75
GROUP MEDICLAIM SCHEDULE Policy Branch Office Code: 1602 Agent/Broker Code:Direct Policy No: 1602362812000171 Date of proposal:07/09/2016 Details of previous policy (in case of renewal) ProposalNo:P090116101042 Previous policy No:1602352812000156 Date of expiry: 31/08/2016 INSURED NAME : DAIICT ADDRESS: NR INDRODA CIRCLE,GANDHINAGAR GUJARAT GANDHINAGAR 382007 Period of Insurance: From 01/09/2016 to mid night on 31/08/2017 Total No of Employees Covered 1573 Total No of Lives Covered 1573 Basis of Sum Insured Individual Total Sum Insured(Rs) 94380000.00 Coverage Details and List of members covered as per Schedule attached. Premium (Rs) 847826.09 Service Tax 118695.65 Education Cess 0.00 Secondary & Higher Education Cess 0.00 Sales Tax** 0.00 Surcharge** 0.00 Swachh Bharat Cess 4239.13 Krishi Kalyan Cess 4239.13 TOTAL PREMIUM PAYABLE(Rs) 975000.00 Consolidated Stamp duty Paid vide GRAS GRN No. MH001675469201617E dated 09 June 2016** ** Not Applicable for the State of Jammu & 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/317/13-14 "Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License” 1 of 75

intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP MEDICLAIM SCHEDULE Policy Branch Office Code: 1602 Agent/Broker Code:Direct Policy No: 1602362812000171

  • Upload
    others

  • View
    19

  • Download
    0

Embed Size (px)

Citation preview

GROUP MEDICLAIM SCHEDULE

Policy Branch Office Code: 1602 Agent/Broker Code:Direct

Policy No: 1602362812000171

Date of proposal:07/09/2016 Details of previous policy (in case of renewal)

ProposalNo:P090116101042 Previous policy No:1602352812000156

Date of expiry: 31/08/2016

INSURED NAME : DAIICT

ADDRESS:

NR INDRODA CIRCLE,GANDHINAGAR

GUJARAT

GANDHINAGAR

382007

Period of Insurance: From 01/09/2016 to mid night on 31/08/2017

Total No of Employees Covered 1573

Total No of Lives Covered 1573

Basis of Sum Insured Individual

Total Sum Insured(Rs) 94380000.00

Coverage Details and List of members covered as per Schedule attached.

Premium (Rs) 847826.09

Service Tax 118695.65

Education Cess 0.00

Secondary & Higher Education Cess 0.00

Sales Tax** 0.00

Surcharge** 0.00

Swachh Bharat Cess 4239.13

Krishi Kalyan Cess 4239.13

TOTAL PREMIUM PAYABLE(Rs) 975000.00

Consolidated Stamp duty Paid vide GRAS GRN No. MH001675469201617E dated 09 June 2016**** Not Applicable for the State of Jammu & KashmirCategory-General Insurance Business Service 00440005.Service Tax Regn. No. : AABCR6747BST001** Applicable for the state of Jammu & Kashmir**Sales Tax Registration No. 01101051414

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

1 of 75

Notice of communication to be given in respect of claim to :

Name: Reliance HCMT

Address: Reliance General Insurance Company .Ltd. HCMT HUB 1-89/3/B/40 to 42/ks/301 3rd floor, Krishe block, Krishe Sapphire Madhapur, Hyderabad Pincode: 500081

City: Hyderabad

Website Address:

Customer care No 1800-3009

Email id: [email protected]

In the event of dishonor of Cheque, this policy automatically stands cancelled from inception irrespective of whether a separate communication is sent or not.

In witness whereof this policy has been signed at Mumbai on 07/09/2016

For and on behalf of

Reliance General Insurance Company Limited.

Agent Code Direct

Agent Contact No Authorised Signatory

User ID: 70175496 Policy Generation Date :07/09/2016

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

2 of 75

Schedule attached to and forming part of Policy No.1602362812000171

Cover Name Sum insured Co-pay Special Conditions

Hospitalization -

Pre Hospitalization 30 DAYS

Post Hospitalization 60 DAYS

Ambulance charges Ambulance charges is covered in case of emergency hospitalization INR 1500

Domiciliary hospitalization Domiciliary hospitalisation not covered

Pre-existing illness cover Pre-existing diseases to be covered

Cover for first year excluded diseases Waiver of 1st and 2nd yr exclusions

Cover for first 30 days Exclusion Waiver of 30 day waiting period

Family Definition Non Floater – Self Students only

Member Addition and Deletion Process 1) Mid-term increase in sum insured is not permitted.2) Addition-deletion will be done on pro-rata premium basis for employees along with dependants once in a month only, subject to all relevant details being forwarded to insurer before 7th day of succeeding month.3) For cover wef from Date of Joining, sufficient CD balance to be maintained with us.4) Addition of existing employees will not be allowed after policy inception.

Room Rent Room Rent including nursing & RMO charges capped at 2% for normal room and 2% for ICU of sum insured per day and all other related charges in accordance with room rent restriction or actual whichever is lower. In the event of a person getting admitted in higher category all hospital related charges will be pro-rated to the eligibility limit as per the room rent restriction.

Day care procedure Day care treatment covered as per RGICL policy terms and conditions

General Conditions: 1) It is hereby agreed between the Proposer and the Company that any addition / deletion to the list of insured members shall be communicated to the Insurer in writing within a reasonable time but not later than 30 days from the date of the employee joining or being relieved from the organization.2) Surcharges, service charges, miscellaneous charges and other non treatment related expenses are not payable.3) Ailment/ Conditions not covered: Robotic surgery/treatment done using this technology/Robotically assisted Surgery, Stem Cell Transplantation/bone marrow transplant, Septoplasty, Cochlear Implant or related aids, RFQMR - Rotational Field Quantum Magnetic Resonance Device - Cytotron, C3R, Balloon Sinuplasty, Bariatric surgery, Inj Avastin /Lucentis/Macugen, Ozone Therapy, Enhanced External Counter Pulsation Therapy (EECP), Rejuvenation therapy, Lasik Surgery.4) Rest all other terms & conditions strictly as per Reliance group mediclaim insurance policy.

Warranted that the exclusions mentioned below stand deleted : PolicyNo. 1602362812000171

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

3 of 75

30 day Exclusion

First Year exclusion

Pre- existing illness

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

4 of 75

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

5 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1 201021004

CHANDRA PRAKASH SELF STUDENT

42 Yr 00 M

M 60000

2 201021009

CH V NARASIMHA RAO SELF STUDENT

48 Yr 00 M

M 60000

3 201021010

DOSHI RAMESHKUMAR JASHVANTLAL

SELF STUDENT

50 Yr 00 M

M 60000

4 201021013

SONAM NAHAR SELF STUDENT

29 Yr 00 M

F 60000

5 201021015

DESAI NIKITA SUNIL SELF STUDENT

34 Yr 00 M

F 60000

6 201101149

GUPTA DEEP PINAKIN SELF STUDENT

22 Yr 00 M

M 60000

7 201121001

SHAH JALPA BHARATKUMAR

SELF STUDENT

35 Yr 00 M

F 60000

8 201121003

MAULIK CHANDULAL MADHAVI

SELF STUDENT

28 Yr 00 M

M 60000

9 201121004

V. RAM NARESH KUMAR SELF STUDENT

34 Yr 00 M

M 60000

10 201121007

NILESHKUMAR VAISHNAV

SELF STUDENT

31 Yr 00 M

M 60000

11 201121009

PATEL RASHMIT KUMAR SELF STUDENT

40 Yr 00 M

M 60000

12 201121010

SANJAY KUMAR KASODNIYA

SELF STUDENT

40 Yr 00 M

M 60000

13 201121011

VASAVADA TEJAS MUKESHBHAI

SELF STUDENT

34 Yr 00 M

M 60000

14 201121013

SARITA AGRAWAL SELF STUDENT

41 Yr 00 M

F 60000

15 201121014

CHAUDHARI PAYAL DEVENDRABHAI

SELF STUDENT

33 Yr 00 M

F 60000

16 201121016

SHRISHAIL SHARAD GAJBHAR

SELF STUDENT

29 Yr 00 M

M 60000

17 201201003

MAKWANA HARSH DIPAKBHAI

SELF STUDENT

22 Yr 00 M

M 60000

18 201201040

AGRAWAL ANSUL NARAYANBHAI

SELF STUDENT

21 Yr 00 M

M 60000

19 201201049

HARDIK JAYESHKUMAR SONI

SELF STUDENT

21 Yr 00 M

M 60000

20 201201052

ZALA ROHAN VASANTBHAI

SELF STUDENT

21 Yr 00 M

M 60000

21 201201066

ARCHIT MANISHKUMAR GAJJAR

SELF STUDENT

21 Yr 00 M

M 60000

22 201201089

CHIRAG SHAILESH CHANGRANI

SELF STUDENT

22 Yr 00 M

M 60000

23 201201118

SOURABH MESHRAM SELF STUDENT

22 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

6 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

24 201201127

SIDDHARTH DALMIA SELF STUDENT

22 Yr 00 M

M 60000

25 201201128

DODIA ASHKA BHAGIRATH

SELF STUDENT

22 Yr 00 M

F 60000

26 201201172

SHIVAM CHAUDHARY SELF STUDENT

23 Yr 00 M

M 60000

27 201201174

TAPAN KUMAR SELF STUDENT

22 Yr 00 M

M 60000

28 201201208

SHAH SHAUNAK MANOJ SELF STUDENT

22 Yr 00 M

M 60000

29 201201211

ANKIT NAGARWAL SELF STUDENT

22 Yr 00 M

M 60000

30 201201232

HIMANSHU DIXIT SELF STUDENT

22 Yr 00 M

M 60000

31 201221001

MODHA SANDIP JAYANTILAL

SELF STUDENT

35 Yr 00 M

M 60000

32 201221002

PADIYA TRUPTI JAYANTILAL

SELF STUDENT

34 Yr 00 M

F 60000

33 201221003

TANVINA BHUPENDRABHAI PATEL

SELF STUDENT

28 Yr 00 M

F 60000

34 201221005

PATEL HARDIK NAYANKUMAR

SELF STUDENT

30 Yr 00 M

M 60000

35 201221007

KRISHNA GOPAL SELF STUDENT

31 Yr 00 M

M 60000

36 201221008

NUPUR JAIN SELF STUDENT

28 Yr 00 M

F 60000

37 201221009

SHAH HIRAVKUMAR JAGATBHAI

SELF STUDENT

27 Yr 00 M

M 60000

38 201221013

VANDANA RAVINDRAN SELF STUDENT

28 Yr 00 M

F 60000

39 201221014

DIXITA HASMUKHBHAI LIMBACHIYA

SELF STUDENT

27 Yr 00 M

F 60000

40 201221015

JADEJA MAHIPAL PRITHVISINH

SELF STUDENT

25 Yr 00 M

M 60000

41 201301001

SIMLAI SAMRIDDHI SHIBAJI

SELF STUDENT

20 Yr 00 M

F 60000

42 201301002

PATEL HIMANSHU BALDEV BHAI

SELF STUDENT

21 Yr 00 M

M 60000

43 201301003

BARKHA BHOJAK SELF STUDENT

21 Yr 00 M

F 60000

44 201301005

DHOLAKIYA PRERAK NANDISH

SELF STUDENT

20 Yr 00 M

M 60000

45 201301006

VIKANI BHAGYESH RAJNIKANT

SELF STUDENT

20 Yr 00 M

M 60000

46 201301007

PANCHAL SAURABH RAJESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

7 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

47 201301008

PATEL YASH SELF STUDENT

20 Yr 00 M

M 60000

48 201301009

KALOLA VIVEKKUMAR SELF STUDENT

20 Yr 00 M

M 60000

49 201301010

SHAH RAJAT ASHWINBHAI

SELF STUDENT

21 Yr 00 M

M 60000

50 201301011

VYAS UTSAV NEHALBHAI

SELF STUDENT

20 Yr 00 M

M 60000

51 201301012

PATEL PARIN ALPESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

52 201301013

JASOLIYA HARSHKUMAR VINODBHAI

SELF STUDENT

20 Yr 00 M

M 60000

53 201301014

PATEL NAMAN SHASHIKANT

SELF STUDENT

21 Yr 00 M

M 60000

54 201301015

SHAH HEM RAJENDRAKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

55 201301016

KAMARIA SIDDHARTH SELF STUDENT

20 Yr 00 M

M 60000

56 201301017

PARIKH JINAL NITISHKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

57 201301018

PATEL TEJ NAGINBHAI SELF STUDENT

20 Yr 00 M

M 60000

58 201301019

KALARIA PARTHKUMAR BHARATBHAI

SELF STUDENT

20 Yr 00 M

M 60000

59 201301020

VYAS KARAN PRAVINCHANDRA

SELF STUDENT

20 Yr 00 M

M 60000

60 201301021

KEYA RAJUL MEHTA SELF STUDENT

20 Yr 00 M

F 60000

61 201301022

SHAH HARSHIL RAJESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

62 201301023

PATEL MANALI JITENDRABHAI

SELF STUDENT

20 Yr 00 M

F 60000

63 201301024

BHAVSAR SHIVAM KAMLESHKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

64 201301025

NEHA AGARWAL SELF STUDENT

21 Yr 00 M

F 60000

65 201301026

SHAH CHAITANYA MINESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

66 201301027

KOMAL JAIN SELF STUDENT

20 Yr 00 M

F 60000

67 201301028

ANURAG GUPTA SELF STUDENT

21 Yr 00 M

M 60000

68 201301029

JHALA HIMANJALI JAYDEEPSINH

SELF STUDENT

20 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

8 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

69 201301030

JHALA KULJEETSINH SELF STUDENT

20 Yr 00 M

M 60000

70 201301031

MANGROLIYA PARTH MANSUKHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

71 201301032

PARSANA DARSHAN ATULBHAI

SELF STUDENT

21 Yr 00 M

M 60000

72 201301033

RASHMI WILSON SELF STUDENT

21 Yr 00 M

F 60000

73 201301034

SHAH DHRUMIL AJAYBHAI

SELF STUDENT

20 Yr 00 M

M 60000

74 201301035

PARIKH RUSHIN DEEPAK

SELF STUDENT

20 Yr 00 M

M 60000

75 201301036

ALAMURU NIHIT RAMIREDDY

SELF STUDENT

20 Yr 00 M

M 60000

76 201301037

PARMAR NEEL HASMUKHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

77 201301038

DESAI DHWANIL SANJAYBHAI

SELF STUDENT

20 Yr 00 M

M 60000

78 201301039

SUVARIYA RAJ RAMNIKBHAI

SELF STUDENT

20 Yr 00 M

M 60000

79 201301040

PADALIYA PRIYESHKUMAR SHANTILAL

SELF STUDENT

21 Yr 00 M

M 60000

80 201301041

BHAYANI GAURAV POPATBHAI

SELF STUDENT

20 Yr 00 M

M 60000

81 201301042

SUKRITI JHINGTA SELF STUDENT

21 Yr 00 M

F 60000

82 201301043

SHREYANS PRADEEP GANDHI

SELF STUDENT

21 Yr 00 M

M 60000

83 201301044

PANDIT NEEL RAKESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

84 201301045

SHAH VIRAJ PRADIPKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

85 201301046

JADAV KRUPAL SELF STUDENT

20 Yr 00 M

M 60000

86 201301047

YASHWANT RAMESH KESWANI

SELF STUDENT

20 Yr 00 M

M 60000

87 201301048

BERWANI MANISH MOHAN

SELF STUDENT

21 Yr 00 M

M 60000

88 201301049

MARKANDEYA RIDDHESH SHRIKRISHNA

SELF STUDENT

19 Yr 00 M

M 60000

89 201301050

DAXINI DHRUMAN MAHESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

90 201301051

GANDHI KUSH NITESH SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

9 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

91 201301053

PANDYA NIKUNJ SELF STUDENT

20 Yr 00 M

M 60000

92 201301054

CHAVDA ANKUR ASHOKBHAI

SELF STUDENT

20 Yr 00 M

M 60000

93 201301055

SUTARIA AAYUSHI PANKAJ

SELF STUDENT

20 Yr 00 M

F 60000

94 201301057

BATHWAR VIRAJ RAJABHAI

SELF STUDENT

20 Yr 00 M

M 60000

95 201301058

PARTH RAJENDRAKUMAR MODH

SELF STUDENT

20 Yr 00 M

M 60000

96 201301059

TANK NISHANT HARESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

97 201301060

KEVAL HADIYA SELF STUDENT

20 Yr 00 M

M 60000

98 201301061

CHAUDHARI MOINAKHTAR ALIHUSEN

SELF STUDENT

20 Yr 00 M

M 60000

99 201301062

SHREYANSH PRAJAPATI SELF STUDENT

20 Yr 00 M

M 60000

100 201301063

AHIR KIRANKUMAR BACHUBHAI

SELF STUDENT

20 Yr 00 M

M 60000

101 201301065

GOSAI PRERNA PRAVINPARI

SELF STUDENT

20 Yr 00 M

F 60000

102 201301066

EKTABEN DODIYA SELF STUDENT

22 Yr 00 M

M 60000

103 201301067

PANCHAL UMANG SELF STUDENT

19 Yr 00 M

M 60000

104 201301068

HARIYANI JAY SELF STUDENT

21 Yr 00 M

M 60000

105 201301069

CHAUDHARY YOGESHKUMAR HARIBHAI

SELF STUDENT

20 Yr 00 M

M 60000

106 201301070

BAKARANIYA DHARMIN BIPINBHAI

SELF STUDENT

20 Yr 00 M

M 60000

107 201301071

PRAJAPATI MUKESH SURYNARAYAN

SELF STUDENT

21 Yr 00 M

M 60000

108 201301072

CHAUDHARY MAULIK DALSANGBHAI

SELF STUDENT

20 Yr 00 M

M 60000

109 201301073

CHAUDHARI JAYKUMAR SELF STUDENT

20 Yr 00 M

M 60000

110 201301074

RAMANUJ CHINTAN SURESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

111 201301075

DUDHREJIYA AJAY DAYARAMBHAI

SELF STUDENT

21 Yr 00 M

M 60000

112 201301076

GOHIL MAULIK RAJENDRAKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

10 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

113 201301077

PARMAR PARESHKUMAR ARAJANBHAI

SELF STUDENT

20 Yr 00 M

M 60000

114 201301078

MODI MRUGESH KAMLESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

115 201301079

CHAUHAN DWIMITRA DHARMENDRA

SELF STUDENT

21 Yr 00 M

M 60000

116 201301080

GAJJAR TIRTH JAGDISH SELF STUDENT

21 Yr 00 M

M 60000

117 201301081

SOLANKI GAURAVKUMAR NATVARSINH

SELF STUDENT

20 Yr 00 M

M 60000

118 201301082

VEGAD JAHNAVI JAYANTIBHAI

SELF STUDENT

20 Yr 00 M

F 60000

119 201301083

JADAV HARSH MUKESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

120 201301084

PATEL NISARG KIRIT SELF STUDENT

21 Yr 00 M

M 60000

121 201301085

CHAUHAN PARAG PUNJALAL

SELF STUDENT

21 Yr 00 M

M 60000

122 201301087

TARAL ANKITKUMAR SELF STUDENT

21 Yr 00 M

M 60000

123 201301089

PATEL AYUSH KAMLESH SELF STUDENT

22 Yr 00 M

M 60000

124 201301090

PARTH P CHAUDHARY SELF STUDENT

21 Yr 00 M

M 60000

125 201301091

PATEL RISHITA PRASHANT

SELF STUDENT

20 Yr 00 M

F 60000

126 201301092

PATEL DIGVIJAYKUMAR JUGALBHAI

SELF STUDENT

20 Yr 00 M

M 60000

127 201301094

SABUWALA MUSTUFA SELF STUDENT

21 Yr 00 M

M 60000

128 201301095

PATEL HARSHIT SELF STUDENT

20 Yr 00 M

M 60000

129 201301096

VYAS NIDHI SELF STUDENT

21 Yr 00 M

F 60000

130 201301097

PATEL ANAND PRAVINBHAI

SELF STUDENT

20 Yr 00 M

M 60000

131 201301098

PANCHAL PARTH DIXITBHAI

SELF STUDENT

20 Yr 00 M

M 60000

132 201301099

ANKIT K MUCHHALA SELF STUDENT

21 Yr 00 M

M 60000

133 201301100

SAUMYA BHADANI SELF STUDENT

21 Yr 00 M

F 60000

134 201301101

RAHUL SHASHANK SARANJAME

SELF STUDENT

21 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

11 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

135 201301102

SISHTLA CHAITANYA PRASAD

SELF STUDENT

21 Yr 00 M

M 60000

136 201301103

PARSHWA BHAVESH MEHTA

SELF STUDENT

20 Yr 00 M

M 60000

137 201301104

ROSHANI NARASIMHAN SELF STUDENT

20 Yr 00 M

F 60000

138 201301105

MAHIMA TARAK PATEL SELF STUDENT

21 Yr 00 M

F 60000

139 201301106

TARUSHI BHATIA SELF STUDENT

21 Yr 00 M

F 60000

140 201301107

JAYA MUNDRA SELF STUDENT

20 Yr 00 M

F 60000

141 201301108

KRATI AGRAWAL SELF STUDENT

20 Yr 00 M

F 60000

142 201301109

SHAH VAISHAV BHAVESH

SELF STUDENT

20 Yr 00 M

M 60000

143 201301110

ANSHUMAN AGARWAL SELF STUDENT

20 Yr 00 M

M 60000

144 201301111

SAHIL JAIN SELF STUDENT

20 Yr 00 M

M 60000

145 201301112

ASHWIN KIRTANE SELF STUDENT

21 Yr 00 M

M 60000

146 201301113

TEJASV GUPTA SELF STUDENT

22 Yr 00 M

M 60000

147 201301114

SHAH MALAV MITESH SELF STUDENT

21 Yr 00 M

M 60000

148 201301115

YASH INDRAWAT SELF STUDENT

21 Yr 00 M

M 60000

149 201301116

RUPANK BANSAL SELF STUDENT

19 Yr 00 M

M 60000

150 201301117

GAURUV SINGH SELF STUDENT

21 Yr 00 M

M 60000

151 201301118

RISHABH TRIVEDI SELF STUDENT

21 Yr 00 M

M 60000

152 201301119

PANDYA BHAVARTH BHAVINKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

153 201301120

KOMAL FALODIYA SELF STUDENT

20 Yr 00 M

F 60000

154 201301121

TANAY AGRAWAL SELF STUDENT

21 Yr 00 M

M 60000

155 201301122

PRATYUSH REDDY PONAKA

SELF STUDENT

20 Yr 00 M

M 60000

156 201301123

ANUBHAV JAIN SELF STUDENT

21 Yr 00 M

M 60000

157 201301124

SANGEETA MEENA SELF STUDENT

20 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

12 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

158 201301126

SHAH ALAY DIVYESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

159 201301127

KISHANBHAI BALDEVBHAI PUJARA

SELF STUDENT

20 Yr 00 M

M 60000

160 201301128

KALLAM RAJIV REDDY SELF STUDENT

20 Yr 00 M

M 60000

161 201301129

SUBHODEEP MAJI SELF STUDENT

20 Yr 00 M

M 60000

162 201301130

BARUNI GOEL SELF STUDENT

20 Yr 00 M

F 60000

163 201301131

ROHAN AGARWAL SELF STUDENT

20 Yr 00 M

M 60000

164 201301132

PATEL SNEH SELF STUDENT

20 Yr 00 M

M 60000

165 201301133

GAURAV BANSAL SELF STUDENT

20 Yr 00 M

M 60000

166 201301134

SALONI JAIN SELF STUDENT

21 Yr 00 M

F 60000

167 201301135

PATEL ZEEL PRAVINBHAI

SELF STUDENT

20 Yr 00 M

F 60000

168 201301136

DEVESH SINGH SELF STUDENT

20 Yr 00 M

M 60000

169 201301137

ANKIT LAKRA SELF STUDENT

22 Yr 00 M

M 60000

170 201301138

RISHAB SINGLA SELF STUDENT

21 Yr 00 M

M 60000

171 201301139

PATTIPATI CHAREESH SAI

SELF STUDENT

20 Yr 00 M

M 60000

172 201301140

VELAGA RAMA KRISHNA SELF STUDENT

20 Yr 00 M

M 60000

173 201301141

KETAN MITTAL SELF STUDENT

21 Yr 00 M

M 60000

174 201301142

BOPALIA MAULIK NARESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

175 201301143

TALLURI SAI SRUTHI SELF STUDENT

21 Yr 00 M

F 60000

176 201301144

TOOMKUNTA NITHIN KUMAR REDDY

SELF STUDENT

20 Yr 00 M

M 60000

177 201301145

G OMKAR REDDY SELF STUDENT

21 Yr 00 M

M 60000

178 201301146

MOHAMMAD SAIFUDDIN SAIFEE

SELF STUDENT

21 Yr 00 M

M 60000

179 201301147

VARUN SUNIL GARG SELF STUDENT

21 Yr 00 M

M 60000

180 201301148

SHIVANG AGARWAL SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

13 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

181 201301149

DHRUV CHETANKUMAR SHAH

SELF STUDENT

21 Yr 00 M

M 60000

182 201301150

RASHI JAIN SELF STUDENT

22 Yr 00 M

F 60000

183 201301151

NIKHIL TEKWANI SELF STUDENT

21 Yr 00 M

M 60000

184 201301152

FATNANI VARUN KUMARBHAI

SELF STUDENT

20 Yr 00 M

M 60000

185 201301153

DHAVAL V VORA SELF STUDENT

21 Yr 00 M

M 60000

186 201301154

PARTH NIGAM SELF STUDENT

21 Yr 00 M

M 60000

187 201301155

NIKITA JAIN SELF STUDENT

22 Yr 00 M

F 60000

188 201301156

SMRUTI NIRAJKUMAR PARIKH

SELF STUDENT

21 Yr 00 M

F 60000

189 201301157

VISHAL RATWANI SELF STUDENT

21 Yr 00 M

M 60000

190 201301158

GOLLA CHINNA SAI BHARATHI

SELF STUDENT

20 Yr 00 M

F 60000

191 201301159

ABHISHEK JAIN SELF STUDENT

21 Yr 00 M

M 60000

192 201301161

KUMAR DHWANIT SELF STUDENT

22 Yr 00 M

M 60000

193 201301162

VELAGANDULA SHRAVANI

SELF STUDENT

20 Yr 00 M

F 60000

194 201301163

SANKALP NIGAM SELF STUDENT

21 Yr 00 M

M 60000

195 201301164

YASH BHIMARAO DESHMUKH

SELF STUDENT

21 Yr 00 M

M 60000

196 201301165

PATEL ANUBEN JITENDRA

SELF STUDENT

20 Yr 00 M

F 60000

197 201301166

VINAYAK DUBEY SELF STUDENT

21 Yr 00 M

M 60000

198 201301167

KALAVADIA BHUMIKA ASHVIN

SELF STUDENT

21 Yr 00 M

F 60000

199 201301168

KARRI KIRAN SATISH REDDY

SELF STUDENT

20 Yr 00 M

M 60000

200 201301169

MAHIMA SOGANI SELF STUDENT

22 Yr 00 M

F 60000

201 201301170

PATEL VISMAY DHIRAJBHAI

SELF STUDENT

20 Yr 00 M

M 60000

202 201301171

CHILLAKURU NIKHIL REDDY

SELF STUDENT

20 Yr 00 M

M 60000

203 201301172

CHATURVEDULA SAI SRIKANTH

SELF STUDENT

21 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

14 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

204 201301174

M MEENAKSHI SELF STUDENT

21 Yr 00 M

F 60000

205 201301175

BATHULA AJAY RAJ SELF STUDENT

20 Yr 00 M

M 60000

206 201301176

DHRUV BHUTANI SELF STUDENT

21 Yr 00 M

M 60000

207 201301177

ZARANA PARESHKUMAR PAREKH

SELF STUDENT

22 Yr 00 M

F 60000

208 201301178

AVIRAL MITHAL SELF STUDENT

20 Yr 00 M

M 60000

209 201301179

SAHIJWANI HARSHITA JAGDISH

SELF STUDENT

20 Yr 00 M

F 60000

210 201301180

LADLA KARAN GIANO SELF STUDENT

21 Yr 00 M

M 60000

211 201301181

PARCHURI MOURYA TEJA

SELF STUDENT

21 Yr 00 M

M 60000

212 201301183

SARTHAK KHANDEKAR SELF STUDENT

20 Yr 00 M

M 60000

213 201301184

NICCHANAMETLA ABHISHEK

SELF STUDENT

20 Yr 00 M

M 60000

214 201301185

STUTI MOHGAONKAR SELF STUDENT

21 Yr 00 M

F 60000

215 201301186

RUCHI JAIN SELF STUDENT

20 Yr 00 M

F 60000

216 201301187

SHUBHRANSHU JHA SELF STUDENT

21 Yr 00 M

M 60000

217 201301188

MAVANI BHAUTIKKUMAR ANANDBHAI

SELF STUDENT

21 Yr 00 M

M 60000

218 201301189

KUSHAN JOSHI SELF STUDENT

22 Yr 00 M

M 60000

219 201301191

GOPU ROSHINI REDDY SELF STUDENT

20 Yr 00 M

F 60000

220 201301192

YOGESH KUMAR SELF STUDENT

21 Yr 00 M

M 60000

221 201301193

NIRJHAR BALA SELF STUDENT

20 Yr 00 M

M 60000

222 201301194

SUMIT SINGH SELF STUDENT

21 Yr 00 M

M 60000

223 201301195

SHANKAR LAL PARMAR SELF STUDENT

23 Yr 00 M

M 60000

224 201301196

KUNDAN KUMAR ARYA SELF STUDENT

20 Yr 00 M

M 60000

225 201301197

DEEPALI VERMA SELF STUDENT

21 Yr 00 M

F 60000

226 201301198

ARAVIND KUMAR BAIRWA

SELF STUDENT

21 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

15 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

227 201301199

MAHIMA ACHHPAL SELF STUDENT

21 Yr 00 M

F 60000

228 201301200

SHEFALI KASHYAP SELF STUDENT

21 Yr 00 M

F 60000

229 201301202

RAMAN KUMAR DOUCHANIYA

SELF STUDENT

23 Yr 00 M

M 60000

230 201301204

RAHUL KUMAR SELF STUDENT

20 Yr 00 M

M 60000

231 201301206

ISHITA CHOURASIA SELF STUDENT

21 Yr 00 M

F 60000

232 201301207

MRIDUL SINGH SELF STUDENT

20 Yr 00 M

M 60000

233 201301208

KARTIK SANKHLA SELF STUDENT

20 Yr 00 M

M 60000

234 201301209

RAJAT DHOOT SELF STUDENT

22 Yr 00 M

M 60000

235 201301210

DILIP KUMAR MEENA SELF STUDENT

20 Yr 00 M

M 60000

236 201301211

UMANG ULIANA SELF STUDENT

21 Yr 00 M

M 60000

237 201301212

SAKSHI MANGAL SELF STUDENT

21 Yr 00 M

F 60000

238 201301213

RATHOD RAHUL NAYAK SELF STUDENT

21 Yr 00 M

M 60000

239 201301215

ROHIT MEENA SELF STUDENT

22 Yr 00 M

M 60000

240 201301216

MALLIPEDDI AKSHAY SELF STUDENT

20 Yr 00 M

M 60000

241 201301218

SUNEET MEENA SELF STUDENT

22 Yr 00 M

M 60000

242 201301223

PARNAVI  CHETANBHAI SHAH

SELF STUDENT

20 Yr 00 M

F 60000

243 201301224

SHEETAL SELF STUDENT

20 Yr 00 M

F 60000

244 201301225

YASHODHAN MOHAN BHATNAGAR

SELF STUDENT

20 Yr 00 M

M 60000

245 201301226

MOHIT KAMAL SELF STUDENT

21 Yr 00 M

M 60000

246 201301227

SHUBHAM CHATURVEDI SELF STUDENT

22 Yr 00 M

M 60000

247 201301228

SHUBAM SINGH JAMWAL

SELF STUDENT

19 Yr 00 M

M 60000

248 201301229

PATEL RAJ SELF STUDENT

21 Yr 00 M

M 60000

249 201301230

PATEL SHREYAS GAUTAMBHAI

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

16 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

250 201301231

SACHAPARA KIRTI RAMESHBHAI

SELF STUDENT

20 Yr 00 M

F 60000

251 201301232

PATEL KARANKUMAR JITENDRABHAI

SELF STUDENT

20 Yr 00 M

M 60000

252 201301233

PATEL VIVEKKUMAR SELF STUDENT

20 Yr 00 M

M 60000

253 201301234

SHAH FORAM SANJAYBHAI

SELF STUDENT

19 Yr 00 M

F 60000

254 201301235

MAYATRA AKSHIN KAUSHIKBHAI

SELF STUDENT

20 Yr 00 M

M 60000

255 201301237

VAGHELA TAPASVI AJIT SELF STUDENT

20 Yr 00 M

M 60000

256 201301238

KAUSHAL JETHVA SELF STUDENT

20 Yr 00 M

M 60000

257 201301239

PANCHAL JINAL RAJENDRAKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

258 201301240

GOHIL JAY RITESH SELF STUDENT

20 Yr 00 M

M 60000

259 201301241

PARMAR MEET SELF STUDENT

21 Yr 00 M

M 60000

260 201301242

PATEL MAUSAMEEBEN PARESHKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

261 201301401

ANTHONY MARKPIERCE SELF STUDENT

20 Yr 00 M

M 60000

262 201301402

VARMA SUMEET BHARATBHAI

SELF STUDENT

20 Yr 00 M

M 60000

263 201301403

KANAKIA HITARTH MUKUNDRAY

SELF STUDENT

20 Yr 00 M

M 60000

264 201301404

NIDHI SELF STUDENT

20 Yr 00 M

F 60000

265 201301405

JOSHI KANDARP RAJESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

266 201301406

KHYATI CHANDRASHEKHAR MAHAJAN

SELF STUDENT

20 Yr 00 M

F 60000

267 201301407

POPAT SMIT NATVARLAL

SELF STUDENT

20 Yr 00 M

M 60000

268 201301408

PATEL BHAVYABAHEN PRAVINBHAI

SELF STUDENT

20 Yr 00 M

F 60000

269 201301409

PARMAR DIVYESH BHARATKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

270 201301410

SOKHADIA HARSHIL MAHENDRAKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

271 201301411

MODI UJASH DHARMENKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

17 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

272 201301412

TERAIYA VATSAL HITESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

273 201301413

GUJJAR TAPAN JAYESH SELF STUDENT

21 Yr 00 M

M 60000

274 201301414

SUTHAR JAHNAVI LALITKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

275 201301415

PALASARA SHALIN HUSAINALI

SELF STUDENT

20 Yr 00 M

M 60000

276 201301416

PATEL DHWANIL JAGDISHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

277 201301417

SHREYAS CHAUDHARY SELF STUDENT

22 Yr 00 M

M 60000

278 201301419

THAKAR RAJ JAYRAJBHAI

SELF STUDENT

21 Yr 00 M

M 60000

279 201301422

KULDEEP PATEL SELF STUDENT

20 Yr 00 M

M 60000

280 201301423

SHETH DEVARSH KARTIK

SELF STUDENT

20 Yr 00 M

M 60000

281 201301424

KHANDERIA JAIMIN DINESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

282 201301427

PEESAPATI SRI VENKATASATYA ADITYA

SELF STUDENT

19 Yr 00 M

M 60000

283 201301428

SHARVI KALPESH TALATI

SELF STUDENT

21 Yr 00 M

F 60000

284 201301429

SHALEEN KUMAR GUPTA

SELF STUDENT

20 Yr 00 M

M 60000

285 201301430

ABHISHEK KAMLESHBHAI PARIKH

SELF STUDENT

20 Yr 00 M

M 60000

286 201301431

RISHABH BHARDWAJ SELF STUDENT

21 Yr 00 M

M 60000

287 201301432

MEHTA CHARMI KAMLESH

SELF STUDENT

20 Yr 00 M

F 60000

288 201301433

CHITTOORY NAGA PRADEET SWAMY

SELF STUDENT

21 Yr 00 M

M 60000

289 201301434

SONEJI ANANTA BALKRISHNA

SELF STUDENT

20 Yr 00 M

F 60000

290 201301435

DEEKSHA KOUL SELF STUDENT

22 Yr 00 M

F 60000

291 201301436

SHAH HENIL KETANBHAI SELF STUDENT

20 Yr 00 M

F 60000

292 201301438

VISHARAD BANSAL SELF STUDENT

21 Yr 00 M

M 60000

293 201301439

GANATRA PARTH VINOD SELF STUDENT

20 Yr 00 M

M 60000

294 201301440

DESAI RAJ CHETANBHAI SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

18 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

295 201301441

GANDHI SHUCHIT VIPUL SELF STUDENT

20 Yr 00 M

M 60000

296 201301442

VARMA AKSHAR JAYANTH

SELF STUDENT

20 Yr 00 M

M 60000

297 201301443

SHERYANSH JAIN SELF STUDENT

20 Yr 00 M

M 60000

298 201301444

ANKUL JAIN SELF STUDENT

21 Yr 00 M

M 60000

299 201301445

MIHIR JOSHI SELF STUDENT

20 Yr 00 M

M 60000

300 201301446

PRASHANT RAJORIYA SELF STUDENT

20 Yr 00 M

M 60000

301 201301447

BHUPATHI VADHIR BABU SELF STUDENT

21 Yr 00 M

M 60000

302 201301450

DUSHYANTKUMAR PARMAR

SELF STUDENT

20 Yr 00 M

M 60000

303 201301452

SHRUTI SINGH SELF STUDENT

20 Yr 00 M

F 60000

304 201301453

PATEL KHUSHBU SELF STUDENT

20 Yr 00 M

F 60000

305 201301454

JAY PRAVINKUMAR BHATT

SELF STUDENT

20 Yr 00 M

M 60000

306 201301455

DADHANIYA DIPEN RAMNIKLAL

SELF STUDENT

20 Yr 00 M

M 60000

307 201301456

DESAI SAMARTH NISHITH

SELF STUDENT

20 Yr 00 M

M 60000

308 201301457

GOHEL SACHIN VINODKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

309 201301458

SHETHNA PINAKINBHAI DHARMESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

310 201301459

GOHIL DEERGHA BATUKBHAI

SELF STUDENT

20 Yr 00 M

F 60000

311 201321002

SAILOR HARDIK BHUPENDRA

SELF STUDENT

27 Yr 00 M

M 60000

312 201321003

KAMAL MANHARLAL CAPTAIN

SELF STUDENT

28 Yr 00 M

M 60000

313 201321004

VINEET KUMAR DAD SELF STUDENT

31 Yr 00 M

M 60000

314 201321005

PARTH MEHTA SELF STUDENT

26 Yr 00 M

M 60000

315 201321009

SHAH NIRMESH JAYESHKUMAR

SELF STUDENT

27 Yr 00 M

M 60000

316 201321010

KORINGA PURVI A. SELF STUDENT

27 Yr 00 M

F 60000

317 201401001

MEHTA MEDHA RAJESH SELF STUDENT

19 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

19 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

318 201401002

PENUGONDA VINEETH SELF STUDENT

19 Yr 00 M

M 60000

319 201401003

SHARMA SMRITI MAN PRAKASH

SELF STUDENT

20 Yr 00 M

F 60000

320 201401004

KOTHARI SAMARTH KETANKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

321 201401005

BALDHA PINAL VINODBHAI

SELF STUDENT

19 Yr 00 M

F 60000

322 201401006

DAIYA BRIJESH BHARAT SELF STUDENT

19 Yr 00 M

M 60000

323 201401007

PIRATLA SHOURI SELF STUDENT

19 Yr 00 M

M 60000

324 201401008

AKSHAT DUA SELF STUDENT

19 Yr 00 M

M 60000

325 201401009

THAKKAR AADITYA RAJESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

326 201401010

MUTTINENI AAKASH SELF STUDENT

20 Yr 00 M

M 60000

327 201401011

KONICA TALLARI SELF STUDENT

19 Yr 00 M

F 60000

328 201401012

PATEL KISHAN PRAFULBHAI

SELF STUDENT

19 Yr 00 M

M 60000

329 201401013

KADAKIA URMIL VIPULBHAIL

SELF STUDENT

20 Yr 00 M

M 60000

330 201401014

KEVIN VEGDA SELF STUDENT

20 Yr 00 M

M 60000

331 201401016

SHASHWAT MISHRA SELF STUDENT

19 Yr 00 M

M 60000

332 201401017

ABHINAV GADDE SELF STUDENT

19 Yr 00 M

M 60000

333 201401018

SHAH RISHI DILPESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

334 201401019

CHAKKA THARUN SELF STUDENT

19 Yr 00 M

M 60000

335 201401020

KENIL AMIT SHAH SELF STUDENT

20 Yr 00 M

M 60000

336 201401021

KORADIA AKASHKUMAR AMRUTLAL

SELF STUDENT

19 Yr 00 M

M 60000

337 201401022

PANKAJ SIROHI SELF STUDENT

20 Yr 00 M

M 60000

338 201401023

DIVYA VERMA SELF STUDENT

20 Yr 00 M

F 60000

339 201401024

URVASHI BANTHIA SELF STUDENT

19 Yr 00 M

F 60000

340 201401025

SHILPI CHAUDHURI SELF STUDENT

20 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

20 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

341 201401027

JADAV ROHAN DILIP SELF STUDENT

19 Yr 00 M

M 60000

342 201401028

TANAY MADHUKAR BORKAR

SELF STUDENT

20 Yr 00 M

M 60000

343 201401029

SHAH AASKA JIGNESHKUMAR

SELF STUDENT

19 Yr 00 M

F 60000

344 201401030

HARSHUL VAISHNAV SELF STUDENT

20 Yr 00 M

M 60000

345 201401031

AGRAWAL AMAY AJAYKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

346 201401032

SARODE KARTIKEY SANJAY

SELF STUDENT

19 Yr 00 M

M 60000

347 201401033

JOSHI TORAL JAYANTKUMAR

SELF STUDENT

19 Yr 00 M

F 60000

348 201401034

GAJJAR ANIKET JAYESH SELF STUDENT

20 Yr 00 M

M 60000

349 201401036

VASIREDDY V SAI TEJA SELF STUDENT

20 Yr 00 M

M 60000

350 201401037

SHINJINI GOSWAMI SELF STUDENT

20 Yr 00 M

F 60000

351 201401038

YASH KUMAR SELF STUDENT

20 Yr 00 M

M 60000

352 201401039

RAHI UTPAL SHETH SELF STUDENT

19 Yr 00 M

F 60000

353 201401040

SAI SWETHA PASAM SELF STUDENT

19 Yr 00 M

F 60000

354 201401041

THAKKAR KARAN DEVIDAS

SELF STUDENT

19 Yr 00 M

M 60000

355 201401043

BHAWANA JALORIA SELF STUDENT

21 Yr 00 M

F 60000

356 201401045

ANAMIKA MODI SELF STUDENT

19 Yr 00 M

F 60000

357 201401046

SHIVANJALI S MEENA SELF STUDENT

20 Yr 00 M

F 60000

358 201401047

NACHIKET VIKRAM TRIVEDI

SELF STUDENT

19 Yr 00 M

M 60000

359 201401048

EAGAPATI INDRANI CHOWDARY

SELF STUDENT

19 Yr 00 M

F 60000

360 201401049

BHANDERI SHREYAS VELJIBHAI

SELF STUDENT

20 Yr 00 M

M 60000

361 201401051

TRAPASIYA MAULIK AMRUTLAL

SELF STUDENT

20 Yr 00 M

M 60000

362 201401052

SUDIPTA HALDAR SELF STUDENT

20 Yr 00 M

M 60000

363 201401054

UDGIRKAR SANKET SHRIKANT

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

21 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

364 201401055

KRITIKA SOMANI SELF STUDENT

20 Yr 00 M

F 60000

365 201401056

ANEREE MEHTA SELF STUDENT

20 Yr 00 M

F 60000

366 201401057

DHRUV SINGH SELF STUDENT

20 Yr 00 M

M 60000

367 201401058

PATEL ABHISHEK DIPAKBHAI

SELF STUDENT

19 Yr 00 M

M 60000

368 201401059

UDHANI JAYESH BHAGWANDAS

SELF STUDENT

19 Yr 00 M

M 60000

369 201401060

MAYANK KUMAR SAHLOT

SELF STUDENT

20 Yr 00 M

M 60000

370 201401061

AKSHAY BHAGCHAND VIJAYVERGIA

SELF STUDENT

20 Yr 00 M

M 60000

371 201401063

BHAGAT NIKITA RAJENBHAI

SELF STUDENT

20 Yr 00 M

F 60000

372 201401064

BALVINDER SINGH SETHI

SELF STUDENT

20 Yr 00 M

M 60000

373 201401065

CHIMBILI SAI NEERAJ SELF STUDENT

19 Yr 00 M

M 60000

374 201401066

ADARSH JAIN SELF STUDENT

19 Yr 00 M

M 60000

375 201401067

KIKANI KARNAV MANISH SELF STUDENT

19 Yr 00 M

M 60000

376 201401068

SHUBHAM KHANDELWAL

SELF STUDENT

20 Yr 00 M

M 60000

377 201401069

VERTIKA K BINDAL SELF STUDENT

19 Yr 00 M

F 60000

378 201401070

ANURAG VIJAY GUPTA SELF STUDENT

19 Yr 00 M

M 60000

379 201401072

NEELAMRAJU SRISAI KARTHIK

SELF STUDENT

19 Yr 00 M

M 60000

380 201401073

PITTA NANCY SELF STUDENT

19 Yr 00 M

F 60000

381 201401074

RASHI GUPTA SELF STUDENT

20 Yr 00 M

M 60000

382 201401075

DEEPIT PATEL SELF STUDENT

19 Yr 00 M

M 60000

383 201401076

SHAH PARTH BHAVESH SELF STUDENT

19 Yr 00 M

M 60000

384 201401077

GHADIA DIVYESH GIRDHARBHAI

SELF STUDENT

20 Yr 00 M

M 60000

385 201401078

AAYUSH DESHRAJ SELF STUDENT

20 Yr 00 M

M 60000

386 201401079

SALONI DALAL SELF STUDENT

20 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

22 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

387 201401080

PATIL PRANAY KUMAR REDDY

SELF STUDENT

19 Yr 00 M

M 60000

388 201401081

GEOLANGSAT NARZARY SELF STUDENT

19 Yr 00 M

M 60000

389 201401082

NADGERI ABHISHEK SANJEEV

SELF STUDENT

20 Yr 00 M

M 60000

390 201401083

TANGUDU SRIHITHA SELF STUDENT

19 Yr 00 M

F 60000

391 201401084

BASIREDDYGARI JAYANTHESWAR REDDY

SELF STUDENT

19 Yr 00 M

M 60000

392 201401085

DARJI VAIDEHI PRAKASH

SELF STUDENT

20 Yr 00 M

F 60000

393 201401086

JOGLEKAR ADITYA VAIBHAV

SELF STUDENT

19 Yr 00 M

M 60000

394 201401087

KATRAGADDA PAAVAN PRANEETH

SELF STUDENT

19 Yr 00 M

M 60000

395 201401088

AKSHAY DHANANJAY BHAMARE

SELF STUDENT

20 Yr 00 M

M 60000

396 201401089

PARTH RATHOD SELF STUDENT

20 Yr 00 M

M 60000

397 201401090

AVINASH CHAUDHARY SELF STUDENT

21 Yr 00 M

M 60000

398 201401091

PATEL HETKUMAR SURESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

399 201401093

PADARTHY ABHISHANTH

SELF STUDENT

19 Yr 00 M

M 60000

400 201401094

VIJAY KUMAR SELF STUDENT

20 Yr 00 M

M 60000

401 201401095

ATRAYEE DEB SELF STUDENT

20 Yr 00 M

F 60000

402 201401096

SHAH UMANG PANKAJKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

403 201401097

LAGADAPATI KRISHNA CHAITHVIKA

SELF STUDENT

19 Yr 00 M

F 60000

404 201401098

ANUSHA PHADNIS SELF STUDENT

20 Yr 00 M

F 60000

405 201401099

PATEL ABHISHEK JITENDRABHAI

SELF STUDENT

20 Yr 00 M

M 60000

406 201401100

PARTH NITESH KANAKIYA

SELF STUDENT

19 Yr 00 M

M 60000

407 201401101

GAMITA BANAPHAL SELF STUDENT

20 Yr 00 M

F 60000

408 201401102

JONNALAGADDA DHARANI CHOWDARY

SELF STUDENT

19 Yr 00 M

F 60000

409 201401103

PINGE RAJDEEP SANTOSHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

23 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

410 201401104

SONAL DAMOR SELF STUDENT

20 Yr 00 M

F 60000

411 201401105

SHAH RUCHITA CHANDRESH

SELF STUDENT

20 Yr 00 M

F 60000

412 201401106

RUSHIKESH NALLA SELF STUDENT

20 Yr 00 M

M 60000

413 201401108

TIRTH CHETAN SHAH SELF STUDENT

19 Yr 00 M

M 60000

414 201401110

SHASHANK BISWAS SELF STUDENT

20 Yr 00 M

M 60000

415 201401111

BHIMANI MILANKUMAR KANTILAL

SELF STUDENT

19 Yr 00 M

M 60000

416 201401112

VINAY KUMAR MEENA SELF STUDENT

19 Yr 00 M

M 60000

417 201401113

BIRVA HEMEN PATEL SELF STUDENT

20 Yr 00 M

F 60000

418 201401114

DAMLE OMKAR VISHWESH

SELF STUDENT

20 Yr 00 M

M 60000

419 201401115

DEVANSHI BANSAL SELF STUDENT

19 Yr 00 M

F 60000

420 201401116

JUGAL KALAL SELF STUDENT

20 Yr 00 M

M 60000

421 201401117

URVASHI SINGH SELF STUDENT

20 Yr 00 M

F 60000

422 201401118

SIDDHARTH SINH M RANA

SELF STUDENT

20 Yr 00 M

M 60000

423 201401119

DESAI BRIJ SURESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

424 201401120

BHUT HARSHIT ANILBHAI

SELF STUDENT

19 Yr 00 M

M 60000

425 201401121

NERURKAR NANDINI SUJIT

SELF STUDENT

20 Yr 00 M

F 60000

426 201401122

ANCHIT DAVE SELF STUDENT

20 Yr 00 M

M 60000

427 201401123

PAREKH KEVAL MAYUR SELF STUDENT

20 Yr 00 M

M 60000

428 201401124

NARMIT SWETAL MASHRUWALA

SELF STUDENT

19 Yr 00 M

M 60000

429 201401125

PATEL PANTH PRANAVBHAI

SELF STUDENT

20 Yr 00 M

M 60000

430 201401126

GOPAL SHAH SELF STUDENT

19 Yr 00 M

M 60000

431 201401127

KRISHANU KONAR SELF STUDENT

20 Yr 00 M

M 60000

432 201401128

VANDIT DARSHAN MODI SELF STUDENT

19 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

24 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

433 201401129

CHANDAK RUDRA CHAMANLAL

SELF STUDENT

20 Yr 00 M

M 60000

434 201401130

DATANI PIYUSH SELF STUDENT

20 Yr 00 M

M 60000

435 201401131

SUTHAR KUNAL VINAYKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

436 201401132

TRIVEDI JAY KETANKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

437 201401133

BHAVSAR ANUJKUMAR ASHOKKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

438 201401134

SARADAVA RAVIBHAI SELF STUDENT

19 Yr 00 M

M 60000

439 201401135

DAVE MITHIL PARESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

440 201401136

KOSHIYAR DHRUV ASHOKBHAI

SELF STUDENT

19 Yr 00 M

M 60000

441 201401137

SAVALIYA MOHIT JAGDISHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

442 201401138

PRAJAPATI DHAVAL HARSHADBHAI

SELF STUDENT

19 Yr 00 M

M 60000

443 201401139

SARDHARA HARDIK SELF STUDENT

19 Yr 00 M

M 60000

444 201401140

CHAUHAN PARTH ASHOKKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

445 201401141

SHRIMALI NILAY KANUBHAI

SELF STUDENT

19 Yr 00 M

M 60000

446 201401142

PARATE HITESHKUMAR PRABHAKARBHAI

SELF STUDENT

19 Yr 00 M

M 60000

447 201401143

PATEL AKSHAYKUMAR MAHESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

448 201401144

SHAH KISHAN VIJAYKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

449 201401145

PALADIYA KETAN HARIBHAI

SELF STUDENT

19 Yr 00 M

M 60000

450 201401146

CHAUDHARI PRASHANTKUMAR KIRANBHAI

SELF STUDENT

19 Yr 00 M

M 60000

451 201401147

PATEL VINAYKUMAR MERUBHAI

SELF STUDENT

19 Yr 00 M

M 60000

452 201401148

PATEL MITALI NARENDRABHAI

SELF STUDENT

19 Yr 00 M

F 60000

453 201401149

MEHUL N VASAVA SELF STUDENT

19 Yr 00 M

M 60000

454 201401152

DODIA DIMPLE MANOJBHAI

SELF STUDENT

19 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

25 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

455 201401154

GUNDIGARA MIT JAYDEEPBHAI

SELF STUDENT

19 Yr 00 M

M 60000

456 201401155

SHETH VIRAJ APURVABHAI

SELF STUDENT

19 Yr 00 M

M 60000

457 201401156

PATEL YASH ATULKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

458 201401157

BORISAGAR PANAV ASHISHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

459 201401158

BORISAGAR PALLAV ASHISHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

460 201401159

KACHHIA RUCHI MILANBHAI

SELF STUDENT

20 Yr 00 M

F 60000

461 201401161

VALA SURJIT BAVKUBHAI

SELF STUDENT

19 Yr 00 M

M 60000

462 201401162

PANJWANI DHAVAL PRAKASH

SELF STUDENT

20 Yr 00 M

M 60000

463 201401163

PIPALIYA RAJAN DINESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

464 201401164

TARUNKUMAR BARIA SELF STUDENT

20 Yr 00 M

M 60000

465 201401165

SHAH HARSHAL BHADRESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

466 201401166

PARMAR RAHUL DILIPBHAI

SELF STUDENT

19 Yr 00 M

M 60000

467 201401167

GHUSAR HARDIK SELF STUDENT

19 Yr 00 M

M 60000

468 201401168

KACHA GAURAV SELF STUDENT

19 Yr 00 M

M 60000

469 201401169

SHAH MILAP CHIRAG SELF STUDENT

19 Yr 00 M

M 60000

470 201401170

LALAIYA MAYANK DINESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

471 201401171

DAVE HEET AMITKUMAR SELF STUDENT

19 Yr 00 M

M 60000

472 201401172

BHUSARA ARCHANAKUMAREE DINESHBHAI

SELF STUDENT

19 Yr 00 M

F 60000

473 201401173

DRASHTI BIPINCHANDRA BHARTI

SELF STUDENT

20 Yr 00 M

F 60000

474 201401174

MEHTA SUPARSHVA RAKESH

SELF STUDENT

20 Yr 00 M

M 60000

475 201401175

PRATIHAR SAURAVKUMAR KIRANKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

476 201401176

DEVARSHI CHANDRAKANT KACHA

SELF STUDENT

19 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

26 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

477 201401177

VAGHELA PARTH DINESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

478 201401178

KACHARIYA JAYRAJ MAHESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

479 201401179

PATEL NIRAV KAMLESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

480 201401180

SHAH KELAY KANUBHAI SELF STUDENT

20 Yr 00 M

M 60000

481 201401182

SINGAL KEYUR ANILKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

482 201401183

VAJA NISHANT DINESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

483 201401184

PATEL PARTH VIJAYKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

484 201401185

PATEL DIGMAKUMARI SELF STUDENT

19 Yr 00 M

F 60000

485 201401186

AKSHAT PATEL SELF STUDENT

19 Yr 00 M

M 60000

486 201401187

ARPIT PRAJAPATI SELF STUDENT

19 Yr 00 M

M 60000

487 201401189

LIMBADIYA MAULIK VAJUBHAI

SELF STUDENT

19 Yr 00 M

M 60000

488 201401190

RONAK CHANDRAKANT ODHAVIYA

SELF STUDENT

19 Yr 00 M

M 60000

489 201401191

PRATISH ANAND SELF STUDENT

20 Yr 00 M

M 60000

490 201401192

PARMAR HIRAL UMAKANT

SELF STUDENT

19 Yr 00 M

F 60000

491 201401194

GAJJAR PRATIK MAHESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

492 201401195

CHAUDHARY AMITKUMAR DHAGALCHAND

SELF STUDENT

19 Yr 00 M

M 60000

493 201401199

AGARWAL RESHEIL SANJEEV

SELF STUDENT

20 Yr 00 M

M 60000

494 201401200

PIYUSHI PAWAN SELF STUDENT

20 Yr 00 M

F 60000

495 201401201

AYUSHI JAIN SELF STUDENT

20 Yr 00 M

F 60000

496 201401202

PRAJAPATI SMITKUMAR MAHENDRABHAI

SELF STUDENT

19 Yr 00 M

M 60000

497 201401204

GAJJAR MANAN BHARATBHAI

SELF STUDENT

19 Yr 00 M

M 60000

498 201401205

DALIA BHARGAV OJASKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

27 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

499 201401206

VAGHELA VIRALKUMAR CHANDRAKANTBHAI

SELF STUDENT

19 Yr 00 M

M 60000

500 201401207

ASHUTOSH ADHIKARI SELF STUDENT

20 Yr 00 M

M 60000

501 201401208

MALIK AASIM MOHMMODASFAK

SELF STUDENT

19 Yr 00 M

M 60000

502 201401210

SAPARIYA ABHI MUKESHKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

503 201401211

DIVECHA RUSHI ASHOKKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

504 201401212

KOSHIYA JAYMIL BHARATBHAI

SELF STUDENT

19 Yr 00 M

M 60000

505 201401213

PRAJAPATI KALPESH TULSHIBHAI

SELF STUDENT

19 Yr 00 M

M 60000

506 201401214

MANVA MOHIBAHEMAD ABDULMAZID

SELF STUDENT

19 Yr 00 M

M 60000

507 201401215

PATEL DHRUV PRAKASHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

508 201401216

VIMAL PRAJAPATI SELF STUDENT

20 Yr 00 M

M 60000

509 201401217

DALSANIYA VIVEKKUMAR SURESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

510 201401218

PARMAR VIKAS SURESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

511 201401219

AGRAWAL PRACHI RAJESH

SELF STUDENT

20 Yr 00 M

F 60000

512 201401221

RAIYA DEEP KIRTIKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

513 201401222

PATEL VAIBHAVKUMAR SELF STUDENT

19 Yr 00 M

M 60000

514 201401223

NAYAK KUNTAL KETANKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

515 201401224

TRADA JASMIN KANTIBHAI

SELF STUDENT

19 Yr 00 M

M 60000

516 201401225

THAKKAR HARSH KIRITKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

517 201401226

SHAH DEVAM NRUPESH SELF STUDENT

19 Yr 00 M

M 60000

518 201401227

CHHATRALA NISHIT ASHISHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

519 201401228

MANAN ASHISH KSHATRIYA

SELF STUDENT

19 Yr 00 M

M 60000

520 201401229

BODA NISHTHA AMRUTBHAI

SELF STUDENT

20 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

28 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

521 201401230

ROHAN BANSAL SELF STUDENT

20 Yr 00 M

M 60000

522 201401231

SHETH AKAR JAYESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

523 201401232

SORIYA MANTHAN SELF STUDENT

19 Yr 00 M

M 60000

524 201401233

SHAH PARSHWA RAVINDRA

SELF STUDENT

19 Yr 00 M

M 60000

525 201401234

PARTH VASAVA SELF STUDENT

20 Yr 00 M

M 60000

526 201401235

DIVYESHKUMAR SAVALIYA

SELF STUDENT

19 Yr 00 M

M 60000

527 201401236

PATEL MITESHKUMAR KIRTIKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

528 201401237

PATEL MITHIL PRAVINBHAI

SELF STUDENT

20 Yr 00 M

M 60000

529 201401238

PATEL MEET SHAILESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

530 201401239

RAJDEV PARTH DINESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

531 201401240

PALOD PRACHI GHANSHYAM

SELF STUDENT

19 Yr 00 M

F 60000

532 201401241

SHAH JAY GAURANG SELF STUDENT

19 Yr 00 M

M 60000

533 201401242

PATEL JAY SHAILESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

534 201401243

PATEL SAUMIL KAMLESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

535 201401244

PARIKH SAMARTH SANJAY

SELF STUDENT

20 Yr 00 M

M 60000

536 201401245

SHAH SAURABH VINAY SELF STUDENT

20 Yr 00 M

M 60000

537 201401246

PATEL DVIJESH NANDLAL

SELF STUDENT

19 Yr 00 M

M 60000

538 201401247

PARMAR DHAVAL JAGDISHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

539 201401401

ADITYA RAJ SELF STUDENT

20 Yr 00 M

M 60000

540 201401402

GOHEL KUNAL KAMLESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

541 201401403

AARUSHI ILESH SANGHANI

SELF STUDENT

19 Yr 00 M

F 60000

542 201401404

VIRENDRA PRATAP SELF STUDENT

21 Yr 00 M

M 60000

543 201401405

LALCHETA NIHAR SHARADBHAI

SELF STUDENT

19 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

29 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

544 201401406

SHAH JINESH JAYESH SELF STUDENT

19 Yr 00 M

M 60000

545 201401407

KAPADIA AAYUSH SHRIKANT

SELF STUDENT

19 Yr 00 M

M 60000

546 201401408

KEVAL DHRUVESHKUMAR SHAH

SELF STUDENT

20 Yr 00 M

M 60000

547 201401409

TANMAY BHUPESH PATEL

SELF STUDENT

19 Yr 00 M

M 60000

548 201401410

SINGULUR SURYA VAMSI GOWTAM

SELF STUDENT

19 Yr 00 M

M 60000

549 201401411

SYED MOHAMMAD FUZAIL AHAMED

SELF STUDENT

18 Yr 00 M

M 60000

550 201401412

PARVATANENI MANASA SELF STUDENT

19 Yr 00 M

F 60000

551 201401413

K.KAMALESH SELF STUDENT

19 Yr 00 M

M 60000

552 201401414

VYAS MAHARSHI DIPAKKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

553 201401415

HARSH DILIPKUMAR GAGLANI

SELF STUDENT

19 Yr 00 M

M 60000

554 201401416

BHAVYA MITESH MEHTA SELF STUDENT

19 Yr 00 M

M 60000

555 201401417

SHAH PURVIK HITESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

556 201401418

DHRUV NARESHBHAI SACHDEV

SELF STUDENT

19 Yr 00 M

M 60000

557 201401420

ADITYA VYAS SELF STUDENT

19 Yr 00 M

M 60000

558 201401421

MANKAD NIRVISHA PIYUSH

SELF STUDENT

19 Yr 00 M

F 60000

559 201401422

SNEHA MANDAN SELF STUDENT

20 Yr 00 M

F 60000

560 201401423

SURBHIT RAO SELF STUDENT

20 Yr 00 M

M 60000

561 201401424

CHAUDHARI HARSH SHANKAR

SELF STUDENT

19 Yr 00 M

M 60000

562 201401425

NAIK TWISHA GAURANG SELF STUDENT

19 Yr 00 M

F 60000

563 201401426

PREETI MINJ SELF STUDENT

20 Yr 00 M

F 60000

564 201401427

HARSH VARDHAN HYANKEY

SELF STUDENT

19 Yr 00 M

M 60000

565 201401428

MALVIKA SINGH SELF STUDENT

21 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

30 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

566 201401429

PANDYA SHAIRIL BHAVINKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

567 201401431

CHANDWANI KHUSHBOO MUKESH

SELF STUDENT

19 Yr 00 M

F 60000

568 201401432

PATEL ABHIJIT SUNIL SELF STUDENT

20 Yr 00 M

M 60000

569 201401433

DALAL AALISHA PRANAV SELF STUDENT

19 Yr 00 M

F 60000

570 201401434

PRAJAPATI BIREN GANPATBHAI

SELF STUDENT

19 Yr 00 M

M 60000

571 201401435

MODI AKASH MUKESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

572 201401436

JARIWALA SAUMYA NIRAV

SELF STUDENT

19 Yr 00 M

M 60000

573 201401437

SHAH ABHI DHARMESH SELF STUDENT

19 Yr 00 M

M 60000

574 201401438

GANDHI ADWAIT ALKESH

SELF STUDENT

19 Yr 00 M

M 60000

575 201401439

ANISHI MEHTA SELF STUDENT

19 Yr 00 M

F 60000

576 201401440

DANGAR MAYURKUMAR VINUBHAI

SELF STUDENT

19 Yr 00 M

M 60000

577 201401442

SHAH KARTIK PARESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

578 201401443

AKSHAY MITERANI SELF STUDENT

19 Yr 00 M

M 60000

579 201401444

THAKKAR VATSAL JAYESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

580 201401446

GELAT HARSHIT SELF STUDENT

19 Yr 00 M

M 60000

581 201401447

CHANGELA ISHAN NARENDRABHAI

SELF STUDENT

19 Yr 00 M

M 60000

582 201401448

NARIA MIT JAYANTIBHAI SELF STUDENT

19 Yr 00 M

M 60000

583 201401449

GANDHI PARTHKUMAR ANILKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

584 201401450

SHAH RAJ KETAN SELF STUDENT

19 Yr 00 M

M 60000

585 201401451

DEVANSH ASHWINKUMAR GOHIL

SELF STUDENT

19 Yr 00 M

M 60000

586 201401452

GHETIA KISHAN BIPINBHAI

SELF STUDENT

19 Yr 00 M

M 60000

587 201401453

CHAUDHARI APURV JAYANTBHAI

SELF STUDENT

20 Yr 00 M

M 60000

588 201401455

VIRAL PANDEY SELF STUDENT

19 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

31 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

589 201401456

LIMBACHIA MIHIR SELF STUDENT

19 Yr 00 M

M 60000

590 201401457

CHAUDHARI UTTAMKUMAR SHANKARBHAI

SELF STUDENT

19 Yr 00 M

M 60000

591 201401459

DETROJA MAYUR NILESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

592 201401461

VAGHELA RONAKSINH RAMSINH

SELF STUDENT

19 Yr 00 M

M 60000

593 201411014

SHAH KUSHAN RAJNIKANT

SELF STUDENT

23 Yr 00 M

M 60000

594 201411052

ABHAY SINGH SELF STUDENT

34 Yr 00 M

M 60000

595 201412088

RANA DHARABEN KAMLESHKUMAR

SELF STUDENT

22 Yr 00 M

F 60000

596 201412090

SHIKHA SANADHYA SELF STUDENT

23 Yr 00 M

F 60000

597 201421001

ARCHANA NIGAM SELF STUDENT

27 Yr 00 M

F 60000

598 201421002

SUMUKH BANSAL SELF STUDENT

27 Yr 00 M

M 60000

599 201421003

PATEL NIKITABEN RATILAL

SELF STUDENT

24 Yr 00 M

F 60000

600 201421004

HARDIK GAJERA SELF STUDENT

26 Yr 00 M

M 60000

601 201421005

DESAI NIDHI NITINBHAI SELF STUDENT

28 Yr 00 M

F 60000

602 201421006

RAHUL VASHISTH SELF STUDENT

28 Yr 00 M

M 60000

603 201501001

PATELIYA JEETESHKUMAR RAMANBHAI

SELF STUDENT

18 Yr 00 M

M 60000

604 201501002

PARV CHADHA SELF STUDENT

19 Yr 00 M

M 60000

605 201501003

HIMANSHU CHANDAK SELF STUDENT

20 Yr 00 M

M 60000

606 201501004

AASHINI NILESHKUMAR SONI

SELF STUDENT

19 Yr 00 M

F 60000

607 201501005

AMARNATH KARTHI SELF STUDENT

18 Yr 00 M

M 60000

608 201501006

SOUMYA AGRAWAL SELF STUDENT

18 Yr 00 M

F 60000

609 201501007

AGRAWAL ABHISHEK MANOJ

SELF STUDENT

18 Yr 00 M

M 60000

610 201501008

RAVIRAM MAMIDI SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

32 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

611 201501009

PRAKHAR ANANYA SELF STUDENT

19 Yr 00 M

M 60000

612 201501010

ISAAC MALSAWMA SELF STUDENT

18 Yr 00 M

M 60000

613 201501011

KUNAL NIRAV KHATRI SELF STUDENT

18 Yr 00 M

M 60000

614 201501012

KEYA DESAI SELF STUDENT

18 Yr 00 M

F 60000

615 201501013

KOLI POOJA TUKARAM SELF STUDENT

19 Yr 00 M

F 60000

616 201501014

NIKITA VERMA SELF STUDENT

20 Yr 00 M

F 60000

617 201501015

PATEL PARTH HITENDRAKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

618 201501016

SALONI MUNDRA SELF STUDENT

19 Yr 00 M

F 60000

619 201501017

PATEL RAHUL HASMUKHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

620 201501018

VARIA NEELANSHI ATUL SELF STUDENT

18 Yr 00 M

F 60000

621 201501019

RAGHAV AGARWAL SELF STUDENT

19 Yr 00 M

M 60000

622 201501020

SHUBHAM D ANNADATE SELF STUDENT

18 Yr 00 M

M 60000

623 201501021

ROSHAN ASHOKBHAI SHAH

SELF STUDENT

19 Yr 00 M

M 60000

624 201501022

SHETH RUTVIK LALITKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

625 201501023

PATEL DEV NARENDRAKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

626 201501024

PARAMJEET SUNIL DESAI

SELF STUDENT

18 Yr 00 M

M 60000

627 201501025

SHUBHAM SONKAR SELF STUDENT

20 Yr 00 M

M 60000

628 201501026

SHUBHAM S MEENA SELF STUDENT

20 Yr 00 M

M 60000

629 201501027

PRASHIK NAGRALE SELF STUDENT

19 Yr 00 M

M 60000

630 201501028

BHANSALI YASH GAURANGBHAI

SELF STUDENT

18 Yr 00 M

M 60000

631 201501029

VANAMALA VYSHNAVI SELF STUDENT

18 Yr 00 M

F 60000

632 201501030

PUROHIT DEVANSH NARESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

633 201501031

SHAH MIHIR BIRENDRAKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

33 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

634 201501032

DIVYANSHU SINGH SELF STUDENT

19 Yr 00 M

M 60000

635 201501033

DAVAWALA NIDHI DEVANG

SELF STUDENT

18 Yr 00 M

F 60000

636 201501034

HARDIK BANSAL SELF STUDENT

20 Yr 00 M

M 60000

637 201501035

PATEL HARSH ALPESH SELF STUDENT

18 Yr 00 M

M 60000

638 201501036

SHAH DHAIRYA MUKESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

639 201501037

GOSWAMI JAY SURESHGIRI

SELF STUDENT

18 Yr 00 M

M 60000

640 201501038

DOBARIYA HARDIK PARESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

641 201501039

MEENA ABHISHEK HARI SHANKAR

SELF STUDENT

18 Yr 00 M

M 60000

642 201501040

MAYANK NAHAR SELF STUDENT

19 Yr 00 M

M 60000

643 201501041

VIDISH PANKAJKUMAR TRIVEDI

SELF STUDENT

18 Yr 00 M

M 60000

644 201501042

VINEETA MEENA SELF STUDENT

19 Yr 00 M

F 60000

645 201501043

R P KOUSHIK SELF STUDENT

18 Yr 00 M

M 60000

646 201501044

PRAKRUTI HASIT JOSHI SELF STUDENT

19 Yr 00 M

F 60000

647 201501045

PATEL SHREEMAD SANSKAR

SELF STUDENT

19 Yr 00 M

M 60000

648 201501046

PATEL YASH MANHARBHAI

SELF STUDENT

18 Yr 00 M

M 60000

649 201501047

JAYANTHI ARAVIND SELF STUDENT

18 Yr 00 M

M 60000

650 201501048

SHIWANGI KASHYAP SELF STUDENT

19 Yr 00 M

F 60000

651 201501049

SHUBHAM ATRI SELF STUDENT

18 Yr 00 M

M 60000

652 201501050

CHAUDHARY KEYURKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

653 201501051

RAMAVATH SASANK RATHOD

SELF STUDENT

18 Yr 00 M

M 60000

654 201501052

BAROCHIYA DHRUV DILIPBHAI

SELF STUDENT

18 Yr 00 M

M 60000

655 201501053

KHATNANI BHAVESH SELF STUDENT

18 Yr 00 M

M 60000

656 201501054

RATHOD MIHIRBHAI MANSUKHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

34 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

657 201501055

SAI ANISH GARAPATI SELF STUDENT

18 Yr 00 M

M 60000

658 201501056

DOSHI NIRAV JAYANTILAL

SELF STUDENT

18 Yr 00 M

M 60000

659 201501057

DHANVANTHRI KUMAR AGARWAL

SELF STUDENT

18 Yr 00 M

M 60000

660 201501058

PATEL RAVIBHAI BHARATBHAI

SELF STUDENT

18 Yr 00 M

M 60000

661 201501059

SHAH FENIL MUKESH SELF STUDENT

18 Yr 00 M

M 60000

662 201501060

VIDHI SHAILESHBHAI KATKORIA

SELF STUDENT

18 Yr 00 M

F 60000

663 201501061

MAVURAPU UMESH REDDY

SELF STUDENT

17 Yr 00 M

M 60000

664 201501062

BHATT RISHIKESH JAYESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

665 201501063

VIKANI PREMANG BHARATBHAI

SELF STUDENT

18 Yr 00 M

M 60000

666 201501065

GUNDAPANENI LOHITA SELF STUDENT

18 Yr 00 M

F 60000

667 201501066

CHINTALAPATI VENKATA RAMA RAHUL

SELF STUDENT

18 Yr 00 M

M 60000

668 201501067

UPPU KAAVYA SELF STUDENT

18 Yr 00 M

F 60000

669 201501068

RAM NIRBHAY JESABHAI SELF STUDENT

19 Yr 00 M

M 60000

670 201501069

KASHISH SELF STUDENT

20 Yr 00 M

M 60000

671 201501070

RISHAB ARORA SELF STUDENT

19 Yr 00 M

M 60000

672 201501071

SHAH JAY NILESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

673 201501072

SOLANKI SHARVIL ATULBHAI

SELF STUDENT

18 Yr 00 M

M 60000

674 201501073

SHAH MALHAR BHARAT SELF STUDENT

19 Yr 00 M

M 60000

675 201501074

RAJAT GARG SELF STUDENT

20 Yr 00 M

M 60000

676 201501075

ASHUTOSH MAHESHWARI

SELF STUDENT

19 Yr 00 M

M 60000

677 201501076

DHOLAKIA NINAD SHIRISHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

678 201501077

PATEL DARSHAN BHARATKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

679 201501078

KUNJAL RUPALA SELF STUDENT

18 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

35 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

680 201501079

ANUPRIYA JAJU SELF STUDENT

19 Yr 00 M

F 60000

681 201501080

JADAV HARDIK PRAVINBHAI

SELF STUDENT

18 Yr 00 M

M 60000

682 201501081

SHAH MEGH RAJESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

683 201501082

NASIT SAMARTH GORDHANBHAI

SELF STUDENT

18 Yr 00 M

M 60000

684 201501083

RUTVIK SHAH SELF STUDENT

19 Yr 00 M

M 60000

685 201501085

AKSHIT SONI SELF STUDENT

19 Yr 00 M

M 60000

686 201501086

LILA DHAVALKUMAR JAYANTILAL

SELF STUDENT

18 Yr 00 M

M 60000

687 201501087

BHUVA JAYKUMAR ANILKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

688 201501088

ETTA SRI POOJITHA SELF STUDENT

18 Yr 00 M

F 60000

689 201501089

SANGHANI ANILKUMAR GOPALBHAI

SELF STUDENT

18 Yr 00 M

M 60000

690 201501090

PIYUSH AJMERIA SELF STUDENT

18 Yr 00 M

M 60000

691 201501091

DHOLIYA DHUMIL ASHOK

SELF STUDENT

19 Yr 00 M

M 60000

692 201501092

CHIRANG MALVIYA SELF STUDENT

20 Yr 00 M

M 60000

693 201501093

GOTI MEET RAJENDRAKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

694 201501095

DIVYANSHU SHEKHAR SELF STUDENT

18 Yr 00 M

M 60000

695 201501096

PATEL SHASHANK NARESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

696 201501097

KRITI UPADHYAY SELF STUDENT

18 Yr 00 M

F 60000

697 201501098

THAKRANI POOJA AMRUTLAL

SELF STUDENT

19 Yr 00 M

F 60000

698 201501099

AGAM ALKESHKUMAR SHAH

SELF STUDENT

18 Yr 00 M

M 60000

699 201501100

AMIN MEET ANILKUMAR SELF STUDENT

19 Yr 00 M

M 60000

700 201501101

HARSH VYAS SELF STUDENT

18 Yr 00 M

M 60000

701 201501102

SAKET JAJOO SELF STUDENT

19 Yr 00 M

M 60000

702 201501103

HITESH KAUSHIK KORABATHINA

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

36 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

703 201501104

KALANGI SRAVANI SELF STUDENT

18 Yr 00 M

F 60000

704 201501105

SAINI KARAN RAJSINGH SELF STUDENT

19 Yr 00 M

M 60000

705 201501107

SHRIMALI JAY SELF STUDENT

18 Yr 00 M

M 60000

706 201501108

SOLANKI DIVYAKUMAR BIPINKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

707 201501109

MADHURYA SANKHLA SELF STUDENT

20 Yr 00 M

M 60000

708 201501110

MISTRY DARREN JAYKANT

SELF STUDENT

18 Yr 00 M

M 60000

709 201501111

MITESH KAPASIA SELF STUDENT

19 Yr 00 M

M 60000

710 201501112

SAKSHI SHARMA SELF STUDENT

19 Yr 00 M

F 60000

711 201501113

SHAH SHREY MANISHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

712 201501114

VAGHELA BHARAT JETHALAL

SELF STUDENT

19 Yr 00 M

M 60000

713 201501115

MAKWANA VIRAJ SELF STUDENT

19 Yr 00 M

M 60000

714 201501116

VADALIYA KARN KAUSHIK

SELF STUDENT

18 Yr 00 M

M 60000

715 201501117

GANATRA HARMISH SANDIPBHAI

SELF STUDENT

19 Yr 00 M

M 60000

716 201501118

KAUSHIK P MAKWANA SELF STUDENT

18 Yr 00 M

M 60000

717 201501119

PATIL TEJASKUMAR RAVINDRA

SELF STUDENT

19 Yr 00 M

M 60000

718 201501120

ETTA MADHUMITHA SELF STUDENT

18 Yr 00 M

F 60000

719 201501121

ANDHARIA DHAVAL KALPESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

720 201501122

HIMANSHU GUPTA SELF STUDENT

19 Yr 00 M

M 60000

721 201501123

ASHRAY BHARAMBE SELF STUDENT

19 Yr 00 M

M 60000

722 201501124

SHUBHANGI MEHROTRA SELF STUDENT

19 Yr 00 M

F 60000

723 201501125

PATEL POOJA KALPESHBHAI

SELF STUDENT

18 Yr 00 M

F 60000

724 201501126

ATKURI SRI DUTTA SAI SANDEEP

SELF STUDENT

19 Yr 00 M

M 60000

725 201501127

GAJERA MIHIR HASMUKHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

37 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

726 201501128

SHIRISH JAIN SELF STUDENT

20 Yr 00 M

M 60000

727 201501129

PRATIK N WANKHEDE SELF STUDENT

18 Yr 00 M

M 60000

728 201501130

RAVAL PARTH SANJAYBHAI

SELF STUDENT

19 Yr 00 M

M 60000

729 201501131

ADITI SOGRA SELF STUDENT

20 Yr 00 M

F 60000

730 201501132

SHAH MAULI NILESH SELF STUDENT

18 Yr 00 M

F 60000

731 201501133

MEHTA AAGAM PARESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

732 201501134

NISARG PATEL SELF STUDENT

19 Yr 00 M

M 60000

733 201501135

GADHVI VEDANT SELF STUDENT

18 Yr 00 M

M 60000

734 201501136

MEHTA YASH DIPAK SELF STUDENT

18 Yr 00 M

M 60000

735 201501137

RATHOD KAUSTUK AJAYBHAI

SELF STUDENT

19 Yr 00 M

M 60000

736 201501138

PRIYANKKUMAR PRAJAPATI

SELF STUDENT

18 Yr 00 M

M 60000

737 201501139

AGRAWAL AAYUSH KAILASH

SELF STUDENT

19 Yr 00 M

M 60000

738 201501140

MACHIRAJU UNNATHI SELF STUDENT

19 Yr 00 M

F 60000

739 201501141

ENGINEER TIRTH JIGNESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

740 201501142

SHAH LABDHI JIGNESHKUMAR

SELF STUDENT

18 Yr 00 M

F 60000

741 201501143

ONKAR PANDIT SELF STUDENT

18 Yr 00 M

M 60000

742 201501144

KHOKHAR SOHIL ABDULRASID

SELF STUDENT

18 Yr 00 M

M 60000

743 201501145

CHANDNANI CHIRAG KHUSHIRAM

SELF STUDENT

19 Yr 00 M

M 60000

744 201501146

AKSHAY MARU SELF STUDENT

18 Yr 00 M

M 60000

745 201501147

PATEL KISHANKUMAR HASMUKHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

746 201501148

RATHOD ANKITKUMAR DHIRAJLAL

SELF STUDENT

18 Yr 00 M

M 60000

747 201501149

PANCHAL UMANG HASMUKHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

748 201501150

SAJAL TIWARI SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

38 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

749 201501151

VIKASH KUMAR SELF STUDENT

19 Yr 00 M

M 60000

750 201501152

MUKUL JOSHI SELF STUDENT

18 Yr 00 M

M 60000

751 201501153

TIWARI RAVIKUMAR VYAS

SELF STUDENT

19 Yr 00 M

M 60000

752 201501154

RIYA TALWAR SELF STUDENT

19 Yr 00 M

F 60000

753 201501155

AASHAY BINAYKIA SELF STUDENT

19 Yr 00 M

M 60000

754 201501156

VAISHNAV ASHISH ANIRUDHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

755 201501157

PATEL NIKISHA SELF STUDENT

19 Yr 00 M

F 60000

756 201501158

BRINDA JENA SELF STUDENT

27 Yr 00 M

F 60000

757 201501159

KIRTANKUMAR A PATEL SELF STUDENT

19 Yr 00 M

M 60000

758 201501160

SIDDHARTH MISHRA SELF STUDENT

18 Yr 00 M

M 60000

759 201501163

CHINMAY V GAMETI SELF STUDENT

19 Yr 00 M

M 60000

760 201501164

PATEL DHVANI PRASHANT

SELF STUDENT

19 Yr 00 M

F 60000

761 201501165

AJAYKUMAR SHAMLA SELF STUDENT

20 Yr 00 M

M 60000

762 201501166

NEHALKUMAR VASAVA SELF STUDENT

18 Yr 00 M

M 60000

763 201501171

RAJ AJITKUMAR GAMIT SELF STUDENT

19 Yr 00 M

M 60000

764 201501172

CHAUDHARI DVEEP PARESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

765 201501173

GAMIT DEEP KANALAL SELF STUDENT

18 Yr 00 M

M 60000

766 201501174

KARTIK MUDGAL SELF STUDENT

18 Yr 00 M

M 60000

767 201501175

PATEL MAULIK BHARATKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

768 201501176

SHAH HET PRASHANTBHAI

SELF STUDENT

18 Yr 00 M

M 60000

769 201501177

DODIA NAITIK SELF STUDENT

18 Yr 00 M

M 60000

770 201501178

BHAGYASHREE SOLANKI

SELF STUDENT

19 Yr 00 M

F 60000

771 201501179

SHAH ADIT JAYESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

39 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

772 201501180

KRUTI VYOMESH SHETH SELF STUDENT

18 Yr 00 M

F 60000

773 201501181

PRIYAM MALAYKUMAR VORA

SELF STUDENT

18 Yr 00 M

M 60000

774 201501182

LUKHI DRASHTI DHIRAJLAL

SELF STUDENT

18 Yr 00 M

F 60000

775 201501183

AMAN VANGANI SELF STUDENT

18 Yr 00 M

M 60000

776 201501184

HEMIL HASMUKHBHAI JAIN

SELF STUDENT

18 Yr 00 M

M 60000

777 201501185

SHAH MEET DIMPLEKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

778 201501186

PATEL JAY RASIKBHAI SELF STUDENT

19 Yr 00 M

M 60000

779 201501187

KAPADIA AASHKA BHADRESH KUMAR

SELF STUDENT

19 Yr 00 M

F 60000

780 201501188

PRAJAPATI DHAVALKUMAR GOVINDBHAI

SELF STUDENT

18 Yr 00 M

M 60000

781 201501189

PATEL NIRMAL JAGDISHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

782 201501190

VORA DARSHIT GIRISHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

783 201501191

MAKWANA HARSH JAYVEERBHAI

SELF STUDENT

18 Yr 00 M

M 60000

784 201501192

PARMAR MIHIR SELF STUDENT

18 Yr 00 M

M 60000

785 201501193

BAMBHANIA PRATIK JAYANTI

SELF STUDENT

19 Yr 00 M

M 60000

786 201501194

NAIK DHAIWAT SELF STUDENT

19 Yr 00 M

M 60000

787 201501195

CHAUHAN HIRENKUMAR JITENDRA

SELF STUDENT

19 Yr 00 M

M 60000

788 201501196

DARJI CHIRAG BHAVESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

789 201501197

MODI SMIT JIGNESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

790 201501198

PRAJAPATI PRATIK ARVINDBHAI

SELF STUDENT

18 Yr 00 M

M 60000

791 201501199

MODI TAPAN RAJNIKANT SELF STUDENT

18 Yr 00 M

M 60000

792 201501200

SACHIN CHAUHAN SELF STUDENT

19 Yr 00 M

M 60000

793 201501201

GOHIL AJAY ASHOKKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

40 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

794 201501203

SHUKLA ADARSH DWARIKANATH

SELF STUDENT

18 Yr 00 M

M 60000

795 201501204

MISTRY KHUSHIL BHADRESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

796 201501205

PATEL SKENY SATISHCHANDRA

SELF STUDENT

18 Yr 00 M

F 60000

797 201501206

CHAUHAN YAGNESH SURESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

798 201501207

GOHIL AVANIBEN ASHOKKUMAR

SELF STUDENT

19 Yr 00 M

F 60000

799 201501208

VRAJ JITENDRA MEHTA SELF STUDENT

18 Yr 00 M

M 60000

800 201501209

CHAUDHARI PRIYANGIKUMARI KALPESHBHAI

SELF STUDENT

20 Yr 00 M

F 60000

801 201501210

BHAT KOPAL VIR KUMAR SELF STUDENT

19 Yr 00 M

F 60000

802 201501211

PRAJAPATI PARTH RAMESHCHANDRA

SELF STUDENT

18 Yr 00 M

M 60000

803 201501212

GAJJAR AKASHKUMAR ASHOKBHAI

SELF STUDENT

18 Yr 00 M

M 60000

804 201501213

PRAJAPATI JEELKUMAR MAHENDRABHAI

SELF STUDENT

18 Yr 00 M

M 60000

805 201501214

DARJI ATMAN JAYESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

806 201501215

VADHAIYA NIRAJKUMAR SURESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

807 201501216

DARJI JAYMINKUMAR NAVINBHAI

SELF STUDENT

19 Yr 00 M

M 60000

808 201501217

APPURVA MURAWAT SELF STUDENT

18 Yr 00 M

M 60000

809 201501218

HIMANSHU AGARWAL SELF STUDENT

20 Yr 00 M

M 60000

810 201501219

PATEL KAUSHAL PANKAJKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

811 201501220

DOSHI SAVAN DIXESH SELF STUDENT

18 Yr 00 M

M 60000

812 201501221

KALYANI RISHABH SANJAYKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

813 201501223

MEGHPARA RAJKUMAR PRAVINBHAI

SELF STUDENT

18 Yr 00 M

M 60000

814 201501224

SHAH ROMIL RAJESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

815 201501225

OZA DHRUMIL UMESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

41 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

816 201501226

PATEL NILKUMAR BABUBHAI

SELF STUDENT

18 Yr 00 M

M 60000

817 201501227

PATEL AMAN MUKESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

818 201501228

KAHODARIYA MAHARSHI MAHESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

819 201501229

DOSHI PARTH SELF STUDENT

18 Yr 00 M

M 60000

820 201501230

PATEL PRITHVI VIJAYKUMAR

SELF STUDENT

18 Yr 00 M

F 60000

821 201501231

PATEL HELLY JIGNESHBHAI

SELF STUDENT

18 Yr 00 M

F 60000

822 201501232

SHAH ANURAG AJAYKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

823 201501233

TAPODHAN KIRTI DINESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

824 201501234

PATEL KAVAN SELF STUDENT

18 Yr 00 M

M 60000

825 201501235

JEEL SANTOKI SELF STUDENT

18 Yr 00 M

M 60000

826 201501236

ARNAV KAUSHIK SHARMA

SELF STUDENT

19 Yr 00 M

M 60000

827 201501237

DARSH BHARAT VAJARIA

SELF STUDENT

18 Yr 00 M

M 60000

828 201501238

PATEL BRIJESHKUMAR SELF STUDENT

18 Yr 00 M

M 60000

829 201501240

BHUPTANI DHRUVIL MITESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

830 201501241

KASUNDRA TEJAS RAJESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

831 201501242

KAVAR RUSHIKESH PRAFULBHAI

SELF STUDENT

18 Yr 00 M

M 60000

832 201501243

GOSALIYA KAJAL PARESH

SELF STUDENT

18 Yr 00 M

F 60000

833 201501244

PATEL RUTUL SELF STUDENT

18 Yr 00 M

M 60000

834 201501245

PATEL KADAMKUMAR BHARATBHAI

SELF STUDENT

19 Yr 00 M

M 60000

835 201501246

PATEL MANTHAN DILIPBHAI

SELF STUDENT

18 Yr 00 M

M 60000

836 201501247

LAD GAURAVKUMAR JAYESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

837 201501248

KAYASTHA PRATIK JAYESH

SELF STUDENT

18 Yr 00 M

M 60000

838 201501249

SUTHAR PRIYAM DIPAKBHAI

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

42 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

839 201501250

PATEL KUSH DIPESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

840 201501251

MIT SWAMI SELF STUDENT

18 Yr 00 M

M 60000

841 201501401

JIVANI KARAN PRAFULBHAI

SELF STUDENT

19 Yr 00 M

M 60000

842 201501402

BHORANIYA EKTA NITINBHAI

SELF STUDENT

18 Yr 00 M

F 60000

843 201501403

BHATT UJAVAL GUNVANTBHAI

SELF STUDENT

18 Yr 00 M

M 60000

844 201501404

VINEET MEHTA SELF STUDENT

19 Yr 00 M

M 60000

845 201501405

VASOYA HARSH DINESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

846 201501406

UNNATI PARESHBHAI PAREKH

SELF STUDENT

19 Yr 00 M

F 60000

847 201501407

SAVALIYA SAGARKUMAR NAVNITBHAI

SELF STUDENT

18 Yr 00 M

M 60000

848 201501408

RAJ ASHOKBHAI JAKASANIYA

SELF STUDENT

19 Yr 00 M

M 60000

849 201501409

THESIYA KISHAN MOHANBHAI

SELF STUDENT

18 Yr 00 M

M 60000

850 201501410

PATEL SMIT JASHVANTBHAI

SELF STUDENT

18 Yr 00 M

M 60000

851 201501411

JOSHI RUTVIK BHARATKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

852 201501412

MANVAR KRISHNA ARVINDBHAI

SELF STUDENT

19 Yr 00 M

F 60000

853 201501413

KOTHARI YASH SANJAYBHAI

SELF STUDENT

18 Yr 00 M

M 60000

854 201501414

PATEL GAURANG SURESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

855 201501415

DOSHI SAUMYA PARESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

856 201501416

HASNAIN AKIL GANDHI SELF STUDENT

18 Yr 00 M

M 60000

857 201501417

RAMRAKHIA YASH RAJENDRA

SELF STUDENT

18 Yr 00 M

M 60000

858 201501418

MAKADIYA SAVAN MAHESHBHAI

SELF STUDENT

19 Yr 00 M

M 60000

859 201501419

KAKKAD ABHIN KETAN SELF STUDENT

18 Yr 00 M

M 60000

860 201501420

MEHTA MANTHAN DHARMESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

43 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

861 201501421

GOYAL VISHAL NARENDRABHAI

SELF STUDENT

19 Yr 00 M

M 60000

862 201501422

MEHTA CHAHAK PARAS SELF STUDENT

18 Yr 00 M

M 60000

863 201501423

SWASTIKA SATISH NAYAK

SELF STUDENT

18 Yr 00 M

F 60000

864 201501424

PATEL ANERI ASHISH SELF STUDENT

18 Yr 00 M

F 60000

865 201501425

DARSHAN Y MAKWANA SELF STUDENT

18 Yr 00 M

M 60000

866 201501426

CHAVDA JAKSHIL DHIRUBHAI

SELF STUDENT

18 Yr 00 M

M 60000

867 201501427

PARMAR EKTA PANKAJBHAI

SELF STUDENT

18 Yr 00 M

F 60000

868 201501428

MAHESHWARI ROHAN PREMJI

SELF STUDENT

18 Yr 00 M

M 60000

869 201501429

PARMAR VYOM JAYSUKHLAL

SELF STUDENT

18 Yr 00 M

M 60000

870 201501430

PRAJEET THAKUR SELF STUDENT

18 Yr 00 M

M 60000

871 201501431

AKRITI THAKUR SELF STUDENT

19 Yr 00 M

F 60000

872 201501432

MAKWANA BHARGAV MAHESHKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

873 201501433

SUBHANIYA AYUB ANWER

SELF STUDENT

19 Yr 00 M

M 60000

874 201501434

SISODIYA SIDDHARAJ SADURBHAI

SELF STUDENT

20 Yr 00 M

M 60000

875 201501435

CHAUDHARY MAULIKKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

876 201501436

KALASWA RAJDEEPKUMAR CHANDULAL

SELF STUDENT

18 Yr 00 M

M 60000

877 201501437

SELOT PRIYANSHIBEN SELF STUDENT

18 Yr 00 M

F 60000

878 201501438

PATEL HIRAL ASHVINKUMAR

SELF STUDENT

18 Yr 00 M

F 60000

879 201501439

KARNAVAT PRADIPKUMAR MAHESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

880 201501440

THAKKAR SMIT RAJESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

881 201501441

THAKKER DHRUV VIKRAM

SELF STUDENT

19 Yr 00 M

M 60000

882 201501442

JOSHI ISHANI BHASKARBHAI

SELF STUDENT

19 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

44 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

883 201501443

PATEL UTSAV PRAHLADBHAI

SELF STUDENT

18 Yr 00 M

M 60000

884 201501444

RAYVADERA MEET HITESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

885 201501445

PARMAR UMANG JASHVANTBHAI

SELF STUDENT

18 Yr 00 M

M 60000

886 201501446

MASTER KARAN RAJENDRABHAI

SELF STUDENT

19 Yr 00 M

M 60000

887 201501447

MORI ABHIJITSINH SHAILESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

888 201501448

PRAJAPATI KAVI YAGNESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

889 201501449

GANDHI DHARMIL SELF STUDENT

18 Yr 00 M

M 60000

890 201501450

SHINGALA VISHALKUMAR BABUBHAI

SELF STUDENT

18 Yr 00 M

M 60000

891 201501452

PATEL DHRUV MAHESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

892 201501453

PATEL TIRTH JITENDRA SELF STUDENT

19 Yr 00 M

M 60000

893 201501454

ANUSHRUTI PANDEY SELF STUDENT

19 Yr 00 M

F 60000

894 201501456

DHARAK CHANDUBHAI GAMETI

SELF STUDENT

17 Yr 00 M

M 60000

895 201501457

GAMIT PROMIL LAXMANBHAI

SELF STUDENT

19 Yr 00 M

M 60000

896 201501458

UPADHYAY UMANGBHAI SELF STUDENT

18 Yr 00 M

M 60000

897 201501459

PATEL LUV DIPESHBHAI SELF STUDENT

18 Yr 00 M

M 60000

898 201501460

CHAUDHARY VISHNUKUMAR BHARMALBHAI

SELF STUDENT

19 Yr 00 M

M 60000

899 201501461

KHODIFAD HARSHAL VALLABHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

900 201511001

PEDHADIYA NIRAVKUMAR SURESHBHAI

SELF STUDENT

24 Yr 00 M

M 60000

901 201511002

DESAI MEET NITIN SELF STUDENT

22 Yr 00 M

M 60000

902 201511003

PATEL VISMAY NAVINKUMAR

SELF STUDENT

24 Yr 00 M

M 60000

903 201511004

SHARMA AYUSHI RAMPRAKASH

SELF STUDENT

23 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

45 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

904 201511005

SHAH AKASH PRAVINCHANDRA

SELF STUDENT

23 Yr 00 M

M 60000

905 201511006

MISHRA AJAY SURENDRA

SELF STUDENT

22 Yr 00 M

M 60000

906 201511007

DHOLARIYA PANKAJKUMAR VRAJLAL

SELF STUDENT

22 Yr 00 M

M 60000

907 201511008

SEKSARIA KHUSHBOO SURYAKANT

SELF STUDENT

22 Yr 00 M

F 60000

908 201511009

HARSHIT BHATNAGAR SELF STUDENT

23 Yr 00 M

M 60000

909 201511010

TRIVEDI SHAILI NARESHKUMAR

SELF STUDENT

24 Yr 00 M

F 60000

910 201511011

BADGUJAR JIGNESH SANTOSHBHAI

SELF STUDENT

24 Yr 00 M

M 60000

911 201511012

AGRAWAL JATIN BHARAT

SELF STUDENT

24 Yr 00 M

M 60000

912 201511013

TUSHIN SHROTRIYA SELF STUDENT

23 Yr 00 M

M 60000

913 201511014

HARSHIT PRATIK SELF STUDENT

24 Yr 00 M

M 60000

914 201511015

JAINIKKUMAR PRAVINCHANDRA RANPURA

SELF STUDENT

24 Yr 00 M

M 60000

915 201511016

POPAT NIRALI DINESHBHAI

SELF STUDENT

23 Yr 00 M

F 60000

916 201511017

RAJPUT PRUTHVISH RAJESH

SELF STUDENT

25 Yr 00 M

M 60000

917 201511018

SHIHORA RUTVI NAYANKUMAR

SELF STUDENT

23 Yr 00 M

F 60000

918 201511019

KARAVADRA RAJU DUDA

SELF STUDENT

26 Yr 00 M

M 60000

919 201511020

KADIYA BHAUMIK ASHWINKUMAR

SELF STUDENT

23 Yr 00 M

M 60000

920 201511021

MANSI SINGH SELF STUDENT

25 Yr 00 M

F 60000

921 201511023

NEELASHA SEN SELF STUDENT

28 Yr 00 M

F 60000

922 201511024

K. HEMANTHA SELF STUDENT

22 Yr 00 M

F 60000

923 201511025

CHRISTIAN RUZVELT RAMESHBHAI

SELF STUDENT

23 Yr 00 M

M 60000

924 201511026

TANDEL DEEP ISHVARBHAI

SELF STUDENT

23 Yr 00 M

M 60000

925 201511027

BATAVIA DARSHAN NARESH

SELF STUDENT

22 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

46 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

926 201511028

MULLA ZUBAIN CHANDSAHEB

SELF STUDENT

27 Yr 00 M

M 60000

927 201511029

ANUBHA JAIN SELF STUDENT

25 Yr 00 M

F 60000

928 201511030

MARAL VISHAL RANGNATH

SELF STUDENT

26 Yr 00 M

M 60000

929 201511031

APEKSHA JAGDISHBHAI NAIK

SELF STUDENT

24 Yr 00 M

F 60000

930 201511032

DHARMESHKUMAR MAHESHCHANDRA AGRAWAL

SELF STUDENT

23 Yr 00 M

M 60000

931 201511033

DHAVAL PATEL SELF STUDENT

22 Yr 00 M

M 60000

932 201511034

RATHOD SAMKIT DINESHBHAI

SELF STUDENT

23 Yr 00 M

M 60000

933 201511035

PRIYANKA SHARMA SELF STUDENT

26 Yr 00 M

F 60000

934 201511036

RISHABH AGARWAL SELF STUDENT

24 Yr 00 M

M 60000

935 201511037

BHANUSHALI ARTIBEN KAMLESHKUMAR

SELF STUDENT

25 Yr 00 M

F 60000

936 201511038

POOJA TIWARI SELF STUDENT

23 Yr 00 M

F 60000

937 201511039

SAYAN CHAKRABORTY SELF STUDENT

22 Yr 00 M

M 60000

938 201511040

SADHWANI JAY DILIPKUMAR

SELF STUDENT

24 Yr 00 M

M 60000

939 201511042

SAURABH TYAGI SELF STUDENT

35 Yr 00 M

M 60000

940 201511043

MAYANK DUBEY SELF STUDENT

26 Yr 00 M

M 60000

941 201511044

ANKIT PALIWAL SELF STUDENT

24 Yr 00 M

M 60000

942 201511045

PRADIP TILALA SELF STUDENT

23 Yr 00 M

M 60000

943 201511047

DIGANT DILIPBHAI DOSHI

SELF STUDENT

23 Yr 00 M

M 60000

944 201511049

SURABHI JAIN SELF STUDENT

24 Yr 00 M

F 60000

945 201511050

MANGUKIYA CHIRAGKUMAR PRAVINBHAI

SELF STUDENT

24 Yr 00 M

M 60000

946 201511051

KAMLESH KARKI SELF STUDENT

28 Yr 00 M

M 60000

947 201511052

VINAY LATA SELF STUDENT

23 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

47 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

948 201511053

LATHIYA MAYUR NAROTTAMBHAI

SELF STUDENT

25 Yr 00 M

M 60000

949 201511054

RISHABH TAK SELF STUDENT

22 Yr 00 M

M 60000

950 201511055

SATYAM SATYAJEET SELF STUDENT

25 Yr 00 M

M 60000

951 201511056

KOTAK NISHITH ASHOKKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

952 201511057

DAVE KEVAL NARAYANBHAI

SELF STUDENT

22 Yr 00 M

M 60000

953 201511058

SHRUTI RAJENDRAKUMAR NAIK

SELF STUDENT

23 Yr 00 M

F 60000

954 201511059

THAKKAR SHAIVAL YOGESH

SELF STUDENT

23 Yr 00 M

M 60000

955 201511060

DHWANI D PATEL SELF STUDENT

24 Yr 00 M

F 60000

956 201511061

HEMANT KAUSHIK SELF STUDENT

29 Yr 00 M

M 60000

957 201511062

LANKA MOHAN SELF STUDENT

33 Yr 00 M

M 60000

958 201512001

KHEDKAR KAPIL DINESH SELF STUDENT

23 Yr 00 M

M 60000

959 201512002

RAUT PRIYANKA MOHAN SELF STUDENT

21 Yr 00 M

F 60000

960 201512003

RUTUL MANGESHBHAI THAKKAR

SELF STUDENT

22 Yr 00 M

M 60000

961 201512004

SHAH SAGAR MUKESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

962 201512005

SUNIL SURESH CHAWLA SELF STUDENT

22 Yr 00 M

M 60000

963 201512006

SANGHAVI CHINTAN CHANDRAKANT

SELF STUDENT

21 Yr 00 M

M 60000

964 201512007

PADHYA DARSHIT BHAVESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

965 201512008

VIRANI JITENDRAKUMAR BAVACHANDBHAI

SELF STUDENT

22 Yr 00 M

M 60000

966 201512009

BUHA SAGARKUMAR RAMJIBHAI

SELF STUDENT

21 Yr 00 M

M 60000

967 201512010

PATEL SAVANKUMAR ARVINDBHAI

SELF STUDENT

22 Yr 00 M

M 60000

968 201512011

SAXENA TIKSHA PRADIPKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

969 201512013

FANSE ANUSHKA APURVA

SELF STUDENT

21 Yr 00 M

F 60000

970 201512014

PATEL DHYAN CHANDULAL

SELF STUDENT

21 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

48 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

971 201512015

KUKAWALA MOHINI RAMKRISHNA

SELF STUDENT

21 Yr 00 M

F 60000

972 201512016

CHHABRA JASPREET KAUR HARVINDER

SELF STUDENT

22 Yr 00 M

F 60000

973 201512017

GANDHI VISHAL KANAIYABHAI

SELF STUDENT

21 Yr 00 M

M 60000

974 201512018

FATEMA M K SELF STUDENT

23 Yr 00 M

F 60000

975 201512019

TANVI SAXENA SELF STUDENT

22 Yr 00 M

F 60000

976 201512020

PARASIA BHARAT AMRUTBHAI

SELF STUDENT

21 Yr 00 M

M 60000

977 201512021

PATEL VISHAL YOGESHKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

978 201512022

MISTRY AKSHAR PARESH

SELF STUDENT

21 Yr 00 M

M 60000

979 201512023

BINU FRANCIS JOSEPH SELF STUDENT

21 Yr 00 M

M 60000

980 201512024

BATHIA YASH VIMALBHAI

SELF STUDENT

21 Yr 00 M

M 60000

981 201512025

SHAH MANSI MUKESHBHAI

SELF STUDENT

22 Yr 00 M

F 60000

982 201512026

DESAI MITULKUMAR BHUPATBHAI

SELF STUDENT

21 Yr 00 M

M 60000

983 201512027

PRAJAPATI DEEPAK TARAJI

SELF STUDENT

21 Yr 00 M

M 60000

984 201512028

BHATT URMIL NIKUNJKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

985 201512029

PRACHI NARENDRA MODI

SELF STUDENT

22 Yr 00 M

F 60000

986 201512030

PATEL HERAT BABUBHAI

SELF STUDENT

21 Yr 00 M

M 60000

987 201512031

MAJMUDAR GAURAV VINAY

SELF STUDENT

22 Yr 00 M

M 60000

988 201512032

AKSHAY JAIN SELF STUDENT

22 Yr 00 M

M 60000

989 201512033

SINGHAL SANCHI MUKESH

SELF STUDENT

22 Yr 00 M

F 60000

990 201512034

BHAVESH GOYAL SELF STUDENT

22 Yr 00 M

M 60000

991 201512036

GEETIKA SHARMA SELF STUDENT

22 Yr 00 M

F 60000

992 201512037

MEHTA DHRUVA PULKESHBHAI

SELF STUDENT

21 Yr 00 M

F 60000

993 201512038

RAMNANI NITIN GOPALDAS

SELF STUDENT

22 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

49 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

994 201512039

JANI VIRAL KAMLESHKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

995 201512040

AKASH GOSALIA SELF STUDENT

22 Yr 00 M

M 60000

996 201512041

JUHI PURSWANI SELF STUDENT

22 Yr 00 M

F 60000

997 201512042

SHAH KUSH RAJESH SELF STUDENT

21 Yr 00 M

M 60000

998 201512043

RITU GARG SELF STUDENT

22 Yr 00 M

F 60000

999 201512044

JAIN ADITI RAJENDRA SELF STUDENT

21 Yr 00 M

F 60000

1000 201512045

DESAI SHIVANI JANAKBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1001 201512046

VEJANI UTSAV MANISH SELF STUDENT

21 Yr 00 M

M 60000

1002 201512047

SHIVANGINI KOTIYAL SELF STUDENT

22 Yr 00 M

F 60000

1003 201512048

DESAI SHWET ANANTBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1004 201512049

SHAH VISMAY KETANBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1005 201512050

CONTRACTOR GOPAL BHUPENDRABHAI

SELF STUDENT

21 Yr 00 M

M 60000

1006 201512051

LAKKAD PRITESHKUMAR PRABHUDASBHAI

SELF STUDENT

23 Yr 00 M

M 60000

1007 201512052

MEHTA JAINAM NILESHBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1008 201512053

VORA TEJAS BHARATKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1009 201512055

LATHIYA ANKURKUMAR SELF STUDENT

22 Yr 00 M

M 60000

1010 201512057

GUPTA SHUBHAM CHHOTELAL

SELF STUDENT

21 Yr 00 M

M 60000

1011 201512058

KANANI KARAN YASHWANTKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1012 201512059

KUNDNANI PIYUSH JAIDEV

SELF STUDENT

21 Yr 00 M

M 60000

1013 201512060

GOSALIYA KAUSHAL SELF STUDENT

21 Yr 00 M

M 60000

1014 201512061

AGGARWAL INDU BAJRANGLAL

SELF STUDENT

22 Yr 00 M

F 60000

1015 201512062

BOHRA HARDIK UTTAMKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

50 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1016 201512063

MAYANK LADDHA SELF STUDENT

24 Yr 00 M

M 60000

1017 201512064

LAKHENDER SINGH SELF STUDENT

23 Yr 00 M

M 60000

1018 201512065

GADHVI JANKIBEN RAMESH

SELF STUDENT

22 Yr 00 M

F 60000

1019 201512066

SHIVENDRA PRATAP SELF STUDENT

24 Yr 00 M

M 60000

1020 201512067

SHAH HARSHIT PRADIPKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

1021 201512068

LAKHWANI JITESH DILIP SELF STUDENT

21 Yr 00 M

M 60000

1022 201512069

AMI JAYESHKUMAR THAKKAR

SELF STUDENT

22 Yr 00 M

F 60000

1023 201512070

BAMBHANIA ANAND MAHENDRABHAI

SELF STUDENT

27 Yr 00 M

M 60000

1024 201512071

DASWANI PRATHAM DEEPAKKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1025 201512072

PALASH KHANDELWAL SELF STUDENT

22 Yr 00 M

M 60000

1026 201512073

RADADIYA ARTI GOGANBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1027 201512074

RAM KRISHAN SHARMA SELF STUDENT

22 Yr 00 M

M 60000

1028 201512075

SAXENA ADITYA MANOJKUMAR

SELF STUDENT

23 Yr 00 M

M 60000

1029 201512076

JOSHI JAGRUTI ANANDBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1030 201512077

WATWANI KHUSHBU JAIKISHIN

SELF STUDENT

20 Yr 00 M

M 60000

1031 201512078

SHAH SARTHAK HIMANSHUBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1032 201512079

SONPARATE KRUNAL PRAKASHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1033 201512080

JETANI RAVIBHAI MANJIBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1034 201512081

MEHTA HEMANG DILIPKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1035 201512082

SHRADDHA RANPURWALA

SELF STUDENT

21 Yr 00 M

F 60000

1036 201512083

CHAUHAN SHREYABEN GOVINDBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1037 201512084

THAKKAR HARDIK RAJANIKANTBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1038 201512085

PATEL PRATIKKUMAR BABUBHAI

SELF STUDENT

23 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

51 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1039 201512086

MEMON JABBAR RAZAKBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1040 201512087

ANSARI TANVIRAEHMAD AKILAEHMAD

SELF STUDENT

21 Yr 00 M

M 60000

1041 201512088

CHOUDHARY MANOJ DEVARAM

SELF STUDENT

22 Yr 00 M

M 60000

1042 201512089

PATEL DISHANT MUKESHBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1043 201512090

VANSADIA PRIYANKAKUMARI PRAVINSINH

SELF STUDENT

21 Yr 00 M

F 60000

1044 201512092

NATHWANI KHUSHBOO HARESHKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

1045 201512093

SHAH SHIVANI NILESHKUMAR

SELF STUDENT

22 Yr 00 M

F 60000

1046 201512094

SHAH DHRUVI MEHULBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1047 201513001

TRIVEDI DRASHTI SELF STUDENT

21 Yr 00 M

F 60000

1048 201513002

SHAH SNEHA KANAIYALAL

SELF STUDENT

21 Yr 00 M

F 60000

1049 201513003

KARNAVAT DILIP KARSANBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1050 201513004

ASHISH AGARWAL SELF STUDENT

22 Yr 00 M

M 60000

1051 201513005

RITESH UPADHYAY SELF STUDENT

25 Yr 00 M

M 60000

1052 201513009

PATEL ASHVINIBEN KANUBHAI

SELF STUDENT

23 Yr 00 M

F 60000

1053 201513010

HIMANSHU CHOUBISA SELF STUDENT

23 Yr 00 M

M 60000

1054 201514001

SAURAV SHARMA SELF STUDENT

26 Yr 00 M

M 60000

1055 201514002

KAVTHEKAR PRAJAKTA UDAY

SELF STUDENT

22 Yr 00 M

F 60000

1056 201514003

DESAI RIDDHI DEVANGKUMAR

SELF STUDENT

24 Yr 00 M

F 60000

1057 201514004

KUNAL GUPTA SELF STUDENT

27 Yr 00 M

M 60000

1058 201514005

KRINA PRAJAPATI SELF STUDENT

23 Yr 00 M

F 60000

1059 201514006

SHYAM ATTREYA SELF STUDENT

26 Yr 00 M

M 60000

1060 201514007

AKANKSHA GUPTA SELF STUDENT

24 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

52 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1061 201514008

VANSHIKA ARORA SELF STUDENT

23 Yr 00 M

F 60000

1062 201514009

ASHITA JAIN SELF STUDENT

24 Yr 00 M

F 60000

1063 201521001

CHAUDHARY PANKAJ PRABHUBHAI

SELF STUDENT

26 Yr 00 M

M 60000

1064 201521002

RAHUL MANE SELF STUDENT

33 Yr 00 M

M 60000

1065 201521003

SUJATA SELF STUDENT

23 Yr 00 M

F 60000

1066 201521004

SANKHAVARA JAINISHA SELF STUDENT

23 Yr 00 M

F 60000

1067 201521005

KAMBLE MADHU RAYAPPA

SELF STUDENT

25 Yr 00 M

F 60000

1068 201521006

RISHIKANT RAJDEEPAK SELF STUDENT

24 Yr 00 M

M 60000

1069 201521007

MADHULIKA AGRAWAL SELF STUDENT

27 Yr 00 M

F 60000

1070 201521008

PATEL PURVIBEN JAYPRAKASH

SELF STUDENT

24 Yr 00 M

F 60000

1071 201521009

SHAIKH MOHAMMEDSAYEEMUDDIN KALIMUDDIN

SELF STUDENT

38 Yr 00 M

M 60000

1072 201521010

DOMADIYA PRASHANT MANSHUKHBHAI

SELF STUDENT

26 Yr 00 M

M 60000

1073 201521011

PATEL JIGNESH RAMESHCHANDRA

SELF STUDENT

28 Yr 00 M

M 60000

1074 201521012

PATEL MAYANKKUMAR LALABHAI

SELF STUDENT

26 Yr 00 M

M 60000

1075 201521013

ANJALI DIWAN SELF STUDENT

39 Yr 00 M

F 60000

1076 201601001

SHIVANI BHANDARI SELF STUDENT

18 Yr 00 M

F 60000

1077 201601002

SHETH VISHWA VILPESHKUMAR

SELF STUDENT

18 Yr 00 M

F 60000

1078 201601003

VIDHIN HITESH PARMAR SELF STUDENT

17 Yr 00 M

M 60000

1079 201601004

ADARSH MISRA SELF STUDENT

18 Yr 00 M

M 60000

1080 201601005

RAVAL DEVARSHI JAGATKISHORE

SELF STUDENT

17 Yr 00 M

M 60000

1081 201601006

SWAPNIL DHIMMAR SELF STUDENT

17 Yr 00 M

M 60000

1082 201601007

PONAKA PRAYAG REDDY

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

53 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1083 201601008

BHUMITRA SAHWAL SELF STUDENT

19 Yr 00 M

M 60000

1084 201601009

TIRTH BHAVESHBHAI SHAH

SELF STUDENT

17 Yr 00 M

M 60000

1085 201601010

PATEL JAINUL SURESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1086 201601011

SHAH DHRUVIL MANISH SELF STUDENT

17 Yr 00 M

M 60000

1087 201601012

AJINKYA JEETENDRA MATSAWAR

SELF STUDENT

18 Yr 00 M

M 60000

1088 201601013

PATEL SMIT BHAVESHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1089 201601014

JOSHI SHIVANG GIRISHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

1090 201601015

SHREYA SANJAYKUMAR SAGAR

SELF STUDENT

17 Yr 00 M

F 60000

1091 201601016

SASTRY SRIKUMAR SELF STUDENT

18 Yr 00 M

M 60000

1092 201601017

BADIYANI GAURANG KAMLESHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1093 201601018

PATEL RIDDHI DIPAKBHAI

SELF STUDENT

17 Yr 00 M

F 60000

1094 201601019

SHETH PARITA MANOJBHAI

SELF STUDENT

17 Yr 00 M

F 60000

1095 201601020

PRAPTI TRIVEDI SELF STUDENT

17 Yr 00 M

F 60000

1096 201601021

JANI VISHVESH MUKESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

1097 201601022

ARNAV SAHA SELF STUDENT

18 Yr 00 M

M 60000

1098 201601023

ASHWIN PORWAL SELF STUDENT

19 Yr 00 M

M 60000

1099 201601024

PATEL PARTHKUMAR VASUDEVBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1100 201601025

MAYANK SHANTILAL SAVALIYA

SELF STUDENT

18 Yr 00 M

M 60000

1101 201601026

MANSI OD SELF STUDENT

17 Yr 00 M

F 60000

1102 201601027

ZANZARUKIYA ABHI RAJENDRABHAI

SELF STUDENT

17 Yr 00 M

M 60000

1103 201601028

ANKIT SELF STUDENT

18 Yr 00 M

M 60000

1104 201601029

MALONDKAR VISMAY JAYDIP

SELF STUDENT

19 Yr 00 M

M 60000

1105 201601030

TIKAM ALMA SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

54 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1106 201601031

SHAH HILLONI HITESH SELF STUDENT

18 Yr 00 M

F 60000

1107 201601032

JAINIL MANOJKUMAR PARIYA

SELF STUDENT

18 Yr 00 M

M 60000

1108 201601033

TANYA PUSHKIN GARG SELF STUDENT

18 Yr 00 M

F 60000

1109 201601034

HET THAKKAR SELF STUDENT

17 Yr 00 M

M 60000

1110 201601035

SANJOLI CHAUHAN SELF STUDENT

17 Yr 00 M

F 60000

1111 201601036

PATEL ARPITKUMAR JAYESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1112 201601037

DIVAKAR BHARGAV JAGDISHCHANDRA

SELF STUDENT

17 Yr 00 M

M 60000

1113 201601038

DESAI ANUSHKA BHUPENDRA

SELF STUDENT

17 Yr 00 M

F 60000

1114 201601039

MAVANI TARUN JAYESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1115 201601040

BHAVSAR SHACHI DIVYANG

SELF STUDENT

17 Yr 00 M

F 60000

1116 201601041

SHAH MANISH RASIKLAL SELF STUDENT

18 Yr 00 M

M 60000

1117 201601042

MUNSHI JALANSH SAUMIL

SELF STUDENT

17 Yr 00 M

M 60000

1118 201601043

DOSHI PRITHVISH RAKESH

SELF STUDENT

17 Yr 00 M

M 60000

1119 201601044

MIRANI YASH NILESHKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

1120 201601045

JAIN ISHITA HEMENDRA SELF STUDENT

17 Yr 00 M

F 60000

1121 201601046

PAREKH YASH ATULBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1122 201601047

SARANGI PATEL SELF STUDENT

18 Yr 00 M

F 60000

1123 201601048

NIDHI GUPTA SELF STUDENT

17 Yr 00 M

F 60000

1124 201601049

SONI MONIL PINAKIN SELF STUDENT

17 Yr 00 M

M 60000

1125 201601050

VAGHELA MAULIK JITENDRA

SELF STUDENT

17 Yr 00 M

M 60000

1126 201601051

PARTH ARUN DADHANIA SELF STUDENT

17 Yr 00 M

M 60000

1127 201601052

SHRUTI ARVIND CHAUDHARI

SELF STUDENT

17 Yr 00 M

F 60000

1128 201601053

BHAVSAR MAHER SELF STUDENT

17 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

55 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1129 201601054

VANDAN SONI SELF STUDENT

17 Yr 00 M

M 60000

1130 201601055

RANK RAKSHA ARVINDBHAI

SELF STUDENT

18 Yr 00 M

F 60000

1131 201601056

MARU PRANJALI RAJIV SELF STUDENT

18 Yr 00 M

F 60000

1132 201601057

SHEREKAR VAIBHAV RAJU

SELF STUDENT

18 Yr 00 M

M 60000

1133 201601058

PRAJAPATI NISHIT PRAHLADBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1134 201601059

ROSHANI SELF STUDENT

17 Yr 00 M

F 60000

1135 201601060

DHRUV JADAV SELF STUDENT

18 Yr 00 M

M 60000

1136 201601061

PAREKH NIKESH BHARAT

SELF STUDENT

18 Yr 00 M

M 60000

1137 201601062

SHIVAM AGARWAL SELF STUDENT

19 Yr 00 M

M 60000

1138 201601063

CHIRAG PODDAR SELF STUDENT

18 Yr 00 M

M 60000

1139 201601064

SHAH RIYA HEMENDRA SELF STUDENT

17 Yr 00 M

F 60000

1140 201601065

GUNDAM SAMHITHA SELF STUDENT

17 Yr 00 M

F 60000

1141 201601066

JAIN PRIYA PRITAMCHANDRA

SELF STUDENT

17 Yr 00 M

F 60000

1142 201601067

ROHIT CHAKU SELF STUDENT

17 Yr 00 M

M 60000

1143 201601068

THANKI DEEP JAYSUKH SELF STUDENT

18 Yr 00 M

M 60000

1144 201601069

GHATE AMEY ABHAY SELF STUDENT

18 Yr 00 M

M 60000

1145 201601070

MUNENDRA RATHOOD SELF STUDENT

18 Yr 00 M

M 60000

1146 201601071

VISHRUT CHETAN JETLY SELF STUDENT

18 Yr 00 M

M 60000

1147 201601072

RAJANI PRATIK PRAVINBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1148 201601073

JAYATI AMRUTBHAI PATEL

SELF STUDENT

18 Yr 00 M

F 60000

1149 201601074

BRIJESH PANARA SELF STUDENT

18 Yr 00 M

M 60000

1150 201601075

MAYANK KUMAR JETHWA

SELF STUDENT

18 Yr 00 M

M 60000

1151 201601076

NILESH MEENA SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

56 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1152 201601077

ANERY KIRTIBHAI PATEL SELF STUDENT

18 Yr 00 M

F 60000

1153 201601078

KALLAKURI N V S PUSHPA RAMA MANASA

SELF STUDENT

17 Yr 00 M

F 60000

1154 201601079

RITWIK BHARADWAJ SELF STUDENT

18 Yr 00 M

M 60000

1155 201601080

HARSHA MAHAVER SELF STUDENT

18 Yr 00 M

F 60000

1156 201601081

PATEL KIRTAN DARSHANKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1157 201601082

PURVA MAKARAND MHASAKAR

SELF STUDENT

18 Yr 00 M

F 60000

1158 201601083

GARIKIPATI GANESHSAI SELF STUDENT

17 Yr 00 M

M 60000

1159 201601084

PATEL KSHITIJ DINESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1160 201601085

PANDIT ADITYA SHIRISHBHAI

SELF STUDENT

16 Yr 00 M

M 60000

1161 201601086

PARTH RAJESHBHAI SHAH

SELF STUDENT

18 Yr 00 M

M 60000

1162 201601087

HIMANSHU KUMAR SELF STUDENT

16 Yr 00 M

M 60000

1163 201601088

VISHNU KANDURI SREENIVAS

SELF STUDENT

18 Yr 00 M

M 60000

1164 201601089

HARDIK MODI SELF STUDENT

18 Yr 00 M

M 60000

1165 201601090

JANI SMEET BHAVESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1166 201601091

GAURAV SOFAT SELF STUDENT

18 Yr 00 M

M 60000

1167 201601092

NONGHANVADRA PRAGNESH BHARATBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1168 201601093

MEGH MAHESHKUMAR CHOKSI

SELF STUDENT

19 Yr 00 M

M 60000

1169 201601094

CHANDAN VATSAL VISHALBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1170 201601095

KHATRI HARSH RAVINDRA

SELF STUDENT

18 Yr 00 M

M 60000

1171 201601096

DUNGARANI MILAN VINODKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1172 201601097

KEYUR GARSONDIYA SELF STUDENT

18 Yr 00 M

M 60000

1173 201601098

DESAI MUDRA PIYUSH SELF STUDENT

17 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

57 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1174 201601099

SANMUKHANI DHWANI GOPAL

SELF STUDENT

17 Yr 00 M

F 60000

1175 201601100

AVINASH AREKATLA SELF STUDENT

17 Yr 00 M

M 60000

1176 201601101

JIGNESH BAJAK SELF STUDENT

16 Yr 00 M

M 60000

1177 201601102

PATEL NISHARG SHANKARBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1178 201601103

PATEL DHARMIL CHANDRESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1179 201601104

PAREEK CHHAVI SURESH

SELF STUDENT

17 Yr 00 M

F 60000

1180 201601105

ATHARVA SUNE SELF STUDENT

17 Yr 00 M

M 60000

1181 201601106

E SAHITHI SELF STUDENT

17 Yr 00 M

F 60000

1182 201601107

AARUSH SINGH SELF STUDENT

18 Yr 00 M

M 60000

1183 201601108

SAI ADITYA PARUCHURI SELF STUDENT

18 Yr 00 M

M 60000

1184 201601109

VAISHYA ABHINAV RAJESHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1185 201601110

YASH PANWAR SELF STUDENT

16 Yr 00 M

M 60000

1186 201601111

RAJKOTIYA DIVYESH SHAILESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1187 201601112

SHREYANSH KUMAR SELF STUDENT

17 Yr 00 M

M 60000

1188 201601113

DETROJA SMIT CHANDULAL

SELF STUDENT

17 Yr 00 M

M 60000

1189 201601114

RUPAPARA ANKIT NARANBHI

SELF STUDENT

17 Yr 00 M

M 60000

1190 201601115

RADADIYA GAUTAMKUMAR HIMMATBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1191 201601116

DOBARIYA NIRAV CHATURBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1192 201601117

SUNNAM CHANDRA LEKHA

SELF STUDENT

18 Yr 00 M

F 60000

1193 201601118

DHAMELIYA DIPESH SHAMJIBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1194 201601119

JADHWANI RISHABH KAMAL

SELF STUDENT

17 Yr 00 M

M 60000

1195 201601120

SAWLANI RAVI GHANSHYAMDAS

SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

58 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1196 201601121

SAMARTH SAXENA SELF STUDENT

17 Yr 00 M

M 60000

1197 201601122

PATEL DARSHANKUMAR SELF STUDENT

17 Yr 00 M

M 60000

1198 201601123

PATEL UMANG SELF STUDENT

17 Yr 00 M

M 60000

1199 201601125

JETHWA BHARGAV HARISHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1200 201601126

MEET PRAVINBHAI SINOJIA

SELF STUDENT

18 Yr 00 M

M 60000

1201 201601127

JETHWA SWAPNIL SELF STUDENT

18 Yr 00 M

M 60000

1202 201601129

KRITIKA GUPTA SELF STUDENT

18 Yr 00 M

F 60000

1203 201601131

SHAH BHAVYA BIMAL SELF STUDENT

17 Yr 00 M

M 60000

1204 201601132

PATEL SAKSHEE SELF STUDENT

17 Yr 00 M

F 60000

1205 201601133

AAYUSH BHAT SELF STUDENT

18 Yr 00 M

M 60000

1206 201601134

BHALANI UMANG GANESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1207 201601135

ABHISHEK BHOWMIK SELF STUDENT

19 Yr 00 M

M 60000

1208 201601136

AJUDIYA BHARGAV GIRDHARBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1209 201601137

SHAH KALPIT SELF STUDENT

17 Yr 00 M

M 60000

1210 201601140

YASH DEVANG SHAH SELF STUDENT

18 Yr 00 M

M 60000

1211 201601141

PANCHAL PANKIL SELF STUDENT

17 Yr 00 M

M 60000

1212 201601142

KUNIYA SANJAY BHAVANBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1213 201601143

PATEL VISHVAKUMARI BHARATBHAI

SELF STUDENT

17 Yr 00 M

F 60000

1214 201601147

MALAVIYA HARSHIT SELF STUDENT

17 Yr 00 M

M 60000

1215 201601148

PATEL MAYURBHAI JAGDISHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1216 201601150

KACHHADIYA RAVI SELF STUDENT

17 Yr 00 M

M 60000

1217 201601151

PATEL KAVAN SELF STUDENT

17 Yr 00 M

M 60000

1218 201601153

PATEL YOGESH SELF STUDENT

17 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

59 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1219 201601154

PANDYA SHLOKA SELF STUDENT

17 Yr 00 M

F 60000

1220 201601157

PARMAR NAYAN SELF STUDENT

17 Yr 00 M

M 60000

1221 201601158

MEHTA MAUSAM SELF STUDENT

18 Yr 00 M

F 60000

1222 201601160

PATEL MAITREYA SELF STUDENT

18 Yr 00 M

M 60000

1223 201601161

HARSH KOTTA SELF STUDENT

18 Yr 00 M

M 60000

1224 201601162

RATHOD SONALI RAJESHBHAI

SELF STUDENT

17 Yr 00 M

F 60000

1225 201601163

PATEL JEET SELF STUDENT

17 Yr 00 M

M 60000

1226 201601164

CHAUDHARY NEEL SELF STUDENT

18 Yr 00 M

M 60000

1227 201601165

MODI CHIRAG NARESHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1228 201601166

PANCHASARA MILIT DIXITBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1229 201601167

RABADIYA JINAL SELF STUDENT

17 Yr 00 M

F 60000

1230 201601168

DASA VISHAL MENANDBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1231 201601169

GOHIL KASHYAP DINESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1232 201601170

DAVE KEVAL SELF STUDENT

17 Yr 00 M

M 60000

1233 201601171

CHOTALIYA KARAN NITINBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1234 201601174

MODI PRAHAR SELF STUDENT

17 Yr 00 M

M 60000

1235 201601175

SUTHAR DHRUVAL MINESH KUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1236 201601176

KAVIT AMIT SHAH SELF STUDENT

18 Yr 00 M

M 60000

1237 201601177

PRAJAPATI DEVEN SELF STUDENT

17 Yr 00 M

M 60000

1238 201601178

PATEL HARSHILKUMAR VIPULKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1239 201601179

KAPADIYA DARSHANKUMAR MADHABHAI

SELF STUDENT

17 Yr 00 M

M 60000

1240 201601180

CHAUHAN SUJITSINH SUNILSINH

SELF STUDENT

17 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

60 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1241 201601181

PRAJAPATI NAMRA BHARATKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1242 201601182

VAGHELA KISHANBHAI BHURSINGBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1243 201601183

CHAUDHARI ARPITKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1244 201601184

RATHVA KALPESH SUBHASHCHANDRA

SELF STUDENT

17 Yr 00 M

M 60000

1245 201601185

PATEL RAVIKUMAR BALKRISHNA

SELF STUDENT

18 Yr 00 M

M 60000

1246 201601187

CHAUDHARI VAISHVIKKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

1247 201601188

PRANAV PARIMALBHAI CHAUDHARI

SELF STUDENT

18 Yr 00 M

M 60000

1248 201601189

NISHITH VASAVA SELF STUDENT

18 Yr 00 M

M 60000

1249 201601190

GAMAR VISHNUBHAI SELF STUDENT

18 Yr 00 M

M 60000

1250 201601191

CHARPOT KAUSHIL SELF STUDENT

17 Yr 00 M

M 60000

1251 201601192

NAJA MAKWANA SELF STUDENT

18 Yr 00 M

M 60000

1252 201601193

BHAVESH K DAMOR SELF STUDENT

18 Yr 00 M

M 60000

1253 201601194

PRIYANK ASHWINKUMAR PATEL

SELF STUDENT

17 Yr 00 M

M 60000

1254 201601195

PATEL YAGNESH SELF STUDENT

18 Yr 00 M

M 60000

1255 201601196

PARADHI DHRUVILKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1256 201601197

PARADHI DHVANILKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1257 201601200

STAVAN SUMANT PATEL SELF STUDENT

17 Yr 00 M

M 60000

1258 201601201

GANDHI PIYUSH SELF STUDENT

18 Yr 00 M

M 60000

1259 201601202

JOGI YASH SELF STUDENT

17 Yr 00 M

M 60000

1260 201601203

VAGHELA HIREN SELF STUDENT

17 Yr 00 M

M 60000

1261 201601204

MAINAK CHAUDHURI SELF STUDENT

18 Yr 00 M

M 60000

1262 201601205

NISHTHA DHARMESH PANDYA

SELF STUDENT

18 Yr 00 M

F 60000

1263 201601206

PANKTI B SHAH SELF STUDENT

17 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

61 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1264 201601207

SWETAL VRAJ MASHRUWALA

SELF STUDENT

17 Yr 00 M

M 60000

1265 201601208

PATEL MITULKUMAR RAJENDRABHAI

SELF STUDENT

18 Yr 00 M

M 60000

1266 201601209

AAKLIT TANEJA SELF STUDENT

18 Yr 00 M

M 60000

1267 201601210

KIRTANA SUNIL PHATNANI

SELF STUDENT

17 Yr 00 M

F 60000

1268 201601211

MOHAMED SHADAB SELF STUDENT

18 Yr 00 M

M 60000

1269 201601212

AKSHAT GAUTAM SELF STUDENT

18 Yr 00 M

M 60000

1270 201601213

MOHMEDSAIF MOHMEDHABIB KOTWAL

SELF STUDENT

18 Yr 00 M

M 60000

1271 201601214

RAGHAV MATTAD SELF STUDENT

17 Yr 00 M

M 60000

1272 201601215

GUPTA ARNAB ARUP SELF STUDENT

18 Yr 00 M

M 60000

1273 201601216

BHARDA PRASHANT PARESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1274 201601217

SIDDHANT JAIN SELF STUDENT

17 Yr 00 M

M 60000

1275 201601220

PATEL JEET SELF STUDENT

17 Yr 00 M

M 60000

1276 201601222

CHHATRALA HARDIKKUMAR KANTILAL

SELF STUDENT

17 Yr 00 M

M 60000

1277 201601223

MEHTA BHAVIK SELF STUDENT

17 Yr 00 M

M 60000

1278 201601224

DAVE JAY SELF STUDENT

17 Yr 00 M

M 60000

1279 201601225

RANA MANOHARSINH BABUJI

SELF STUDENT

17 Yr 00 M

M 60000

1280 201601228

PATEL DHRUMIL BHUPENDRAKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1281 201601229

VAGHASIYA PRIYANKABEN ISHWARBHAI

SELF STUDENT

17 Yr 00 M

F 60000

1282 201601230

SHAH NILAY SELF STUDENT

17 Yr 00 M

M 60000

1283 201601231

THAKKAR AVAN SELF STUDENT

18 Yr 00 M

M 60000

1284 201601232

JOBANPUTRA YASH SELF STUDENT

17 Yr 00 M

M 60000

1285 201601233

MALHOTRA AYUSHI SELF STUDENT

17 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

62 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1286 201601234

PATEL UJJVAL SELF STUDENT

18 Yr 00 M

M 60000

1287 201601236

RADIA KISHAN BHUPENDRABHAI

SELF STUDENT

18 Yr 00 M

M 60000

1288 201601237

VALA MEETRAJSINH HARESHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1289 201601238

SHAH MEET SELF STUDENT

17 Yr 00 M

M 60000

1290 201601239

HIRPARA VATSAL PARESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1291 201601240

PANCHANI MEET ASHOKBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1292 201601241

SOLANKIKETUL SELF STUDENT

17 Yr 00 M

M 60000

1293 201601243

ABHI RATNMAN SELF STUDENT

18 Yr 00 M

M 60000

1294 201601244

PARMAR DARSHAN VINODBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1295 201601245

PANCHAL HAVYAKUMAR SELF STUDENT

17 Yr 00 M

M 60000

1296 201601246

MADAKIYA FAIZAN SELF STUDENT

17 Yr 00 M

M 60000

1297 201601248

POGUL SIDDHARTH SELF STUDENT

17 Yr 00 M

M 60000

1298 201601250

TADHA NILESHBHAI SELF STUDENT

17 Yr 00 M

M 60000

1299 201601252

CHAUHAN JAMIL SALIMBHAI

SELF STUDENT

19 Yr 00 M

M 60000

1300 201601253

CHAUDHARI JAIMINKUMAR ASHOKBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1301 201601254

VADHER DHAVAL MATHURKUMARDAS

SELF STUDENT

17 Yr 00 M

M 60000

1302 201601255

PANCHAL VISHVESH ASHWINBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1303 201601256

PRAJAPATI ASHOKKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1304 201601257

CHAVDA HIMANSHU SELF STUDENT

17 Yr 00 M

M 60000

1305 201601401

VASANI MIT PADMANABHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1306 201601402

SANGHVI JITESH HEMANSHUBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1307 201601403

ABHIGNYANA LAKSHMI CHALAMCHARLA

SELF STUDENT

17 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

63 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1308 201601404

AYUSH JAIN SELF STUDENT

17 Yr 00 M

M 60000

1309 201601405

PANDYA KALPESH ARUN SELF STUDENT

18 Yr 00 M

M 60000

1310 201601406

SHAH SULAY ANANDBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1311 201601407

CELLY PRATEEK KAPIL SELF STUDENT

18 Yr 00 M

M 60000

1312 201601408

DOSHI NISHI MITESHKUMAR

SELF STUDENT

17 Yr 00 M

F 60000

1313 201601409

PATEL HIMILKUMAR JITENDRABHAI

SELF STUDENT

17 Yr 00 M

M 60000

1314 201601410

SMIT SHAH SELF STUDENT

17 Yr 00 M

M 60000

1315 201601411

SAKSENA DEVANSH JAYANTKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1316 201601412

RINDANI KHANTI NISHCHALBHAI

SELF STUDENT

17 Yr 00 M

F 60000

1317 201601413

BISHESH ORAM SELF STUDENT

18 Yr 00 M

M 60000

1318 201601414

BHAVSAR SHIVAM RAKESHKUMAR

SELF STUDENT

17 Yr 00 M

M 60000

1319 201601415

PATEL PARVA CHANDUBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1320 201601416

RUTVIK SHAH SELF STUDENT

17 Yr 00 M

M 60000

1321 201601417

RUTVIK JAYESHBHAI KOTHARI

SELF STUDENT

17 Yr 00 M

M 60000

1322 201601418

SARDHARA PREETKUMAR JAYSUKHLAL

SELF STUDENT

17 Yr 00 M

M 60000

1323 201601419

KARAN JAIN SELF STUDENT

18 Yr 00 M

M 60000

1324 201601420

MEHTA DHVANEE MANISH

SELF STUDENT

17 Yr 00 M

F 60000

1325 201601421

ROHAN DHANWANI SELF STUDENT

18 Yr 00 M

M 60000

1326 201601422

VACHHANI RUSHI UMANGBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1327 201601423

ASNANI DHRUVESH PAHARJIT

SELF STUDENT

17 Yr 00 M

M 60000

1328 201601424

VRUND SHAH SELF STUDENT

17 Yr 00 M

M 60000

1329 201601425

MALLAVARAPU ROHIT SELF STUDENT

17 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

64 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1330 201601426

RAJPARA UTSAV RASHMIKANT

SELF STUDENT

17 Yr 00 M

M 60000

1331 201601427

SAVANI DEEP DEEPAKKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

1332 201601428

KATBA YOGI RAJESHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1333 201601429

MIHIR THAKKAR SELF STUDENT

17 Yr 00 M

M 60000

1334 201601430

AYUSHI MAYAL SELF STUDENT

17 Yr 00 M

F 60000

1335 201601431

PATEL PARTHKUMAR SELF STUDENT

18 Yr 00 M

M 60000

1336 201601432

KISHAN KUMAR PATEL SELF STUDENT

18 Yr 00 M

M 60000

1337 201601433

VADGAMA MAITREY NAVINCHANDRA

SELF STUDENT

17 Yr 00 M

M 60000

1338 201601434

VANSHIKA DARBARI SELF STUDENT

17 Yr 00 M

F 60000

1339 201601436

DETROJA SAKET SANJAYKUMAR

SELF STUDENT

18 Yr 00 M

M 60000

1340 201601437

SOLANKI ATREY SELF STUDENT

17 Yr 00 M

M 60000

1341 201601438

CHAVDA VIVEK SELF STUDENT

17 Yr 00 M

M 60000

1342 201601439

MEHTA SHYAMKUMAR CHANDRAKANTBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1343 201601440

CHUDASAMA SATISH MAHESHBHAI

SELF STUDENT

18 Yr 00 M

M 60000

1344 201601442

VASAVA DHAVALKUMAR SELF STUDENT

17 Yr 00 M

M 60000

1345 201601443

HARDIKI MUKESH DEVRE

SELF STUDENT

18 Yr 00 M

F 60000

1346 201601444

KUNAL MANISH JANI SELF STUDENT

18 Yr 00 M

M 60000

1347 201601445

ANERI PIYUSH KUMAR PATEL

SELF STUDENT

18 Yr 00 M

F 60000

1348 201601446

KSHITIZ SAREEN SELF STUDENT

18 Yr 00 M

M 60000

1349 201601447

PATEL ANSHU SELF STUDENT

17 Yr 00 M

M 60000

1350 201601448

ACHARYA ADITI SELF STUDENT

17 Yr 00 M

F 60000

1351 201601450

DHAMELIYA POOJAN SELF STUDENT

18 Yr 00 M

M 60000

1352 201601451

KAMARIA PARTH SELF STUDENT

18 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

65 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1353 201601452

PADARIYA ABHISHEK SELF STUDENT

17 Yr 00 M

M 60000

1354 201601453

BABRIYA RAVIKUMAR SELF STUDENT

17 Yr 00 M

M 60000

1355 201601454

PATEL YATINKUMAR SHASHIVADANBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1356 201601455

KALAVADIYA ANKIT SELF STUDENT

18 Yr 00 M

M 60000

1357 201601457

PIPALIYA ANAND JAYSUKHBHAI

SELF STUDENT

17 Yr 00 M

M 60000

1358 201601458

PARMAR JAYKISHAN SELF STUDENT

17 Yr 00 M

M 60000

1359 201601459

BRAHMBHATT VAISHVIK SELF STUDENT

18 Yr 00 M

M 60000

1360 201601460

BAROT KULDIPSINH SELF STUDENT

17 Yr 00 M

M 60000

1361 201601461

RANSARIYA DIVYESH SELF STUDENT

18 Yr 00 M

M 60000

1362 201601462

PANSURIYA TANIK SELF STUDENT

17 Yr 00 M

M 60000

1363 201611001

BHAVSAR TRUPAL PRADEEPKUMAR

SELF STUDENT

23 Yr 00 M

M 60000

1364 201611002

TARUN PATIDAR SELF STUDENT

22 Yr 00 M

M 60000

1365 201611003

SHAH JENI SNEHAL SELF STUDENT

22 Yr 00 M

M 60000

1366 201611004

VISHAKHA AGRAWAL SELF STUDENT

24 Yr 00 M

F 60000

1367 201611005

RAHUL RATHORE SELF STUDENT

23 Yr 00 M

M 60000

1368 201611006

MORADIYA BHARGAV DULABHAI

SELF STUDENT

22 Yr 00 M

M 60000

1369 201611007

LOKESH KUMAR SELF STUDENT

23 Yr 00 M

M 60000

1370 201611008

CHIRAGBHAI PARABAT USDADIYA

SELF STUDENT

23 Yr 00 M

M 60000

1371 201611009

DEBADUTTA ROUT SELF STUDENT

23 Yr 00 M

M 60000

1372 201611010

TRIVEDI VISHWAS VINODKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1373 201611011

SAMKIT RAKESHBHAI GANDHI

SELF STUDENT

21 Yr 00 M

M 60000

1374 201611012

SURAJ SURESH OGALE SELF STUDENT

23 Yr 00 M

M 60000

1375 201611013

SUSHANTINI N SELF STUDENT

25 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

66 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1376 201611014

PATWA DOLLYBEN RAKESHBHAI

SELF STUDENT

22 Yr 00 M

F 60000

1377 201611015

B RAJARAMAN SELF STUDENT

23 Yr 00 M

M 60000

1378 201611016

PRATIK RAJENDRA LODHA

SELF STUDENT

22 Yr 00 M

M 60000

1379 201611017

UDIT SHRIVASTAVA SELF STUDENT

25 Yr 00 M

M 60000

1380 201611019

DOSHI PRARTHANA KALPESHBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1381 201611020

KHALPADA VAIDEHI SHAILESH

SELF STUDENT

21 Yr 00 M

F 60000

1382 201611021

PURABIA POOJA RAJESHKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

1383 201611022

KOSHTI NISHANT PUSHPAKBHAI

SELF STUDENT

25 Yr 00 M

M 60000

1384 201611023

PALAK THAKUR SELF STUDENT

21 Yr 00 M

F 60000

1385 201611024

DEORE PRAJAKTA BALWANT

SELF STUDENT

21 Yr 00 M

F 60000

1386 201611025

THAKKER AVANI DEEPAKKUMAR

SELF STUDENT

23 Yr 00 M

F 60000

1387 201611026

SREERAJ R. SELF STUDENT

27 Yr 00 M

M 60000

1388 201611027

TAPKIR PRASAD ANIL SELF STUDENT

21 Yr 00 M

M 60000

1389 201611028

ANJANA RITABEN ARJUNBHAI

SELF STUDENT

23 Yr 00 M

F 60000

1390 201611029

LOKESH JIGALUR SELF STUDENT

23 Yr 00 M

M 60000

1391 201611030

SHAH VIDHI KAMLESHKUMAR

SELF STUDENT

22 Yr 00 M

F 60000

1392 201611031

CHINTAN SURYAKANT SHAH

SELF STUDENT

21 Yr 00 M

M 60000

1393 201611032

PANARA BHAVIKABAHEN BACHUBHAI

SELF STUDENT

23 Yr 00 M

F 60000

1394 201611033

SHETH HELI BIJALKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

1395 201611034

KOTAWALA FATEMA HAKIMUDDIN

SELF STUDENT

24 Yr 00 M

F 60000

1396 201611035

SHUBHAM CHANDRA SELF STUDENT

22 Yr 00 M

M 60000

1397 201611036

JINITA PATEL SELF STUDENT

23 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

67 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1398 201611037

PAREKH KRISHNA ASHISHKUMAR

SELF STUDENT

22 Yr 00 M

F 60000

1399 201611038

GOSWAMI JANKHANA JITENDRAGIRI

SELF STUDENT

22 Yr 00 M

F 60000

1400 201611039

RIDDHI KETANBHAI SOLANI

SELF STUDENT

22 Yr 00 M

F 60000

1401 201611040

SAGATHIYA RIDHAMKUMAR DAHYALAL

SELF STUDENT

21 Yr 00 M

M 60000

1402 201611041

PRASHANTKUMAR GOHEL

SELF STUDENT

24 Yr 00 M

M 60000

1403 201611042

NIKITA LODHA SELF STUDENT

23 Yr 00 M

F 60000

1404 201611043

KAMAL VERMA SELF STUDENT

31 Yr 00 M

M 60000

1405 201611044

CHOTHANI CHINTANIKA MANSUKHLAL

SELF STUDENT

22 Yr 00 M

F 60000

1406 201611045

DEEPANKAR DUBEY SELF STUDENT

23 Yr 00 M

M 60000

1407 201611046

THAKKAR SANKET NAVINKUMAR

SELF STUDENT

24 Yr 00 M

M 60000

1408 201611047

THANKI JIGAR NARBHESHANKER

SELF STUDENT

21 Yr 00 M

M 60000

1409 201611048

KANTHETI SRINIVAS SELF STUDENT

23 Yr 00 M

M 60000

1410 201611049

NIKITA VISHWAKARMA SELF STUDENT

22 Yr 00 M

F 60000

1411 201611050

NEHA KUMARI SINGHAL SELF STUDENT

22 Yr 00 M

F 60000

1412 201611051

PANCHAL NAMRATA PRAKASHBHAI

SELF STUDENT

22 Yr 00 M

F 60000

1413 201611052

KOTHURI VENKATA NAGA NEHA RAVALI

SELF STUDENT

22 Yr 00 M

F 60000

1414 201611053

SHUBHANGI GUPTA SELF STUDENT

21 Yr 00 M

F 60000

1415 201611054

KRITI SELF STUDENT

24 Yr 00 M

F 60000

1416 201611055

SHAH NEILKUMAR MILANKUMAR

SELF STUDENT

23 Yr 00 M

M 60000

1417 201611056

RAHUL CHAUHAN SELF STUDENT

23 Yr 00 M

M 60000

1418 201611057

NEHA RANI SELF STUDENT

23 Yr 00 M

F 60000

1419 201611058

KOTECHA DHARA PRADIPKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

68 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1420 201611059

AARUSHI DHAMI SELF STUDENT

22 Yr 00 M

F 60000

1421 201611061

HEMLATA TAK SELF STUDENT

23 Yr 00 M

F 60000

1422 201611062

SATYANJALI YADAV SELF STUDENT

22 Yr 00 M

F 60000

1423 201611063

RONAK H DHOKAI SELF STUDENT

23 Yr 00 M

M 60000

1424 201612001

VYAS DHWANIL NITIN SELF STUDENT

21 Yr 00 M

M 60000

1425 201612002

JADHAV DHRUVDUTT RANJITSINH

SELF STUDENT

21 Yr 00 M

M 60000

1426 201612003

SHARMA DIPESH SHIVKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

1427 201612004

MANIYAR SURBHI HARISHBHAI

SELF STUDENT

23 Yr 00 M

F 60000

1428 201612005

RANADE SANKALP PRASHANT

SELF STUDENT

20 Yr 00 M

M 60000

1429 201612006

JAY BHARATBHAI SHAH SELF STUDENT

20 Yr 00 M

M 60000

1430 201612007

MUKESH BANSAL SELF STUDENT

20 Yr 00 M

M 60000

1431 201612008

PARIKH KUSHAL JAYESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1432 201612009

ASHWANI TANWAR SELF STUDENT

22 Yr 00 M

M 60000

1433 201612010

JOSHI ASHWINI MILIND SELF STUDENT

20 Yr 00 M

F 60000

1434 201612011

MANVENDRA SINGH SELF STUDENT

23 Yr 00 M

M 60000

1435 201612012

HALANI DIP NATVARLAL SELF STUDENT

20 Yr 00 M

M 60000

1436 201612013

SHETTY ADITYA VITTAL SELF STUDENT

21 Yr 00 M

M 60000

1437 201612014

THAKKAR CHANDNIBEN SHAILESHBHAI

SELF STUDENT

20 Yr 00 M

F 60000

1438 201612015

PARIKH DIPEN VITTHALBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1439 201612016

PATEL RIYA MANISHKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1440 201612017

MAKHIJA AMAR TIRTHDAS

SELF STUDENT

21 Yr 00 M

M 60000

1441 201612018

JADAV NIKITA BIPINKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

1442 201612019

KAKADIYA HARDIKBHAI BHANUBHAI

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

69 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1443 201612020

DAVE PRIYA ASHOKKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1444 201612021

SHAH YESHA MEHULBHAI

SELF STUDENT

20 Yr 00 M

F 60000

1445 201612022

TIKEKAR SIDDHARTHA NAVINCHANDRA

SELF STUDENT

20 Yr 00 M

M 60000

1446 201612023

SHAH SHARVIL PIYUSHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1447 201612024

KHATRI JEET GAUTAMKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

1448 201612025

SONAVANE VARUN PRAKASH

SELF STUDENT

22 Yr 00 M

M 60000

1449 201612026

PURAN SUTHAR SELF STUDENT

20 Yr 00 M

M 60000

1450 201612027

SHAH DRASHTI MITESHBHAI

SELF STUDENT

20 Yr 00 M

F 60000

1451 201612028

PRIYANKA NITINKUMAR SHAH

SELF STUDENT

21 Yr 00 M

F 60000

1452 201612029

DELHIWALA RONAK YOGESH

SELF STUDENT

21 Yr 00 M

M 60000

1453 201612030

AMRELIYA UDIT SURESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1454 201612031

ANAM DIVYA SHAILESH ARUNA

SELF STUDENT

22 Yr 00 M

F 60000

1455 201612032

HITAISHI DINESHBHAI MARFATIYA

SELF STUDENT

19 Yr 00 M

F 60000

1456 201612033

ZARANA KISHORBHAI VYAS

SELF STUDENT

21 Yr 00 M

F 60000

1457 201612034

SHAH HELI PARESHKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1458 201612035

PANDYA POORVA SELF STUDENT

20 Yr 00 M

F 60000

1459 201612036

ASHIM KUMAR UPADHYAY

SELF STUDENT

23 Yr 00 M

M 60000

1460 201612037

SOLANKI PANTH KIRANKUMAR

SELF STUDENT

22 Yr 00 M

M 60000

1461 201612038

THAKKAR AVNISH VINODCHANDRA

SELF STUDENT

20 Yr 00 M

M 60000

1462 201612039

PATEL RUTVIJ MAYURKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1463 201612040

PRAJAPATI ARCHIL SELF STUDENT

20 Yr 00 M

M 60000

1464 201612041

DHOLAKIA MANASI ATUL SELF STUDENT

20 Yr 00 M

F 60000

1465 201612042

KEWALRAMANI VIKAS GOVINDBHAI

SELF STUDENT

21 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

70 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1466 201612043

GANDHI SHREYANSH SELF STUDENT

22 Yr 00 M

M 60000

1467 201612044

PATEL RIDDHI SELF STUDENT

20 Yr 00 M

F 60000

1468 201612045

MAHMADSOHIL DADHORIYA

SELF STUDENT

22 Yr 00 M

M 60000

1469 201612046

HATHI SAGAR KAMLESH SELF STUDENT

21 Yr 00 M

M 60000

1470 201612047

PANCHAL KRUPALI KISHOR

SELF STUDENT

20 Yr 00 M

F 60000

1471 201612048

GUPTA ADITI SANJAY SELF STUDENT

20 Yr 00 M

F 60000

1472 201612049

VORA ISHANI SAURINKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1473 201612050

SHAH JANAHVEE RASHMIKANT

SELF STUDENT

20 Yr 00 M

F 60000

1474 201612051

MANDALIYA ABHILASH BHANUKANT

SELF STUDENT

20 Yr 00 M

M 60000

1475 201612052

SHAH MANSI PRAKASHCHANDRA

SELF STUDENT

20 Yr 00 M

F 60000

1476 201612053

RATHORE AKSHAY PRADEEPSINGH

SELF STUDENT

21 Yr 00 M

M 60000

1477 201612054

CHOTALIYA CHINTAN LABHUBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1478 201612055

SHAH VIRAL RAHULKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

1479 201612056

VAGHANI ATISH RAMESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1480 201612057

CHAUHAN JAYENDRASINH KIRANKUMAR

SELF STUDENT

26 Yr 00 M

M 60000

1481 201612058

RANA YUVRAJSINH ASHVINSINH

SELF STUDENT

22 Yr 00 M

M 60000

1482 201612059

FARHAN ANSARI SELF STUDENT

21 Yr 00 M

M 60000

1483 201612060

SHAH HARSHIL PRUTHVISH

SELF STUDENT

20 Yr 00 M

M 60000

1484 201612061

LAKHANI ANKIT RAJUBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1485 201612062

DIVEN KUMAR SAMBHWANI

SELF STUDENT

20 Yr 00 M

M 60000

1486 201612063

HARMEET SINGH SAINI SELF STUDENT

21 Yr 00 M

M 60000

1487 201612064

VISHAL GARG SELF STUDENT

22 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

71 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1488 201612065

VAMSI KRISHNAGUNTHI SELF STUDENT

20 Yr 00 M

M 60000

1489 201612066

KANIYA DHIRAL SHAILESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1490 201612067

DHRUVIL SHAH SELF STUDENT

22 Yr 00 M

M 60000

1491 201612068

DEVAM SHAH SELF STUDENT

20 Yr 00 M

M 60000

1492 201612069

BINAYAK GOURI SHANKAR

SELF STUDENT

20 Yr 00 M

M 60000

1493 201612070

NIRALI UPADHYAY SELF STUDENT

20 Yr 00 M

F 60000

1494 201612071

SHAH KAVISHA SELF STUDENT

21 Yr 00 M

F 60000

1495 201612072

MEHTA NINAD HARSHADBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1496 201612073

UNDHAD HEMANSHI RASIKBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1497 201612074

AKHANI HARSHADKUMAR MAHESHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1498 201612075

SADHWANI SNEHA MAHESHKUMAR

SELF STUDENT

21 Yr 00 M

F 60000

1499 201612076

ANIL KUMAR TUDU SELF STUDENT

22 Yr 00 M

M 60000

1500 201612077

VARMA KUNAL VIJAYKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

1501 201612078

MEHTA DIMPLE SIDDHARTH

SELF STUDENT

21 Yr 00 M

F 60000

1502 201612079

PATEL AMISHA JITENDRABHAI

SELF STUDENT

21 Yr 00 M

F 60000

1503 201612080

PUJA SINGH SELF STUDENT

21 Yr 00 M

F 60000

1504 201612081

LUHAR SAVAN KISHORBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1505 201612082

AASTHA DWIVEDI SELF STUDENT

22 Yr 00 M

F 60000

1506 201612083

PARIKH SHLOK KISHORE

SELF STUDENT

20 Yr 00 M

M 60000

1507 201612084

THAKKAR KISHANKUMAR JAGDISHBHAI

SELF STUDENT

21 Yr 00 M

M 60000

1508 201612085

MEENAKSHI PRAVINSINH ZALA

SELF STUDENT

20 Yr 00 M

F 60000

1509 201612086

THAKOR MITESH NEHALKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

72 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1510 201612087

SHAH KARAN HIREN SELF STUDENT

20 Yr 00 M

M 60000

1511 201612088

SUNIL KUMAWAT SELF STUDENT

20 Yr 00 M

M 60000

1512 201612089

DESAI PRITESH JAYESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1513 201612090

SHETH BIJEN RAKESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1514 201612091

SHAAZ MANJIYANI SELF STUDENT

21 Yr 00 M

M 60000

1515 201612092

KADIYA STUTI GAURANGBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1516 201612093

VASUNDHARA GUPTA SELF STUDENT

22 Yr 00 M

F 60000

1517 201612094

AGRAWAL JEETU KEDARNATH

SELF STUDENT

20 Yr 00 M

M 60000

1518 201612095

CHANDAN KUMAR VISHWAKARMA

SELF STUDENT

20 Yr 00 M

M 60000

1519 201612096

SHAH DEVANSHI BHARATKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1520 201612097

VANANI VIRAL BATUKBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1521 201612098

SHAH KUSHAL KETANKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1522 201612099

VAGHASIYA GOPAL PARSOTAMBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1523 201612100

JIANDANI GAURAV KESHAV

SELF STUDENT

20 Yr 00 M

M 60000

1524 201612101

SHAH NILAM SHAILESHKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1525 201612102

PRATHAM JAIN SELF STUDENT

23 Yr 00 M

M 60000

1526 201612103

LILAN SHRESHTHA DINESHRAJ

SELF STUDENT

23 Yr 00 M

F 60000

1527 201612104

SHAH PARIN VIKRAMBHAI

SELF STUDENT

21 Yr 00 M

F 60000

1528 201612105

MAKHIJA SAGAR GURMUKH

SELF STUDENT

22 Yr 00 M

M 60000

1529 201612106

ANIMESH KUMAR SELF STUDENT

22 Yr 00 M

M 60000

1530 201612107

SHAILESH MISHRA SELF STUDENT

22 Yr 00 M

M 60000

1531 201612108

NASIT SAGAR PRAFULBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1532 201612109

MAHETA PARTH RAJESHBHAI

SELF STUDENT

20 Yr 00 M

M 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

73 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1533 201612110

RUPAREL JANVI PRAKASHBHAI

SELF STUDENT

20 Yr 00 M

F 60000

1534 201612111

PARESH KUMAR SELF STUDENT

21 Yr 00 M

M 60000

1535 201612112

PRAJAPATI DIPAK PRATAPBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1536 201612113

ANSHIKA SINHA SELF STUDENT

21 Yr 00 M

F 60000

1537 201612114

CHAUHAN KELIN LAWRENCEBHAI

SELF STUDENT

22 Yr 00 M

M 60000

1538 201612115

TAGADIYA MITESHKUMAR RAJUBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1539 201612116

RATHOD AUDARYA LALITNARAYAN

SELF STUDENT

21 Yr 00 M

M 60000

1540 201612117

RISHABH CHAUHAN SELF STUDENT

21 Yr 00 M

M 60000

1541 201612118

KAMDAR RAJ ASHWINBHAI

SELF STUDENT

20 Yr 00 M

M 60000

1542 201612119

OMISHA GUPTA SELF STUDENT

21 Yr 00 M

F 60000

1543 201612120

SEVAK PRIYANK KIRITKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

1544 201613001

JARIWALA HARSH HITESHKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1545 201613002

PRIYANKA HANSAWAT SELF STUDENT

22 Yr 00 M

F 60000

1546 201613003

AGARKAR HARSH ATULKUMAR

SELF STUDENT

20 Yr 00 M

M 60000

1547 201613004

SHINAI MALLIKA KRISHNKUMAR

SELF STUDENT

20 Yr 00 M

F 60000

1548 201613005

MEET JAYESHBHAI THAKER

SELF STUDENT

20 Yr 00 M

M 60000

1549 201613006

DVIVEDI SATYAM ASHOKKUMAR

SELF STUDENT

19 Yr 00 M

M 60000

1550 201614001

ASHWIN SHARMA SELF STUDENT

22 Yr 00 M

M 60000

1551 201614002

AYUSHI SHARMA SELF STUDENT

24 Yr 00 M

F 60000

1552 201614003

SHAINA GULATI SELF STUDENT

21 Yr 00 M

F 60000

1553 201614004

HIMANSHU VARDHAN SELF STUDENT

23 Yr 00 M

M 60000

1554 201614006

SHAH SHAILAJA SHALINBHAI

SELF STUDENT

23 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

74 of 75

Schedule of Members covered attached to and forming part of Policy No '1602362812000171

S No. Emp Code

Name of the person Emp Relation Grade AGE M/F Sum Insured Dateof Joining

Location Remarks

1555 201614007

SARATH K SELF STUDENT

24 Yr 00 M

M 60000

1556 201614008

GANDAMALLA PRAKRUTHI PULE

SELF STUDENT

23 Yr 00 M

F 60000

1557 201614009

SHETH AARSH JAYKUMAR

SELF STUDENT

21 Yr 00 M

M 60000

1558 201614010

NEERJA JAIN SELF STUDENT

23 Yr 00 M

F 60000

1559 201614011

ANANDITA AGRAWAL SELF STUDENT

23 Yr 00 M

F 60000

1560 201614012

ROSHNI PRAKASH THARIAN

SELF STUDENT

21 Yr 00 M

F 60000

1561 201614013

YAIPHAHENBA LAISHRAM

SELF STUDENT

22 Yr 00 M

M 60000

1562 201614014

SAURABH SINGH SELF STUDENT

22 Yr 00 M

M 60000

1563 201621001

AMIT KISHORCHANDRA MANKODI

SELF STUDENT

46 Yr 00 M

M 60000

1564 201621002

PANDYA JUHI MEHULKUMAR

SELF STUDENT

23 Yr 00 M

F 60000

1565 201621003

JOSHI NIKITA RAJESHBHAI

SELF STUDENT

24 Yr 00 M

F 60000

1566 201621004

VYAS HARDIK SHYAM SELF STUDENT

23 Yr 00 M

M 60000

1567 201621005

MANAS SINGH SAKRWAR

SELF STUDENT

26 Yr 00 M

M 60000

1568 201621006

TEJENDRA PRATAP GAUTAM

SELF STUDENT

29 Yr 00 M

M 60000

1569 201621007

SHAH MIRAL ASHOKKUMAR

SELF STUDENT

30 Yr 00 M

F 60000

1570 201621008

PATIL ANKUR TUKARAM SELF STUDENT

28 Yr 00 M

M 60000

1571 201621009

GADHIYA TUSHARKUMAR DAMJIBHAI

SELF STUDENT

25 Yr 00 M

M 60000

1572 201621010

SHAH AMI MAHENDRABHAI

SELF STUDENT

23 Yr 00 M

F 60000

1573 201621011

EKTA RAJPUT SELF STUDENT

25 Yr 00 M

F 60000

IRDAI Registration No. 103. An ISO 9001:2008 Certified CompanyCorporate Identity Number U66603MH2000PLC128300. Reliance General Insurance Company Limited. Registered Office: 19, Reliance Centre, Walchand Hirachand Marg, Ballard Estate, Mumbai 400001.Corporate Office: Reliance Centre, South Wing, 4th Floor, Off. Western Express Highway ,Santacruz (East), Mumbai - 400 055 PAN No. : AABCR6747BUIN : IRDA/NL-HLT/RGI/P-P/V.I/317/13-14"Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License”

75 of 75