UNITED INDIA INSURANCE COMPANY LIMITED · 2019-12-14 · united india insurance company limited lic building,jeevan nidhi-ii ground floor,ambedkar circle b.s.road,jaipur jaipur -

UNITED INDIA INSURANCE COMPANY LIMITED LIC BUILDING,JEEVAN NIDHI-II GROUND FLOOR,AMBEDKAR CIRCLE B.S.ROAD,JAIPUR

JAIPUR - 302005 RAJASTHAN PH: (141) 2744222,(141) 2744976 FAX: EMAIL:

TAILOR MADE GROUP HEALTH POLICY POLICY NO.: 1413002817P117263021

PERIOD OF INSURANCE FROM 00:00 Hrs on 01/03/2018 To Midnight on 28/02/2019

Insured

M/S DIRECTOR INFORMATION & PUBLIC RELATIONS DEPARTMENT RAJASTHANSECRETARIAT

JAIPUR

RAJASTHAN 302005

Agent Name : Agent Code : Mobile/Landline Number/Email :

☞ LET US JOIN THE FIGHT AGAINST CORRUPTION.

PLEASE TAKE THE PLEDGE AT https://pledge.cvc.nic.in

For any Information, Service Requests and Grievances please write to [email protected]

For ID Cards & Claim Intimations Please contact the TPA mentioned in the Policy document.

REGD. & HEAD OFFICE, 24, WHITES ROAD, CHENNAI - 600014

Website: http://www.uiic.co.in

Printed By : LAG42435 @ 01/03/2018 2:37:44 PM

Page 1 of 87

01/03/2018http://gccore.uiic.in/Configurator/UnderwrittingMasters/reports/frmPolicySchedule.aspx?...

POLICY NO.: 1413002817P117263021

TAILOR MADE GROUP HEALTH POLICY SCHEDULE

Policy No. 1413002817P117263021 Previous Policy No.

Insured Detail

Name/IDM/s DIRECTOR INFORMATION & PUBLIC RELATIONS DEPARTMENT RAJASTHAN/23045821554

Tel. (O) Tel.(R) Fax

EMail

Business/Occupation None

Period of Insurance

From 00:00 Hours of 01/03/2018 To Midnight of 28/02/2019

Coinsurance UIIC 141300 : 100%

No.of Employees 900 No.of Lives 2574

Coverage Details:-

Cover Group Sum Insured( ) Premium( )

Hospitalization 270,300,000.00 5,614,941.81

Maternity Benefit 270,300,000.00 561,494.18

Total Sum Insured 540,600,000.00 Premium 6,176,435.99

Insured Details

As Per Annexure Attached.

Premium: 8,463,683.00

CGST(9%): 761,731.00

SGST(9%): 761,731.00

Stamp Duty: 1.00

Total: 9,987,145.00

Receipt Number : 10114130017117683742

Receipt Date: 01/03/2018

Development Officer Code/ Agent

Code:

Page 2 of 87


Underwriter Remarks Family size=1+5,PED Covered,Pre Hospitalization up to 3 days & 15 Days for post hospitalization,All

waiting period waived,Room / ICU is 3000/5000 respectively,Covered maximum for first 2 children only.

Maximum benefits under Normal delivery 10000/- & Maximum benefits under Cesarian 20,000/- &

complication including child care Rs. 50000/- maximum, including pre & post natal benefits. Waiting

period of 9 months waived. New born child's treatment ( including paediatrics fees ) will also treated as

maternity expenses,Baby day one care is covered,Disease wise capping is as per CGHS Package

2014,Domiciliary Hospitalization expenses Covered for a period exceeding 3 days subject to MOU condition no. 8,Day care procedure as per MOU.All the terms & conditions of the Policy shall be refer to

MOU.

This Schedule and the attached policy shall be read together as one contract and any word or expression to which a specific

meaning has been attached in any part of this Policy or of the Schedule shall bear the same meaning wherever it may appear.

Customer GST No.: Office GST No.: 08AAACU5552C1ZJ

SAC Code: 9971 Invoice No. & Date: 2817I117263021 &

01/03/2018

Amount Subject to Reverse Charges-NIL

Anti Money Laundering Clause:-In the event of a claim under the policy exceeding 1 lakh or a claim for refund of premium

exceeding 1 lakh, the insured will comply with the provisions of AML policy of the company. The AML policy is available in all our

operating offices as well as Company's web site.

Date of Proposal and Declaration: 01/03/2018

IN WITNESS WHEREOF, this policy has been signed at DO 3 JAIPUR 141300 on this 01st day of March 2018

For and On behalf of

United India Insurance Co. Ltd.

Affix Policy

Stamp here.

Authorized Signatory

Underwritten By - LAG42435 ( DO UNDERWRITER )

Page 3 of 87


POLICY NO.: 1413002817P117263021

Details of TPA

Please contact the following TPA for Issue of Identity Cards, Cashless Approvals & Claims Settlement.

Name of TPA Vipul MedCorp Insurance TPA Pvt. Ltd.

Address 515, Udyog Vihar, Phase 5, Gurgaon - 122016(Haryana)

Toll Free number 1800 102 7477

Contact Details For General Enquiries For Cashless approval For Claim intimation For Grievances

Telephone Numbers 0124-4833900 0124-4833900 0124-4833900 0124-4629879

Email IDs [email protected] [email protected] [email protected] [email protected]

Page 4 of 87


Annexure: POLICY NO.: 1413002817P117263021

Name of TPAGroup

No.

Person

ID.Insured Name Age Sex Relation Occupation

Sum

InsuredPremium

M/S VIPUL MEDICORP

TPA PVT LTD. 1 11 ANIL MATHUR 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1 12 YOGITA MATHUR 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2 21 RAJENDRA BORA 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 2 22 KAMLA BORA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 3 31 MOHD. IQBAL 48 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 3 32 SAMEENA YASMEEN 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 3 33 AYSHA IQBAL 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 3 34 MOHD. ASHRAF 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 4 41 DHEERENDRA JAIN 80 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 4 42 KAMLESH 75 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 7 71 SHYAM SUNDER SHARMA 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 11 111 SATYANARAYAN SHARMA 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP TPA PVT LTD.

11 112 RADHA SHARMA 61 Female Spouse


13 131 LOKPAL SETHI 73 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 13 132 SANTOSH SETHI 71 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 18 181 PRAKASH BHANDARI 68 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 18 182 MRUDULIKA BHANDARI 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 21 211 SITARAM JHALANI 83 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 21 212 CHANDRAKANTA 79 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 23 231 SATYA PAREEK 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 23 232 URMILA PAREEK 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 32 321 ANAND PANDIT 51 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 32 322 NEERUBALA SHARMA 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 32 323 SHORABH SHARMA 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 32 324 SAKSHI SHARMA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 34 341 ROHIT PARIHAR 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 34 342 RITU SINGH 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 34 343 IVAAN SINGH PARIHAR 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 37 371 PRATUL SINHA 60 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 37 372 ANITA DADHICH 49 Female Spouse


41 411 ASHA PATEL 66 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 42 421 KAPIL BHATT 53 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 42 422 VIBHA BHATT 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 42 423 VATSALA BHATT 20 Female Daughter

Page 5 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 44 441 RADHESHYAM DUSAD 73 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 44 442 KANCHAN DUSAD 70 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 45 451 RAJEEV JAIN 54 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 45 452 USHA JAIN 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 50 501 BHUVNESH JAIN 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 50 502 SEEMA JAIN 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 52 521 SANJAY JAIN 49 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 52 522 SAROJ JAIN 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 52 523 PRINSH JAIN 17 Male Son


52 524 CAHAK JAIN 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 53 531

JAGDISH CHANDRA

SHARMA 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 53 532 VIMALA SHARMA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 54 541 AJAY DADHA 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 54 542 NIRMALA DADHA 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 57 571 DEENBANDHU CHOUDHARY 81 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 58 581 VIJAY CHAUDHARY 70 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 58 582 PUSHPA CHAUDHARY 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 61 611 ANIL DADHICH 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 61 612 NIRMALA DADHICH 68 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 64 641 MAHENDRA KUMAR YADAV 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 64 642 KRISHANA DEVI 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 65 651 SAROJ SHARMA 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 67 671

VISHNU SHARMA

(ARUNESH) 84 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 67 672 SAVITRI DEVI 81 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 68 681 SURESH SHARMA 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 68 682 BEENA SHARMA 48 Female Spouse


69 691 RADHARAMAN SHARMA 45 Male Self 300000 3500


69 692 NEELAM SHARMA 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 69 693 RAGHAV SHARMA 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 70 701 GOPAL GITESH 71 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 70 702 KAMLESH GITESH 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 71 711 SHIV KUMAR JANGID 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 71 712 KIRAN DEVI 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 82 821 AJAY KUMAR SHARMA 52 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 82 822 RANU SHARMA 41 Female Spouse

M/S VIPUL MEDICORP 82 823 AKSHAT SHARMA 16 Male Son

Page 6 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 82 824 MEGHNA SHARMA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 82 825 REKHA SHARMA 74 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 85 851 BRAJMOHAN SHARMA 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 86 861 RAM JAIMAN 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 86 862 AMITA JAIMAN 25 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 86 863 GOVIND JAIMAN 5 Male Son


88 881 YOGESH JAIMAN 62 Male Self 300000 9000


88 882 PUSHPA JAIMAN 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 90 901

MAHESH CHANDRA

SHARMA 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 92 921 SANTOSH SHARMA 67 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 96 961 SHEELA RANI 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 100 1001 SURESH GOYAL 73 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 101 1011 M L JAIN 61 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 101 1012 ALKA JAIN 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 101 1013 MRADUL JAIN 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 101 1014 KAMA JAIN 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 103 1031 LALIT SHARMA 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 103 1032 URMILA SHARMA 58 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 104 1041 VARISTHA KUMAR SHARMA 82 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 104 1042 GEETA SHARMA 78 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 105 1051 SANDEEP GOYAL 52 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 105 1052 SANGEETA GOYAL 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 105 1053 DEESHA GOYAL 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 108 1081 PRAMOD CHABRA 55 Male Self 300000 6450


108 1082 ANILA CHABRA 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 109 1091 NARESH KUMAR GOYAL 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 109 1092 SANGEETA GOYAL 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 110 1101 GULAB BATRA 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 110 1102 PUSHPA BATRA 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 111 1111 R D KUVERA 83 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 111 1112 RESHMI KUVERA 79 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 113 1131 SANTOSH KUMAR SHARMA 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 113 1132 ALKA SHARMA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 113 1133 GAURAV SHARMA 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 113 1134 PRACHI SHARMA 13 Female Daughter

Page 7 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 114 1141 KANARAM KADVA 59 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 114 1142 SARJU DEVI 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 114 1143 BHOORI DEVI 78 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 115 1151 OMPRAKASH BAHETI 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 115 1152 KRISHANA 64 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 118 1181 MOTI LAL JI SHANKHALA 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 120 1201 VINITA KUMAR SHARMA 57 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 120 1202 VANDANA SHARMA 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 121 1211 UMENDRA DADHICH 52 Male Self 300000 6450


121 1212 SUDHA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 126 1261 HEERA CHAND BAID 63 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 126 1262 SHASHI BAID 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 128 1281 AMRIT JAIN 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 128 1282 ANITA JAIN 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 129 1291

MANISH KUMAR

CHOUDHRY 47 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 129 1292 RAJRANI CHOUDHRY 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 129 1293 NAPUR CHOUDHRY 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 129 1294 NISHTHA CHOUDHRY 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 139 1391 SUDHANSHU MISHR 66 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 139 1392 SUBHASHREE MISHR 59 Female Spouse

M/S VIPUL MEDICORP


PRAVEEN CHANDRA

CHAABDA 87 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 143 1432 SANTOSHI DEVI 86 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 144 1441 F C JAIN 77 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 146 1461 PADAM SINGH BHATI 79 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 146 1462 GAYATRI DEVI 70 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 148 1481 ANAND SHARMA 71 Male Self 300000 12250


148 1482 MANISHA SHARMA 61 Female Spouse


150 1501 KAPIL SHRIMALI 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 150 1502 PRITI SHRIMALI 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 150 1503 HIT SHRIMALI 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 152 1521 TARUN RAWAL 47 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 152 1522 GEETA RAWAL 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 158 1581 RAMPAL RAKET 71 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 158 1582 PREM DEVI 70 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 167 1671 BRAJ BHOOSHAN SHARMA 76 Male Self 300000 17300

M/S VIPUL MEDICORP 182 1821 SUGENDHU PATEL 69 Male Self 300000 12250

Page 8 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 189 1891 BRAHSPATI SHARMA 68 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 189 1892 PUSHPLATA SHARMA 66 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 194 1941 VINOD BHARDWAJ 70 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 194 1942 SUNITA BHARDWAJ 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 208 2081 ANU AGARWAL 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 219 2191 SURENDRA JAIN PARAS 70 Male Self 300000 12250


219 2192 URMILA JAIN 65 Female Spouse


221 2211 ALOK SHARMA 33 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 221 2212 SWETA SHARMA 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 222 2221 MANOJ KUMAR 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 222 2222 LAXMI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 222 2223 KAVYANSH 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 222 2224 DEVIN 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 226 2261 CHANDRA KUMAR SHARMA 71 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 226 2262 RAVIKANTA SHARMA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 229 2291 GIRIRAJ JAIMAN 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 229 2292 LALITA JAIMAN 64 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 232 2321 RAJESH PANDITA 47 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 232 2322 MEENA KUMARI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 232 2323 HARDIK PANDITA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 232 2324 H N PANDITA 72 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 238 2381 SHYAM SUNDER TANWAR 68 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 238 2382 SARASWATI DEVI 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 239 2391 JASHWANT SINGH CHABRA 75 Male Self 300000 14050


239 2392 AMARJEET KAUR 74 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 240 2401 VIJAY BAHADUR GAUR 69 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 240 2402 NEELAM GAUR 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 243 2431 OMPRAKASH SWAMI 63 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 243 2432 LALITA 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 243 2433 KASUM SWAMI 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 247 2471 ASHOK PAREEK 52 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 247 2472 MANJU PAREEK 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 247 2473 SHIPRA PAREEK 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 247 2474 ABHAY PAREEK 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 248 2481 BHAWAR LAL NATANI 78 Male Self 300000 17300

Page 9 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 248 2482 VIMLESH NATANI 74 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 251 2511 VIMAL KOTHARI 51 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 251 2512 SAROJ KOTHARI 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 251 2513 JAYSRI KOTHARI 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 251 2514 INDRA DEVI 73 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 259 2591 KOKAL CHAND JAIN 81 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 259 2592 TARA DEVI 79 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 263 2631 R K JAIN 75 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 263 2632 JHAMKU DEVI 70 Female Spouse


266 2661 PRAVEEN DHINGRA 42 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 266 2662 ROMA DHINGRA 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 266 2663 HIMANSHU 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 271 2711 ASHISH JOSHI 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 271 2712 NEETU JOSHI 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 271 2713 ANI JOSHI 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 271 2714 ANISH JOSHI 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 272 2721 ASHVINI KUMAR RAHI 76 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 272 2722 SAROJ RAHI 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 275 2751 MOOLCHAND AGARWAL 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 275 2752 SANTOSH DEVI 64 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 276 2761 LAXMI PRASAD PANT 45 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 276 2762 ALKA PANT 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 276 2763 THEERA PANT 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 278 2781 ANIL NATANI 51 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 278 2782 SUSHILA NATANI 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 279 2791 BRAJRAJ SHARMA 62 Male Self 300000 9000


279 2792 JYOTI SHARMA 56 Female Spouse


286 2861 PUSHPANJALI PAREEK 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 287 2871 ANIL SINGH CHOUHAN 43 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 287 2872 SUMAN CHOUHAN 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 287 2873 YUVRAJ CHOUHAN 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 287 2874 TANYA CHOUHAN 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 290 2901 MANOJ MATHUR 41 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 290 2902 SULAKSHANA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 290 2903 VIVAN 9 Male Son

M/S VIPUL MEDICORP 298 2981 DR DINESH SHARMA 59 Male Self 300000 9000

Page 10 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 298 2982 SUMANLATA SHARMA 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 299 2991 SATISH KUMAR SINGH 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 299 2992 ASAWMITA SINGH 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 299 2993 STUTI SINGH 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 299 2994 ARSH SINGH 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 302 3021 PANNA LAL SHARMA 53 Male Self 300000 6450


302 3022 BEENA SHARMA 50 Female Spouse


303 3031 IFTEKHAR UDDIN KURESHI 72 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 303 3032 IKRAM KURESHI 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 304 3041 RAJESH PAREEK 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 306 3061 HEERA SINGH 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 306 3062 YSHODA RANI 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 310 3101 KALURAM ARYA 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 310 3102 MEERA DEVI 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 311 3111 KRISHAN GOPAL SHARMA 68 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 311 3112 MUNNI SHARMA 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 312 3121 P DINESH AVASTHI 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 312 3122 BEENA AVASTHI 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 314 3141 GOPAL BIHARI 68 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 314 3142 MANJU BIHARI 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 319 3191 JAGDISH NARAYAN JAIMAN 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 319 3192 REKHA JAIMAN 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 320 3201 TARUN KUMAR JAIN 45 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 320 3202 SUMITRA JAIN 41 Female Spouse


320 3203 HARSH JAIN 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 320 3204 PRAGATI JAIN 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 321 3211 MANOJ CHAWLA 54 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 321 3212 PRITI CHAWLA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 321 3213 KARAN CHAWLA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 323 3231 PREM SHARMA 54 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 323 3232 KIRAN SHARMA 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 323 3233 RITVIKA SHARMA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 323 3234 ASHMIT SHARMA 16 Male Son

M/S VIPUL MEDICORP


DHARMENDRA SINGH

RAJAWAT 57 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 324 3242 HAMESHWARI KANWAR 52 Female Spouse

Page 11 of 87


M/S VIPUL MEDICORP


MAHESH CHANDRA

SHARMA 51 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 329 3292 ANJU SHARMA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 329 3293 ISHAN SHARMA 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 329 3294 ICHCHIT SHARMA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 329 3295 BANWARI LAL SHARMA 79 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 329 3296 BANARSI DEVI 74 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 332 3321 MANISH BHARDWAJ 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 332 3322 ANITA BHARDUWAJ 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 337 3371 GOPAL SINGH NAWARIYA 47 Male Self 300000 9000


337 3372 SURESH NAWARIYA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 337 3373 KHERU LAL NAWARIYA 77 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 337 3374 MANPOOLI DEVI 71 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 338 3381 SATISH BHARDWAJ 57 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 338 3382 ANITA BHARDUWAJ 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 339 3391 RAMBABU SINGHAL 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 339 3392 SAROJ SINGHAL 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 340 3401 KIRAN SHARMA 53 Female Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 342 3421 MANOHAR LAL SHARMA 57 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 342 3422 SUMAN SHARMA 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 344 3441 ARVIND PANDIT 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 344 3442 NIRMALA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 344 3443 MISTI 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 344 3444 KALI 1 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 344 3445 MAULI 1 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 345 3451 SHIV KUMAR 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 345 3452 SANTRA DEVI 59 Female Spouse


350 3501 BADRI NARAYAN DADHICH 73 Male Self 300000 12250


350 3502 LALITA SHARMA 66 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 353 3531 JAGDISH SonWAL 50 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 353 3532 KAMLESH 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 353 3533 KUNAL 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 353 3534 GAURAV 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 355 3551 AVINASH SHARMA 49 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 355 3552 RAMJOT SHARMA 73 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 356 3561 GOVIND SHARMA 61 Male Self 300000 9000

M/S VIPUL MEDICORP 356 3562 MADHURANI 51 Female Spouse

Page 12 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 358 3581 HARISH MEGHANI 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 358 3582 MANISHA MEGHANI 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 361 3611 YASHPAL SINGH BHATI 50 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 361 3612 SEEMA RAJ BHATI 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 361 3613 YAMAN SINGH BHATI 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 361 3614 YAKSH SINGH BHATI 17 Male Son


362 3621 RAJENDRA KUMAR SHARMA 68 Male Self 300000 9000


362 3622 RAJBALA SHARMA 46 Female Spouse

M/S VIPUL MEDICORP


SUBHASH CHANDRA

AGARWAL 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 365 3652 BAHGWATI AGARWAL 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 366 3661 AKHIL BANSAL 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 366 3662 SHEL BANSAL 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 372 3721 RAMAKANT SHARMA 51 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 372 3722 MANJU SHARMA 45 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 380 3801 VIJAY SHARMA 60 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 380 3802 BEENA SHARMA 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 380 3803 SHANTI SHARMA 83 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 381 3811 NIRANJAN K KHATRI 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 381 3812 SUDHA KHATRI 58 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 383 3831 ASHOK SHARMA 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 383 3832 SEEMA SHARMA 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 383 3833 AKSHAT SHARMA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 383 3834 KAMLA DEVI 73 Female Mother


384 3841 GIRIRAJ 46 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 384 3842 ANJUBALA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 384 3843 PARUL 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 384 3844 BRAJLATA 73 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 386 3861 RAJESH SHARMA 59 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 386 3862 SUNITA SHARMA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 388 3881 PRABHU RAM 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 388 3882 MOHINI DEV 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 388 3883 VIKASH BAJIYA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 388 3884 ANKIT BAJIYA 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 392 3921 PARBRAHAM SHARMA 52 Male Self 300000 4150

Page 13 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 392 3922 KAMINI DEVI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 392 3923 PARTH BRAHAM SHARMA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 401 4011 SHOBHAG SAIN 43 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 401 4012 LALITA DEVI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 401 4013 ARTI SAIN 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 401 4014 TANUPRIYA 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 401 4015 GOPALI DEVI 83 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 402 4021 RIYAJUDEEN 62 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 402 4022 KHURSHEDA RIYAJ 52 Female Spouse


403 4031 SURESH PAREEK 55 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 403 4032 MANJU PAREEK 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 403 4033 JAY PAREEK 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 406 4061 PIYUSH OUSATWAL 51 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 406 4062 SUMAN OUSATWAL 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 406 4063 AVIRAL OUSATWAL 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 414 4141 G.S LABANA 62 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 414 4142 GOPI BAI 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 414 4143 NANKI DEVI 89 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 415 4151 PREMDUTT MISHRA 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 415 4152 SHASHI MISHRA 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 416 4161 RADHESHYAM SHARMA 71 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 416 4162 PREMI DEVI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 417 4171 SANTOSH KUMAR SONI 53 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 417 4172 SAVITA SONI 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 417 4173 RADHA DEVI 75 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 418 4181 VIMAL CHOUHAN 59 Male Self 300000 9000


418 4182 VANDANA CHOUHAN 55 Female Spouse


420 4201 VIKRAM SINGH CHOUDHARY

42 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 420 4202 RENU BALA CHOUDHARY 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 420 4203 HARDIKA CHOUDHARY 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 422 4221 MAHESH MATHUR 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 422 4222 INDUBALA MATHUR 58 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 425 4251 SUSHIL SINGH SISODIYA 40 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 425 4252 VIMLESH SISODIYA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 425 4253 KAVYA SINGH SISODIYA 12 Male Son

M/S VIPUL MEDICORP 425 4254

CHANDRAPAL SINGH 73 Male Father

Page 14 of 87


TPA PVT LTD. SISODIYA

M/S VIPUL MEDICORP

TPA PVT LTD. 426 4261 KAMAL JINDAL 50 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 426 4262 LATA JINDAL 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 426 4263 BHAVYA JINDAL 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 426 4264 JAY JINDAL 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 427 4271 VINOD SINGH CHOUHAN 42 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 427 4272 ANK KANWAR 36 Female Spouse


427 4273 DIVASHI CHOUHAN 11 Female Daughter


427 4274 JAIVARDHAN CHOUHAN 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 427 4275 HIMMAT SINGH 67 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 427 4276 SUSHILA DEVI 64 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 429 4291 KAMAL VARYANI 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 429 4292 RENU VARYANI 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 429 4293 GAURANSHI VARYANI 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 432 4321 DEERAJ JOSHI 37 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 432 4322 USHA JOSHI 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 432 4323 RISHAV JOSHI 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 434 4341 BALJEET SINGH 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 434 4342 SHANTI DEVI 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 434 4343 ABHYUDHYA SINGH 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 434 4344 ANUSHKA 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 435 4351 NIRMAL KUMAR GARG 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 435 4352 SOBHA GARG 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 436 4361 RAMCHANDRA VIJRANI 72 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 436 4362 PARVATI DEVI 66 Female Spouse


437 4371 NEERU DEVI GUPTA 55 Female Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 440 4401 ANIL MAHESHWARI 67 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 440 4402 YASODHA MAHESHWARI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 444 4441 RAJENDRA GUNJAL 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 444 4442 ABHA SHUKLA 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 445 4451 SURESH LALWANI 57 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 445 4452 MAMTA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 445 4453 JIGGYASA 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 446 4461 GHANSHYAM VERMA 76 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 446 4462 URMILA VERMA 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 447 4471 DILIP SHARMA 50 Male Self 300000 3500

Page 15 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 447 4472 SUMAN SHARMA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 447 4473 ANI SHARMA 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 447 4474 PRANJAL SHARMA 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 451 4511 GOVIND RAM 46 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 451 4512 MAMTA VERMA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 451 4513 KULDEEP KUMAR VERMA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 452 4521 RAMESH CHAND 56 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 452 4522 RITESH PANCHAL 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 454 4541 KAMLA PANCHAL 48 Male Self 300000 3500


454 4542 RITESH PANCHAL 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 455 4551 RATAN LAL BAKOLIYA 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 455 4552 ISHWARI DEVI 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 456 4561 YADHUSEN KURESHI 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 456 4562 AKHTAR FATMA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 458 4581 MADHUSUDHAN CHOUHAN 54 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 461 4611 VIKRAM SINGH VEDI 54 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 463 4631 YOGESH CHAND 48 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 463 4632 SEELA PANCHAL 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 463 4633 SUMIT PANCHAL 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 463 4634 JAYA PANCHAL 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 464 4641 YUGLESH SHARMA 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 464 4642 NIRMALA SHARMA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 464 4643 LEENA SHARMA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 464 4644 TANMAY SHARMA 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 465 4651 BANSHIDHAR SHARMA 90 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 466 4661 SARVAR SIDDIQUI 72 Male Self 300000 12250


466 4662 AABEDA SIDDIQUI 65 Female Spouse


467 4671 GAJENDRA K BOHRA 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 467 4672 USHA BOHARA 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 467 4673 ARYAN BOHARA 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 467 4674 NAJAR KANWAR 80 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 468 4681 SUMITRA VERMA 83 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 470 4701 DINESH SHARMA 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 470 4702 SonI SHARMA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 470 4703 HARDIK SHARMA 12 Male Son

M/S VIPUL MEDICORP 470 4704 ISPARSH SHARMA 9 Male Son

Page 16 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 473 4731 RAMESH AGARWAL 63 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 473 4732 MADHU AGARWAL 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 474 4741 RAHUL PAREEK 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 474 4742 SANTOSH PAREEK 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 474 4743 UJJWAL PAREEK 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 474 4744 GUNJAN PAREEK 12 Male Son


475 4751 HARISH VARYANI 68 Male Self 300000 9900.40986


475 4752 REKHA VARYANI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 476 4761 GIRDHARI LAL TEJWANI 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 476 4762 BEENA TEJWANI 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 477 4771 OM MATHUR 53 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 477 4772 RANJANA MATHUR 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 477 4773 ANUKRITI 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 479 4791 SANJAY KUMAR SHARMA 47 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 479 4792 LAXMI SHARMA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 479 4793 NAMAN SHARMA 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 479 4794 NAYAN SHARMA 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 480 4801 SHIV PRAKASH MITTAL 57 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 480 4802 ACHALA MITTAL 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 481 4811 ABRAR AHMAD 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 481 4812 SHABEENA KHAN 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 481 4813 AJEEMA KHAN 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 481 4814 MAHIBA KHAN 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 482 4821 DINESH GAUTAM 50 Male Self 300000 3500


482 4822 RESHMA DEVI 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 482 4823 NISHANT GAUTAM 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 482 4824 JHILMIL GAUTAM 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 483 4831 ARUNA KHINCHI 34 Female Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 483 4832 KULDEEP SINGH 26 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 483 4833 BHUPENDRA SINGH 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 485 4851 SUNIL BIJJU 59 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 485 4852 RENU MATHUR 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 485 4853 SRASHTI MATHUR 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 486 4861 RAJESH JAIN 51 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 486 4862 SAVITA JAIN 44 Female Spouse

Page 17 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 486 4863 VIDHAN JAIN 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 487 4871 RASHIKA MAHARSHI 43 Female Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 487 4872 DILIP MAHARSHI 50 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 487 4873 ROHITASHAV MAHARSHI 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 487 4874 SAMRIDDI MAHARSHI 7 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 488 4881 HANUMAN PRASAD JAIN 66 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 488 4882 SHAKUNTLA JAIN 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 489 4891 AJAY NARAYAN MISHRA 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 489 4892 KHEMLATA MISHRA 32 Female Spouse


489 4893 ABHINAV MISHRA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 489 4894 ANUBHAV MISHRA 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 490 4901 ABSAR HASAN KAZI 37 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 490 4902 RUBINA KAZI 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 490 4903 ARISHA KAZI 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 490 4904 AMARIYA KAZI 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 490 4905 SHABARA KAZI 62 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 491 4911 RAKESH SHARMA 55 Male Self 300000 6450

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 493 4931 POORAN SINGH CHOUHAN 70 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 493 4932 SANTOSH CHOUCHAN 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 494 4941 D C JAIN 49 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 494 4942 RAJKUMARI JAIN 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 494 4943 AKSHITA JAIN 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 494 4944 AKANSHA JAIN 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 494 4945 KAMLA JAIN 83 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 495 4951 VISHVNATH KHINCHI 72 Male Self 300000 14050


496 4961 ASHOK SonI 61 Male Self 300000 9900.40986


498 4981 MANJULATA 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 500 5001 KALPANA VYAS 47 Female Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 500 5002 SUSHIL VYAS 52 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 502 5021 RAM KUMAR SHARMA 81 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 502 5022 SHYAMA DEVI 75 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 503 5031 RAJNIKANT BHATT 51 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 503 5032 NAMAN BHATT 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 504 5041 CHANDRAKANTA 46 Male Self 300000 6450

M/S VIPUL MEDICORP 506 5061 ACHALESWAR ARYA 75 Male Self 300000 14050

Page 18 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 506 5062 OMI DEVI 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 508 5081 GAUTAM CHAND JAIN 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 508 5082 LEELA DEVI 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 511 5111 GAURI SHANKAR SHARMA 73 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 511 5112 JANKI DEVI 70 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 512 5121 MAHAVEER JAIN 51 Male Self 300000 4150


512 5122 GUDDI DEVI 47 Female Spouse


512 5123 YASHODA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 513 5131 MUKESH SHARMA 48 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 513 5132 SAROJ SHARMA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 514 5141 PUNIT SHARMA 38 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 514 5142 ANJANA SHARMA 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 514 5143 BHAVYA 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 514 5144 KAVYA 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 515 5151 SUSHIL JHALANI 66 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 515 5152 RADHA JHALANI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 516 5161 JAGDISH AGARWAL 67 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 516 5162 DULARI DEVI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 518 5181 PRADEEP RAWAL 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 519 5191 HARI MOHAN MITTAL 72 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 519 5192 URMILA MITTAL 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 522 5221 RAJENDRA SHARMA JATI 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 522 5222 SUMAN LATA SHARMA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 525 5251 SURESH ARYA 59 Male Self 300000 9000


527 5271 DEENDAYAL AGARWAL 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 527 5272 NARMADA DEVI 64 Female Spouse

M/S VIPUL MEDICORP


MAHENDRA KUMAR


M/S VIPUL MEDICORP

TPA PVT LTD. 529 5292 KAMLA SHARMA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 532 5321 DAYA RAM METHANI 78 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 532 5322 KAMLA METHANI 72 Female Spouse

M/S VIPUL MEDICORP


SAILENDRA KUMAR

BORDIYA 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP


HANUAN PRASAD


M/S VIPUL MEDICORP

TPA PVT LTD. 535 5352 MANJU AGARWAL 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 538 5381 KANTA JAIN 59 Female Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 540 5401 MAHESH AGARWAL 53 Male Self 300000 3500

Page 19 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 540 5402 MAN AGAGRWAL 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 543 5431 PRADEEP AGARWAL 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 543 5432 SAROJ AGARWAL 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 544 5441 AKSHAY TRIPATHI 58 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 544 5442 VINAY TRIPATHI 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 548 5481 SURENDRA KUMAR MUKT 49 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 548 5482 URMILA MUKT 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 548 5483 AMAN KUMAR MUKT 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 548 5484 MANSI MUKT 12 Female Daughter


549 5491 SATISH JOSHI 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 549 5492 CHANDA JOSHI 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 551 5511 SHIV KUMAR KAUSHIK 62 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 551 5512 SUMAN KAUSHIK 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 551 5513 AANANDI KAUSHIK 84 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 552 5521 TARA SHANKAR JOSHI 71 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 552 5522 KAMLA JOSHI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 553 5531 VISHWNATH PARASAR 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 553 5532 VAJANTI PARASAR 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 556 5561 RAJ KUMAR MALI 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 556 5562 REKHA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 556 5563 POOJA 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 557 5571 SUNIL KUAMR PATNI 52 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 557 5572 ANANMIKA JAIN 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 557 5573 AARCHI PATNI 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 557 5574 AAYUSHI PATNI 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 560 5601 MOHAN PUGLIYA 62 Male Self 300000 9900.40986


560 5602 SARASWATI DEVI 60 Female Spouse


561 5611 UMESH SAXENA 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 561 5612 AMITA SAXENA 59 Female Spouse

M/S VIPUL MEDICORP


MUKESH KUMAR

CHOUDHARY 38 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 562 5622 ASHA DEVI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 562 5623 SHREYA CHOUDHARY 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 562 5624 YASHVEER CHOUDHARY 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 565 5651 BHANWAR JANGID 44 Male Self 300000 5100

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP 565 5653 MEHUL 15 Male Son

Page 20 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 565 5654 NAKUL 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 565 5655 HANSHRAJ 72 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 565 5656 LUNI DEVI 67 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 566 5661 RAJESH SAXENA 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 566 5662 BEENA SAXENA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 566 5663 ABHISEK 17 Male Son


570 5701 CHETAN THTERA 48 Male Self 300000 3500


570 5702 AMAMN THTERA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 571 5711 GOVIND TRIPATHI 62 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 571 5712 GEETA TRIPATHI 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 575 5751 MOHAN SHARMA 60 Male Self 300000 9000

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 577 5771 KRISHANAVTAR GAUR 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 578 5781 MUKESH KUMAR 60 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 578 5782 SUNITA RANI 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 579 5791 SACHIN SAINI 34 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 579 5792 DR RITU CHOUHAN 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 587 5871 PIYUSH SHARMA 35 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 587 5872 YOGESHWARI SHARMA 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 587 5873 PARTH SHARMA 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 587 5874 SITARAM SHARMA 65 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 587 5875 SNEHLATA SHARMA 59 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 590 5901 PRAKASH PUGLIYA 62 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 590 5902 GULAB DEVI PUGLIYA 53 Female Spouse


596 5961 BABU SINGH KCHVA 63 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 596 5962 RUKMANI DEVI 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 597 5971 PADMAKAR SHARMA 42 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 598 5981 ASHOK MATHUR 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 603 6031 VIJAYNT SINGH 46 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 603 6032 TARAVATI DEVI 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 603 6033 PANKAJ SINGH 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 603 6034 PALLAV RAJ SINGH 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 604 6041 MADAN MADIR 78 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 606 6061 SATYANARAYAN SHARMA 57 Male Self 300000 6450

M/S VIPUL MEDICORP


Page 21 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 608 6081 SUBODH JAIN 54 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 608 6082 BABITA JAIN 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 608 6083 VENUS JAIN 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 609 6091 SUSHIL SHARMA 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 609 6092 ANJANA SHARMA 58 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 615 6151 DEVRAJ LATA 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 615 6152 MALTI DEVI 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 616 6161 SHIV KUMAR 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 616 6162 VIJAY LAXMI 60 Female Spouse


619 6191 GOPAL SHARMA 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 619 6192 ANJU DEVI 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 621 6211 K.M BHANDARI 77 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 621 6212 RATAN DEVI BHANDARI 72 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 623 6231 LALIT KUMAR MEHRA 47 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 623 6232 CHANDRAKALA MEHRA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 623 6233 GARVIT MEHRA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 623 6234 SHANTI DEVI 76 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 625 6251 MAHAVEER KUMAR MODI 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 630 6301 DINESH PRADHAN 48 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 630 6302 ANITA PRADHAN 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 630 6303 KANISHK PRADHAN 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 630 6304 VANYA PRADHAN 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 634 6341 VED PRAKASH 72 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 634 6342 SARLA PRAKASH 64 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 639 6391 IQBAL KHAN 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 640 6401 BAJRANG SINGH 63 Male Self 300000 9900.40986


640 6402 KAMLA DEVI 61 Female Spouse


643 6431 M.R. SHARMA 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 643 6432 KALAWATI SHARMA 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 649 6491 RAJENDRA KUMAR 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 649 6492 DURGA DEVI 56 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 650 6502 SUSHMA SHARMA 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 650 6503 GODAVRI DEVI 84 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 653 6531 PADAM MEHTA 68 Male Self 300000 12250

M/S VIPUL MEDICORP 653 6532 KAMLA MEHTA 65 Female Spouse

Page 22 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP


RAJKUMAR SINGH

BHANDARI 75 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 655 6552 SHAKUNTLA BHANDARI 73 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 657 6571 MANISH VYAS 53 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 657 6572 ASHA VYAS 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 657 6573 SAURABH VYAS 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 657 6574 SAHITYA VYAS 8 Male Son


658 6581 SUJATA BANSALI 57 Male Self 300000 9000


659 6591 SANGEETA SHARMA 49 Female Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 659 6592 MUKESH DATA SHARMA 50 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 661 6611 CHANDER MOHAN KALLA 58 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 662 6621 RAAJ ASOPA 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 662 6622 LAKSHMI AASOPA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 662 6623 SHRUTI ASOPA 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 662 6624 RISHI ASOPA 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 663 6631 K.D ISHRANI 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 663 6632 VIMLA DEVI 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 664 6641 MANISH CHOPRA 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 664 6642 MEENA CHOPRA 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 664 6643 MEHUL CHOPRA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 664 6644 MUSKAN CHOPRA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 665 6651 DR REKHA BHANSALI 46 Female Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 665 6652 PRADEEP BHANSALI 48 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 670 6701 PRATAP SINGH 68 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 670 6702 ROOPA DEVI 60 Female Spouse


672 6721 MAHESH SHARMA 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 672 6722 MANJULA SHARMA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 674 6741 RAJENDRA KUMAR SINDHI 55 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 674 6742 SHOBHA SINDHI 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 674 6743 RAKSHITA SINDHI 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 678 6781 LIYAKAT ALI 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 678 6782 AAREFA SULTANA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 678 6783 ALINA ALI 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 678 6784 SALMA 82 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 681 6811 GAJENDRA VYAS 52 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 681 6812 USHA 52 Female Spouse

Page 23 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 681 6813 DEEPAK 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 685 6851 DR MAHENDRA PATWA 64 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 685 6852 CHANCHAL 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 685 6853 KUNDAN KAWAR 87 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 686 6861 MUNNA KHAN 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 686 6862 NAZMA BEGAM 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 686 6863 SAYMA BANO 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 686 6864 MOHD ZAHIR 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 687 6871 NARENDRA KUMAR LODHA 59 Male Self 300000 4150


687 6872 HARSHAD LODHA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 691 6911 HIMALYA MOOTHA 50 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 691 6912 UMA MOOTHA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 691 6913 HIMANSHU MOOTHA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 691 6914 GANGA DEVI 72 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 693 6931 MAHENDRA BANSALI 66 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 694 6941 NANDLAL D. RANE 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 694 6942 DIPTI RANE 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 695 6951 SHYAM SINGH DEWDA 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 695 6952 USHA DEWDA 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 699 6991 BANARASI LAL VYAS 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 699 6992 SHYAMA DEVI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 700 7001 SHYAM SUNDHAR DAVANI 72 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 700 7002 MOHINI DEVI 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 701 7011 RAMSINGH RAJAWAT 44 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 701 7012 KAMLESH KANWAR 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 701 7013 RADHA RAJAWAT 18 Female Daughter


701 7014 AVDHESH SINGH RAJAWAT 19 Male Son


701 7015 HANUMAN SINGH 60 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 701 7016 SAMUNDRA KANWAR 55 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 704 7041 SHRI DADHICI PATEL 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 704 7042 VARSHA PATEL 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 704 7043 RISHA PATEL 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 705 7051 RAKHI JAIN 38 Female Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 705 7052 YOGESH SHARMA 44 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 705 7053 KARTIKEY SHARMA 13 Male Son

M/S VIPUL MEDICORP 709 7091 SHYAM SonI 75 Male Self 300000 14050

Page 24 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 710 7101 GHANSHYAM 59 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 710 7102 MANJU 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 710 7103 YATHARTH 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 711 7111 ANIL KUMAR SHARMA 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 711 7112 USHA SHARMA 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 712 7121 DINESH SAKSENA 67 Male Self 300000 12250


719 7191 GYA PRASAD BANSAL 66 Male Self 300000 9900.40986


719 7192 SHAKUNTLA 65 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 721 7211 NEERAJ SHARMA 32 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 721 7212 MEENU SHARMA 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 721 7213 PRATHMESH SHARMA 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 722 7221 MAL SINGH SHEKHAWAT 70 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 722 7222 SUSHILA KANWAR 68 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 723 7231 RAJESH JAIN 52 Male Self 300000 4150

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 723 7233 HARSHIT JAIN 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 727 7271 RAMSWAROOP SonI 80 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 727 7272 DHARA SonI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 729 7291 DEVKI NANDAN GANDHI 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 729 7292 SUSHILA DEVI 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 730 7301 MUNISH JOSHI 67 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 730 7302 SUSHILA JOSHI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 733 7331 SANTOSH SHARMA 46 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 733 7332 NIRMALA DEVI 44 Female Spouse


733 7333 JITENDRA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 733 7334 MADHUSUDAN 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 733 7335 BHANWARI DEVI 80 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 739 7391 MANOHAR PAREEK 61 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 739 7392 SAVITRI PAREEK 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 739 7393 SHANTI PAREEK 80 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 740 7401 MOHAN LAL BADODIYA 47 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 740 7402 BHARTI 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 740 7403 VANSHIKA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 740 7404 SAMIKSHA 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 740 7405 SHANTI BAAI 71 Female Mother

Page 25 of 87


M/S VIPUL MEDICORP


SATYENDRA KUMAR

UPADHYAAY 58 Male Self 300000 9000

M/S VIPUL MEDICORP


CHANDRA SHEKHAR

DEVLIYA 48 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 742 7422 SHIPRA DEVLIYA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 742 7423 DEVANG DEVLIYA 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 744 7441 RAJENDRA KUMAR JAIN 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 744 7442 ANJALI JAIN 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 745 7451 ABDUL ALIM 47 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 745 7452 PARVIN AARA 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 745 7453 ABDUL RASHID 74 Male Father


745 7454 KANIZ BEGUM 65 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 746 7461 DHARMENDRA JHA 44 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 746 7462 ARTI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 746 7463 YASH JHA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 746 7464 KHUSHI 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 746 7465 SATYAVATI 70 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 747 7471 BHANWAR SINGH SOLANKI 73 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 747 7472 PUSPA KANWAR 66 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 748 7481 MADAN GOPAL SHARMA 70 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 748 7482 RUKMANI SHARMA 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 749 7491 SUNIL KUMAR 42 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 749 7492 MANJULATA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 749 7493 POSHITA PRASAD 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 749 7494 VAIBHAV PRASAD 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 749 7495 JAGDISH PRASAD 68 Male Father

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 751 7511 BIRAJ RAJ SINGH SOLANKI 65 Male Self 300000 9900.40986


752 7521 KAMAL SINGH GEHLOT 70 Male Self 300000 12250


753 7531 NARESH UPADHYAAY 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 753 7532 ANURADHA 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 754 7541 ANIL KUMAR DEVALIYA 50 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 754 7542 PRBHAT DEVALIYA 19 Male Son

M/S VIPUL MEDICORP


DEVENDRA KRISHAN


M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 756 7561 LAXMI KANT SHARMA 48 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 756 7562 SANTOSH SHARMA 48 Female Spouse

M/S VIPUL MEDICORP 757 7571 SIDDHARSH BHATT 56 Male Self 300000 6450

Page 26 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 757 7572 ARCHANA BHATT 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 759 7591 GIRISH GUPTA 53 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 759 7592 NIRMALA GUPTA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 759 7593 HIMANSHU GUPTA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 760 7601 ANIL SUDARSHAN 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 760 7602 KUSUM GAUR 60 Female Spouse


761 7611 ANIL BHARDWAJ 47 Male Self 300000 4150


761 7612 MANSI BHARDWAJ 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 761 7613 ASTHA BHARDWAJ 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 767 7671 NARESH VIJAYVARGIYA 75 Male Self 300000 14050

M/S VIPUL MEDICORP


CHANDRA KIRAN

VIJAYVARGIYA 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 768 7681 RAKESH GOSWAMI 41 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 768 7682 RINU GOSWAMI 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 768 7683 KHUSHI GOSWAMI 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 768 7684 KUHOO GOSWAMI 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 769 7691 JYOTI VYAS 37 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 771 7711 RAMESH CHANDRA JAIN 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 771 7712 MUNNI DEVI 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 772 7721 PUKHRAJ TANK 65 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 772 7722 SARITA TANK 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 775 7751 VIRENDRA KUMAR VERMA 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 775 7752 SUNITA VERMA 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 776 7761 SOHAN SINGH SEWAD 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 781 7811 RAJKAMAL PAREEK 68 Male Self 300000 9900.40986


781 7812 PUSHPA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 783 7831 GORISHANKAR SHARMA 44 Male Self 300000 4150

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 783 7833 PRIYANKA SHARMA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 783 7834 KARTIK SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 783 7835 GORA DEVI 70 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 784 7841 LALIT CHORDIYA 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 784 7842 MEENA CHORDIYA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 784 7843 YASH CHORDIYA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 784 7844 BADAM BAI 80 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 786 7861 MUBARIK HUSEN 47 Male Self 300000 5100

Page 27 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 786 7862 JARINA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 787 7871 SHIV NARAYAN DABI 67 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 788 7881 PRALANKAR JOSHI 54 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 788 7882 SUNITA JOSHI 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 791 7911 YOGESH SINGHAL 50 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 794 7941 RAMESH AGARWAL 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 794 7942 SEELA AGARWAL 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 795 7951 RAJMAL JAIN 49 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 795 7952 SAROJ JAIN 44 Female Spouse


795 7953 RITIK JAIN 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 795 7954 NAMAN JAIN 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 799 7991 DINESH KUMAR SINGHAL 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 799 7992 DIEEPIKA SINGHAL 46 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 800 8002 MAMTA SHARMA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 800 8003 ARUN SHARMA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 803 8031 SURESH KUMAR SAUGANI 69 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 803 8032 MEENA JAIN 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 806 8061 DR RAVI KUMAR SHARMA 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 806 8062 DR VARSHA SHARMA 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 806 8063 ASHI SHARMA 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 806 8064 CHIRAYU SHARMA 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 808 8081 JUGAL KISHOR AGARWAL 47 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 815 8151 OM PRAKASH SONI 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 815 8152 KRISHNA SONI 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 819 8191 USMAN GANI KHA 71 Male Self 300000 14050


820 8201 RADHESHYAM SETHI 52 Male Self 300000 6450


820 8202 SARITA SETHI 46 Female Spouse

M/S VIPUL MEDICORP


MAHAVEER PRASAD

BHARTI 40 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 821 8212 RAJKALA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 821 8213 DEV NARAYAN 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 821 8214 YASHITA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 823 8231 MADAN ARORA 66 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 823 8232 ASHA ARORA 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 824 8241 LAL MOHAMMED ZAN 68 Male Self 300000 9900.40986

M/S VIPUL MEDICORP 824 8242 BHANWARI BANO 63 Female Spouse

Page 28 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 826 8261 OM PRAKASH SHARMA 61 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 826 8262 TARAVANTI SHARMA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 827 8271 BALRAM SHARMA 53 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 827 8272 BHAGYAWATI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 827 8273 SonALI 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 827 8274 BHAWANI CHARAN 16 Male Son


828 8281 VIDHYADHAR MISHRA 55 Male Self 300000 6450


828 8282 PUSHPA MISHRA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 829 8291 BALWANT SINGH NIDDER 64 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 829 8292 SAROJBALA 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 831 8311 BABULAL BHARTI 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 831 8312 SUMITRA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 833 8331 ASLAM KHAN 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 833 8332 RESHMA BANO 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 833 8333 MANTSHA KHAN 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 833 8334 SUFIYAN KHAN 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 835 8351 RAVI CHAMARIYA 51 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 835 8352 SUNITA CHAMARIYA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 835 8353 DHAPI DEVI 69 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 837 8371 AJAY SOBTI 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 837 8372 NEERU SOBTI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 839 8391 JASVINDRA SINGH BAL 57 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 839 8392 VANDANA BAL 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 843 8431 VIRENDRA MLHOTRA 80 Male Self 300000 17300


845 8451 RAJENDRA SARASWAT 70 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 845 8452 MAHENDRA SARASWAT 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 848 8481 OMPRAKASH GUPTA 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 848 8482 SHASHI GUPTA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 849 8491 RAMAVTAR VASHISTH 71 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 849 8492 CHANDRAKANTA SHARMA 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 850 8501 RAJKUMAR CHUGH 57 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 850 8502 MINAKSHI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 850 8503 DIVYANSHU 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 850 8504 VISHNU 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 851 8511 DEVKISHAN 66 Male Self 300000 9900.40986

Page 29 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 851 8512 MOOLI DEVI 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 854 8541 KRISHAN SonI AJAD 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 854 8542 RADHA DEVI 65 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 858 8581 HARBHAJAN SINGH 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 858 8582 SARJEET KAUR 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 860 8601 PRAKASH CHAND SHARMA 47 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 860 8602 MITHLESH SHARMA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 860 8603 JYOTI 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 860 8604 ROHIT KUMAR 13 Male Son


860 8605 SHANTI DEVI 76 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 861 8611 ARVIND MOHAN SHARMA 54 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 861 8612 MANISH JHA 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 861 8613 SHLOKA SHARMA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 868 8681 MANOJ KUMAR SWAMI 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 868 8682 GANGA DEVI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 869 8691 TARUN KASHYAP 44 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 869 8692 TARANDEEP KASHYAP 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 869 8693 KUNAL KASYAP 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 873 8731 SATYAPAL MEGHWAL 55 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 873 8732 MINAKSHI DEVI 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 873 8733 ASHOK MAHAN 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 877 8771 PANDIT JIVRAJ SHARMA 79 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 877 8772 BASANTI DEVI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 879 8791 C M MAROTHIYA 41 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 880 8801 BHANU NARNOLIYA 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 880 8802 JYOTI SHARMA 28 Female Spouse


880 8803 SAMRADHI SHARMA 6 Female Daughter


882 8821 GAJANAND DHABHAI 73 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 882 8822 CHOTI DEVI 66 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 883 8831 UTAULLA KHAN 55 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 883 8832 ASMAT PARVEEN 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 883 8833 ADIBA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 883 8835 ABDULLA KHAN 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 884 8841 LIYAKAT ALI 52 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 884 8842 SUFIYA 45 Female Spouse

M/S VIPUL MEDICORP 884 8843 SAFDAR ALI 18 Male Son

Page 30 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 884 8844 FARJEEN 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 885 8851 RAJKUMAR KARNANI 53 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 885 8852 VINITA KARNANI 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 885 8853 RITIKA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 885 8854 BHAVESH 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 885 8855 DROPATI DEVI 77 Female Mother


888 8881 VASEEM AKRAM QURESHI 48 Male Self 300000 3500


888 8882 HASINA BANO 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 888 8883 TOOBA VASEEM 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 888 8884 AKHAVAND VASEEM 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 890 8901 SHRI GAUTAM SURANA 62 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 890 8902 KANTA SURANA 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 892 8921 SUNIL KHABYA 48 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 895 8951 KLADHAR SHARMA 55 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 895 8952 REKHA SHARMA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 895 8953 PRAGYA SHARMA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 895 8954 MIHIR SHARMA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 898 8981 SHELESH VYAS 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 898 8982 VEENA VYAS 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 904 9041 SUBODH KUMAR PAREEK 54 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 904 9042 NIBHA PAREEK 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 905 9051 HIMMAT SETH 73 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 906 9061 SHANTILAL SIROYA 56 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 906 9062 PRAMILA DEVI 53 Female Spouse


906 9063 NARAYAN LAL 78 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 906 9064 JATAN DEVI 75 Female Mother

M/S VIPUL MEDICORP


MANVENDRA SINGH

RATHOR 49 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 908 9082 CHANDRAWATI RATHOR 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 908 9083 HIMANGINI RATHOR 17 Female Daughter

M/S VIPUL MEDICORP


DEVVARDHAN SINGH

RATHOR 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 908 9085 SOBHAGYA KANWAR 79 Female Mother

M/S VIPUL MEDICORP


NARESH CHANDRA


M/S VIPUL MEDICORP

TPA PVT LTD. 909 9092 CHANDRA KALA SHARMA 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 912 9121 BHANWAR LAL MENARIYA 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 912 9122 MOHINI MENARIYA 59 Female Spouse

Page 31 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 913 9131 BABULAL PAREEK 61 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 913 9132 USHA PAREEK 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 920 9201 KUNJ BIHARI MAHARSHI 72 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 920 9202 VIDHYA DEVI 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 922 9221 PRAKASH CHAPLOT 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 922 9222 MEENA CHAPLOT 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 922 9223 DEEPIKA CHAPLOT 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 922 9224 JAI CHAPLOT 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 924 9241 SHARAD VYAS 43 Male Self 300000 3500


924 9242 RENU 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 924 9243 MADHURAM 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 925 9251 ANIL SHARMA 51 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 925 9252 RESHMA DEVI 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 928 9281 SANDEEP MATHUR 44 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 928 9282 RASHMI MATHUR 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 928 9283 ADHISH MATHUR 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 930 9301 CHARANMAL SHARMA 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 930 9302 SAVITRI SHARMA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 932 9321 BAJRANG SINGH 80 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 932 9322 RAJ KANWAR 72 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 934 9341 DURGA PRASAD YADAV 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 934 9342 MALTI DEVI 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 937 9371 SUMIT GOYAL 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 937 9372 MEETU GOYAL 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 937 9373 SARANSH GOYAL 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 937 9374 KUSH GOYAL 13 Male Son


939 9391 NATWAR LAL TRIPATHI 77 Male Self 300000 17300


939 9392 BASANTI DEVI 75 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 940 9401 PAWAN KUMAR VYAS 46 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 941 9411 SURESH KUMAR HARSH 49 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 941 9412 ANNAPURNA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 941 9413 MRATUNJAY HARSH 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 942 9421 AADARSH MADUKAR 46 Male Self 300000 3300

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 942 9423 AGRIMA MADHUKAR 16 Female Daughter

M/S VIPUL MEDICORP 942 9424 PESHAL MADHUKAR 15 Male Son

Page 32 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 944 9441 KRIPASHANKAR TRIVEDI 66 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 944 9442 RAJSHRI 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 946 9461 CHANDRA PRAKASH VYAS 50 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 946 9462 AMITA VYAS 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 946 9463 MUDIT VYAS 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 946 9464 DHRUV VYAS 14 Male Son


947 9471 RAJESH KUMAR MOONDI 49 Male Self 300000 3300


947 9472 INDRA DEVI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 947 9473 YASH 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 947 9474 SHUBHAM 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 948 9481 BHANWAR LAL PANWAR 65 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 948 9482 BHAGWTI PANWAR 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 949 9491 KALYAN SINGH KOTHARI 73 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 951 9511 SANJAY SHARMA 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 951 9512 GEETA SHARMA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 951 9513 VINAYAK SHARMA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 952 9521 AMENDRA SAKSENA 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 954 9541 NAVNEET SHARMA 45 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 954 9542 BHANU PRIYA SHARMA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 954 9543 MANTHAN GAUR 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 956 9561 ROSHAN LAL PRABHAKAR 83 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 960 9601 CHANDRAKALA MODI 59 Female Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 965 9651 L.L SHARMA 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 965 9652 LALITA SHARMA 51 Female Spouse


969 9691 KRISHAN SWAROOP PAREEK

70 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 969 9692 SUMITRA PAREEK 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 970 9701 MANOJ BANSAL 41 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 970 9702 BHARKHA BANSAL 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 970 9703 SHIVANGI BANSAL 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 975 9751 CHANDRAKET BENIWAL 54 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 975 9752 VISHAKHA BENIWAL 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 975 9753 YOGANSH BENIWAL 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 975 9754 GANDHARVKETU BENIWAL 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 977 9771 BHANWAR S CHARAN 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 977 9772 NEETU 32 Female Spouse

Page 33 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 977 9773 RIDDHI 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 977 9774 KANISHK 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 978 9781 BABULAL SHARMA 41 Male Self 300000 4150

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 978 9783 PRATEEK SHARMA 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 978 9784 PRERNA SHARMA 11 Female Daughter

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 985 9851 DR SHRAWAN SUTHAR 45 Male Self 300000 4150

M/S VIPUL MEDICORP



985 9853 KANCHAN 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 985 9854 HARISH KUMAR 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 985 9855 MAHAVEER PRASAD 64 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 985 9856 SHARDA DEVI 62 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 988 9881 SHYAM SUNDER ACHARYA 79 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 990 9901 RAMKUMAR GUPTA 47 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 990 9902 RITU AGARWAL 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 990 9903 NIKHIL AGARWAL 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 990 9904 NITIN AGARWAL 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 991 9911 SHYAM SHARMA 60 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 991 9912 GAYATRI SHARMA 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 994 9941 HEM SHARMA 56 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 994 9942 SAVITRI DEVI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 997 9971 NARESH THAKKAR 52 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 997 9972 PUSHPA THAKKAR 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 997 9973 MAYUR THAKKAR 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1002 10021 SURESH SARASWAT 39 Male Self 300000 2800


1002 10022 SIKSHA SARASWAT 34 Female Spouse


1002 10023 KRATIKA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1002 10024 ANNAPURNA 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1005 10051

DHRMENDRA KUMAR

SWAMI 70 Male Self 300000 12250

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1007 10071

KRISHAN CHANDRA


M/S VIPUL MEDICORP

TPA PVT LTD. 1007 10072 SHASHI SHARMA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1008 10081 OM SAINI 74 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1008 10082 SEETA SAINI 62 Female Spouse

M/S VIPUL MEDICORP 1009 10091 KAMLESH GOYAL 51 Male Self 300000 9900.40986

Page 34 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1009 10092 KRISHANA DEVI 71 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1011 10111 RATAN SonI 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1011 10112 SANTOSH 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1012 10121 DURGASHANKAR SHARMA 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1012 10122 RADHA BAI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1015 10152 ASHA PAREEK 43 Female Spouse


1015 10153 DEVEEK PAREEK 16 Male Son


1016 10161 JAYDEV SHARMA 66 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1016 10162 HEMANLINI SHARMA 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1018 10181 RAKESH PRASOON 70 Male Self 300000 14050

M/S VIPUL MEDICORP

TPA PVT LTD. 1018 10182 ASHA MATHUR 72 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1025 10251 BHARAT MISRA PRACHI 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1025 10252 KALAVATI DEVI 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1027 10271 PRAMOD KUMAR 38 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1027 10272 PUSHPA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1027 10273 DUSHYANT 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1027 10274 BHUVNESH 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1027 10275 SARDHA DEVI 68 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1028 10281 MAMTA SHARMA 40 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1028 10282 BHAVYA SHARMA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1028 10283 DIVYA SHARMA 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1037 10371 MANGILAL PARIK 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1037 10372 PUSHPA PARIK 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1038 10381 DILIP MORWAL 47 Male Self 300000 3300


1038 10382 SEEMA MORWAL 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1038 10383 PRIYANSHI MORWAL 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1038 10384 NAMAN MORWAL 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1041 10411 BHAGWAN ATLANI 73 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1041 10412 LATA ATLANI 68 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1045 10451 RAMESH MEHRISHI 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1045 10452 SAVITRI MEHRISHI 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1049 10491 BALA MATHUR 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1050 10501 MUKESH KUMAR PAREEK 44 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1050 10502 SEENA PAREEK 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1050 10503 TIRANSHI PAREEK 9 Female Daughter

Page 35 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1050 10504 GEETA PAREEK 72 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1051 10511 RAHUL SAIN 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1051 10512 SADHANA SAIN 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1054 10541 VIJAY KUMAR JETHLIYA 48 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1054 10542 RIDDHI JETHLIYA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1058 10581 PANKAJ JAIN 45 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1058 10582 VANITA JAIN 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1058 10583 ANEKAANTH JAIN 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1058 10584 MAHEK JAIN 14 Female Daughter


1061 10611 SHYAM SonI 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1061 10612 JAMUNA SonI 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1061 10613 KRATIKA SonI 17 Female Daughter

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1062 10621 SAJID KHAN 47 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1062 10622 REHANA KHAN 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1062 10623 JAID KHAN 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1062 10624 ALINA KHAN 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1062 10625 RASHIDA KHAN 69 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1065 10651 RENU SHARMA 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1065 10652 ARUSHI SHARMA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1065 10653 PARV SHARMA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1066 10661 VIJAY POKHARNA 49 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1066 10662 POORNIMA JAIN 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1066 10663 MOHNISH POKAHRNA 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1071 10711 MANICHAND BAGRA 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1071 10712 SUDARSHANA BAGRA 63 Female Spouse


1072 10721 MAHAVEER PRASAD 51 Male Self 300000 9000


1072 10722 DRAUPADI DEVI 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1072 10723 KANCHAN DEVI 73 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1074 10741 ARJUN PUJARI 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1074 10742 SAVITA PUJARI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1074 10743 AYUSHI PUJARI 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1074 10744 ANUJ PUJARI 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1076 10761 PRASHANT GAUR 28 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1077 10771 YOGENDRA GUPTA 53 Male Self 300000 6450

M/S VIPUL MEDICORP 1077 10772 MANJULATA VIJAY 49 Female Spouse

Page 36 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1078 10781 SALIMUHIN KAZI 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1078 10782 VASIMA NASIR 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1078 10783 SALMAN KAZI 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1078 10784 SOHA KAZI 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1080 10801 SANJAY BOHRA 46 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1080 10802 RICHA BOHRA 48 Female Spouse


1080 10803 ADHYASHRI BOHARA 17 Female Daughter


1081 10811 KRISHAN KUMAR SHORABH BHARTI

86 Male Self 300000 0

M/S VIPUL MEDICORP

TPA PVT LTD. 1081 10812 INDIRA BHARTI 82 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1082 10821 MAHESH CHANDRA GARG 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1082 10822 KAMLA GARG 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1090 10901 MUKESH KUMAR VERMA 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1090 10902 SUMITRA VERMA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1090 10903 KHANAK TONGARIYA 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1090 10904 KUSHAGRA TONGARIYA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1091 10911

PRAKASH CHANDRA


M/S VIPUL MEDICORP

TPA PVT LTD. 1091 10912 ANUPAMA SHARMA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1091 10913 OJASHVANI SHARMA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1091 10914 AMOGH KUMAR SHARMA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1094 10941 SHIV KUMAR JHALAN 47 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1094 10942 BHAGWATI JHALAN 74 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1094 10943 VIPIN JHALAN 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1094 10944 PRAKHAR JHALAN 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1094 10945 MANAN JHALAN 12 Male Son


1096 10961 MANOHAR LAL NIHALANI 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1096 10962 RASHMI NIHALANI 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1096 10963 LOVLI NIHALANI 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1098 10981 VIJAY YADAV 43 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1098 10982 SANTOSH YADAV 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1098 10983 RISHITA YADAV 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1098 10984 LAKSHITA YADAV 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1099 10991 DR MAHENDRA BHANAWAT 80 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 1102 11021 MOHD ISMAIL 70 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1102 11022 HLIMA BANO 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1106 11061 JAGDISH AGARWAL 76 Male Self 300000 14050

Page 37 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1106 11062 SEETA AGARWAL 66 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1109 11091 MUKESH PAREEK 35 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1109 11092 ALKA PAREEK 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1109 11093 PARTH PAREEK 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1109 11094 SANTOSH PAREEK 55 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1110 11101 PRAVEEN PRAKASH JOSHI 48 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1110 11102 NIKHILA JOSHI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1110 11103 PULKIT JOSHI 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1112 11121 ANIL LADDHA 47 Male Self 300000 3500


1112 11122 SUMITRA LADDHA 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1112 11123 HIMANSHU LADDHA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1112 11124 KARAN LADDHA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1113 11131

DHARMENDRA KUMAR

SAIN 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1113 11132 VIJAYETA SAIN 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1113 11133 ANUP KUMAR SAIN 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1113 11134 HIMANSHI SAIN 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1115 11151 SUNIL JAIN 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1115 11152 KALPANA JAIN 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1115 11153 TRISHA JAIN 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1115 11154 PURVI JAIN 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1116 11161 ANIL CHATURVEDI 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1116 11162 NANDA CHATURVEDI 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1118 11181 SATISH CHAND SHARMA 45 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1118 11182 RAMCHARAN SHARMA 76 Male Father

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1119 11191

PASHUPATI KUMAR

SHARMA 64 Male Self 300000 9900.40986


1119 11192 SUSHILA SHARMA 63 Female Spouse


1120 11201 ASHOK KUMAR SHARMA 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1121 11211 SHIV BHAN SINGH 50 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1121 11212 USHA SINGH 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1122 11221 DEEPAK MEHTA 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1122 11222 SUNAYNA MEHTA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1122 11223 MANVEE MEHTA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1122 11224 AVIRAL MEHTA 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1123 11231 CHANDRA VIJAY 51 Male Self 300000 3300

M/S VIPUL MEDICORP 1123 11232 RADHA RANI 52 Female Spouse

Page 38 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1123 11233 SHIVANI KHANGORAT 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1123 11234 SHALIJA KHANGORAT 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1126 11261 KAMAL MATHUR 70 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1126 11262 MUNNI DEVI 67 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1127 11271 AJIT TIWARI 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1127 11272 SASHI JAIN 60 Female Spouse


1130 11301 JEEVAT RAM SINDHI 61 Male Self 300000 9900.40986


1130 11302 SAVITRI DEVI 61 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1136 11361 ASHOK THANVI 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1136 11362 UMA THANVI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1139 11391 PRADEEP MOGRA 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1139 11392 MADHU MOGRA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1142 11421

MAHENDRA SINGH

NAGAURI 53 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1142 11422 VANDANA JAIN 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1142 11423 POOJA JAIN 21 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1143 11431 DINESH DUBE 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1143 11432 BHEGWATI DUBE 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1144 11441

VIJENDRA PRAKASH

HALCHAL 51 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1144 11442 KAUSHALYA DEVI 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1144 11443 HARSH LAKHERA 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1145 11451 KULDEEP VYAS 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1145 11452 VANITA VYAS 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1145 11453 AKSHITA VYAS 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1145 11454 AKSHAT VYAS 11 Male Son


1146 11461 PANKAJ SonI 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1146 11462 SUNITA JAT 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1146 11463 GAURANSH PANKAJ 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1146 11464 HASNANDINI 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1150 11501 GOVIND CHATURVEDI 58 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1150 11502 INDRA CHATURVEDI 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1150 11503 RASILA CHATURVEDI 77 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1154 11541 MUKESH MATHRANI 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1154 11542 MANISH MATHRANI 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1154 11543 JANVI MATHRANI 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1154 11544 ADITYA MATHRANI 5 Male Son

Page 39 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1164 11641 BAHWARI DEVI VYAS 43 Female Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1168 11681 NEERAJ MEHRA 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1168 11682 PREM MEHRA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1168 11683 RITU MEHRA 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1168 11684 YUVRAJ MEHRA 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1170 11701 KESHAV SINGH 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1170 11702 NANDANI 29 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1170 11703 HARSHA 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1171 11711 UMESH SAHAL 58 Male Self 300000 6450


1171 11712 RANJANA SAHAL 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1172 11721 PRADHUMNA SHARMA 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1174 11741 SHYAM DUBEY 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1174 11742 VIMLA DUBEY 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1175 11751 SUNITA JAIN 52 Female Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1175 11752 NARENDRA KUMAR JAIN 60 Male Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1177 11772 VIMLA SHARMA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1178 11781 PRITI SHRIMALI 46 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1180 11801

VIRENDRA SINGH

RATHOUR 52 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1180 11802 RAJ KANWAR 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1180 11803 RAGHVENDRA SINGH 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1180 11804 MUSKAN 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1182 11821 RAJENDRA KUMAR SHARMA 51 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1182 11822 SUSHMA SHARMA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1182 11823 RITIKA SHARMA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1182 11824 MOHIT SHARMA 16 Male Son


1183 11831 GAMBHIR SINGH 52 Male Self 300000 5100


1183 11832 REKHA SINGH 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1183 11833 NIKHIL SINGH 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1183 11834 SHSHANK SINGH 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1183 11835 YADRAM SINGH 80 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1183 11836 SUPEDI DEVI 75 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1185 11851 UGARSEN RAO 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1185 11852 GULAB KANWAR 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1189 11891 MANU SHARMA 45 Male Self 300000 3300

M/S VIPUL MEDICORP 1189 11892 MEENU SHARMA 42 Female Spouse

Page 40 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1189 11893 AYUSH SHARMA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1189 11894 ARIKA SHARMA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1190 11901 NIKHIL SHARMA 41 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1190 11902 BHARTI SHARMA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1190 11903 JANYA SHARMA 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1190 11904 ARADHYA SHARMA 5 Female Daughter


1190 11905 GOVIND 68 Male Father


1190 11906 CHANDRA SHARMA 60 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1192 11921 YAGYADEEP SHRIMALI 39 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1192 11922 RASHMI SHRIMALI 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1192 11923 VANYA SHRIMALI 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1192 11924

SURENDRA PRAKASH

SHRIMALI 67 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1192 11925 VEENA SHRIMALI 60 Female Mother

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1198 11982 MEENA GAUTAM 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1198 11983 HARSH VERDHAN 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1202 12021 AALOK BHANDARI 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1202 12022 SHOBHA BHANDARI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1202 12023 MANSHA BHANDARI 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1202 12024 DIVISHA BHANDARI 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1204 12041 DEVENDRA BHARADWAJ 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1205 12051 DEEPAK SHARMA 38 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1205 12052 RADHA SHARMA 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1205 12053 OJAS SHARMA 6 Male Son


1205 12054 TANISHI SHARMA 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1207 12071 ANITA SHARMA 40 Female Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1207 12072 RAMAVTAR SHARMA 43 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1207 12073 HEJAL SHARMA 7 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1208 12081 RAMESH KUMAR SWAMI 52 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1208 12082 AMBIKA SWAMI 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1208 12083 REHAN 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1210 12101 SUNIL SIROYA 49 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1210 12102 REENA SIROYA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1210 12103 PARTH SIROYA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1214 12141 HARPRAKASH MUNJAL 59 Male Self 300000 9000

Page 41 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1216 12161 KAMAL KISHOR 56 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1216 12162 SHASHI 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1217 12171 YOGENDRA SINGH 68 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1220 12201 DINESH RAMAVAT 63 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1220 12202 ASHA RAMAWAT 56 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1222 12222 SANDHYA SHARMA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1226 12261 RAMESH VYAS 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1233 12331

GANESH NARAYAN



1233 12332 SHASHI AGARWAL 59 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1235 12351

RAJENDRA PRASAD

SHARMA 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1235 12352 KUSUMLATA SHARMA 62 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1236 12361 VIJAY KUMAR PARASHAR 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1236 12362 LAZZA PARASHAR 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1236 12363 PRATIK PARASHAR 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1236 12364 KUMKUM PARASHAR 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1238 12381 SHANTI LAL BOHRA 60 Female Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1238 12382 TARA DEVI 55 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1240 12401 RAJKUMAR SINGH 55 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1240 12402 PURNIMA SINGH 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1240 12403 MUKULIKA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1241 12411 RUPENDRA SINGH 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1241 12412 MINAKSHI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1241 12413 YASH VARDHAN 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1241 12414 ANHAD 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1244 12441 GAUTAM SHRIMALI 52 Male Self 300000 6450


1245 12451 RAJESH KUMAR BHATIYA 57 Male Self 300000 4150


1245 12452 TUSHAR BHATIYA 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1246 12461 KD ABBASI 55 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1246 12462 TAKSIN BANO 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1246 12463 FALAK KHAN 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1246 12464 AJAN KHAN 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1249 12491 SHYAM KHANDELWAL 58 Male Self 300000 9000

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1251 12511 BABULAL DHAYAL 38 Male Self 300000 4150

M/S VIPUL MEDICORP 1251 12512 VIMLA DEVI 37 Female Spouse

Page 42 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1251 12513 SAMRIDHI 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1251 12514 KANISHAK 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1251 12515 SHYAMA RAM 65 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1251 12516 CHOTI DEVI 64 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1254 12541 DEVENDRA GOYAL 39 Male Self 300000 2800

M/S VIPUL MEDICORP



1254 12543 ADITYA 11 Male Son


1254 12544 ASHUTOSH 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1255 12551 PRATIBHA CHOUDHARY 69 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1257 12571 NARENDRA SHARMA 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1257 12572 SULAKSHANA SHARMA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1257 12573 NITYA SHARMA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1257 12574 PRATYA SHARMA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1258 12581 RAJNISH SHARMA 38 Male Self 300000 2800

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1258 12583 KARTIK SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1258 12584 ANSH SHARMA 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1259 12591 LAXMINARAYAN BANSAL 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1259 12592 LAXMI DEVI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1262 12621 NARENDAR SARVODAI 58 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1262 12622 MADHU 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1264 12641

RAJENDRA KUMAR

HARITWAL 54 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1264 12642 ANSHU 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1264 12643 RUDRA 18 Male Son


1264 12644 KRISHNA 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1265 12651 RAMAN AGARAWAL 49 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1265 12652 MEENA AGARWAL 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1265 12653 VAIBHAV AGARWAL 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1268 12681 DHEERAJ GUPTA 46 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1268 12682 ANITA GUPTA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1268 12683 DISHA GUPTA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1268 12684 ABHINAV GUPTA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1270 12701 VIJAY RAJ PATWA 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1271 12711 NEERAJ GUPTA 45 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1271 12712 REKHA GUPTA 65 Female Mother

Page 43 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1272 12721 YASHWANT SINGH SIROYA 54 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1272 12722 HEMLATA SIROYA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1272 12723 RAINI SIROYA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1275 12751 AIDAN RAM 45 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1275 12752 PRAMILA 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1275 12753 SonU JAKHAR 21 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1278 12781 MAHENDRA ORADIYA 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1281 12811 RAMDAYAL SAGAR 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1281 12812 ALKA SAGAR 37 Female Spouse


1281 12813 BHUWAN KANWAR 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1281 12814 ABHIJEET SINGH 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1282 12821 ARVIND BANSAL 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1282 12822 MANJU BANSAL 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1283 12831 MANOJ KUMAR VERMA 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1284 12841 SonU JAIMAN 39 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1288 12881 VIKRAM DATT 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1288 12882 GUNJAN 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1288 12883 VIRAT 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1288 12884 VIDHI 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1290 12901 SUNIL DATT 42 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1290 12902 KAMLA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1290 12903 PRACHI 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1290 12904 PRANAV 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1290 12905 RATAN LAL 69 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1290 12906 GEETA DEVI 67 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1291 12911 AJAY SHARMA 36 Male Self 300000 2800


1291 12912 JYOTI SHARMA 36 Female Spouse


1291 12913 VIRAJ SHARMA 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1292 12921 PRASHANT MEHWADA 36 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1292 12922 SADHNA MEHWADA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1292 12923 DHRUVITA MEHWADA 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1293 12931 ANKUR BORADIYA 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1293 12932 DIVYA JAIN 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1293 12933 NIMLESH 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1293 12934 NIRALI 5 Female Daughter

M/S VIPUL MEDICORP 1294 12941 PRAVEEN SHARMA 37 Male Self 300000 3500

Page 44 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1294 12942 SUDARSHANA SHARMA 63 Female Mother

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1294 12944 SATYAM SHARMA 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1295 12951 RAGHU ADITYA 52 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1295 12952 SUMAN ADITYA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1295 12953 RADHEY SHYAM SHARMA 74 Male Father


1295 12954 BHOOLI BAI 72 Female Mother


1296 12961 VINOD VYAS 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1296 12962 SANGEETA VYAS 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1296 12963 ANEESHA VYAS 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1297 12971 JASWANT SINGH RATHI 53 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1297 12972 SUNIL 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1297 12973 ANUSKA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1297 12974 HARSHA 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1298 12981 SANDEEP PUROHIT 44 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1298 12982 RUCHI PAREEK 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1298 12983 ROHIT PUROHIT 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1299 12991 SANJEEV KUMAR BANSAL 39 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1299 12992 SHILPA BANSAL 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1299 12993 SHAILJA BANSAL 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1299 12994 TUSHAR BANSAL 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1299 12995 NIRMALA DEVI 59 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1300 13001 GAYATRI 48 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1300 13002 RUKMANI DEVI 77 Female Mother


1302 13021 CHETANYA SHARMA 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1302 13022 SANGEETA SHARMA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1302 13023 DEVANSHI SHARMA 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1303 13031 FATEH SINGH MEENA 42 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1303 13032 SANTOSH MEENA 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1303 13033 RENU MANATWAL 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1303 13034 MONU MEENA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1303 13035 SAJANA DEVI 75 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1306 13061 DR RAJENDRA SHARMA 50 Male Self 300000 3500

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1306 13063 PRAYAG RAJ SHARMA 17 Male Son

Page 45 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1306 13064 RAGHURAJ SHARMA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1307 13071 RAJENDRA KUMAR RAJ 75 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1307 13072 ANAND MAYI RAJ 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1309 13091 MANOJ KUMAR DEVLIYA 48 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1309 13092 PRASHANT DEVLIYA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1311 13111 SUNIL MATHUR 57 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1311 13112 SEEMA MATHUR 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1311 13113 HARSH MATHUR 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1312 13121 VISHNU SHARMA HITESHI 73 Male Self 300000 14050


1312 13122 NARAYANI DEVI 69 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1313 13131 RAJKUMARI GUPTA 54 Female Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1313 13132 GULSHAN DEVI 74 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1316 13161 SURESH SHARMA 56 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1316 13162 RAGHAV SHARMA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1317 13171 MANOJ SHARMA 44 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1317 13172 SANGEETA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1319 13191 ANIL YADAV 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1319 13192 PRITI YADAV 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1319 13193 AKHIL YADAV 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1319 13194 NIKHIL YADAV 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1320 13201 BHUPENDRA OJHA 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1320 13202 GAYATRI DEVI 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1321 13211 RAMANAND SHARMA 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1321 13212 SUMAN DEVI 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1325 13251 MITHILESH KUMAR JAIMINI 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1325 13252 BABITA SHARMA 43 Female Spouse


1325 13253 RAKSHIT JAIMINI 18 Male Son


1325 13254 VINAYAK JAIMINI 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1326 13261 BHANWAR LAL THAKUR 43 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1332 13321 SANTOSH KUMAR NIRMAL 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1332 13322 VANDANA GUPTA 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1334 13341 VISHNU SHARMA 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1334 13342 ANITA SHARMA 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1334 13343 PRIYANSHU SHARMA 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1334 13344 CHAVI SHARMA 12 Female Daughter

M/S VIPUL MEDICORP 1336 13361 BABITA SHARMA 45 Female Self 300000 6450

Page 46 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1336 13362 SUNIL KUMAR 49 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1337 13371 RAJESH ASHNANI 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1337 13372 RAKHI ASHNANI 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1337 13373 POOJA ASHNANI 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1337 13374 DIVYA ASHNANI 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1339 13391 SUDHINDRA GAUR 65 Male Self 300000 9900.40986


1339 13392 URMILA GAUR 62 Female Spouse


1343 13431 SHRI RAMESH CHAND AACHARYA

60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1343 13432 KAILASHI DEVI 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1345 13451 RAJENDRA SINGH PARIHAR 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1346 13461 ARVIND MUKHIYA 61 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1346 13462 GAYATRI MUKHIYA 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1351 13511 JAYA VANJARANI 36 Female Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1351 13512 SUNIL 36 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1351 13513 OM 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1352 13521 RAJNISH SHARMA 39 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1352 13522 PURNIMA SHARMA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1352 13523 AKASH SHARMA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1353 13531 RAJEEV TIWARI 56 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1353 13532 PRATIBHA TIWARI 52 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1355 13551 RICHA SHARMA JOSHI 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1355 13552 KIMAYA JOSHI 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1357 13571 DR TUKTAK BHANAWAT 47 Male Self 300000 3300


1357 13572 RANJANA BHANAWAT 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1357 13573 SHABDANK BHANAWAT 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1357 13574 ATHARAK BHANAWAT 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1366 13661 SUNIL KUMAR SHARMA 38 Male Self 300000 3300

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1366 13663 SURBHI SHARMA 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1366 13664 RUDRAKSH SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1369 13691 SUDHIR KUMAR SHARMA 44 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1369 13692 SARITA SHARMA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1369 13693 HARSHIT SHARMA 11 Male Son

M/S VIPUL MEDICORP


Page 47 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1370 13702 RAMSWAROOP SHARMA 57 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1370 13703 KELASHI DEVI 54 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1375 13751 DR YADUNATH SHARMA 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1380 13801 SUDHIR SINGH RAWAT 40 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1380 13802 ANITA RAWAT 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1380 13803 RITUL RAWAT 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1380 13804 SREYANSH RAWAT 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1382 13821 VIMAL BAPANA 38 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1382 13822 SHALU BAPNA 38 Female Spouse


1382 13823 AGASTYA BAPNA 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1382 13824 CHAARVI 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1382 13825 SHUBASH BAPNA 65 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1382 13826 SUDHA BAPNA 64 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1384 13841 SREYANSH BANSALI 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1384 13842 VINITA 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1384 13843 KASHISH 1 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1389 13891 KAMAL VAISHNAV 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1389 13892 SHASHIBALA 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1389 13893 RISHABH 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1389 13894 UTKARSH 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1390 13901 MANOJ KUMAR SHARMA 43 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1390 13902 SANGEETA SHARMA 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1390 13903 PEHUL MANOJ SHARMA 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1392 13921 ROSHAN LAL SHARMA 42 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1392 13922 CHANDA DEVI 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1392 13923 POOJA SHARMA 19 Female Daughter


1393 13931 RAKESH VASISTHA 64 Male Self 300000 9900.40986


1393 13932 DEEPA VASISTHA 64 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1394 13941 GOVIND GOYAL 56 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1394 13942 NEELAM GOYAL 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1394 13943 MOHIT NARAYAN 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1396 13961 UTTAM KUMAR JOSHI 52 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1396 13962 ANITA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1396 13963 ARAMYA 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1397 13971 PRABHUSHARAN TIWARI 57 Male Self 300000 6450

M/S VIPUL MEDICORP 1397 13972 RAJ KUMARI TIWARI 53 Female Spouse

Page 48 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1399 13991 SHANKAR SHIKHAR 37 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1405 14051 RAMNIWASH 51 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1405 14052 PREMLATA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1405 14053 KIRTI 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1405 14054 SHIVAM 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1405 14055 BABULAL 75 Male Father


1405 14056 BHAGWATI DEVI 70 Female Mother


1407 14071 PANKAJ PARMUWAL 39 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1407 14072 KALPANA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1407 14073 KAPIL 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1407 14074 KARTIK 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1407 14075 SANTOSH 55 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1408 14081 DEV KUMAR SINGODIYA 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1408 14082 TEENA SINGODIYA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1408 14083 HARSH SINGODIYA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1408 14084 DHRUV SINGODIYA 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1410 14101

ASHOK SINGH

SHEKHAWAT 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1410 14102 NAINA SHEKHAWAT 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1410 14103

KHUSHYAL SINGH

SHEKHAWAT 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1410 14104 NANDINI 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1419 14191 NAGESH KUMAR 37 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1419 14192 ANNU SWAMI 27 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1419 14193 MOKSHA 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1419 14194 SHIWANSH 2 Male Son


1419 14195 SHANTI DEVI 72 Female Mother

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1421 14212 SUNITA KUMAR SHARMA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1421 14213 PRANJAL SHARMA 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1421 14214 HARSHALI SHARMA 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1421 14215 MOOLCHAND SHARMA 73 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1421 14216 KAUSHALYA DEVI 69 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1423 14231 PRATAP SINGH RATHOR 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1423 14232 DIEEPIKA KANWAR 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1423 14233 DHERYVEER SINGH 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1431 14311 RASHMI SINGH 32 Female Self 300000 2800

Page 49 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1431 14312 SURENDRA SINGH BHATI 32 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1431 14313 YASHI 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1433 14331 SURESH KUMAR YOGI 36 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1433 14332 RAJKIRAN DEVI 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1433 14333 RITIKA YOGI 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1433 14334 ANISHKA YOGI 1 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1433 14335 JAGDINSH PRASAD YOGI 67 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1433 14336 ACHAKI DEVI 57 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1435 14351 SHIV KUMAR SHARMA 49 Male Self 300000 9000


1435 14352 SUSHILA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1435 14353 PREM CHAND SHARMA 65 Male Father

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1436 14361 RAJENDRA GAUTAM 37 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1436 14362 RUPESH GAUTAM 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1436 14363 KHUSHI GAUTAM 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1436 14364 BHAVYA GAUTAM 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1436 14365 NAKI DEVI 55 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1437 14371 RITU DUTTA 43 Female Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1437 14372 SUMIT DUTTA 45 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1437 14373 JIYA DUTTA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1439 14391 GIRDHARI LAL 57 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1439 14392 SUDHA 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1439 14393 RAMSWAROOP PALIWAL 78 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1440 14401 RAHUL SHARMA 40 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1440 14402 RANJANT SHARMA 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1440 14403 DEVANSH GAUTAM 14 Male Son


1440 14404 KRITHARTHA GAUTAM 1 Male Son


1445 14451 JITENDRA SINGH SHEKHAWAT

59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1445 14452 MEENA KANWAR 56 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1447 14471 MOHHAMAD UMAR 64 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1447 14472 TEHJEEV AARO 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1448 14481 SUSHIL DIVAKAR 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1448 14482 ARUNA 28 Female Spouse

M/S VIPUL MEDICORP 1448 14483 LABANSHI 3 Female Daughter

Page 50 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1453 14531 SUNITA CHATURVEDI 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1456 14563 BHAVNA SHARMA 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1456 14564 HARSHVARDHAN SHARMA 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1459 14591 ARVIND BHOOTANI 49 Male Self 300000 4150


1459 14592 SEEMA 47 Female Spouse


1459 14593 HIMANSHI 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1462 14621 RAHUL SINGH 40 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1462 14622 GEETA SAINI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1462 14623 RUDRA SAINI 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1462 14624 SOUMYA SAINI 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1462 14625 NARAYAN SINGH 74 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1462 14626 DEVIKA SAINI 68 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1464 14641 PANKAJ YADAV 47 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1464 14642 REKHA YADAV 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1464 14643 DEVESH YADAV 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1464 14644 CHAND DEVI 74 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1465 14651

DHEETENDRA KUMAR


M/S VIPUL MEDICORP

TPA PVT LTD. 1465 14652 RACHNA SHARMA 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1465 14653 HIRANAYVEE VYAS 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1468 14681 HEERA LAL SWAMI 62 Male Self 300000 9000

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1469 14691 HEMLATA GUPTA 47 Male Self 300000 6450


1473 14731 DINESH KUMAWAT 62 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1473 14732 POORAN SINGH 62 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1473 14733 PAPPI DEVI 60 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1473 14734 BHUMIKA KUMAWAT 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1473 14735 YASHITA KUMAWAT 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1473 14736 YASH KUMAWAT 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1474 14741 VINOD KUMAR SHARMA 34 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1474 14742 MINAKSHI VASISTH 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1474 14743 ANAHITA SHARMA 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1474 14744 AYANSH SHARMA 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1474 14745 SITARAM SHARMA 65 Male Father

Page 51 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1474 14746 CHANDA DEVI 62 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1477 14771 ABHILASH GUPTA 46 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1477 14772 PRIYANK GUPTA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1477 14773 PULKIT GUPTA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1481 14811 MANURAV 34 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1483 14831 NIRANJAN CHOUHAN 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1483 14832 BAGWATI DEVI 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1484 14841 UPENDRA SHARMA 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1484 14842 JYOTI SHARMA 31 Female Spouse


1484 14843 ARJUNA SHARMA 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1485 14851 RAGHUVEER SINGH AMERA 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1485 14852 USHA KANWAR 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1485 14853 DEEPAK SINGH 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1485 14854 NIKHIL SINGH 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1486 14861 NILESH KUMAR KANTHED 43 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1486 14862 MEENA KANTHED 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1486 14863 ARIHANT KANTHED 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1486 14864 NEHA KANTHED 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1487 14871 AVINASH CHATURVEDI 41 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1487 14872 JYOTI 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1487 14873 RISHABH 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1487 14874 BHOOMI 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1487 14875 KAVITA DEVI 65 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1488 14881 NANDLAL AGARWAL 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1488 14882 KIRAN AGARWAL 49 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1492 14921 SITARAM AGARWAL 62 Male Self 300000 9900.40986


1492 14922 NIRMALA RANI GUPTA 63 Female Spouse


1496 14961 DILIP SINGH 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1496 14962 PRABHAT KAWAR 52 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1499 14991 SUNIL SHARMA 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1499 14992 ANITA SHARMA 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1499 14993 AMAN SHARMA 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1500 15001

JINAGAR DURGASHANKAR

GAHLOT 65 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1500 15002 PUSHPA GAHLOT 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1503 15031 SURENDRA CHATURVEDI 50 Male Self 300000 3300

M/S VIPUL MEDICORP 1503 15032 RADHIKA 16 Female Daughter

Page 52 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1503 15033 DIVYANSHU 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1504 15041 KIRTI NAGAR 44 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1504 15042 BHAVESH NAGAR 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1504 15043 SonAL NAGAR 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1506 15061 SHIV SHANKAR 50 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1506 15062 SHEETAL TRIKHA 49 Female Spouse


1507 15071 RAJESH KUMAWAT 50 Male Self 300000 3500


1507 15072 KIRAN KUMAWAT 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1507 15073 SHIVAM 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1507 15074 GURWIL 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1511 15111 GAUTAM JYOTIYANA 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1511 15112 SUNITA JYOTIYANA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1511 15113 YATHARTH JYOTIYANA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1511 15114 HARDAYA JYOTIYANA 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1514 15141 RADHA SHARMA 53 Female Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1514 15142 GYAN PRAKASH SHARMA 62 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1518 15181 JAGDISH MULCHANDANI 58 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1518 15182 VINITA MULCHANDANI 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1518 15183 DARPAN MULCHANDANI 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1518 15184 ROSHNI MULCHANDANI 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1520 15201 RAMNIWASH VAISNAVA 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1520 15202 SUMAN VAISNAVA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1520 15203 MUSKAN VAISNAVA 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1520 15204 VAIBHAV VAISNAVA 8 Male Son


1523 15231 RAKESH KUMAR SHARMA 39 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1523 15232 RAJESH KUMARI 28 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1523 15233 JUHI SHARMA 7 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1523 15234 VARUN SHARMA 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1523 15235 SURESH CHAND SHARMA 67 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1523 15236 MAYA DEVI 65 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1524 15241 RAM SHARMA 48 Male Self 300000 3500

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1524 15243 TANAY GAUR 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1524 15244 SWATI GAUR 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1525 15251 AJAY SHARMA 42 Male Self 300000 4150

Page 53 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1525 15252 ANSHU TIWARI 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1525 15253 ADITYA SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1525 15254 AHANA SHARMA 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1525 15255 RADHA KRISHAN SHARMA 74 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1525 15256 MADHU SHARMA 72 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1526 15261 KARTIKEY SHARMA 33 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1526 15262 POOJA SHARMA 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1527 15271 RAVINDRA MISHRA 45 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1527 15272 SHELJA MISHRA 40 Female Spouse


1527 15273 YASHSVI MISHRA 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1529 15291 MOHAN CHANDNANI 51 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1529 15292 YASODHA CHANDNANI 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1529 15293 KUNAL CHANDNANI 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1530 15301 ASHISH CHAMARIYA 29 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1530 15302 KARUNA CHAMARIYA 29 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1530 15303 LAKSHIT CHAMARIYA 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1532 15321 HULASH CHAND TIWARI 67 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1532 15322 VIJAYA LAXMI 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1534 15341 VICHAR VYAS 32 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1534 15342 ADITI SHARMA 28 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1536 15361 VIVEK SHARMA 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1536 15362 RAKHI SHARMA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1536 15363 MADHAVI SHARMA 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1538 15381 GIRISH DADHICH 36 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1538 15382 CHANDRAKANTA DADHICH 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1538 15383 VAIDIK DADHICH 6 Male Son


1538 15384 CHANDRAKANTA 58 Female Mother


1542 15421 JITENDRA KUMAR PRADHAN

42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1542 15422 SonAL SHARMA 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1542 15423 SANSKRITI PRADHAN 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1542 15424 VIBHU PRADHAN 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1543 15431 LALIT KISHOR SHARMA 56 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1543 15432 SARITA SHARMA 48 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1547 15471 RAKESH SHARMA RAJDEEP 54 Male Self 300000 6450

M/S VIPUL MEDICORP 1547 15472 JYOTI SHARMA 46 Female Spouse

Page 54 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1548 15481 JITENDRA KUMAR SHARMA 30 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1548 15482 DEEPA 27 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1551 15511 SANAT JOSHI 64 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1551 15512 JANAK JOSHI 60 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1552 15521 AVINASH KHANNA 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1552 15522 UPLABDHI KHANNA 32 Female Spouse


1552 15523 BHUMIK KHANNA 1 Male Son


1553 15531 MOHAMMED ARIF KURESHI 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1553 15532 SAHNAZ PARVIN 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1553 15533 MUNISHA BUSHRA 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1553 15534 ZUNED AHMAD 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1554 15541 BRAJESH KUMAR SHARMA 40 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1554 15542 URVI SHARMA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1554 15543 AKASH SHARMA 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1555 15551 DHRMENDRA PRAJAPATI 51 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1555 15552 PURNIMA 42 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1555 15554 HIMANSHU 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1556 15561 CHANDRA LALIT BHUSHAN 44 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1556 15562 MONIKA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1556 15563 GUNJEET 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1556 15564 GUNJAN 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1557 15571 ABDUL SATAR 59 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1557 15572 NASIM BANU 51 Female Spouse


1560 15601 AMIT BHARDWAJ 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1560 15602 ALKA BHARDWAJ 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1560 15603 RAJAT BHARDWAJ 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1560 15604 TANU BHARDWAJ 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1565 15651 VIMLESH SHARMA 52 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1565 15652 UMA SHARMA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1565 15653 HARSH SHARMA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1569 15691 ARVIND 55 Male Self 300000 6450

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1569 15693 SUMIT 20 Male Son

M/S VIPUL MEDICORP


Page 55 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1570 15701 AMIT KUMAR 45 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1570 15702 PRATIBHA PUROHIT 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1570 15703 ARICHI PAREEK 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1570 15704 UDDHV PAREEK 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1574 15741 RAMNIWAS GURJAR 44 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1574 15742 LALI DEVI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1574 15743 HARSHITA REYA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1574 15744 PRIYANSHU REYA 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1575 15751 ANIL TRIVEDI 42 Male Self 300000 2800


1575 15752 SEEMA TRIVEDI 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1575 15753 HITESH TRIVEDI 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1575 15754 POORVA TRIVEDI 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1576 15761 RAMESH GARG 45 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1576 15762 KAVITA SHARMA 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1576 15763 ATHARV SHARMA 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1580 15801 SHYAM MATHUR 55 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1580 15802 REKHA MATHUR 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1580 15803 SUBH MATHUR 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1583 15831 HARI OM SHARMA 55 Male Self 300000 6450

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1584 15841 PRADEEP MORYANI 33 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1584 15842 DIEEPIKA MORYANI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1584 15843 DIVYANSHI MORYANI 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1584 15844 RAMESH CHAND MORYANI 62 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1584 15845 SUNITA MORYANI 54 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1585 15851 ANKUR TRIPATHI 33 Male Self 300000 2800


1585 15852 SHALAKA TRIPATHI 28 Female Spouse


1585 15853 MISHKA TRIPATHI 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1587 15871 SURESH KUMAR KASLIWAL 54 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1587 15872 SNEHLATA 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1590 15901 KOSINOK JAIN 41 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1590 15902 TRIPTI JAIN 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1590 15903 RONAK JAIN 15 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1590 15904 SHIVANGI JAIN 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1591 15911 RAJENDRA SHARMA 55 Male Self 300000 6450

M/S VIPUL MEDICORP 1591 15912 MADHUBALA SHARMA 52 Female Spouse

Page 56 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1592 15921 NARESH PAREEK 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1592 15922 PRITI PAREEK 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1592 15923 PRATIK PAREEK 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1592 15924 DARSHAN PAREEK 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1593 15931 RAJESH PAREEK 48 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1593 15932 POOJA PAREEK 42 Female Spouse


1593 15933 MANYAY 16 Male Son


1594 15941 RAKESH PAL 47 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1594 15942 SAPNA PAL 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1596 15961 NEHA GUPTA 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1596 15962 RAGHAV GUPTA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1596 15963 GAURAV GUPTA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1597 15971 AKHIL KUMAR SHARMA 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1597 15972 DIPTI SHARMA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1597 15973 RITVI SHARMA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1597 15974 KHUSHAGRA SHARMA 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1599 15991 MANOJ KUMAR PUROHIT 39 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1599 15992 EKTA PUROHIT 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1599 15993 KAVAY PUROHIT 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1601 16011 DURGADAS VAISHNAV 40 Male Self 300000 5100

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1601 16013 PRIYANKA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1601 16014 JYOTSANA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1601 16015 MOTIDAS 81 Male Father


1601 16016 LILA DEVI 60 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1603 16031 POONAM CHAND VISHNOI 42 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1603 16032 SAMDI 35 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1603 16034 RAMNARAYAN 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1603 16035 DEVARAM 80 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1603 16036 SOMARI DEVI 79 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1606 16061 RAJESH SINGH 43 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1606 16062 NEETU 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1606 16063 JAYANT 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1606 16064 OJASHVA 2 Male Son

Page 57 of 87


M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1608 16081 RISHABH KUMAR JAIN 44 Male Self 300000 2800

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1608 16083 YUNIKA JAIN 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1608 16084 JINAKSHI JAIN 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1610 16101 BHIM PRAKASH 51 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1610 16102 USHA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1610 16103 RAJNI 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1610 16104 HARSH BHARDWAJ 13 Male Son


1614 16141 MAMTA AGARWAL 37 Female Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1614 16142 VISHAL AGARWAL 38 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1616 16161 RAJENDRA SINGH NIRWAN 63 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1616 16162 PREMLATA 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1618 16181 HEMRAJ MEENA 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1618 16182 REENA MEENA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1618 16183 KHUSBHOO 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1618 16184 DIVYANSHI 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1621 16211 ALKESH SANATHYA 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1621 16212 SonIYA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1621 16213 HARSHITA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1621 16214 AAKANSHA 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1622 16221 K L JAIN 58 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1622 16222 SHASHI JAIN 53 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1622 16223 ROSHAN BAI 75 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1627 16271 PRAMOD SHARMA 53 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1627 16272 PUSHPA SHARMA 49 Female Spouse


1628 16281 NEERU GOYAL 44 Male Self 300000 3500


1628 16282 MUSKAN 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1631 16311 SANDEEP KEDIYA 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1631 16312 MANISHA 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1631 16313 SREYANSH 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1631 16314 DARSHIL 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1632 16321 ISHVAR DAS BAIRAGI 38 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1632 16322 SUNITA BAIRAGI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1632 16323 ISHITA 2 Female Daughter

M/S VIPUL MEDICORP 1632 16324 BANSHIDAS BAIRAGI 71 Male Father

Page 58 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1632 16325 BHOOLI BAI 69 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1635 16351 SUMIT DEWDA 28 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1637 16371 POOLSINGH NIRWAN 51 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1637 16372 ANITA MOKAWAT 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1638 16381 SHANKAR LAL NAI 58 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1638 16382 PARMESHWARI DEVI 50 Female Spouse


1639 16391 JAI PRAKASH SINGH 41 Male Self 300000 4150


1639 16392 SHARMILA SINGH 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1639 16393 ADITI SINGH 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1639 16394 AMODITA SINGH 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1639 16395 EKRAAM SINGH 71 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1639 16396 DAYAWANTI DEVI 64 Female Mother

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1640 16402 ANITA SHAMRA 27 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1640 16403 SRASHTI SHARMA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1640 16404 VANSH SHARMA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1640 16405 RAMSWAROOP SHARMA 47 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1640 16406 BHGOTI DEVI 43 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1644 16441 DEEPAK SHRIMAL 51 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1644 16442 CHIRAG SHRIMAL 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1644 16443 JAMNALAL SHRIMAL 84 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1644 16444 ASHA DEVI 80 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1645 16451 GURUDUTT SHARMA 40 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1645 16452 ANSHU SHARMA 37 Female Spouse


1645 16453 ANANYA SHARMA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1645 16454 VARENYAM SHARMA 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1648 16481 BHAGCHAND SHARMA 48 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1648 16482 CHAMPLATA SHARMA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1648 16483 YASH SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1648 16484 RANJANA SHARMA 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1648 16485 HANSRAJ SHARMA 69 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1648 16486 PREM DEVI 57 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1649 16491 KHALID MOHAMMED 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1649 16492 SHANA KOSAR 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1649 16493 HAJMA AHMED 9 Male Son

Page 59 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1649 16494 MOHD MOUSA KHAN 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1650 16501 PRAKASH MAHESHWARI 51 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1650 16502 BHAGWTI 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1650 16503 HITESHWARI 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1650 16504 BHAVIKA 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1651 16511 VINOD SHARMA 50 Male Self 300000 4150

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1651 16513 KUNAL 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1651 16514 SHEFALI 15 Female Daughter


1651 16515 CHAMPA DEVI 65 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1652 16521 HARI SINGH SOLANKI 63 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1652 16522 ANTAR KANWAR 54 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1653 16531 VINAY KUMAR TIWARI 47 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1653 16532 SUMITRA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1653 16533 GAGAN 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1654 16541 KRISHAN SYAG 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1654 16542 GUDDI DEVI 55 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1658 16581 DINESH MAHESHWARI 60 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1658 16582 JYOTI MAHESHWARI 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1658 16583 HARSHIT MAHESHWARI 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1660 16601 ATRI KUMAR DADHICH 59 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1662 16623 SHOBHA KULSRESTH 60 Female Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1664 16641 RAJKUMAR SHARMA 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1664 16642 MEENA SHARMA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1666 16661 PHOOLCHAND BILONIYA 51 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1666 16662 PINKI BILONIYA 46 Female Spouse


1667 16671 CHANDA SonI 47 Male Self 300000 3300


1667 16672 ANKIT SonI 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1671 16711 HANUMAN RAM GALWA 40 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1671 16712 PRAMA DEVI 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1671 16713 KUSHAL KUMAR 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1671 16714 MANISH KUMAR 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1671 16715 HAPURAM GALWA 74 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1671 16716 DHANNI DEVI 72 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1673 16731 MAHENDRA MANGAL 47 Male Self 300000 3500

M/S VIPUL MEDICORP 1673 16732 MINAKSHI MANGAL 43 Female Spouse

Page 60 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1673 16733 ARADHYA AGARWAL 13 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1674 16741 SNEHALATA 26 Female Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1674 16742 SANJAYAPURI 29 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1674 16743 MOHIT 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1675 16751 RAJENDRA KASLIWAL 50 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1675 16752 ANJU JAIN 40 Female Spouse


1675 16753 SUHANI KASLIWAL 13 Female Daughter


1675 16754 DAYMAND JAIN 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1675 16755 PUSHPA DEVI 78 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1676 16761 RAJNISH AGRAWAL 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1676 16762 ANJALI BANSAL 27 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1676 16763 AAROHI AGRAWAL 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1678 16781 RAJENDRA PRASAD RAJ 60 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1682 16821 VIJAY VASHISTH 50 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1682 16822 SUSHILA VASHISTH 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1684 16841 YOGESH KUMAR SHARMA 49 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1684 16842 NEHA SHARMA 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1684 16843 DIKSHA SHARMA 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1684 16844 URVASHI SHARMA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1686 16861 SADAB AHMED KHAN 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1686 16862 SHARIKA AMAN 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1686 16863 HASMAN AHMED 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1686 16864 ARASLAN AHMED 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1688 16881 MUKESH KUMAR PALIWAL 56 Male Self 300000 4150


1688 16882 MANUJ PALIWAL 51 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1688 16883 RAKESH PALIWAL 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1691 16911 RAM AVTAR DHABAI 44 Male Self 300000 3300

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1691 16913 RASHMI 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1691 16914 KUSHAL 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1693 16931 ANIL SHARMA 51 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1693 16932 NEERU SHARMA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1693 16933 RAGHAV SHARMA 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1694 16941 SACHIN BANSAL 30 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1694 16942 KANCHAN BANSAL 29 Female Spouse

Page 61 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1694 16943 TARUN BANSAL 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1695 16951 DEVENDRA NARVARIYA 38 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1695 16952 HEENA 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1695 16953 AMAN 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1697 16971 RAKESH JOSHI 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1697 16972 MAMTA JOSHI 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1697 16973 OMENDRA JOHSI 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1698 16981 RAJU KHACARIYAWAS 38 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1698 16982 NISHA 35 Female Spouse


1698 16983 RASHI 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1698 16984 SANCHI 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1700 17001 AMARKANT MISHRA 40 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1700 17002 BARKHA MISHRA 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1700 17003 KHUSHI MISHRA 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1701 17011 SABIR HUSAIN 48 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1701 17012 SAJIDA BANO 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1701 17013 ADIL HUSAIN 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1701 17014 AKIB HUSAIN 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1702 17021 RAVINDRA KAUSHIK 38 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1702 17022 SHILPA KAUSHIK 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1702 17023 PURVASHI KAUSHIK 7 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1703 17031 P SRINIWASAN 48 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1703 17032 SUGANDHI SRINIWASAN 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1703 17033 SRINIDHI SRINIWASAN 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1703 17034 S PARSHSARATHI 80 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1703 17035 JANKI PARSHSARATHI 74 Female Mother


1704 17041 S F HASAN CHISTI 45 Male Self 300000 2800


1704 17042 SEYDA TYBA CHISTI 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1704 17043 SAYED FAZLUL ALI CHISTI 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1704 17044

SAYED FAZLUL WALI

CHISTI 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1706 17061 AJAY NAGAR 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1711 17111 HARI VALAB MEGHWAL 54 Male Self 300000 12250

M/S VIPUL MEDICORP

TPA PVT LTD. 1711 17112 CHTURBHUJ 79 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1711 17113 MOTYA BAI 72 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1717 17171 SHIV VERMA 56 Male Self 300000 9900.40986

M/S VIPUL MEDICORP 1717 17172 PRAMILA 51 Female Spouse

Page 62 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1717 17173 PHOOL KAWAR 79 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1721 17211 P.K AGARWAL 41 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1721 17212 SUSHAMA AGARWAL 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1721 17213 LALIT KANHA AGARWAL 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1721 17214

CHAITANYA MADHAV

AGARWAL 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1723 17231 VIJAY KUMAR KEDIYA 39 Male Self 300000 4150


1723 17232 MANISHA KEDIYA 39 Female Spouse


1723 17233 RITIKA KEDIYA 7 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1723 17234 MUNNI DEVI 62 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1725 17251 SUNIL PARASHAR 45 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1725 17252 ANJU SHARMA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1725 17253 BHAVYA PARASHAR 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1725 17254 BHUVI PARASHAR 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1726 17261 ABHINANDAN GUPTA 56 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1726 17262 VANDANA LADDHA 50 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1726 17263 MANTHAN LADDHA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1728 17281 AJAY KUMAR ACHARYA 39 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1728 17282 ARCHANA ACHARYA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1728 17283 MANYA ACHARYA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1728 17284 PRABHAV ACHARYA 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1730 17301 GUNENDRA SHARMA 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1730 17302 ARTI SHARMA 28 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1730 17303 PRANGAL SHARMA 7 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1733 17331 ROHIT KUMAR SonI 38 Male Self 300000 3300


1733 17332 GAYATRI SonI 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1733 17333 PRIYANSH SonI 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1739 17391

KUNJESH KUMAR

PATSARIYA 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1739 17392 APARNA PATSARIYA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1739 17393 HIMANSHU SHARMA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1739 17394 DEEPANSHU SHARMA 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1740 17401 GOKUL CHAND SHARMA 81 Male Self 300000 17300

M/S VIPUL MEDICORP

TPA PVT LTD. 1740 17402 SHILA SHARMA 73 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1743 17431

PARMESHWAR PRASAD

SHAMRA 45 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1743 17432 ARUNIMA SHARMA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1743 17433 AMRAT SHARMA 11 Male Son

Page 63 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1744 17441 AMARPAL SINGH VERMA 47 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1744 17442 SURJEET KAUR 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1744 17443 JOGENDRA SINGH 70 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1744 17444 SUKHDEV KAUR 71 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1746 17461 JIVANDHAR JAIN 38 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1746 17462 LAKSHYA JAIN 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1746 17463 MOHANLAL JAIN 66 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1746 17464 KALAWATI JAIN 62 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1748 17481 PAWAN KUMAR SHARMA 51 Male Self 300000 6450


1748 17482 PREMLATA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1751 17511 RAVINDRA KUMAR SHARMA 43 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1751 17512 KRISHANA SHARMA 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1751 17513 NIMIYA SHARMA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1751 17514 GERANGI SHARMA 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1757 17571 AANAD KUMAR PUROHIT 51 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1757 17572 MAMTA PUROHIT 48 Female Spouse

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1758 17581 BHAWANI SHANKAR JOSHI 49 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1758 17582 MANJU JOSHI 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1758 17583 SANDEEP 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1758 17584 HARISHANKAR JOSHI 70 Male Father

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1759 17591 SANTOSH AGARWAL 57 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1759 17592 MEERA AGARWAL 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1767 17671 MITESH GOYAL 26 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1768 17681 SURENDRA KUMAR SWAMI 45 Male Self 300000 3300


1768 17682 SUSHMA SHARMA 42 Female Spouse


1768 17683 KRATIKA SWAMI 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1768 17684 ADITYA SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1769 17691 MAHESH KUMAR JAIN 39 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1769 17692 MONIKA JAIN 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1769 17693 BHAVYA JAIN 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1769 17694 AARUN JAIN 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1769 17695 KAMLESH CHAND JAIN 64 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1769 17696 SASHI KALA JAIN 59 Female Mother

M/S VIPUL MEDICORP 1770 17701 SANDEEP BURAD 35 Male Self 300000 3500

Page 64 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1771 17711 SAKET GOYAL 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1771 17712 SHALU SINGHAL 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1771 17713 DIVYANSH 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1775 17751 SHIV KUMAR GARG 62 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1775 17752 ANNPURNA GARG 63 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1779 17791 ASHWINI KUMAR YADAV 31 Male Self 300000 2800


1779 17792 MONIKA YADAV 25 Female Spouse


1779 17793 RITVIK YADAV 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1781 17811 HEMANT KUMAR SHARMA 41 Male Self 300000 2800

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1781 17813 CHETAN SHARMA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1781 17814 HEMANSHI SHARMA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1783 17831 ANITA ACHARYA 41 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1784 17841 YOGESH TIWARI 45 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1784 17842 REKHA 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1784 17843 MADHVI 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1784 17844 BHAVYA 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1786 17861 HARISH MALIK 46 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1786 17862 ANURADHA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1786 17863 ARYAN MALIK 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1786 17864 KRISHANA 85 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1787 17871 RACHANA SINGH 50 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1787 17872 KASHISH SINGH 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1789 17891 VISHAL MATHUR 39 Male Self 300000 3300


1789 17892 POONAM 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1789 17893 ANAYA MATHUR 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1792 17921 MANGESH KAUSHIK 56 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1792 17922 KAMLESH KAUSHIK 56 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1794 17941 VIJAY JAIN 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1794 17942 DEEPA JAIN 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1794 17943 ARYA JAIN 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1794 17944 ARVI JAIN 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1796 17961 VINOD KUMAR 39 Male Self 300000 2800

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1796 17963 TANISHA 13 Female Daughter

Page 65 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1796 17964 TANMAY KUMAR 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17971 RAMSWAROOP 43 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17972 KAMLA DEVI 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17973 RAVINDRA KADWASRA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17974 ANITA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17975 GARIMA 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17976 RECHPAL 75 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1797 17977 PATASI DEVI 72 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1799 17991 ANIL AINANI 37 Male Self 300000 3300


1799 17992 BHUMIKA AINANI 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1799 17993 MAYANK AINANI 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1800 18001 ATUL SINGH BAGH 34 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1802 18021 YOGESH SARASWAT 47 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1802 18022 RAKHI 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1802 18023 CHIRAYU 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1802 18024 VAISHNAVI 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1807 18071 VISHESH KUMAR SHARMA 51 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1807 18072 SWARNALATA 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1807 18073 SHESH KUMAR 81 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1807 18074 KRISHANA 71 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1808 18081 MUKESH KUMAR SHARMA 39 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1808 18082 ASHA JAIN 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1808 18083 LOKSHA SHARMA 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1808 18084 RADHESHYAM SHARMA 69 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1808 18085 PUSHPA DEVI 66 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1809 18091 NEELAM SHARMA 44 Female Self 300000 4150


1809 18092 PAWAN SHARMA 48 Male Spouse


1809 18093 NISHANT SHARMA 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1814 18141 NARENDRA VERMA 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1814 18142 SUNITA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1814 18143 YASHIKA 17 Female Daughter

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1816 18161 PANKAJ MITTAL 44 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1816 18162 YOGESHWARI 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1816 18163 ANUSHKA MITTAL 14 Female Daughter

M/S VIPUL MEDICORP 1816 18164 ABHINAV MITTAL 12 Male Son

Page 66 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1816 18165 RAMESH MITTAL 84 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1816 18166 ASHA MITTAL 69 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1818 18181 PRAVEEN KUMAR JAIN 39 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1818 18182 MAINA JAIN 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1818 18183 GAGAN JAIN 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1818 18184 PARBHU LAL JAIN 79 Male Father


1818 18185 KAKU JAIN 64 Female Mother


1819 18191 KARUN BANSAL 30 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1819 18192 YOGITA BANSAL 29 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1819 18193 ISHAN BANSAL 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1820 18201 DHARM CHAND 34 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1822 18221 SURENDRA KUMAR OJHA 44 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1822 18222 NEELKAMAL 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1822 18223 SHANU 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1822 18224 SUSHILA DEVI 63 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1828 18281 RAVI PRAKASH DHALIYA 39 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1831 18311 HIMANSHI KHINCHI 26 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1832 18321 GIRIRAJ PRASAD GURJAR 41 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1832 18322 GULAB DEVI 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1832 18323 ROHITASH GURJAR 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1832 18324 LOKESH KUMAR GURJAR 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1832 18325 SHRIKISHAN 65 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1832 18326 TULSHI DEVI 65 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1833 18331 DHIRAJ KULSRESHTH 57 Male Self 300000 5100


1833 18332 MERU PRABHA 58 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1833 18333 ARUNIMA 20 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1834 18341 ABDUL KADAR 54 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1834 18342 SAMINA BANO 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1834 18343 FARIN 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1834 18344 MOHAMMED ADNAN 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1839 18391 ANIL SAKSENA 43 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1839 18392 SHANTI SAKSENA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1839 18393 SHASHWAT 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1839 18394 ASHALATA 83 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1842 18421 DINESH KUMAR SHARMA 48 Male Self 300000 3500

Page 67 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1842 18422 CHETAN SHARMA 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1842 18423 ADITI VASHISTH 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1842 18424 RUDRAKSH VASHISTH 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1845 18451 SHELESH KHANDELWAL 29 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1846 18461 RAMAKANT SHARMA 58 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 1846 18462 KAMLESH SHARMA 57 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1848 18481 SUMAN ADITYA 48 Female Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1848 18482 RAGHU ADITYA 52 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1849 18491 DEENDAYAL SARASWAT 47 Male Self 300000 4150


1849 18492 HEMLATA SARASWAT 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1849 18493 CAMELI DEVI 70 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1849 18494 GAURAV SARASWAT 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1849 18495 MOHIT SARASWAT 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1853 18531 SUNIL KUMAR GHOSH 50 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1853 18532 VERSHA GHOSH 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1853 18533 HARIT GHOSH 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1853 18534 KHYATI GHOSH 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1854 18541 SARVESH KUMAR SHARMA 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1854 18542 RASHMI SHARMA 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1854 18543 PRABHAV SHARMA 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1857 18571 JITENDRA KOTHARI 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1857 18572 PRIYANKA KOTHARI 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1857 18573 RAGHAVI KOTHARI 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1857 18574 KUSHAGRA KOTAHRI 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1859 18591 KARUNA CHAMARIYA 29 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1859 18592 SUBHASH GUPTA 55 Male Father


1859 18593 MANJU GUPTA 52 Female Mother


1865 18651 RAJESH KUMAR JAIN 47 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1865 18652 ARCHANA JAIN 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1865 18653 NEHA JAIN 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1865 18654 HARSH JAIN 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1867 18671 SURESH KHANDELWAL 33 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1869 18691 RAMRATAN SINGH 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1869 18692 MANJU DEVI 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1869 18693 RENU 11 Female Daughter

M/S VIPUL MEDICORP 1869 18694 SUMIT 10 Male Son

Page 68 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1871 18711 RAKESH KUMAR 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1871 18712 SEEMA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1871 18713 PRIYANSHI 15 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1871 18714 RAGHAV 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1875 18751 AJHAR KURESHI 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1875 18752 RIJVANA BANO 29 Female Spouse


1875 18753 MAHIN HUSEN 2 Male Son


1876 18761 NEHA 27 Female Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1876 18762 SHUBHAM GOYAL 28 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1876 18763 KRISHANA GOYAL 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1878 18781 DR YOGESH SHARMA 43 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1878 18782 MANISHA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1878 18783 MOKSHIT 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1879 18791 RAKESH KAUSHIK 50 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1879 18792 KUSUM KAUSHIK 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1879 18793 KARTIK KAUSHIK 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1879 18794 KRITI KAUSHIK 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1880 18801 MRADUL SHARMA 46 Male Self 300000 3300

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1880 18803 DEVANSHI SHARMA 18 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1880 18804 MUDIT SHARMA 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1881 18811 VIJAYGIRI GOSWAMI 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1881 18812 ANITA GIRI 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1881 18813 BHAVYA GOSWAMI 6 Female Daughter


1882 18821 ADARSH SHARMA 52 Male Self 300000 3500

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1882 18823 AYUSH SHARMA 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1882 18824 MANAN SHARMA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1883 18831 SUSHIL KUMAR CHOUHAN 61 Male Self 300000 9900.40986

M/S VIPUL MEDICORP

TPA PVT LTD. 1884 18841 MADHAV SINGH MEHRU 40 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1884 18842 MANJU 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1884 18843 CHANDRASHEKHAR MEHRU 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1885 18851

BIKRAM SINGH

SHEKHAWAT 47 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1886 18861 RISHIRAJ SINGH 32 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1886 18862 PINKI KANWAR 25 Female Spouse

Page 69 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1886 18863 DIVYANSHI RAJAWAT 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1886 18864 VEDANSHI KANWAR 2 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1886 18865 MAHAVEER SINGH 60 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1889 18891 IMTIYAZ AHAMD 37 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1889 18892 FHRIDA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1889 18893 ZUNED 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1889 18894 KALU KHAN 57 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1889 18895 AMINA 52 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1890 18901 SATYANARAYAN PAREEK 55 Male Self 300000 6450


1890 18902 AMITA PAREEK 48 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1891 18911 MAHENDRA SINGH 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1891 18912 NIRMAL KANWAR 41 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1891 18913 YOGRAJ SHEKHAWAT 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1891 18914 EKLAVYA SHEKHAWAT 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1892 18921 RAJNARAYAN SAINI 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1892 18922 PUSHPA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1892 18923 YASH 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1892 18924 GARGI 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1893 18931 FALAK SIROYA 26 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1894 18941 PUNIT VERMA 31 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1896 18961 BHARTI PARIHAR 44 Female Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1896 18962 BHARAT SINGH 45 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1896 18963 KRATIKA CHOUHAN 19 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1896 18964 YUVRAJ SINGH 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1898 18981 RAKESH KUMAR GUPTA 48 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1898 18982 MINAKSHI GUPTA 47 Female Spouse


1898 18983 ARYAN GUPTA 16 Male Son


1899 18991 SUSHIL KUMAR 52 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1899 18992 MUDIT PALIWAL 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1900 19001 DILIP SINGH RAWAT 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1900 19002 SANGEETA RAWAT 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1900 19003 DIYA RAWAT 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1900 19004 AKSHIT RAWAT 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1901 19011 NEERAJ JOSHI 49 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1901 19012 USHA JOSHI 42 Female Spouse

M/S VIPUL MEDICORP 1901 19013 MOHIT JOSHI 20 Female Daughter

Page 70 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1903 19031 VAIBHAV SHARMA 30 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1903 19032 SHINAM SHARMA 29 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1903 19033 VARLIKA SHARMA 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1909 19091 KULDEEP PAREEK 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1909 19092 KAVITA VYAS 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1909 19093 UJJWAL 4 Male Son


1909 19094 UTKARSH 4 Male Son


1912 19121 SUNITA RAJORIYA 41 Female Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1912 19122 ARUN KUMAR 44 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1912 19123 TANNU RAJORIYA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1917 19171 AMITESH BHARDUWAJ 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1917 19172 SUNITA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1917 19173 TANISHK 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1917 19174 NEVEDHYA 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1918 19181 KRISHAN KUMAR ASHU 50 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1918 19182 USHA DEVI 46 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1918 19183 ANSHUL KUMAR 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1918 19184 YASHVINI 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1920 19201 POOJA JAIN 34 Female Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1920 19202 VIKAS JAIN 37 Male Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1920 19203 RISHIT JAIN 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1920 19204 ARYA JAIN 1 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1924 19241 DEVENDRA SHARMA 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1924 19242 RUCHI SHARMA 31 Female Spouse


1924 19243 YASHI SHARMA 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1924 19244 BAHULYA SHARMA 1 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1925 19251 K J SRIVATSAN 42 Male Self 300000 5100

M/S VIPUL MEDICORP

TPA PVT LTD. 1925 19252 JAGANNATH K S 70 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1925 19253 SHREE NIDHI 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1930 19301 RAJ KUMAR SHARMA 42 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1930 19302 SonAL SHARMA 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1930 19303 NAMAN SHARMA 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1930 19304 UMARMAN SHARMA 80 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1930 19305 JAYANTI SHARMA 73 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1931 19311 RANJEET SINGH SOLANKI 43 Male Self 300000 3300

Page 71 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1931 19312 PRITI KANWAR SOLANKI 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1931 19313 JAYJEET SINGH SOLANKI 16 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1931 19314 VANSHIKA SOLANKI 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1932 19321 JAGGO SINGH DHAKAR 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1932 19322 SANJU SINGH DHAKAR 30 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1932 19323 SIDDHI DHAKAR 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1932 19324 DURJAY 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1935 19351 VIKASH CHABRA 40 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1935 19352 KHUSHBOO CHABRA 34 Female Spouse


1935 19353 SANSKAR CHABRA 13 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1935 19354 SIDDHI CHABRA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1936 19361 ANAND KUMAR TRIPATHI 32 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1936 19362 VIJAY SHREE 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1936 19363 ATHARV TRIPATHI 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1936 19364 HARISH KUMAR 52 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1936 19365 SUMITRA 50 Female Mother

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1938 19382 BINDULATA SHARMA 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1938 19383 JITIKA SHARMA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1938 19385 DIVYANSHU SHARMA 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1939 19391 RAKESH KUMAR SHARMA 41 Male Self 300000 3300

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 1939 19393 DEEPAK SHARMA 18 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1939 19394 DEV SHARMA 17 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1942 19421 KEDAR PRASAD SHARMA 55 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1942 19422 JAMNA DEVI 53 Female Spouse


1944 19441 VINOD KUMAR MITTAL 41 Male Self 300000 2800


1944 19442 SANTOSH AGARWAL 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1944 19443 AYUSHI MITTAL 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1944 19444 HARSHIT MITTAL 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1946 19461 VIKASH JAIN 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1946 19462 MONIKA JAIN 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1946 19463 SWARGYA JAIN 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1946 19464 DIVISHA JAIN 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1954 19541 MUKESH HINGAR 39 Male Self 300000 2800

M/S VIPUL MEDICORP 1954 19542 PRITI SAMAR 34 Female Spouse

Page 72 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 1954 19543 KASHVI JAIN 8 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1954 19544 VANDIT JAIN 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1955 19551 MUKESH K SHARMA 39 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1955 19552 NIDHI SHARMA 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1955 19553 SUHANI SHARMA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1955 19554 DHRUV SHARMA 5 Male Son


1955 19555 AMRAT LAL SHARMA 67 Male Father


1955 19556 MEENA SHARMA 61 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1958 19581 DINESH PALIWAL 29 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1958 19582 SHYAM PRAKASH PALIWAL 70 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1958 19583 MEERA PALIWAL 63 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1961 19611 ANUGRAH SOLEMAN 34 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1961 19612 PRABHA SOLEMAN 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1961 19613 AJALIYAH 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1962 19621 ROHIT PAREEK 40 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1962 19622 RINKU PAREEK 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1962 19623 KAVYA PAREEK 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1964 19641 OMPRAKASH PURBIYA 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1964 19642 DURGA DEVI 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1964 19643 KRISHNA PURBIYA 11 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1964 19644 SHEJAL PURBIYA 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1967 19671

CHANCHAL MOHAN

MATHUR 43 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1967 19672 MEENA MATHUR 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1967 19673 KARTIK MATHUR 12 Male Son


1968 19681 ANURAG JAIN 27 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1971 19711 JAGDISH KUMAR GUPTA 52 Male Self 300000 6450

M/S VIPUL MEDICORP

TPA PVT LTD. 1971 19712 ARCANA GUPTA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1977 19771 MADAN LAL KALAL 40 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1977 19772 KALPANA KALAL 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1977 19773 URVASHI KALAL 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1977 19774 ARYAN KALAL 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1977 19775 KURI DEVI 64 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1982 19821 DR LOKESH KUMAR 36 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1982 19822 REENA DEVI 31 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1982 19823 PUNYA PRATAP 1 Male Son

Page 73 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 1982 19824 RAMLAL 71 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 1982 19825 PREM DEVI 62 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1984 19841 ANAND PRAKASH YADAV 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1984 19842 ANITA YADAV 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1984 19843 MEESHA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1984 19844 UJJWAL 12 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1985 19851 SOM PRAKASH PAREEK 47 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 1985 19852 NEELAM PAREEK 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1985 19853 ANMOL PAREEK 19 Male Son


1987 19871 SURESH BORA 42 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1987 19872 DIEEPIKA BORA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1987 19873 SUDEEPA BORA 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1988 19881 VINOD SAINI 39 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 1988 19882 SAROJ SAINI 38 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1988 19883 RAKSHIT SAINI 9 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1988 19884 SOUMYA SAINI 6 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1988 19885 BANARSI DEVI 63 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 1989 19891 VINOD KUMAR SHARMA 46 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 1989 19892 SEEMA SHARMA 39 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1989 19893 URVASHI SHARMA 20 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1989 19894 RAHUL SHARMA 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1993 19931 DR SUSHIL KUMAR SINGH 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 1993 19932 SUSHMA DEVI 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 1993 19933 ADITYA SINGH 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 1993 19934 YASHI SINGH 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 1994 19941 MADHULIKA SINGH 36 Male Self 300000 9000


1994 19942 HARMAN CHOUHAN 75 Male Father


1994 19943 BHAGWAT CHOUHAN 67 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2002 20021 JITENDRA SARAN 48 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 2002 20022 KIRAN SARAN 32 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2002 20023 NAVYA SARAN 3 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2004 20041 PAVAN KUMAR SHARMA 35 Male Self 300000 4150

M/S VIPUL MEDICORP


M/S VIPUL MEDICORP

TPA PVT LTD. 2004 20043 JAHNVI SHARMA 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2004 20044 RAMJI LAL 64 Male Father

M/S VIPUL MEDICORP 2004 20045 SAVITRI DEVI 60 Female Mother

Page 74 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 2007 20071 RANVEER SINGH 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2007 20072 CHANDRALA 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2007 20073 BHAVY 6 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2008 20081 PUNEET UPADHYAY 42 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2008 20082 ANURADHA SHARMA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2008 20083 DIVYANGU UPADHYAY 13 Male Son


2008 20084 GOVIND DEV UPADHYAY 8 Male Son


2011 20111 RAGHUVEER SINGH 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2011 20112 KRISHANA KANWAR 35 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2011 20113 CHANCHAL SINGH 14 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2011 20114 YASVARDHAN SINGH 8 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2012 20121 PRADEEP KUMAR VERMA 48 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 2012 20122 BHAWNA SHARMA 47 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2012 20123 ABHISHEK SHARMA 19 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2014 20141

AISHWARYA KUMAR

PRADHAN 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2014 20142 VEENA SHARMA 36 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2014 20143 AMODHA PRADHAN 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2014 20144 VEERTI PRADHAN 1 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2015 20151 BHUVNESH VYAS 47 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 2015 20152 LAXMI DEVI 69 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2016 20161

PRADEEP SINGH

SEKHAWAT 31 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2016 20162 NAND KANWAR 29 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2016 20163 VAIBHAV RAJ 4 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2016 20164 VEDHANT RAJ 4 Male Son


2017 20171 KISHORI RAMAN SHARMA 43 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 2017 20172 AMRATA SHARMA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2017 20173 MADHAV SHARMA 7 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2019 20191 SHIVRAJ GURJAR 43 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2019 20192 KAMLA GURJAR 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2019 20193 POOJA GURJAR 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2019 20194 ANURAG GURJAR 10 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2020 20201 MANISH SHARMA 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 2020 20202 KANTA SHARMA 42 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2020 20203 ARYANT SHARMA 16 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2020 20204 RASHI SHARMA 14 Female Daughter

Page 75 of 87


M/S VIPUL MEDICORP

TPA PVT LTD. 2021 20211 AJAY SINGH RAWAT 33 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2021 20212 REKHA RAWAT 27 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2021 20213 SWAPNIL SINGH RAWAT 5 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2021 20214 ANGEL RAWAT 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2021 20215 GYAN SINGH RAWAT 57 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 2023 20231

RAMENDRA SINGH

SOLANKI 40 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 2023 20232 ANITA 28 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2023 20233 MEGHA 10 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2023 20234 HARSHIT 8 Male Son


2023 20235 GAMBHEER SINGH 79 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2024 20241 VISHNU KUMAR SonI 30 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 2024 20242 PRITI SonI 26 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2024 20243 SOUMYA SonI 3 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2024 20244 SURENDRA KUMAR SonI 57 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 2024 20245 ASHA DEVI SonI 55 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2025 20251 VIJAY GOPAL VERMA 36 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2025 20252 VINITA SHARMA 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2025 20253 DHANANJAYA 5 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2027 20271 LALIT OJHA 45 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 2027 20272 HEMLATA OJHA 43 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2027 20273 RADHIKA OJHA 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2027 20274 YUKTI OJHA 12 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2027 20275 SHANTA DEVI 78 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2028 20281 AMIT SHARMA 35 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2028 20282 SUPRIYA SHARMA 34 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2028 20283 JHANAK SHARMA 5 Male Son


2031 20311 RAMESHWAR LAL JAT 43 Male Self 300000 5100


2031 20312 NEETU CHOUDHARY 40 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2031 20313 PALLAVI CHOUDHARY 17 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2031 20314 HARSH CHOUDHARY 14 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2031 20315 POORAN MAL 80 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 2031 20316 NARAYANI DEVI 66 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2035 20351 GYAN CHAND PATNI 50 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 2035 20352 SIMLA JAIN 44 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2035 20353 JIVESH JAIN 16 Male Son

M/S VIPUL MEDICORP 2035 20354 MANASVI JAIN 13 Female Daughter

Page 76 of 87


TPA PVT LTD.

M/S VIPUL MEDICORP

TPA PVT LTD. 2036 20361 CHANDRAMOHAN ALORIYA 37 Male Self 300000 2800

M/S VIPUL MEDICORP

TPA PVT LTD. 2036 20362 MANJU VERMA DEVI 33 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2036 20363 HIMANSHI ALORIYA 4 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2036 20364 VANSH ALORIYA 2 Male Son

M/S VIPUL MEDICORP

TPA PVT LTD. 2038 20381 PRAMOD SONI 44 Male Self 300000 3300

M/S VIPUL MEDICORP

TPA PVT LTD. 2038 20382 RANI SONI 39 Female Spouse


2038 20383 DEEPAK SONI 14 Male Son


2038 20384 RAJSHREE SONI 11 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2042 20421 VIKRAM SINGH 38 Male Self 300000 9000

M/S VIPUL MEDICORP

TPA PVT LTD. 2042 20422 KALYAN SINGH 70 Male Father

M/S VIPUL MEDICORP

TPA PVT LTD. 2042 20423 RENULATA 65 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 2048 20481 LUCKY JAIN 31 Male Self 300000 3500

M/S VIPUL MEDICORP

TPA PVT LTD. 2049 20491 RAKESH VERMA 41 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 2049 20492 TEENA PURVIYA 37 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 2049 20493 ISHIKA 9 Female Daughter

M/S VIPUL MEDICORP

TPA PVT LTD. 2049 20494 RAJKUMARI 70 Female Mother

M/S VIPUL MEDICORP

TPA PVT LTD. 7111 71111 ARVIND GITESH 47 Male Self 300000 4150

M/S VIPUL MEDICORP

TPA PVT LTD. 7111 71112 ARCHANA GITESH 45 Female Spouse

M/S VIPUL MEDICORP

TPA PVT LTD. 7111 71113 ANUSRI GITESH 18 Female Daughter

Page 77 of 87


POLICY NO.: 1413002817P117263021

UNITED INDIA INSURANCE COMPANY LIMITED

REGD.& HEAD OFFICE : No.24, WHITES ROAD, CHENNAI-600014

TAILOR MADE GROUP HEALTH POLICY

1 WHEREAS the insured designated in the Schedule hereto has by a proposal and declaration dated as stated in the Schedule

which shall be the basis of this Contract and is deemed to be incorporated herein has applied to UNITED INDIA INSURANCE

COMPANY LTD. (hereinafter called the COMPANY) for the insurance hereinafter set forth in respect of Employees/Members

(including their eligible family members) named in the Schedule hereto (hereinafter called the INSURED PERSON) and has paid

premium as consideration for such insurance.

1.1 NOW THIS POLICY WITNESSES that subject to the terms, conditions, exclusions and definitions contained herein or endorsed,

or otherwise expressed hereon the Company undertakes that if during the period stated in the Schedule or during the

continuance of this policy by renewal any insured person shall contract any disease or suffer from any illness (hereinafter called

DISEASE) or sustain any bodily injury through accident (hereinafter called INJURY) and if such disease or injury shall require

any such insured Person, upon the advice of a duly qualified Physician/Medical Specialist/Medical practitioner (hereinafter

called MEDICAL PRACTITIONER) or of a duly qualified Surgeon (hereinafter called SURGEON) to incurhospitalisation/domiciliary hospitalisation expenses for medical/surgical treatment at any Nursing Home/Hospital in India as

herein defined (hereinafter called HOSPITAL) as an inpatient, the Company will pay through TPA to the Hospital / Nursing

Home or Insured the amount of such expenses incurred as are Medically Necessary and reasonable and customary in respect

thereof by or on behalf of such Insured Person but not exceeding the Sum Insured in aggregate in any one period of insurance

stated in the schedule hereto.

1.2 In the event of any claim becoming admissible under this scheme, the company will pay through TPA to the Hospital / Nursing

Home or insured person the amount of such expenses as would fall under different heads mentioned below and as are

reasonably and necessarily incurred thereof by or on behalf of such insured person but not exceeding the Sum Insured in

aggregate mentioned in the schedule hereto.

A. Room, Boarding and Nursing expenses as provided by the Hospital/Nursing Home not exceeding 1% of the sum insured

per day or the actual amount whichever is less. This also includes nursing care, RMO charges, IV Fluids/Blood transfusion/injection administration charges and similar expenses.

B. Intensive Care Unit (ICU) expenses not exceeding 2% of the sum insured per day or actual amount whichever is less.

C. Surgeon, Anaesthetist, Medical Practitioner, Consultants, Specialists Fees

D. Anesthetic, Blood, Oxygen, Operation Theatre Charges, surgical appliances, Medicines & Drugs, Dialysis, Chemotherapy,

Radiotherapy, Cost of Artificial Limbs, cost of prosthetic devices implanted during surgical procedure like pacemaker,

orthopaedic implants, infra cardiac valve replacements, vascular stents, relevant laboratory/diagnostic tests, X-ray and

such similar expenses that are medically necessary.

E. Hospitalisation expenses (excluding cost of organ) incurred for/by donor in respect of organ transplant to the insured.

Note:

1. The amount payable under 1.2 C & D above shall be at the rate applicable to the entitled room category. In case the

Insured person opts for a room with rent higher than the entitled category as in 1.2 A above, the charges payable under 1.2 C & D shall be limited to the charges applicable to the entitled category. This will not be applicable in respect of medicines &

drugs and implants.

2. No payment shall be made under 1.2 C other than as part of the hospitalisation bill.

1.2.1 Expenses in respect of the following specified illnesses/surgeries will be restricted as detailed below: Hospitalisation Benefits LIMITS per surgery RESTRICTED TO

a.Cataract,

Hernia,Hysterectomy

b.Major surgeries*

a.Actual expenses incurred or 25% of the sum insured

whichever is less

b.Actual expenses incurred or 70% of the Sum Insured

whichever is less

* Major surgeries include Cardiac surgeries, Brain Tumor surgeries, Pacemaker implantation for sick sinus syndrome, Cancer

surgeries, Hip, Knee, joint replacement surgery, Organ Transplant.

* The above limits specified are applicable per hospitalization/surgery.

Page 78 of 87


POLICY NO.: 1413002817P117263021

1.3 Pre and Post Hospitalisation expenses payable in respect of each hospitalisation shall be the actual expenses incurred subject

to a maximum of 10% of the Sum Insured.

1.4 In addition to the above, the following would apply to claims arising out of persons aged more than 60 years

EXPENSES ON MAJOR ILLNESSES CHARGED

AS A TOTAL PACKAGE

TO BE SETTLED WITH A CO-PAY ON 80:20

BASIS. The co-pay of 20% will be applicable

on the admissible claim amount.

2. DEFINITIONS:

2.1 ACCIDENT:

An accident is a sudden, unforeseen and involuntary event caused by external, visible and violent means.

2.2 A. "Acute condition"-Acute condition is a disease, illness or injury that is likely to respond quickly to treatment which aims to return the person to his or her state of health immediately before suffering the disease/illness/injury which leads to full

recovery.

B. "Chronic condition"-A chronic condition is defined as a disease, illness, or injury that has one or more of the following

characteristics-

i. it needs ongoing or long-term monitoring through consultations, examinations, check-ups and/or tests-

ii. it needs ongoing or long-term control or relief of symptoms

iii. it requires your rehabilitation or for you to be specially trained to cope with it

iv. it continues indefinitely

v. it comes back or is likely to come back.

2.3 ALTERNATIVE TREATMENT:

Alternative treatments are forms of treatments other than treatment "Allopathy" or "modern medicine" and includes Ayurveda, Unani, Siddha and Homeopathy in the Indian context.

2.4 ANY ONE ILLNESS: Any one illness will be deemed to mean continuous period of illness and it includes relapse within 45 days from the date of

last consultation with the Hospital / Nursing Home where treatment has been taken.

2.5 CASHLESS FACILITY: Cashless facility "means a facility extended by the insurer to the insured where the payments, of the cost of treatment

undergone by the insured in accordance with the policy terms and conditions, or directly made to the network provider by the

insurer to the extent pre-authorisation approved.

2.6 CONGENITAL ANOMALY:

Congenital Anomaly refers to a condition(s) which is present since birth, and which is abnormal with reference to form,

structure or position.

a. Internal Congenital Anomaly Which is not in the visible and accessible parts of the body.

b.External Congenital Anomaly Which is in the visible and accessible parts of the body.

2.7 CONDITION PRECEDENT:

Condition Precedent shall mean a policy term or condition upon which the Insurer's liability under the policy is conditional

upon.

2.8 CONTRIBUTION:

Contribution is essentially the right of an insurer to call upon other insurers liable to the same insured to share the cost of an

indemnity claim on a rateable proportion.

2.9 DAY CARE CENTRE:

A day care centre means any institution established for day care treatment of illness and/ or injuries or a medical setup within

a hospital and which has been registered with the local authorities, wherever applicable, and is under the supervision of a

registered and qualified medical practitioner AND must comply with all minimum criteria as under;-

- Has qualified nursing staff under its employment

- Has qualified Medical Practitioner(s) in charge

- Has a fully equipped operation theatre of its own where surgical procedures are carried out-

- Maintains daily records of patients and will make these accessible to the Insurance Company's authorized personnel.

2.10 DAY CARE TREATMENT:

Day care Treatment refers to medical treatment and or surgical procedure which is

i. undertaken under general or local anaesthesia in a hospital/day care centre in less than 24 hours because of technologicaladvancement, and

ii. which would have otherwise required a hospitalisation of more than 24 hours. Treatment normally taken on an out-patient

basis is not included in the scope of this definition.

Page 79 of 87


POLICY NO.: 1413002817P117263021

2.11 DOMICILIARY HOSPITALISATION:

Domiciliary Hospitalisation means medical treatment for an illness/disease/injury which in the normal course would require care and treatment at a hospital but is actually taken while confined at home under any of the following circumstances :

a) The condition of the patient is such that he/she is not in a condition to be removed to a hospital or

b) The patient takes treatment at home on account of non-availability of room in a hospital.

2.12 GRACE PERIOD:

Grace Period means the specified period of time immediately following the premium due date during which a payment can be

made to renew or continue a policy in force without loss of continuity benefits such as waiting periods and coverage of pre-

existing diseases. Coverage is not available for the period for which no premium is received.

2.13 HOSPITAL/NURSING HOME:

A Hospital means any institution established for in-patient care and day care treatment of illness and/or injuries and which

has been registered as a Hospital with the local authorities under the Clinical establishments (Registration and Regulation)

Act, 2010 or under the enactments specified under the Schedule of Section 56(1) of the said Act OR complies with all

minimum criteria as under

- Has qualified nursing staff under its employment round the clock.

- Has at least 10 in-patient beds in towns having a population of less than 10 lacs and at least 15 in-patient beds in all other

places;

- Has qualified medical practitioner(s) in charge round the clock;

- Has a fully equipped Operation Theatre of its own where surgical procedures are carried out; - Maintains daily records of patients and makes these accessible to the insurance company's authorized personnel.

2.14 HOSPITALIZATION: Hospitalization means admission in a Hospital/Nursing Home for a minimum period of 24 consecutive hours of inpatient care

except for specified procedures/treatments, where such admission could be for a period of less than 24 consecutive hours

2.15 ID CARD: ID card means the identity card issued to the insured person by the TPA to avail cashless facility in network hospitals.

2.16 ILLNESS:

Illness means a sickness or a disease or pathological condition leading to the impairment of normal physiological function which manifests itself during the policy period and required medical treatment.

2.17 INJURY : Injury means accidental physical bodily harm excluding illness or disease solely and directly caused by external, violent and

visible and evident means which is verified and certified by a Medical Practitioner.

2.18 IN-PATIENT CARE: In-patient care means treatment for which the insured person has to stay in a hospital for more than 24 hours for a covered

event.

2.19 INTENSIVE CARE UNIT: Intensive Care Unit means an identifies section, ward or wing of a Hospital which is under the constant supervision of a

dedicated medical practitioner(s) and which is specially equipped for the continuous monitoring and treatment of patients who

are in a critical condition, or require life support facilities and where the level of care and supervision is considerably more

sophisticated and intensive than in the ordinary and other wards.

2.20 MATERNITY EXPENSES:

Maternity expenses/treatment shall include:

a) Medical treatment expenses traceable to childbirth (including complicated deliveries and caesarean sections incurred

during hospitalization).

b) Expenses towards lawful medical termination of pregnancy during the policy period.

2.21 MEDICAL ADVICE:

Any consultation or advice from a medical practitioner/doctor including the issue of any prescription or repeat prescription.

2.22 MEDICAL EXPENSES:

Medical expenses-Medical Expenses means those expenses that an Insured person has necessarily and actually incurred for

medical treatment on account of illness or Accident on the advice of a Medical Practitioner, as long as these are no more than

would have been payable if the Insured Person had not been insured and no more than other hospitals or doctors in the same

locality would have charged for the same medical treatment.

2.23 MEDICALLY NECESARY:

Medically necessary treatment is defined as any treatment, test, medication or stay in hospital or part of a stay in a hospital

which

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POLICY NO.: 1413002817P117263021

- Is required for the medical management of the illness or injury suffered by the insured;

- Must not exceed the level of care necessary to provide safe, adequate and appropriate medical care in scope, duration or intensity;

- Must have been prescribed by a Medical Practitioner;

- Must confirm to the professional standards widely accepted in international medical practice or by the medical community

in India.

2.24 MEDICAL PRACTITIONER:

Medical Practitioner is a person who holds a valid registration from the Medical Council of any State or Medical Council of India

or Council for Indian Medicine or the homeopathy set up by the Government of India or a State Government and is thereby

entitled to practice medicine within its jurisdiction; and is acting within the scope and jurisdiction of his license. The term

medical practitioner would include physician, specialist and surgeon.

(The Registered practitioner should not be the insured or close family members such as parents, in-laws, spouse and

children.)

2.25 NETWORK PROVIDER:

Network Provider means hospitals or health care providers enlisted by an insurer or by a TPA and insurer together to provide

medical services to an insured on payment by a cashless facility.

The list of network hospitals is maintained by and available with the TPA and the same is subject to amendment from time to

time.

Preferred Provider Network means a network of hospitals which have agreed to a cashless packaged pricing for certain procedures for the insured person. The list is available with the company/TPA and subject to amendment from time to time.

Reimbursement of expenses incurred in PPN for the procedures (as listed under PPN package) shall be subject to the rates

applicable to PPN package pricing.

2.26 NEW BORN BABY:

A new born baby means baby born during the Policy Period aged between one day and 90 days, both days inclusive.

2.27 NON-NETWORK

Any hospital, day care centre or other provider that is not part of the network.

2.28 NOTIFICATION OF CLAIM Notification of claim is the process of notifying a claim to the insurer or TPA by specifying the timelines as well as the

address/telephone number to which it should be notified.

2.29 OPD TREATMENT:

OPD Treatment is one in which the insured visits a clinic/hospital or associated facility like a consultation room for diagnosis

and treatment based on the advice of medical a practitioner. The insured is not admitted as a day care or in-patient.

2.30 PRE-EXISTING DISEASE

Pre Existing Disease is any condition, ailment or injury or related condition(s) for which you ad signs or symptoms, and/or

were diagnosed, and/or received medical advice/treatment, within 48 months prior to the first policy issued by the insurer.

2.31 PORTABILITY:

Portability means transfer by an individual health insurance policyholder (including family cover) of the credit gained for pre-

existing conditions and time-bound exclusions if he/she chooses to switch from one insurer to another.

2.32 PRE-HOSPITALISATION MEDICAL EXPENSES

Medical expenses incurred immediately 30 days before the insured person is hospitalized will be considered as part of a claim

as mentioned under Item 1.2 above provided that;

i. Such Medical expenses are incurred for the same condition for which the Insured Person's Hospitalisation was required;

and

ii. The In-patient Hospitalisation claim for such Hospitalisation is admissible by the Insurance Company

2.33 POST HOSPITALISATION MEDICAL EXPENSES:

Relevant medical expenses incurred immediately 60 days after the Insured person is discharged from the hospital provided

that ;

a. Such Medical expenses are incurred for the same condition for which the Insured Person's Hospitalisation was required;

and

b. The In-patient Hospitalisation claim for such Hospitalisation is admissible by the Insurance Company.

2.34 QUALIFIED NURSE:

Qualified Nurse is a person who holds a valid registration from the Nursing Council of India or the Nursing Council of any state

in India.

2.35 REASONABLE AND CUSTOMARY CHARGES:

Reasonable Charges means the charges for services or supplies, which are the standard charges for the specific provider and

consistent with the prevailing charges in the geographical area for identical or similar services, taking into account the nature

of the illness/injury involved.

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POLICY NO.: 1413002817P117263021

2.36 RENEWAL:

Renewal defines the terms on which the contract of insurance can be renewed on mutual consent with a provision of grace period for treating the renewal continuous for the purpose of all waiting periods.

2.37 ROOM RENT Room rent shall mean the amount charged by a hospital for the Occupancy of a bed on per day (24 hours) basis and shall

include associated medical expenses.

2.38 SUBROGATION Subrogation shall mean the right of the insurer to assume the rights of the insured person to recover expenses paid out under

the policy that may be recovered from any other source.

2.39 SURGERY: Surgery or Surgical Procedure means manual and/or operative procedure(s) required for treatment of an illness or injury,

correction of deformities and defects, diagnosis and cure of diseases, relief of suffering or prolongation of life, performed in a

hospital or day care centre by a Medical Practitioner.

2.40 THIRD PARTY ADMINISTRATOR

TPA means a Third Party Administrator who holds a valid License from Insurance Regulatory and Development Authority to

act as a THIRD PARTY ADMINISTRATOR and is engaged by the Company for the provision of health services as specified in

the agreement between the Company and TPA.

2.41 UNPROVEN/EXPERIMENTAL TREATMENT

Unproven/Experimental treatment is treatment, including drug Experimental therapy, which is not based on established

medical practice in India.

3. COVERAGES:

3.1 Expenses on Hospitalisation for minimum period of 24 hours are admissible. However, this time limit is not applied to specific

treatments, such as

1. Adenoidectomy 19. FESS

2. Appendectomy 20. Haemo dialysis

3. Ascitic/Pleural tapping 21. Fissurectomy/Fistulectomy

4. Auroplasty 22. Mastoidectomy

5. Coronary angiography 23. Hydrocele

6. Coronary angioplasty 24. Hysterectomy

7. Dental surgery 25. Inguinal/ventral/umbilical/ Femoral hernia

8. Dilatation & Curettage 26. Parenteral chemotherapy

9. Endoscopies 27. Polypectomy

10. Excision of Cyst/Granuloma/lump28. Septoplasty

11. Eye surgery 29. Piles/fistula

12. Fracture/dislocation excluding

hairline fracture30. Prostate

13. Radiotherapy 31. Sinusitis

14. Lithotripsy 32. Tonsilectomy

15. Incision and drainage of abcess 33. Liver aspiration

16. Colonoscopy 34. Sclerotherapy

17. Varicocelectomy 35. Varicose Vein Ligation

18. Wound suturing

This condition will also not apply in case of stay in hospital of less than 24 hours provided -

a. The treatment is undertaken under General or Local Anesthesia in a hospital/day care centre in less than 24 hours because

of technological advancement and

b. Which would have otherwise required a hospitalisation of more than 24 hours.

Procedures/treatments usually done in out patient department are not payable under the policy even if converted as an in-patient in

the hospital for more than 24 hours or carried out in Day Care Centres.

3.2 Domiciliary Hospitalisation means medical treatment for a period exceeding three days for such an illness/disease/injury

which in the normal course would require care and treatment at a hospital but is actually taken while confined at home

under any of the following circumstances :

a. The condition of the patient is such that he/she is not in a condition to be removed to a hospital

or

b. The patient takes treatment at home on account of non-availability of room in a hospital.

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POLICY NO.: 1413002817P117263021

Subject however that domiciliary hospitalisation benefits shall not cover:

i) Expenses incurred for pre and post hospital treatment andii) Expenses incurred for treatment for any of the following diseases:-

a. Asthma

b. Bronchitis

c. Chronic Nephritis and Nephritic Syndrome

d. Diarrhoea and all type of Dysenteries including Gastroenteritis

e. Diabetes Mellitus and Insipidus

f. Epilepsy

g. Hypertension

h. Influenza, Cough and Cold

i. All Psychiatric or Psychosomatic Disorders

j. Pyrexia of unknown Origin for less than 10 daysk. Tonsillitis and Upper Respiratory Tract infection including Laryngitis and pharangitis

l. Arthritis, Gout and Rheumatism

Liability of the company under this clause is restricted as stated in the Schedule attached hereto

3.3 For Ayurvedic Treatment, hospitalisation expenses are admissible only when the treatment has been undergone in a

Government Hospital or in any Institute recognised by the Government and/or accredited by Quality Council of

India/National Accreditation Board on Health.

Company's Liability for all claims admitted in respect of any/all insured person/s during the period of insurance shall not exceed the

Sum Insured stated in the schedule.

4. Exclusions:

The company shall not be liable to make any payment under this policy in respect of any expenses whatsoever incurred by any

Insured Person in connection with or in respect of:

4.1 Any pre-existing condition(s) as defined in the policy, until 48 months of continuous coverage of such insured person have

elapsed, since inception of his/her first Policy with the Company.

4.2 Any disease other than those stated in clause 4.3 below, contracted by the Insured person during the first 30 days from the

commencement date of the policy. This exclusion shall not however, apply in case of the Insured person having been covered

under an Insurance scheme with our Company for a continuous period of preceding 12 months without any break.

4.3 Unless the Insured has 24 months of continuous coverage, the expenses on treatment of diseases such as Cataract, Benign

Prostatic Hyperthrophy, Hysterectomy for Menorrhagia, or Fibromyoma, Hernia, Hydrocele, Congenital internal disease, Fistula

in anus, piles, Sinusitis and related disorders, Gall Bladder Stone removal, Gout & Rheumatism, Calculus Diseases are not

payable. Internal Congenital Disease means anomaly which is not visible and accessible parts of the body.

4.4 Unless the Insured has 48 months of continuous coverage, the expenses related to treatment of Joint Replacement due to

Degenerative Condition and age-related Osteoarthritis & Osteoporosis are not payable.

If these diseases mentioned in Exclusion no.4.3 and 4.4 (other than Congenital Internal Diseases) are pre-existing at the time

of proposal they will not be covered even during subsequent period of renewal subject to the pre-existing disease exclusion

clause. If the Insured is aware of the existence of congenital internal disease before inception of the policy, the same will be

treated as pre-existing.

4.5 Injury / disease directly or indirectly caused by or arising from or attributable to War, invasion, Act of Foreign enemy, War like

operations (whether war be declared or not).

4.6 a. Circumcision unless necessary for treatment of a disease not excluded hereunder or as may be necessitated due to an

accident.

b.Vaccination or inoculation

c. Change of life or cosmetic or aesthetic treatment of any description such as correction of eyesight, etc.

d Plastic surgery other than as may be necessitated due to an accident or as a part of any illness.

4.7 Cost of spectacles, contact lenses and hearing aids.

4.8 Dental treatment or surgery of any kind unless necessitated by accident and requiring hospitalisation.

4.9 Convalescence, general debility; run-down condition or rest cure, obesity treatment and its complications including morbid

obesity, Congenital external disease or defects or anomalies, treatment relating to all psychiatric and and psychomatic

disorders. Infertility, Sterility, Venereal disease, intentional self injury and use of intoxication drugs / alcohol

4.10 All expenses arising out of any condition directly or indirectly caused to or associated with Human T-Cell Lymphotropic Virus

Type III (HTLB - III) or lymphadinopathy Associated Virus (LAV) or the Mutants Derivative or Variation Deficiency Syndrome

or any syndrome or condition of a similar kind commonly referred to as AIDS.

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POLICY NO.: 1413002817P117263021

4.11 Charges incurred at Hospital or Nursing Home primarily for diagnosis, x-ray or Laboratory examinations or other diagnostic studies not consistent with or incidental to the diagnosis and treatment of positive existence or presence of any ailment,

sickness or injury, for which confinement is required at a Hospital / Nursing Home

4.12 Expenses on vitamins and tonics unless forming part of treatment for injury or diseases as certified by the attending physician

4.13 Injury or Disease directly or indirectly caused by or contributed to by nuclear weapon / materials

4.14 Treatment arising from or traceable to pregnancy, childbirth, miscarriage, abortion or complications of any of these including

caesarean section, except abdominal operation for extra uterine pregnancy (Ectopic Pregnancy) which is proved by

submission of Ultra Sonographic report and Certificate of Gynaecologist that it is life threatening one if left untreated.

4.15 Naturopathy Treatment, acupressure, acupuncture, magnetic therapies, experimental and unproven treatments/therapies.

Treatment including drug experimental therapy which is not based on established medical practice in India, is treatment

experimental or unproven.

4.16 External and or durable Medical / Non-medical equipment of any kind used for diagnosis and/or treatment and/or monitoring

and/or maintenance and/or support including CPAP, CAPD, Infusion pump, Oxygen concentrator etc., Ambulatory devices i.e.,

walker, crutches, Belts, Collars, Caps, Splints, Slings, Braces, Stockings, elastrocepe bandages, external orthopaedic pads, sub cutaneous insulin pump, Diabetic foot wear, Glucometer/Thermometer, alpha/water bed and similar related items etc.

and also any medical equipment, which are subsequently used at home.

4.17 Genetic disorders and stem cell implantation/surgery.

4.18 Change of treatment from one system of medicine to another unless recommended by the consultant/hospital under whom

the treatment is taken.

4.19 Treatment for Age Related Mascular Degeneration (ARMD), treatment such as Rotational Field Quantum Magnetic Resonance

(RFQMR), Enhanced External Counter Pulsation (EECP), etc.

4.20 All non-medical expenses including convenience items for personal comfort such as charges for telephone, television, ayah,

private nursing/barber or beauty services, diet charges, baby food, cosmetic, tissue paper, diapers, sanitary pads, toiletry

items and similar incidental expenses.

4.21 Any kind of Service charges, Surcharges, Admission Fees/Registration Charges, Luxury tax and similar charges levied by the

hospital.

4.22 All non-Medical expenses. For detailed list of non-medical expenses, please log on to our website www.uiic.co.in.

5. CONDITIONS:

5.1 Contract: The Proposal form, Prospectus, Pre-acceptance Health check-up and the Policy issued shall constitute complete

Contract of Insurance.

5.2 Every notice or communication regarding hospitalization or claim to be given or made under this Policy shall be delivered in

writing at the address of the TPA office as shown in the Schedule. Other matters relating to the policy may be communicated

to the policy issuing office.

5.3 The premium payable under this Policy shall be paid in advance. No receipt for Premium shall be valid except on the official

form of the company signed by a duly authorised official of the company. The due payment of premium and the observance

and fulfilment of the terms, provisions, conditions and endorsements of this Policy by the Insured Person in so far as they

relate to anything to be done or complied with by the Insured Person shall be a condition precedent to any liability of the

Company to make any payment under this Policy. No waiver of any terms, provisions, conditions and endorsements of this

policy shall be valid unless made in writing and signed by an authorised official of the Company.

5.4 Notice of Communication: Upon the happening of any event which may give rise to a claim under this Policy notice with full

particulars shall be sent to the TPA named in the schedule immediately and in case of emergency hospitalization within 24

hours from the time of Hospitalisation/Domiciliary Hospitalisation

5.5 All supporting documents relating to the claim must be filed with TPA within 15 days from the date of discharge from the

hospital. In case of post-hospitalisation, treatment (limited to 60 days), all claim documents should be submitted within 7

days after completion of such treatment.

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POLICY NO.: 1413002817P117263021

Note:Waiver of this Condition may be considered in extreme cases of hardship where it is proved to the satisfaction of the Company that under the circumstances in which the insured was placed it was not possible for him or any other person to

give such notice or file claim within the prescribed time-limit.

5.6 The Insured Person shall obtain and furnish to the TPA with all original bills, receipts and other documents upon which a claim

is based and shall also give the TPA / Company such additional information and assistance as the TPA / Company may require

in dealing with the claim.

5.7 Any medical practitioner authorised by the TPA / Company shall be allowed to examine the Insured Person in case of any

alleged injury or disease leading to Hospitalisation if so required.

5.8 The Company shall not be liable to make any payment under this policy in respect of any claim if such claim be in any manner fraudulent or supported by any fraudulent means or device whether by the Insured Person or by any other person acting on

his behalf.

5.9 DISCLOSURE TO INFORMATION NORM

The Policy shall be void and all premium paid hereon shall be forfeited to the Company, in the event of misrepresentation,

mis-description or non-disclosure of any material fact.

5.10 If at the time when a claim arises under the policy, there is in existence any other insurance taken by the insured to

indemnify the treatment costs, the insured person shall have the right to require a settlement of the claim in terms of any of

his policies. If the amount to be claimed exceeds the sum insured under a single policy, after considering deductibles or co-

pay, the insured person shall have the right to choose the insurers by whom the claim is to be settled. In such cases, the

Company shall not be liable to pay or contribute more than its rateable proportion of any loss, liability, compensation costs or

expenses.

Note: The insured person must disclose such other insurance at the time of making the claim under this policy.

5.11 The Policy may be renewed by mutual consent and in such event the renewal premium shall be paid to the Company on or

before the date of expiry of the Policy or of the subsequent renewal thereof.The Company shall not be bound to give notice

that such renewal premium is due, provided however that if the insured shall apply for renewal and remit the requisite

premium before the expiry of this policy, renewal shall not normally be refused, unless the Company has reasonable

justification to do so.

5.12 ENHANCEMENT OF SUM INSURED

The insured may seek enhancement of Sum Insured in writing at or before payment of premium for renewal, which may be

granted at the discretion of the Company. However, notwithstanding enhancement, for claims arising in respect of ailment,

disease or injury contracted or suffered during a preceding policy period, liability of the company shall be only to the extent of

the Sum Insured under the policy in force at the time when it was contracted or suffered during the currency of such renewed

policy or any subsequent renewal thereof.

Any such request for enhancement must be accompanied by a declaration that the insured or any other insured person in

respect of whom such enhancement is sought is not aware of any symptoms or other indications that may give rise to a claim

under the policy. The Company may require such insured person/s to undergo a Medical examination to enable the company

to take a decision on accepting the request for enhancement in the Sum Insured.

5.13 Cancellation Clause :

The Company may at any time cancel the Policy on grounds of misrepresentation, fraud, non-disclosure of material fact or

non-cooperation by the insured by sending fifteen days notice in writing by Registered A/D to the insured at his last known

address in which case the Company shall return to the insured a proportion of the last premium corresponding to the

unexpired period of insurance if no claim has been paid under the policy. The insured may at any time cancel this policy and

in such event the Company shall allow refund of premium at Company's short period rate table given below provided no claim has occurred upto the date of cancellation.

PERIOD ON RISK RATE OF PREMIUM TO BE CHARGED.

Upto one month 1/4 th of the annual rate

Upto three months 1/2 of the annual rate

Upto six months 3/4th of the annual rate

Exceeding six months Full annual rate.

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POLICY NO.: 1413002817P117263021

5.14 If any dispute or difference shall arise as to the quantum to be paid under the policy (liability being otherwise admitted)

such difference shall independently of all other questions be referred to the decision of a sole arbitrator to be appointed in writing by the parties or if they cannot agree upon a single arbitrator within 30 days of any party invoking arbitration, the

same shall be referred to a panel of three arbitrators, comprising of two arbitrators, one to be appointed by each of the

parties to the dispute/difference and the third arbitrator to be appointed by such two arbitrators and arbitration shall be

conducted under and in accordance with the provisions of the Arbitration and Conciliation Act, 1996.

It is clearly agreed and understood that no difference or dispute shall be referable to arbitration as herein before provided,

if the Company has disputed or not accepted liability under or in respect of this Policy.

It is hereby expressly stipulated and declared that it shall be a condition precedent to any right of action or suit upon this

policy that award by such arbitrator/arbitrators of the amount of the loss or damage shall be first obtained.

5.15 If the TPA, as per terms and conditions of the policy or the Company shall disclaim liability to the Insured for any claim

hereunder and if the Insured shall not within 12 calendar months from the date or receipt of the notice of such disclaimer

notify the TPA/ Company in writing that he does not accept such disclaimer and intends to recover his claim from the

TPA/Company then the claim shall for all purposes be deemed to have been abandoned and shall not thereafter be

recoverable hereunder.

5.16 All medical/surgical treatments under this policy shall have to be taken in India and admissible claims thereof shall be

payable in Indian currency. Payment of claim shall be made through TPA to the Hospital/Nursing Home or the Insured

Person as the case may be.

Upon acceptance of an offer of settlement, the payment of amount due shall be made within 7 days from the date of acceptance of offer by the Insured. In the cases of delay in the payment, the insurer shall be liable to pay interest at a rate

which is 2% above the bank rate prevalent at the beginning of the financial year in which the claim is reviewed by it.

5.17 Low Claim Ratio Discount (Bonus)

Low Claim Ratio Discount at the following scale will be allowed on the total premium at renewal only depending upon the

incurred claim ratio for the entire group insured under the Group Mediclaim Insurance Policy for the preceding 3 completed years excluding the year immediately preceding the date of renewal where the Group Mediclaim Insurance Policy has not

been in force for 3 completed years, such shorter period of completed years excluding the year immediately preceding the

date of renewal will be taken in to account

Incurred Claim ratio under the group

policy Discount %

Not exceeding 60% 5

Not exceeding 50% 15




5.18 High Claims Ratio Loading (MALUS)

The total premium payable at renewal of the Group Policy will be loaded at the following scale depending upon the incurred

claims ratio for the entire group insured under the Group Mediclaim Insurance Policy for the preceding year (immediately

preceding the date of renewal).

Incurred claims ratio under this group policy Loading

Between 70% and 100% 25%

Between 101% and 125 % 55%

Between 126 % and 150 % 90%

Between 151 % and 175 % 120%

Between 176 and 200 150%

Over 200 % Cover to be reviewed

Note:

1. Low Claim Ratio Discount (Bonus) or High Claim Ratio loading (Malus) will be applicable to the Premium at renewal of the

Policy depending on the incurred claims Ratio for the entire Group Insured. 2. Incurred claim would mean claims paid plus claims outstanding in respect of the entire group insured under the policy during

the relevant period.

The insured shall throughout the period of insurance keep and maintain a proper record of register containing the names of all the

insured persons and other relevant details as are normally kept in any institution/ Organisation. The insured shall declare to the

company any additions in the number of insured persons as and when arising during the period of insurance and shall pay the

additional premium as agreed.

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POLICY NO.: 1413002817P117263021

It is hereby agreed and understood that, that this insurance being a Group Policy availed by the Insured covering Members, the

benefit thereof would not be available to Members who cease to be part of the group for any reason whatsoever. Such members may obtain further individual insurance directly from the Company and any claims shall be governed by the terms

thereof.

6 MATERNITY EXPENSES BENEFIT EXTENSION: (Wherever applicable)

This is an optional cover, which can be obtained on payment of 10% of total basic premium for all the Insured Persons under

the Policy.

Option for Maternity Benefits has to be exercised at the inception of the Policy period and no refund is allowable in case of

Insured's cancellation of this option during currency of the policy.

The hospitalization expenses in respect of the new born child can be covered within the Mother's Maternity expenses. The

maximum benefit allowable under this clause will be up to Rs. 50,000/- or the sum insured opted by the group whichever is

lower.

Special conditions applicable to Maternity expenses Benefit Extension:

1. These Benefits are admissible only if the expenses are incurred in Hospital / Nursing Home as in-patients in India

2. A waiting period of 9 months is applicable for payment of any claim relating to normal delivery or caesarean section or

abdominal operation for extra uterine pregnancy. The waiting period may be relaxed only in case of delivery, miscarriage

or abortion induced by accident or other medical emergency.

3. Claim in respect of delivery for only first two children and / or operations associated therewith will be considered in

respect of any one Insured Person covered under the policy or any renewal thereof. Those Insured Persons who are

already having two or more living children will not be eligible for this benefit.

4. Expenses incurred in connection with voluntary medical termination of pregnancy during the first 12 weeks from the date

of conception are not covered.

5. Pre-natal and postnatal expenses are not covered unless admitted in Hospital / Nursing Home and treatment is taken

there.

Note: When group policy is extended to include Maternity Expenses Benefit, the exclusion No.4.14 of the policy stands deleted.

7 IRDA REGULATIONS : This policy is subject to IRDA (Health Insurance) Regulations 2013 and IRDA (Protection of

Policyholders’ Interest) Regulations 2002 as amended from time to time.

8. GRIEVANCE REDRESSAL : In the event of the policyholder having any grievance relating to the insurance, the insured person

may submit in writing to the Policy Issuing Office or Grievance cells at Regional Office of the Company for redressal. If the

grievance remains unaddressed, the insured person may contact the Officer, Uni-Customer Care Department, Head Office.

9 IMPORTANT NOTICE

The Company may revise any of the terms, conditions and exceptions of this insurance including the premium payable on

renewal in accordance with the guidelines/rules framed by the Insurance Regulatory and Development Authority (IRDA) and

after obtaining prior approval from the Authority. We shall notify you of such changes at least three months before the revision

are to take effect.

The Company may also withdraw the insurance as offered hereunder after following the due process as laid down by the IRDA

and after obtaining prior approval of the Authority and we shall offer to cover you under such revised/new terms, conditions,

exceptions and premium for which we shall have obtained prior approval from the Authority.

* * * * *

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UNITED INDIA INSURANCE COMPANY LIMITED · 2019-12-14 · united india insurance company limited lic building,jeevan nidhi-ii ground floor,ambedkar circle b.s.road,jaipur jaipur -