GROUP PERSONAL ACCIDENT SCHEDULE Policy Branch Office Code: 1602 Agent/Broker Code:Direct Policy No: 1602362914000209 Date of proposal:07/09/2016 Details of previous policy (in case of renewal) ProposalNo:P090116101031 Previous policy No:1602352914000177 Policy Issuing Office :4th floor, Ajay bunglows,Opp. HDFC House,Meethakhali Six Road,Navrangpura,Ahmedabad - 380009,contact no : 079-39829659 Date of expiry: 31/08/2016 INSURED NAME : DAIICT ADDRESS: NR INDRODA CIRCLE,GANDHINAGAR GUJARAT GANDHINAGAR 382007 Period of Insurance: From 01/09/2016 to mid night on 31/08/2017 Total No of Employees Covered 1573 Total No of Lives Covered 1573 Type of Policy Named Total Sum Insured(Rs) 78650000.00 Description of Group Employees Nature of Business Coverage Details and List of members covered as per Schedule attached. Premium (Rs) 40000.00 Service Tax 5600.00 Education Cess 0.00 Secondary & Higher Education Cess 0.00 Sales Tax** 0.00 Surcharge** 0.00 Swachh Bharat Cess 200.00 Krishi Kalyan Cess 200.00 TOTAL PREMIUM PAYABLE(Rs) 46000.00 Consolidated Stamp duty Paid vide GRAS GRN No. MH001675469201617E dated 09 June 2016** ** Not Applicable for the State of Jammu & Kashmir Category-General Insurance Business Service 00440005. Service Tax Regn. No. : AABCR6747BST001 ** Applicable for the state of Jammu & Kashmir **Sales Tax Registration No. 01101051414 IRDAI Registration No. 103. An ISO 9001:2008 Certified Company Corporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001. Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14 "Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License” 1 of 69
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Policy Issuing Office :4th floor, Ajay bunglows,Opp. HDFC House,Meethakhali Six Road,Navrangpura,Ahmedabad - 380009,contact no : 079-39829659
Date of expiry: 31/08/2016
INSURED NAME : DAIICT
ADDRESS:
NR INDRODA CIRCLE,GANDHINAGAR
GUJARAT
GANDHINAGAR
382007
Period of Insurance: From 01/09/2016 to mid night on 31/08/2017
Total No of Employees Covered 1573
Total No of Lives Covered 1573
Type of Policy Named
Total Sum Insured(Rs) 78650000.00
Description of Group Employees
Nature of Business
Coverage Details and List of members covered as per Schedule attached.
Premium (Rs) 40000.00
Service Tax 5600.00
Education Cess 0.00
Secondary & Higher Education Cess 0.00
Sales Tax** 0.00
Surcharge** 0.00
Swachh Bharat Cess 200.00
Krishi Kalyan Cess 200.00
TOTAL PREMIUM PAYABLE(Rs) 46000.00
Consolidated Stamp duty Paid vide GRAS GRN No. MH001675469201617E dated 09 June 2016**** Not Applicable for the State of Jammu & KashmirCategory-General Insurance Business Service 00440005.Service Tax Regn. No. : AABCR6747BST001** Applicable for the state of Jammu & Kashmir**Sales Tax Registration No. 01101051414
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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In the event of dishonor of Cheque, this policy automatically stands cancelled from inception irrespective of whether a separate communication is sent or not.
In witness whereof this policy has been signed at Mumbai on 07/09/2016
For and on behalf of
Reliance General Insurance Company Limited.
Agent Code Direct
Agent Contact No Authorised Signatory
User ID: 70175496 Policy Generation Date :07/09/2016
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule attached to and forming part of Policy No.1602362914000209
Cover Name Sum insured Co-pay Special Conditions
Table C-Death +Permanent Total Disability +Permanent Partial Disability
Table C covers, Accidental Death+Permanent Total Disablement+Permanent Partial Disablement due to external accidental means
Medical expenses Medical expenses 20% of sum insured or 40% of admissible claim or actuals whichever is lower, only when claim is admissible under benefit table A,B,C or D
Carriage of Dead Body Carriage of Dead body - 2% of Capital Sum Insured or Rs. 2500/- Whichever is less.
General Conditions: Conditions 1) Policy will be on named basis 2) AOA Rs.4 crores 3) Maximum any one life limit will be Rs 50000. 4) Sum insured should not exceed 100 times of monthly gainful income of any employee 5) Subject to condition that no employee is involved in any hazardous activity 6) Insured to submit salary certificate of month prior to date of accident at the time of claim 7) Addition-deletion will be done on pro-rata premium basis for employees once in a month only, subject to all relevent details being forwarded to insurer before 7th day of succeeding month. 8) Minimum age of beneficiary 16 years and maximum 70 years 9) 24 Hours World wide Cover 10) Ambulance charges upto Rs. 1000/- 11) Terrorism is covered, however, terrorism activity arising out of Nuclear, Biological and/or Chemical means is excluded from the scope of this policy 12) Risk category I & II covered under the policy
Special Conditions: 1) Below mentioned activity shall be outside the scope of the policy 2) Professional sports team in respect of specific benefit for inability to perform 3) Participation in any kind of motor speed contest 4) While engaged in aviation, or whilst mounting or dismounting from or traveling in any aircraft. ( Not applicable for fare Paying Passengers) 5) Underground mining & contractor specializing in tunneling and Offshore actvities 6) Naval, military or air force personnel 7) Radioactivity, Nuclear risks, ionizing radiation 8) Animal bite/Insect bite is not covered. 9) Perils of the sea are excluded from the scope of the policy.
Exclusions:- Suicide, attempt to Suicide or intentionally self- inflicted injury, sexually transmitted conditions, mental disorder, anxiety, stress or depression. Being under influence of drugs, alcohol, or other intoxication or hallucinogens Participation in actual or attempted felony, riot, civil commotion, crime misdemeanor Committing any breach of law of land with criminal intent. Death or disablement resulting from Pregnancy or childbirth Risk Category III people are out of the scope of the policy Employee is involved in high power transmission, high voltage transmission, excavation, tunneling work, mining, quarrying and off shore activity.
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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SCHEDULE ATTACHED TO AND FORMING PART OF POLICY NO.: '1602362914000209' MEDICAL EXPENSES EXTENSION (Group Insurance)Endorsement extending Insurance under Policy No. '1602362914000209' in the name of 'DAIICT ' In consideration of the payment of an additional premium paid under the policy it is hereby agreed and declared that notwithstanding anything in the within written policy contained to the contrary, this insurance is extended to cover the medical expenses necessarily incurred and expended in connection with any accident as specified in the Policy, for which a claim is made by the Insured and admitted by the Company. The Company shall reimburse to the insured person an amount up to but not exceeding ___% of the Admissible Claim or ___% of claim amount or actual whichever is less. Further, it is a condition precedent to the payment of such medical expenses that the medical attendant’s detailed account shall, if the Company so requires be submitted to and is approved by the Company.
PROVIDED ALWAYS THAT:1. The insurance shall not apply, in so far as it applies to a female to expenses incurred in respect of any condition arising from the traceable to any disease of the organs of generation, malignant diseases of mammary glands, pregnancy, childbirth, abortion or miscarriage or any complications and or sequels arising from the foregoing, unless otherwise provided hereafter.2. The Company shall not be liable to may any payment under this Policy in respect of :-i. Disease, Injury, Death or Disablement directly or indirectly due to war, Invasion, Act of Foreign Enemy Hostilities or Warlike Operations (whether war be declared or not) or Civil War or Rebellion, Revolution, Insurrection Mutiny, Military, Naval or Air Service or Breach of Law of Hunting Steeple chasing or engaging in aviation or Ballooning other than as a passenger (fare paying or otherwise) in any licensed Standard Type of Aircraft.ii. Circumcision or Strictures of Vaccination or Inoculation or change of life or beauty treatment of any description of dental or eye treatment other than treatment for the diseases etc. or Intentional self injury or insanity or dissipation or Nervous Breakdown (which expression shall cover also general debility "run down" conditions and General "overhaul") or Venereal Disease or intemperance or the use of intoxicating drugs or liquors or any diseases, injury, death or disablement directly or indirectly due to any one or more of them.
Subject otherwise to the terms, exceptions, conditions and limitations of the Policy.
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
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Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1 201021004
CHANDRA PRAKASH
NA STUDENT
42 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
2 201021009
CH V NARASIMHA RAO
NA STUDENT
48 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
3 201021010
DOSHI RAMESHKUMAR JASHVANTLAL
NA STUDENT
50 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
4 201021013
SONAM NAHAR NA STUDENT
29 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
5 201021015
DESAI NIKITA SUNIL NA STUDENT
34 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
6 201101149
GUPTA DEEP PINAKIN
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
7 201121001
SHAH JALPA BHARATKUMAR
NA STUDENT
35 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
8 201121003
MAULIK CHANDULAL MADHAVI
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
9 201121004
V. RAM NARESH KUMAR
NA STUDENT
34 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
10 201121007
NILESHKUMAR VAISHNAV
NA STUDENT
31 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
11 201121009
PATEL RASHMIT KUMAR
NA STUDENT
40 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
12 201121010
SANJAY KUMAR KASODNIYA
NA STUDENT
40 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
13 201121011
VASAVADA TEJAS MUKESHBHAI
NA STUDENT
34 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
14 201121013
SARITA AGRAWAL NA STUDENT
41 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
15 201121014
CHAUDHARI PAYAL DEVENDRABHAI
NA STUDENT
33 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
16 201121016
SHRISHAIL SHARAD GAJBHAR
NA STUDENT
29 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
17 201201003
MAKWANA HARSH DIPAKBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
18 201201040
AGRAWAL ANSUL NARAYANBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
19 201201049
HARDIK JAYESHKUMAR SONI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
20 201201052
ZALA ROHAN VASANTBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
21 201201066
ARCHIT MANISHKUMAR GAJJAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
22 201201089
CHIRAG SHAILESH CHANGRANI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
23 201201118
SOURABH MESHRAM
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
24 201201127
SIDDHARTH DALMIA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
5 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
25 201201128
DODIA ASHKA BHAGIRATH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
26 201201172
SHIVAM CHAUDHARY
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
27 201201174
TAPAN KUMAR NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
28 201201208
SHAH SHAUNAK MANOJ
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
29 201201211
ANKIT NAGARWAL NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
30 201201232
HIMANSHU DIXIT NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
31 201221001
MODHA SANDIP JAYANTILAL
NA STUDENT
35 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
32 201221002
PADIYA TRUPTI JAYANTILAL
NA STUDENT
34 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
33 201221003
TANVINA BHUPENDRABHAI PATEL
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
34 201221005
PATEL HARDIK NAYANKUMAR
NA STUDENT
30 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
35 201221007
KRISHNA GOPAL NA STUDENT
31 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
36 201221008
NUPUR JAIN NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
37 201221009
SHAH HIRAVKUMAR JAGATBHAI
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
38 201221013
VANDANA RAVINDRAN
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
39 201221014
DIXITA HASMUKHBHAI LIMBACHIYA
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
40 201221015
JADEJA MAHIPAL PRITHVISINH
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
41 201301001
SIMLAI SAMRIDDHI SHIBAJI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
42 201301002
PATEL HIMANSHU BALDEV BHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
43 201301003
BARKHA BHOJAK NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
44 201301005
DHOLAKIYA PRERAK NANDISH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
45 201301006
VIKANI BHAGYESH RAJNIKANT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
46 201301007
PANCHAL SAURABH RAJESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
47 201301008
PATEL YASH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
48 201301009
KALOLA VIVEKKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
49 201301010
SHAH RAJAT ASHWINBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
6 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
50 201301011
VYAS UTSAV NEHALBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
51 201301012
PATEL PARIN ALPESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
52 201301013
JASOLIYA HARSHKUMAR VINODBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
53 201301014
PATEL NAMAN SHASHIKANT
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
54 201301015
SHAH HEM RAJENDRAKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
55 201301016
KAMARIA SIDDHARTH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
56 201301017
PARIKH JINAL NITISHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
57 201301018
PATEL TEJ NAGINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
58 201301019
KALARIA PARTHKUMAR BHARATBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
59 201301020
VYAS KARAN PRAVINCHANDRA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
60 201301021
KEYA RAJUL MEHTA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
61 201301022
SHAH HARSHIL RAJESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
62 201301023
PATEL MANALI JITENDRABHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
63 201301024
BHAVSAR SHIVAM KAMLESHKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
64 201301025
NEHA AGARWAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
65 201301026
SHAH CHAITANYA MINESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
66 201301027
KOMAL JAIN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
67 201301028
ANURAG GUPTA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
68 201301029
JHALA HIMANJALI JAYDEEPSINH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
69 201301030
JHALA KULJEETSINH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
70 201301031
MANGROLIYA PARTH MANSUKHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
71 201301032
PARSANA DARSHAN ATULBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
72 201301033
RASHMI WILSON NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
73 201301034
SHAH DHRUMIL AJAYBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
7 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
74 201301035
PARIKH RUSHIN DEEPAK
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
75 201301036
ALAMURU NIHIT RAMIREDDY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
76 201301037
PARMAR NEEL HASMUKHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
77 201301038
DESAI DHWANIL SANJAYBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
78 201301039
SUVARIYA RAJ RAMNIKBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
79 201301040
PADALIYA PRIYESHKUMAR SHANTILAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
80 201301041
BHAYANI GAURAV POPATBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
81 201301042
SUKRITI JHINGTA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
82 201301043
SHREYANS PRADEEP GANDHI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
83 201301044
PANDIT NEEL RAKESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
84 201301045
SHAH VIRAJ PRADIPKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
85 201301046
JADAV KRUPAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
86 201301047
YASHWANT RAMESH KESWANI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
87 201301048
BERWANI MANISH MOHAN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
88 201301049
MARKANDEYA RIDDHESH SHRIKRISHNA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
89 201301050
DAXINI DHRUMAN MAHESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
90 201301051
GANDHI KUSH NITESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
91 201301053
PANDYA NIKUNJ NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
92 201301054
CHAVDA ANKUR ASHOKBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
93 201301055
SUTARIA AAYUSHI PANKAJ
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
94 201301057
BATHWAR VIRAJ RAJABHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
95 201301058
PARTH RAJENDRAKUMAR MODH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
96 201301059
TANK NISHANT HARESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
97 201301060
KEVAL HADIYA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
8 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
98 201301061
CHAUDHARI MOINAKHTAR ALIHUSEN
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
99 201301062
SHREYANSH PRAJAPATI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
100 201301063
AHIR KIRANKUMAR BACHUBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
101 201301065
GOSAI PRERNA PRAVINPARI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
102 201301066
EKTABEN DODIYA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
103 201301067
PANCHAL UMANG NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
104 201301068
HARIYANI JAY NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
105 201301069
CHAUDHARY YOGESHKUMAR HARIBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
106 201301070
BAKARANIYA DHARMIN BIPINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
107 201301071
PRAJAPATI MUKESH SURYNARAYAN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
108 201301072
CHAUDHARY MAULIK DALSANGBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
109 201301073
CHAUDHARI JAYKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
110 201301074
RAMANUJ CHINTAN SURESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
111 201301075
DUDHREJIYA AJAY DAYARAMBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
112 201301076
GOHIL MAULIK RAJENDRAKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
113 201301077
PARMAR PARESHKUMAR ARAJANBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
114 201301078
MODI MRUGESH KAMLESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
115 201301079
CHAUHAN DWIMITRA DHARMENDRA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
116 201301080
GAJJAR TIRTH JAGDISH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
117 201301081
SOLANKI GAURAVKUMAR NATVARSINH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
118 201301082
VEGAD JAHNAVI JAYANTIBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
119 201301083
JADAV HARSH MUKESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
120 201301084
PATEL NISARG KIRIT
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
9 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
121 201301085
CHAUHAN PARAG PUNJALAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
122 201301087
TARAL ANKITKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
123 201301089
PATEL AYUSH KAMLESH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
124 201301090
PARTH P CHAUDHARY
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
125 201301091
PATEL RISHITA PRASHANT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
126 201301092
PATEL DIGVIJAYKUMAR JUGALBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
127 201301094
SABUWALA MUSTUFA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
128 201301095
PATEL HARSHIT NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
129 201301096
VYAS NIDHI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
130 201301097
PATEL ANAND PRAVINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
131 201301098
PANCHAL PARTH DIXITBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
132 201301099
ANKIT K MUCHHALA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
133 201301100
SAUMYA BHADANI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
134 201301101
RAHUL SHASHANK SARANJAME
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
135 201301102
SISHTLA CHAITANYA PRASAD
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
136 201301103
PARSHWA BHAVESH MEHTA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
137 201301104
ROSHANI NARASIMHAN
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
138 201301105
MAHIMA TARAK PATEL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
139 201301106
TARUSHI BHATIA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
140 201301107
JAYA MUNDRA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
141 201301108
KRATI AGRAWAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
142 201301109
SHAH VAISHAV BHAVESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
143 201301110
ANSHUMAN AGARWAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
144 201301111
SAHIL JAIN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
145 201301112
ASHWIN KIRTANE NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
10 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
146 201301113
TEJASV GUPTA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
147 201301114
SHAH MALAV MITESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
148 201301115
YASH INDRAWAT NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
149 201301116
RUPANK BANSAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
150 201301117
GAURUV SINGH NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
151 201301118
RISHABH TRIVEDI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
152 201301119
PANDYA BHAVARTH BHAVINKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
153 201301120
KOMAL FALODIYA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
154 201301121
TANAY AGRAWAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
155 201301122
PRATYUSH REDDY PONAKA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
156 201301123
ANUBHAV JAIN NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
157 201301124
SANGEETA MEENA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
158 201301126
SHAH ALAY DIVYESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
159 201301127
KISHANBHAI BALDEVBHAI PUJARA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
160 201301128
KALLAM RAJIV REDDY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
161 201301129
SUBHODEEP MAJI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
162 201301130
BARUNI GOEL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
163 201301131
ROHAN AGARWAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
164 201301132
PATEL SNEH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
165 201301133
GAURAV BANSAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
166 201301134
SALONI JAIN NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
167 201301135
PATEL ZEEL PRAVINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
168 201301136
DEVESH SINGH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
169 201301137
ANKIT LAKRA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
170 201301138
RISHAB SINGLA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
11 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
171 201301139
PATTIPATI CHAREESH SAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
172 201301140
VELAGA RAMA KRISHNA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
173 201301141
KETAN MITTAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
174 201301142
BOPALIA MAULIK NARESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
175 201301143
TALLURI SAI SRUTHI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
176 201301144
TOOMKUNTA NITHIN KUMAR REDDY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
177 201301145
G OMKAR REDDY NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
178 201301146
MOHAMMAD SAIFUDDIN SAIFEE
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
179 201301147
VARUN SUNIL GARG NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
180 201301148
SHIVANG AGARWAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
181 201301149
DHRUV CHETANKUMAR SHAH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
182 201301150
RASHI JAIN NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
183 201301151
NIKHIL TEKWANI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
184 201301152
FATNANI VARUN KUMARBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
185 201301153
DHAVAL V VORA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
186 201301154
PARTH NIGAM NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
187 201301155
NIKITA JAIN NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
188 201301156
SMRUTI NIRAJKUMAR PARIKH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
189 201301157
VISHAL RATWANI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
190 201301158
GOLLA CHINNA SAI BHARATHI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
191 201301159
ABHISHEK JAIN NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
192 201301161
KUMAR DHWANIT NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
193 201301162
VELAGANDULA SHRAVANI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
194 201301163
SANKALP NIGAM NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
195 201301164
YASH BHIMARAO DESHMUKH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
12 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
196 201301165
PATEL ANUBEN JITENDRA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
197 201301166
VINAYAK DUBEY NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
198 201301167
KALAVADIA BHUMIKA ASHVIN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
199 201301168
KARRI KIRAN SATISH REDDY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
200 201301169
MAHIMA SOGANI NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
201 201301170
PATEL VISMAY DHIRAJBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
202 201301171
CHILLAKURU NIKHIL REDDY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
203 201301172
CHATURVEDULA SAI SRIKANTH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
204 201301174
M MEENAKSHI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
205 201301175
BATHULA AJAY RAJ NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
206 201301176
DHRUV BHUTANI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
207 201301177
ZARANA PARESHKUMAR PAREKH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
208 201301178
AVIRAL MITHAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
209 201301179
SAHIJWANI HARSHITA JAGDISH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
210 201301180
LADLA KARAN GIANO
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
211 201301181
PARCHURI MOURYA TEJA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
212 201301183
SARTHAK KHANDEKAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
213 201301184
NICCHANAMETLA ABHISHEK
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
214 201301185
STUTI MOHGAONKAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
215 201301186
RUCHI JAIN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
216 201301187
SHUBHRANSHU JHA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
217 201301188
MAVANI BHAUTIKKUMAR ANANDBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
218 201301189
KUSHAN JOSHI NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
219 201301191
GOPU ROSHINI REDDY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
220 201301192
YOGESH KUMAR NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
13 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
221 201301193
NIRJHAR BALA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
222 201301194
SUMIT SINGH NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
223 201301195
SHANKAR LAL PARMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
224 201301196
KUNDAN KUMAR ARYA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
225 201301197
DEEPALI VERMA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
226 201301198
ARAVIND KUMAR BAIRWA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
227 201301199
MAHIMA ACHHPAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
228 201301200
SHEFALI KASHYAP NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
229 201301202
RAMAN KUMAR DOUCHANIYA
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
230 201301204
RAHUL KUMAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
231 201301206
ISHITA CHOURASIA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
232 201301207
MRIDUL SINGH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
233 201301208
KARTIK SANKHLA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
234 201301209
RAJAT DHOOT NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
235 201301210
DILIP KUMAR MEENA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
236 201301211
UMANG ULIANA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
237 201301212
SAKSHI MANGAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
238 201301213
RATHOD RAHUL NAYAK
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
239 201301215
ROHIT MEENA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
240 201301216
MALLIPEDDI AKSHAY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
241 201301218
SUNEET MEENA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
242 201301223
PARNAVI CHETANBHAI SHAH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
243 201301224
SHEETAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
244 201301225
YASHODHAN MOHAN BHATNAGAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
245 201301226
MOHIT KAMAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
14 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
246 201301227
SHUBHAM CHATURVEDI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
247 201301228
SHUBAM SINGH JAMWAL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
248 201301229
PATEL RAJ NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
249 201301230
PATEL SHREYAS GAUTAMBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
250 201301231
SACHAPARA KIRTI RAMESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
251 201301232
PATEL KARANKUMAR JITENDRABHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
252 201301233
PATEL VIVEKKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
253 201301234
SHAH FORAM SANJAYBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
254 201301235
MAYATRA AKSHIN KAUSHIKBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
255 201301237
VAGHELA TAPASVI AJIT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
256 201301238
KAUSHAL JETHVA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
257 201301239
PANCHAL JINAL RAJENDRAKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
258 201301240
GOHIL JAY RITESH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
259 201301241
PARMAR MEET NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
260 201301242
PATEL MAUSAMEEBEN PARESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
261 201301401
ANTHONY MARKPIERCE
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
262 201301402
VARMA SUMEET BHARATBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
263 201301403
KANAKIA HITARTH MUKUNDRAY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
264 201301404
NIDHI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
265 201301405
JOSHI KANDARP RAJESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
266 201301406
KHYATI CHANDRASHEKHAR MAHAJAN
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
267 201301407
POPAT SMIT NATVARLAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
268 201301408
PATEL BHAVYABAHEN PRAVINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
269 201301409
PARMAR DIVYESH BHARATKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
15 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
270 201301410
SOKHADIA HARSHIL MAHENDRAKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
271 201301411
MODI UJASH DHARMENKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
272 201301412
TERAIYA VATSAL HITESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
273 201301413
GUJJAR TAPAN JAYESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
274 201301414
SUTHAR JAHNAVI LALITKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
275 201301415
PALASARA SHALIN HUSAINALI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
276 201301416
PATEL DHWANIL JAGDISHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
277 201301417
SHREYAS CHAUDHARY
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
278 201301419
THAKAR RAJ JAYRAJBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
279 201301422
KULDEEP PATEL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
280 201301423
SHETH DEVARSH KARTIK
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
281 201301424
KHANDERIA JAIMIN DINESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
282 201301427
PEESAPATI SRI VENKATASATYA ADITYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
283 201301428
SHARVI KALPESH TALATI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
284 201301429
SHALEEN KUMAR GUPTA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
285 201301430
ABHISHEK KAMLESHBHAI PARIKH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
286 201301431
RISHABH BHARDWAJ
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
287 201301432
MEHTA CHARMI KAMLESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
288 201301433
CHITTOORY NAGA PRADEET SWAMY
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
289 201301434
SONEJI ANANTA BALKRISHNA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
290 201301435
DEEKSHA KOUL NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
291 201301436
SHAH HENIL KETANBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
292 201301438
VISHARAD BANSAL NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
293 201301439
GANATRA PARTH VINOD
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
294 201301440
DESAI RAJ CHETANBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
16 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
295 201301441
GANDHI SHUCHIT VIPUL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
296 201301442
VARMA AKSHAR JAYANTH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
297 201301443
SHERYANSH JAIN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
298 201301444
ANKUL JAIN NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
299 201301445
MIHIR JOSHI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
300 201301446
PRASHANT RAJORIYA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
301 201301447
BHUPATHI VADHIR BABU
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
302 201301450
DUSHYANTKUMAR PARMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
303 201301452
SHRUTI SINGH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
304 201301453
PATEL KHUSHBU NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
305 201301454
JAY PRAVINKUMAR BHATT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
306 201301455
DADHANIYA DIPEN RAMNIKLAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
307 201301456
DESAI SAMARTH NISHITH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
308 201301457
GOHEL SACHIN VINODKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
309 201301458
SHETHNA PINAKINBHAI DHARMESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
310 201301459
GOHIL DEERGHA BATUKBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
311 201321002
SAILOR HARDIK BHUPENDRA
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
312 201321003
KAMAL MANHARLAL CAPTAIN
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
313 201321004
VINEET KUMAR DAD NA STUDENT
31 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
314 201321005
PARTH MEHTA NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
315 201321009
SHAH NIRMESH JAYESHKUMAR
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
316 201321010
KORINGA PURVI A. NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
317 201401001
MEHTA MEDHA RAJESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
318 201401002
PENUGONDA VINEETH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
319 201401003
SHARMA SMRITI MAN PRAKASH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
17 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
320 201401004
KOTHARI SAMARTH KETANKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
321 201401005
BALDHA PINAL VINODBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
322 201401006
DAIYA BRIJESH BHARAT
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
323 201401007
PIRATLA SHOURI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
324 201401008
AKSHAT DUA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
325 201401009
THAKKAR AADITYA RAJESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
326 201401010
MUTTINENI AAKASH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
327 201401011
KONICA TALLARI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
328 201401012
PATEL KISHAN PRAFULBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
329 201401013
KADAKIA URMIL VIPULBHAIL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
330 201401014
KEVIN VEGDA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
331 201401016
SHASHWAT MISHRA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
332 201401017
ABHINAV GADDE NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
333 201401018
SHAH RISHI DILPESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
334 201401019
CHAKKA THARUN NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
335 201401020
KENIL AMIT SHAH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
336 201401021
KORADIA AKASHKUMAR AMRUTLAL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
337 201401022
PANKAJ SIROHI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
338 201401023
DIVYA VERMA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
339 201401024
URVASHI BANTHIA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
340 201401025
SHILPI CHAUDHURI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
341 201401027
JADAV ROHAN DILIP NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
342 201401028
TANAY MADHUKAR BORKAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
343 201401029
SHAH AASKA JIGNESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
344 201401030
HARSHUL VAISHNAV
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
18 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
345 201401031
AGRAWAL AMAY AJAYKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
346 201401032
SARODE KARTIKEY SANJAY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
347 201401033
JOSHI TORAL JAYANTKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
348 201401034
GAJJAR ANIKET JAYESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
349 201401036
VASIREDDY V SAI TEJA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
350 201401037
SHINJINI GOSWAMI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
351 201401038
YASH KUMAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
352 201401039
RAHI UTPAL SHETH NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
353 201401040
SAI SWETHA PASAM NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
354 201401041
THAKKAR KARAN DEVIDAS
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
355 201401043
BHAWANA JALORIA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
356 201401045
ANAMIKA MODI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
357 201401046
SHIVANJALI S MEENA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
358 201401047
NACHIKET VIKRAM TRIVEDI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
359 201401048
EAGAPATI INDRANI CHOWDARY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
360 201401049
BHANDERI SHREYAS VELJIBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
361 201401051
TRAPASIYA MAULIK AMRUTLAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
362 201401052
SUDIPTA HALDAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
363 201401054
UDGIRKAR SANKET SHRIKANT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
364 201401055
KRITIKA SOMANI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
365 201401056
ANEREE MEHTA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
366 201401057
DHRUV SINGH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
367 201401058
PATEL ABHISHEK DIPAKBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
368 201401059
UDHANI JAYESH BHAGWANDAS
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
369 201401060
MAYANK KUMAR SAHLOT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
19 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
370 201401061
AKSHAY BHAGCHAND VIJAYVERGIA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
371 201401063
BHAGAT NIKITA RAJENBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
372 201401064
BALVINDER SINGH SETHI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
373 201401065
CHIMBILI SAI NEERAJ
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
374 201401066
ADARSH JAIN NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
375 201401067
KIKANI KARNAV MANISH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
376 201401068
SHUBHAM KHANDELWAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
377 201401069
VERTIKA K BINDAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
378 201401070
ANURAG VIJAY GUPTA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
379 201401072
NEELAMRAJU SRISAI KARTHIK
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
380 201401073
PITTA NANCY NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
381 201401074
RASHI GUPTA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
382 201401075
DEEPIT PATEL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
383 201401076
SHAH PARTH BHAVESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
384 201401077
GHADIA DIVYESH GIRDHARBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
385 201401078
AAYUSH DESHRAJ NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
386 201401079
SALONI DALAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
387 201401080
PATIL PRANAY KUMAR REDDY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
388 201401081
GEOLANGSAT NARZARY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
389 201401082
NADGERI ABHISHEK SANJEEV
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
390 201401083
TANGUDU SRIHITHA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
391 201401084
BASIREDDYGARI JAYANTHESWAR REDDY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
392 201401085
DARJI VAIDEHI PRAKASH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
393 201401086
JOGLEKAR ADITYA VAIBHAV
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
394 201401087
KATRAGADDA PAAVAN PRANEETH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
20 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
395 201401088
AKSHAY DHANANJAY BHAMARE
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
396 201401089
PARTH RATHOD NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
397 201401090
AVINASH CHAUDHARY
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
398 201401091
PATEL HETKUMAR SURESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
399 201401093
PADARTHY ABHISHANTH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
400 201401094
VIJAY KUMAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
401 201401095
ATRAYEE DEB NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
402 201401096
SHAH UMANG PANKAJKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
403 201401097
LAGADAPATI KRISHNA CHAITHVIKA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
404 201401098
ANUSHA PHADNIS NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
405 201401099
PATEL ABHISHEK JITENDRABHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
406 201401100
PARTH NITESH KANAKIYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
407 201401101
GAMITA BANAPHAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
408 201401102
JONNALAGADDA DHARANI CHOWDARY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
409 201401103
PINGE RAJDEEP SANTOSHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
410 201401104
SONAL DAMOR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
411 201401105
SHAH RUCHITA CHANDRESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
412 201401106
RUSHIKESH NALLA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
413 201401108
TIRTH CHETAN SHAH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
414 201401110
SHASHANK BISWAS NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
415 201401111
BHIMANI MILANKUMAR KANTILAL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
416 201401112
VINAY KUMAR MEENA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
417 201401113
BIRVA HEMEN PATEL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
418 201401114
DAMLE OMKAR VISHWESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
21 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
419 201401115
DEVANSHI BANSAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
420 201401116
JUGAL KALAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
421 201401117
URVASHI SINGH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
422 201401118
SIDDHARTH SINH M RANA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
423 201401119
DESAI BRIJ SURESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
424 201401120
BHUT HARSHIT ANILBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
425 201401121
NERURKAR NANDINI SUJIT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
426 201401122
ANCHIT DAVE NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
427 201401123
PAREKH KEVAL MAYUR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
428 201401124
NARMIT SWETAL MASHRUWALA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
429 201401125
PATEL PANTH PRANAVBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
430 201401126
GOPAL SHAH NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
431 201401127
KRISHANU KONAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
432 201401128
VANDIT DARSHAN MODI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
433 201401129
CHANDAK RUDRA CHAMANLAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
434 201401130
DATANI PIYUSH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
435 201401131
SUTHAR KUNAL VINAYKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
436 201401132
TRIVEDI JAY KETANKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
437 201401133
BHAVSAR ANUJKUMAR ASHOKKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
438 201401134
SARADAVA RAVIBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
439 201401135
DAVE MITHIL PARESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
440 201401136
KOSHIYAR DHRUV ASHOKBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
441 201401137
SAVALIYA MOHIT JAGDISHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
442 201401138
PRAJAPATI DHAVAL HARSHADBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
443 201401139
SARDHARA HARDIK NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
22 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
444 201401140
CHAUHAN PARTH ASHOKKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
445 201401141
SHRIMALI NILAY KANUBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
446 201401142
PARATE HITESHKUMAR PRABHAKARBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
447 201401143
PATEL AKSHAYKUMAR MAHESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
448 201401144
SHAH KISHAN VIJAYKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
449 201401145
PALADIYA KETAN HARIBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
450 201401146
CHAUDHARI PRASHANTKUMAR KIRANBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
451 201401147
PATEL VINAYKUMAR MERUBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
452 201401148
PATEL MITALI NARENDRABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
453 201401149
MEHUL N VASAVA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
454 201401152
DODIA DIMPLE MANOJBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
455 201401154
GUNDIGARA MIT JAYDEEPBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
456 201401155
SHETH VIRAJ APURVABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
457 201401156
PATEL YASH ATULKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
458 201401157
BORISAGAR PANAV ASHISHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
459 201401158
BORISAGAR PALLAV ASHISHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
460 201401159
KACHHIA RUCHI MILANBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
461 201401161
VALA SURJIT BAVKUBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
462 201401162
PANJWANI DHAVAL PRAKASH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
463 201401163
PIPALIYA RAJAN DINESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
464 201401164
TARUNKUMAR BARIA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
465 201401165
SHAH HARSHAL BHADRESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
466 201401166
PARMAR RAHUL DILIPBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
23 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
467 201401167
GHUSAR HARDIK NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
468 201401168
KACHA GAURAV NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
469 201401169
SHAH MILAP CHIRAG
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
470 201401170
LALAIYA MAYANK DINESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
471 201401171
DAVE HEET AMITKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
472 201401172
BHUSARA ARCHANAKUMAREE DINESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
473 201401173
DRASHTI BIPINCHANDRA BHARTI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
474 201401174
MEHTA SUPARSHVA RAKESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
475 201401175
PRATIHAR SAURAVKUMAR KIRANKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
476 201401176
DEVARSHI CHANDRAKANT KACHA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
477 201401177
VAGHELA PARTH DINESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
478 201401178
KACHARIYA JAYRAJ MAHESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
479 201401179
PATEL NIRAV KAMLESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
480 201401180
SHAH KELAY KANUBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
481 201401182
SINGAL KEYUR ANILKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
482 201401183
VAJA NISHANT DINESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
483 201401184
PATEL PARTH VIJAYKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
484 201401185
PATEL DIGMAKUMARI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
485 201401186
AKSHAT PATEL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
486 201401187
ARPIT PRAJAPATI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
487 201401189
LIMBADIYA MAULIK VAJUBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
488 201401190
RONAK CHANDRAKANT ODHAVIYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
489 201401191
PRATISH ANAND NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
24 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
490 201401192
PARMAR HIRAL UMAKANT
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
491 201401194
GAJJAR PRATIK MAHESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
492 201401195
CHAUDHARY AMITKUMAR DHAGALCHAND
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
493 201401199
AGARWAL RESHEIL SANJEEV
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
494 201401200
PIYUSHI PAWAN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
495 201401201
AYUSHI JAIN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
496 201401202
PRAJAPATI SMITKUMAR MAHENDRABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
497 201401204
GAJJAR MANAN BHARATBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
498 201401205
DALIA BHARGAV OJASKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
499 201401206
VAGHELA VIRALKUMAR CHANDRAKANTBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
500 201401207
ASHUTOSH ADHIKARI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
501 201401208
MALIK AASIM MOHMMODASFAK
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
502 201401210
SAPARIYA ABHI MUKESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
503 201401211
DIVECHA RUSHI ASHOKKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
504 201401212
KOSHIYA JAYMIL BHARATBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
505 201401213
PRAJAPATI KALPESH TULSHIBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
506 201401214
MANVA MOHIBAHEMAD ABDULMAZID
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
507 201401215
PATEL DHRUV PRAKASHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
508 201401216
VIMAL PRAJAPATI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
509 201401217
DALSANIYA VIVEKKUMAR SURESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
510 201401218
PARMAR VIKAS SURESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
511 201401219
AGRAWAL PRACHI RAJESH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
512 201401221
RAIYA DEEP KIRTIKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
25 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
513 201401222
PATEL VAIBHAVKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
514 201401223
NAYAK KUNTAL KETANKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
515 201401224
TRADA JASMIN KANTIBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
516 201401225
THAKKAR HARSH KIRITKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
517 201401226
SHAH DEVAM NRUPESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
518 201401227
CHHATRALA NISHIT ASHISHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
519 201401228
MANAN ASHISH KSHATRIYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
520 201401229
BODA NISHTHA AMRUTBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
521 201401230
ROHAN BANSAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
522 201401231
SHETH AKAR JAYESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
523 201401232
SORIYA MANTHAN NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
524 201401233
SHAH PARSHWA RAVINDRA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
525 201401234
PARTH VASAVA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
526 201401235
DIVYESHKUMAR SAVALIYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
527 201401236
PATEL MITESHKUMAR KIRTIKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
528 201401237
PATEL MITHIL PRAVINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
529 201401238
PATEL MEET SHAILESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
530 201401239
RAJDEV PARTH DINESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
531 201401240
PALOD PRACHI GHANSHYAM
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
532 201401241
SHAH JAY GAURANG
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
533 201401242
PATEL JAY SHAILESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
534 201401243
PATEL SAUMIL KAMLESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
535 201401244
PARIKH SAMARTH SANJAY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
536 201401245
SHAH SAURABH VINAY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
537 201401246
PATEL DVIJESH NANDLAL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
26 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
538 201401247
PARMAR DHAVAL JAGDISHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
539 201401401
ADITYA RAJ NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
540 201401402
GOHEL KUNAL KAMLESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
541 201401403
AARUSHI ILESH SANGHANI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
542 201401404
VIRENDRA PRATAP NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
543 201401405
LALCHETA NIHAR SHARADBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
544 201401406
SHAH JINESH JAYESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
545 201401407
KAPADIA AAYUSH SHRIKANT
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
546 201401408
KEVAL DHRUVESHKUMAR SHAH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
547 201401409
TANMAY BHUPESH PATEL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
548 201401410
SINGULUR SURYA VAMSI GOWTAM
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
549 201401411
SYED MOHAMMAD FUZAIL AHAMED
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
550 201401412
PARVATANENI MANASA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
551 201401413
K.KAMALESH NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
552 201401414
VYAS MAHARSHI DIPAKKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
553 201401415
HARSH DILIPKUMAR GAGLANI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
554 201401416
BHAVYA MITESH MEHTA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
555 201401417
SHAH PURVIK HITESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
556 201401418
DHRUV NARESHBHAI SACHDEV
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
557 201401420
ADITYA VYAS NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
558 201401421
MANKAD NIRVISHA PIYUSH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
559 201401422
SNEHA MANDAN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
560 201401423
SURBHIT RAO NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
561 201401424
CHAUDHARI HARSH SHANKAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
562 201401425
NAIK TWISHA GAURANG
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
27 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
563 201401426
PREETI MINJ NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
564 201401427
HARSH VARDHAN HYANKEY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
565 201401428
MALVIKA SINGH NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
566 201401429
PANDYA SHAIRIL BHAVINKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
567 201401431
CHANDWANI KHUSHBOO MUKESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
568 201401432
PATEL ABHIJIT SUNIL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
569 201401433
DALAL AALISHA PRANAV
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
570 201401434
PRAJAPATI BIREN GANPATBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
571 201401435
MODI AKASH MUKESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
572 201401436
JARIWALA SAUMYA NIRAV
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
573 201401437
SHAH ABHI DHARMESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
574 201401438
GANDHI ADWAIT ALKESH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
575 201401439
ANISHI MEHTA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
576 201401440
DANGAR MAYURKUMAR VINUBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
577 201401442
SHAH KARTIK PARESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
578 201401443
AKSHAY MITERANI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
579 201401444
THAKKAR VATSAL JAYESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
580 201401446
GELAT HARSHIT NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
581 201401447
CHANGELA ISHAN NARENDRABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
582 201401448
NARIA MIT JAYANTIBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
583 201401449
GANDHI PARTHKUMAR ANILKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
584 201401450
SHAH RAJ KETAN NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
585 201401451
DEVANSH ASHWINKUMAR GOHIL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
586 201401452
GHETIA KISHAN BIPINBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
28 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
587 201401453
CHAUDHARI APURV JAYANTBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
588 201401455
VIRAL PANDEY NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
589 201401456
LIMBACHIA MIHIR NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
590 201401457
CHAUDHARI UTTAMKUMAR SHANKARBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
591 201401459
DETROJA MAYUR NILESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
592 201401461
VAGHELA RONAKSINH RAMSINH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
593 201411014
SHAH KUSHAN RAJNIKANT
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
594 201411052
ABHAY SINGH NA STUDENT
34 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
595 201412088
RANA DHARABEN KAMLESHKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
596 201412090
SHIKHA SANADHYA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
597 201421001
ARCHANA NIGAM NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
598 201421002
SUMUKH BANSAL NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
599 201421003
PATEL NIKITABEN RATILAL
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
600 201421004
HARDIK GAJERA NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
601 201421005
DESAI NIDHI NITINBHAI
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
602 201421006
RAHUL VASHISTH NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
603 201501001
PATELIYA JEETESHKUMAR RAMANBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
604 201501002
PARV CHADHA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
605 201501003
HIMANSHU CHANDAK
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
606 201501004
AASHINI NILESHKUMAR SONI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
607 201501005
AMARNATH KARTHI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
608 201501006
SOUMYA AGRAWAL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
609 201501007
AGRAWAL ABHISHEK MANOJ
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
610 201501008
RAVIRAM MAMIDI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
29 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
611 201501009
PRAKHAR ANANYA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
612 201501010
ISAAC MALSAWMA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
613 201501011
KUNAL NIRAV KHATRI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
614 201501012
KEYA DESAI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
615 201501013
KOLI POOJA TUKARAM
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
616 201501014
NIKITA VERMA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
617 201501015
PATEL PARTH HITENDRAKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
618 201501016
SALONI MUNDRA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
619 201501017
PATEL RAHUL HASMUKHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
620 201501018
VARIA NEELANSHI ATUL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
621 201501019
RAGHAV AGARWAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
622 201501020
SHUBHAM D ANNADATE
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
623 201501021
ROSHAN ASHOKBHAI SHAH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
624 201501022
SHETH RUTVIK LALITKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
625 201501023
PATEL DEV NARENDRAKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
626 201501024
PARAMJEET SUNIL DESAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
627 201501025
SHUBHAM SONKAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
628 201501026
SHUBHAM S MEENA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
629 201501027
PRASHIK NAGRALE NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
630 201501028
BHANSALI YASH GAURANGBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
631 201501029
VANAMALA VYSHNAVI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
632 201501030
PUROHIT DEVANSH NARESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
633 201501031
SHAH MIHIR BIRENDRAKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
634 201501032
DIVYANSHU SINGH NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
635 201501033
DAVAWALA NIDHI DEVANG
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
30 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
636 201501034
HARDIK BANSAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
637 201501035
PATEL HARSH ALPESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
638 201501036
SHAH DHAIRYA MUKESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
639 201501037
GOSWAMI JAY SURESHGIRI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
640 201501038
DOBARIYA HARDIK PARESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
641 201501039
MEENA ABHISHEK HARI SHANKAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
642 201501040
MAYANK NAHAR NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
643 201501041
VIDISH PANKAJKUMAR TRIVEDI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
644 201501042
VINEETA MEENA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
645 201501043
R P KOUSHIK NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
646 201501044
PRAKRUTI HASIT JOSHI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
647 201501045
PATEL SHREEMAD SANSKAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
648 201501046
PATEL YASH MANHARBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
649 201501047
JAYANTHI ARAVIND NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
650 201501048
SHIWANGI KASHYAP
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
651 201501049
SHUBHAM ATRI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
652 201501050
CHAUDHARY KEYURKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
653 201501051
RAMAVATH SASANK RATHOD
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
654 201501052
BAROCHIYA DHRUV DILIPBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
655 201501053
KHATNANI BHAVESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
656 201501054
RATHOD MIHIRBHAI MANSUKHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
657 201501055
SAI ANISH GARAPATI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
658 201501056
DOSHI NIRAV JAYANTILAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
659 201501057
DHANVANTHRI KUMAR AGARWAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
660 201501058
PATEL RAVIBHAI BHARATBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
31 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
661 201501059
SHAH FENIL MUKESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
662 201501060
VIDHI SHAILESHBHAI KATKORIA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
663 201501061
MAVURAPU UMESH REDDY
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
664 201501062
BHATT RISHIKESH JAYESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
665 201501063
VIKANI PREMANG BHARATBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
666 201501065
GUNDAPANENI LOHITA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
667 201501066
CHINTALAPATI VENKATA RAMA RAHUL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
668 201501067
UPPU KAAVYA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
669 201501068
RAM NIRBHAY JESABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
670 201501069
KASHISH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
671 201501070
RISHAB ARORA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
672 201501071
SHAH JAY NILESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
673 201501072
SOLANKI SHARVIL ATULBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
674 201501073
SHAH MALHAR BHARAT
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
675 201501074
RAJAT GARG NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
676 201501075
ASHUTOSH MAHESHWARI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
677 201501076
DHOLAKIA NINAD SHIRISHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
678 201501077
PATEL DARSHAN BHARATKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
679 201501078
KUNJAL RUPALA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
680 201501079
ANUPRIYA JAJU NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
681 201501080
JADAV HARDIK PRAVINBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
682 201501081
SHAH MEGH RAJESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
683 201501082
NASIT SAMARTH GORDHANBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
684 201501083
RUTVIK SHAH NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
685 201501085
AKSHIT SONI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
32 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
686 201501086
LILA DHAVALKUMAR JAYANTILAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
687 201501087
BHUVA JAYKUMAR ANILKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
688 201501088
ETTA SRI POOJITHA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
689 201501089
SANGHANI ANILKUMAR GOPALBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
690 201501090
PIYUSH AJMERIA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
691 201501091
DHOLIYA DHUMIL ASHOK
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
692 201501092
CHIRANG MALVIYA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
693 201501093
GOTI MEET RAJENDRAKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
694 201501095
DIVYANSHU SHEKHAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
695 201501096
PATEL SHASHANK NARESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
696 201501097
KRITI UPADHYAY NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
697 201501098
THAKRANI POOJA AMRUTLAL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
698 201501099
AGAM ALKESHKUMAR SHAH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
699 201501100
AMIN MEET ANILKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
700 201501101
HARSH VYAS NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
701 201501102
SAKET JAJOO NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
702 201501103
HITESH KAUSHIK KORABATHINA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
703 201501104
KALANGI SRAVANI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
704 201501105
SAINI KARAN RAJSINGH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
705 201501107
SHRIMALI JAY NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
706 201501108
SOLANKI DIVYAKUMAR BIPINKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
707 201501109
MADHURYA SANKHLA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
708 201501110
MISTRY DARREN JAYKANT
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
709 201501111
MITESH KAPASIA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
33 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
710 201501112
SAKSHI SHARMA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
711 201501113
SHAH SHREY MANISHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
712 201501114
VAGHELA BHARAT JETHALAL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
713 201501115
MAKWANA VIRAJ NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
714 201501116
VADALIYA KARN KAUSHIK
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
715 201501117
GANATRA HARMISH SANDIPBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
716 201501118
KAUSHIK P MAKWANA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
717 201501119
PATIL TEJASKUMAR RAVINDRA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
718 201501120
ETTA MADHUMITHA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
719 201501121
ANDHARIA DHAVAL KALPESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
720 201501122
HIMANSHU GUPTA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
721 201501123
ASHRAY BHARAMBE
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
722 201501124
SHUBHANGI MEHROTRA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
723 201501125
PATEL POOJA KALPESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
724 201501126
ATKURI SRI DUTTA SAI SANDEEP
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
725 201501127
GAJERA MIHIR HASMUKHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
726 201501128
SHIRISH JAIN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
727 201501129
PRATIK N WANKHEDE
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
728 201501130
RAVAL PARTH SANJAYBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
729 201501131
ADITI SOGRA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
730 201501132
SHAH MAULI NILESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
731 201501133
MEHTA AAGAM PARESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
732 201501134
NISARG PATEL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
733 201501135
GADHVI VEDANT NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
734 201501136
MEHTA YASH DIPAK NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
34 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
735 201501137
RATHOD KAUSTUK AJAYBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
736 201501138
PRIYANKKUMAR PRAJAPATI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
737 201501139
AGRAWAL AAYUSH KAILASH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
738 201501140
MACHIRAJU UNNATHI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
739 201501141
ENGINEER TIRTH JIGNESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
740 201501142
SHAH LABDHI JIGNESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
741 201501143
ONKAR PANDIT NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
742 201501144
KHOKHAR SOHIL ABDULRASID
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
743 201501145
CHANDNANI CHIRAG KHUSHIRAM
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
744 201501146
AKSHAY MARU NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
745 201501147
PATEL KISHANKUMAR HASMUKHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
746 201501148
RATHOD ANKITKUMAR DHIRAJLAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
747 201501149
PANCHAL UMANG HASMUKHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
748 201501150
SAJAL TIWARI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
749 201501151
VIKASH KUMAR NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
750 201501152
MUKUL JOSHI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
751 201501153
TIWARI RAVIKUMAR VYAS
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
752 201501154
RIYA TALWAR NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
753 201501155
AASHAY BINAYKIA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
754 201501156
VAISHNAV ASHISH ANIRUDHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
755 201501157
PATEL NIKISHA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
756 201501158
BRINDA JENA NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
757 201501159
KIRTANKUMAR A PATEL
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
758 201501160
SIDDHARTH MISHRA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
35 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
759 201501163
CHINMAY V GAMETI NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
760 201501164
PATEL DHVANI PRASHANT
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
761 201501165
AJAYKUMAR SHAMLA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
762 201501166
NEHALKUMAR VASAVA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
763 201501171
RAJ AJITKUMAR GAMIT
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
764 201501172
CHAUDHARI DVEEP PARESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
765 201501173
GAMIT DEEP KANALAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
766 201501174
KARTIK MUDGAL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
767 201501175
PATEL MAULIK BHARATKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
768 201501176
SHAH HET PRASHANTBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
769 201501177
DODIA NAITIK NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
770 201501178
BHAGYASHREE SOLANKI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
771 201501179
SHAH ADIT JAYESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
772 201501180
KRUTI VYOMESH SHETH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
773 201501181
PRIYAM MALAYKUMAR VORA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
774 201501182
LUKHI DRASHTI DHIRAJLAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
775 201501183
AMAN VANGANI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
776 201501184
HEMIL HASMUKHBHAI JAIN
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
777 201501185
SHAH MEET DIMPLEKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
778 201501186
PATEL JAY RASIKBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
779 201501187
KAPADIA AASHKA BHADRESH KUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
780 201501188
PRAJAPATI DHAVALKUMAR GOVINDBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
781 201501189
PATEL NIRMAL JAGDISHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
782 201501190
VORA DARSHIT GIRISHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
783 201501191
MAKWANA HARSH JAYVEERBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
36 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
784 201501192
PARMAR MIHIR NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
785 201501193
BAMBHANIA PRATIK JAYANTI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
786 201501194
NAIK DHAIWAT NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
787 201501195
CHAUHAN HIRENKUMAR JITENDRA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
788 201501196
DARJI CHIRAG BHAVESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
789 201501197
MODI SMIT JIGNESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
790 201501198
PRAJAPATI PRATIK ARVINDBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
791 201501199
MODI TAPAN RAJNIKANT
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
792 201501200
SACHIN CHAUHAN NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
793 201501201
GOHIL AJAY ASHOKKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
794 201501203
SHUKLA ADARSH DWARIKANATH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
795 201501204
MISTRY KHUSHIL BHADRESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
796 201501205
PATEL SKENY SATISHCHANDRA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
797 201501206
CHAUHAN YAGNESH SURESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
798 201501207
GOHIL AVANIBEN ASHOKKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
799 201501208
VRAJ JITENDRA MEHTA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
800 201501209
CHAUDHARI PRIYANGIKUMARI KALPESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
801 201501210
BHAT KOPAL VIR KUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
802 201501211
PRAJAPATI PARTH RAMESHCHANDRA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
803 201501212
GAJJAR AKASHKUMAR ASHOKBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
804 201501213
PRAJAPATI JEELKUMAR MAHENDRABHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
805 201501214
DARJI ATMAN JAYESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
806 201501215
VADHAIYA NIRAJKUMAR SURESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
37 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
807 201501216
DARJI JAYMINKUMAR NAVINBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
808 201501217
APPURVA MURAWAT
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
809 201501218
HIMANSHU AGARWAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
810 201501219
PATEL KAUSHAL PANKAJKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
811 201501220
DOSHI SAVAN DIXESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
812 201501221
KALYANI RISHABH SANJAYKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
813 201501223
MEGHPARA RAJKUMAR PRAVINBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
814 201501224
SHAH ROMIL RAJESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
815 201501225
OZA DHRUMIL UMESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
816 201501226
PATEL NILKUMAR BABUBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
817 201501227
PATEL AMAN MUKESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
818 201501228
KAHODARIYA MAHARSHI MAHESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
819 201501229
DOSHI PARTH NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
820 201501230
PATEL PRITHVI VIJAYKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
821 201501231
PATEL HELLY JIGNESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
822 201501232
SHAH ANURAG AJAYKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
823 201501233
TAPODHAN KIRTI DINESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
824 201501234
PATEL KAVAN NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
825 201501235
JEEL SANTOKI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
826 201501236
ARNAV KAUSHIK SHARMA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
827 201501237
DARSH BHARAT VAJARIA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
828 201501238
PATEL BRIJESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
829 201501240
BHUPTANI DHRUVIL MITESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
830 201501241
KASUNDRA TEJAS RAJESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
38 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
831 201501242
KAVAR RUSHIKESH PRAFULBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
832 201501243
GOSALIYA KAJAL PARESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
833 201501244
PATEL RUTUL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
834 201501245
PATEL KADAMKUMAR BHARATBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
835 201501246
PATEL MANTHAN DILIPBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
836 201501247
LAD GAURAVKUMAR JAYESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
837 201501248
KAYASTHA PRATIK JAYESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
838 201501249
SUTHAR PRIYAM DIPAKBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
839 201501250
PATEL KUSH DIPESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
840 201501251
MIT SWAMI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
841 201501401
JIVANI KARAN PRAFULBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
842 201501402
BHORANIYA EKTA NITINBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
843 201501403
BHATT UJAVAL GUNVANTBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
844 201501404
VINEET MEHTA NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
845 201501405
VASOYA HARSH DINESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
846 201501406
UNNATI PARESHBHAI PAREKH
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
847 201501407
SAVALIYA SAGARKUMAR NAVNITBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
848 201501408
RAJ ASHOKBHAI JAKASANIYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
849 201501409
THESIYA KISHAN MOHANBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
850 201501410
PATEL SMIT JASHVANTBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
851 201501411
JOSHI RUTVIK BHARATKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
852 201501412
MANVAR KRISHNA ARVINDBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
853 201501413
KOTHARI YASH SANJAYBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
854 201501414
PATEL GAURANG SURESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
39 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
855 201501415
DOSHI SAUMYA PARESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
856 201501416
HASNAIN AKIL GANDHI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
857 201501417
RAMRAKHIA YASH RAJENDRA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
858 201501418
MAKADIYA SAVAN MAHESHBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
859 201501419
KAKKAD ABHIN KETAN
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
860 201501420
MEHTA MANTHAN DHARMESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
861 201501421
GOYAL VISHAL NARENDRABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
862 201501422
MEHTA CHAHAK PARAS
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
863 201501423
SWASTIKA SATISH NAYAK
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
864 201501424
PATEL ANERI ASHISH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
865 201501425
DARSHAN Y MAKWANA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
866 201501426
CHAVDA JAKSHIL DHIRUBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
867 201501427
PARMAR EKTA PANKAJBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
868 201501428
MAHESHWARI ROHAN PREMJI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
869 201501429
PARMAR VYOM JAYSUKHLAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
870 201501430
PRAJEET THAKUR NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
871 201501431
AKRITI THAKUR NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
872 201501432
MAKWANA BHARGAV MAHESHKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
873 201501433
SUBHANIYA AYUB ANWER
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
874 201501434
SISODIYA SIDDHARAJ SADURBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
875 201501435
CHAUDHARY MAULIKKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
876 201501436
KALASWA RAJDEEPKUMAR CHANDULAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
877 201501437
SELOT PRIYANSHIBEN
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
878 201501438
PATEL HIRAL ASHVINKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
40 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
879 201501439
KARNAVAT PRADIPKUMAR MAHESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
880 201501440
THAKKAR SMIT RAJESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
881 201501441
THAKKER DHRUV VIKRAM
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
882 201501442
JOSHI ISHANI BHASKARBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
883 201501443
PATEL UTSAV PRAHLADBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
884 201501444
RAYVADERA MEET HITESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
885 201501445
PARMAR UMANG JASHVANTBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
886 201501446
MASTER KARAN RAJENDRABHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
887 201501447
MORI ABHIJITSINH SHAILESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
888 201501448
PRAJAPATI KAVI YAGNESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
889 201501449
GANDHI DHARMIL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
890 201501450
SHINGALA VISHALKUMAR BABUBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
891 201501452
PATEL DHRUV MAHESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
892 201501453
PATEL TIRTH JITENDRA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
893 201501454
ANUSHRUTI PANDEY
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
894 201501456
DHARAK CHANDUBHAI GAMETI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
895 201501457
GAMIT PROMIL LAXMANBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
896 201501458
UPADHYAY UMANGBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
897 201501459
PATEL LUV DIPESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
898 201501460
CHAUDHARY VISHNUKUMAR BHARMALBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
899 201501461
KHODIFAD HARSHAL VALLABHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
900 201511001
PEDHADIYA NIRAVKUMAR SURESHBHAI
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
901 201511002
DESAI MEET NITIN NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
41 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
902 201511003
PATEL VISMAY NAVINKUMAR
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
903 201511004
SHARMA AYUSHI RAMPRAKASH
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
904 201511005
SHAH AKASH PRAVINCHANDRA
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
905 201511006
MISHRA AJAY SURENDRA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
906 201511007
DHOLARIYA PANKAJKUMAR VRAJLAL
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
907 201511008
SEKSARIA KHUSHBOO SURYAKANT
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
908 201511009
HARSHIT BHATNAGAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
909 201511010
TRIVEDI SHAILI NARESHKUMAR
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
910 201511011
BADGUJAR JIGNESH SANTOSHBHAI
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
911 201511012
AGRAWAL JATIN BHARAT
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
912 201511013
TUSHIN SHROTRIYA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
913 201511014
HARSHIT PRATIK NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
914 201511015
JAINIKKUMAR PRAVINCHANDRA RANPURA
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
915 201511016
POPAT NIRALI DINESHBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
916 201511017
RAJPUT PRUTHVISH RAJESH
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
917 201511018
SHIHORA RUTVI NAYANKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
918 201511019
KARAVADRA RAJU DUDA
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
919 201511020
KADIYA BHAUMIK ASHWINKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
920 201511021
MANSI SINGH NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
921 201511023
NEELASHA SEN NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
922 201511024
K. HEMANTHA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
923 201511025
CHRISTIAN RUZVELT RAMESHBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
924 201511026
TANDEL DEEP ISHVARBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
42 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
925 201511027
BATAVIA DARSHAN NARESH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
926 201511028
MULLA ZUBAIN CHANDSAHEB
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
927 201511029
ANUBHA JAIN NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
928 201511030
MARAL VISHAL RANGNATH
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
929 201511031
APEKSHA JAGDISHBHAI NAIK
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
930 201511032
DHARMESHKUMAR MAHESHCHANDRA AGRAWAL
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
931 201511033
DHAVAL PATEL NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
932 201511034
RATHOD SAMKIT DINESHBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
933 201511035
PRIYANKA SHARMA NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
934 201511036
RISHABH AGARWAL NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
935 201511037
BHANUSHALI ARTIBEN KAMLESHKUMAR
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
936 201511038
POOJA TIWARI NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
937 201511039
SAYAN CHAKRABORTY
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
938 201511040
SADHWANI JAY DILIPKUMAR
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
939 201511042
SAURABH TYAGI NA STUDENT
35 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
940 201511043
MAYANK DUBEY NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
941 201511044
ANKIT PALIWAL NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
942 201511045
PRADIP TILALA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
943 201511047
DIGANT DILIPBHAI DOSHI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
944 201511049
SURABHI JAIN NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
945 201511050
MANGUKIYA CHIRAGKUMAR PRAVINBHAI
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
946 201511051
KAMLESH KARKI NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
947 201511052
VINAY LATA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
948 201511053
LATHIYA MAYUR NAROTTAMBHAI
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
43 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
949 201511054
RISHABH TAK NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
950 201511055
SATYAM SATYAJEET
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
951 201511056
KOTAK NISHITH ASHOKKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
952 201511057
DAVE KEVAL NARAYANBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
953 201511058
SHRUTI RAJENDRAKUMAR NAIK
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
954 201511059
THAKKAR SHAIVAL YOGESH
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
955 201511060
DHWANI D PATEL NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
956 201511061
HEMANT KAUSHIK NA STUDENT
29 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
957 201511062
LANKA MOHAN NA STUDENT
33 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
958 201512001
KHEDKAR KAPIL DINESH
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
959 201512002
RAUT PRIYANKA MOHAN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
960 201512003
RUTUL MANGESHBHAI THAKKAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
961 201512004
SHAH SAGAR MUKESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
962 201512005
SUNIL SURESH CHAWLA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
963 201512006
SANGHAVI CHINTAN CHANDRAKANT
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
964 201512007
PADHYA DARSHIT BHAVESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
965 201512008
VIRANI JITENDRAKUMAR BAVACHANDBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
966 201512009
BUHA SAGARKUMAR RAMJIBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
967 201512010
PATEL SAVANKUMAR ARVINDBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
968 201512011
SAXENA TIKSHA PRADIPKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
969 201512013
FANSE ANUSHKA APURVA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
970 201512014
PATEL DHYAN CHANDULAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
971 201512015
KUKAWALA MOHINI RAMKRISHNA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
44 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
972 201512016
CHHABRA JASPREET KAUR HARVINDER
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
973 201512017
GANDHI VISHAL KANAIYABHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
974 201512018
FATEMA M K NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
975 201512019
TANVI SAXENA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
976 201512020
PARASIA BHARAT AMRUTBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
977 201512021
PATEL VISHAL YOGESHKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
978 201512022
MISTRY AKSHAR PARESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
979 201512023
BINU FRANCIS JOSEPH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
980 201512024
BATHIA YASH VIMALBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
981 201512025
SHAH MANSI MUKESHBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
982 201512026
DESAI MITULKUMAR BHUPATBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
983 201512027
PRAJAPATI DEEPAK TARAJI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
984 201512028
BHATT URMIL NIKUNJKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
985 201512029
PRACHI NARENDRA MODI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
986 201512030
PATEL HERAT BABUBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
987 201512031
MAJMUDAR GAURAV VINAY
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
988 201512032
AKSHAY JAIN NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
989 201512033
SINGHAL SANCHI MUKESH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
990 201512034
BHAVESH GOYAL NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
991 201512036
GEETIKA SHARMA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
992 201512037
MEHTA DHRUVA PULKESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
993 201512038
RAMNANI NITIN GOPALDAS
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
994 201512039
JANI VIRAL KAMLESHKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
995 201512040
AKASH GOSALIA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
996 201512041
JUHI PURSWANI NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
45 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
997 201512042
SHAH KUSH RAJESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
998 201512043
RITU GARG NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
999 201512044
JAIN ADITI RAJENDRA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1000 201512045
DESAI SHIVANI JANAKBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1001 201512046
VEJANI UTSAV MANISH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1002 201512047
SHIVANGINI KOTIYAL
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1003 201512048
DESAI SHWET ANANTBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1004 201512049
SHAH VISMAY KETANBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1005 201512050
CONTRACTOR GOPAL BHUPENDRABHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1006 201512051
LAKKAD PRITESHKUMAR PRABHUDASBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1007 201512052
MEHTA JAINAM NILESHBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1008 201512053
VORA TEJAS BHARATKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1009 201512055
LATHIYA ANKURKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1010 201512057
GUPTA SHUBHAM CHHOTELAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1011 201512058
KANANI KARAN YASHWANTKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1012 201512059
KUNDNANI PIYUSH JAIDEV
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1013 201512060
GOSALIYA KAUSHAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1014 201512061
AGGARWAL INDU BAJRANGLAL
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1015 201512062
BOHRA HARDIK UTTAMKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1016 201512063
MAYANK LADDHA NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1017 201512064
LAKHENDER SINGH NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1018 201512065
GADHVI JANKIBEN RAMESH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1019 201512066
SHIVENDRA PRATAP
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1020 201512067
SHAH HARSHIT PRADIPKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1021 201512068
LAKHWANI JITESH DILIP
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
46 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1022 201512069
AMI JAYESHKUMAR THAKKAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1023 201512070
BAMBHANIA ANAND MAHENDRABHAI
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1024 201512071
DASWANI PRATHAM DEEPAKKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1025 201512072
PALASH KHANDELWAL
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1026 201512073
RADADIYA ARTI GOGANBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1027 201512074
RAM KRISHAN SHARMA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1028 201512075
SAXENA ADITYA MANOJKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1029 201512076
JOSHI JAGRUTI ANANDBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1030 201512077
WATWANI KHUSHBU JAIKISHIN
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1031 201512078
SHAH SARTHAK HIMANSHUBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1032 201512079
SONPARATE KRUNAL PRAKASHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1033 201512080
JETANI RAVIBHAI MANJIBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1034 201512081
MEHTA HEMANG DILIPKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1035 201512082
SHRADDHA RANPURWALA
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1036 201512083
CHAUHAN SHREYABEN GOVINDBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1037 201512084
THAKKAR HARDIK RAJANIKANTBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1038 201512085
PATEL PRATIKKUMAR BABUBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1039 201512086
MEMON JABBAR RAZAKBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1040 201512087
ANSARI TANVIRAEHMAD AKILAEHMAD
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1041 201512088
CHOUDHARY MANOJ DEVARAM
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1042 201512089
PATEL DISHANT MUKESHBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1043 201512090
VANSADIA PRIYANKAKUMARI PRAVINSINH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1044 201512092
NATHWANI KHUSHBOO HARESHKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
47 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1045 201512093
SHAH SHIVANI NILESHKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1046 201512094
SHAH DHRUVI MEHULBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1047 201513001
TRIVEDI DRASHTI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1048 201513002
SHAH SNEHA KANAIYALAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1049 201513003
KARNAVAT DILIP KARSANBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1050 201513004
ASHISH AGARWAL NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1051 201513005
RITESH UPADHYAY NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1052 201513009
PATEL ASHVINIBEN KANUBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1053 201513010
HIMANSHU CHOUBISA
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1054 201514001
SAURAV SHARMA NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1055 201514002
KAVTHEKAR PRAJAKTA UDAY
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1056 201514003
DESAI RIDDHI DEVANGKUMAR
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1057 201514004
KUNAL GUPTA NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1058 201514005
KRINA PRAJAPATI NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1059 201514006
SHYAM ATTREYA NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1060 201514007
AKANKSHA GUPTA NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1061 201514008
VANSHIKA ARORA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1062 201514009
ASHITA JAIN NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1063 201521001
CHAUDHARY PANKAJ PRABHUBHAI
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1064 201521002
RAHUL MANE NA STUDENT
33 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1065 201521003
SUJATA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1066 201521004
SANKHAVARA JAINISHA
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1067 201521005
KAMBLE MADHU RAYAPPA
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1068 201521006
RISHIKANT RAJDEEPAK
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1069 201521007
MADHULIKA AGRAWAL
NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
48 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1070 201521008
PATEL PURVIBEN JAYPRAKASH
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1071 201521009
SHAIKH MOHAMMEDSAYEEMUDDIN KALIMUDDIN
NA STUDENT
38 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1072 201521010
DOMADIYA PRASHANT MANSHUKHBHAI
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1073 201521011
PATEL JIGNESH RAMESHCHANDRA
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1074 201521012
PATEL MAYANKKUMAR LALABHAI
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1075 201521013
ANJALI DIWAN NA STUDENT
39 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1076 201601001
SHIVANI BHANDARI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1077 201601002
SHETH VISHWA VILPESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1078 201601003
VIDHIN HITESH PARMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1079 201601004
ADARSH MISRA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1080 201601005
RAVAL DEVARSHI JAGATKISHORE
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1081 201601006
SWAPNIL DHIMMAR NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1082 201601007
PONAKA PRAYAG REDDY
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1083 201601008
BHUMITRA SAHWAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1084 201601009
TIRTH BHAVESHBHAI SHAH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1085 201601010
PATEL JAINUL SURESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1086 201601011
SHAH DHRUVIL MANISH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1087 201601012
AJINKYA JEETENDRA MATSAWAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1088 201601013
PATEL SMIT BHAVESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1089 201601014
JOSHI SHIVANG GIRISHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1090 201601015
SHREYA SANJAYKUMAR SAGAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1091 201601016
SASTRY SRIKUMAR NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
49 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1092 201601017
BADIYANI GAURANG KAMLESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1093 201601018
PATEL RIDDHI DIPAKBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1094 201601019
SHETH PARITA MANOJBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1095 201601020
PRAPTI TRIVEDI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1096 201601021
JANI VISHVESH MUKESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1097 201601022
ARNAV SAHA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1098 201601023
ASHWIN PORWAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1099 201601024
PATEL PARTHKUMAR VASUDEVBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1100 201601025
MAYANK SHANTILAL SAVALIYA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1101 201601026
MANSI OD NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1102 201601027
ZANZARUKIYA ABHI RAJENDRABHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1103 201601028
ANKIT NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1104 201601029
MALONDKAR VISMAY JAYDIP
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1105 201601030
TIKAM ALMA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1106 201601031
SHAH HILLONI HITESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1107 201601032
JAINIL MANOJKUMAR PARIYA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1108 201601033
TANYA PUSHKIN GARG
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1109 201601034
HET THAKKAR NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1110 201601035
SANJOLI CHAUHAN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1111 201601036
PATEL ARPITKUMAR JAYESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1112 201601037
DIVAKAR BHARGAV JAGDISHCHANDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1113 201601038
DESAI ANUSHKA BHUPENDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1114 201601039
MAVANI TARUN JAYESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1115 201601040
BHAVSAR SHACHI DIVYANG
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
50 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1116 201601041
SHAH MANISH RASIKLAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1117 201601042
MUNSHI JALANSH SAUMIL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1118 201601043
DOSHI PRITHVISH RAKESH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1119 201601044
MIRANI YASH NILESHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1120 201601045
JAIN ISHITA HEMENDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1121 201601046
PAREKH YASH ATULBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1122 201601047
SARANGI PATEL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1123 201601048
NIDHI GUPTA NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1124 201601049
SONI MONIL PINAKIN
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1125 201601050
VAGHELA MAULIK JITENDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1126 201601051
PARTH ARUN DADHANIA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1127 201601052
SHRUTI ARVIND CHAUDHARI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1128 201601053
BHAVSAR MAHER NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1129 201601054
VANDAN SONI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1130 201601055
RANK RAKSHA ARVINDBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1131 201601056
MARU PRANJALI RAJIV
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1132 201601057
SHEREKAR VAIBHAV RAJU
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1133 201601058
PRAJAPATI NISHIT PRAHLADBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1134 201601059
ROSHANI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1135 201601060
DHRUV JADAV NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1136 201601061
PAREKH NIKESH BHARAT
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1137 201601062
SHIVAM AGARWAL NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1138 201601063
CHIRAG PODDAR NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1139 201601064
SHAH RIYA HEMENDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1140 201601065
GUNDAM SAMHITHA NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
51 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1141 201601066
JAIN PRIYA PRITAMCHANDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1142 201601067
ROHIT CHAKU NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1143 201601068
THANKI DEEP JAYSUKH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1144 201601069
GHATE AMEY ABHAY
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1145 201601070
MUNENDRA RATHOOD
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1146 201601071
VISHRUT CHETAN JETLY
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1147 201601072
RAJANI PRATIK PRAVINBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1148 201601073
JAYATI AMRUTBHAI PATEL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1149 201601074
BRIJESH PANARA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1150 201601075
MAYANK KUMAR JETHWA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1151 201601076
NILESH MEENA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1152 201601077
ANERY KIRTIBHAI PATEL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1153 201601078
KALLAKURI N V S PUSHPA RAMA MANASA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1154 201601079
RITWIK BHARADWAJ
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1155 201601080
HARSHA MAHAVER NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1156 201601081
PATEL KIRTAN DARSHANKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1157 201601082
PURVA MAKARAND MHASAKAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1158 201601083
GARIKIPATI GANESHSAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1159 201601084
PATEL KSHITIJ DINESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1160 201601085
PANDIT ADITYA SHIRISHBHAI
NA STUDENT
16 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1161 201601086
PARTH RAJESHBHAI SHAH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1162 201601087
HIMANSHU KUMAR NA STUDENT
16 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1163 201601088
VISHNU KANDURI SREENIVAS
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1164 201601089
HARDIK MODI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1165 201601090
JANI SMEET BHAVESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
52 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1166 201601091
GAURAV SOFAT NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1167 201601092
NONGHANVADRA PRAGNESH BHARATBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1168 201601093
MEGH MAHESHKUMAR CHOKSI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1169 201601094
CHANDAN VATSAL VISHALBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1170 201601095
KHATRI HARSH RAVINDRA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1171 201601096
DUNGARANI MILAN VINODKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1172 201601097
KEYUR GARSONDIYA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1173 201601098
DESAI MUDRA PIYUSH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1174 201601099
SANMUKHANI DHWANI GOPAL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1175 201601100
AVINASH AREKATLA NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1176 201601101
JIGNESH BAJAK NA STUDENT
16 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1177 201601102
PATEL NISHARG SHANKARBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1178 201601103
PATEL DHARMIL CHANDRESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1179 201601104
PAREEK CHHAVI SURESH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1180 201601105
ATHARVA SUNE NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1181 201601106
E SAHITHI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1182 201601107
AARUSH SINGH NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1183 201601108
SAI ADITYA PARUCHURI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1184 201601109
VAISHYA ABHINAV RAJESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1185 201601110
YASH PANWAR NA STUDENT
16 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1186 201601111
RAJKOTIYA DIVYESH SHAILESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1187 201601112
SHREYANSH KUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1188 201601113
DETROJA SMIT CHANDULAL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1189 201601114
RUPAPARA ANKIT NARANBHI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
53 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1190 201601115
RADADIYA GAUTAMKUMAR HIMMATBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1191 201601116
DOBARIYA NIRAV CHATURBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1192 201601117
SUNNAM CHANDRA LEKHA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1193 201601118
DHAMELIYA DIPESH SHAMJIBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1194 201601119
JADHWANI RISHABH KAMAL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1195 201601120
SAWLANI RAVI GHANSHYAMDAS
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1196 201601121
SAMARTH SAXENA NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1197 201601122
PATEL DARSHANKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1198 201601123
PATEL UMANG NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1199 201601125
JETHWA BHARGAV HARISHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1200 201601126
MEET PRAVINBHAI SINOJIA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1201 201601127
JETHWA SWAPNIL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1202 201601129
KRITIKA GUPTA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1203 201601131
SHAH BHAVYA BIMAL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1204 201601132
PATEL SAKSHEE NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1205 201601133
AAYUSH BHAT NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1206 201601134
BHALANI UMANG GANESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1207 201601135
ABHISHEK BHOWMIK
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1208 201601136
AJUDIYA BHARGAV GIRDHARBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1209 201601137
SHAH KALPIT NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1210 201601140
YASH DEVANG SHAH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1211 201601141
PANCHAL PANKIL NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1212 201601142
KUNIYA SANJAY BHAVANBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1213 201601143
PATEL VISHVAKUMARI BHARATBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1214 201601147
MALAVIYA HARSHIT NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
54 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1215 201601148
PATEL MAYURBHAI JAGDISHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1216 201601150
KACHHADIYA RAVI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1217 201601151
PATEL KAVAN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1218 201601153
PATEL YOGESH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1219 201601154
PANDYA SHLOKA NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1220 201601157
PARMAR NAYAN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1221 201601158
MEHTA MAUSAM NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1222 201601160
PATEL MAITREYA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1223 201601161
HARSH KOTTA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1224 201601162
RATHOD SONALI RAJESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1225 201601163
PATEL JEET NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1226 201601164
CHAUDHARY NEEL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1227 201601165
MODI CHIRAG NARESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1228 201601166
PANCHASARA MILIT DIXITBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1229 201601167
RABADIYA JINAL NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1230 201601168
DASA VISHAL MENANDBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1231 201601169
GOHIL KASHYAP DINESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1232 201601170
DAVE KEVAL NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1233 201601171
CHOTALIYA KARAN NITINBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1234 201601174
MODI PRAHAR NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1235 201601175
SUTHAR DHRUVAL MINESH KUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1236 201601176
KAVIT AMIT SHAH NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1237 201601177
PRAJAPATI DEVEN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1238 201601178
PATEL HARSHILKUMAR VIPULKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1239 201601179
KAPADIYA DARSHANKUMAR MADHABHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
55 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1240 201601180
CHAUHAN SUJITSINH SUNILSINH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1241 201601181
PRAJAPATI NAMRA BHARATKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1242 201601182
VAGHELA KISHANBHAI BHURSINGBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1243 201601183
CHAUDHARI ARPITKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1244 201601184
RATHVA KALPESH SUBHASHCHANDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1245 201601185
PATEL RAVIKUMAR BALKRISHNA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1246 201601187
CHAUDHARI VAISHVIKKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1247 201601188
PRANAV PARIMALBHAI CHAUDHARI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1248 201601189
NISHITH VASAVA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1249 201601190
GAMAR VISHNUBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1250 201601191
CHARPOT KAUSHIL NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1251 201601192
NAJA MAKWANA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1252 201601193
BHAVESH K DAMOR NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1253 201601194
PRIYANK ASHWINKUMAR PATEL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1254 201601195
PATEL YAGNESH NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1255 201601196
PARADHI DHRUVILKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1256 201601197
PARADHI DHVANILKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1257 201601200
STAVAN SUMANT PATEL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1258 201601201
GANDHI PIYUSH NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1259 201601202
JOGI YASH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1260 201601203
VAGHELA HIREN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1261 201601204
MAINAK CHAUDHURI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1262 201601205
NISHTHA DHARMESH PANDYA
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
56 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1263 201601206
PANKTI B SHAH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1264 201601207
SWETAL VRAJ MASHRUWALA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1265 201601208
PATEL MITULKUMAR RAJENDRABHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1266 201601209
AAKLIT TANEJA NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1267 201601210
KIRTANA SUNIL PHATNANI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1268 201601211
MOHAMED SHADAB NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1269 201601212
AKSHAT GAUTAM NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1270 201601213
MOHMEDSAIF MOHMEDHABIB KOTWAL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1271 201601214
RAGHAV MATTAD NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1272 201601215
GUPTA ARNAB ARUP
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1273 201601216
BHARDA PRASHANT PARESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1274 201601217
SIDDHANT JAIN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1275 201601220
PATEL JEET NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1276 201601222
CHHATRALA HARDIKKUMAR KANTILAL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1277 201601223
MEHTA BHAVIK NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1278 201601224
DAVE JAY NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1279 201601225
RANA MANOHARSINH BABUJI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1280 201601228
PATEL DHRUMIL BHUPENDRAKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1281 201601229
VAGHASIYA PRIYANKABEN ISHWARBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1282 201601230
SHAH NILAY NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1283 201601231
THAKKAR AVAN NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1284 201601232
JOBANPUTRA YASH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1285 201601233
MALHOTRA AYUSHI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
57 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1286 201601234
PATEL UJJVAL NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1287 201601236
RADIA KISHAN BHUPENDRABHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1288 201601237
VALA MEETRAJSINH HARESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1289 201601238
SHAH MEET NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1290 201601239
HIRPARA VATSAL PARESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1291 201601240
PANCHANI MEET ASHOKBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1292 201601241
SOLANKIKETUL NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1293 201601243
ABHI RATNMAN NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1294 201601244
PARMAR DARSHAN VINODBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1295 201601245
PANCHAL HAVYAKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1296 201601246
MADAKIYA FAIZAN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1297 201601248
POGUL SIDDHARTH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1298 201601250
TADHA NILESHBHAI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1299 201601252
CHAUHAN JAMIL SALIMBHAI
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1300 201601253
CHAUDHARI JAIMINKUMAR ASHOKBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1301 201601254
VADHER DHAVAL MATHURKUMARDAS
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1302 201601255
PANCHAL VISHVESH ASHWINBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1303 201601256
PRAJAPATI ASHOKKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1304 201601257
CHAVDA HIMANSHU NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1305 201601401
VASANI MIT PADMANABHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1306 201601402
SANGHVI JITESH HEMANSHUBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1307 201601403
ABHIGNYANA LAKSHMI CHALAMCHARLA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1308 201601404
AYUSH JAIN NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1309 201601405
PANDYA KALPESH ARUN
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
58 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1310 201601406
SHAH SULAY ANANDBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1311 201601407
CELLY PRATEEK KAPIL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1312 201601408
DOSHI NISHI MITESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1313 201601409
PATEL HIMILKUMAR JITENDRABHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1314 201601410
SMIT SHAH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1315 201601411
SAKSENA DEVANSH JAYANTKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1316 201601412
RINDANI KHANTI NISHCHALBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1317 201601413
BISHESH ORAM NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1318 201601414
BHAVSAR SHIVAM RAKESHKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1319 201601415
PATEL PARVA CHANDUBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1320 201601416
RUTVIK SHAH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1321 201601417
RUTVIK JAYESHBHAI KOTHARI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1322 201601418
SARDHARA PREETKUMAR JAYSUKHLAL
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1323 201601419
KARAN JAIN NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1324 201601420
MEHTA DHVANEE MANISH
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1325 201601421
ROHAN DHANWANI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1326 201601422
VACHHANI RUSHI UMANGBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1327 201601423
ASNANI DHRUVESH PAHARJIT
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1328 201601424
VRUND SHAH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1329 201601425
MALLAVARAPU ROHIT
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1330 201601426
RAJPARA UTSAV RASHMIKANT
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1331 201601427
SAVANI DEEP DEEPAKKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1332 201601428
KATBA YOGI RAJESHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1333 201601429
MIHIR THAKKAR NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1334 201601430
AYUSHI MAYAL NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
59 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1335 201601431
PATEL PARTHKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1336 201601432
KISHAN KUMAR PATEL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1337 201601433
VADGAMA MAITREY NAVINCHANDRA
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1338 201601434
VANSHIKA DARBARI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1339 201601436
DETROJA SAKET SANJAYKUMAR
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1340 201601437
SOLANKI ATREY NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1341 201601438
CHAVDA VIVEK NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1342 201601439
MEHTA SHYAMKUMAR CHANDRAKANTBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1343 201601440
CHUDASAMA SATISH MAHESHBHAI
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1344 201601442
VASAVA DHAVALKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1345 201601443
HARDIKI MUKESH DEVRE
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1346 201601444
KUNAL MANISH JANI NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1347 201601445
ANERI PIYUSH KUMAR PATEL
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1348 201601446
KSHITIZ SAREEN NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1349 201601447
PATEL ANSHU NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1350 201601448
ACHARYA ADITI NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1351 201601450
DHAMELIYA POOJAN
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1352 201601451
KAMARIA PARTH NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1353 201601452
PADARIYA ABHISHEK
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1354 201601453
BABRIYA RAVIKUMAR
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1355 201601454
PATEL YATINKUMAR SHASHIVADANBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1356 201601455
KALAVADIYA ANKIT NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1357 201601457
PIPALIYA ANAND JAYSUKHBHAI
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1358 201601458
PARMAR JAYKISHAN
NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
60 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1359 201601459
BRAHMBHATT VAISHVIK
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1360 201601460
BAROT KULDIPSINH NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1361 201601461
RANSARIYA DIVYESH
NA STUDENT
18 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1362 201601462
PANSURIYA TANIK NA STUDENT
17 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1363 201611001
BHAVSAR TRUPAL PRADEEPKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1364 201611002
TARUN PATIDAR NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1365 201611003
SHAH JENI SNEHAL NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1366 201611004
VISHAKHA AGRAWAL
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1367 201611005
RAHUL RATHORE NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1368 201611006
MORADIYA BHARGAV DULABHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1369 201611007
LOKESH KUMAR NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1370 201611008
CHIRAGBHAI PARABAT USDADIYA
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1371 201611009
DEBADUTTA ROUT NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1372 201611010
TRIVEDI VISHWAS VINODKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1373 201611011
SAMKIT RAKESHBHAI GANDHI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1374 201611012
SURAJ SURESH OGALE
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1375 201611013
SUSHANTINI N NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1376 201611014
PATWA DOLLYBEN RAKESHBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1377 201611015
B RAJARAMAN NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1378 201611016
PRATIK RAJENDRA LODHA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1379 201611017
UDIT SHRIVASTAVA NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1380 201611019
DOSHI PRARTHANA KALPESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1381 201611020
KHALPADA VAIDEHI SHAILESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1382 201611021
PURABIA POOJA RAJESHKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
61 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1383 201611022
KOSHTI NISHANT PUSHPAKBHAI
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1384 201611023
PALAK THAKUR NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1385 201611024
DEORE PRAJAKTA BALWANT
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1386 201611025
THAKKER AVANI DEEPAKKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1387 201611026
SREERAJ R. NA STUDENT
27 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1388 201611027
TAPKIR PRASAD ANIL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1389 201611028
ANJANA RITABEN ARJUNBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1390 201611029
LOKESH JIGALUR NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1391 201611030
SHAH VIDHI KAMLESHKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1392 201611031
CHINTAN SURYAKANT SHAH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1393 201611032
PANARA BHAVIKABAHEN BACHUBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1394 201611033
SHETH HELI BIJALKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1395 201611034
KOTAWALA FATEMA HAKIMUDDIN
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1396 201611035
SHUBHAM CHANDRA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1397 201611036
JINITA PATEL NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1398 201611037
PAREKH KRISHNA ASHISHKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1399 201611038
GOSWAMI JANKHANA JITENDRAGIRI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1400 201611039
RIDDHI KETANBHAI SOLANI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1401 201611040
SAGATHIYA RIDHAMKUMAR DAHYALAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1402 201611041
PRASHANTKUMAR GOHEL
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1403 201611042
NIKITA LODHA NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1404 201611043
KAMAL VERMA NA STUDENT
31 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1405 201611044
CHOTHANI CHINTANIKA MANSUKHLAL
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1406 201611045
DEEPANKAR DUBEY NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
62 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1407 201611046
THAKKAR SANKET NAVINKUMAR
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1408 201611047
THANKI JIGAR NARBHESHANKER
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1409 201611048
KANTHETI SRINIVAS NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1410 201611049
NIKITA VISHWAKARMA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1411 201611050
NEHA KUMARI SINGHAL
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1412 201611051
PANCHAL NAMRATA PRAKASHBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1413 201611052
KOTHURI VENKATA NAGA NEHA RAVALI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1414 201611053
SHUBHANGI GUPTA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1415 201611054
KRITI NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1416 201611055
SHAH NEILKUMAR MILANKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1417 201611056
RAHUL CHAUHAN NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1418 201611057
NEHA RANI NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1419 201611058
KOTECHA DHARA PRADIPKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1420 201611059
AARUSHI DHAMI NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1421 201611061
HEMLATA TAK NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1422 201611062
SATYANJALI YADAV NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1423 201611063
RONAK H DHOKAI NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1424 201612001
VYAS DHWANIL NITIN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1425 201612002
JADHAV DHRUVDUTT RANJITSINH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1426 201612003
SHARMA DIPESH SHIVKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1427 201612004
MANIYAR SURBHI HARISHBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1428 201612005
RANADE SANKALP PRASHANT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1429 201612006
JAY BHARATBHAI SHAH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1430 201612007
MUKESH BANSAL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1431 201612008
PARIKH KUSHAL JAYESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
63 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1432 201612009
ASHWANI TANWAR NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1433 201612010
JOSHI ASHWINI MILIND
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1434 201612011
MANVENDRA SINGH NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1435 201612012
HALANI DIP NATVARLAL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1436 201612013
SHETTY ADITYA VITTAL
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1437 201612014
THAKKAR CHANDNIBEN SHAILESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1438 201612015
PARIKH DIPEN VITTHALBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1439 201612016
PATEL RIYA MANISHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1440 201612017
MAKHIJA AMAR TIRTHDAS
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1441 201612018
JADAV NIKITA BIPINKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1442 201612019
KAKADIYA HARDIKBHAI BHANUBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1443 201612020
DAVE PRIYA ASHOKKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1444 201612021
SHAH YESHA MEHULBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1445 201612022
TIKEKAR SIDDHARTHA NAVINCHANDRA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1446 201612023
SHAH SHARVIL PIYUSHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1447 201612024
KHATRI JEET GAUTAMKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1448 201612025
SONAVANE VARUN PRAKASH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1449 201612026
PURAN SUTHAR NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1450 201612027
SHAH DRASHTI MITESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1451 201612028
PRIYANKA NITINKUMAR SHAH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1452 201612029
DELHIWALA RONAK YOGESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1453 201612030
AMRELIYA UDIT SURESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1454 201612031
ANAM DIVYA SHAILESH ARUNA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1455 201612032
HITAISHI DINESHBHAI MARFATIYA
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
64 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1456 201612033
ZARANA KISHORBHAI VYAS
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1457 201612034
SHAH HELI PARESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1458 201612035
PANDYA POORVA NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1459 201612036
ASHIM KUMAR UPADHYAY
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1460 201612037
SOLANKI PANTH KIRANKUMAR
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1461 201612038
THAKKAR AVNISH VINODCHANDRA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1462 201612039
PATEL RUTVIJ MAYURKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1463 201612040
PRAJAPATI ARCHIL NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1464 201612041
DHOLAKIA MANASI ATUL
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1465 201612042
KEWALRAMANI VIKAS GOVINDBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1466 201612043
GANDHI SHREYANSH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1467 201612044
PATEL RIDDHI NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1468 201612045
MAHMADSOHIL DADHORIYA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1469 201612046
HATHI SAGAR KAMLESH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1470 201612047
PANCHAL KRUPALI KISHOR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1471 201612048
GUPTA ADITI SANJAY
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1472 201612049
VORA ISHANI SAURINKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1473 201612050
SHAH JANAHVEE RASHMIKANT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1474 201612051
MANDALIYA ABHILASH BHANUKANT
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1475 201612052
SHAH MANSI PRAKASHCHANDRA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1476 201612053
RATHORE AKSHAY PRADEEPSINGH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1477 201612054
CHOTALIYA CHINTAN LABHUBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1478 201612055
SHAH VIRAL RAHULKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1479 201612056
VAGHANI ATISH RAMESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
65 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1480 201612057
CHAUHAN JAYENDRASINH KIRANKUMAR
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1481 201612058
RANA YUVRAJSINH ASHVINSINH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1482 201612059
FARHAN ANSARI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1483 201612060
SHAH HARSHIL PRUTHVISH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1484 201612061
LAKHANI ANKIT RAJUBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1485 201612062
DIVEN KUMAR SAMBHWANI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1486 201612063
HARMEET SINGH SAINI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1487 201612064
VISHAL GARG NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1488 201612065
VAMSI KRISHNAGUNTHI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1489 201612066
KANIYA DHIRAL SHAILESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1490 201612067
DHRUVIL SHAH NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1491 201612068
DEVAM SHAH NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1492 201612069
BINAYAK GOURI SHANKAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1493 201612070
NIRALI UPADHYAY NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1494 201612071
SHAH KAVISHA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1495 201612072
MEHTA NINAD HARSHADBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1496 201612073
UNDHAD HEMANSHI RASIKBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1497 201612074
AKHANI HARSHADKUMAR MAHESHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1498 201612075
SADHWANI SNEHA MAHESHKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1499 201612076
ANIL KUMAR TUDU NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1500 201612077
VARMA KUNAL VIJAYKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1501 201612078
MEHTA DIMPLE SIDDHARTH
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1502 201612079
PATEL AMISHA JITENDRABHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1503 201612080
PUJA SINGH NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1504 201612081
LUHAR SAVAN KISHORBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
66 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1505 201612082
AASTHA DWIVEDI NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1506 201612083
PARIKH SHLOK KISHORE
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1507 201612084
THAKKAR KISHANKUMAR JAGDISHBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1508 201612085
MEENAKSHI PRAVINSINH ZALA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1509 201612086
THAKOR MITESH NEHALKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1510 201612087
SHAH KARAN HIREN NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1511 201612088
SUNIL KUMAWAT NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1512 201612089
DESAI PRITESH JAYESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1513 201612090
SHETH BIJEN RAKESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1514 201612091
SHAAZ MANJIYANI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1515 201612092
KADIYA STUTI GAURANGBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1516 201612093
VASUNDHARA GUPTA
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1517 201612094
AGRAWAL JEETU KEDARNATH
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1518 201612095
CHANDAN KUMAR VISHWAKARMA
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1519 201612096
SHAH DEVANSHI BHARATKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1520 201612097
VANANI VIRAL BATUKBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1521 201612098
SHAH KUSHAL KETANKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1522 201612099
VAGHASIYA GOPAL PARSOTAMBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1523 201612100
JIANDANI GAURAV KESHAV
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1524 201612101
SHAH NILAM SHAILESHKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1525 201612102
PRATHAM JAIN NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1526 201612103
LILAN SHRESHTHA DINESHRAJ
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1527 201612104
SHAH PARIN VIKRAMBHAI
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1528 201612105
MAKHIJA SAGAR GURMUKH
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1529 201612106
ANIMESH KUMAR NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
67 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1530 201612107
SHAILESH MISHRA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1531 201612108
NASIT SAGAR PRAFULBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1532 201612109
MAHETA PARTH RAJESHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1533 201612110
RUPAREL JANVI PRAKASHBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1534 201612111
PARESH KUMAR NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1535 201612112
PRAJAPATI DIPAK PRATAPBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1536 201612113
ANSHIKA SINHA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1537 201612114
CHAUHAN KELIN LAWRENCEBHAI
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1538 201612115
TAGADIYA MITESHKUMAR RAJUBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1539 201612116
RATHOD AUDARYA LALITNARAYAN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1540 201612117
RISHABH CHAUHAN NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1541 201612118
KAMDAR RAJ ASHWINBHAI
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1542 201612119
OMISHA GUPTA NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1543 201612120
SEVAK PRIYANK KIRITKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1544 201613001
JARIWALA HARSH HITESHKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1545 201613002
PRIYANKA HANSAWAT
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1546 201613003
AGARKAR HARSH ATULKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1547 201613004
SHINAI MALLIKA KRISHNKUMAR
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1548 201613005
MEET JAYESHBHAI THAKER
NA STUDENT
20 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1549 201613006
DVIVEDI SATYAM ASHOKKUMAR
NA STUDENT
19 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1550 201614001
ASHWIN SHARMA NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1551 201614002
AYUSHI SHARMA NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1552 201614003
SHAINA GULATI NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1553 201614004
HIMANSHU VARDHAN
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1554 201614006
SHAH SHAILAJA SHALINBHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”
68 of 69
Schedule of Members covered attached to and forming part of Policy No 1602362914000209
SNo Emp Code
Name Nominee Grade Age Table A
Table B
Table C Table D
Total Sum Insured
DateofJoining
Location Remarks
1555 201614007
SARATH K NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1556 201614008
GANDAMALLA PRAKRUTHI PULE
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1557 201614009
SHETH AARSH JAYKUMAR
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1558 201614010
NEERJA JAIN NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1559 201614011
ANANDITA AGRAWAL
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1560 201614012
ROSHNI PRAKASH THARIAN
NA STUDENT
21 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1561 201614013
YAIPHAHENBA LAISHRAM
NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1562 201614014
SAURABH SINGH NA STUDENT
22 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1563 201621001
AMIT KISHORCHANDRA MANKODI
NA STUDENT
46 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1564 201621002
PANDYA JUHI MEHULKUMAR
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1565 201621003
JOSHI NIKITA RAJESHBHAI
NA STUDENT
24 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1566 201621004
VYAS HARDIK SHYAM
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1567 201621005
MANAS SINGH SAKRWAR
NA STUDENT
26 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1568 201621006
TEJENDRA PRATAP GAUTAM
NA STUDENT
29 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1569 201621007
SHAH MIRAL ASHOKKUMAR
NA STUDENT
30 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1570 201621008
PATIL ANKUR TUKARAM
NA STUDENT
28 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1571 201621009
GADHIYA TUSHARKUMAR DAMJIBHAI
NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1572 201621010
SHAH AMI MAHENDRABHAI
NA STUDENT
23 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
1573 201621011
EKTA RAJPUT NA STUDENT
25 Yr 00 M
0 0 50000 0 50000 GANDHINAGAR
Grand Total 0 0 78650000 0 78650000
IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway , Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747B UIN : IRDA/NL-HLT/RGI/P-P/V.I/320/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”