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 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 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 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 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 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 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 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
Page 8 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
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
Page 9 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
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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
Page 10 of 34
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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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
Page 11 of 34
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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
Page 12 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.
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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
Page 13 of 34
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Sex Name(s) of the family Date of Birth Sex SumInsured
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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
Page 14 of 34
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Sex Name(s) of the family Date of Birth Sex SumInsured
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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
Page 15 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
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
Page 16 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
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
Page 17 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
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
Page 18 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
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
Page 19 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.
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Previous Policy
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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
Page 20 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
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
Page 21 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
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
Page 22 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
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
Page 23 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
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
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 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 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 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 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
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
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
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
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 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
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)