Dutta(S)

07.11.197220.09.2001

FM

400000 9434474266 31.03 Policy Done Same 6044

314 Ashis Kumar Mondal 1576 420110110005028 19.08.1961 M Mitra Priya MondalAritra Kumar Mondal(S)

01.11.196326.05.1988

FM

300000 9475852614 31.03 15/4294 Same 4845

315 Tapasi Roy (Basumallick) 1580 420110210000038 05.01.1958 F Mohan BasumallickDebojyoti Basumallick(S)

17.03.195604.08.1994

MM

300000 9475176248 5.04 16/0207 Enhanced 4845

316 Basudev Das 1626 420110110005005 15.05.1963 M Soma DasDeblina Das(D)

26.08.196822.04.1997

FF

300000 9474172621 5.04 16/0210 Same 4845

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Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

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Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

317 Subhasis Mukherjee 1638 420110110004632 13.01.1959 M Rekha MukherjeeSrijan Mukherjee(S)

07.01.196525.11.1993

FM

300000 9474914966 31.03 15/4297 Same 4845

318 Asadul Islam 1673 420110100008599 15.11.1965 M Dilshad ParveenJannatul Firdous Siddique(D)Abu Bakkar Siddique(S)

01.07.196702.02.199209.03.1995

FFM

300000 8927336739 5.04 16/0220Same

4845

319 Atanu Bandyopadhyay 1677 420110110004957 13.09.1958 M Kakoli BandyopadhyayRaktima Bandyopadhyay(D)

11.01.197328.02.1962

FF

300000 9434188651 31.03 15/4288 Same 4845

320 Janakinath Singha 1701 420110110006672 28.12.1958 M Jharna SinghaSandip Singha(S)

26.10.197015.02.1992

FM

300000 9732217074 5.04 16/0228 Same 4845

321 Amal Kumar Mukherjee 1702 420110110004928 12.08.1964 M Mita MukherjeeDisha Mukherjee

14.10.197013.06.1993

FF

300000 9593569006 31.03 15/4289 Same 4845

322 Debashis Sanyal 1867 420110110004643 10.02.1962 M Parichita SanyalDebarati Sanyal(D)Deblina Sanyal(D)

27.02.196421.01.199506.12.1998

FFF

300000 9932829587 31.03 Policy Done Same

4845

323 Kalyan Kr Sar 1901 420110110004797 27.09.1960 M 1.Subhra Sar2.Kaustav Sar

08.01.197710.03.1996

FM

300000 9434540820 5.04 16/0255 Same 4845

324 Subhas Mitra 2082 420110210000029 23.12.1963 M Tapasi MitraSubhadeep Mitra(S)Sankhadeep Mitra(S)

06.10.196719.04.199524.03.2001

FMM

300000 9564395602 31.03 Policy Done Same

4845

325 Subir Bose 2186 405910110003321 07.12.1978 M 1.Jayshree Bose2.Kishmeeta Bose

30.12.198131.10.2015

FF

300000 9232087357 31.03 15/3941 Same 4845

326 Debashis Aich 2316 420110110004979 02.01.1963 M 1.Jharna sen (Aich)2.Debopam Aich

27.06.196303.09.2002

FM

300000 9434673133 31.03 15/4217 Same 4845

327 Sujoy Samanta 2696 420110110004980 10.01.1980 M 1.Paoia Samanta2.Sandipan Samanta

10.04.198803.01.2012

FM

300000 9333830204 31.03 15/4193 Same 4845

328 Partha Sarothi Bhattacharyya 2726 420110110004791 23.07.1982 M 1.Deblina Bhattacharyya2.Jyotirmay Bhattacharyya

22.01.199027.11.2014

FM

300000 9434667120 31.03 15/4204 Same 4845

329 Mukta Kapoor 2756 420110110006775 16.05.1981 F 1.Tanmoy Ganguly2.Debangi Ganguly

15.02.198205.08.2011

MF

300000 8768529148 31.03 15/4210 Same 4845

330 Rabindra Nath Sarkar 1072 420110110006798 06.06.1957 M 400000 31.03 15/4175 Same 6044

331 Prasanta Kumaar Choudhury 1637 420110110004925 15.12.1959 M Tapasi ChoudhuryManisha Choudhury(D)

15.08.196715.01.1992

FF

400000 9434674154 5.04 16/0214 Same 6044

332 Subarna Kr Mukherjee 1909 420110110007309 10.06.1968 M 1.Kakali Mukherjee2.Chandrama Mukherjee

16.10.196807.08.1996

FF

400000 9474488827 5.04 16/0257 Same 6044

333 Sandipan Mukhopadhyay 2757 402010100018213 03.01.1977 M 1.Sudeshna Mukhopadhyay2.Subhangi Mukhopadhyay

03.01.197727.08.1980

FF

400000 9432969932 31.03 15/4013 Same 6044

335 Tapas Kumar Mitra 1469 420110110004690 04.10.1959 M Keya MitraKasturika Mitra(D)Lokesh Mitra(S)

02.10.197027.03.199308.03.2000

FFM

500000 9434713884 31.03 Policy Done Same

7246

336 Supravat Choudhury 1585 420110110006652 06.06.1956 M Kakali Choudhury (Dutta)Debajyoti Choudhury(S)

22.01.197216.01.1995

FM

500000 9932846182 31.03 15/4180 Same 7246

337 Samir Sadhukhan 1664 420110110004938 10.02.1965 M Binita SadhukhanSubhashree Sadhukhan(S)

09.12.197018.10.1994

FF

500000 9330094739 5.04 16/0218 Enhanced 7246

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Page 24 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

338 Achinta Prosad Sarkar 1674 420110110004812 30.05.1957 M Krishna SarkarShubhradeep Sarkar(S)

19.12.196010.10.1999

FM

500000 9434989045 5.04 16/221 Same 7246

339 Somnath Kar 1713 420110110005055 28.04.1963 M Basabi KarRayoti Kar(D)Swapnadip Kar(S)

13.03.197324.02.200101.05.2008

FFM

500000 9153735710 5.04 16/0229Same

7246

340 Ramkrishna Mukherjee 1922 420110110004903 30.09.1963 M 500000 9474166070 31.03 15/4281 Same 7246

341 Gabinda Pal 1923 420110110004994 05.01.1963 M 1.Sumita Pal2.Debmalya Pal

05.06.196410.10.1999

FM

500000 9432668481 31.03 15/4282 Same 7246

342 Dr. Amalendu Sinhababu 1963 420110110004813 01.11.1963 M 1.Kakali Sinhababu2.Soumyadip Sinhababu

15.05.197513.05.2004

FM

500000 31.03 15/4153 Enhanced 7246

343 Munshi Rezaul Karim 2204 420110110004905 01.10.1970 M 1.Jebunnesa Begam2.Munshi Sameer Wasif3.Munshi Rahat Hossain

02.10.197712.10.200327.02.2009

FMM

500000 9477110283 31.03 15/4269Same

7246

344 Suprasanna Dikpati 2223 420110210000031 19.12.1969 M 1.Mousumi Dikpti2.Aakashleena Dikpati

20.01.197118.111997

FF

500000 8388857432 31.03 15/3950 Same 7246

345 Kripa Sindhu Banerjee 2256 420110110004673 14.11.1966 M Dola BanerjeeKaushiki Banerjee(D)

28.08.196917.04.1999

FF

500000 9434474195 31.03 Policy Done Same 7246

346 Dulal Chandra Maji 2606 420110110005002 06.07.1976 M 1.Jhuma Singha 14.08.1976 F 500000 9531755506 31.03 15/4191 Same 7246

347 Dibyendu Pal*

Shyamali Pal

2794 420110110009398 17.07.1985 15.01.1972

M 1. Mousumi Pal 22.07.1996 M

F

100000 100000

7031912607 150403/46/15/850000

0106 D. Pal

(2013-14) M. Pal

(2016-17)

*Shifted from NIC,

DGP

3580

348 Subrata Kr Das

Arati Das

2118 420110110005723 20.12.1970

20.05.1949

M

F

1.Mohua Das2.Ananya Das3.Debajyoti Das

18.02.197606.08.200021.06.2007

FFM

100000

100000

9475974911 21.03

21.03

15/3347

15/3348

Same

3580

349 Falguni Chaklader

Uma Chaklader

2152 420110110005931 31.12.1974

02.02.1955

M

F

1.Susama Chaklader2.Shreyasi Chaklader3.Ahona Chaklader

10.09.198307.06.20061809.2010

FFF

100000

100000

8001706758 31.03

31.03

15/3834

15/3835

Same

3580

350 Tapan Bhattacharyya

Biva Bhattacharjee

2168 420110110004777 13.12.1969

01.11.1948

M

F

1.Sudipta Bhattacharyya2.Nilabhva Bhattacharyya3.Nilankan Bhattacharyya

04.03.198301.03.200720.12.2012

FMM

100000

100000

9332475818 31.03

31.03

15/3842

15/3843

Same

3580

351 Biva Chakraborty

Sikha Mukherjee

2647 420110110004780 20.01.1972

01.06.1958

F

F

1.Soumitra Chakraborty2.Sarbasti Chakraborty3.Sreyasi Chakraborty

02.01.196404.03.196504.03.1995

MFF

100000

100000

9647905145 31.03

31.03

15/3862

15/3863

Same

3580

Page 25: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 25 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

352 Kaushik Mukherjee

Kiran Sankar Mukherjee

2166 420110110004888 27.12.1979

01.07.1950

M

M

1.Joyta Mukherjee2.Kankana Mukherjee3.Krishana Mukherjee1.Anuva Mukherjee

19.06.198205.04.200606.04.201201.06.1658

FFMF

100000

200000

9832774327 31.03

31.03

15/3840

15/3841

Enhanced

6132

353 Surya Narayan Naskar

Jyotsna Naskar

2462 420110110004939 01.01.1975

17.03.1954

M

F

1.Krishna Naskar2.Sunanda Naskar3.Soumik Naskar

01.01.198129.10.201329.04.2015

FFM

100000

50000

9474484062 31.03

31.03

15/3854

15/3855

Same

2743

354 Sujoy Mondal

Rina Mondal

2230 420110110006752 11.12.1979

13.02.1959

M

F

1.Bulti Mondal2.Samriddha Mondal

31.05.199003.08.2012

FM

100000

100000

9434545707 31.03

06.04

15/3848

16/0025Same

3580

355 Tapan Kr Das

Padma Rani Das

2707 420110110004676 10.01.1976

10.03.1658

M

F

1.Rumki Das2.Rohit Das

13.07.198320.08.2008

FM

100000

100000

8145395722 31.03 15/3813

15/3814Same

356 Argha Chattopadhya

Asit Chattopadhyay

2734 420110110008347 12.06.1984

01.01.1953

M

M

1.Aliva Chattopadhyay2.Ashmit Chattopadhyay1.Sabita Chattopadhyay

07.01.199609.07.201501.01.1960

FMM

100000

100000

9732069074 05.04

05.04

16/0181

16/0182Same

357 Alok Dutta

Kalipada Dutta

2746 420110110005911 27.11.1986

01.01.1967

M

M

1.Dipa Dutta2.Arkodeep Dutta1.Rekha Dutta

19.11198605.04.191501.01.1971

FMF

100000

100000

9614583504 31.03

31.03

15/3821

15/3822

Enhanced

Enhanced

3580

358 Plaban KonarUttam Konar

2790 420110110005895 25.02.198801.01.1959

MM

1.Piyali Konar 2. Prakriti Konar (D)1.Sujata Konar

19.11.199205.03.201601.0

1.1960

FF F

100000

100000

9474781193 31.03

31.03

15/3823

15/3824

Enhanced InclusionEnhanced

3580

359 Sudipta Rudra

Sagrika Rudra

2803 420110110009048 13.03.1986

01.02.1961

M

F

1.Moumita Rudra

2.Shounak Rudra

25.05.199005.07.2014

FM

100000

100000

9749287664 5.04

05.04

16/0262

16/0274Same

3580

360 Madhusudan Chakraborty

Shibdas Chakraborty

1745 420110110004996 01.03.1970

01.01.1951

M

M

Joyshree ChakrabortyDebaditya Chakraborty(S)Shova Chakraborty

03.01.197506.06.200001.01.1957

FMF

100000

200000

9474796693 31.03

31.03

15/3828

15/3829Same

5263

361 Bijoy Kr Sahu

Hemangini Sahu

1969 420110110006794 27.11.1973

01.01.1958

M

F

1.Jhuma Sahu2.Rudranil Sahu

09.03.198314.02.2003

FM

100000

50000

31.03

31.03

15/4154

15/4155Same

2743

362 Nirmal Kr Pal

Gayabati Pal

2034 420110110006682 07.10.1954

07.01.1949

M

F

1.Putul JPal2.Anwesa Pal

10.01.197104.01.1997

FF

100000

50000

31.03

31.03

15/4162

15/4163Same

2743

363 Monoj Kr Show

Motilal Show

2440 420110110005009 14.10.1968

28.05.1948

M

M

1.Krishna Show2.Sristee Show1.Lalita Show

01.07.197819.06.201404.08.1957

FFF

100000

50000

9732076435 31.03

13.07

15/4263

16/1368

Enhanced

Same

2743

364 Sandip MukherjeeBina Mukherjee

2076 420110110004872 03.01.197201.01.1949

MF

100000100000

9434665789 31.0331.03

15/383215/3833

SAME Enhanced

4027

365 Utpal Sarkar

Alo Rani Sarkar

2154 420110110005838 01.03.1974

25.10.1952

M

F

1.Arpita Sarkar2.Ishita Sarkar

21.07.198415.12.2004

FF

100000100000

9735130750 31.03

31.023

15/3838

15/3839Same

4027

Page 26: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 26 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

366 Chandi Mangal KaibartyaBiswanath Kaibartya

2697 420110110005924 19.01.198501.01.1965

MM 1.Abhaya Kaibartya 01.01.1971 F

100000100000

8926587397 31.0331.03

15/419415/4208 Same 3580

367 Supai BesraRam Besra

2719 420110110005893 29.11.198405.09.1959

MM

1.Mita Saren (Besra)1.Panmani Besra

14.01.199106.01.1970

FF

100000100000

9051144276 31.0331.03

15/425115/4252 Same 3580

368 Alok Kr. MondalBarid Baran Mondal

2729 420110110006648 03.03.198704.01.1957

MM 1.Bulu Mondal 23.11.1965 F

100000100000

8927051686 31.03 15/420215/4203 Same 3580

369 Anirban Kr JashAmiya Kr Jash

2742 420110110004867 27.11.198515.12.1954

MM

1.Sudeshna Jash1.Mukuta Jash

13.05.198901.01.1968

FF

100000100000

9775767705 31.0331.03

15/381715/3818 Same 3580

370 Gulam MuztabaKismatara Begum

2847 420110110005572 02.02.199224.10.1964

MF

100000100000

8653811645 31.0331.03

15/382515/3866 Same 3580

371 Biswarup SainGouri Sain

2466 430510110003682 07.09.197721.12.1956

MF

100000150000

31.0331.03

15/409615/4097 Same 4491

372 Srikumar BhattacharyayAsit Kumar Bhattacharyay

2717 420110110008826 01.08.198430.09.1961

MM

1.Prya Bhattacharyay1.Minoti Bhattacharyay

29.11.199116.08.1965

FF

100000200000

9476314298 5.0405.04

16/026316/0264 Same 5263

373 Bhakto MondalGanesh Mondal

2718 420110110005892 07.01.199101.01.1953

MM

Niva MajiKamakshya Mondal

20.05.199601.01.1960 F

200000200000

9647614839 31.0331.03

15/420015/4201

Enhanced, Inclusion

6946

374 Sandipan GuptaSwapan Kumar Gupta

2705 420110110008325420110110008334

08.10.198304.06.1958

MM

1.Maitrayee Nandy Gupta 2. Shalmali Gupta (D)1.Sampa Gupta

01.12.198814.12.201515.06.1988

FFF

100000

50000

9474914988 31.0331.03

15/424315/4244 Same

Inclusion

2743

375 Munshi Sakir RahamanMunshi Jhangir Rahaman

2789 420110110006650 06.10.198001.01.1955

MM 1.Murtaja Begam 08.07.1959 F

10000050000

9681140745 31.0331.03

15/424515/4248 Same 2743

376 Sajal Kumar NandyManju Nandy

2809 420110110005889 05.09.197803.10.1955

MF

1.Jayashree Nandy 05.05.1988 F 10000050000

31.0331.03

15/412615/4127 Same 2743

377 Sk.Ashraful Haque

Aklima Begam

2819 420110110008354 07.04.1987

01.01.1963

M

F

1.Tanvi Mallick2.Nazma Khatun3.Sk Ahyan Haque (S)

13.11.198616.04.198713.10.2016

FFM

150000

50000

9832247513 31.0313.07

15/427916/1372 Enhanced

Inclusion

3654

378 Tapas GaraiAnjali Garai

2837 420110110006750 02.08.197901.01.1963

MF

1.Moumita Garai2. Tridib Garai (S)

15.02.198922.05.2015

FM

10000050000

9732246336 31.0331.03

15/424915/4250

SameInclusion

2743

379 Nigar Sultana BegumSk. Tousik RahamanSk. Tousif Rahaman

2235 420110110006654 09.09.196401.04.198726.10.1990

FMM

1.Sk.Mahafuj Rahaman 01.04.1951 M 1000005000050000

9732353089 31.0331.0331.03

15/386815/387015/3871

Same3696

380 Golam Mostafa

Rousonara Begam

2172 420110110004955

420110110006624

10.11.1966

04.03.1953

M

F

1.Fency Khatun2.Reazuddin Mondal3.Nusrat Jahan

15.09.197921.01.200204.05.2007

FM

150000

200000

9734237355 31.03 15/3844

15/3845

Same

2701

381 Amit Kumaar Ghosh

Aloka Rani Ghosh

1642 420110110004785 04.01.1962

01.01.1950

M

F

Tanushri GhoshSoumalya Ghosh(S)Rupmalya Ghosh(S)

01.01.197015.07.198627.01.1990

FMM

150000

50000

8670186073 31.03

31.03

15/3827

15/3826

Same

3654

382 Arya Biswas

Amala Biswas

2260 402010110003878 17.10.1973

01.01.1947

M

F

1.Susama Biswas2.Abhrajyoti Biswas

17.07.197404.05.2009

FM

150000

200000

9831022762 31.03

31.03

15/4237

15/4238Same

6174

Page 27: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 27 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

383 Goutam Mondal

Bani Prosad Mondal

2725 420110110005899 18.11.1979

20.01.1953

M

M

1.Mina Mondal2.Himadri Mondal1.Jharna Mondal

03.01.197925.08.201314.04.1960

FMF

150000

200000

9474367426 31.03

31.03

15/3815

15/3816

Enhanced Enhanced

6174

384 Bachchu ChoudhuryLabanyamayi Choudhury

2774 420110110005705 06.09.198301.02.1955

MF

1.Manisha Choudhury 05.07.1989 F 150000150000

8001663925 31.0331.03

Policy Done

Policy Done

Same

5402

385 Gobinda DasMonoranjan Das

2724 420110110005910 21.06.198201.01.1953

MM 1.Krishna Das 01.01.1961 F

150000300000

9474484395 31.0331.03

15/425315/4254

SameEnhanced

7546

386 Sangeeta GhoshRama Ghosh

2060 420110110005897 17.07.197617.05.1955

FF

15000050000

9434331381 31.0331.03

15/383015/3831 Same 3654

387 Sukdeb Kumar Sen

Lakshmi Rani Sen

1714 420110110005812 16.12.1964

01.01.1955

M

F

Munmun SenSantanu SenSusmita Sen

05.11.197325.02.199701.01.2003

FMF

200000

100000

31.03

31.03

15/4136

15/4137

Same

5263

388 Debashis Basu

Sankari Pada Basu

2233 420110110004710 09.03.1974

10.02.1952

M

M

1.Srabani Basu2.Subhajit Basu3.Soumyadip Basu1.Reba Rani Basu

01.08.197828.11.199812.06.200301.01.1995

FMMF

400000

200000

9832803037 31.03

31.03

Policy Done

Policy Done

Same

9517

389 Ashim Kr Pal

Archana Pal

2189 420110110006747 23.01.1976

08.03.1949

M

F

1.Rumjhum Kamila2.Antara Kamila

03.01.198026.03.2008

FF

200000

100000

9434665693 31.03

31.03

15/4241

15/4242Same

5263

390 Sudipta Das

Anita Das

2153 420110100017310 04.10.1979

18.05.1951

M

F

1.Monalisa Das2.Reyansh Das

23.04.198501.01.2013

M

F

200000

200000

9434133030 31.03

31.03

15/3836

15/3837

Enhanced

Enhanced

6946

391 Biswajit Ray

Pratima Roy

2164 420110210000012 13.12.1974

25.06.1954

M

F

1.Sampa Senapati2.Ananyo Ray

25.01.197615.08.2007

M

F

200000

200000

9474361607 31.03

31.03

15/4255

15/4239

Enhanced

Enhanced

6946

392 Dibyendu Dan

Subarna Rekha Dan

2199 420110110004933 14.12.1970

16.01.1950

M

F

1.Aruna Dan2.Adri Dan

01.04.198405.12.2006

MF

200000

50000

9434647202 31.03

31.03

15/3846

15/3847Same

4426

393 Pappu RamaniPrabhawati Ramani

2818 420110110008361 05.03.198703.06.1957

MF

1.Kumari Pinki Ram (Ramani) 05.02.1990 F 200000100000

9474760686 31.0331.03

15/426415/4265 Enhanced 5263

394 Sukhen DasMalati Das

2838 420110110009073 14.07.198614.09.1968

MF

1.Aparna Das2.Bandana Das

18.02.199228.04.1983

FF

200000200000

9732225207 31.0331.03

15/417115/4172 Same 6946

395 Pradip KunduMina Kundu

2840 420110110005886 17.03.199101.01.1977

MF

1.Pappiya Kundu2.Pritam Kundu

11.08.199604.07.2015

FM

20000050000

8436927406 31.03 15/424715/4284 Same 4426

396 Ranjit Banerjee

Sandhya Banerjee

2258 420110110005010

420110110006643

01.12.1966

10.10.1949

M

F

1.Mala Banerjee2.Poushali Banerjee3.Atreya Banerjee

03.08.197214.01.200524.02.2008

FFF

300000

50000

9933599303 31.03

31.03

15/3850

15/3851

Enhanced SAME

6036

Page 28: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 28 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

397 Anirudha Banerjee

Niva Banerjee

1818 420110110003190 01.01.1968 M

F

1.Shrila Banerjee2.Riddhith Banerjee

17.06.197604.01.2002

FM

300000

300000

31.03

31.03

15/4142

15/4143Same

9690

398 Santosh Kumar Shaw

Lakashmi Shaw

2703 420110110006660 13.05.1983

01.01.1965

M

F

1.Sanjula Devi Shaw2.Pratyusha Shaw

11.02.199414.10.2012

FF

50000

50000

9933176839 31.03

31.03

15/3864

15/3865Same

1906

399 Riksundar BanerjeeSampti Banerjee

2744 420110110007325 09.08.198723.01.1954

MF

50000100000

8170891650 31.0331.03

15/381915/3820 Same 2743

400 Souvik BarmanShyamal Barman

2895 420110110008934 22.05.198710.08.1956

MM 1.Maya Barman 27.03.1959 F

50000100000

9474363237 5.0405.04

16/026616/0267

Same Same

2743

401 Milan DurlavGanesh Durlav

2699 420110110006691 02.11.198601.01.1955

MM 1.Pratima Durlav 01.01.1960 F

5000050000

31.0331.03

15/411615/4117 Same 1906

403 Chandan SinghSanbuja Debi Singh

Fixd 420110110006653 02.03.197201.01.1965

MF

5000050000

9126250566 31.0331.03

15/386915/3867 Same 1906

404 Sanjib ChowdhurySuresh ChowdhurySantosh Chowdhury

2733 420110110006628 11.03.198612.11.195716.10.1982

MMM

1.Sarada Choudhury 21.03.1965 F500005000050000

9002286182 31.0331.0331.03

15/412015/412115/4122

Same2859

405 Bibhas ChoudhuryMadhuri Choudhury

2817 420110110009057 12.06.197813.05.1959

MF

Bipasha Choudhury (D) 20.04.2007 F 100000100000

973225532 NEW New (inclusion)

3580

406 Pintu Dutta 420110110005955 19.10.1969 M Antima Dutta (Mondal)-WSoumili Dutta (D)

28.11.197726.04.2009

100000 NEW New 1790

407 Sovan Bhattacharya 2249 420110110009652 7/5/1988 M Purbasha Bhattcharyya 27.07.1987 F 200000 8653155308 NEW New 3473

408 Sukhendu De 2947 420110110009663 2/4/1992 M 100000 9641523140 NEW New 1790

409 Biswarup Mukherjee 2700 420110110009668 8/4/1973 M 1.Dolan Rani Mukherjee (Wife) , 2. Adrija Mukherjee(daughter), 3. Gairik Mukherjee (Son)

18-3-1979, 12-4-2006, 2-01-

2013

F F M

200000 9732919402 NEWNew

3473

410 Prabir Kumar Ghosh 2737 420110110009423 4/1/1974 M 1.Mita Ghosh(Wife) 2. Subarna Ghosh (Son)

14-11-1981 1-10-2007

F M 50000 9434252705 NEW New 953

411 Uday Chandra Mandal 2943 420110110009664 15-10-1988 M 150000 8013152120 NEW New 2701

412 Indrani Chandra 2870 420110110009676 29-01-1962 F 300000 9433193779 NEW New 4845

413 Aloke Kumar Nandi 2306 420110110009667 02-05 1968 M 1. Punima Nandi(wife), 2. Atanu Nandi (Son)

14-08-1970 12-02- 87

F M 100000 9434498243 NEW New 1790

414 Surujit Dutta Khan 420110110009677 9/5/1986 M 1. Subarna Dutta Khan (wife) , 2. Monali Dutta Khan (daughter)

12-07-1994 1-09-2016

F F 100000 9932709582 NEW New 1790

415 Sk Hamid Ali 2683 418410510000968 12/4/1980 M 1.Nurnnaher Bibi , 2.Sk Asif Ali, 3. Sk Ayubali

21-04-1981 11-12-1995 7-7-

1999

F M M

100000 9434251281 NEWNew

1790

416 Panchil Banerjee 1907 420110110009671 20-10-1958 M 1.Sadhana Banerjee, 2. Nachiketa Banerjee

08-02-1959, 29-10-1990

F M 100000 9434857197 NEW New 1790

418 Basudeb Sain 2945 420110110009649 7/9/1961 M Rekha Sain 24-11-1970 F 100000 8509776336 NEW New 1790

419 Priyabrata Sain 2945 420110110009649 25-01-1992 M 25-01-1992 100000 8509776336 NEW new 1790

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Page 29 of 34

Sl No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the family Date of Birth Sex SumInsured

Mobile No.

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

List of Non-Teaching Employees enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

420 Shilipi Show 2938 420110110009642 22-01-1990 F 22-01-1990 150000 9614910811 NEW New 2701

421 Prasanta Sarkar 1402 420110110009673 30-10-1960 M Kalpana Sarkar 02-04.1965 F 100000 7407771612 NEW New 1790

422 Buddhadeb Bhattacharya 2217 420110110009684 03.12.1971 M 1.Tanushree Bhattacharya 2. Baibhab Bhattacharya

09.05.1987 18.08.2008

F M 150000 9474490346 NEW New 2701

423 Sk Jahirul Haque 2248 420110110009653 24.04.1963 M 1. Sagira Begam 2. Sk Ramiz Ahmed 3.Tania Pervin

20.11.1976 20.01.1999 12.07.2002

F M F

300000 7699883206 NEWNew

4845

424 Santanu Pramanik 2366 420110110009669 15.10.1973 M 1. Sudeshna Sarangi 2. Sayantani Pramanik 3. Siddhanta Pramanik

06.11.1979 15.10.2007 27.08.2013

F F M

300000 9433130100 NEWNew

4845

425 Nilendu Bhattacharyya 2731 420110110009666 01.01.1976 M 1. Prerona Bhattacharya 2. Aditri Bhattacharya

12.12.1992 25.03.2014

F F 100000 9932542037 NEW New 1790

426 Soma Biswas Mita 2642 420110110009665 02.12.1978 F 1. Kamal Mitra 2. Aishika Mitra

02.02.1966 27.03.2011

M F 100000 9475974415 NEW New 1790

427 Amitava Sinha 1631 420110110009651 11.11.1963 M 1. Sulata Sinha 2. Chandrama Sinha

08.10.1969 17.10.1995

F F 100000 9434113804 NEW New 1790

428 Harakrishna Koner 1902 420110110009610 01.01.1962 M 1. Ranu Koner 01.01.1971 F 100000 8927380329 NEW New429 Anindya Ghosal 2003 420110110009614 23.11.1972 M 1. Sarbani Ghosal

2. Annesha Ghosal 3. Avilash Ghosal

05.01.1974 18.09.2001 17.08.2007

F F M

200000 9433324212 NEWNew

3473

430 Loknath Sahu 2589 420110110009672 20.02.1985 M 1. Santana Sahu 12.12.1989 F 100000 9264765745 NEW New 1790

431 Sudipta Sinha 2190 420110110009679 09.01.1975 M 1. Munmun Sinha 2. Chandraprabha Sinha 3. Chandrajit Sinha

23.01.1985 20.07.2005 08.08.2011

F F M

200000 9434545835 NEWNew

3473

432 Ajoy Mandal 2949 420110110009675 11.08.1983 M 1. Papiya Maity Mandal 2. Aparajit Mandal

30.04.1990 31.12.2013

F M 100000 9735109457 NEW New 1790

433 Abhijit Roy 2825 420110110009442 27.04.1979 M 1. Sarmistha Mitra 2. Aharshi Roy

20.10.1983 01.10.2014

F F 200000 8759378262 NEW New 3473

434 Sk Enauetulla Fixed 420110110009654 M 05.01.1975 M 50000 9126320909 NEW New 923 435 Ranjit Roy 2850 420110110004670 2/8/1974 M Nivedita Roy Mondal(W)

Diya Roy(D) Rohit Roy (S)

3-111983 21-032008 18-04-

2012

MFF

100000 9434985046 25-02 Policy Done

1790

1213994

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Page 30 of 34

Sl No.

Name of the Employee PF Code

Bank A/C No. Date of Birth Sex Name(s) of the familyDate

of Birth

Sex Sum Insured

Mobile No.Previous

Policy date

Previous Policy

No.Remarks Premium

Amount

1 Dipak Basak 2265 420110110006792 03.01.1979 M 50000 31.03 15/4062 Same 953

2 Baidyanath Kundu 2298 420110110006781 11.01.1970 M 1.Kajalrani 01.01.1975 F 50000 9732396325 31.03 15/3964 Same 953

3 Douloutuddin Mollick 2263 420110110005862 22.12.1976 M 1.Runa Mallick2.Ivanasabnam3.Alivinja

03.02.197621.02.200224.02.2011

FFF

100000 31.03 15/4061 Same 1790

4 Kamal Ranjan Bhattacharyya 2273 420110110006773 04.12.1964 M 1.Alokananda2.Priti

30.01.197023.05.2001

FF

100000 31.03 15/4065 Same 1790

5 Dipen Choudhury 2281 420110110005861 01.07.1965 M 1.Mita2.Aishee3.Sarthak

27.11.197414.01.199925.05.2006

FFM

100000 31.03 15/4066 Same 1790

6 Shyamalendu Bhabai 2291 420110110004776 25.12.1972 M 1.Sampa2.Ashmita

31.05.198014.07.2006

FF

100000 31.03 15/4069 Same 1790

7 Kajal Kumar Roy 2295 420110110005930 10.01.1968 M 1.Ratna2.Sampriti

03.05.198414.12.2005

FF

100000 31.03 15/4070 Same 1790

8 Debesh Acharya 2297 420110110005871 02.03.1981 M 1.Rita2.Ritesh

27.08.198919.07.2010

FM

100000 31.03 15/4071 Same 1790

9 Md. Nisar 2302 420110110005902 16.01.1969 M 1.Shabnam Jesmin2.MD. Shoaib

13.04.198225.11.2006

FM

100000 31.03 15/4072 Same 1790

10 Sk. Mallo 2303 420110110006808 17.05.1966 M 1.Sajda Begam2.Salma Khatun3.Sayma Shaikh

01.01.197118.06.201031.12.1987

FFF

100000 31.03 15/4073 Same 1790

11 Kamaluddin Mondal 2314 420110110005021 12.10.1961 M 1.Firoza Khatun Mondal2.Tanuja Mondal3.Giasuddin Mondal

15.08.197706.01.200020.01.2002

FFM

100000 31.03 15/4077 Same 1790

12 Abu Basar Kamruzzaman 2320 420110110005921 04.01.1972 M 1.Nargis Sultana2.Asif Zaman

24.03.198222.06.2004

FM

100000 31.03 15/4078 Same 1790

13 Ananta Singha Roy 2340 420110110006743 21.01.1968 M 1.Rita2.Jhumpa3.Purnendu

08.12.197802.04.199710.10.2003

FFM

100000 31.03 15/4081 Same 1790

14 Gita Mukhopadhyay 2269 420110110005054 26.03.1963 F 1.Utpal Chatterjee2.Souvik Chatterjee

16.07.196319.11.1996

MM

200000 9434223939 31.03 15/4267 Same 3473

15 Subrata Kundu 2282 420110110009036 14.07.1976 M 200000 9475126019 5.04 16/0277 Same 3473

16 Arnab Sengupta 2288 420110110005880 06.01.1981 M 1.Arpita2.Srijata

14.08.198703.02.2011

FF

200000 9474786681 31.03 15/4216 Same 3473

17 Naba Kr Das 2300 420110110009058 01.09.1967 M 1.Bisanti2.Tushar Kanti3.Sovona

01.01.197120.04.198808.07.1996

FMF

200000 8016299156 31.03 15/4170 Same 3473

List of Employees (DDE) enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

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Page 31 of 34

Sl No.

Name of the Employee PF Code

Bank A/C No. Date of Birth Sex Name(s) of the familyDate

of Birth

Sex Sum Insured

Mobile No.Previous

Policy date

Previous Policy

No.Remarks Premium

Amount

List of Employees (DDE) enrolled under Mediclaim Policy of Bank of India (BOI)

154100/48/XX/850000XXXX

18 Purnima Mohanto (Mukherjee) 2311 420110110005839 12.08.1961 F 1.Khokan Mukherjee 01.01.1960 M 200000 31.03 15/4074 Enhanced 3473

19 Shovon Bhattacharyya2276

420110110006721 09.10.1968 M 1.Mina2.Shaswata

18.11.197012.08.2012

FM

250000 9474052220 31.03 15/4134 Enhanced 4158

20 Angshuman Goswami 2294 420110110004713 27.01.1976 M 1.Baisakhi Goswami2.Arunava Goswami

10.10.198214.01.2005

FM

250000 5.04 16/0035 Same 4158

21 Chandranath Maitra 2277 420110110005856 19.03.1970 M 1.Rupa2.Rudranath

02.03.197805.02.2003

FM

300000 9434573535 31.03 15/4215 Same 4845

22 Supratim Maitra 2284 420110110005875 15.12.1977 M 1.Chandrima2.Suvranil

25.01.198026.07.2009

FM

300000 31.03 15/4067 Same 4845

23 Hirak Subhra Rakshit 2309 420110110004976 11.08.1970 M 1.Ghitali Goon2.Agnisha Rakshit

11.11.197523.08.2010

FF

500000 9434232045 31.03 15/3965 Same 7246

24 Rabiul Zilani

Jahanara Bibi

2313 420110110005891 02.11.1970

01.01.1955

M

F

1.Nijara Jilani (Mondal)2.Zereen Zilani

25.11.198219.11.2009

FF

100000

200000

31.03

31.03

15/4075

15/4076

Same 5263

25 Arindam Maulik

Kabita Mulik

2285 420110110005919 16.01.1969

20.09.1950

M

F

1.Nandita Roychudhury2.Asmi Maulik

19.01.197328.12.2004

FF

100000

50000

31.03

13.07

15/4068

16/1370

Same 2743

26 Mili Banerjee

Parul Banerjee

2272 420110210000035 02.01.1974

01.01.1961

F

F

1.Partha Sarathi Goswami2.Mourjya Goswami

04.01.196828.03.2003

MM

10000050000

31.03

31.03

15/4063

15/4064

Same 2743

74962

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Page 32 of 34

Sl.No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

SexSum

Insured

MobilePrevious

Policy date

Previous Policy

No.Remarks Premium

Amount

1 Chandra Sekhar Nandi 2386 420110110005915 27.11.1978 M 1.Mitul Nandi (Nayek)2.Swastik Nandi

14.01.198222.10.2006

FM

100000 31.03 15/4088 Same 1790

2 Paramita Chakraborty 2401 420110110004956 17.09.1979 F 1.Suman Bhattacharya2.Anushka Bhattacharya

12.08.196808.10.2006

MF

100000 31.03 15/4090 Same 1790

3 Pintu Dutta 2405 420110110005955 19.10.1969 M 1.Antima Dutta (Mondal) 28.11.1977 F 100000 9474785217 31.03 15/4262 Same 1790

4Sekh Omar Ali 2408 420110110004951 22.10.1970 M 1.Hasina Bibi

2.Sk Imran3.Osmena Khatun

22.10.197312.10.199010.08.1994

FMM

1000009474486375

31.03 15/4224Same 1790

6 Chandan Karforma 2625 420110110005867 28.11.1978 M 1.Minakshmi2.Sayak

06.04.198828.12.2012

FM

100000 9732700255 31.03 15/3996 Same 1790

7 Debasis Biswas 2827 420110110004727 31.01.1978 M 1.Pampa 26.02.1992 F 100000 31.03 15/4128 Same 1790

8 Biswanath Pal 2395 420110110004993 31.12.1968 M 1.Aditi Pal2.Samanwita Pal

17.10.197911.04.2005

FF

150000 9434199727 31.03 15/4221 Same 2701

9Apurba Kr Ghosh 2391 420110110005928 02.04.1968 M 1.Shaswati Ghosh

2.Adrish Ghosh3.Adrija Ghosh

10.02.197507.07.200501.08.2009

FMF

2000009433424799

13.07 16/1362Same 3473

11 Tarun Kr Chakraborty 2406 420910100006186 07.10.1971 M 1.Sugata Chakraborty2.Riddhita Chakraborty

27.08.198825.04.2013

FF

200000 9474021076 31.03 15/4225 Same 3473

12Moumita Das 2601 420110110005046 25.11.1978 F 1.Ram Narayan Das

2.Ritaja Das3.Ritam Das

07.02.197927.02.201018.09.2014

MFM

2000009434849213

31.03 15/4246Enhanced 3473

13 Sankha Brata Biswas 2680 420110110005027 16.08.1976 M 1.Srabani2.Souvik

16.08.197611.08.1995

FM

200000 9475124657 31.03 15/3999 Same 3473

14 Suvajit Chakraborty 2398 420110110004977 17.07.1967 M 1.Pinki Chakraborty2.Sohiny Chakraborty

03.12.197613.03.1998

FF

300000 9332282858 31.03 15/4222 Same 4845

15 Sandip Samaddar 2407 420110110004954 18.08.1977 M 1.Salila Samaddar2.Shreyan Samaddar

02.11.198525.04.2008

FM

300000 9434313677 31.03 15/4226 Same 4845

16 Arindam Choudhury 2380 420110110006532 04.06.1979 M 1.Sanchayita Choudhury2.Arjun Choudhury

15.04.198523.102011

FM

300000 9433885271 31.03 15/4220 Same 4845

154100/48/XX/850000XXXX

List of UIT Employees enrolled under Mediclaim Policy of Bank of India (BOI)

Page 33: List of Teachers enrolled under Mediclaim Policy of Bank … 28.01.1974 M Bandana Mondal Anubhav Mondal(S) 01.10.1981 12.07.2000 F M 100000 9434545694 31.03 15/3931 Same 1790 4 Alak

Page 33 of 34

Sl.No. Name of the Employee PF

Code Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

SexSum

Insured

MobilePrevious

Policy date

Previous Policy

No.Remarks Premium

Amount

154100/48/XX/850000XXXX

List of UIT Employees enrolled under Mediclaim Policy of Bank of India (BOI)

17 Somak Das 2572 420110110004803 16.11.1982 M 1.Suchismita Das2.Dhipradipta Das

27.10.198104.10.2011

FM

500000 9433137552 31.03 15/3990 Same 7246

18Indradip Banerjee

Ashish Banerjee

2624 420110110002816 15.12.1981

15.06.1956

M

M

1.Puja 2. Aishneek (S)1.Tandra

16.07.1988 29.09.201620.02.1960

FM F

100000

1000009434333703

31.03

31.03

15/3860

15/3861

Reduced Inclusion Reduced

3580

19

Partha Pratim Sarkar

Mukti Sarkar

2594 420110110004834 19.10.1980

01.07.1958

M

F

1.Bhaswati Mandal (Sorkar)2. Suryatapa Sarkar1.Prasanta Kr Sarkar

03.06.198111.08.201320.08.1947

FFM

150000

1500009433335445

31.03 15/4190

15/4189Same 5402

20Kallol Roy

Kashinath Roy

2547 420110110006707 09.01.1981

14.12.1949

M

M

1.Sukla Roy2.Arani Roy1.Suchitra Roy

10.04.198421.03.201315.02.1959

FMF

150000

3000009433560784

31.03

31.03

15/3856

15/3857

Same

Enhanced8757

21Adya Prasanna Rakshit

Pralayankar Rakshit

2400 420110110004935 27.07.1971

01.01.1951

M

M

1.Mousumi Rakshit2.Pratyay Rakshit1.Padma Rani Rakshit

26.12.197819.05.200501.01.1955

FMF

200000

2000009474021073

31.03

31.03

15/423315/4232 Same 6946

73799

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Page 34 of 34

Sl No. Name of the Employee Bank A/C No.Date

of Birth

Sex Name(s) of the familyDate

of Birth

Sex SumInsured Mobile

Previous Policy date

Previous Policy

No.Remarks Premium

Amount

1 Sraban Bhattacharyya 420110110006764 21.03.1955 M 1.Chhaya Bhattacheryya 06.09.1959 F 200000 9775370697 13.07 16/1363 Same 34732 Nirmal Kanti Mazumder 420110110004704 15.04.1955 M 1.Ira Mazumder

24.09.1965 F 100000 8159896782 13.07 16/1371 Same 1790

5263

154100/48/XX/850000XXXX

List of Retired Employees enrolled under Mediclaim Policy of Bank of India (BOI)