15
S.No Name of School Comd Case file Type of Casualt y Casualt y type Name of Insured Cause of Casualt y Date of casualty FAX to NIACL on Claim No Docus fwd to NIACL on Amount Remarks 1 APS Pithoragarh CC Death-01 Death Student Master Sujal Sethi (V B) son of Mr Yashpal Sethi fell down from the terrace at his home and died. Accident 01 Aug 18 03 Aug 18 06-Aug-18 25-Sep-18 300000 Rs 3.00 Lakh recd through RTGS tfr on 25 Jun 2020. 2 APS Mhow CC Injury-01 Injury Employee Mrs Ritu Totlani, TGT (Maths) fell down in the school and got her elbow fractured. Accident 18-Aug-18 20-Aug-18 04-Feb-19 Claim rejected as original docums not produced & also reimbused from other Insurance CO. 3 APS Kandrori WC Death-02 Death Student Master Rahul Kumar (XII) son of Mr Vijay Kumar met with a road accident and died on the spot. Road Accident 23-Aug-18 23-Aug-18 28-Sep-18 300000 Rs 3.00 Lakh recd through RTGS tfr on 22 Feb 2019. 4 APS Dighi SC Death-03 Death Student Ms Nikita Suryawanshi (X A) daughter of Nb Sub A N Suryawanshi died due to an accident. Road Accident 23-Aug-18 23-Aug-18 16-Nov-18 300000 Rs 3.00 Lakh recd through RTGS tfr on 14 Mar 2019. 5 APS Kandrori WC CEB-01 Death Father Shri Ashwani Kumar father of Master Anirudh Diwedi & Ms Shriya Devi met with a road accident and died on the spot. Road Accident 22-Aug-18 24-Aug-18 28-Sep-18 950000 Rs 9.50 Lakh recd through RTGS tfr on 14 Dec 2018. 6 APS Jalandhar WC Injury-02 Injury Student Master Nishant Chouhan (IX B) son of Mr Sunny Chouhan met with an accident and injured. Road Accident 27-Aug-18 28-Aug-18 06-Sep-18 Claim closed as No expenditure incurred. 7 APS Mamun WC Death-04 Death Student Master Atul Sharma (VII A) son of Sub Jankar Chand met with an accident and died. Road Accident 05-Sep-18 05-Sep-18 09-Oct-18 300000 Rs 3.00 Lakh recd through RTGS tfr on 13 Dec 2018. 8 APS Panagarh EC CEB-02 Death Father Mr Manash Sarkar father of Master Mainak Sarkar (VIII) & Ms Meghna Sarkar (II) died in a road accident. Road Accident 24-Aug-18 11-Sep-18 05-Nov-18 1060000 Rs 10.60 Lakh recd through RTGS tfr on 21 Feb 2019. 9 APS Dehradun (CT) WC Death-05 Death Employee Mrs Rama Bhatt, Aaya died on 06 Sep 2018 due to lightning strike during thundering. Accident 06-Sep-18 11-Sep-18 700000 Documents awaited. STATUS OF GROUP PERSONAL ACCIDENT FROM 01 AUG 2018-31 JUL 2019 WITH THE NEW INDIA ASSURANCE COMPANY LIMITED

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Page 1: S.No Name of School Comd Case fileType of Casualt FAX to

S.No Name of School Comd Case file Type of

Casualt

y

Casualt

y type

Name of Insured Cause

of

Casualt

y

Date of

casualty

FAX to

NIACL on

Claim No Docus fwd

to NIACL on

Amount Remarks

1 APS Pithoragarh CC Death-01 Death Student Master Sujal Sethi (V

B) son of Mr Yashpal

Sethi fell down from

the terrace at his

home and died.

Accident 01 Aug 18

03 Aug 18

06-Aug-18 25-Sep-18 300000 Rs 3.00 Lakh recd through

RTGS tfr on 25 Jun 2020.

2 APS Mhow CC Injury-01 Injury EmployeeMrs Ritu Totlani, TGT

(Maths) fell down in

the school and got

her elbow fractured.

Accident 18-Aug-18 20-Aug-18 04-Feb-19 Claim rejected as original

docums not produced & also

reimbused from other

Insurance CO.

3 APS Kandrori WC Death-02 Death Student Master Rahul Kumar

(XII) son of Mr Vijay

Kumar met with a

road accident and

died on the spot.

Road

Accident

23-Aug-18 23-Aug-18 28-Sep-18 300000 Rs 3.00 Lakh recd through

RTGS tfr on 22 Feb 2019.

4 APS Dighi SC Death-03 Death Student Ms Nikita

Suryawanshi (X A)

daughter of Nb Sub A

N Suryawanshi died

due to an accident.

Road

Accident

23-Aug-18 23-Aug-18 16-Nov-18 300000 Rs 3.00 Lakh recd through

RTGS tfr on 14 Mar 2019.

5 APS Kandrori WC CEB-01 Death Father Shri Ashwani Kumar

father of Master

Anirudh Diwedi & Ms

Shriya Devi met with

a road accident and

died on the spot.

Road

Accident

22-Aug-18 24-Aug-18 28-Sep-18 950000 Rs 9.50 Lakh recd through

RTGS tfr on 14 Dec 2018.

6 APS Jalandhar WC Injury-02 Injury Student Master Nishant

Chouhan (IX B) son

of Mr Sunny Chouhan

met with an accident

and injured.

Road

Accident

27-Aug-18 28-Aug-18 06-Sep-18 Claim closed as No

expenditure incurred.

7 APS Mamun WC Death-04 Death Student Master Atul Sharma

(VII A) son of Sub

Jankar Chand met

with an accident and

died.

Road

Accident

05-Sep-18 05-Sep-18 09-Oct-18 300000 Rs 3.00 Lakh recd through

RTGS tfr on 13 Dec 2018.

8 APS Panagarh EC CEB-02 Death Father Mr Manash Sarkar

father of Master

Mainak Sarkar (VIII) &

Ms Meghna Sarkar

(II) died in a road

accident.

Road

Accident

24-Aug-18 11-Sep-18 05-Nov-18 1060000 Rs 10.60 Lakh recd through

RTGS tfr on 21 Feb 2019.

9 APS Dehradun

(CT)

WC Death-05 Death EmployeeMrs Rama Bhatt,

Aaya died on 06 Sep

2018 due to lightning

strike during

thundering.

Accident 06-Sep-18 11-Sep-18 700000 Documents awaited.

STATUS OF GROUP PERSONAL ACCIDENT FROM 01 AUG 2018-31 JUL 2019 WITH THE NEW INDIA ASSURANCE COMPANY LIMITED

Page 2: S.No Name of School Comd Case fileType of Casualt FAX to

10 APS Meerut CC CEB-03 Death Father Hav Shelendra Singh

father of Ms Khushi

(VIII C) met with an

accident and died.

Road

Accident

07-Sep-18 14-Sep-18 08-Nov-18 365000 Rs 3.65 Lakh recd through

RTGS tfr on 20 Mar 2019.

11 APS Dagshai WC CEB-04 Death Father Ex Sep Arbind Kumar

Singh father of Ms

Mohini Singh XII Sc)

met with a road

accident and died.

Road

Accident

13-Sep-18 14-Sep-18 08-Nov-18 165000 Rs 1.65 Lakh recd through

RTGS tfr on 22 Feb 2019.

12 APS Birpur,

Dehradun

WC Death-06 Death Student Master Ayush Singh

(VI D) son of Sub

Sanjeev Singh died

due to accident.

Accident 01-Oct-18 03-Oct-18 21-Feb-19 Claim repudiated as not fall

with in the purview of PA

Policy.

13 AIMT Greater

NOIDA

WC Injury-03 Injury EmployeeMr Amit

Kumar,Electrician got

flexor muscle injury

with FDS tendon

injury left forearm.

Accident 30-Aug-18 12-Oct-18 10/22/2018/0

1 Feb 19

Claim rejected as reimbused

from other Insurance CO.

14 APS Hisar SWC Injury-04 Injury Student Master Vaasu (I F)

son of Hav Arvind

Kumar fell down from

s wing and got a bone

fracture.

Accident 01-Oct-18 23-Oct-18 12-Nov-18 26062 Rs 20,462/- recd through

RTGS tfr on 13 Dec 2018.

15 APS Mathura SWC Injury-05 Injury EmployeeMr Puneet Gulati,

Accountant met with

an accident and

sustained injury in his

right leg.

Road

Accident

29-Sep-18 31-Oct-18 100000 Pending with NIACL.

16 APS Ahmedabad SC Death-07 Death EmployeeMrs Anisha Vijoy,

PRT died due to

accident with train.

Train

Accident

26-Oct-18 02-Nov-18 02-Jan-19 700000 Rs 7.00 Lakh recd through

RTGS tfr on 14 Mar 2019.

17 APS Jodhpur SC Death-08 Death EmployeeMr Om Prakash,

Chowkidar died on 03

Nov 2018 in a road

accident.

Road

Accident

03-Nov-18 05-Nov-18 31-Dec-18 700000 Rs 7.00 Lakh recd through

RTGS tfr on 20 Mar 2019.

18 APS Amritsar WC CEB-05 Death Father Death of Nb Ris

Virendra Singh father

of Master Mayank

Shekhawat (V)

occurred due to

skidded off the tank

from the concrete

BLT.

Accident 12-Nov-18 16-Nov-18 04-Apr-19 530000 Rs 5.30 Lakh recd through

RTGS tfr on 30 May 2019.

Page 3: S.No Name of School Comd Case fileType of Casualt FAX to

19 APS Hisar SWC Injury-06 Injury Student Ms Shifaa Dange (IV

A) daughter of Nk SA

Dange fell down and

got fracture between

left leg's knee

Accident 17-Nov-18 26-Nov-18 10-Dec-18 16469 Rs 16,469/- recd through

RTGS tfr on 13 Feb 2019.

20 APS Bhopal SC Injury-07 Injury EmployeeMs Diksha Pal,

Coach (Karate) got

fracture in left leg.

Road

Accident

17-Nov-18 26-Nov-18 14-Dec-18 75389 Rs 72,485/- recd through

RTGS tfr on 05 Mar 2019.

21 APS No 1,

Roorkee

CC Injury-08 Injury Student Master Rajat Singh

(VII E) son of Hav

Dharmender Singh

got fracture in his left

leg while playing in

school.

Accident 17-Nov-18 03-Dec-18 21-Jan-19 70200 Rs 70,200/- recd through

RTGS tfr on 25 Feb 2019.

22 APS Dighi SC Injury-09 Injury Student Ms Siddhi Sanjeev

Poul (VIII D) daughter

of Mrs Roopali

Sanjeev Poul and

broken her right hand

while playing at

School.

Accident 29-Nov-18 03-Dec-18 Case closed on 03 Jun 2019

as Insured claimed amount

from other Insurance

Company.

23 APS

Chandimandir

WC CEB-06 Death Father Death of Sep Thakar

Dass Bhardwaj

father of Master

Sumeet Bhardwaj

occurred due to

accident hit by

moving train.

Train

Accident

14-Aug-18 03-Dec-18 02-Apr-19 640000 Pending with NIACL.

24 APS Hisar SWC CEB-07 Death Father Death of Nk Sunil

Kumar father of

Master Sahil Kumar

occurred due to

accident with a stray

animal.

Accident 16-Dec-18 18-Dec-18 30-Jan-19 Claim repudiated by NIACL

on 11 Sep 2020.

25 APS Fatehgarh CC Death-09 Death Student Death of Master

Jashandeep Singh

(VIII D) son of Sub

Harnek Singh died

due to accidental

weapon fire.

Accident 23-Dec-18 02-Jan-19 31-Jan-19 300000 Rs 3.00 Lakh recd through

RTGS tfr on 22 Feb 2019.

26 APS Bhopal SC Injury-10 Injury EmployeeMr Prakash Malviya,

Accountant got

fracture in his right

hand while going to

home after school

hours in four wheeler.

Accident 16-Jan-19 21-Jan-19 47077 Rs 42,642 recd through

RTGS tfr on 27 Mar 2019.

27 AIM Kolkata EC Injury-11 Injury Student Ms Gladis Ishani

Gomes (MBA-22)

daughter of Mr Bimal

Gomes got injuired in

forehead in a road

accident.

Road

Accident

20-Jan-19 24-Jan-19 01-Apr-19 Claim closed as parent not

want to prefer claim under

GPA Policy.

Page 4: S.No Name of School Comd Case fileType of Casualt FAX to

28 APS Ahmednagar SC Injury-12 Injury Student Master Abdesh

Mahapatra son of LD

Mrinmoy Mahapatra

hit by a motorbike.

Road

Accident

14-Jan-19 31-Jan-19 100000 Documents awaited.

29 APS Jalandhar WC Injury-13 Injury Student Master Himanshu

Singh (XI B) son of

Hav Shailesh Kumar

Singh sustained injury

amputation rt leg and

fingures of left foot in

a train accident.

Train

Accident

22-Dec-18 01-Feb-19 01-May-19 300000 Rs 3.00 Lakh recd through

RTGS tfr on 27 Sep 2019.

30 Eagle APPS

Vadodara

SC Injury-14 Injury EmployeeMrs Hiraben

Bharatbhai Harijan,

Ayah knocked down

by biker and got head

injury.

Road

Accident

13-Jan-19 06-Feb-19 4308 Rs 4,075/- recd through

RTGS tfr on 19 Sep 2019.

31 APS Lucknow

(LBS)

CC Death-10 Death Student Death of Master

Abhijit Kumar Yadav

(IX A) son of L Nk

Shiv Shankar Singh

occurred due to Slip

of bike.

Road

Accident

18-Oct-18 08-Feb-19 11-Mar-19 300000 Rs 3.00 Lakh recd through

RTGS tfr on 09 May 2019.

32 APS Sunjuwan WC CEB-08 Death Father Death of S Manpreet

Singh father of

Master Gurpreet

Singh (IIA) occurred

due to fallen of

vehicle into canal.

Accident 09-Feb-19 12-Feb-19 04-Apr-19 695000 Pending with NIACL.

33 AIT, Pune SC Injury-15 Injury Student Mr Akash (FE-E&TC)

son of Hony Capt

Ram Lagan Parit got

fracture in his nose

bone while playing

Basket Ball.

Accident 19-Jan-19 20-Feb-19 20-Feb-19 4050 Rs 3,265/- recd through

RTGS tfr on 16 Mar 2019.

34 APS Hisar SWC Injury-16 Injury EmployeeMr Sandeep Saini,

CLT met with an

accident and got

injured.

Road

Accident

25-Feb-19 25-Feb-19 Case closed on 03 Jun 2019

as Insured claimed amount

from other Insurance

Company.35 APS Meerut CC Injury-17 Injury EmployeeMrs Shagufta Khan,

PRT met with an

accident and got

multiple fractures.

Road

Accident

22-Jan-19 11-Mar-19 15-Apr-19 24776 Rs 24,776/- recd through

RTGS tfr on 17 Sep 2019.

36 APS Ambala WC CEB-09 Death Father Death of Ex Nk

Kuldeep Kumar father

of Ms Kalpana (XI B)

occurred due to an

accident.

Road

Accident

11 Feb 19/

13 Feb 19

13-Mar-19 17-Mar-19 215000 Rs 2.15 Lakh recd through

RTGS tfr on 30 Mar 2019.

Page 5: S.No Name of School Comd Case fileType of Casualt FAX to

37 APS Mathura SWC Injury-18 Injury EmployeeMr Dharmendra

Katara, LDC

sustained injury while

hit by a wild animal.

Accident 10-Mar-19 25-Mar-19 09-Apr-19 45144 Rs 45,144/- Lakh recd

through RTGS tfr on 19 Jun

2019.

38 APS Ambala WC CEB-10 Death Father Death of Ex Sub

Amar Singh father of

Master Gurpreet

Singh (X A) occurred

due to a road

accident.

Road

Accident

19-Mar-19 25-Mar-19 12-Apr-19 315000 Rs 3.15 Lakh recd through

RTGS tfr on 19 Jun 2019.

39 APS Jhansi SC Injury-19 Injury EmployeeMr Raj Kumar, Safai

Karamchari met with

a road accident and

got his left leg

fractured.

Road

Accident

02-Apr-19 04-Apr-19 10-Jul-19 55906 Rs 33,490/- Lakh recd

through RTGS tfr on 15

Oct 2019.

40 APS Sec,bad

(BLRM)

SC Death-11 Death Student Death of Master N

Eshwar Sai (X) son of

Ex Nk N P Rao

occurred due to a

road accident.

Road

Accident

31-Mar-19 05-Apr-19 29-May-19 300000 Rs 3.00 Lakhs recd through

RTGS tfr on 08 Apr

2020.

41 APS

Chandimandir

WC CEB-11 Death Father Death of Late Gurdev

Singh Saini father of

Master Heman Singh

Saini (IV) occurred

due to a road

accident.

Road

Accident

30-Mar-19 08-Apr-19 29-Apr-19 640000 Rs 6.40 Lakh recd through

RTGS tfr on 22 May 2019.

42 APS Hisar SWC CEB-12 Death Father Death of Late L Nk

Gohil Delip Sinh

Bhupat Sinh father of

Ms Riddhiba Gohil (I

E) occurred due to

apparent fall from

height.

Accident 25-Dec-18 08-Apr-19 20-Jun-19 Claim repudiated by NIACL

as death caused by willful

act/suicide on 19 Dec 2019.

43 APS Jodhpur SC Death-12 Death Student Death of Master

Aditya Singh (X) son

of Ris Chandra Bhan

Singh Chauhan

occurred due to

drowning in

Swimming Pool.

Drownin

g

11-Apr-19 15-Apr-19 10-Jul-19 300000 Rs 3.00 Lakh recd through

RTGS tfr on 21 Mar 2020.

44 APS

Chandimandir/

Devlali

WC CEB-13 Death Father Death of Late L Nk

Thoke Devidas

Shivaji father of

Master Shivam

Thoke(IV) occurred

due to accidental

thermal injury (burn).

Accident 02 Apr 19/

09 Apr 19

26-Apr-19 23-May-19 585000 Rs 5.85 Lakh recd through

RTGS tfr on 20 Mar 2020.

45 APS Narangi EC CEB-14 Death Father Death of Lt Harendra

Das father of Ms

Rinky Das(IX)

occurred due to

accidental knocked

down by two wheeler.

Road

Accident

18 Apr 19/

20 Apr 19

02-May-19 30-Jul-19 315000 Rs 3.15 Lakh recd through

RTGS tfr on 02 Nov 2019.

Page 6: S.No Name of School Comd Case fileType of Casualt FAX to

46 APS No 1,

Roorkee

CC Injury-20 Injury Student Master Shiwam Singh

(VII D) son of Nk

Pintu Singh got

fracture in his left

hand.

Accident 03-May-19 06-May-19 16-Aug-19 3516 Pending with NIACL.

47 APS Birpur,

Dehradun

WC Death-13 Death Student Death of Ms Pragati

Kharkwal (I D)

daughter of L Nk

Yogesh Kharkwal

occurred due to an

accident.

Accident 06-May-19 08-May-19 18-Jun-19 300000 Rs 3.00 Lakhs recd through

RTGS tfr on 08 Apr

2020.

48 APS,

Khadakwasla

SC Injury-21 Injury Student Master Mayank

Dhandelwal (IV C)

son of Hav Clk

Mahesh Deswal loss

his eye sight in an

accident.

Accident 10-May-19 17-May-19 18-Jun-19 300000 Pending with NIACL.

49 APS, Meerut CC Injury-22 Injury EmployeeMrs Arti Kumari, TGT

met with an accident

and dislocated her

shoulder.

Accident 20-May-19 22-May-19 Case closed on 07 Jun 2019

as Insured claimed amount

from other Insurance

Company.

50 APS, Meerut CC Injury-23 Injury EmployeeMr Nitin Shukla, TGT

(Maths) got injured

while a car hit him.

Road

Accident

21-May-19 24-May-19 Case closed on 07 Jun 2019

as no heavy expdr involved.

51 APS Mamun WC Death-14 Death Student Death of Master

Aditya Thakur (VIII A)

son of Hav Ran Singh

occurred due to fall of

stones/ tiles while

unloading trolly.

Accident 26-May-19 04-Jun-19 30-Jul-19 300000 Pending with NIACL.

52 APS Lucknow

(SPM)

CC Death-15 Death Student Death of Ms

Akanchha Kumari (XI

D) daughter of Rfn

Subhash Raut

occurred due to burnt

injuries while cooking

in kitchen.

Accident 07-Jun-19 10-Jun-19 22-Jul-19 300000 Rs 3.00 Lakhs recd through

RTGS tfr on 08 Apr

2020.

53 APS Faridkote SWC Death-16 Death Student Death of Master

Vasudev Sahu (III C)

son of Nk Raghubir

Sahu occurred due

to drowning while

playing.

Drownin

g

04-Jun-19 13-Jun-19 01-Oct-19 300000 Rs 3.00 Lakhs recd through

RTGS tfr on 02 Nov

2019.

54 APS, Fatehgarh CC Injury-24 Injury EmployeeMr Ram Kumar, TGT

(Social Science) got

severe head injuries

in an accident.

Road

Accident

16-Jun-19 17-Jun-19 53717 Pending with NIACL.

55 APS Kota SWC Death-17 Death Student Death of Master

Pranjal (VII A) son of

Mr Om Prakash

Gochar occurred

due to an accident.

Road

Accident

10-Jul-19 11-Jul-19 13-Aug-19 300000 Rs 3.00 Lakhs recd through

RTGS tfr on 17 Sep 2019.

Page 7: S.No Name of School Comd Case fileType of Casualt FAX to

56 APS, Meerut CC Injury-25 Injury Student Ms Jiya Chaudhary

(XI) Hum daughter of

Mr Parvinder Kumar

met with an accident

and got severe

damage to brain

nerve and blood

vessel in brain

Accident 06-Jul-19 16-Jul-19 100000 Documents awaited.

57 APS Dhaula Kuan WC CEB-15 Death Father Death of Nb Sub

Yogesh Kumar father

of Master Priyesh

Singh Tomar (VI G)

occurred due to

building collapse at

Kumarhatti, Solan

(HP).

Accident 14-Jul-19 29-Jul-19 16-Aug-19 475000 Rs 4.75 Lakhs recd through

RTGS tfr on 17 Sep 2019.

58 APS Dagshai WC CEB-16 Death Father Death of Sub Maj

Prodip Ch Bhuyan

father of Ms

Diksheeta Bhuyan

(VIII B) occurred due

to building collapse at

Kumarhatti, Solan

(HP).

Accident 14 Jul 19/

15 Jul 19

02-Aug-19 16-Aug-19 365000 Rs 3.65 Lakhs recd through

RTGS tfr on 17 Sep 2019.

59 APS

Secunderabad

(BLRM)

SC CEB-17 Death Father Death of Hav (PA) S

Vijay Kumar father of

Master Sandi Ivan (I

C) occurred due to

an accident.

Road

Accident

25 Apr 19/

26 Apr 19

21-Aug-19 03-Oct-19 750000 Rs 7.50 Lakhs recd through

RTGS tfr on 02 Nov

2019.

60 APS Lucknow

(LBS)

CC CEB-18 Death Father Death of Hav

Amarjeet Kumar

father of Master Anuj

Kumar Singh (II D) &

Master Aryan Kumar

(IV C) occurred due

to IED blast.

Accident 17-Jun-19 30-Aug-19 13-Sep-19 1280000 Pending with NIACL.

61 APS Delhi Cantt WC Death-18 Death Student Death of Ms Arpita

Mohanty (VI B)

daughter of Nb Sub

(PA) Aruna Kumar

Mohanty occurred

due to an accident.

Accident 22-Jun-19 30-Aug-19 30-Aug-19 300000 Rs 3.00 Lakhs recd through

RTGS tfr on 07 Nov 2019.

62 APS, Hisar SWC Injury-26 Injury Student Master Vasu Nagpal

(V E) son of L Nk

Amit Kumar fell down

on floor and got injury

in his right elbow.

Accident 31-Jul-19 06-Sep-19 19-Sep-19 18108/

17180

Rs 17,180/- recd through

RTGS tfr on 21 Mar 2020.

63 APS, Birpur WC Injury-27 Injury Student Master Salab Singh

(XII) son of Hav

Sanjay Singh

electrocuted and

presently in Comma

Accident 07-Aug-18 31-Jul-20 23-Dec-20 650000 Pending with NIACL.

Page 8: S.No Name of School Comd Case fileType of Casualt FAX to

S.No Name of School Comd Case file Type of

Casualt

y

Casualt

y type

Name of Insured Cause

of

Casualt

y

Date of

casualty

FAX to

NIACL on

Claim No Docus fwd

to NIACL on

Amount Remarks

1 APS Ahmednagar SC Injury-01 Injury EmployeeMr Dattatraya

Bhalsing, PGT (PE)

got injured in his left

eye while coaching

the students

Accident 21-Aug-19 22-Aug-19 06-Jan-20 9145 Rs 9,145/- recd through

NEFT tfr on 28 Jul 2020.

2 APS Janglot WC Injury-02 Injury Student Ms Kanishka Jasrotia

(IX D) daughter of Mr

Narinder Singh

sustained fracture

near right eye while

practicing for

Basketball

Competion.

Accident 21-Aug-19 28-Aug-19 25-Sep-19 Parent unwilling to claim

under GPA Policy.

3 APS

Secunderabad

(BLRM)

SC Injury-03 Injury EmployeeMr J Ravi Kumar,

PRT met with an

accident and got left

hand bone broken.

Road

Accident

02-Aug-19 30-Aug-19 13-Jan-20 64316 Pending with NIACL.

4 APS Kanpur SWC CEB-01 Death Father Death of Hav

Ravindra Singh

father of Master

Ayush (V A) & Ms

Dhrasti Singh

Tomar(IX F)

occurred due to an

accident

Road

Accident

20 Aug 19/

28 Aug 19

02-Sep-19 29-Oct-19 850000 Rs 8.50 Lakh recd through

NEFT tfr on 28 Jul 2020.

5 APS Ratnuchak WC CEB-02 Death Father Death of Sep

Sikander Singh

father of Ms Priti

Rajput (X) occurred

due to an accident

Accident 01-Sep-19 09-Jan-00 13-Jan-20 250000 Rs 2.50 Lakh recd through

NEFT tfr on 31 Jul 2020.

6 Kharga APPS

Ambala

WC Injury-04 Injury Student Master Arshal Khan

(UKG) son of Hav

Satbir Khan fell down

from swing while

playing and fractured

his left arm.

Accident 27-Sep-19 27-Sep-19 27-Oct-20 Parent unwilling to claim

under GPA Policy.

7 APS Janglot WC Injury-05 Injury Student Master Vivek Mehra

(IX C) son of Mr Vijay

Kumarmet with an

injury during dispersal

of School in his class

room and sustained

fracture left forearm.

Accident 01-Oct-19 03-Oct-19 31-Oct-19 Parent unwilling to claim

under GPA Policy.

STATUS OF GROUP PERSONAL ACCIDENT FROM 01 AUG 2019-31 JUL 2020 WITH THE NEW INDIA ASSURANCE COMPANY LIMITED

Page 9: S.No Name of School Comd Case fileType of Casualt FAX to

8 APS Kaluchak WC Injury-06 Injury EmployeeMrs Rupa Pradhan,

PRT got multiple

fractures on her left

ankle while climbing

the staircase.

Accident 14-Oct-19 15-Oct-19 22-Jan-20 22659 Rs 22,659/- recd through

NEFT on 28 Jul 2020.

9 APS Ambala WC Injury-07 Injury Student Master Gaurav Shahi

(XI(A1)) son of Mr

Malvendra Singh

Shahi got injured in

his left knee.

Accident 01-Aug-19 16-Oct-19 31-Aug-20 15809 Pending with NIACL.

10 Chetak APPS

Bathinda

(Dafodills)

SWC Death-01 Death Student Master R J Hari

Dharunivas (LKG 'E')

son of LD R Jeya

Kumar died in an

accident.

Accident 12 Oct 19/

13 Oct 19

18-Oct-19 14-Nov-19 300000 Rs 3.00 Lakh recd through

NEFT on 08 Apr 2020.

11 APS Meerut CC Injury-08 Injury Student Master Abhiraj Pratap

Rana (IX K) son of

Mr Amit Kumar Rana

got his rt forearm

fractured while

playing Judo during

BOUT of Judo.

Accident 14-Oct-19 22-Oct-19 25-Nov-19 90000/

87700

Rs 87,700/- recd through

NEFT on 21 Mar 20.

12 APS Meerut CC Injury-09 Injury Student Master Sparsh Singh

(X J) son of Mrs

Monica Singh injured

during Basket Ball

match.

Accident 18-Oct-19 22-Oct-19 25-Nov-19 7336 Rs 7,336/- recd through

NEFT on 08 Apr 2020.

13 APS Mhow CC CEB-03 Death Father Death of Col PP

Ravindranath father

of Master Arun

Ravindranath (XII A)

occurred due to head

injury while slipped in

water channel.

Accident 20-Oct-19 22-Oct-19 26-Dec-19 125000 Rs 1.25 Lakh recd through

NEFT on 24 Jul 2020.

14 APS Kaluchak WC Injury-10 Injury EmployeeMrs Meena Begum

(School Employee)

fell down from the

staircase at home

and sustained

multiple fractures on

her left arm elbow.

Accident 19-Oct-19 22-Oct-19 27-Dec-19 23669 Rs 23,669/- recd through

NEFT on 28 Jul 2020.

15 APS Kamptee SC Death-02 Death EmployeeMs Manju Nandlal

Pariyani, PGT

(Chem) met with an

accident and died

due to severe head

injuries.

Road

Accident

22 Oct 19/

23 Oct 19

23-Oct-19 14-Nov-19 700000 Rs 7.00 Lakh recd through

NEFT on 08 Apr 2020.

Page 10: S.No Name of School Comd Case fileType of Casualt FAX to

16 APS

Bathinda/CAPPS

Bathina

(Bloomers)

SWC CEB-04 Death Father Death of L Nk

Dharmbir Singh

father of Ms Riya

Kumari (II A) & Ms

Jiya Singh (LKG A)

occurred due to a

road accident.

Road

Accident

12 Sep 19/

13 Sep 19

31-Oct-19 26-Dec-19 1000000 Rs 10.00 Lakh recd through

NEFT on 29 Sep 2020.

17 APS Allahabad CC Injury-11 Injury Student Master Prajjaval

Kumar(XII F) son of

Mr Anil Kumar got his

lt leg fractured below

knee while playing

CBSE Cluster

Football Tournament

at DPS, Naini.

Accident 13-Oct-19 01-Nov-19 15-Nov-19 45932 Rs 45932/- recd through

NEFT on 21 May 2020.

18 APS Dighi SC Injury-12 Injury EmployeeMr Ashwin Nikam,

PGT (Chem) met with

an accident and got

frature in his rt hand

elbow & muscle

injuries.

Road

Accident

02-Oct-19 08-Nov-19 27-Oct-20 Unwilling to claim under GPA

Policy as claimed from other

Insurance Company.

19 APS Agartala EC Injury-13 Injury EmployeeMs Snigdha

Choudhury, PRT got

her left leg bone

broken and rt hand

wrist joint displaced in

an accident.

Road

Accident

18-Nov-19 25-Nov-19 11-Dec-19 71970 Pending with NIACL.

20 Kharga APPS

Ambala

WC Injury-14 Injury Student Ms Varda Sharma

(LKG) daughter of Mr

Gaurav Sharma fell

down in school and

got fracture in her rt

arm

Accident 14-Nov-19 26-Nov-19 27-Nov-19 4600 Rs 4,600/- recd through

NEFT on 29 Sep 2020.

21 APS Panagarh/

Agra

EC CEB-05 Death Father Death of Hav Raj

Kumar father of Ms

Shruti Singh(V B) &

Master Kunwar Pal

(VIII A) died in Comd

Hospital, Lucknow

due to a road

accident.

Road

Accident

05 Dec 19/

08 Dec 19

10-Dec-19 02-Sep-20 950000 Rs 9.50 Lakh recd through

NEFT on 06 Oct 2020.

22 APS Meerut CC CEB-06 Death Father Death of Ex Hav Clk

Praveen Kumar

father of Ms Khushi

Yadav(X I) & Master

Abhishek Yadav (VI

H) occurred while

crossing railway track

due to Fog

Train

Accident

22-Dec-19 10-Jan-20 22-Jan-20 750000 Pending with NIACL.

Page 11: S.No Name of School Comd Case fileType of Casualt FAX to

23 APS Meerut CC CEB-07 Death Father Death of Hav Brijesh

Kumar father of

Master Seril Nagar (X

D) & Master Rohil

Nagar(XI F) occurred

due to hit by a cow.

Accident 21 Dec 19/

24 Dec 19

15-Jan-20 14-Feb-20 450000 Pending with NIACL.

24 ACMS, Delhi

Cantt

WC Injury-15 Injury EmployeeMr Anil Kumar,

Housekeeper

sustained burn

injuries at his

residence.

Accident 13-Jan-20 17-Jan-20 100000 Documents awaited.

25 APS Madhopur WC Death-03 Death EmployeeMrs Reeta Devi, TGT

(S Sc) met with a

road accident and

died on the spot

Road

Accident

18-Jan-20 20-Jan-20 12-Feb-20 700000 Rs 7.00 Lakh recd through

NEFT on 02 Jul 2020.

26 APS Gangtok EC Death-04 Death Student Death of Ms

Shakchhi RaI (VII)

daughter of Mr

Chandan Rai

occurred due to a

road accident.

Road

Accident

24-Jan-20 27-Jan-20 17-Aug-20 300000 Rs 3.00 Lakh recd through

NEFT on 17 Sep 2020.

27 APS Gwalior SC CEB-08 Death Father Death of Hav

Sandeep Singh

Parihar father of

Master Utkarsh Singh

Parihar (V E) &

Master Adarsh Singh

Parihar(II C) occurred

due to an accident.

Accident 18-Jan-20 27-Jan-20 06-Mar-20 Claim closed as not covered

under GPA Policy.

28 APS Beas WC Injury-16 Injury EmployeeMr Gurpreet Singh,

Dorm Attendant cum

Band Master got

multiple injuries in a

road accident.

Road

Accident

21-Jan-20 30-Jan-20 29-May-20 55236 Rs 55,236/- recd through

NEFT on 24 Aug 2020.

29 APS Ahmednagar SC CEB-09 Death Father Death of Ex Hav

Shivaji Karbhari Kale

father of Master

Abhishek Kale (IV J)

& Ms Sakshi Kale

(VIII G) occurred due

to an accident.

Accident 28-Jan-20 03-Feb-20 26-Aug-20 1000000 Rs 10.00 Lakh recd through

NEFT on 23 Sep 2020.

30 APS Kandrori WC CEB-10 Death Father Death of Hav Anil

Singh & Mrs Suman

Manhas father &

Mother of Master

Devansh Manhas(XI)

& Master Shivansh

Manhas (IX) occurred

due to a road

accident.

Road

Accident

31-Jan-20 03-Feb-20 04-Mar-20 500000 Rs 5.00 Lakh recd through

NEFT on 28 Jul 2020.

Page 12: S.No Name of School Comd Case fileType of Casualt FAX to

31 APS Jhansi SC Injury-17 Injury EmployeeMr Arun Kumar

Tiwari, PRT

(Computer) met with

an accident and got

his right hand finger &

right knee fractured.

Road

Accident

17-Feb-20 17-Feb-20 02-Sep-20 30465 Pending with NIACL.

32 APS Devlali SC Death-05 Death Student Death of Master

Gagandeep Kumar (II

H) son of L Hav

Sushil Kumar

occurred due to a

road accident.

Road

Accident

27-Feb-20 02-Mar-20 05-Aug-20 300000 Rs 3.00 Lakh recd through

NEFT on 29 Sep 2020.

33 APS Jhansi SC Injury-18 Injury EmployeeMr Pramod Kumar,

Safai Karamchari

met with a road

accident and got his

boith hands injured.

Road

Accident

08-May-20 11-May-20 29-Oct-20 Case closed as individual not

willing to claim under GPA.

34 APS Meerut CC CEB-11 Death Father Death of Mr Chitti

Babu father of G

Murli Krishna (VI H) &

Gedela Lilisha (IX H)

occurred due to fallen

of a tree in storm in

Oddisa.

Accident 23-Apr-20 09-Jun-20 12-Feb-21 800000 Pending with NIACL.

35 APS Patiala WC CEB-12 Death Father Death of Nb Sub

Mandip Singh father

of Ms Mehakpreet

Kaur (XI A) & Master

Jobanpreet Singh (VI

C) occurred due to

voilent clash between

Indo-China soldiers

Accident 16-Jun-20 19-Jun-20 700000 Documents awaited.

36 APS Jodhpur SC Death-06 Death Student Death of Miss Primela

Kanwar (XIIA)

daughter of Ex Hav

Mool Singh occurred

due to shock of

lightening from cloud.

Accident

(shock

of

lightenin

g from

cloud)

25-Jun-20 29-Jun-20 30-Jul-20 300000 Rs 3.00 Lakh recd through

NEFT on 07 Oct 2020.

37 APS Shankar

Vihar

WC CEB-13 Death Father Death of Col B

Santosh Babu father

of Master Bikamalla

Abhijna (IV A)

occurred due to

drowning during

conflict between Indo-

China soldiers

Accident 15/16 Jun

20

16-Jul-20 600000 Documents awaited.

38 APS Missamari EC Injury-19 Injury Student Master Virat Kumar

(III C) son of Hav

Pradeep Kumar

Thakur got serious

burn injuries.

Fire

Accident

14-Dec-19 10-Aug-20 29-Sep-20 250000 Pending with NIACL.

Page 13: S.No Name of School Comd Case fileType of Casualt FAX to

S.No Name of School Comd Case file Type of

Casualt

y

Casualt

y type

Name of Insured Cause

of

Casualt

y

Date of

casualty

FAX to

NIACL on

Claim No Docus fwd

to NIACL on

Amount Remarks

1 APS Kandrori WC CEB-01 Death Father Death of Shri Ravi

Kumar father of

Master Nishant

Kumar Sharma (VII B)

& Ms Reeya (IV C)

Road

Accident

17-Aug-20 17-Aug-20 23-Oct-20 1250000 Pending with NIACL.

2 APS Kaluchak SC Injury-01 Injury EmployeeMrs Aarti Chib

(Receptionist) met

with a road accident

and sustained head

injuries and multiple

fractures.

Road

Accident

19-Aug-20 19-Aug-20 30-Dec-20 7114 Pending with NIACL.

3 APS Hisar SWC CEB-02 Death Father Death of Ex Nk

Jitender Singh Goyat

(Father) & Mrs

Mukesh Rani

(Mother) parent of

Master Daksh Goyat

(I B) & Ms Harlin

Goyat (IV A)

occurred due to hit by

a truck from hehind

while on Morning

Walk near TCP II,

Hisar Cantt

Road

Accident

16-Sep-20 17-Sep-20 23-Oct-20 1700000 Pending with NIACL.

4 APS Mhow CC Injury-02 Injury EmployeeMr Sushanta Khatwa,

Gardner fell down

from bicycle while

returning from school

hrs at Mall Road,

Mhow and got

injured. He was

rushed to private

Road

Accident

12-Sep-20 21-Sep-20 21-Oct-20 5457 Pending with NIACL.

5 APS Dhrangdhara SC Death-01 Death EmployeeDeath of Mrs

Waghela Sumanben,

School Employee

occurred due to a

road accident.

Road

Accident

28-Aug-20 22-Sep-20 06-Oct-20 1000000 Pending with NIACL.

6 Army Law

College, Pune

SC Death-02 Death Student Death of Ms Ananya

Jadhav (2nd Yr)

occurred due to a

road accident.

Road

Accident

26-Sep-20 28-Sep-20 08-Dec-20 500000 Pending with NIACL.

7 APS Allahabad CC Injury-03 Injury EmployeeMr Ratna Devi,

School Employe met

with an accident on

21 Sep 2020 at

approx 0700hrsm

while coming to

School. She got

fracture her knee cap

Road

Accident

21-Sep-20 05-Oct-20 108831 Pending with NIACL.

8 Chetak APPS No

5 Bathinda

SWC CEB-03 Death Father Death of Cfn Giri

Dhiraj Ashok father of

Ms Shiveshwari

(UKG 'C') occurred

due to a road

accident

Road

Accident

17-Aug-20 17-Aug-20 400000 Documents awaited.

STATUS OF GROUP PERSONAL ACCIDENT FROM 01 AUG 2020-31 JUL 2021 WITH THE NEW INDIA ASSURANCE COMPANY LIMITED

Page 14: S.No Name of School Comd Case fileType of Casualt FAX to

9 Army Public

School Almora

CC Death-03 Death EmployeeDeath of Mr

Shivanshu

Shankhdhar, TGT

(Hindi) occurred on

23 Oct 2020 due to

an accident on 19 Oct

Road

Accident

19 Oct 20/

23 Oct 20

29-Oct-20 08-Dec-20 1000000 Pending with NIACL.

10 APS Meerut CC Injury-04 Injury EmployeeMrs Sonica, PRT met

with an accident and

got internal injuries.

Road

Accident

31-Oct-20 150000 Documents awaited.

11 APS No 1, JabalpurCC Injury-05 Injury Student Master Satyam

Pandey(VIIA) son of

Mr Somnath Pandey

met with a road

accident on 17 Nov

2020.

Road

Accident

17-Nov-20 04-Dec-20 30-Dec-20 144982 Pending with NIACL.

12 APS Kaluchak WC Injury-06 Injury EmployeeMrs Veena, MTS met

with a road accident

on 27 Nov 2020 and

sustained injury in rt

leg.

Road

Accident

27-Nov-20 04-Dec-20 150000 Documents awaited.

13 Army Public

School Jalandhar

CC Death-04 Death Student Death of Master Arjun

Bali (XII-B) son of Col

Anil Kumar Bali

occurred due to an

accident on 16 Nov

2020.

Road

Accident

16-Nov-20 08-Dec-20 16-Feb-21 500000 Pending with NIACL.

14 Army Public

School Basistha

EC CEB-04 Death Father Death of Const

Bhupen Roy father of

Master Prabab Jyoti

Roy (VII) occurred

due to an accident on

26 Nov 2020.

Road

Accident

26-Nov-20 08-Dec-20 29-Dec-20 550000 Pending with NIACL.

15 Army Public

School Patiala

WC Death-05 Death Student Death of Master

Kirteeman Dash (III

C) son of Nk Bharat

Chandra Dash

occurred due to

drowning in a pond.

Drownin

g

27-Nov-20 11-Dec-20 500000 Documents awaited.

16 APS Jodhpur SC Injury-07 Injury EmployeeMr Rajat Mishra, IT

Supvr got injured in

his left knee due to

collide his bike with

stray dog.

Road

Accident

09-Dec-20 17-Dec-20 150000 Documents awaited.

17 APS Ahmednagar SC Injury-08 Injury EmployeeMr Deepak

Bhausaheb Gunjal,

Ancillary Staff fell

down from water tank

while cleaning the

tank and got injured

in left wrist.

Accident 15-Dec-20 22-Dec-20 27-Jan-21 59804 Pending with NIACL.

18 APS Kaluchak WC Injury-09 Injury EmployeeMrs Anamika Jamwal,

TGT fell down from

the stoarcase at

home on 25 Dec

2020 at approx

1930hrs and

Accident 25-Dec-20 29-Dec-20 150000 Documents awaited.

Page 15: S.No Name of School Comd Case fileType of Casualt FAX to

19 APS Udhampur NC Injury-10 Injury EmployeeMr Gopal Krishna,

Peon met with a road

accident near Chopra

Bazar, Garhi

Udhampur on 01 Jan

2021 at approx

1300hrs and got

multiple fracture in his

left leg.

Road

Accident

01-Jan-21 05-Jan-21 150000 Documents awaited.

20 Army Public

School Kota

SWC CEB-05 Death Father Death of Nb Sub

Rajendra Singh

Gurjar father of

Master Rahul (X A) &

Master Sukhvinder

(VIII C) occurred due

Road

Accident

30-Nov-20 14-Jan-21 27-Jan-21 850000 Pending with NIACL.

21 Army Public

School Ambala

Cantt

WC CEB-06 Death Father Death of Hav Kamal

Singh father of

Master Kashish Fogat

(IV A) & Master Preet

Fogat II K) occurred

due to a road trafic

accident on 12 Jan

2021

Road

Accident

12-Jan-21 15-Jan-21 1600000 Documents awaited.

22 APS Janglot WC Death-06 Death EmployeeMr Randeep Singh

while returning to

home from School

met with an accident

and sustained severe

head injury. Later he

died on 22 Jan 2021

Road

Accident

19 Jan 21/

22 Jan 21

20 Jan 21/

28 Jan 21

1000000 Documents awaited.

23 APS Lucknow (SPM)CC Death-07 Death Student Death of Master

Arpan Mishra (XII D)

Humanities son of

Hav Ajay Kumar

occurred due to

electric shock from

High Tension Wire.

Accident 26 Jan 21/

30 Jan 21

01-Feb-21 500000 Documents awaited.

24 APS Agra CC Injury-11 Injury EmployeeMs Rajni Pande, TGT

got fracture in

shoulder on 02 Feb

2021 at approx

0810hrs while coming

Accident 02-Feb-21 02-Feb-21 150000 Documents awaited.

25 APS Lucknow (SPM)CC Death-08 Death Student Death of Ms Sushma

Yadav (IX B)

daughter of Hav

(Retd) Lorik Singh

Yadav occurred due

to an accident

Accident 09-Feb-21 12-Feb-21 500000 Documents awaited.

26 APS Patiala WC Death-09 Death EmployeeDeath of Ms Shelly

Ahuja, TGT (Hindi)

occurred due to

drowning

Drownin

g

01 Feb 21/

11 Feb 21

16-Feb-21 1000000 Documents awaited.

27 APS Bareilly CC Injury-12 Injury EmployeeMr Shiv Prasad Gaur,

PET slipped in the

market and fractured

his right leg on 13

Feb 2021 at 1730 hrs.

Accident 13-Feb-21 18-Feb-21 150000 Documents awaited.