THE NEW INDIA ASSURANCE CO. LTD. (Government of ...

98
Policy No. : 11170034190400000061 Document generated by null at 13/10/2019 01:00:01 Hours. Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415. For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please visit our website http://newindia.co.in. THE NEW INDIA ASSURANCE CO. LTD. (Government of India Undertaking) Member Extract for Policy Number : 11170034190400000061 Sl No Family Number Member Serial Number Employee Number Name of Employee /Member Age Sex Designation Relation Date of Insurance of First policy Sum Insured (in `) Details of pre-existing Diseases 1 7 1 BCMG STAFF01 PATIL RAMCHA NDRA VIJAYKUM AR 37 Male na Employee 16/04/2019 300000 0 2 7 11 BCMG STAFF01 PATIL JANHAVI RAMCHA NDRA 7 Female na Child 2 16/04/2019 0 0 3 7 3 BCMG STAFF01 PATIL RUDRAPR ATAP RAMCHA NDRA 13 Male na Child 1 16/04/2019 0 0 4 7 2 BCMG STAFF01 PATIL SUJATA RAMCHA NDRA 34 Female na Spouse 16/04/2019 0 0 5 10 11 BCMG STAFF02 RANPISE AKHILESH PRAVINK UMAR 18 Male na Child 2 16/04/2019 0 0 6 10 2 BCMG STAFF02 RANPISE TARKESH WARI PRAVINK UMAR 44 Female na Spouse 16/04/2019 0 0 7 10 3 BCMG STAFF02 RANPISE PRATHME SH PRAVINK UMAR 25 Male na Child 1 16/04/2019 0 0 8 10 1 BCMG STAFF02 RANPISE PRAVINK UMAR YADAVRA O 53 Male na Employee 16/04/2019 200000 0 9 75 2 BCMG STAFF04 PATIL NAMRATA NAVANTH 29 Female na Spouse 16/04/2019 0 0 10 75 1 BCMG STAFF04 PATIL NAVNATH DADASO 33 Male na Employee 16/04/2019 100000 0 11 76 2 BCMG STAFF05 THENGE PRIYANKA SWAPNIL 25 Female na Spouse 16/04/2019 0 0 12 76 1 BCMG STAFF05 THENGE SWAPNIL ASHOK 30 Male na Employee 16/04/2019 100000 0 13 76 3 BCMG STAFF05 THENGE PRIYANS H SWAPNIL 2 Male na Child 1 16/04/2019 0 0 14 77 2 BCMG STAFF06 SHASTRI SURENDR A GANESHR AO 41 Male na Spouse 16/04/2019 0 0 15 77 1 BCMG STAFF06 SHASTRI ARCHANA SURENDR A 35 Female na Employee 16/04/2019 100000 0 16 77 3 BCMG STAFF06 SHASTRI VEDANT SURENDR A 8 Male na Child 1 16/04/2019 0 0

Transcript of THE NEW INDIA ASSURANCE CO. LTD. (Government of ...

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Member Extract for Policy Number : 11170034190400000061

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1 7 1 BCMGSTAFF01

PATILRAMCHA

NDRAVIJAYKUM

AR

37 Male na Employee 16/04/2019 300000 0

2 7 11 BCMGSTAFF01

PATILJANHAVIRAMCHA

NDRA

7 Female na Child 2 16/04/2019 0 0

3 7 3 BCMGSTAFF01

PATILRUDRAPR

ATAPRAMCHA

NDRA

13 Male na Child 1 16/04/2019 0 0

4 7 2 BCMGSTAFF01

PATILSUJATA

RAMCHANDRA

34 Female na Spouse 16/04/2019 0 0

5 10 11 BCMGSTAFF02

RANPISEAKHILESHPRAVINK

UMAR

18 Male na Child 2 16/04/2019 0 0

6 10 2 BCMGSTAFF02

RANPISETARKESH

WARIPRAVINK

UMAR

44 Female na Spouse 16/04/2019 0 0

7 10 3 BCMGSTAFF02

RANPISEPRATHME

SHPRAVINK

UMAR

25 Male na Child 1 16/04/2019 0 0

8 10 1 BCMGSTAFF02

RANPISEPRAVINK

UMARYADAVRA

O

53 Male na Employee 16/04/2019 200000 0

9 75 2 BCMGSTAFF04

PATILNAMRATANAVANTH

29 Female na Spouse 16/04/2019 0 0

10 75 1 BCMGSTAFF04

PATILNAVNATHDADASO

33 Male na Employee 16/04/2019 100000 0

11 76 2 BCMGSTAFF05

THENGEPRIYANKASWAPNIL

25 Female na Spouse 16/04/2019 0 0

12 76 1 BCMGSTAFF05

THENGESWAPNILASHOK

30 Male na Employee 16/04/2019 100000 0

13 76 3 BCMGSTAFF05

THENGEPRIYANS

HSWAPNIL

2 Male na Child 1 16/04/2019 0 0

14 77 2 BCMGSTAFF06

SHASTRISURENDR

AGANESHR

AO

41 Male na Spouse 16/04/2019 0 0

15 77 1 BCMGSTAFF06

SHASTRIARCHANASURENDR

A

35 Female na Employee 16/04/2019 100000 0

16 77 3 BCMGSTAFF06

SHASTRIVEDANT

SURENDRA

8 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

17 78 1 BCMGSTAFF07

SHINDEDNYANES

HWARSANDIPA

N

34 Male na Employee 16/04/2019 100000 0

18 78 2 BCMGSTAFF07

BHANDARE

KOMAL

28 Female na Spouse 16/04/2019 0 0

19 86 1 BCMGSTAFF08

PATELSULTANS

HAABDULKARIMSHA

28 Male na Employee 16/04/2019 200000 0

20 86 3 BCMGSTAFF08

PATELKANEES

FATIMA S

0 Female na Child 1 16/04/2019 0 0

21 86 2 BCMGSTAFF08

PATELSULTANASULTANS

HA

30 Female na Spouse 16/04/2019 0 0

22 20 2 EMP CodeNo. 38

SHINDEASHWINIPAWAN

25 Female na Spouse 16/04/2019 0 0

23 20 1 EMP CodeNo. 38

SHINDEPAWANDIPAK

26 Male na Employee 16/04/2019 100000 0

24 74 2 EMP. CodeNo.31

KALEMAYURASHOK

33 Male na Spouse 16/04/2019 0 0

25 74 1 EMP. CodeNo.31

KALEUJWALAMAYUR

33 Female na Employee 16/04/2019 100000 0

26 19 2 Emp CodeNo. 18

BHASARKAR KIRANHEMCHA

ND

38 Female na Spouse 16/04/2019 0 0

27 19 1 Emp CodeNo. 18

BHASARKAR

HEMCHAND

KRISHNAJI

45 Male na Employee 16/04/2019 200000 0

28 19 11 Emp CodeNo. 18

BHASARKAR

OMISHAHEMCHA

ND

6 Female na Child 2 16/04/2019 0 0

29 19 3 Emp CodeNo. 18

BHASARKAR OSHINHEMCHA

ND

16 Female na Child 1 16/04/2019 0 0

30 17 1 Emp CodeNo. 40

DALVIANKITA

PRAMOD

30 Female na Employee 16/04/2019 200000 0

31 17 2 Emp CodeNo. 40

DALVIPRAMODRAMCHA

NDRA

35 Male na Spouse 16/04/2019 0 0

32 11 3 Emp Code-07

BAGULSARTHAKSHARAD

11 Male na Child 1 16/04/2019 0 0

33 11 2 Emp Code-07

BAGULSHUBHA

NGISHARAD

34 Female na Spouse 16/04/2019 0 0

34 11 1 Emp Code-07

BAGULSHARADTANAJI

39 Male na Employee 16/04/2019 200000 0

35 11 11 Emp Code-07

BAGULSHRUSTISHARAD

8 Female na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

36 12 3 Emp Code-10

KHOTATHARVVISHWAJI

T

13 Male na Child 1 16/04/2019 0 0

37 12 2 Emp Code-10

KHOTPRACHI

VISHWAJIT

38 Female na Spouse 16/04/2019 0 0

38 12 11 Emp Code-10

KHOTAISHWAR

YAVISHWAJI

T

6 Female na Child 2 16/04/2019 0 0

39 12 1 Emp Code-10

KHOTVISHWAJIT ASHOK

41 Male na Employee 16/04/2019 100000 0

40 13 2 Emp Code-11

TELICHANDRAKALA

CHANDRAKANT

46 Female na Spouse 16/04/2019 0 0

41 13 1 Emp Code-11

TELICHANDRAKANTRAMA

55 Male na Employee 16/04/2019 100000 0

42 13 3 Emp Code-11

TELIROHIT

CHANDRAKANT

21 Male na Child 1 16/04/2019 0 0

43 13 11 Emp Code-11

TELIVILAS

CHANDRAKANT

18 Male na Child 2 16/04/2019 0 0

44 14 2 Emp Code-37

RAJAN MR

52 Male na Spouse 16/04/2019 0 0

45 14 1 Emp Code-37

RAJANSUNI

46 Female na Employee 16/04/2019 100000 0

46 14 3 Emp Code-37

RAJANARYA M

14 Female na Child 1 16/04/2019 0 0

47 16 3 Emp Code-39

NARVEKAR

TANISHKA

MARMIK

12 Female na Child 1 16/04/2019 0 0

48 16 1 Emp Code-39

NARVEKAR REENAMARMIK

38 Female na Employee 16/04/2019 100000 0

49 16 2 Emp Code-39

NARVEKAR

MARMIKPRABHAK

AR

41 Male na Spouse 16/04/2019 0 0

50 18 3 Emp Code-13

KADAMMRINANKDEEPAK

2 Male na Child 1 16/04/2019 0 0

51 18 2 Emp Code-13

KADAMNEELAMDEEPAK

34 Female na Spouse 16/04/2019 0 0

52 18 1 Emp Code-13

KADAMDEEPAKDINKAR

39 Male na Employee 16/04/2019 500000 0

53 21 1 Emp Code-15

DENDGESHRIKISH

ANRANGNAT

HRAO

44 Male na Employee 16/04/2019 200000 0

54 21 2 Emp Code-15

DENDGEMATHUR

ASHRIKISH

AN

32 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

55 21 11 Emp Code-15

DENDGEKARTIK

SHRIKISHAN

8 Male na Child 2 16/04/2019 0 0

56 21 3 Emp Code-15

DENDGERUTUJA

SHRIKISHAN

13 Female na Child 1 16/04/2019 0 0

57 22 11 Emp Code-16

GAIKWADNEELAKS

HIRAKESH

2 Female na Child 2 16/04/2019 0 0

58 22 3 Emp Code-16

GAIKWADNABHARAKESH

6 Female na Child 1 16/04/2019 0 0

59 22 2 Emp Code-16

GAIKWADRAKESH

C

35 Male na Spouse 16/04/2019 0 0

60 22 1 Emp Code-16

GAIKWADJAYSHREERAKESH

35 Female na Employee 16/04/2019 200000 0

61 15 2 Emp Code-19

INGLEJYOTIAJAY

39 Female na Spouse 16/04/2019 0 0

62 15 1 Emp Code-19

INGLEAJAY

VASANT

43 Male na Employee 16/04/2019 100000 0

63 15 3 Emp Code-19

INGLEATHARV

AJAY

12 Male na Child 1 16/04/2019 0 0

64 29 3 Emp. CodeNo. 08

NAIRSARANYASRINIVAS

AN

21 Female na Child 1 16/04/2019 0 0

65 29 2 Emp. CodeNo. 08

NAIRSRINIVAS

AN M

51 Male na Spouse 16/04/2019 0 0

66 29 1 Emp. CodeNo. 08

NAIRSANTHASRINIVAS

AN

52 Female na Employee 16/04/2019 100000 0

67 238 1 Emp. CodeNo.27

JARANDEDNYANES

HWARGANESH

27 Male na Employee 16/04/2019 100000 0

68 233 3 Emp.CodeNo. 26

THAKURKHUSHICHETAN

4 Female na Child 1 16/04/2019 0 0

69 233 1 Emp.CodeNo. 26

THAKURCHETAN

DILIP

32 Male na Employee 16/04/2019 200000 0

70 233 2 Emp.CodeNo. 26

THAKURLALITA

CHETAN

26 Female na Spouse 16/04/2019 0 0

71 8 1 EmployeeCode No.42

CHAVANVISHWAS

VILAS

28 Male na Employee 16/04/2019 200000 0

72 131 1 MAAH/168/2003

FASKEJAYANT

SHIVAJIRAO

34 Male na Employee 16/04/2019 100000 0

73 131 3 MAAH/168/2003

FASKEARUNOD

OY J

3 Male na Child 1 16/04/2019 0 0

74 131 2 MAAH/168/2003

FASKEMIRA J

25 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

75 126 1 MAH-5757/2008

GHOGARE

PANDURANG

POPATRAO

36 Male na Employee 16/04/2019 100000 0

76 126 11 MAH-5757/2008

GHOGARE

HARSHADPANDURA

NG

1 Male na Child 2 16/04/2019 0 0

77 126 3 MAH-5757/2008

GHOGARE SIDDHIPANDURA

NG

4 Female na Child 1 16/04/2019 0 0

78 126 2 MAH-5757/2008

GHOGAARE

ARCHANAP

28 Female na Spouse 16/04/2019 0 0

79 146 2 MAH/102/2015

GHOGARE VIDHYA

23 Female na Spouse 16/04/2019 0 0

80 146 1 MAH/102/2015

GHOGARE

SHARADUDAYBHA

N

31 Male na Employee 16/04/2019 100000 0

81 146 3 MAH/102/2015

GHOGARE

AKASHYAA

2 Female na Child 1 16/04/2019 0 0

82 119 1 MAH/11106/2000

YADAVSANJAYDAGDU

44 Male na Employee 16/04/2019 100000 0

83 119 2 MAH/11106/2000

YADAVSAVITASANJAY

40 Female na Spouse 16/04/2019 0 0

84 119 11 MAH/11106/2000

YADAVDHAIRYA

SHILSANJAY

13 Male na Child 2 16/04/2019 0 0

85 119 3 MAH/11106/2000

YADAVVAISHNAVI SANJAY

17 Female na Child 1 16/04/2019 0 0

86 120 1 MAH/1142/2013

PAWARBALASAH

EBMADHAV

RAO

39 Male na Employee 16/04/2019 100000 0

87 120 2 MAH/1142/2013

PAWARPRANITABALSAHE

B

39 Female na Spouse 16/04/2019 0 0

88 120 11 MAH/1142/2013

PAWARPIYUSH

BALASAHEB

12 Male na Child 2 16/04/2019 0 0

89 120 3 MAH/1142/2013

PAWARRPRAJAKTABALASAH

EB

17 Female na Child 1 16/04/2019 0 0

90 127 2 MAH/115/2012

KATHARERANJANASANDEEP

27 Female na Spouse 16/04/2019 0 0

91 127 1 MAH/115/2012

KATHARESANDEEPGANAPAT

RAO

32 Male na Employee 16/04/2019 100000 0

92 127 3 MAH/115/2012

KATHARESWARA

SANDEEP

2 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

93 231 3 MAH/1160/1990

JOSHIADITYAARVIND

21 Male na Child 1 16/04/2019 0 0

94 231 1 MAH/1160/1990

JOSHIARVINDRAMAKA

NT

53 Male na Employee 16/04/2019 300000 0

95 231 2 MAH/1160/1990

JOSHIVARSHAARVIND

50 Female na Spouse 16/04/2019 0 0

96 183 2 MAH/1163/1992

SAGARMANISHA

BALAJI

50 Female na Spouse 16/04/2019 0 0

97 183 1 MAH/1163/1992

SAGARBALAJI

LAXMAN

51 Male na Employee 16/04/2019 100000 0

98 183 3 MAH/1163/1992

SAGARPRATHMESH BALAJI

22 Male na Child 1 16/04/2019 0 0

99 97 3 MAH/1170/1981

SANCHETI

SIDDHANT

KANTILAL

21 Male na Child 1 16/04/2019 0 0

100 97 2 MAH/1170/1981

SANCHETI

HEMLATAKANTILAL

60 Female na Spouse 16/04/2019 0 0

101 97 1 MAH/1170/1981

SANCHETI

KANTILALKISANLAL

61 Male na Employee 16/04/2019 100000 0

102 197 2 MAH/1226/1984

HALKUDESUNITASHARAD

51 Female na Spouse 16/04/2019 0 0

103 197 1 MAH/1226/1984

HALKUDESHARADSHANKAR

APPA

61 Male na Employee 16/04/2019 100000 0

104 123 2 MAH/1227/11981

DEOLEPRADNYAPRATAPR

AO

52 Female na Spouse 16/04/2019 0 0

105 123 1 MAH/1227/11981

DEVALEPRATAP

PRABHAKAR

64 Male na Employee 16/04/2019 200000 0

106 122 3 MAH/1307/2012

DEVALEPARTHPRATIK

2 Male na Child 1 16/04/2019 0 0

107 122 2 MAH/1307/2012

DEVALEROHINIPRATIK

28 Female na Spouse 16/04/2019 0 0

108 122 1 MAH/1307/2012

DEVALEPRATIK

PRATAPRAO

31 Male na Employee 16/04/2019 100000 0

109 224 3 MAH/1321/2005

GHULEARJUN

SANDEEP

8 Male na Child 1 16/04/2019 0 0

110 224 2 MAH/1321/2005

GHULEUSHA

SANDEEP

37 Female na Spouse 16/04/2019 0 0

111 224 1 MAH/1321/2005

GHULESANDEEPMAHADE

O

37 Male na Employee 16/04/2019 500000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

112 182 1 MAH/1326/1989

RODGEPRATAP

GOVINDRAO

59 Male na Employee 16/04/2019 200000 0

113 182 2 MAH/1326/1989

RODGEMADHURIPRATAP

48 Female na Spouse 16/04/2019 0 0

114 187 2 MAH/1348/2012

JADHAVSULKASH

NAPRASHAN

T

29 Female na Spouse 16/04/2019 0 0

115 187 1 MAH/1348/2012

JADHAVPRASHAN

TBABRUW

AN

32 Male na Employee 16/04/2019 100000 0

116 124 11 MAH/135/2009

WAGHOLIKAR

DNYANESHWARI

NARENDRA

2 Male na Child 2 16/04/2019 0 0

117 124 1 MAH/135/2009

WAGHOLIKAR

NARENDRA N

34 Male na Employee 16/04/2019 100000 0

118 124 3 MAH/135/2009

WAGHOLIKAR

NARAYANI

NARENDRA

5 Female na Child 1 16/04/2019 0 0

119 124 2 MAH/135/2009

WAGHOLIKAR

PRIYANKANARENDR

A

25 Female na Spouse 16/04/2019 0 0

120 105 2 MAH/1381/2000

YADAVYOGITA

NANDKISHORE

43 Female na Spouse 16/04/2019 0 0

121 105 11 MAH/1381/2000

YADAVANUSHKANANDKIS

HORE

10 Female na Child 2 16/04/2019 0 0

122 105 1 MAH/1381/2000

YADAVNANDKIS

HOREUDDHAV

RAO

45 Male na Employee 16/04/2019 200000 0

123 105 3 MAH/1381/2000

YADAVATHARVANANDKIS

HORE

14 Male na Child 1 16/04/2019 0 0

124 220 1 MAH/1404/2014

DAUNDKAR

SUHASVITTHAL

36 Male na Employee 16/04/2019 100000 0

125 220 2 MAH/1404/2014

DAUNDKAR

ROHINISUHAS

27 Female na Spouse 16/04/2019 0 0

126 220 3 MAH/1404/2014

DAUNDKAR

HITESHREE

SUHAS

5 Female na Child 1 16/04/2019 0 0

127 95 3 MAH/1437/2000

WAKUREMITALISANJAY

14 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

128 95 2 MAH/1437/2000

WAKURESHAILAJASANJAY

35 Female na Spouse 16/04/2019 0 0

129 95 1 MAH/1437/2000

WAKURESANJAY

ABHIMANYU

43 Male na Employee 16/04/2019 100000 0

130 95 11 MAH/1437/2000

WAKURESWARAJSANJAY

9 Male na Child 2 16/04/2019 0 0

131 213 3 MAH/1463/1994

KOCHECHAKSHURAVINDR

A

22 Male na Child 1 16/04/2019 0 0

132 213 2 MAH/1463/1994

KOCHESUJATA

RAVINDRA

45 Female na Spouse 16/04/2019 0 0

133 213 1 MAH/1463/1994

KOCHERAVINDR

ADHARAM

DAS

52 Male na Employee 16/04/2019 200000 0

134 91 1 MAH/1487/2016

KORGAONKAR

KESHAVATMARA

M

58 Male na Employee 16/04/2019 500000 0

135 91 2 MAH/1487/2016

KORGAONKAR

MADHAVIKESHAV

56 Female na Spouse 16/04/2019 0 0

136 91 3 MAH/1487/2016

KORGAONKAR

APURVAKESHAV

23 Female na Child 1 16/04/2019 0 0

137 118 11 MAH/1516/1991

BIRADKAR

TANMAYRAMAKA

NT

17 Male na Child 2 16/04/2019 0 0

138 118 3 MAH/1516/1991

BIRADKAR

NAMRATARAMAKA

NT

21 Female na Child 1 16/04/2019 0 0

139 118 2 MAH/1516/1991

BIRADARALKA

RAMAKANT

44 Female na Spouse 16/04/2019 0 0

140 118 1 MAH/1516/1991

BIRADARRAMAKA

NTTRIMBAK

RAO

51 Male na Employee 16/04/2019 200000 0

141 211 1 MAH/1593/1995

KATERAHUL

SOPANRAO

47 Male na Employee 16/04/2019 1000000 0

142 211 11 MAH/1593/1995

KATESANA

RAHUL

13 Female na Child 2 16/04/2019 0 0

143 211 3 MAH/1593/1995

KATESIDDHAR

THRAHUL

19 Male na Child 1 16/04/2019 0 0

144 211 2 MAH/1593/1995

KATEANUPAMA RAHUL

45 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

145 196 1 MAH/1598/1989

PATILPRARASH

INGHBHIKA

63 Male na Employee 16/04/2019 200000 0

146 196 2 MAH/1598/1989

PATILJAYSHREEPRAKASH

SINGH

60 Female na Spouse 16/04/2019 0 0

147 225 1 MAH/1606/2002

GHOLAPYUVRAJ

RAMCHANDRA

38 Male na Employee 16/04/2019 300000 0

148 225 2 MAH/1606/2002

GHOLAPMIRA

YUVRAJ

34 Female na Spouse 16/04/2019 0 0

149 225 3 MAH/1606/2002

GHOLAPADESHYUVRAJ

7 Male na Child 1 16/04/2019 0 0

150 96 3 MAH/1619/2012

SONARAVNEESHANUDEEP

1 Female na Child 1 16/04/2019 0 0

151 96 2 MAH/1619/2012

SONARCHAITALIANUDEEP

26 Female na Spouse 16/04/2019 0 0

152 96 1 MAH/1619/2012

SONARANUDEEP

DILIP

29 Male na Employee 16/04/2019 200000 0

153 217 3 MAH/1646/1998

PANDEYANAND

BALIRAM

24 Male na Child 1 16/04/2019 0 0

154 217 2 MAH/1646/1998

PANDEYVIBHA

BALIRAM

47 Female na Spouse 16/04/2019 0 0

155 217 1 MAH/1646/1998

PANDEYBALIRAMNEURPRA

SAD

51 Male na Employee 16/04/2019 300000 0

156 89 1 MAH/1684/2011

KATEDESHMU

KHPANKAJPRADIP

31 Male na Employee 16/04/2019 200000 0

157 89 2 MAH/1684/2011

SHINDEAMRUTA

ANIL

29 Female na Spouse 16/04/2019 0 0

158 101 3 MAH/1761/2013

BORDESHASWATI RAHUL

2 Female na Child 1 16/04/2019 0 0

159 101 2 MAH/1761/2013

BORDERAHULSUDAM

29 Male na Spouse 16/04/2019 0 0

160 101 1 MAH/1761/2013

AAGEPORNIMAPRAKASH

30 Female na Employee 16/04/2019 100000 0

161 136 1 MAH/1808/2017

BHURERRAJEND

RABALWANT

56 Male na Employee 16/04/2019 100000 0

162 136 3 MAH/1808/2017

BHUREPRATIKSH

A R

22 Female na Child 1 16/04/2019 0 0

163 136 2 MAH/1808/2017

BHUREPRANITA

R

50 Female na Spouse 16/04/2019 0 0

164 139 3 MAH/1885/2009

MULANIMOHAMM

ADSAEEDJAMIR

4 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

165 139 11 MAH/1885/2009

MULANIJARINJAMIR

6 Female na Child 2 16/04/2019 0 0

166 139 2 MAH/1885/2009

MULANIROHINA J

30 Female na Spouse 16/04/2019 0 0

167 139 1 MAH/1885/2009

MULANIJAMIR

AHMAD

32 Male na Employee 16/04/2019 100000 0

168 94 3 MAH/189/2012

RAKHONDE

MADHURA

GANESH

7 Female na Child 1 16/04/2019 0 0

169 94 11 MAH/189/2012

RAKHONDE

SARTHAKGANESH

5 Male na Child 2 16/04/2019 0 0

170 94 2 MAH/189/2012

RAKHONDE

KAVITAGANESH

32 Female na Spouse 16/04/2019 0 0

171 94 1 MAH/189/2012

RAKHONDE

GANESHMAHADE

O

38 Male na Employee 16/04/2019 100000 0

172 186 1 MAH/191/2009

KANADEANGADLALA

35 Male na Employee 16/04/2019 200000 0

173 186 2 MAH/191/2009

KANADEROHINIANGAD

31 Female na Spouse 16/04/2019 0 0

174 186 3 MAH/191/2009

KANADEALINI

ANGAD

3 Female na Child 1 16/04/2019 0 0

175 223 1 MAH/1930/2018

ANDHALENILESH

BALASAHEB

28 Male na Employee 16/04/2019 200000 0

176 212 11 MAH/198/1993

MANGHIRMALANIAYUSHARVIND

19 Male na Child 2 16/04/2019 0 0

177 212 3 MAH/198/1993

MANGHIRMALANIMOHAKARVIND

21 Male na Child 1 16/04/2019 0 0

178 212 1 MAH/198/1993

MANGHIRMALANIARVIND

FATECHAND

57 Male na Employee 16/04/2019 200000 0

179 212 2 MAH/198/1993

MANGHIRMALANIKAAJALARVIND

47 Female na Spouse 16/04/2019 0 0

180 100 1 MAH/198/1994

PATKARSANJAY

GAJANAN

51 Male na Employee 16/04/2019 100000 0

181 100 2 MAH/198/1994

PATKARSUPRIYASANJAY

46 Female na Spouse 16/04/2019 0 0

182 100 3 MAH/198/1994

PATKARVISHWARAJ SANJAY

20 Male na Child 1 16/04/2019 0 0

183 207 3 MAH/1990/2007

BHARGAVPRAMODMAYURE

4 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

184 207 1 MAH/1990/2007

MAYUREPRAMODCHANDRASHEKHA

R

36 Male na Employee 16/04/2019 500000 0

185 207 2 MAH/1990/2007

MAYURENEHA

PRAMOD

28 Female na Spouse 16/04/2019 0 0

186 181 1 MAH/2018/2015

KAKADEAMARSIN

HASHANKAR

28 Male na Employee 16/04/2019 100000 0

187 113 2 MAH/202/2008

SANGALESEEMA

DAYANAD

37 Female na Spouse 16/04/2019 0 0

188 113 1 MAH/202/2008

SANGALEDAYANAN

DDATTATR

AYA

37 Male na Employee 16/04/2019 100000 0

189 113 3 MAH/202/2008

SANGALESWAPANJI

T

9 Male na Child 1 16/04/2019 0 0

190 218 3 MAH/2020/2005

RETAWADE

SANSKARVIJAY

10 Male na Child 1 16/04/2019 0 0

191 218 1 MAH/2020/2005

RETAWADE VIJAYGOPAL

38 Male na Employee 16/04/2019 300000 0

192 218 2 MAH/2020/2005

RETAWADE DIPALI

VIJAY

29 Female na Spouse 16/04/2019 0 0

193 218 11 MAH/2020/2005

RETAWADE

SRUSHTIVIJAY

7 Female na Child 2 16/04/2019 0 0

194 188 1 MAH/2028/2007

SALGARSURESH

PRABHAKAR

35 Male na Employee 16/04/2019 100000 0

195 188 2 MAH/2028/2007

SALGARPADMAJASURESH

28 Female na Spouse 16/04/2019 0 0

196 204 3 MAH/2067/2010

SHIVARKAR

PRADNYESH

PRASAD

2 Male na Child 1 16/04/2019 0 0

197 204 2 MAH/2067/2010

SHIVARKAR

VISHAKHA

PRASAD

29 Female na Spouse 16/04/2019 0 0

198 204 1 MAH/2067/2010

SHIVARKAR

PRASADVIJAY

31 Male na Employee 16/04/2019 200000 0

199 140 11 MAH/2080/2006

DESHMUKH

ANAANYA

0 Female na Child 2 16/04/2019 0 0

200 140 3 MAH/2080/2006

DESHMUKH VIRAJ

3 Male na Child 1 16/04/2019 0 0

201 140 1 MAH/2080/2006

DESHMUKH

VISHALMANOHA

RRAO

37 Male na Employee 16/04/2019 300000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

202 140 2 MAH/2080/2006

DESHMUMKH

PRADNYV

29 Female na Spouse 16/04/2019 0 0

203 134 2 MAH/21183/2005

HAGAREUJWALA P

32 Female na Spouse 16/04/2019 0 0

204 134 1 MAH/21183/2005

HAGAREPRASHAN

TSUBHASH

38 Male na Employee 16/04/2019 500000 0

205 134 3 MAH/21183/2005

HAGAREVEERA P

7 Female na Child 1 16/04/2019 0 0

206 134 11 MAH/21183/2005

HAGARESWARAJ P

2 Male na Child 2 16/04/2019 0 0

207 88 11 MAH/2136/2005

VASEKARSHRIRAM

SUNIL

6 Male na Child 2 16/04/2019 0 0

208 88 1 MAH/2136/2005

VASEKARSUNIL

ISHWAR

40 Male na Employee 16/04/2019 200000 0

209 88 2 MAH/2136/2005

VASEKARASHWINI

SUNIL

34 Female na Spouse 16/04/2019 0 0

210 88 3 MAH/2136/2005

VASEKARDURVASUNIL

9 Female na Child 1 16/04/2019 0 0

211 222 1 MAH/2160/2003

RODEDYANESH

WARSHANTAR

AM

42 Male na Employee 16/04/2019 200000 0

212 222 11 MAH/2160/2003

RODEPUJA

DYANESHWAR

8 Female na Child 2 16/04/2019 0 0

213 222 2 MAH/2160/2003

RODESHITAL

DYANESHWAR

29 Female na Spouse 16/04/2019 0 0

214 222 3 MAH/2160/2003

RODEPIYUSH

DYANESHWAR

11 Male na Child 1 16/04/2019 0 0

215 189 1 MAH/2260/2007

BHISESACHIN

SAMPATRAO

37 Male na Employee 16/04/2019 200000 0

216 189 2 MAH/2260/2007

BHISESHILPASACHIN

30 Female na Spouse 16/04/2019 0 0

217 189 3 MAH/2260/2007

BHISEADITYASACHIN

9 Male na Child 1 16/04/2019 0 0

218 189 11 MAH/2260/2007

BHISEAJINKYASACHIN

6 Male na Child 2 16/04/2019 0 0

219 90 2 MAH/2284/2009

PATILAMRUTARANJEET

25 Female na Spouse 16/04/2019 0 0

220 90 1 MAH/2284/2009

PATILRANJEETHAMBIRR

AO

32 Male na Employee 16/04/2019 1000000 0

221 205 1 MAH/2367/2014

DANDGAVAN

SANDEEPVASANTR

AO

43 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

222 205 11 MAH/2367/2014

DANDGAVAN

VIHAANSANDEEP

3 Female na Child 2 16/04/2019 0 0

223 205 2 MAH/2367/2014

DANDGAVAN

SONALISANDEEP

35 Female na Spouse 16/04/2019 0 0

224 205 3 MAH/2367/2014

DANDGAVAN

VIRAAJSANDEEP

3 Male na Child 1 16/04/2019 0 0

225 184 11 MAH/2454/2006

AGRAWAL KESHAV

SUMIT

5 Male na Child 2 16/04/2019 0 0

226 184 3 MAH/2454/2006

AGRAWAL NIDHISUMIT

11 Female na Child 1 16/04/2019 0 0

227 184 2 MAH/2454/2006

AGRAWALNEELAM

SUMIT

36 Female na Spouse 16/04/2019 0 0

228 184 1 MAH/2454/2006

AGRAWAL SUMITSURESH

36 Male na Employee 16/04/2019 100000 0

229 209 1 MAH/247/1975

DHARIARAJESH

KIRTANLAL

69 Male na Employee 16/04/2019 500000 0

230 209 2 MAH/247/1975

DHARIAKUMUDRAJESH

69 Female na Spouse 16/04/2019 0 0

231 1470 11 MAH/2484/2010

SUFIASHAIKH

3 Female na Child 2 16/04/2019 0 0

232 1470 3 MAH/2484/2010

ALIASHAIKH

5 Female na Child 1 16/04/2019 0 0

233 1470 2 MAH/2484/2010

SHAHINSHAIKH

27 Female na Spouse 16/04/2019 0 0

234 1470 1 MAH/2484/2010

SHAIKHLALKHAN

RAJJAK

35 Male na Employee 16/04/2019 100000 0

235 108 1 MAH/2497/2002

MORAMPALE

SANDIPAN

NAMDEV

43 Male na Employee 16/04/2019 200000 0

236 108 11 MAH/2497/2002

MORAMPALLE

VARADSANDIPA

N

8 Male na Child 2 16/04/2019 0 0

237 108 3 MAH/2497/2002

MORAMPALLE

ADITYASANDIPA

N

14 Male na Child 1 16/04/2019 0 0

238 108 2 MAH/2497/2002

MORAMPALE

SWATISANDIPA

N

40 Female na Spouse 16/04/2019 0 0

239 190 1 MAH/26/1982

DHENGLESUBRAO

ASHRUBA

64 Male na Employee 16/04/2019 200000 0

240 190 3 MAH/26/1982

DHENGLESWAPNILSUBRAO

20 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

241 190 2 MAH/26/1982

DHENGLESUNAND

ASUBRAO

57 Female na Spouse 16/04/2019 0 0

242 201 11 MAH/2605/2006

TALEKARADIRAJ

PRAKASH

4 Male na Child 2 16/04/2019 0 0

243 201 3 MAH/2605/2006

TALEKARVAISHAN

AVIPRAKASH

8 Female na Child 1 16/04/2019 0 0

244 201 1 MAH/2605/2006

TALEKARPRAKASHRANGNAT

H

37 Male na Employee 16/04/2019 500000 0

245 201 2 MAH/2605/2006

TALEKARSUNITA

PRAKASH

31 Female na Spouse 16/04/2019 0 0

246 130 1 MAH/2696/2007

PATILPAWANKUMKAR

JALINDAR

38 Male na Employee 16/04/2019 100000 0

247 130 2 MAH/2696/2007

PATILSUPRIYAPAWANK

UMAR

29 Female na Spouse 16/04/2019 0 0

248 130 3 MAH/2696/2007

PATILMANTHA

N PA

4 Male na Child 1 16/04/2019 0 0

249 104 3 MAH/2774/2009

SHIRSATYUVRAJSUHAS

3 Male na Child 1 16/04/2019 0 0

250 104 2 MAH/2774/2009

SHIRSATKAVERISUHAS

23 Female na Spouse 16/04/2019 0 0

251 104 1 MAH/2774/2009

SHIRSATSUHAS

RAJENDRA

31 Male na Employee 16/04/2019 100000 0

252 129 3 MAH/2788/2007

KULKARNI

SHRIRANG

SHRIRAM

4 Male na Child 1 16/04/2019 0 0

253 129 2 MAH/2788/2007

KULKARNI SONALISHRIRAM

29 Female na Spouse 16/04/2019 0 0

254 129 1 MAH/2788/2007

KULKARNI

SHRIRAMASHOK

39 Male na Employee 16/04/2019 200000 0

255 106 1 MAH/2943/2002

GAIKESHANTILA

LJAGANNA

TH

44 Male na Employee 16/04/2019 100000 0

256 106 11 MAH/2943/2002

GAIKEJEEVAN

SHANTILAL

8 Male na Child 2 16/04/2019 0 0

257 106 2 MAH/2943/2002

GAIKEVAISHALISHANTILA

L

35 Female na Spouse 16/04/2019 0 0

258 106 3 MAH/2943/2002

GAIKEGAURI

SHANTILAL

11 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

259 232 1 MAH/2960/2011

POTDARRAJESH

SHRIPATRAO

46 Male na Employee 16/04/2019 200000 0

260 232 3 MAH/2960/2011

POTDAROM

RAJESH

16 Male na Child 1 16/04/2019 0 0

261 232 11 MAH/2960/2011

POTDARNARAYANI RAJESH

3 Female na Child 2 16/04/2019 0 0

262 232 2 MAH/2960/2011

POTDARMEGHARAJESH

39 Female na Spouse 16/04/2019 0 0

263 149 3 MAH/2971/2008

PATILSHRIKUM

ARRAMCHA

NDRA

6 Male na Child 1 16/04/2019 0 0

264 149 2 MAH/2971/2008

PATILVARSHARAMCHA

NDRA

35 Female na Spouse 16/04/2019 0 0

265 149 1 MAH/2971/2008

PATILRAMCHA

NDRASHIVAJIR

AO

34 Male na Employee 16/04/2019 100000 0

266 149 11 MAH/2971/2008

PATILPIUSHKU

MARRAMCHA

NDRA

1 Male na Child 2 16/04/2019 0 0

267 132 3 MAH/3021/2006

PATELHARIT H

11 Male na Child 1 16/04/2019 0 0

268 132 11 MAH/3021/2006

PATELYAKSH H

7 Male na Child 2 16/04/2019 0 0

269 132 2 MAH/3021/2006

PATELARUNA H

36 Female na Spouse 16/04/2019 0 0

270 132 1 MAH/3021/2006

PATELHITES

RANCHHODBHAI

37 Male na Employee 16/04/2019 500000 0

271 24 1 MAH/3022/2006

SURYAWANSHI

BHAGWANTRAOBHATA

42 Male na Employee 16/04/2019 100000 0

272 24 2 MAH/3022/2006

HARSHALA

SURYAWANSHI

33 Female na Spouse 16/04/2019 0 0

273 24 3 MAH/3022/2006

DEVYANISURYAWANSHI

0 Female na Child 1 16/04/2019 0 0

274 202 1 MAH/303/2001

SIRSATABHAY

RATNAKAR

41 Male na Employee 16/04/2019 500000 0

275 202 3 MAH/303/2001

SIRSATSAEE

ABHAY

10 Female na Child 1 16/04/2019 0 0

276 202 2 MAH/303/2001

SIRSATSMITAABHAY

36 Female na Spouse 16/04/2019 0 0

277 202 11 MAH/303/2001

SIRSATSANVIABHAY

6 Female na Child 2 16/04/2019 0 0

278 206 3 MAH/3030/2008

TUPEMANISHYOGESH

6 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

279 206 11 MAH/3030/2008

TUPEAJINKYAYOGESH

3 Male na Child 2 16/04/2019 0 0

280 206 2 MAH/3030/2008

TUPEMONALIYOGESH

35 Female na Spouse 16/04/2019 0 0

281 206 1 MAH/3030/2008

TUPEYOGESHSHIVAJIR

AO

34 Male na Employee 16/04/2019 200000 0

282 221 3 MAH/3053/2012

AHIREPRANJALPRAVIN

0 Female na Child 1 16/04/2019 0 0

283 221 2 MAH/3053/2012

AHIREDEEPALIPRAVIN

29 Female na Spouse 16/04/2019 0 0

284 221 1 MAH/3053/2012

AHIREPRAVIN

MADHAVRAO

31 Male na Employee 16/04/2019 200000 0

285 98 1 MAH/3135/2009

HONASHWINVINAYAK

32 Male na Employee 16/04/2019 200000 0

286 98 2 MAH/3135/2009

HONSHITALASHWIN

25 Female na Spouse 16/04/2019 0 0

287 98 3 MAH/3135/2009

HONVIHAANASHWIN

1 Male na Child 1 16/04/2019 0 0

288 103 2 MAH/3214/2005

SURYAWANSHI

DEEPAK

37 Male na Spouse 16/04/2019 0 0

289 103 1 MAH/3214/2005

KANDALKAR

VAISHALISHANKAR

38 Female na Employee 16/04/2019 100000 0

290 109 2 MAH/3218/2008

ZADESUSHAM

ARUPESH

32 Female na Spouse 16/04/2019 0 0

291 109 1 MAH/3218/2008

ZADERUPESH

ATUL

36 Male na Employee 16/04/2019 200000 0

292 109 3 MAH/3218/2008

ZADESHUBHRARUPESH

5 Female na Child 1 16/04/2019 0 0

293 109 11 MAH/3218/2008

ZADERUDRARUPESH

0 Female na Child 2 16/04/2019 0 0

294 102 2 MAH/3219/2007

MISHRASEEMAASHISH

35 Female na Spouse 16/04/2019 0 0

295 102 1 MAH/3219/2007

MISHRAASHISH

UDAYSHANKAR

35 Male na Employee 16/04/2019 500000 0

296 102 11 MAH/3219/2007

MISHRAETASHAASHISH

0 Female na Child 2 16/04/2019 0 0

297 102 3 MAH/3219/2007

MISHRAAMYRAASHISH

3 Female na Child 1 16/04/2019 0 0

298 185 1 MAH/3258/2011

ANMOLKEDAR

GUNDERAO

33 Male na Employee 16/04/2019 100000 0

299 185 2 MAH/3258/2011

ANMOLJYOTI

KEDAR

30 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

300 185 11 MAH/3258/2011

ANMOLKANISHKA KEDAR

1 Female na Child 2 16/04/2019 0 0

301 185 3 MAH/3258/2011

ANMOLSHREYAN

SHKEDAR

5 Male na Child 1 16/04/2019 0 0

302 133 1 MAH/3343/2012

SHAIKHAAFRINHANIF

30 Female na Employee 16/04/2019 300000 0

303 133 2 MAH/3343/2012

MOHAMMAD HANIFSHAIKH

48 Male na Spouse 16/04/2019 0 0

304 128 1 MAH/3434/2003

MAINDADRAVINDR

AHARIBHA

U

39 Male na Employee 16/04/2019 300000 0

305 128 3 MAH/3434/2003

MAINDADSWRALI R

11 Female na Child 1 16/04/2019 0 0

306 128 2 MAH/3434/2003

MAINDADSUSHAM

A R

36 Female na Spouse 16/04/2019 0 0

307 174 11 MAH/345/1992

YADAVROHIT S

22 Male na Child 2 16/04/2019 0 0

308 174 3 MAH/345/1992

YADAVNEHA S

24 Female na Child 1 16/04/2019 0 0

309 174 2 MAH/345/1992

YADAVNIRMALA

S

50 Female na Spouse 16/04/2019 0 0

310 174 1 MAH/345/1992

YADAVSACHIND

RAKUMAR

GURUDIN

52 Male na Employee 16/04/2019 100000 0

311 31 2 MAH/3453/2005

NALAWADE SWATIGANESH

37 Female na Spouse 16/04/2019 0 0

312 31 3 MAH/3453/2005

NALAWADE

KIMAYAGANESH

6 Female na Child 1 16/04/2019 0 0

313 31 1 MAH/3453/2005

NALAWADE

GANESHLAXMAN

13 Male na Employee 16/04/2019 100000 0

314 208 2 MAH/357/2013

MAGARALKASUNIL

39 Female na Spouse 16/04/2019 0 0

315 208 3 MAH/357/2013

MAGARSANKALP

SUNIL

6 Male na Child 1 16/04/2019 0 0

316 208 1 MAH/357/2013

MAGARSUNIL

DASHARATH

41 Male na Employee 16/04/2019 300000 0

317 141 1 MAH/3625/2008

JADHWARSUSHRUT

SIVAJI

34 Male na Employee 16/04/2019 300000 0

318 141 2 MAH/3625/2008

JADHWARSONALI

28 Female na Spouse 16/04/2019 0 0

319 141 3 MAH/3625/2008

JADHWARSAANVI S

1 Female na Child 1 16/04/2019 0 0

320 30 2 MAH/3655/2006

SHAILESHS KADAM

34 Male na Spouse 16/04/2019 0 0

321 30 1 MAH/3655/2006

POOJASURYANATH SINGH

35 Female na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

322 30 3 MAH/3655/2006

OMSHAILESH

KADAM

7 Male na Child 1 16/04/2019 0 0

323 199 2 MAH/3714/2006

GHODEAKSHADAMADHAV

33 Female na Spouse 16/04/2019 0 0

324 199 1 MAH/3714/2006

GHODEMADHAVCHANDIK

ADAS

38 Male na Employee 16/04/2019 100000 0

325 93 1 MAH/374/2015

TARAMSHRAVANSUMERSI

NG

26 Male na Employee 16/04/2019 100000 0

326 93 2 MAH/374/2015

TARAMSHARDA

SHRAVAN

26 Female na Spouse 16/04/2019 0 0

327 180 2 MAH/3748/2003

DODYAREENA S

34 Female na Spouse 16/04/2019 0 0

328 180 3 MAH/3748/2003

DODYASANSKRU

TI S

11 Female na Child 1 16/04/2019 0 0

329 180 11 MAH/3748/2003

DODYASANSKAR

S

11 Male na Child 2 16/04/2019 0 0

330 180 1 MAH/3748/2003

DODYASHRIGOP

ALGHANSHY

AMDAS

40 Male na Employee 16/04/2019 100000 0

331 193 2 MAH/3751/2001

SHINDEJYOTIKA

AJAY

37 Female na Spouse 16/04/2019 0 0

332 193 11 MAH/3751/2001

SHINDEJIJAOOAJAY

5 Female na Child 2 16/04/2019 0 0

333 193 3 MAH/3751/2001

SHINDEJYOTIRADITYA AJAY

8 Male na Child 1 16/04/2019 0 0

334 193 1 MAH/3751/2001

SHINDEAJAY

KASHINATH

40 Male na Employee 16/04/2019 200000 0

335 230 3 MAH/3786/2005

JADHAVHARSHADHANUMA

NT

10 Male na Child 1 16/04/2019 0 0

336 230 2 MAH/3786/2005

JADHAVJYOTI

HANUMANT

29 Female na Spouse 16/04/2019 0 0

337 230 1 MAH/3786/2005

JADHAVHANUMA

NTPANDURA

NG

37 Male na Employee 16/04/2019 200000 0

338 230 11 MAH/3786/2005

JADHAVSHRUTI

HANUMANT

8 Female na Child 2 16/04/2019 0 0

339 229 2 MAH/3829/2016

GUPTAJESSIKA

JITENDRA

29 Female na Spouse 16/04/2019 0 0

340 229 3 MAH/3829/2016

GUPTAPANKTI

JITENDRA

9 Female na Child 1 16/04/2019 0 0

341 229 1 MAH/3829/2016

GUPTAJITENDRAKUMAR

35 Male na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

342 229 11 MAH/3829/2016

GUPTAPANKHUD

IJITENDRA

6 Female na Child 2 16/04/2019 0 0

343 176 2 MAH/3934/2004

KORWATE

GAYATRISHAMRA

O

40 Female na Spouse 16/04/2019 0 0

344 176 11 MAH/3934/2004

KSHIRSAGAR

TRISHAGAJANAN

2 Female na Child 2 16/04/2019 0 0

345 176 1 MAH/3934/2004

KSHIRSAGAR

GAJANANKASHINA

TH

38 Male na Employee 16/04/2019 300000 0

346 176 3 MAH/3934/2004

KSHIRSAGAR

PRUTHVIRAJ

GAJANAN

9 Male na Child 1 16/04/2019 0 0

347 137 2 MAH/420/2015

LOKEGAONKAR

URVASHIU

34 Female na Spouse 16/04/2019 0 0

348 137 1 MAH/420/2015

LOKEGAONKAR

UPENDRAANANT

40 Male na Employee 16/04/2019 500000 0

349 137 3 MAH/420/2015

LOKEGAONKAR

KHUSHAL

6 Male na Child 1 16/04/2019 0 0

350 178 1 MAH/4200/2013

GUDERAJU

PRABHAKAR

34 Male na Employee 16/04/2019 200000 0

351 178 3 MAH/4200/2013

GUDEANUSHRE

E RAJU

4 Female na Child 1 16/04/2019 0 0

352 178 2 MAH/4200/2013

BADGIREMEGHA

MANIKRAO

34 Female na Spouse 16/04/2019 0 0

353 121 2 MAH/4268/2008

SURYAWANSHI

SHUBHANGI

28 Female na Spouse 16/04/2019 0 0

354 121 1 MAH/4268/2008

SURYAWANSHI

RAMESHWAR K

35 Male na Employee 16/04/2019 100000 0

355 121 3 MAH/4268/2008

SURYAWANSHI

RUDR R

4 Male na Child 1 16/04/2019 0 0

356 194 1 MAH/4340/2011

JAINRAKESHNEMICHA

ND

32 Male na Employee 16/04/2019 100000 0

357 194 2 MAH/4340/2011

JAINRUTIKARAKESH

29 Female na Spouse 16/04/2019 0 0

358 194 3 MAH/4340/2011

JAINPARSHAVRAKESH

1 Male na Child 1 16/04/2019 0 0

359 215 1 MAH/4380/2006

PANPATILDADABH

AISUDAM

41 Male na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

360 215 2 MAH/4380/2006

PANPATILSHEELA

DABABHAI

35 Female na Spouse 16/04/2019 0 0

361 215 11 MAH/4380/2006

PANPATILPRERNADADABH

AI

14 Female na Child 2 16/04/2019 0 0

362 215 3 MAH/4380/2006

PANPATILKEDAR

DADABHAI

17 Male na Child 1 16/04/2019 0 0

363 135 11 MAH/4474/2007

KOTHARINITYA

3 Male na Child 2 16/04/2019 0 0

364 135 1 MAH/4474/2007

KOTHARIBHARAT

S

38 Male na Employee 16/04/2019 200000 0

365 135 2 MAH/4474/2007

JAINSUNITA

38 Female na Spouse 16/04/2019 0 0

366 135 3 MAH/4474/2007

KOTHARISUKUN

6 Female na Child 1 16/04/2019 0 0

367 148 1 MAH/4589/1999

KADAMMANGESH GOPAL

45 Male na Employee 16/04/2019 300000 0

368 148 3 MAH/4589/1999

KADAMADITI

16 Female na Child 1 16/04/2019 0 0

369 148 11 MAH/4589/1999

KADAMVEDANT

9 Female na Child 2 16/04/2019 0 0

370 219 1 MAH/4609/2008

THIGALEGANPATANANDR

AO

35 Male na Employee 16/04/2019 300000 0

371 219 2 MAH/4609/2008

THINGALE

DEEPALIGANPAT

28 Female na Spouse 16/04/2019 0 0

372 219 3 MAH/4609/2008

THINGALE ARYANGANPAT

6 Male na Child 1 16/04/2019 0 0

373 219 11 MAH/4609/2008

THINGALE ARNAVGANPAT

2 Female na Child 2 16/04/2019 0 0

374 191 2 MAH/463/1977

KUDALEMINAKSHIBHAGWA

N

62 Female na Spouse 16/04/2019 0 0

375 191 1 MAH/463/1977

KUDALEBHAGWA

NSAHADEO

66 Male na Employee 16/04/2019 100000 0

376 175 4 MAH/486/2005

GAWADEABHIDNY

ARANJEET

4 Male Mah/486/2005

Child 2 16/04/2019 0 0

377 227 11 MAH/4890/2005

SWAMISHIVKUM

ARGANESH

16 Male na Child 2 16/04/2019 0 0

378 227 3 MAH/4890/2005

SWAMINIKHIL

GANESH

20 Male na Child 1 16/04/2019 0 0

379 227 2 MAH/4890/2005

SWAMIUMADEVIGANESH

41 Female na Spouse 16/04/2019 0 0

380 227 1 MAH/4890/2005

SWAMIGANESHPRABHUL

ING

43 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

381 114 2 MAH/4917/2008

CHAVANSEEMAANAND

33 Female na Spouse 16/04/2019 0 0

382 114 1 MAH/4917/2008

CHAVANANAND

VITHALRAO

36 Male na Employee 16/04/2019 1000000 0

383 114 3 MAH/4917/2008

CHAVANTANSHREE ANAND

9 Female na Child 1 16/04/2019 0 0

384 114 11 MAH/4917/2008

CHAVANPRITHVIRAJ ANAND

2 Male na Child 2 16/04/2019 0 0

385 144 11 MAH/4959/2008

SHITOLEGARGI M

2 Female na Child 2 16/04/2019 0 0

386 144 3 MAH/4959/2008

SHITOLEPRUTHVI

RAJ M

7 Male na Child 1 16/04/2019 0 0

387 144 1 MAH/4959/2008

SHITOLEMADHAVTRIMBAK

39 Male na Employee 16/04/2019 100000 0

388 144 2 MAH/4959/2008

SHITOLEPUJA M

30 Female na Spouse 16/04/2019 0 0

389 99 3 MAH/5054/2011

YADAVADITYA

MANOJKUMAR

3 Male na Child 1 16/04/2019 0 0

390 99 1 MAH/5054/2011

YADAVMANOJKU

MARRAMLLAC

HHAN

35 Male na Employee 16/04/2019 200000 0

391 99 2 MAH/5054/2011

YADAVPUSHPA

MANOJKUMAR

28 Female na Spouse 16/04/2019 0 0

392 173 1 MAH/523/1994

POKALERAGAG

PRABHAKAR

49 Male na Employee 16/04/2019 500000 0

393 173 2 MAH/523/1994

POKALESUCHITRA PARAG

47 Female na Spouse 16/04/2019 0 0

394 173 3 MAH/523/1994

POKALESANIKAPARAG

20 Female na Child 1 16/04/2019 0 0

395 125 1 MAH/5303/2008

DESHMUKH

UMAKANTCHANDRAKANT

35 Male na Employee 16/04/2019 100000 0

396 125 2 MAH/5303/2008

DESHMUKH

SUMITRAU

28 Female na Spouse 16/04/2019 0 0

397 125 3 MAH/5303/2008

DESHMUKH

SHRYAUMAKANT

6 Female na Child 1 16/04/2019 0 0

398 216 11 MAH/564/2009

LOKAREGIRIJA

SANTOSH

0 Female na Child 2 16/04/2019 0 0

399 216 2 MAH/564/2009

LOKARESUNITA

SANTOSH

33 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

400 216 1 MAH/564/2009

LOKARESANTOSHDATTATR

AY

40 Male na Employee 16/04/2019 100000 0

401 216 3 MAH/564/2009

LOKAREAVDHUTSANTOSH

8 Male na Child 1 16/04/2019 0 0

402 92 3 MAH/567/2009

KOKATEADHIRAJSUDHIR

1 Male na Child 1 16/04/2019 0 0

403 92 1 MAH/567/2009

KOKATESUDHIRSITARAM

35 Male na Employee 16/04/2019 1000000 0

404 92 2 MAH/567/2009

KOKATEPOONAMSUDHIR

30 Female na Spouse 16/04/2019 0 0

405 179 3 MAH/5933/2008

KHANDEANVI A

6 Female na Child 1 16/04/2019 0 0

406 179 2 MAH/5933/2008

KHANDEANJALI A

30 Female na Spouse 16/04/2019 0 0

407 179 1 MAH/5933/2008

KHANDEAVINASHANGADR

AO

36 Male na Employee 16/04/2019 100000 0

408 179 11 MAH/5933/2008

KHANDEANUJ A.

2 Male na Child 2 16/04/2019 0 0

409 110 2 MAH/602/1981

BHOSALERADHIKAKRISNAN

ATH

56 Female na Spouse 16/04/2019 0 0

410 110 1 MAH/602/1981

BHOSALEKRISHNA

NATHDHONDIB

A

63 Male na Employee 16/04/2019 300000 0

411 228 3 MAH/6090/2014

BAGWANADIBAASIF

4 Female na Child 1 16/04/2019 0 0

412 228 11 MAH/6090/2014

BAGWANMD ADIL

ASIF

0 Male na Child 2 16/04/2019 0 0

413 228 2 MAH/6090/2014

BAGWANHINAASIF

26 Female na Spouse 16/04/2019 0 0

414 228 1 MAH/6090/2014

BAGWANASIF

SATTAR

30 Male na Employee 16/04/2019 200000 0

415 138 2 MAH/6184 SATPUTESHEETALVINOD

38 Female na Spouse 16/04/2019 0 0

416 138 3 MAH/6184 SATPUTESAKSHI V

14 Female na Child 1 16/04/2019 0 0

417 138 1 MAH/6184 SATPUTEVINOD

GOVIND

41 Male na Employee 16/04/2019 1000000 0

418 111 1 MAH/619/1978

HAGARESUBHASHSAKHARA

M

68 Male na Employee 16/04/2019 100000 0

419 111 2 MAH/619/1978

HAGAREVAISHALISUBHASH

54 Female na Spouse 16/04/2019 0 0

420 117 2 MAH/6276/2007

CHAUDHARI

SARITASUNIL

30 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

421 117 3 MAH/6276/2007

CHAUDHARI

ARNIKASUNIL

2 Female na Child 1 16/04/2019 0 0

422 117 1 MAH/6276/2007

CHAUDHARI SUNIL

ISTARI

43 Male na Employee 16/04/2019 100000 0

423 143 3 MAH/658/2011

SHINDESWARAJ

A

4 Male na Child 1 16/04/2019 0 0

424 143 1 MAH/658/2011

SHINDESANJYOT

ANIL

32 Male na Employee 16/04/2019 100000 0

425 143 2 MAH/658/2011

SHINDERESHMA

A

22 Female na Spouse 16/04/2019 0 0

426 143 11 MAH/658/2011

SHINDEVIRAJ A

1 Male na Child 2 16/04/2019 0 0

427 200 3 MAH/6612/2008

RAUTGAURAVASHOK

3 Male na Child 1 16/04/2019 0 0

428 200 11 MAH/6612/2008

RAUTHILLARYASHOK

2 Female na Child 2 16/04/2019 0 0

429 200 1 MAH/6612/2008

RAUTASHOKDINKAR

35 Male na Employee 16/04/2019 100000 0

430 200 2 MAH/6612/2008

RAUTPRAGATIASHOK

25 Female na Spouse 16/04/2019 0 0

431 112 2 MAH/6653/2017

KALEAMAR

MAHADEORAO

37 Male na Spouse 16/04/2019 0 0

432 112 1 MAH/6653/2017

KALEPRANITAPOONAM

AMAR

36 Female na Employee 16/04/2019 200000 0

433 112 3 MAH/6653/2017

KALEPARTHAMAR

13 Male na Child 1 16/04/2019 0 0

434 112 11 MAH/6653/2017

KALEAAYODH

AMAR

0 Male na Child 2 16/04/2019 0 0

435 226 1 MAH/715/2014

PAWARMANISHASURENDR

A

33 Female na Employee 16/04/2019 100000 0

436 214 1 MAH/768/1999

DONGAONKAR

VAIJAYANTI

MANGALAL

56 Female na Employee 16/04/2019 100000 0

437 203 2 MAH/808/1991

BHOSALESUSHMADEVIDAS

38 Female na Spouse 16/04/2019 0 0

438 203 11 MAH/808/1991

BHOSALESOMESHDEVIDAS

5 Male na Child 2 16/04/2019 0 0

439 203 3 MAH/808/1991

BHOSALETANUSHR

IDEVIDAS

9 Female na Child 1 16/04/2019 0 0

440 203 1 MAH/808/1991

BHOSALEDEVIDASLAXMAN

50 Male na Employee 16/04/2019 100000 0

441 192 2 MAH/883/1982

HONINDUMATI VINAYAK

52 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

442 192 1 MAH/883/1982

HONVINAYAKDAULATR

AO

68 Male na Employee 16/04/2019 200000 0

443 198 3 MAH/893/2004

LANDGEPRATHME

SHMANMAT

H

16 Female na Child 1 16/04/2019 0 0

444 198 2 MAH/893/2004

LANDGEVAISHALIMANMAT

H

36 Female na Spouse 16/04/2019 0 0

445 198 1 MAH/893/2004

LANDGEMANMAT

HVILASAPP

A

42 Male na Employee 16/04/2019 200000 0

446 142 2 MAH/895/2017

PURUHUTA

AGRAWAL

38 Female na Spouse 16/04/2019 0 0

447 142 3 MAH/895/2017

ISHITRAIYAGRAWA

L

13 Female na Child 1 16/04/2019 0 0

448 142 1 MAH/895/2017

AGRAWAL

ANURAGSHUVCHA

RAN

39 Male na Employee 16/04/2019 500000 0

449 177 3 MAH/914/2000

LOKHANDE

VAISHWANI

KISHOR

16 Female na Child 1 16/04/2019 0 0

450 177 1 MAH/914/2000

LOKHANDE KISHORNAMDEO

45 Male na Employee 16/04/2019 300000 0

451 177 11 MAH/914/2000

LOKHANDE RAJ

KISHOR

11 Male na Child 2 16/04/2019 0 0

452 177 2 MAH/914/2000

LOKHANDE

DNYANESHWARIRA

NIKISHOR

37 Female na Spouse 16/04/2019 0 0

453 116 2 MAH/914/2009

CHAVANVANDAN

AMADHAV

36 Female na Spouse 16/04/2019 0 0

454 116 1 MAH/914/2009

CHAVANMADHAVVITHALRA

O

38 Male na Employee 16/04/2019 1000000 0

455 116 3 MAH/914/2009

CHAVANSAI

MADHAV

12 Female na Child 1 16/04/2019 0 0

456 210 1 MAH/943/1980

GOTEKEWAL

MAHADEORAO

64 Male na Employee 16/04/2019 100000 0

457 210 2 MAH/943/1980

GOTEPUSHPAKEWAL

58 Female na Spouse 16/04/2019 0 0

458 87 3 MAH/975/1997

TAWAREVAISHNA

VIVIJAYKUM

AR

19 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

459 87 2 MAH/975/1997

TAWAREVAISHALIVIJAYKUM

AR

42 Female na Spouse 16/04/2019 0 0

460 87 1 MAH/975/1997

TAWAREVIJAYKUM

ARGOPALRA

O

48 Male na Employee 16/04/2019 500000 0

461 87 11 MAH/975/1997

TAWAREVIVEK

VIJAYKUMAR

17 Male na Child 2 16/04/2019 0 0

462 32 1 Mah-982/1988

GOWARDIPE ANILMAHADE

ORAO

52 Male na Employee 16/04/2019 300000 0

463 32 3 Mah-982/1988

GOWARDIPE

KRITIKAANIL

20 Female na Child 1 16/04/2019 0 0

464 32 2 Mah-982/1988

GOWARDIPE

SHUBHANGI ANIL

49 Female na Spouse 16/04/2019 0 0

465 573 1 Mah/01/2017

PATWARDHAN

ANURAGPRAMOD

33 Male na Employee 16/04/2019 100000 0

466 483 3 Mah/1026/2001

GHATGEISHWARISANJAYK

UMAR

14 Female na Child 1 16/04/2019 0 0

467 483 2 Mah/1026/2001

GHATGESEEMA

SANJAYKUMAR

41 Female na Spouse 16/04/2019 0 0

468 483 1 Mah/1026/2001

GHATGESANJAYK

UMARVILASRA

O

47 Male na Employee 16/04/2019 200000 0

469 610 1 Mah/1039/1976

DAKSHINIRASHMIK

ANTCHHOTAL

AL

67 Male na Employee 16/04/2019 1000000 0

470 610 2 Mah/1039/1976

DAKSHINISHASHI

RASHMIKANT

68 Female na Spouse 16/04/2019 0 0

471 70 3 Mah/1050/1986

DESHMUKH ADITHSATISH

25 Male na Child 1 16/04/2019 0 0

472 70 11 Mah/1050/1986

DESHMUKH

SHARAYUSATISH

22 Female na Child 2 16/04/2019 0 0

473 70 1 Mah/1050/1986

DESHMUKH

SATISHABARAO

58 Male na Employee 16/04/2019 500000 0

474 70 2 Mah/1050/1986

DESHMUKH

SUNITASATISH

49 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

475 389 3 Mah/1054/2001

BHUNNENAVELINITIN

11 Female na Child 1 16/04/2019 0 0

476 389 1 Mah/1054/2001

BHUNNENITIN

DIGAMBARRAO

44 Male na Employee 16/04/2019 1000000 0

477 389 11 Mah/1054/2001

BHUNNEJANKINITIN

4 Female na Child 2 16/04/2019 0 0

478 389 2 Mah/1054/2001

BHUNNEJAYSHREE

NITIN

36 Female na Spouse 16/04/2019 0 0

479 4 1 Mah/1061-A/1984

PALAIBHAGIRA

THIAGADHU

69 Male na Employee 16/04/2019 100000 0

480 4 2 Mah/1061-A/1984

PALAIBANDAN

A

59 Female na Spouse 16/04/2019 0 0

481 400 3 Mah/1061/1985

SONWALKAR

VAISHNAVI VILAS

18 Female na Child 1 16/04/2019 0 0

482 400 1 Mah/1061/1985

SONWALKAR

VILASRAJARAM

PANT

61 Male na Employee 16/04/2019 300000 0

483 400 2 Mah/1061/1985

SONWALKAR

MADHURA VILAS

56 Female na Spouse 16/04/2019 0 0

484 427 3 Mah/1063/2003

GANORESRUSHTI

VIKAS

23 Female na Child 1 16/04/2019 0 0

485 427 2 Mah/1063/2003

GANOREVASUDHA

VIKAS

50 Female na Spouse 16/04/2019 0 0

486 427 1 Mah/1063/2003

GANOREVIKAS

SUDHAKAR

53 Male na Employee 16/04/2019 1000000 0

487 427 11 Mah/1063/2003

GANORENILANJAN

VIKAS

22 Male na Child 2 16/04/2019 0 0

488 290 11 Mah/1066/2010

TAWAREVEDANTI

SUNIL

3 Female na Child 2 16/04/2019 0 0

489 290 3 Mah/1066/2010

TAWAREVIDHITASUNIL

3 Female na Child 1 16/04/2019 0 0

490 290 1 Mah/1066/2010

TAWARESUNIL

SUKARYA

33 Male na Employee 16/04/2019 200000 0

491 290 2 Mah/1066/2010

TAWARESAMRUD

DHISUNIL

28 Female na Spouse 16/04/2019 0 0

492 472 2 Mah/1073/1999

GADDIMESANDHYA

RANIARVIND

36 Female na Spouse 16/04/2019 0 0

493 472 1 Mah/1073/1999

GADDIMEARVINDNAMDEO

50 Male na Employee 16/04/2019 200000 0

494 472 3 Mah/1073/1999

GADDIMESAKSHIARVIND

19 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

495 472 11 Mah/1073/1999

GADDIMEAARYAAARVIND

12 Female na Child 2 16/04/2019 0 0

496 288 11 Mah/1073/2008

DEOREASMITA

SHANTARAM

2 Female na Child 2 16/04/2019 0 0

497 288 1 Mah/1073/2008

DEORESHANTAR

AMBHASKAR

RAO

37 Male na Employee 16/04/2019 200000 0

498 288 2 Mah/1073/2008

DEORESUNAND

ASHANTAR

AM

30 Female na Spouse 16/04/2019 0 0

499 288 3 Mah/1073/2008

DEOREKRISHA

SHANTARAM

6 Female na Child 1 16/04/2019 0 0

500 165 1 Mah/1082/2014

JAHAGIRDAR ANUJA

AMIT

38 Female na Employee 16/04/2019 300000 0

501 165 2 Mah/1082/2014

JAHAGIRDAR AMIT

ARUN

40 Male na Spouse 16/04/2019 0 0

502 165 3 Mah/1082/2014

JAHAGIRDAR AVAN

AMIT

4 Male na Child 1 16/04/2019 0 0

503 53 3 Mah/1089/2006

HOWALSIDDHARTH RAJIV

10 Male na Child 1 16/04/2019 0 0

504 53 1 Mah/1089/2006

HOWALRAJIV

BABURAO

41 Male na Employee 16/04/2019 300000 0

505 53 2 Mah/1089/2006

HOWALSUJATARAJIV

42 Female na Spouse 16/04/2019 0 0

506 378 1 Mah/1095/2003

BORADEUMESHSAVALA

45 Male na Employee 16/04/2019 1000000 0

507 378 3 Mah/1095/2003

BORADEAYUSHAUMESH

14 Female na Child 1 16/04/2019 0 0

508 378 11 Mah/1095/2003

BORADEAVNISHUMESH

7 Male na Child 2 16/04/2019 0 0

509 378 2 Mah/1095/2003

BORADEVIDYAUMESH

45 Female na Spouse 16/04/2019 0 0

510 352 2 Mah/1097/1981

BHOSLEPOONAMMARUTI

64 Female na Spouse 16/04/2019 0 0

511 352 1 Mah/1097/1981

BHOSLEMARUTI

PANDURANG

70 Male na Employee 16/04/2019 300000 0

512 375 2 Mah/11/2008

KAMTAMGAYATRISADANAN

D

27 Female na Spouse 16/04/2019 0 0

513 375 1 Mah/11/2008

KAMTAMSADANAN

DMUTTAN

NA

40 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

514 375 3 Mah/11/2008

KAMTAMSOHAN

SADANAND

5 Male na Child 1 16/04/2019 0 0

515 517 3 Mah/1109/2009

GUNALESATYART

HGOPALKR

ISHNA

3 Male na Child 1 16/04/2019 0 0

516 517 2 Mah/1109/2009

GUNALEKIRTI

GOPALKRISHNA

35 Female na Spouse 16/04/2019 0 0

517 517 1 Mah/1109/2009

GUNALEGOPALKR

ISHNAGORAKHANATH

39 Male na Employee 16/04/2019 300000 0

518 509 3 Mah/1110/2007

PATILGAURAVIGANESH

5 Female na Child 1 16/04/2019 0 0

519 509 2 Mah/1110/2007

PATILGAYATRIGANESH

35 Female na Spouse 16/04/2019 0 0

520 509 1 Mah/1110/2007

PATILGANESHVILASRA

O

35 Male na Employee 16/04/2019 200000 0

521 383 11 Mah/1129/2010

SONAWANE

NAMANSURENDR

A

10 Male na Child 2 16/04/2019 0 0

522 383 1 Mah/1129/2010

SONAWANE

SURENDRA

RAJARAM

42 Male na Employee 16/04/2019 200000 0

523 383 2 Mah/1129/2010

SONAWANE

GAYATRISURENDR

A

38 Female na Spouse 16/04/2019 0 0

524 383 3 Mah/1129/2010

SONAWANE

VAISHNAVI

SURENDRA

14 Female na Child 1 16/04/2019 0 0

525 42 1 Mah/1130/1985

GANDHISHARMIS

TADINESH

64 Female na Employee 16/04/2019 300000 0

526 42 2 Mah/1130/1985

GANDHIDINESHCHHABIL

DAS

64 Male na Spouse 16/04/2019 0 0

527 42 3 Mah/1130/1985

GANDHISHRUSTIDINESH

24 Female na Child 1 16/04/2019 0 0

528 384 11 Mah/1132/2010

SHEWALEVISHAKARAJENDR

A

10 Female na Child 2 16/04/2019 0 0

529 384 3 Mah/1132/2010

SHEWALESANJIVAN

IRAJENDR

A

14 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

530 384 2 Mah/1132/2010

SHEWALEVIJAYA

RAJENDRA

39 Female na Spouse 16/04/2019 0 0

531 384 1 Mah/1132/2010

SHEWALERAJENDRA VAMAN

44 Male na Employee 16/04/2019 200000 0

532 605 1 Mah/1134/2008

GAIKESACHINBHAU

11 Male na Employee 16/04/2019 300000 0

533 605 3 Mah/1134/2008

GAIKEARNAVSACHIN

6 Male na Child 1 16/04/2019 0 0

534 605 2 Mah/1134/2008

GAIKEGAURISACHIN

35 Female na Spouse 16/04/2019 0 0

535 344 2 Mah/1140/2013

TAMBEPRIYA

PRAMOD

41 Female na Spouse 16/04/2019 0 0

536 344 1 Mah/1140/2013

TAMBEPRAMODNARAYAN

37 Male na Employee 16/04/2019 100000 0

537 344 3 Mah/1140/2013

TAMBEPRASADPRAMOD

5 Male na Child 1 16/04/2019 0 0

538 346 1 Mah/1161/1980

NAGANEMAHADE

VTUKARAM

62 Male na Employee 16/04/2019 100000 0

539 346 2 Mah/1161/1980

NAGANESUNITA

MAHADEV

51 Female na Spouse 16/04/2019 0 0

540 83 1 Mah/1161/1988

BIRADARSUREKHASURYAKA

NT

58 Female na Employee 16/04/2019 100000 0

541 83 2 Mah/1161/1988

BIRADARSURYANK

ANTRAGHUNATHRAO

60 Male na Spouse 16/04/2019 0 0

542 348 2 Mah/1166/1982

CHAVANSHOBHA

PANDHARINATH

54 Female na Spouse 16/04/2019 0 0

543 348 1 Mah/1166/1982

CHAVANPANDHAR

INATHRAMCHA

NDRA

62 Male na Employee 16/04/2019 100000 0

544 516 2 Mah/1172/2009

VISHWAKARMAMANOJ

PREMCHAND

36 Male na Spouse 16/04/2019 0 0

545 516 1 Mah/1172/2009

VISHWAKARMA

SUNEETAMANOJ

40 Female na Employee 16/04/2019 100000 0

546 516 3 Mah/1172/2009

VISHWAKARMA

AKSHATAMANOJ

10 Female na Child 1 16/04/2019 0 0

547 386 1 Mah/1174/2012

VERMAVISHNUPRASAD

67 Male na Employee 16/04/2019 200000 0

548 386 2 Mah/1174/2012

VERMAKALPANAVISHNUPRASAD

58 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

549 522 3 Mah/1177/2005

DERE JAYSAMBHAJI

12 Male na Child 1 16/04/2019 0 0

550 522 11 Mah/1177/2005

DERESHREYA

SAMBHAJI

4 Female na Child 2 16/04/2019 0 0

551 522 1 Mah/1177/2005

DERESAMBHAJISHIVAJI

41 Male na Employee 16/04/2019 300000 0

552 522 2 Mah/1177/2005

DERESONAL

SAMBHAJI

33 Female na Spouse 16/04/2019 0 0

553 405 11 Mah/1196/1989

BHOLEMIHIR

NANDKUMAR

17 Male na Child 2 16/04/2019 0 0

554 405 3 Mah/1196/1989

BHOLESHRUTINANDKU

MAR

22 Female na Child 1 16/04/2019 0 0

555 405 2 Mah/1196/1989

BHOLEVAISHALINANDKU

MAR

47 Female na Spouse 16/04/2019 0 0

556 405 1 Mah/1196/1989

BHOLENANDKU

MARBALKRISH

NA

54 Male na Employee 16/04/2019 500000 0

557 514 1 Mah/1200/1990

SHINDEPRAKASHMANIKRA

O

62 Male na Employee 16/04/2019 200000 0

558 514 2 Mah/1200/1990

SHINDELATA

PRAKASH

54 Female na Spouse 16/04/2019 0 0

559 310 1 Mah/1215/1993

PATANKAR SANJAYTUKARAM

52 Male na Employee 16/04/2019 100000 0

560 310 11 Mah/1215/1993

PATANKAR OMKARSANJAY

22 Male na Child 2 16/04/2019 0 0

561 310 2 Mah/1215/1993

PATANKAR SAVITASANJAY

47 Female na Spouse 16/04/2019 0 0

562 310 3 Mah/1215/1993

PATANKAR

AKSHAYSANJAY

23 Male na Child 1 16/04/2019 0 0

563 494 2 Mah/1224/2005

RANAWARE

KAMALESHWAR

LALASAHEB

44 Male na Spouse 16/04/2019 0 0

564 494 1 Mah/1224/2005

RANAWARE

AKANKSHA

KAMALESHWAR

40 Female na Employee 16/04/2019 100000 0

565 494 3 Mah/1224/2005

RANAWARE

KULBHUSHAN

KAMALESHWAR

16 Male na Child 1 16/04/2019 0 0

566 355 11 Mah/1234/2002

BODKESAIRAJ

PRAKASH

8 Male na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

567 355 3 Mah/1234/2002

BODKEPRERNA

PRAKASH

14 Female na Child 1 16/04/2019 0 0

568 355 1 Mah/1234/2002

BODKEPRAKASHBHASKAR

43 Male na Employee 16/04/2019 200000 0

569 355 2 Mah/1234/2002

BODKEPOOJA

PRAKASH

35 Female na Spouse 16/04/2019 0 0

570 599 3 Mah/124/2004

BHALERAO

SHWTEALSANTOSH

13 Female na Child 1 16/04/2019 0 0

571 599 2 Mah/124/2004

BHALERAO

ARCHANASANTOSH

35 Female na Spouse 16/04/2019 0 0

572 599 1 Mah/124/2004

BHALERAO

SANTOSHBHAGOJI

42 Male na Employee 16/04/2019 100000 0

573 292 1 Mah/125/1998

SHELARVIJAY

VISHNU

53 Male na Employee 16/04/2019 100000 0

574 292 2 Mah/125/1998

SHELARKIRTIVIJAY

35 Female na Spouse 16/04/2019 0 0

575 263 1 Mah/1266/2011

CHAVANNITIN

VITHALRAO

33 Male na Employee 16/04/2019 1000000 0

576 263 2 Mah/1266/2011

CHAVANNAMRATA

NITIN

30 Female na Spouse 16/04/2019 0 0

577 334 11 Mah/1284/1992

PEREIRAMIKHAIL

JUAN

13 Male na Child 2 16/04/2019 0 0

578 334 3 Mah/1284/1992

PEREIRABORIS

THEODORET

15 Male na Child 1 16/04/2019 0 0

579 334 2 Mah/1284/1992

PEREIRAROSENDADARRYL

49 Female na Spouse 16/04/2019 0 0

580 334 1 Mah/1284/1992

PEREIRADARRYLBOSCO

50 Male na Employee 16/04/2019 500000 0

581 495 2 Mah/1285/1985

BARLINGE

SANDHYASUDHIR

54 Female na Spouse 16/04/2019 0 0

582 495 1 Mah/1285/1985

BARLINGE SUDHIRRAGHUN

ATH

58 Male na Employee 16/04/2019 500000 0

583 455 2 Mah/1297/1998

PATILSHAILAJA

ANIL

44 Female na Spouse 16/04/2019 0 0

584 455 3 Mah/1297/1998

PATILABHISHEK ANIL

15 Male na Child 1 16/04/2019 0 0

585 455 11 Mah/1297/1998

PATILSHREYA

ANIL

9 Female na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

586 455 1 Mah/1297/1998

PATILANIL

VASANTRAO

49 Male na Employee 16/04/2019 200000 0

587 426 1 Mah/130/2009

PATILATUL

RAMESHWAR

33 Male na Employee 16/04/2019 100000 0

588 426 2 Mah/130/2009

PATILASHWINI

ATUL

27 Female na Spouse 16/04/2019 0 0

589 426 3 Mah/130/2009

PATILSHIVANJALI ATUL

4 Female na Child 1 16/04/2019 0 0

590 589 1 Mah/1305/2008

PATILDHANANJ

AYRAGHUN

ATH

38 Male na Employee 16/04/2019 300000 0

591 589 3 Mah/1305/2008

PATILARJUN

DHANANJAY

4 Male na Child 1 16/04/2019 0 0

592 589 2 Mah/1305/2008

PATILMONALI

DHANANJAY

33 Female na Spouse 16/04/2019 0 0

593 456 1 Mah/1308/2007

SURYAWANSHIKAILASBHATA

34 Male na Employee 16/04/2019 200000 0

594 456 3 Mah/1308/2007

SURYAWANSHI

ARNAVIKAILAS

5 Female na Child 1 16/04/2019 0 0

595 456 2 Mah/1308/2007

SURYAWANSHI

JAYASHRIKAILAS

27 Female na Spouse 16/04/2019 0 0

596 457 11 Mah/131/1997

SHAIKHMOIZ

NADIM

10 Male na Child 2 16/04/2019 0 0

597 457 2 Mah/131/1997

SHAIKHASIYANADIM

43 Female na Spouse 16/04/2019 0 0

598 457 3 Mah/131/1997

SHAIKHMOHIBNADIM

14 Male na Child 1 16/04/2019 0 0

599 457 1 Mah/131/1997

SHAIKHNADIMRIYAZ

52 Male na Employee 16/04/2019 100000 0

600 607 2 Mah/1314/1981

PAWARKAMAL

VISHWAMBHAR

53 Female na Spouse 16/04/2019 0 0

601 607 1 Mah/1314/1981

PAWARVISHWAM

BHARMANIKRA

O

67 Male na Employee 16/04/2019 300000 0

602 463 11 Mah/1315/1999

GHONSEVEDANTTOLBA

13 Male na Child 2 16/04/2019 0 0

603 463 3 Mah/1315/1999

GHONSEVARADTOLBA

16 Male na Child 1 16/04/2019 0 0

604 463 2 Mah/1315/1999

GHONSECHAYATOLBA

38 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

605 463 1 Mah/1315/1999

GHONSETOLBA

SHANKARRAO

48 Male na Employee 16/04/2019 300000 0

606 340 1 Mah/1331/2001

GHOLAPCHITRAR

EKHAJAGANNA

TH

61 Female na Employee 16/04/2019 200000 0

607 340 2 Mah/1331/2001

GHOLAPJAGANNA

THRAMCHA

NDRA

69 Male na Spouse 16/04/2019 0 0

608 64 1 Mah/1333/2000

VITHLANICHANDRAKANT

MATHURADAS

68 Male na Employee 16/04/2019 100000 0

609 64 2 Mah/1333/2000

VITHLANIKUMUDCHANDRAKANT

68 Female na Spouse 16/04/2019 0 0

610 68 1 Mah/1337/2006

CASTELLINO

BRUNO JFLORENC

E

56 Male na Employee 16/04/2019 500000 0

611 68 3 Mah/1337/2006

CASTELLINO

MALAIKA

19 Female na Child 1 16/04/2019 0 0

612 68 2 Mah/1337/2006

CASTELLINO ANITA

56 Female na Spouse 16/04/2019 0 0

613 556 2 Mah/1349/1982

CHIDDARWAR

VIJAYAATUL

56 Female na Spouse 16/04/2019 0 0

614 556 1 Mah/1349/1982

CHIDDARWARATUL

VASANTRAO

62 Male na Employee 16/04/2019 300000 0

615 444 2 Mah/135/2005

PATILRESHMA

SUDHAKAR

32 Female na Spouse 16/04/2019 0 0

616 444 1 Mah/135/2005

PATILSUDHAKA

RTUKARAM

40 Male na Employee 16/04/2019 200000 0

617 444 11 Mah/135/2005

PATILSHRUTI

SUDHAKAR

5 Female na Child 2 16/04/2019 0 0

618 444 3 Mah/135/2005

PATILAARYA

SUDHAKAR

5 Female na Child 1 16/04/2019 0 0

619 41 2 Mah/1365/2006

CHAUDHARI

VANITABALKRUS

HNA

41 Female na Spouse 16/04/2019 0 0

620 41 3 Mah/1365/2006

CHAUDHARI

SUYOGBALKRUS

HNA

11 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

621 41 1 Mah/1365/2006

CHAUDHARI

BALKRUSHNA

BHIMRAO

43 Male na Employee 16/04/2019 200000 0

622 436 2 Mah/1366/1983

KULKARNI ACHUTMADHAV

RAO

64 Male na Spouse 16/04/2019 0 0

623 436 1 Mah/1366/1983

KULKARNI MANJIRIACHUTRA

O

59 Female na Employee 16/04/2019 200000 0

624 325 1 Mah/1369/1988

PUROHITKUMARESH BRIJLAL

56 Male na Employee 16/04/2019 500000 0

625 325 2 Mah/1369/1988

PUROHITPANNA

KUMARESH

47 Female na Spouse 16/04/2019 0 0

626 590 2 Mah/1376/2008

SONAWANE

REKHABHARAT

31 Female na Spouse 16/04/2019 0 0

627 590 1 Mah/1376/2008

SONAWANE

BHARATPARSHUR

AM

40 Male na Employee 16/04/2019 300000 0

628 590 3 Mah/1376/2008

SONAWANE ADITIBHARAT

10 Female na Child 1 16/04/2019 0 0

629 419 1 Mah/1412/2011

SHINDERAVI

GIRISH

31 Male na Employee 16/04/2019 300000 0

630 413 2 Mah/1416/2016

KARANDEDIPALI

MAHESH

23 Female na Spouse 16/04/2019 0 0

631 413 3 Mah/1416/2016

KARANDEVAISHNA

VIMAHESH

3 Female na Child 1 16/04/2019 0 0

632 413 1 Mah/1416/2016

KARANDEMAHESHBHARATR

AO

33 Male na Employee 16/04/2019 100000 0

633 504 1 Mah/1419/2012

SHINDEVISHVJEE

TVIJAYKUM

AR

29 Male na Employee 16/04/2019 100000 0

634 504 3 Mah/1419/2012

SHINDESUVARNAVISHVJEE

T

3 Female na Child 1 16/04/2019 0 0

635 504 2 Mah/1419/2012

SHINDEPOOJA

VISHVJEET

24 Female na Spouse 16/04/2019 0 0

636 38 1 Mah/1457/2008

PATILARUN

DINKAR

40 Male na Employee 16/04/2019 200000 0

637 38 2 Mah/1457/2008

PATILPRATIBHA ARUN

32 Female na Spouse 16/04/2019 0 0

638 38 3 Mah/1457/2008

PATILANANYA

ARUN

2 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

639 67 1 Mah/1458/2015

PRABHUAKSHATH

AYEKNATH

48 Female na Employee 16/04/2019 1000000 0

640 67 3 Mah/1458/2015

PRABHUABHAY

EKNATH

25 Male na Child 1 16/04/2019 0 0

641 67 2 Mah/1458/2015

PRABHUEKNATHVENKATE

SH

54 Male na Spouse 16/04/2019 0 0

642 498 1 Mah/1465/1985

DESHPANDE AJAY

SHANTARAM

56 Male na Employee 16/04/2019 1000000 0

643 498 2 Mah/1465/1985

DESHPANDE

MANJUSHA AJAY

50 Female na Spouse 16/04/2019 0 0

644 498 3 Mah/1465/1985

DESHPANDE TANVI

AJAY

19 Female na Child 1 16/04/2019 0 0

645 336 1 Mah/1469/1990

PATILNANDKU

MARBABURAO

54 Male na Employee 16/04/2019 300000 0

646 336 11 Mah/1469/1990

PATILNANDININANDKU

MAR

18 Female na Child 2 16/04/2019 0 0

647 336 3 Mah/1469/1990

PATILSHIVANINANDKU

MAR

23 Female na Child 1 16/04/2019 0 0

648 336 2 Mah/1469/1990

PATILSHILPA

NANDKUMAR

48 Female na Spouse 16/04/2019 0 0

649 559 2 Mah/1473/2008

TIWARISEEMA

GYANPRAKASH

33 Female na Spouse 16/04/2019 0 0

650 559 3 Mah/1473/2008

TIWARITANISHAGYANPRA

KASH

7 Female na Child 1 16/04/2019 0 0

651 559 1 Mah/1473/2008

TIWARIGYANPRA

KASHCHINTAM

ANI

39 Male na Employee 16/04/2019 300000 0

652 268 2 Mah/1482/2007

GHORPADE

PADAMANILESH

31 Female na Spouse 16/04/2019 0 0

653 268 3 Mah/1482/2007

GHORPADE

YUVRAJNILESH

5 Male na Child 1 16/04/2019 0 0

654 268 1 Mah/1482/2007

GHORPADE

NILESHJAGANNA

TH

35 Male na Employee 16/04/2019 100000 0

655 371 1 Mah/1485/1993

MISHRADINESHK

UMARADYAPRA

SAD

53 Male na Employee 16/04/2019 300000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

656 371 2 Mah/1485/1993

MISHRAUSHADEV

IDINESHK

UMAR

48 Female na Spouse 16/04/2019 0 0

657 371 3 Mah/1485/1993

MISHRAHRUSHIK

ESHDINESHK

UMAR

20 Male na Child 1 16/04/2019 0 0

658 531 1 Mah/1488/2017

LAMBATEMOHANRAMCHA

NDRA

64 Male na Employee 16/04/2019 100000 0

659 531 2 Mah/1488/2017

LAMBATENANDAMOHAN

55 Female na Spouse 16/04/2019 0 0

660 570 2 Mah/1494/1991

KULKARNI

VRUSHALI

PRADEEP

48 Female na Spouse 16/04/2019 0 0

661 570 1 Mah/1494/1991

KULKARNI

PRADEEPNIVRUTTI

NATH

54 Male na Employee 16/04/2019 100000 0

662 49 2 Mah/1522/2011

SATAVMADHURIBALASAH

EB

25 Female na Spouse 16/04/2019 0 0

663 49 1 Mah/1522/2011

PAWARARJUNSANJAY

29 Male na Employee 16/04/2019 300000 0

664 157 1 Mah/1537/2006

KOHINKAR

MAHESHSADASHI

V

37 Male na Employee 16/04/2019 300000 0

665 302 11 Mah/1545/1995

KHOPKARSHRUTI

PRALHAD

16 Female na Child 2 16/04/2019 0 0

666 302 3 Mah/1545/1995

KHOPKARSUMIT

PRALHAD

20 Male na Child 1 16/04/2019 0 0

667 302 2 Mah/1545/1995

KHOPKARKAVITA

PRALHAD

40 Female na Spouse 16/04/2019 0 0

668 302 1 Mah/1545/1995

KHOPKARPRALHADGHANSHY

AM

50 Male na Employee 16/04/2019 100000 0

669 56 1 Mah/1552/1994

WARKESURESH

KHUSHAL

69 Male na Employee 16/04/2019 500000 0

670 56 2 Mah/1552/1994

WARKEANJALI

SURESH

67 Female na Spouse 16/04/2019 0 0

671 482 2 Mah/1565/1983

VECHALEKAR

MADHURINANDKU

MAR

60 Female na Spouse 16/04/2019 0 0

672 482 1 Mah/1565/1983

VECHALEKAR

NANDKUMAR

VINAYAK

64 Male na Employee 16/04/2019 500000 0

673 592 1 Mah/1568/2010

JAVIRNISHADBABAN

36 Male na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

674 496 2 Mah/1578/2009

NISARGAN JYOTINITIN

37 Female na Spouse 16/04/2019 0 0

675 496 1 Mah/1578/2009

NISARGAN NITIN

TUKARAM

35 Male na Employee 16/04/2019 200000 0

676 496 3 Mah/1578/2009

NISARGAN

ARHANTNITIN

6 Male na Child 1 16/04/2019 0 0

677 496 11 Mah/1578/2009

NISARGAN

SANCHITNITIN

2 Male na Child 2 16/04/2019 0 0

678 333 1 Mah/1583/1985

PAWARMOHANPARBHTI

62 Male na Employee 16/04/2019 500000 0

679 333 2 Mah/1583/1985

PAWARMEGHAMOHAN

59 Female na Spouse 16/04/2019 0 0

680 566 3 Mah/16/2006

DEORASRUDRA

SHRIRAM

2 Male na Child 1 16/04/2019 0 0

681 566 2 Mah/16/2006

DEORASSHREYASHRIRAM

36 Female na Spouse 16/04/2019 0 0

682 566 1 Mah/16/2006

DEORASSHRIRAMDATTATR

AYA

42 Male na Employee 16/04/2019 200000 0

683 401 2 Mah/1600/1993

TIGDESMITA

SUBHASH

63 Female na Spouse 16/04/2019 0 0

684 401 1 Mah/1600/1993

TIGDESUBHASHDAMODA

R

66 Male na Employee 16/04/2019 500000 0

685 248 2 Mah/1632/2011

PANSAREJAYSHRIT

ANUJASUDARSH

AN

24 Female na Spouse 16/04/2019 0 0

686 248 3 Mah/1632/2011

PANSARESINDHUJASUDARSH

AN

3 Female na Child 1 16/04/2019 0 0

687 248 1 Mah/1632/2011

PANSARESUDARSH

ANNANASAH

EB

33 Male na Employee 16/04/2019 100000 0

688 539 2 Mah/1641/2006

NARWADE

BHAGYASHREE

SANTOSH

28 Female na Spouse 16/04/2019 0 0

689 539 1 Mah/1641/2006

NARWADE

SANTOSHBHIMRAO

39 Male na Employee 16/04/2019 200000 0

690 539 3 Mah/1641/2006

NARWADE SURBHISANTOSH

5 Female na Child 1 16/04/2019 0 0

691 349 1 Mah/1645/2014

SHINDEVILAS

SAWALA

62 Male na Employee 16/04/2019 300000 0

692 349 2 Mah/1645/2014

SHINDESANDHYA

VILAS

54 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

693 44 1 Mah/1650/1999

SALUNKHE VIJAY

PRABHAKAR

47 Male na Employee 16/04/2019 1000000 0

694 44 3 Mah/1650/1999

SALUNKHE

CHETANAVIJAY

21 Female na Child 1 16/04/2019 0 0

695 44 2 Mah/1650/1999

SALUNKHE

VANDANA VIJAY

46 Female na Spouse 16/04/2019 0 0

696 369 3 Mah/1655/2004

KUTETEJASVILAS

22 Male na Child 1 16/04/2019 0 0

697 369 2 Mah/1655/2004

KUTEVILAS

ANANTA

56 Male na Spouse 16/04/2019 0 0

698 369 1 Mah/1655/2004

KUTEJAYASHREE VILAS

52 Female na Employee 16/04/2019 200000 0

699 339 2 Mah/1681/2007

BAVKARDEEPALI

HARSHAD

29 Female na Spouse 16/04/2019 0 0

700 339 3 Mah/1681/2007

BAVKARVARAD

HARSHAD

6 Male na Child 1 16/04/2019 0 0

701 339 1 Mah/1681/2007

BAVKARHARSHAD

PRADIP

34 Male na Employee 16/04/2019 500000 0

702 446 2 Mah/1681/2012

NILAKSARITAGANESH

25 Female na Spouse 16/04/2019 0 0

703 446 1 Mah/1681/2012

NILAKGANESHASHOK

32 Male na Employee 16/04/2019 300000 0

704 446 3 Mah/1681/2012

NILAKARNAV

GANESH

5 Male na Child 1 16/04/2019 0 0

705 151 2 Mah/1684/2001

KALEPALLAVIVISHAL

41 Female na Spouse 16/04/2019 0 0

706 151 3 Mah/1684/2001

KALEMANSIVISHAL

13 Female na Child 1 16/04/2019 0 0

707 151 1 Mah/1684/2001

KALEVISHAL

VIJAYRAO

41 Male na Employee 16/04/2019 100000 0

708 79 11 Mah/1690/2003

GHADAGE SHREYA

KIRAN

11 Female na Child 2 16/04/2019 0 0

709 79 1 Mah/1690/2003

GHADAGE KIRAN

MURLIDHAR

39 Male na Employee 16/04/2019 200000 0

710 79 2 Mah/1690/2003

GHADAGE

DHANASHRI

KIRAN

40 Female na Spouse 16/04/2019 0 0

711 79 3 Mah/1690/2003

GHADAGE SAIKIRAN

14 Female na Child 1 16/04/2019 0 0

712 391 2 Mah/1705/2006

SURYAWANSHI

MADHURIVINAYAK

28 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

713 391 3 Mah/1705/2006

SURYAWANSHIVEDIKA

VINAYAK

5 Female na Child 1 16/04/2019 0 0

714 391 11 Mah/1705/2006

SURYAWANSHI

RUGVEDVINAYAK

1 Male na Child 2 16/04/2019 0 0

715 391 1 Mah/1705/2006

SURYAWANSHI

VINAYAKMADHUK

AR

37 Male na Employee 16/04/2019 200000 0

716 588 2 Mah/1711-A/1995

SINGHRENUARUN

37 Female na Spouse 16/04/2019 0 0

717 588 11 Mah/1711-A/1995

SINGHKRISHNA

ARUN

12 Male na Child 2 16/04/2019 0 0

718 588 1 Mah/1711-A/1995

SINGHARUNKU

MARSAMAR

BAHADUR

52 Male na Employee 16/04/2019 300000 0

719 588 3 Mah/1711-A/1995

SINGHANSHUARUN

21 Female na Child 1 16/04/2019 0 0

720 251 3 Mah/1720/2007

PATILKALYANIHANUMA

NT

7 Female na Child 1 16/04/2019 0 0

721 251 1 Mah/1720/2007

PATILHANUMA

NTANNASAH

EB

36 Male na Employee 16/04/2019 100000 0

722 251 2 Mah/1720/2007

PATILMANISHAHANUMA

NT

30 Female na Spouse 16/04/2019 0 0

723 251 11 Mah/1720/2007

PATILGAURI

HANUMANT

5 Female na Child 2 16/04/2019 0 0

724 350 3 Mah/1723/2007

BOMBALEAARADHYA KIRAN

5 Male na Child 1 16/04/2019 0 0

725 350 2 Mah/1723/2007

BOMBALESAPANAKIRAN

34 Female na Spouse 16/04/2019 0 0

726 350 1 Mah/1723/2007

BOMBALEKIRAN

RAMCHANDRA

36 Male na Employee 16/04/2019 200000 0

727 536 1 Mah/1724/2006

AVHADABHIJIT

PADMAKAR

38 Male na Employee 16/04/2019 500000 0

728 536 2 Mah/1724/2006

AVHADNIRMALAABHIJIT

33 Female na Spouse 16/04/2019 0 0

729 536 11 Mah/1724/2006

AVHADISHANABHIJIT

3 Male na Child 2 16/04/2019 0 0

730 536 3 Mah/1724/2006

AVHADARNAVABHIJIT

7 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

731 43 3 Mah/1736-A/1988

SINGHPRIYANS

HJAIPRAKA

SH

25 Male na Child 1 16/04/2019 0 0

732 43 2 Mah/1736-A/1988

SINGHMADHURIJAIPRAKA

SH

43 Female na Spouse 16/04/2019 0 0

733 43 1 Mah/1736-A/1988

SINGH JAIPRAKASH

54 Male na Employee 16/04/2019 200000 0

734 43 11 Mah/1736-A/1988

SINGHPRAGYAJAIPRAKA

SH

22 Female na Child 2 16/04/2019 0 0

735 492 2 Mah/1781/2007

INGOLEANUSHKARADHAKR

USHNA

31 Female na Spouse 16/04/2019 0 0

736 492 1 Mah/1781/2007

INGOLERADHAKR

USHNAKESHAVR

AO

37 Male na Employee 16/04/2019 300000 0

737 492 3 Mah/1781/2007

INGOLEPARTH

RADHAKRUSHNA

6 Male na Child 1 16/04/2019 0 0

738 492 11 Mah/1781/2007

INGOLESHARAYURADHAKR

USHNA

4 Female na Child 2 16/04/2019 0 0

739 23 2 Mah/1784/2004

DANGATANITA S

42 Female na Spouse 16/04/2019 0 0

740 23 1 Mah/1784/2004

DANGATSHAMSU

NDERVISHWAM

BER

45 Male na Employee 16/04/2019 300000 0

741 23 11 Mah/1784/2004

DANGATSHERYU

S

10 Female na Child 2 16/04/2019 0 0

742 23 3 Mah/1784/2004

DANGATSHANTAN

U S

19 Male na Child 1 16/04/2019 0 0

743 540 2 Mah/1792/2013

WALZADE

UJJWALASAGAR

31 Female na Spouse 16/04/2019 0 0

744 540 1 Mah/1792/2013

WALZADE SAGARDATTU

34 Male na Employee 16/04/2019 300000 0

745 540 11 Mah/1792/2013

WALZADE DHRUVSAGAR

7 Male na Child 2 16/04/2019 0 0

746 540 3 Mah/1792/2013

WALZADE

YADUNANDAN

SAGAR

9 Male na Child 1 16/04/2019 0 0

747 382 3 Mah/1805/1998

SAMANTHARYASH

WABHUPESH

16 Male na Child 1 16/04/2019 0 0

748 382 2 Mah/1805/1998

SAMANTRASHMI

BHUPESH

50 Female na Spouse 16/04/2019 0 0

749 382 1 Mah/1805/1998

SAMANTBHUPESHVIJAYKAN

T

44 Male na Employee 16/04/2019 300000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

750 571 1 Mah/1810/2002

DODEVAISHALIMANOJ

44 Female na Employee 16/04/2019 500000 0

751 571 2 Mah/1810/2002

DODEMANOJ

KACHESHWAR

46 Male na Spouse 16/04/2019 0 0

752 571 3 Mah/1810/2002

DODEONKARMANOJ

13 Male na Child 1 16/04/2019 0 0

753 571 11 Mah/1810/2002

DODESANSKAR

MANOJ

13 Male na Child 2 16/04/2019 0 0

754 359 3 Mah/1812/2002

GIRANJESAMIKSHA VIKAS

14 Female na Child 1 16/04/2019 0 0

755 359 11 Mah/1812/2002

GIRANJEUNMESH

VIKAS

12 Male na Child 2 16/04/2019 0 0

756 359 2 Mah/1812/2002

GIRANJEVIKAS

WAMAN

41 Male na Spouse 16/04/2019 0 0

757 359 1 Mah/1812/2002

GIRANJESWATIVIKAS

43 Female na Employee 16/04/2019 200000 0

758 479 1 Mah/1821/1999

DESHMUKH

ASHISHPANJABR

AO

46 Male na Employee 16/04/2019 300000 0

759 479 2 Mah/1821/1999

DESHMUKH

ANUPRITA ASHISH

45 Female na Spouse 16/04/2019 0 0

760 479 3 Mah/1821/1999

DESHMUKH

ARPITAASHISH

18 Female na Child 1 16/04/2019 0 0

761 479 11 Mah/1821/1999

DESHMUKH

AJINKYAASHISH

11 Male na Child 2 16/04/2019 0 0

762 285 11 Mah/1832/1993

GAIKWADVAISHNAVI SHIVAJI

17 Female na Child 2 16/04/2019 0 0

763 285 1 Mah/1832/1993

GAIKWADSHIVAJI

VAMANRAO

52 Male na Employee 16/04/2019 100000 0

764 285 2 Mah/1832/1993

GAIKWADDARSHANA SHIVAJI

42 Female na Spouse 16/04/2019 0 0

765 285 3 Mah/1832/1993

GAIKWADPRATIKSHIVAJI

21 Male na Child 1 16/04/2019 0 0

766 557 1 Mah/1836/1991

SHAHVINOD

MALSIBHAI

51 Male na Employee 16/04/2019 500000 0

767 557 2 Mah/1836/1991

SHAHJYOTI

VINOD

48 Female na Spouse 16/04/2019 0 0

768 557 3 Mah/1836/1991

SHAHAAGAMVINOD

22 Male na Child 1 16/04/2019 0 0

769 557 11 Mah/1836/1991

SHAHPARAMVINOD

19 Male na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

770 372 3 Mah/1836/2006

PATILSWARANJ

ALIKISHOR

8 Female na Child 1 16/04/2019 0 0

771 372 11 Mah/1836/2006

PATILAAROHIKISHOR

4 Female na Child 2 16/04/2019 0 0

772 372 2 Mah/1836/2006

PATILROHINIKISHOR

34 Female na Spouse 16/04/2019 0 0

773 372 1 Mah/1836/2006

PATILKISHOR

DILIP

38 Male na Employee 16/04/2019 200000 0

774 36 2 Mah/185/1976

SINGHSUSHILARAJENDR

A

60 Female na Spouse 16/04/2019 0 0

775 36 1 Mah/185/1976

SINGHRAJENDR

APRASAD

68 Male na Employee 16/04/2019 100000 0

776 535 1 Mah/1856/2018

POTEKETAN

DAULAT

23 Male na Employee 16/04/2019 100000 0

777 311 11 Mah/1871/2017

SELMOHKAR

CHINMAYMANISH

6 Male na Child 2 16/04/2019 0 0

778 311 3 Mah/1871/2017

SELMOHKAR

MANASVIMANISH

8 Female na Child 1 16/04/2019 0 0

779 311 2 Mah/1871/2017

SELMOHKAR

GAYATRIMANISH

30 Female na Spouse 16/04/2019 0 0

780 311 1 Mah/1871/2017

SELMOHKAR

MANISHLAXMIKA

NT

37 Male na Employee 16/04/2019 100000 0

781 580 3 Mah/1872/2016

MANTRISWARASURAJ

0 Female na Child 1 16/04/2019 0 0

782 580 2 Mah/1872/2016

MANTRIKIRTISURAJ

28 Female na Spouse 16/04/2019 0 0

783 580 1 Mah/1872/2016

MANTRISURAJ

SUBHASH

28 Male na Employee 16/04/2019 300000 0

784 239 2 Mah/1882/2012

TINGREDHANANJ

AYBABASAH

EB

57 Male na Spouse 16/04/2019 0 0

785 239 3 Mah/1882/2012

TINGREADITYA

DHANANJAY

20 Male na Child 1 16/04/2019 0 0

786 239 1 Mah/1882/2012

TINGREREKHA

DHANANJAY

47 Female na Employee 16/04/2019 100000 0

787 458 3 Mah/1888/2008

PAWARSASMITSUMANT

6 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

788 458 1 Mah/1888/2008

PAWARSUMANTVISHWAS

33 Male na Employee 16/04/2019 100000 0

789 458 2 Mah/1888/2008

PAWARSARIKASUMANT

33 Female na Spouse 16/04/2019 0 0

790 451 2 Mah/1889/1981

JEDHEANURADHA DILIP

50 Female na Spouse 16/04/2019 0 0

791 451 1 Mah/1889/1981

JEDHEDILIP

VISHWANATH

63 Male na Employee 16/04/2019 200000 0

792 581 2 Mah/1889/2016

SONAWANE

PRAMILAJAGANNA

TH

23 Female na Spouse 16/04/2019 0 0

793 581 1 Mah/1889/2016

TIDKEBHARATJAGANNA

TH

28 Male na Employee 16/04/2019 200000 0

794 294 1 Mah/1891/2001

KADAMABHIJIT

BAPUSAHEB

41 Male na Employee 16/04/2019 100000 0

795 294 3 Mah/1891/2001

KADAMGAYATRIABHIJIT

10 Female na Child 1 16/04/2019 0 0

796 294 2 Mah/1891/2001

KADAMSARIKAABHIJIT

34 Female na Spouse 16/04/2019 0 0

797 294 11 Mah/1891/2001

KADAMRADHEYABHIJIT

7 Male na Child 2 16/04/2019 0 0

798 57 1 Mah/1899/2004

BHOSLERAJKUMA

RSHANKAR

RAO

41 Male na Employee 16/04/2019 200000 0

799 57 3 Mah/1899/2004

BHOSLESANCHIT

ARAJKUMA

R

12 Female na Child 1 16/04/2019 0 0

800 57 2 Mah/1899/2004

BHOSLESWATI

RAJKUMAR

31 Female na Spouse 16/04/2019 0 0

801 57 11 Mah/1899/2004

BHOSLESHRAVANRAJKUMA

R

7 Male na Child 2 16/04/2019 0 0

802 59 1 Mah/1901/2008

SAKHARESANJAY

CHANDRAKANT

42 Male na Employee 16/04/2019 300000 0

803 59 3 Mah/1901/2008

SAKHAREOM

SANJAY

16 Male na Child 1 16/04/2019 0 0

804 59 2 Mah/1901/2008

SAKHARESUJATASANJAY

35 Female na Spouse 16/04/2019 0 0

805 253 2 Mah/1904/2007

GAIKWADVAISHNAVI RAVI

36 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

806 253 1 Mah/1904/2007

GAIKWADRAVI

ROHIDAS

38 Male na Employee 16/04/2019 300000 0

807 409 3 Mah/1918/2005

PATILAPOORVASANDESH

9 Female na Child 1 16/04/2019 0 0

808 409 11 Mah/1918/2005

PATILANURAGSANDESH

3 Male na Child 2 16/04/2019 0 0

809 409 1 Mah/1918/2005

PATILSANDESHRAMAN

36 Male na Employee 16/04/2019 100000 0

810 409 2 Mah/1918/2005

PATILSWARUPSANDESH

33 Female na Spouse 16/04/2019 0 0

811 272 1 Mah/1938/1989

KURADEMILIND

MADHAV

46 Male na Employee 16/04/2019 300000 0

812 272 2 Mah/1938/1989

KURADEBHAGYAS

HREEMILIND

40 Female na Spouse 16/04/2019 0 0

813 272 11 Mah/1938/1989

KURADEMANSWIMILIND

7 Female na Child 2 16/04/2019 0 0

814 272 3 Mah/1938/1989

KURADESANTAJIMILIND

14 Male na Child 1 16/04/2019 0 0

815 507 2 Mah/195/1985

UGLEALAKNAN

DAVASANTR

AO

54 Female na Spouse 16/04/2019 0 0

816 507 1 Mah/195/1985

UGLEVASANTR

AOVISHWANATHRAO

62 Male na Employee 16/04/2019 100000 0

817 332 2 Mah/1960/1989

RAJEPRATIBH

ADHANANJ

AY

47 Female na Spouse 16/04/2019 0 0

818 332 3 Mah/1960/1989

RAJEANKITA

DHANANJAY

24 Female na Child 1 16/04/2019 0 0

819 332 1 Mah/1960/1989

RAJEDHANANJ

AYKRISHNAJ

I

54 Male na Employee 16/04/2019 500000 0

820 332 11 Mah/1960/1989

RAJEVIDULA

DHANANJAY

19 Female na Child 2 16/04/2019 0 0

821 266 2 Mah/1970/2002

PATILRUPALISURESH

36 Female na Spouse 16/04/2019 0 0

822 266 1 Mah/1970/2002

PATILSURESH

KRISHNAJI

44 Male na Employee 16/04/2019 100000 0

823 266 3 Mah/1970/2002

PATILHARSHWARDHANSURESH

12 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

824 266 11 Mah/1970/2002

PATILSHOURYASURESH

7 Male na Child 2 16/04/2019 0 0

825 600 1 Mah/1986/2007

KURLEMEGHAKAILASH

35 Female na Employee 16/04/2019 100000 0

826 600 2 Mah/1986/2007

KURLEKAILASH

R

38 Male na Spouse 16/04/2019 0 0

827 600 3 Mah/1986/2007

KURLECHINMAYKAILASH

9 Male na Child 1 16/04/2019 0 0

828 392 2 Mah/20/2009

CHAKORPRIYANKADATTATR

AY

26 Female na Spouse 16/04/2019 0 0

829 392 1 Mah/20/2009

CHAKORDATTATR

AYMADHAV

35 Male na Employee 16/04/2019 1000000 0

830 392 3 Mah/20/2009

CHAKORMANAS

DATTATRAY

4 Male na Child 1 16/04/2019 0 0

831 347 2 Mah/2015/2018

NAGANEASHWINIVAIBHAV

26 Female na Spouse 16/04/2019 0 0

832 347 1 Mah/2015/2018

NAGANEVAIBHAVMAHADE

V

27 Male na Employee 16/04/2019 200000 0

833 431 3 Mah/202/1988

GITESONALVILAS

25 Female na Child 1 16/04/2019 0 0

834 431 1 Mah/202/1988

GITEVILAS

NAMDEORAO

58 Male na Employee 16/04/2019 300000 0

835 431 11 Mah/202/1988

GITEVAISHNAVI VILAS

16 Female na Child 2 16/04/2019 0 0

836 431 2 Mah/202/1988

GITERAJASHRI

VILAS

51 Female na Spouse 16/04/2019 0 0

837 1 11 Mah/2021/2005

GAIDHANE

SHIVESHN

2 Male na Child 2 16/04/2019 0 0

838 1 2 Mah/2021/2005

GAIDHANE SONALI

N

32 Female na Spouse 16/04/2019 0 0

839 1 1 Mah/2021/2005

GAIDHANE

NEELESHMANOHA

R

39 Male na Employee 16/04/2019 200000 0

840 1 3 Mah/2021/2005

GAIDHANE NITTYA

N

8 Female na Child 1 16/04/2019 0 0

841 416 2 Mah/203/1991

BHUSAREVARSHAUTTAM

47 Female na Spouse 16/04/2019 0 0

842 416 1 Mah/203/1991

BHUSAREUTTAM

MURLIDHAR

56 Male na Employee 16/04/2019 200000 0

843 416 3 Mah/203/1991

BHUSAREKRUSHNA

UTTAM

22 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

844 477 11 Mah/203/1994

DHIKALEGAYATRIRATAN

18 Female na Child 2 16/04/2019 0 0

845 477 3 Mah/203/1994

DHIKALENIKHILRATAN

23 Male na Child 1 16/04/2019 0 0

846 477 2 Mah/203/1994

DHIKALEMANISHARATAN

42 Female na Spouse 16/04/2019 0 0

847 477 1 Mah/203/1994

DHIKALERATAN

BABURAO

50 Male na Employee 16/04/2019 300000 0

848 304 3 Mah/2068/2005

DESHMUKH

PRITHVIRAJ

LAXMAN

4 Male na Child 1 16/04/2019 0 0

849 304 1 Mah/2068/2005

DESHMUKH

LAXMANSHIVAJIR

AO

38 Male na Employee 16/04/2019 300000 0

850 304 2 Mah/2068/2005

DESHMUKH

SANDHYALAXMAN

37 Female na Spouse 16/04/2019 0 0

851 275 1 Mah/2072/2013

BABRENARENDR

AKISHANR

AO

35 Male na Employee 16/04/2019 200000 0

852 275 2 Mah/2072/2013

BABREKALPANANARENDR

A

34 Female na Spouse 16/04/2019 0 0

853 275 3 Mah/2072/2013

BABREARJUN

NARENDRA

3 Male na Child 1 16/04/2019 0 0

854 394 11 Mah/2079/2004

SONAWANE

SANSKRUTI

MORESHWAR

1 Female na Child 2 16/04/2019 0 0

855 394 3 Mah/2079/2004

SONAWANE

SAMRUDDHI

MORESHWAR

8 Female na Child 1 16/04/2019 0 0

856 394 2 Mah/2079/2004

SONAWANE

SANGITAMORESH

WAR

34 Female na Spouse 16/04/2019 0 0

857 394 1 Mah/2079/2004

SONAWANE

MORESHWAR

RAMCHANDRA

39 Male na Employee 16/04/2019 200000 0

858 441 3 Mah/209/1985

DESHMUKH

MRUNALVIJAY

27 Female na Child 1 16/04/2019 0 0

859 441 2 Mah/209/1985

DESHMUKH

SHOBHAVIJAY

56 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

860 441 1 Mah/209/1985

DESHMUKH VIJAYMANIKRA

O

58 Male na Employee 16/04/2019 1000000 0

861 376 1 Mah/2097/2006

TAWADEACHYUTKISHANR

AO

38 Male na Employee 16/04/2019 100000 0

862 376 2 Mah/2097/2006

TAWADESWARANJ

ALIACHYUT

36 Female na Spouse 16/04/2019 0 0

863 376 3 Mah/2097/2006

TAWADESWARITACHYUT

6 Male na Child 1 16/04/2019 0 0

864 376 11 Mah/2097/2006

TAWADEARJIT

ACHYUT

3 Male na Child 2 16/04/2019 0 0

865 356 11 Mah/2113/1999

CHATESHRUSHTI VITTHAL

12 Female na Child 2 16/04/2019 0 0

866 356 3 Mah/2113/1999

CHATEOMKARVITTHAL

16 Male na Child 1 16/04/2019 0 0

867 356 2 Mah/2113/1999

CHATESUMITAVITTHAL

43 Female na Spouse 16/04/2019 0 0

868 356 1 Mah/2113/1999

CHATEVITTHALMARUTIR

AO

45 Male na Employee 16/04/2019 200000 0

869 255 2 Mah/2117/2002

JONDHALE

VAISHALISUNILKU

MAR

36 Female na Spouse 16/04/2019 0 0

870 255 1 Mah/2117/2002

JONDHALE

SUNILKUMAR

MOTIRAM

47 Male na Employee 16/04/2019 100000 0

871 255 11 Mah/2117/2002

JONDHALE

ANUSHKASUNILKU

MAR

11 Female na Child 2 16/04/2019 0 0

872 255 3 Mah/2117/2002

JONDHALE

AISHWARYA

SUNILKUMAR

16 Female na Child 1 16/04/2019 0 0

873 429 3 Mah/2118/2003

NANDEDKAR

SHARDAANIL

14 Female na Child 1 16/04/2019 0 0

874 429 11 Mah/2118/2003

NANDEDKAR

SHWETAANIL

7 Female na Child 2 16/04/2019 0 0

875 429 2 Mah/2118/2003

NANDEDKAR

KAVERIANIL

39 Female na Spouse 16/04/2019 0 0

876 429 1 Mah/2118/2003

NANDEDKAR ANILVIRBHAD

RA

43 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

877 542 3 Mah/2120/2007

KAGNEVIRAAJ

VINAYAK

5 Male na Child 1 16/04/2019 0 0

878 542 11 Mah/2120/2007

KAGNEAARYANVINAYAK

4 Male na Child 2 16/04/2019 0 0

879 542 1 Mah/2120/2007

KAGNEVINAYAKMAROTIR

AO

40 Male na Employee 16/04/2019 200000 0

880 542 2 Mah/2120/2007

KAGNEMANISHAVINAYAK

39 Female na Spouse 16/04/2019 0 0

881 25 3 Mah/2121/2006

BHOSALEARYAN

NAVNATH

6 Male na Child 1 16/04/2019 0 0

882 25 11 Mah/2121/2006

BHOSALEVISHWAN

JALINAVNATH

1 Female na Child 2 16/04/2019 0 0

883 25 2 Mah/2121/2006

BHOSALEANAGHANAVNATH

34 Female na Spouse 16/04/2019 0 0

884 25 1 Mah/2121/2006

BHOSALENAVNATHNARAYAN

38 Male na Employee 16/04/2019 200000 0

885 503 2 Mah/2137/2008

SURYAVANSHI

ASHWINISANGRA

M

29 Female na Spouse 16/04/2019 0 0

886 503 1 Mah/2137/2008

SURYAVANSHI

SANGRAM

BHANUDAS

34 Male na Employee 16/04/2019 100000 0

887 503 3 Mah/2137/2008

SURYAVANSHI

KADAMBARI

SANGRAM

4 Female na Child 1 16/04/2019 0 0

888 475 2 Mah/2141/2015

KACHARESMITA

PRADEEP

40 Female na Spouse 16/04/2019 0 0

889 475 1 Mah/2141/2015

KACHAREPRADEEPSOPAN

43 Male na Employee 16/04/2019 800000 0

890 475 3 Mah/2141/2015

KACHAREANJALI

PRADEEP

13 Female na Child 1 16/04/2019 0 0

891 475 11 Mah/2141/2015

KACHARENIKHIL

PRADEEP

12 Male na Child 2 16/04/2019 0 0

892 552 2 Mah/2158/2008

SHINDESNEHAPRAVIN

29 Female na Spouse 16/04/2019 0 0

893 552 1 Mah/2158/2008

SHINDEPRAVIN

TUKARAM

36 Male na Employee 16/04/2019 500000 0

894 552 3 Mah/2158/2008

SHINDESHON

PRAVIN

7 Male na Child 1 16/04/2019 0 0

895 252 2 Mah/2159/2005

KULKARNI SONALISHRIRAM

32 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

896 252 1 Mah/2159/2005

KULKARNI

SHRIRAMANANTRA

O

42 Male na Employee 16/04/2019 100000 0

897 286 3 Mah/2172/2010

ADHAVJUANITA

JATIN

11 Female na Child 1 16/04/2019 0 0

898 286 2 Mah/2172/2010

ADHAVAPARNA

JATIN

38 Female na Spouse 16/04/2019 0 0

899 286 1 Mah/2172/2010

ADHAVJATIN

SHAMSUNDER

38 Male na Employee 16/04/2019 200000 0

900 28 1 Mah/2188/2005

GEDAMJITENDRANARAYAN

36 Male na Employee 16/04/2019 200000 0

901 28 2 Mah/2188/2005

GEDAMSONALI

JITENDRA

33 Female na Spouse 16/04/2019 0 0

902 28 11 Mah/2188/2005

GEDAMRANVEERJITENDRA

4 Male na Child 2 16/04/2019 0 0

903 28 3 Mah/2188/2005

GEDAMRAJVEERJITENDRA

7 Male na Child 1 16/04/2019 0 0

904 80 11 Mah/2190/1993

GOLEWAR ADITYAVISHWAN

ATH

15 Male na Child 2 16/04/2019 0 0

905 80 3 Mah/2190/1993

GOLEWAR VIKRAMVISHWAN

ATH

17 Male na Child 1 16/04/2019 0 0

906 80 2 Mah/2190/1993

GOLEWAR

NANABAIVISHWAN

ATH

39 Female na Spouse 16/04/2019 0 0

907 80 1 Mah/2190/1993

GOLEWAR

VISHWANATH

PANDITRAO

51 Male na Employee 16/04/2019 200000 0

908 295 1 Mah/2190/2008

THORATAMIT

BHAKTIRAM

35 Male na Employee 16/04/2019 100000 0

909 295 3 Mah/2190/2008

THORATADITYARAJ AMIT

8 Male na Child 1 16/04/2019 0 0

910 295 2 Mah/2190/2008

THORATPRAJAKTA

AMIT

33 Female na Spouse 16/04/2019 0 0

911 331 2 Mah/2222/2012

BAGALISHRADD

HAPRAKASH

23 Female na Spouse 16/04/2019 0 0

912 331 1 Mah/2222/2012

THOBDERITESHMILIND

30 Male na Employee 16/04/2019 200000 0

913 399 1 Mah/2248/1995

DESHMUKH

JAYANTSHYAMRA

O

48 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

914 399 3 Mah/2248/1995

DESHMUKH

VAISHNAVI JAYANT

19 Female na Child 1 16/04/2019 0 0

915 399 11 Mah/2248/1995

DESHMUKH

ADHOKSHAJ

JAYANT

14 Male na Child 2 16/04/2019 0 0

916 399 2 Mah/2248/1995

DESHMUKH

SARIKAJAYANT

42 Female na Spouse 16/04/2019 0 0

917 170 11 Mah/2252/2004

DAWREVIRAJ

RAHUL

3 Male na Child 2 16/04/2019 0 0

918 170 2 Mah/2252/2004

DAWRESMITARAHUL

35 Female na Spouse 16/04/2019 0 0

919 170 1 Mah/2252/2004

DAWRERAHUL

MURLIDHARRAO

38 Male na Employee 16/04/2019 100000 0

920 170 3 Mah/2252/2004

DAWRERUTUJARAHUL

9 Female na Child 1 16/04/2019 0 0

921 338 1 Mah/2261/2012

WADEKAR

HEMANTDATTATR

AY

35 Male na Employee 16/04/2019 200000 0

922 338 11 Mah/2261/2012

WADEKAR SWARAHEMANT

0 Female na Child 2 16/04/2019 0 0

923 338 2 Mah/2261/2012

WADEKAR POOJAHEMANT

26 Female na Spouse 16/04/2019 0 0

924 338 3 Mah/2261/2012

WADEKAR

HINDAVIHEMANT

3 Female na Child 1 16/04/2019 0 0

925 428 11 Mah/2270/2003

MALDODE

SHREEMAYI SANJAY

4 Female na Child 2 16/04/2019 0 0

926 428 1 Mah/2270/2003

MALDODE SANJAYRAJESHW

AR

40 Male na Employee 16/04/2019 200000 0

927 428 3 Mah/2270/2003

MALDODE SHIVAMSANJAY

6 Male na Child 1 16/04/2019 0 0

928 428 2 Mah/2270/2003

MALDODE

SULBHASANJAY

37 Female na Spouse 16/04/2019 0 0

929 69 1 Mah/2282/2009

HANDESACHINKERU

33 Male na Employee 16/04/2019 500000 0

930 69 2 Mah/2282/2009

HANDEVAISHALISACHIN

24 Female na Spouse 16/04/2019 0 0

931 69 3 Mah/2282/2009

HANDEAARADHYA SACHIN

3 Female na Child 1 16/04/2019 0 0

932 33 1 Mah/2297/2014

NANAWARE

SHANKARHANUMA

NT

31 Male na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

933 33 2 Mah/2297/2014

NAMAWARE

RADHIKASHANKAR

23 Female na Spouse 16/04/2019 0 0

934 65 1 Mah/2303/2005

PATILSANTOSHSHYAMRA

O

37 Male na Employee 16/04/2019 500000 0

935 65 3 Mah/2303/2005

PATILSWARA

SANTOSH

6 Female na Child 1 16/04/2019 0 0

936 65 2 Mah/2303/2005

PATILSHITAL

SANTOSH

29 Female na Spouse 16/04/2019 0 0

937 606 11 Mah/2313/2008

CHANDANSE

AKSHADARAHUL

6 Female na Child 2 16/04/2019 0 0

938 606 3 Mah/2313/2008

CHANDANSE

SRUSHTIRAHUL

11 Female na Child 1 16/04/2019 0 0

939 606 2 Mah/2313/2008

CHANDANSE

JAYSHREERAHUL

33 Female na Spouse 16/04/2019 0 0

940 606 1 Mah/2313/2008

CHANDANSE

RAHULRAMESH

36 Male na Employee 16/04/2019 200000 0

941 240 1 Mah/2314/2015

DURKARAMOL

SHIVDAS

28 Male na Employee 16/04/2019 300000 0

942 240 2 Mah/2314/2015

DURKARASHWINI

AMOL

23 Female na Spouse 16/04/2019 0 0

943 160 11 Mah/2315/2004

GAWALISTUTI

VISHNU

2 Female na Child 2 16/04/2019 0 0

944 160 3 Mah/2315/2004

GAWALIRISHI

VISHNU

11 Male na Child 1 16/04/2019 0 0

945 160 2 Mah/2315/2004

GAWALIJYOTI

GAWALI

35 Female na Spouse 16/04/2019 0 0

946 160 1 Mah/2315/2004

GAWALIVISHNU

BHAGAWAN

38 Male na Employee 16/04/2019 200000 0

947 26 3 Mah/2330/2010

CHAVANAAYUSHSANDIP

4 Male na Child 1 16/04/2019 0 0

948 26 2 Mah/2330/2010

CHAVANPRIYANKASANDIP

31 Female na Spouse 16/04/2019 0 0

949 26 1 Mah/2330/2010

CHAVANSANDIP

TATYASAHEB

36 Male na Employee 16/04/2019 200000 0

950 357 2 Mah/2331/1993

CHILLARGE

NISHANTSUBHASH

42 Female na Spouse 16/04/2019 0 0

951 357 3 Mah/2331/1993

CHILLARGE

RAJESHWARI

SUBHASH

18 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

952 357 1 Mah/2331/1993

CHILLARGE

SUBHASHSHANTVE

ER

49 Male na Employee 16/04/2019 300000 0

953 408 2 Mah/2333/2009

BHAPKARSAVITANITIN

28 Female na Spouse 16/04/2019 0 0

954 408 3 Mah/2333/2009

BHAPKARARUSHNITIN

4 Male na Child 1 16/04/2019 0 0

955 408 1 Mah/2333/2009

BHAPKARNITIN

ABASAHEB

33 Male na Employee 16/04/2019 100000 0

956 374 2 Mah/2341/1979

PRABHUVELGUEN

KARKRUPALIMOHAN

33 Female na Spouse 16/04/2019 0 0

957 374 3 Mah/2341/1979

PRABHUVELGUEN

KARSAAVI

MOHAN

2 Female na Child 1 16/04/2019 0 0

958 374 1 Mah/2341/1979

PRABHUVELGUEN

KARMOHANSHAMBH

U

40 Male na Employee 16/04/2019 1000000 0

959 345 2 Mah/2353/1999

DAWDADARSHNAMANISH

42 Female na Spouse 16/04/2019 0 0

960 345 3 Mah/2353/1999

DAWDAKHUSHIMANISH

15 Female na Child 1 16/04/2019 0 0

961 345 1 Mah/2353/1999

DAWDAMANISHRAMNIKL

AL

45 Male na Employee 16/04/2019 300000 0

962 345 11 Mah/2353/1999

DAWDAISHITA

MANISH

13 Female na Child 2 16/04/2019 0 0

963 465 11 Mah/2355/2004

VENJANEHARSH

TUKARAM

10 Male na Child 2 16/04/2019 0 0

964 465 3 Mah/2355/2004

VENJANETEJAL

TUKARAM

13 Female na Child 1 16/04/2019 0 0

965 465 2 Mah/2355/2004

VENJANESUREKHATUKARAM

38 Female na Spouse 16/04/2019 0 0

966 465 1 Mah/2355/2004

VENJANETUKARAMMARUTI

38 Male na Employee 16/04/2019 500000 0

967 434 11 Mah/236/1996

BHALERAO

SWARAJSACHIN

5 Male na Child 2 16/04/2019 0 0

968 434 3 Mah/236/1996

BHALERAO PARTHSACHIN

16 Male na Child 1 16/04/2019 0 0

969 434 2 Mah/236/1996

BHALERAO SMITASACHIN

40 Female na Spouse 16/04/2019 0 0

970 434 1 Mah/236/1996

BHALERAO SACHIN

SOPAN

46 Male na Employee 16/04/2019 500000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

971 155 1 Mah/236/2000

PAWARDIGVIJAY

DILIP

44 Male na Employee 16/04/2019 200000 0

972 532 3 Mah/2360/2017

YADAVSHARAYUSOMNAT

H

3 Female na Child 1 16/04/2019 0 0

973 532 11 Mah/2360/2017

YADAVSHRIKAN

TSOMNAT

H

1 Male na Child 2 16/04/2019 0 0

974 532 2 Mah/2360/2017

YADAVSIMA

SOMNATH

27 Female na Spouse 16/04/2019 0 0

975 532 1 Mah/2360/2017

YADAVSOMNAT

HVISHWAN

ATH

36 Male na Employee 16/04/2019 100000 0

976 550 1 Mah/2365/2012

PATANGECHANDRAKANT

MADHUKARRAO

31 Male na Employee 16/04/2019 100000 0

977 550 3 Mah/2365/2012

PATANGESHLOK

CHANDRAKANT

1 Male na Child 1 16/04/2019 0 0

978 550 2 Mah/2365/2012

PATANGENISHIGAN

DHACHANDRAKANT

22 Female na Spouse 16/04/2019 0 0

979 433 1 Mah/2374/2015

PATILRUTUJAKAILAS

26 Female na Employee 16/04/2019 300000 0

980 524 1 Mah/238/1996

KENIRAJENDR

AYASHWA

NT

50 Male na Employee 16/04/2019 100000 0

981 524 11 Mah/238/1996

KENIOMKAR

RAJENDRA

15 Male na Child 2 16/04/2019 0 0

982 524 3 Mah/238/1996

KENIKRUTIK

RAJENDRA

19 Male na Child 1 16/04/2019 0 0

983 524 2 Mah/238/1996

KENINILAM

RAJENDRA

44 Female na Spouse 16/04/2019 0 0

984 445 3 Mah/2396/2009

WALKESHAMBH

AVISHIVAJI

4 Female na Child 1 16/04/2019 0 0

985 445 2 Mah/2396/2009

WALKESHIVAJILAHANU

54 Male na Spouse 16/04/2019 0 0

986 445 1 Mah/2396/2009

GAIKWADKAVITA

SADASHIV

34 Female na Employee 16/04/2019 300000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

987 445 11 Mah/2396/2009

WALKEMRUTUNJ

AYSHIVAJI

3 Male na Child 2 16/04/2019 0 0

988 497 11 Mah/2411/2007

WADKARSHARDULVISHAL

1 Male na Child 2 16/04/2019 0 0

989 497 1 Mah/2411/2007

WADKARVISHAL

SHANKAR

35 Male na Employee 16/04/2019 200000 0

990 497 3 Mah/2411/2007

WADKARSHOURYA

VISHAL

5 Female na Child 1 16/04/2019 0 0

991 497 2 Mah/2411/2007

WADKARVARSHAVISHAL

31 Female na Spouse 16/04/2019 0 0

992 574 1 Mah/2441/2017

KOLHESURAJ

RAMESHWAR

25 Male na Employee 16/04/2019 100000 0

993 308 1 Mah/2448/2005

PATILYUWRAJDHANRAJ

36 Male na Employee 16/04/2019 200000 0

994 308 3 Mah/2448/2005

PATILAAYUSHIYUWRAJ

4 Female na Child 1 16/04/2019 0 0

995 308 2 Mah/2448/2005

PATILSHRADD

HAYUWRAJ

30 Female na Spouse 16/04/2019 0 0

996 432 2 Mah/248/1988

PATILSANGEETA KAILAS

49 Female na Spouse 16/04/2019 0 0

997 432 1 Mah/248/1988

PATILKAILAS

DAMODAR

56 Male na Employee 16/04/2019 300000 0

998 320 2 Mah/2489/2005

NIVANDKAR

SHITALMUKESH

39 Female na Spouse 16/04/2019 0 0

999 320 3 Mah/2489/2005

NIVANDKAR RIYAMUKESH

8 Female na Child 1 16/04/2019 0 0

1000 320 1 Mah/2489/2005

NIVANDKAR

MUKESHDATTATR

AY

39 Male na Employee 16/04/2019 300000 0

1001 558 11 Mah/2490/2009

RAJGORPRARTHN

AYOGEND

RA

13 Female na Child 2 16/04/2019 0 0

1002 558 3 Mah/2490/2009

RAJGORSMRUTIYOGEND

RA

15 Female na Child 1 16/04/2019 0 0

1003 558 2 Mah/2490/2009

RAJGORPRAFULAYOGEND

RA

38 Female na Spouse 16/04/2019 0 0

1004 558 1 Mah/2490/2009

RAJGORYOGEND

RAARVIND

43 Male na Employee 16/04/2019 1000000 0

1005 545 1 Mah/2497/2003

SALVESACHIN

VASANTRAO

43 Male na Employee 16/04/2019 1000000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1006 545 2 Mah/2497/2003

CHITALERASHMIVIKAS

37 Female na Spouse 16/04/2019 0 0

1007 545 3 Mah/2497/2003

SALVEGAURAVSACHIN

8 Male na Child 1 16/04/2019 0 0

1008 554 1 Mah/2509/2012

RAUTBHAGYAS

HREEBABAN

31 Female na Employee 16/04/2019 100000 0

1009 300 2 Mah/251/1989

RANDIVECHHAYABHASKAR

49 Female na Spouse 16/04/2019 0 0

1010 300 1 Mah/251/1989

RANDIVEBHASKARSHRIPATI

60 Male na Employee 16/04/2019 1000000 0

1011 300 3 Mah/251/1989

RANDIVERAVINA

BHASKAR

24 Female na Child 1 16/04/2019 0 0

1012 316 1 Mah/254/2001

KADAMSHANKARBABURAO

42 Male na Employee 16/04/2019 200000 0

1013 316 3 Mah/254/2001

KADAMMAHESHSHANKAR

14 Male na Child 1 16/04/2019 0 0

1014 316 11 Mah/254/2001

KADAMRUTUJAMAHESH

9 Female na Child 2 16/04/2019 0 0

1015 316 2 Mah/254/2001

KADAMSANGEET

ASHANKAR

43 Female na Spouse 16/04/2019 0 0

1016 154 2 Mah/2558/2000

KAMBLERUSHALI

NITIN

35 Female na Spouse 16/04/2019 0 0

1017 154 3 Mah/2558/2000

KAMBLESAMISHTHA NITIN

10 Female na Child 1 16/04/2019 0 0

1018 154 1 Mah/2558/2000

KAMBLENITIN

BABAN

46 Male na Employee 16/04/2019 100000 0

1019 271 11 Mah/256/1987

VERMAVIKRANTJOGINDE

RLAL

17 Male na Child 2 16/04/2019 0 0

1020 271 3 Mah/256/1987

VERMAMALVIKAJOGINDE

RLAL

19 Female na Child 1 16/04/2019 0 0

1021 271 2 Mah/256/1987

VERMAMEERA

JOGINDERLAL

49 Female na Spouse 16/04/2019 0 0

1022 271 1 Mah/256/1987

VERMAJOGINDE

RLALRATTIRA

M

62 Male na Employee 16/04/2019 300000 0

1023 519 11 Mah/256/2007

JADHAVSAMARTH

KIRAN

6 Male na Child 2 16/04/2019 0 0

1024 519 3 Mah/256/2007

JADHAVSHRAWANI KIRAN

10 Female na Child 1 16/04/2019 0 0

1025 519 2 Mah/256/2007

JADHAVSNEHALKIRAN

36 Female na Spouse 16/04/2019 0 0

1026 519 1 Mah/256/2007

JADHAVKIRAN

DEVIDAS

40 Male na Employee 16/04/2019 500000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1027 530 1 Mah/257/1982

PAWARPOPATRAO DAGUJI

65 Male na Employee 16/04/2019 200000 0

1028 530 2 Mah/257/1982

PAWARMINAKSHIPOPATRA

O

50 Female na Spouse 16/04/2019 0 0

1029 576 1 Mah/2608/2016

EKHANDEDARSHANSHARAD

28 Male na Employee 16/04/2019 100000 0

1030 256 1 Mah/2638/2002

KULKARNI SHARADDEVIDAS

RAO

39 Male na Employee 16/04/2019 100000 0

1031 256 11 Mah/2638/2002

KULKARNI

MAYURESH

SHARADRAO

2 Male na Child 2 16/04/2019 0 0

1032 256 3 Mah/2638/2002

KULKARNI

MADHAVISHARADR

AO

14 Female na Child 1 16/04/2019 0 0

1033 256 2 Mah/2638/2002

KULKARNI

PRADNYASHARADR

AO

37 Female na Spouse 16/04/2019 0 0

1034 362 1 Mah/2642/1999

UMAPRAJENDR

ABABURAO

44 Male na Employee 16/04/2019 500000 0

1035 55 3 Mah/2679/2009

SHINDEAARYARAHUL

3 Female na Child 1 16/04/2019 0 0

1036 55 2 Mah/2679/2009

SHINDEGAYATRIRAHUL

27 Female na Spouse 16/04/2019 0 0

1037 55 1 Mah/2679/2009

SHINDERAHUL

ASHOKRAO

34 Male na Employee 16/04/2019 100000 0

1038 411 1 Mah/2713/2002

RODEDILIP

BHANUDAS

46 Male na Employee 16/04/2019 100000 0

1039 411 3 Mah/2713/2002

RODEKAUSHIK

DILIP

12 Male na Child 1 16/04/2019 0 0

1040 435 2 Mah/2726/2005

MUMTAZMIRZA

FARHATULLA BAIG

42 Female na Spouse 16/04/2019 0 0

1041 435 1 Mah/2726/2005

PATELSYED

FARHANSYED

AHMED

40 Male na Employee 16/04/2019 300000 0

1042 424 11 Mah/2747/2002

VAIDYARITESH

RAVINDRA

14 Male na Child 2 16/04/2019 0 0

1043 424 3 Mah/2747/2002

VAIDYASAKSHI

RAVINDRA

16 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1044 424 1 Mah/2747/2002

VAIDYARAVINDR

AUDDHAV

44 Male na Employee 16/04/2019 500000 0

1045 424 2 Mah/2747/2002

VAIDYASARITA

RAVINDRA

35 Female na Spouse 16/04/2019 0 0

1046 301 1 Mah/2747/2003

PATILPRASHAN

TDAULATR

AO

38 Male na Employee 16/04/2019 200000 0

1047 301 2 Mah/2747/2003

PATILSHARMIL

APRASHAN

T

35 Female na Spouse 16/04/2019 0 0

1048 301 11 Mah/2747/2003

PATILKAVYA

PRASHANT

5 Female na Child 2 16/04/2019 0 0

1049 301 3 Mah/2747/2003

PATILSHARANY

APRASHAN

T

10 Female na Child 1 16/04/2019 0 0

1050 403 3 Mah/2747/2004

CHOUDHARY

NITYASHREE

ABHIJIT

12 Female na Child 1 16/04/2019 0 0

1051 403 11 Mah/2747/2004

CHOUDHARY

SAHASRAABHIJIT

5 Female na Child 2 16/04/2019 0 0

1052 403 2 Mah/2747/2004

CHOUDHARY

NILIMAABHIJIT

39 Female na Spouse 16/04/2019 0 0

1053 403 1 Mah/2747/2004

CHOUDHARY

ABHIJITASHOK

40 Male na Employee 16/04/2019 200000 0

1054 396 2 Mah/2749/2017

READYCASH

TASNEEMMUFADD

AL

23 Female na Spouse 16/04/2019 0 0

1055 396 1 Mah/2749/2017

READYCASH

MUFADDAL MOIZ

26 Male na Employee 16/04/2019 100000 0

1056 562 2 Mah/2760/2017

RAORANEANITA

AVADHOOT

54 Female na Spouse 16/04/2019 0 0

1057 562 1 Mah/2760/2017

RAORANEAVADHO

OTMARUTIR

AO

59 Male na Employee 16/04/2019 100000 0

1058 591 3 Mah/2761/2000

PASHILKAR SOHAM

NITIN

13 Male na Child 1 16/04/2019 0 0

1059 591 11 Mah/2761/2000

PASHILKAR

NIRANJANNITIN

6 Male na Child 2 16/04/2019 0 0

1060 591 2 Mah/2761/2000

PASHILKAR NEHANITIN

47 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1061 591 1 Mah/2761/2000

PASHILKAR NITIN

TUKARAM

51 Male na Employee 16/04/2019 100000 0

1062 264 1 Mah/278/2010

VARMAJAYPRAKASH JAILAL

34 Male na Employee 16/04/2019 500000 0

1063 264 2 Mah/278/2010

VARMAPOONAMJAYPRAKA

SH

31 Female na Spouse 16/04/2019 0 0

1064 537 1 Mah/2802/2002

KALEPRAMODDEVIDAS

40 Male na Employee 16/04/2019 500000 0

1065 537 3 Mah/2802/2002

KALEPRITHVIR

AJPRAMOD

10 Male na Child 1 16/04/2019 0 0

1066 537 2 Mah/2802/2002

KALEUSHA

PRAMOD

40 Female na Spouse 16/04/2019 0 0

1067 469 3 Mah/2814/2005

WATTAMWAR

ANUSHKAGOVIND

8 Female na Child 1 16/04/2019 0 0

1068 469 2 Mah/2814/2005

WATTAMWARPRITY

GOVIND

34 Female na Spouse 16/04/2019 0 0

1069 469 1 Mah/2814/2005

WATTAMWAR

GOVINDOMPRAKA

SH

37 Male na Employee 16/04/2019 200000 0

1070 469 11 Mah/2814/2005

WATTAMWAR

OMKARAGOVIND

2 Male na Child 2 16/04/2019 0 0

1071 442 3 Mah/2819/2006

BHUTEKAR RUDRANITESH

6 Male na Child 1 16/04/2019 0 0

1072 442 2 Mah/2819/2006

KHANDGE PRACHI

39 Female na Spouse 16/04/2019 0 0

1073 442 1 Mah/2819/2006

BHUTEKAR NITESHVISHWAN

ATH

37 Male na Employee 16/04/2019 500000 0

1074 464 3 Mah/2873/2008

SOLANKEREVA

RAHUL

2 Female na Child 1 16/04/2019 0 0

1075 464 2 Mah/2873/2008

SOLANKESHRADD

HARAHUL

29 Female na Spouse 16/04/2019 0 0

1076 464 1 Mah/2873/2008

SOLANKERAHUL

RANGNATHRAO

34 Male na Employee 16/04/2019 200000 0

1077 312 2 Mah/2879/1999

DESHMUKH

CHETANAPRASHAN

T

39 Female na Spouse 16/04/2019 0 0

1078 312 11 Mah/2879/1999

DESHMUKH SAKETPRASHAN

T

10 Male na Child 2 16/04/2019 0 0

1079 312 3 Mah/2879/1999

DESHMUKH

SANIKAPRASHAN

T

16 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1080 312 1 Mah/2879/1999

DESHMUKH

PRASHANT

GANPAT

43 Male na Employee 16/04/2019 200000 0

1081 404 1 Mah/289/1978

THAKAREDINKARNARHAR

68 Male na Employee 16/04/2019 100000 0

1082 404 2 Mah/289/1978

THAKARESAROJ

DINKAR

55 Female na Spouse 16/04/2019 0 0

1083 326 2 Mah/290/1982

PUROHITCHARUBA

LAPRITHVISHKUMAR

53 Female na Spouse 16/04/2019 0 0

1084 326 1 Mah/290/1982

PUROHITPRITHVISH KUMARBRIJLAL

61 Male na Employee 16/04/2019 500000 0

1085 364 1 Mah/2943/2016

JADHAVMAYURINIKHIL

28 Female na Employee 16/04/2019 100000 0

1086 364 3 Mah/2943/2016

JADHAVRANVIJAY

NIKHIL

1 Male na Child 1 16/04/2019 0 0

1087 364 2 Mah/2943/2016

JADHAVNIKHILASHOK

29 Male na Spouse 16/04/2019 0 0

1088 578 1 Mah/2974/2019

TATIYABHAGYASHRI VIJAY

25 Female na Employee 16/04/2019 100000 0

1089 337 1 Mah/2992/2010

PAYGUDEKUMARVILAS

31 Male na Employee 16/04/2019 200000 0

1090 337 2 Mah/2992/2010

PAYGUDESAKSHIKUMAR

29 Female na Spouse 16/04/2019 0 0

1091 337 3 Mah/2992/2010

PAYGUDERAJVEERKUMAR

3 Male na Child 1 16/04/2019 0 0

1092 2 3 Mah/300/2012

KULKARNI RUDRARAKESH

13 Male na Child 1 16/04/2019 0 0

1093 2 2 Mah/300/2012

KULKARNI RAKESHDEVIDAS

35 Male na Spouse 16/04/2019 0 0

1094 2 1 Mah/300/2012

KULKARNI RUTUJARAKESH

32 Female na Employee 16/04/2019 200000 0

1095 508 2 Mah/302/2010

SARWADE

PALLAVISOMNAT

H

26 Female na Spouse 16/04/2019 0 0

1096 508 1 Mah/302/2010

SARWADE

SOMNATH

RADHAKRISHNA

33 Male na Employee 16/04/2019 200000 0

1097 508 3 Mah/302/2010

SARWADE

HINDAVISOMNAT

H

3 Female na Child 1 16/04/2019 0 0

1098 152 2 Mah/3037/2006

DEOKARASHWINIPANKAJ

32 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1099 152 1 Mah/3037/2006

DEOKARPANKAJ

POPATRAO

35 Male na Employee 16/04/2019 500000 0

1100 564 1 Mah/3043/2001

TIWARIMANOJKU

MARPREMCHA

ND

46 Male na Employee 16/04/2019 100000 0

1101 564 2 Mah/3043/2001

TIWARISAROJ

MANOJKUMAR

40 Female na Spouse 16/04/2019 0 0

1102 564 3 Mah/3043/2001

TIWARIARYAN

MANOJKUMAR

15 Male na Child 1 16/04/2019 0 0

1103 538 1 Mah/3105/2001

AKHANDAJAY

NIMBAJI

44 Male na Employee 16/04/2019 300000 0

1104 538 2 Mah/3105/2001

AKHANDPRAVEEN

A AJAY

43 Female na Spouse 16/04/2019 0 0

1105 538 3 Mah/3105/2001

AKHANDANANDITA AJAY

3 Female na Child 1 16/04/2019 0 0

1106 511 3 Mah/3125/2001

SALVIAARYAANAND

10 Female na Child 1 16/04/2019 0 0

1107 511 1 Mah/3125/2001

SALVIANAND

SUBHASH

43 Male na Employee 16/04/2019 100000 0

1108 511 11 Mah/3125/2001

SALVIGARGIANAND

4 Female na Child 2 16/04/2019 0 0

1109 511 2 Mah/3125/2001

SALVIMEGHAANAND

36 Female na Spouse 16/04/2019 0 0

1110 289 3 Mah/3149/2003

DEOKARATHARVAKRISHNA

11 Male na Child 1 16/04/2019 0 0

1111 289 2 Mah/3149/2003

DEOKARSANDHYAKRISHNA

38 Female na Spouse 16/04/2019 0 0

1112 289 1 Mah/3149/2003

DEOKARKRISHNA

BHIVA

42 Male na Employee 16/04/2019 200000 0

1113 84 3 Mah/3193/2007

SADAWARTE ZENGUNRATA

N

13 Female na Child 1 16/04/2019 0 0

1114 84 2 Mah/3193/2007

PATILJAISHRI

LAXMANRAO

40 Female na Spouse 16/04/2019 0 0

1115 84 1 Mah/3193/2007

SADAWARTE

GUNRATAN N

44 Male na Employee 16/04/2019 200000 0

1116 351 1 Mah/321/2013

GAWANDE NEETASAPURDA

37 Female na Employee 16/04/2019 100000 0

1117 351 3 Mah/321/2013

PATILCHINMAY

VIJAY

16 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1118 398 11 Mah/322/1987

ROONGTA

RAJKUMAR

PRAMOD

20 Male na Child 2 16/04/2019 0 0

1119 398 1 Mah/322/1987

ROONGTA

PRAMODKUMAR

60 Male na Employee 16/04/2019 1000000 0

1120 398 2 Mah/322/1987

ROONGTA SUNITAPRAMOD

52 Female na Spouse 16/04/2019 0 0

1121 398 3 Mah/322/1987

ROONGTA ADITYAPRAMOD

25 Male na Child 1 16/04/2019 0 0

1122 235 11 Mah/3226/2001

SEJPALMANOMAY NITIN

2 Male na Child 2 16/04/2019 0 0

1123 235 2 Mah/3226/2001

SEJPALNITIN

HIRALAL

54 Male na Spouse 16/04/2019 0 0

1124 235 1 Mah/3226/2001

SEJPALPOOJANITIN

42 Female na Employee 16/04/2019 1000000 0

1125 235 3 Mah/3226/2001

SEJPALTWINKLE

NITIN

2 Female na Child 1 16/04/2019 0 0

1126 567 1 Mah/3237/1999

PATILSUJATA

RAJESHKUMAR

48 Female na Employee 16/04/2019 100000 0

1127 567 2 Mah/3237/1999

PATILRAJESHK

UMARSITARAM

49 Male na Spouse 16/04/2019 0 0

1128 604 3 Mah/3257/2008

SHAIKHNOOMASHAHAN

UR

8 Female na Child 1 16/04/2019 0 0

1129 604 2 Mah/3257/2008

SHAIKHSAYAMASHAHAN

UR

30 Female na Spouse 16/04/2019 0 0

1130 604 1 Mah/3257/2008

SHAIKHSHAHAN

URSHAFIR

36 Male na Employee 16/04/2019 200000 0

1131 604 11 Mah/3257/2008

SHAIKHMOHAMM

AD ALISHAHAN

UR

4 Male na Child 2 16/04/2019 0 0

1132 461 2 Mah/3263/2003

PANALEASHWINISACHIN

36 Female na Spouse 16/04/2019 0 0

1133 461 3 Mah/3263/2003

PANALEAVANI

SACHIN

12 Female na Child 1 16/04/2019 0 0

1134 461 1 Mah/3263/2003

PANALESACHIN

SUBHASHRAO

39 Male na Employee 16/04/2019 200000 0

1135 461 11 Mah/3263/2003

PANALESIYA

SACHIN

9 Female na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1136 568 2 Mah/3264/2000

KOLWANKAR

SANDESHANIL

42 Male na Spouse 16/04/2019 0 0

1137 568 1 Mah/3264/2000

KOLWANKAR

MEENASANDESH

43 Female na Employee 16/04/2019 300000 0

1138 34 2 Mah/3266/2002

NALAVADE

AVANTIKA

MANESH

38 Female na Spouse 16/04/2019 0 0

1139 34 1 Mah/3266/2002

NALAVADE

MANGESH

DHONDU

43 Male na Employee 16/04/2019 500000 0

1140 388 3 Mah/3270/2006

THAKURARYAMANSANTOSH

9 Male na Child 1 16/04/2019 0 0

1141 388 1 Mah/3270/2006

THAKURSANOTSHDAMODA

R

39 Male na Employee 16/04/2019 500000 0

1142 388 2 Mah/3270/2006

THAKURGAYATRISANTOSH

39 Female na Spouse 16/04/2019 0 0

1143 48 1 Mah/3287/2001

JADHAVPRASHAN

TDATTATR

AY

41 Male na Employee 16/04/2019 500000 0

1144 48 2 Mah/3287/2001

JADHAVDEVYANIPRASHAN

T

40 Female na Spouse 16/04/2019 0 0

1145 48 3 Mah/3287/2001

JADHAVNARAYAN

IPRASHAN

T

13 Female na Child 1 16/04/2019 0 0

1146 48 11 Mah/3287/2001

JADHAVSHREE

PRASHANT

5 Male na Child 2 16/04/2019 0 0

1147 51 1 Mah/330/2018

KHATRISHAILEN

DRABHAGSIN

GH

35 Male na Employee 16/04/2019 100000 0

1148 51 2 Mah/330/2018

KHATRIJAGDAMB

ASHAILEN

DRA

33 Female na Spouse 16/04/2019 0 0

1149 51 3 Mah/330/2018

KHATRIDIYA

SHAILENDRA

3 Female na Child 1 16/04/2019 0 0

1150 523 11 Mah/3309/2006

GAIKWADJAYRAJ

MAHENDRA

4 Male na Child 2 16/04/2019 0 0

1151 523 3 Mah/3309/2006

GAIKWADADIRAJ

MAHENDRA

9 Male na Child 1 16/04/2019 0 0

1152 523 1 Mah/3309/2006

GAIKWADMAHEND

RASUKHDEV

36 Male na Employee 16/04/2019 300000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1153 523 2 Mah/3309/2006

GAIKWADSHUBHA

NGIMAHEND

RA

32 Female na Spouse 16/04/2019 0 0

1154 241 1 Mah/3337/2009

PUJARILOHIT

KRISHNA

33 Male na Employee 16/04/2019 200000 0

1155 241 3 Mah/3337/2009

PUJARIGAURAA

NSHLOHIT

2 Male na Child 1 16/04/2019 0 0

1156 241 2 Mah/3337/2009

PUJARIPRAJNALOHIT

27 Female na Spouse 16/04/2019 0 0

1157 478 2 Mah/336/1980

CHAURERAMA

MADHAV

59 Female na Spouse 16/04/2019 0 0

1158 478 1 Mah/336/1980

CHAUREMADHAVDAGDUJI

66 Male na Employee 16/04/2019 200000 0

1159 60 3 Mah/3360/2001

PATILAUM

NISHIGANDH

10 Male na Child 1 16/04/2019 0 0

1160 60 1 Mah/3360/2001

PATILNISHIGAN

DHNANDKU

MAR

40 Male na Employee 16/04/2019 300000 0

1161 60 2 Mah/3360/2001

PATILNAMRATANISHIGAN

DH

35 Female na Spouse 16/04/2019 0 0

1162 410 3 Mah/3361/2006

NIRMALRUJULA

RAVINDRA

5 Female na Child 1 16/04/2019 0 0

1163 410 1 Mah/3361/2006

NIRMALRAVINDR

AJAGDEVR

AO

38 Male na Employee 16/04/2019 200000 0

1164 410 2 Mah/3361/2006

KUTEPOOJA

ABASAHEB

31 Female na Spouse 16/04/2019 0 0

1165 452 1 Mah/3367/2005

THENGEMILIND

HIRAMAN

43 Male na Employee 16/04/2019 200000 0

1166 452 2 Mah/3367/2005

THENGERAJANIMILIND

38 Female na Spouse 16/04/2019 0 0

1167 452 3 Mah/3367/2005

THENGEAAYUSHMILIND

11 Male na Child 1 16/04/2019 0 0

1168 257 2 Mah/339/1980

KULKARNI

KUMUDINI

DEVIDASRAO

60 Female na Spouse 16/04/2019 0 0

1169 257 1 Mah/339/1980

KULKARNI

DEVIDASMADHAV

RAO

65 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1170 513 1 Mah/34/1994

PRABHUSUDHAKA

RPANDURA

NG

54 Male na Employee 16/04/2019 100000 0

1171 513 2 Mah/34/1994

PRABHUSHEETALSUDHAKA

R

46 Female na Spouse 16/04/2019 0 0

1172 513 3 Mah/34/1994

PRABHUAMIT

SUDHAKAR

21 Male na Child 1 16/04/2019 0 0

1173 513 11 Mah/34/1994

PRABHUSAHANA

SUDHAKAR

16 Female na Child 2 16/04/2019 0 0

1174 52 11 Mah/3424/2017

PANDEYPRATYUSH AMIT

9 Male na Child 2 16/04/2019 0 0

1175 52 3 Mah/3424/2017

PANDEYNIKUNJAMIT

12 Male na Child 1 16/04/2019 0 0

1176 52 2 Mah/3424/2017

PANDEYMAYURI

AMIT

28 Female na Spouse 16/04/2019 0 0

1177 52 1 Mah/3424/2017

PANDEYAMIT

MATASHANKER

35 Male na Employee 16/04/2019 100000 0

1178 397 1 Mah/3432/2017

MHASKEGANESHLAXMAN

32 Male na Employee 16/04/2019 100000 0

1179 397 2 Mah/3432/2017

MHASKESUMANGANESH

30 Female na Spouse 16/04/2019 0 0

1180 397 3 Mah/3432/2017

MHASKEMRUNMY

EEGANESH

6 Female na Child 1 16/04/2019 0 0

1181 261 1 Mah/3437/2008

JAMDARSHARADSHIVAJI

35 Male na Employee 16/04/2019 200000 0

1182 261 2 Mah/3437/2008

JAMDARMAYURISHARAD

32 Female na Spouse 16/04/2019 0 0

1183 261 3 Mah/3437/2008

JAMDARSWARAJSHARAD

6 Male na Child 1 16/04/2019 0 0

1184 261 11 Mah/3437/2008

JAMDARSHIVRAJSHARAD

3 Male na Child 2 16/04/2019 0 0

1185 341 3 Mah/3453/2005

NALAWADE

KIMAYAGANESH

6 Female na Child 1 16/04/2019 0 0

1186 341 2 Mah/3453/2005

NALAWADE SWATIGANESH

37 Female na Spouse 16/04/2019 0 0

1187 341 1 Mah/3453/2005

NALAWADE

GANESHLAXMAN

38 Male na Employee 16/04/2019 100000 0

1188 307 2 Mah/3471/2002

LONDHENEELAMVIKAS

40 Female na Spouse 16/04/2019 0 0

1189 307 3 Mah/3471/2002

LONDHESANGHARAJ VIKAS

9 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1190 307 1 Mah/3471/2002

LONDHEVIKASSOPAN

43 Male na Employee 16/04/2019 100000 0

1191 586 1 Mah/348/1991

BHOYARRAVINDR

ABABARAO

54 Male na Employee 16/04/2019 200000 0

1192 586 2 Mah/348/1991

BHOYARSANGITARAVINDR

A

51 Female na Spouse 16/04/2019 0 0

1193 586 3 Mah/348/1991

BHOYARVIKRANTRAVINDR

A

24 Male na Child 1 16/04/2019 0 0

1194 586 11 Mah/348/1991

BHOYARINDRANIRAVINDR

A

23 Female na Child 2 16/04/2019 0 0

1195 269 3 Mah/350/1998

DIXITGAURAVRAJESH

23 Male na Child 1 16/04/2019 0 0

1196 269 11 Mah/350/1998

DIXITANURAGRAJESH

19 Male na Child 2 16/04/2019 0 0

1197 269 2 Mah/350/1998

DIXITANITA

RAJESH

42 Female na Spouse 16/04/2019 0 0

1198 269 1 Mah/350/1998

DIXITRAJESHRAJMANI

47 Male na Employee 16/04/2019 200000 0

1199 63 2 Mah/3510/2003

BHOSAREKAR

ASHWINIKEDAR

34 Female na Spouse 16/04/2019 0 0

1200 63 3 Mah/3510/2003

BHOSAREKAR

ARYAKEDAR

10 Female na Child 1 16/04/2019 0 0

1201 63 1 Mah/3510/2003

BHOSAREKAR

KEDARCHANDRAMOHAN

40 Male na Employee 16/04/2019 800000 0

1202 596 1 Mah/3517/2002

WAJAGEVIJAY

SHASHIKANT

40 Male na Employee 16/04/2019 200000 0

1203 596 3 Mah/3517/2002

WAJAGEATHARVA

VIJAY

9 Male na Child 1 16/04/2019 0 0

1204 596 11 Mah/3517/2002

WAJAGERUDRAVIJAY

3 Male na Child 2 16/04/2019 0 0

1205 596 2 Mah/3517/2002

WAJAGERESHMA

VIJAY

36 Female na Spouse 16/04/2019 0 0

1206 291 2 Mah/3520/2013

KULKARNI NEHA

NACHIKET

28 Female na Spouse 16/04/2019 0 0

1207 291 1 Mah/3520/2013

KULKARNI

NACHIKET

VISHWAS

31 Male na Employee 16/04/2019 1000000 0

1208 298 3 Mah/3526/2010

SHINDESAURABHSUBHASH

6 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1209 298 11 Mah/3526/2010

SHINDESARTHAKSUBHASH

3 Male na Child 2 16/04/2019 0 0

1210 298 2 Mah/3526/2010

SHINDEBHAGYAS

HRISUBHASH

26 Female na Spouse 16/04/2019 0 0

1211 298 1 Mah/3526/2010

SHINDESUBHASHPANDURA

NG

34 Male na Employee 16/04/2019 100000 0

1212 242 2 Mah/3537/2008

THARKUDE

SUVARNAAMOL

31 Female na Spouse 16/04/2019 0 0

1213 242 1 Mah/3537/2008

THARKUDE AMOL

DATTATRAY

39 Male na Employee 16/04/2019 200000 0

1214 242 3 Mah/3537/2008

THARKUDE REVAAMOL

8 Female na Child 1 16/04/2019 0 0

1215 242 11 Mah/3537/2008

THARKUDE IRAAMOL

7 Female na Child 2 16/04/2019 0 0

1216 258 11 Mah/3604/2001

WADIKARAMITA

UMAKANT

6 Female na Child 2 16/04/2019 0 0

1217 258 3 Mah/3604/2001

WADIKARAKANKAS

HAUMAKANT

13 Female na Child 1 16/04/2019 0 0

1218 258 2 Mah/3604/2001

WADIKARARCHANAUMAKANT

34 Female na Spouse 16/04/2019 0 0

1219 258 1 Mah/3604/2001

WADIKARUMAKANTMARUTIR

AO

43 Male na Employee 16/04/2019 100000 0

1220 45 11 Mah/3623/2006

KOREGAVE SHLOKSANDEEP

1 Male na Child 2 16/04/2019 0 0

1221 45 3 Mah/3623/2006

KOREGAVE

SHOURYASANDEEP

6 Male na Child 1 16/04/2019 0 0

1222 45 1 Mah/3623/2006

KOREGAVE

SANDEEPSHRIPAL

36 Male na Employee 16/04/2019 500000 0

1223 45 2 Mah/3623/2006

KOREGAVE

SUPRIYASANDEEP

32 Female na Spouse 16/04/2019 0 0

1224 466 3 Mah/3626/2004

GHATGERAGINI

MAKARAND

7 Female na Child 1 16/04/2019 0 0

1225 466 1 Mah/3626/2004

GHATGEMAKARA

NDVILASRA

O

37 Male na Employee 16/04/2019 500000 0

1226 466 11 Mah/3626/2004

GHATGENANDINIMAKARN

AD

4 Female na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1227 466 2 Mah/3626/2004

GHATGEANURAD

HAMAKARA

ND

32 Female na Spouse 16/04/2019 0 0

1228 474 1 Mah/3631/2007

KADHAREKISHOR

JAYAWANT

36 Male na Employee 16/04/2019 500000 0

1229 474 2 Mah/3631/2007

KADHARESANJANAKISHOR

31 Female na Spouse 16/04/2019 0 0

1230 587 2 Mah/3654/2006

KEDAREAJIT

SUKHDEV

44 Male na Spouse 16/04/2019 0 0

1231 587 1 Mah/3654/2006

KEDAREGRISHMA

AJIT

40 Female na Employee 16/04/2019 200000 0

1232 587 3 Mah/3654/2006

KEDAREVEDANG

AJIT

7 Male na Child 1 16/04/2019 0 0

1233 342 3 Mah/3655/2006

KADAMOM

SHAILESH

7 Male na Child 1 16/04/2019 0 0

1234 342 1 Mah/3655/2006

SINGHPOOJA

SURYANATH

35 Female na Employee 16/04/2019 200000 0

1235 342 2 Mah/3655/2006

KADAMSHAILESH

S

34 Male na Spouse 16/04/2019 0 0

1236 579 3 Mah/3656/2015

NIGALYUVRADNEE KAPIL

0 Female na Child 1 16/04/2019 0 0

1237 579 1 Mah/3656/2015

NIGALKAPIL

SUDAM

31 Male na Employee 16/04/2019 100000 0

1238 579 2 Mah/3656/2015

SHINDEKANCHANNARAYAN

25 Female na Spouse 16/04/2019 0 0

1239 467 11 Mah/3659/2001

SHINDESAYEE

SHRIKISHAN

5 Female na Child 2 16/04/2019 0 0

1240 467 2 Mah/3659/2001

SHINDEANJALI

SHRIKISHAN

35 Female na Spouse 16/04/2019 0 0

1241 467 1 Mah/3659/2001

SHINDESHRIKISH

ANSHRIPATI

42 Male na Employee 16/04/2019 200000 0

1242 467 3 Mah/3659/2001

SHINDEARYAN

SHRIKISHAN

18 Male na Child 1 16/04/2019 0 0

1243 440 1 Mah/3663/2009

PATILPRAMILAPARASHR

AM

38 Female na Employee 16/04/2019 100000 0

1244 489 1 Mah/3670/2006

WAKADERAMESH

IRBA

38 Male na Employee 16/04/2019 200000 0

1245 489 3 Mah/3670/2006

WAKADEMANASIRAMESH

9 Female na Child 1 16/04/2019 0 0

1246 489 2 Mah/3670/2006

WAKADEMINAKSHIRAMESH

31 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1247 489 11 Mah/3670/2006

WAKADENETRA

RAMESH

5 Female na Child 2 16/04/2019 0 0

1248 259 1 Mah/3673/2003

KULKARNI

SHRINIWAS

DINKAR

68 Male na Employee 16/04/2019 200000 0

1249 259 2 Mah/3673/2003

KULKARNI

ANURADHA

SHRINIWAS

58 Female na Spouse 16/04/2019 0 0

1250 262 1 Mah/369/2018

NAGARESANKETSHIVAJI

28 Male na Employee 16/04/2019 100000 0

1251 262 2 Mah/369/2018

NAGAREPRIYANKASANKET

19 Female na Spouse 16/04/2019 0 0

1252 609 2 Mah/3690/2013

MOHITEPRANALIJITENDRA

26 Female na Spouse 16/04/2019 0 0

1253 609 1 Mah/3690/2013

MOHITEJITENDRAANANT

33 Male na Employee 16/04/2019 200000 0

1254 609 3 Mah/3690/2013

MOHITESHARDULJITENDRA

3 Male na Child 1 16/04/2019 0 0

1255 353 1 Mah/3698/2007

POLMAHESHDAMODA

R

34 Male na Employee 16/04/2019 300000 0

1256 353 3 Mah/3698/2007

POLMIVAANMAHESH

0 Male na Child 1 16/04/2019 0 0

1257 353 2 Mah/3698/2007

POLTRUPTI

MAHESH

30 Female na Spouse 16/04/2019 0 0

1258 473 3 Mah/3714/2004

WANGETANISKAANAND

10 Female na Child 1 16/04/2019 0 0

1259 473 11 Mah/3714/2004

WANGEANANYAANAND

5 Female na Child 2 16/04/2019 0 0

1260 473 1 Mah/3714/2004

WANGEANAND

DNYANOBA

40 Male na Employee 16/04/2019 500000 0

1261 473 2 Mah/3714/2004

WANGEPRATIBHA ANAND

30 Female na Spouse 16/04/2019 0 0

1262 35 2 Mah/3734/2002

DESAISANTOSHSHRIDHA

R

42 Male na Spouse 16/04/2019 0 0

1263 35 1 Mah/3734/2002

DESAISANVI

SANTOSH

42 Female na Employee 16/04/2019 300000 0

1264 35 3 Mah/3734/2002

DESAIARYAN

SANTOSH

8 Male na Child 1 16/04/2019 0 0

1265 335 3 Mah/3736/2002

SAWANTADVAIT

GURUNATH

7 Male na Child 1 16/04/2019 0 0

1266 335 2 Mah/3736/2002

SAWANTVIDYA

GURUNATH

38 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1267 335 1 Mah/3736/2002

SAWANTGURUNAT

HRAMCHA

NDRA

42 Male na Employee 16/04/2019 300000 0

1268 380 1 Mah/3745/2004

RAJPUTPRATAPSI

NGHRAMESHS

INGH

46 Male na Employee 16/04/2019 100000 0

1269 380 2 Mah/3745/2004

RAJPUTMINALDE

VIPRATAPSI

NGH

39 Female na Spouse 16/04/2019 0 0

1270 380 3 Mah/3745/2004

RAJPUTRAJVEERS

INGHPRATAPSI

NGH

15 Male na Child 1 16/04/2019 0 0

1271 380 11 Mah/3745/2004

RAJPUTRANVIRSI

NGHPRATAPSI

NGH

13 Male na Child 2 16/04/2019 0 0

1272 250 1 Mah/3761/2006

GARADAVINASHGOPALKR

ISHAN

37 Male na Employee 16/04/2019 100000 0

1273 250 11 Mah/3761/2006

GARADABHAY

AVINASH

3 Male na Child 2 16/04/2019 0 0

1274 250 3 Mah/3761/2006

GARADAJINKYAAVINASH

7 Male na Child 1 16/04/2019 0 0

1275 250 2 Mah/3761/2006

GARADYOGITA

AVINASH

27 Female na Spouse 16/04/2019 0 0

1276 414 2 Mah/3785/2003

KARANDESAVITAAMOL

35 Female na Spouse 16/04/2019 0 0

1277 414 3 Mah/3785/2003

KARANDERAJVARD

HANAMOL

11 Male na Child 1 16/04/2019 0 0

1278 414 1 Mah/3785/2003

KARANDEAMOL

BHARATRAO

39 Male na Employee 16/04/2019 100000 0

1279 414 11 Mah/3785/2003

KARANDEADITYAAMOL

8 Male na Child 2 16/04/2019 0 0

1280 296 1 Mah/3791/2004

NARHAREDNYANO

BAVENKAT

43 Male na Employee 16/04/2019 100000 0

1281 296 2 Mah/3791/2004

NARHAREMEGHA

DNYANOBA

23 Female na Spouse 16/04/2019 0 0

1282 296 3 Mah/3791/2004

NARHARESURAJ

DNYANOBA

6 Male na Child 1 16/04/2019 0 0

1283 309 1 Mah/3852/2018

SARAFGANESHASHOK

34 Male na Employee 16/04/2019 100000 0

1284 309 2 Mah/3852/2018

SARAFSUNITAGANESH

32 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1285 309 3 Mah/3852/2018

SARAFSHREYAGANESH

6 Female na Child 1 16/04/2019 0 0

1286 309 11 Mah/3852/2018

SARAFARYA

GANESH

3 Female na Child 2 16/04/2019 0 0

1287 555 11 Mah/3881/2008

SHINDERUDRAVISHAL

3 Male na Child 2 16/04/2019 0 0

1288 555 1 Mah/3881/2008

SHINDEVISHALBABAN

36 Male na Employee 16/04/2019 100000 0

1289 555 2 Mah/3881/2008

SHINDERUKAMINI

VISHAL

34 Female na Spouse 16/04/2019 0 0

1290 555 3 Mah/3881/2008

SHINDEARYANVISHAL

9 Male na Child 1 16/04/2019 0 0

1291 547 2 Mah/3956/2007

ADMANESAPNA

RAVINDRA

37 Female na Spouse 16/04/2019 0 0

1292 547 1 Mah/3956/2007

ADMANERAVINDR

ASAMBHAJI

40 Male na Employee 16/04/2019 200000 0

1293 547 3 Mah/3956/2007

ADMANEKAVERI

RAVINDRA

6 Female na Child 1 16/04/2019 0 0

1294 533 11 Mah/3958/2012

BHOSALEVAISHNA

VISHRIKRU

SHNA

3 Female na Child 2 16/04/2019 0 0

1295 533 3 Mah/3958/2012

BHOSALEVARAD

SHRIKRUSHNA

4 Male na Child 1 16/04/2019 0 0

1296 533 1 Mah/3958/2012

BHOSALESHRIKRU

SHNAVINAYAK

32 Male na Employee 16/04/2019 100000 0

1297 533 2 Mah/3958/2012

BHOSALESWATI

SHRIKRUSHNA

26 Female na Spouse 16/04/2019 0 0

1298 313 3 Mah/3959/2012

PAKALESHIVANSH VIVEK

1 Male na Child 1 16/04/2019 0 0

1299 313 2 Mah/3959/2012

PAKALESEEMAVIVEK

27 Female na Spouse 16/04/2019 0 0

1300 313 1 Mah/3959/2012

PAKALEVIVEK

SUBHASH

32 Male na Employee 16/04/2019 100000 0

1301 381 2 Mah/396/1980

SHINDEPUSHPAJAYRAM

54 Female na Spouse 16/04/2019 0 0

1302 381 1 Mah/396/1980

SHINDEJAYRAMTOLAJI

64 Male na Employee 16/04/2019 500000 0

1303 534 1 Mah/3960/2012

DHUMALASHUTOS

HNANDKU

MAR

29 Male na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1304 534 2 Mah/3960/2012

DHUMALVARSHA

ASHUTOSH

29 Female na Spouse 16/04/2019 0 0

1305 159 2 Mah/3969/2012

TALEKARNILAM

SACHIN

31 Female na Spouse 16/04/2019 0 0

1306 159 3 Mah/3969/2012

TALEKARSANSKARSACHIN

2 Male na Child 1 16/04/2019 0 0

1307 159 1 Mah/3969/2012

TALEKARSACHINVITTHAL

33 Male na Employee 16/04/2019 100000 0

1308 417 2 Mah/397/2014

DONGARE NILESHBABARAO

32 Male na Spouse 16/04/2019 0 0

1309 417 3 Mah/397/2014

DONGARE

NIMANSHNILESH

2 Male na Child 1 16/04/2019 0 0

1310 417 1 Mah/397/2014

KHOBRAGADE

MANJUSHA VINOD

29 Female na Employee 16/04/2019 100000 0

1311 470 1 Mah/3997/2008

TARDEVIVEK

VISHNU

35 Male na Employee 16/04/2019 200000 0

1312 470 2 Mah/3997/2008

TARDESUSHMA

VIVEK

33 Female na Spouse 16/04/2019 0 0

1313 470 11 Mah/3997/2008

TARDESHIVANSH VIVEK

2 Male na Child 2 16/04/2019 0 0

1314 470 3 Mah/3997/2008

TARDEVEDANTVIVEK

6 Male na Child 1 16/04/2019 0 0

1315 270 3 Mah/40/1992

PATELSUMAS

ASIF

17 Male na Child 1 16/04/2019 0 0

1316 270 11 Mah/40/1992

PATELSAHIRASIF

20 Male na Child 2 16/04/2019 0 0

1317 270 2 Mah/40/1992

PATELWASIMAB

I ASIF

48 Female na Spouse 16/04/2019 0 0

1318 270 1 Mah/40/1992

PATELASIF

IQBALISMAILSH

A

52 Male na Employee 16/04/2019 500000 0

1319 61 1 Mah/40/2010

CHAWARE SUNIL

ROHIDAS

35 Male na Employee 16/04/2019 200000 0

1320 61 2 Mah/40/2010

TAKTENISHASHIVAJI

31 Female na Spouse 16/04/2019 0 0

1321 61 3 Mah/40/2010

CHAWARE

VIGHNESH SUNIL

5 Male na Child 1 16/04/2019 0 0

1322 584 1 Mah/4000/2019

BHIDEDEVIKA

AVINASH

25 Female na Employee 16/04/2019 100000 0

1323 406 2 Mah/405/2004

WAGHMARE

MAHANANDA

BALASAHEB

54 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1324 406 3 Mah/405/2004

WAGHMARE AJAY

BALASAHEB

21 Male na Child 1 16/04/2019 0 0

1325 406 1 Mah/405/2004

WAGHMARE

BALASAHEB

MUKTARAM

56 Male na Employee 16/04/2019 200000 0

1326 563 2 Mah/407/2002

KHAPARESUJATARAMESH

39 Female na Spouse 16/04/2019 0 0

1327 563 3 Mah/407/2002

KHAPAREANISH

RAMESH

13 Male na Child 1 16/04/2019 0 0

1328 563 1 Mah/407/2002

KHAPARERAMESH

TUKARAM

45 Male na Employee 16/04/2019 100000 0

1329 167 3 Mah/4087/2007

SHREEYANSH

SWAPNIL

5 Male na Child 1 16/04/2019 0 0

1330 167 1 Mah/4087/2007

KADAMSWAPNILSADHU

36 Male na Employee 16/04/2019 500000 0

1331 167 2 Mah/4087/2007

KADAMSONAL

SWAPNIL

34 Female na Spouse 16/04/2019 0 0

1332 608 2 Mah/4099/2001

PATILROHINI

GAJANAN

38 Female na Spouse 16/04/2019 0 0

1333 608 1 Mah/4099/2001

PATILGAJANANDATTATR

AY

44 Male na Employee 16/04/2019 500000 0

1334 608 3 Mah/4099/2001

PATILISHITA

GAJANAN

13 Female na Child 1 16/04/2019 0 0

1335 306 1 Mah/4126/2016

GADHAVE PRANILVINAYAK

25 Male na Employee 16/04/2019 200000 0

1336 247 2 Mah/4132/2007

GOSAVIDARSHAN

AABHIJEET

37 Female na Spouse 16/04/2019 0 0

1337 247 3 Mah/4132/2007

GOSAVIMALHARABHIJEET

9 Male na Child 1 16/04/2019 0 0

1338 247 11 Mah/4132/2007

GOSAVIAANADI

ABHIJEET

1 Female na Child 2 16/04/2019 0 0

1339 247 1 Mah/4132/2007

GOSAVIABHIJEETNARAYAN

37 Male na Employee 16/04/2019 300000 0

1340 297 1 Mah/4136/1999

KEDARBALBHIMRAMCHA

NDRA

43 Male na Employee 16/04/2019 200000 0

1341 297 2 Mah/4136/1999

KEDARMANISHABALBHIM

40 Female na Spouse 16/04/2019 0 0

1342 297 11 Mah/4136/1999

KEDARKARTIKIBALBHIM

0 Female na Child 2 16/04/2019 0 0

1343 297 3 Mah/4136/1999

KEDARKRUSHNABALBHIM

14 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1344 318 1 Mah/4136/2011

MAGDUMSIDDHAR

THDHARMA

RAJ

33 Male na Employee 16/04/2019 500000 0

1345 318 3 Mah/4136/2011

MAGDUMAARAV

SIDDHARTH

0 Male na Child 1 16/04/2019 0 0

1346 318 2 Mah/4136/2011

MAGDUMANUJA

SIDDHARTH

24 Female na Spouse 16/04/2019 0 0

1347 460 1 Mah/4143/2004

GAIKWADRAJEEV

MARUTIRAO

42 Male na Employee 16/04/2019 100000 0

1348 460 11 Mah/4143/2004

GAIKWADMADHURA RAJEEV

6 Female na Child 2 16/04/2019 0 0

1349 460 3 Mah/4143/2004

GAIKWADATHARVARAJEEV

10 Male na Child 1 16/04/2019 0 0

1350 460 2 Mah/4143/2004

GAIKWADVAISHNAVI RAJEEV

35 Female na Spouse 16/04/2019 0 0

1351 499 1 Mah/4173/2005

BHISEASHISH

VISHWASRAO

38 Male na Employee 16/04/2019 100000 0

1352 499 3 Mah/4173/2005

BHISERIDHIMAASHISH

8 Female na Child 1 16/04/2019 0 0

1353 499 2 Mah/4173/2005

BHISELAWANYAASHISH

32 Female na Spouse 16/04/2019 0 0

1354 499 11 Mah/4173/2005

BHISERAJVI

ASHISH

2 Female na Child 2 16/04/2019 0 0

1355 471 3 Mah/4177/2006

TAWSHIKAR

ARCHITSWAPNIL

7 Male na Child 1 16/04/2019 0 0

1356 471 1 Mah/4177/2006

TAWSHIKAR

SWAPNILDINKARR

AO

36 Male na Employee 16/04/2019 300000 0

1357 471 2 Mah/4177/2006

TAWSHIKAR ANUJASWAPNIL

34 Female na Spouse 16/04/2019 0 0

1358 585 2 Mah/4211-C/2009

BHIDEJANAKI

AVINASH

29 Female na Spouse 16/04/2019 0 0

1359 585 1 Mah/4211-C/2009

ODHEKARLAKSHYA

VEDRAVINDR

A

32 Male na Employee 16/04/2019 100000 0

1360 37 1 Mah/426/1996

SANDANSHIV

RAJESHUTTAMRA

O

51 Male na Employee 16/04/2019 100000 0

1361 37 3 Mah/426/1996

SANDANSHIV

DHANSHREE

RAJESH

17 Female na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1362 37 2 Mah/426/1996

SANDANSHIV

VARSHARAJESH

42 Female na Spouse 16/04/2019 0 0

1363 37 11 Mah/426/1996

SANDANSHIV

HARSHRAJESH

13 Male na Child 2 16/04/2019 0 0

1364 265 3 Mah/43/1996

BHARINDWAL

DIVYANISH

OMPRAKASH

24 Male na Child 1 16/04/2019 0 0

1365 265 1 Mah/43/1996

BHARINDWAL

OMPRAKASH

VASUDEV

52 Male na Employee 16/04/2019 300000 0

1366 265 2 Mah/43/1996

BHARINDWALUSHA

OMPRAKASH

52 Female na Spouse 16/04/2019 0 0

1367 265 11 Mah/43/1996

BHARINDWAL

SAHAJOMPRAKA

SH

19 Male na Child 2 16/04/2019 0 0

1368 437 3 Mah/4335/2010

BIDEANUSHRE

EDNYANES

HWAR

4 Female na Child 1 16/04/2019 0 0

1369 437 2 Mah/4335/2010

BIDESUNITA

DNYANESHWAR

32 Female na Spouse 16/04/2019 0 0

1370 437 1 Mah/4335/2010

BIDEDNYANES

HWARABASAHE

B

35 Male na Employee 16/04/2019 100000 0

1371 521 11 Mah/4359/2007

MHATREHINDAVIVIHANG

5 Female na Child 2 16/04/2019 0 0

1372 521 2 Mah/4359/2007

MHATREPOONAMVIHANG

32 Female na Spouse 16/04/2019 0 0

1373 521 1 Mah/4359/2007

MHATREVIHANGCHANDRAKANT

40 Male na Employee 16/04/2019 300000 0

1374 521 3 Mah/4359/2007

MHATREBHARGAVI VIHANG

9 Female na Child 1 16/04/2019 0 0

1375 329 2 Mah/4386/2013

BHAGATSWARA

SHEKHAR

26 Female na Spouse 16/04/2019 0 0

1376 329 3 Mah/4386/2013

BHAGATSWARES

HSHEKHAR

1 Male na Child 1 16/04/2019 0 0

1377 329 1 Mah/4386/2013

BHAGATSHEKHARSURYAKA

NT

32 Male na Employee 16/04/2019 500000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1378 237 1 Mah/4390-B/2011

JADHAVMOHITRA

OJAISINGH

RAO

38 Male na Employee 16/04/2019 200000 0

1379 237 2 Mah/4390-B/2011

JADHAVSHIRISHMOHITRA

O

37 Female na Spouse 16/04/2019 0 0

1380 237 3 Mah/4390-B/2011

JADHAVSHRISHAMOHITRA

O

3 Female na Child 1 16/04/2019 0 0

1381 5 1 Mah/4416/2009

PATILPRASHANT MOHAN

33 Male na Employee 16/04/2019 1000000 0

1382 5 2 Mah/4416/2009

PATILASHWINIPRASHAN

T

33 Female na Spouse 16/04/2019 0 0

1383 5 11 Mah/4416/2009

PATILAARADHY

APRASHAN

T

3 Female na Child 2 16/04/2019 0 0

1384 468 11 Mah/4438/1999

NAGARKAR

NAMRATAKIRAN

13 Female na Child 2 16/04/2019 0 0

1385 468 3 Mah/4438/1999

NAGARKAR

TUSHARKIRAN

18 Male na Child 1 16/04/2019 0 0

1386 468 1 Mah/4438/1999

NAGARKAR KIRANMADHUK

AR

51 Male na Employee 16/04/2019 200000 0

1387 468 2 Mah/4438/1999

NAGARKAR SMITAKIRAN

45 Female na Spouse 16/04/2019 0 0

1388 439 2 Mah/4439/1999

GUNJALBHARATIBALWANT

47 Female na Spouse 16/04/2019 0 0

1389 439 3 Mah/4439/1999

GUNJALSURAJ

BALWANT

17 Male na Child 1 16/04/2019 0 0

1390 439 1 Mah/4439/1999

GUNJALBALWANTUTTAMRA

O

51 Male na Employee 16/04/2019 100000 0

1391 529 2 Mah/448/1984

PATILRAJANI

HARISHCHANDRA

59 Female na Spouse 16/04/2019 0 0

1392 529 1 Mah/448/1984

PATILHARISHCHANDRABABULNA

TH

68 Male na Employee 16/04/2019 100000 0

1393 418 2 Mah/449/1981

SHINDEUMA

GIRISH

55 Female na Spouse 16/04/2019 0 0

1394 418 1 Mah/449/1981

SHINDEGIRISH

RAGHUNATH

63 Male na Employee 16/04/2019 500000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1395 594 2 Mah/4496/2009

MASKEYSONALI

HARSHAD

34 Female na Spouse 16/04/2019 0 0

1396 594 3 Mah/4496/2009

MASKEYSOHAM

HARSHAD

4 Male na Child 1 16/04/2019 0 0

1397 594 1 Mah/4496/2009

MASKEYHARSHADHARIBAH

ADUR

34 Male na Employee 16/04/2019 500000 0

1398 520 2 Mah/4509/2009

AHERSONALIMANOJ

27 Female na Spouse 16/04/2019 0 0

1399 520 1 Mah/4509/2009

AHERMANOJBALU

36 Male na Employee 16/04/2019 200000 0

1400 520 3 Mah/4509/2009

AHERSHIVANSH MANOJ

4 Male na Child 1 16/04/2019 0 0

1401 500 2 Mah/4527/2006

GHADGENEETASUNIL

33 Female na Spouse 16/04/2019 0 0

1402 500 1 Mah/4527/2006

GHADGESUNIL

VASANT

40 Male na Employee 16/04/2019 200000 0

1403 500 3 Mah/4527/2006

GHADGEVANSHIKA SUNIL

10 Female na Child 1 16/04/2019 0 0

1404 85 11 Mah/460/1996

ADHRITHASHOKKU

MAR

9 Male na Child 2 16/04/2019 0 0

1405 85 3 Mah/460/1996

ANUSHREE

ASHOKKUMAR

14 Female na Child 1 16/04/2019 0 0

1406 85 2 Mah/460/1996

SUBHAASHOKKU

MAR

44 Female na Spouse 16/04/2019 0 0

1407 85 1 Mah/460/1996

ASHOKKUMAR C

48 Male na Employee 16/04/2019 500000 0

1408 315 2 Mah/461/1980

SHINDEKAR

SUNITAASHOK

56 Female na Spouse 16/04/2019 0 0

1409 315 1 Mah/461/1980

SHINDEKAR

ASHOKMURLIDH

AR

64 Male na Employee 16/04/2019 500000 0

1410 246 2 Mah/4615/2012

KANGOKAR

DHANASHREE

ABHISHEK

28 Female na Spouse 16/04/2019 0 0

1411 246 3 Mah/4615/2012

KANGOKAR

JROSELESJ

ABHISHEK

0 Male na Child 1 16/04/2019 0 0

1412 246 1 Mah/4615/2012

KANGOKAR

ABHISHEK DEEPAK

30 Male na Employee 16/04/2019 300000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1413 493 1 Mah/4627/2015

SARNAIKPRIYANKAYOGESH

30 Female na Employee 16/04/2019 200000 0

1414 493 3 Mah/4627/2015

SARNAIKYOGESHPRATAPR

AO

38 Male na Child 1 16/04/2019 0 0

1415 493 11 Mah/4627/2015

SARNAIKPRIYOGYOGESH

3 Male na Child 2 16/04/2019 0 0

1416 163 2 Mah/466/1980

RATHIUMA

RAJENDRA

55 Female na Spouse 16/04/2019 0 0

1417 163 1 Mah/466/1980

RATHIRAJENDR

AJAGANNA

TH

62 Male na Employee 16/04/2019 500000 0

1418 317 1 Mah/4685/2009

VORASNEHALVIRENDR

A

39 Male na Employee 16/04/2019 300000 0

1419 354 2 Mah/4712/2007

MISHRAREENADINESH

34 Female na Spouse 16/04/2019 0 0

1420 354 1 Mah/4712/2007

MISHRADINESH

GULABCHANDRA

38 Male na Employee 16/04/2019 1000000 0

1421 354 11 Mah/4712/2007

MISHRAAASHI

DINESH

4 Female na Child 2 16/04/2019 0 0

1422 354 3 Mah/4712/2007

MISHRAAARAVDINESH

10 Male na Child 1 16/04/2019 0 0

1423 330 1 Mah/4771/2015

JOSHIAAKASHGIRISH

27 Male na Employee 16/04/2019 300000 0

1424 553 1 Mah/4772/2015

BALASUBRAMANIA

NARUMUG

AM

39 Male na Employee 16/04/2019 200000 0

1425 553 2 Mah/4772/2015

BALASUBRAMANIA

NAMUTHA

VALLI

35 Female na Spouse 16/04/2019 0 0

1426 443 11 Mah/4777/1999

RAJANEETISUMIT

12 Female na Child 2 16/04/2019 0 0

1427 443 2 Mah/4777/1999

RAJASMITASUMIT

40 Female na Spouse 16/04/2019 0 0

1428 443 1 Mah/4777/1999

RAJASUMITPRAVIN

42 Male na Employee 16/04/2019 200000 0

1429 443 3 Mah/4777/1999

RAJATANVISUMIT

16 Female na Child 1 16/04/2019 0 0

1430 158 1 Mah/4790/2004

GAIKWADSANTOSHNARAYAN

40 Male na Employee 16/04/2019 300000 0

1431 158 2 Mah/4790/2004

GAIKWADASHWINISANTOSH

32 Female na Spouse 16/04/2019 0 0

1432 598 2 Mah/480/2005

GOSAVISUNANDA NAVNIT

40 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1433 598 3 Mah/480/2005

GOSAVIMAYURNAVNIT

22 Male na Child 1 16/04/2019 0 0

1434 598 1 Mah/480/2005

GOSAVINAVNIT

KANCHANGIR

51 Male na Employee 16/04/2019 100000 0

1435 324 2 Mah/481/1974

MOGRESUJATASUNEEL

66 Female na Spouse 16/04/2019 0 0

1436 324 1 Mah/481/1974

MOGRESUNEEL

DATTHTRAYA

68 Male na Employee 16/04/2019 1000000 0

1437 274 1 Mah/4813/2008

KENJALKAR SUDIPMAHESH

34 Male na Employee 16/04/2019 1000000 0

1438 274 11 Mah/4813/2008

KENJALKAR

ADHIRAJSUDIP

2 Male na Child 2 16/04/2019 0 0

1439 274 3 Mah/4813/2008

KENJALKAR

YASHRAJSUDIP

4 Male na Child 1 16/04/2019 0 0

1440 274 2 Mah/4813/2008

KENJALKAR SAKSHI

ALIASSAPNASUDIP

35 Female na Spouse 16/04/2019 0 0

1441 175 2 Mah/486/2005

GAWADEPUNAM

RANJEET

34 Female na Spouse 16/04/2019 0 0

1442 175 3 Mah/486/2005

GAWADEARYAN

RANJEET

10 Male na Child 1 16/04/2019 0 0

1443 175 1 Mah/486/2005

GAWADERANJEETRAMCHA

NDRA

40 Male na Employee 16/04/2019 200000 0

1444 569 3 Mah/4860/2011

PAWARDINARLALA

16 Male na Child 1 16/04/2019 0 0

1445 569 2 Mah/4860/2011

PAWARAFROZLALA

44 Female na Spouse 16/04/2019 0 0

1446 569 1 Mah/4860/2011

PAWARLALA

ASHOK

45 Male na Employee 16/04/2019 300000 0

1447 569 11 Mah/4860/2011

PAWARMOHAMAD SAAD

LALA

8 Male na Child 2 16/04/2019 0 0

1448 303 1 Mah/49/1982

KHATIBMUSHTA

GMOHAMA

D

60 Male na Employee 16/04/2019 100000 0

1449 303 2 Mah/49/1982

KHATIBDILSHADMUSHTA

Q

55 Female na Spouse 16/04/2019 0 0

1450 303 3 Mah/49/1982

MOHDATIF

MUSHTAQ KHATIB

21 Male na Child 1 16/04/2019 0 0

1451 319 1 Mah/49/2009

NIMHANSHASHIK

ANTDNYANO

BA

42 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1452 319 11 Mah/49/2009

NIMHANCHANDA

NASHASHIK

ANT

4 Female na Child 2 16/04/2019 0 0

1453 319 3 Mah/49/2009

NIMHANSHARANN

YASHASHIK

ANT

5 Female na Child 1 16/04/2019 0 0

1454 319 2 Mah/49/2009

NIMHANJAYSHREESHASHIK

ANT

39 Female na Spouse 16/04/2019 0 0

1455 544 2 Mah/492/2010

GOSWAMI

PRAMILABENIMAD

HAV

29 Female na Spouse 16/04/2019 0 0

1456 544 1 Mah/492/2010

GOSWAMI

BENIMADHAV

HINGRAJ

35 Male na Employee 16/04/2019 200000 0

1457 544 3 Mah/492/2010

GOSWAMI TRIJAL

BENIMADHAV

1 Female na Child 1 16/04/2019 0 0

1458 299 1 Mah/4932/2008

POTENIKHILESH DILIP

33 Male na Employee 16/04/2019 100000 0

1459 299 2 Mah/4932/2008

AHIRENEELIMA

31 Female na Spouse 16/04/2019 0 0

1460 260 2 Mah/495/1981

GHOGARE

MANDAKINI ASHOK

50 Female na Spouse 16/04/2019 0 0

1461 260 1 Mah/495/1981

GHOGARE ASHOKBAYAJI

63 Male na Employee 16/04/2019 300000 0

1462 360 1 Mah/4987/2008

GONDHALI KAPIL

KAMALAKAR

34 Male na Employee 16/04/2019 300000 0

1463 360 3 Mah/4987/2008

GONDHALI

KARUNYAKAPIL

5 Male na Child 1 16/04/2019 0 0

1464 360 2 Mah/4987/2008

GONDHALI RUPALI

KAPIL

28 Female na Spouse 16/04/2019 0 0

1465 358 1 Mah/4987/2009

DIASREBBECAIGNATIUS

33 Female na Employee 16/04/2019 200000 0

1466 583 1 Mah/5000/2018

BHIDEMRUNALAVINASH

25 Female na Employee 16/04/2019 100000 0

1467 343 1 Mah/5021/2005

GAIDHANE

NEELESHMANOHA

R

39 Male na Employee 16/04/2019 200000 0

1468 343 2 Mah/5021/2005

GAIDHANE SONALINEELESH

32 Female na Spouse 16/04/2019 0 0

1469 343 11 Mah/5021/2005

GAIDHANE

SHIVESHNEELESH

2 Male na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1470 343 3 Mah/5021/2005

GAIDHANE NITTYANEELESH

8 Female na Child 1 16/04/2019 0 0

1471 81 1 Mah/503/1993

MULLAABDULSA

MADNOORMOHAMED

63 Male na Employee 16/04/2019 200000 0

1472 81 2 Mah/503/1993

MULLASAIRABA

NUABDULSA

MAD

55 Female na Spouse 16/04/2019 0 0

1473 66 2 Mah/5042/2010

PATHAKDEEPIKA

VIPIN

32 Female na Spouse 16/04/2019 0 0

1474 66 3 Mah/5042/2010

PATHAKAARADHYA VIPIN

8 Female na Child 1 16/04/2019 0 0

1475 66 11 Mah/5042/2010

PATHAKAARYAVIPIN

4 Female na Child 2 16/04/2019 0 0

1476 66 1 Mah/5042/2010

PATHAKVIPIN

ASHOK

36 Male na Employee 16/04/2019 300000 0

1477 487 3 Mah/5046/2016

JADHAVEERSHITAAJINKYA

1 Female na Child 1 16/04/2019 0 0

1478 487 2 Mah/5046/2016

JADHAVSWATI

AJINKYA

32 Female na Spouse 16/04/2019 0 0

1479 487 1 Mah/5046/2016

JADHAVAJINKYARAJARAM

33 Male na Employee 16/04/2019 1000000 0

1480 293 2 Mah/5088/1999

NAIDUSOWJANY

ARAVISHA

NKAR

43 Female na Spouse 16/04/2019 0 0

1481 293 1 Mah/5088/1999

NAIDURAVISHA

NKARRAMARA

O

43 Male na Employee 16/04/2019 200000 0

1482 293 3 Mah/5088/1999

NAIDUROSHANRAVISHA

NKAR

15 Male na Child 1 16/04/2019 0 0

1483 527 11 Mah/5098/2014

WALVATKAR

AFIFAHANWAR

13 Female na Child 2 16/04/2019 0 0

1484 527 3 Mah/5098/2014

WALVATKAR AASIRANWAR

17 Male na Child 1 16/04/2019 0 0

1485 527 2 Mah/5098/2014

WALVATKAR

ANWARSK MOHD

53 Male na Spouse 16/04/2019 0 0

1486 527 1 Mah/5098/2014

WALVATKAR

QAISERANWAR

48 Female na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1487 430 2 Mah/518/1980

NANDEDKAR

SATYABHAMA

VIRBHADRA

67 Female na Spouse 16/04/2019 0 0

1488 430 1 Mah/518/1980

NANDEDKAR

VIRBHADRA ANEJI

66 Male na Employee 16/04/2019 200000 0

1489 402 2 Mah/518/2008

THORATNILIMA

YOGESH

35 Female na Spouse 16/04/2019 0 0

1490 402 1 Mah/518/2008

THORATYOGESHDATTATR

AY

41 Male na Employee 16/04/2019 500000 0

1491 402 3 Mah/518/2008

THORATATHRAVAYOGESH

7 Male na Child 1 16/04/2019 0 0

1492 593 3 Mah/5191/2008

WAVIKARVIVAAN

VAIBHAV

7 Male na Child 1 16/04/2019 0 0

1493 593 2 Mah/5191/2008

WAVIKARSHILPA

VAIBHAV

36 Female na Spouse 16/04/2019 0 0

1494 593 11 Mah/5191/2008

WAVIKARAYAAN

VAIBHAV

4 Male na Child 2 16/04/2019 0 0

1495 593 1 Mah/5191/2008

WAVIKARVAIBHAVASHOK

37 Male na Employee 16/04/2019 100000 0

1496 387 2 Mah/527/1976

YENEGURE

PRAJAKTAASHOKA

61 Female na Spouse 16/04/2019 0 0

1497 387 1 Mah/527/1976

YENEGURE

ASHOKASIDRAMA

PPA

68 Male na Employee 16/04/2019 300000 0

1498 510 11 Mah/527/2006

CHOUDHARI

KARTIKMEGHRAJ

4 Male na Child 2 16/04/2019 0 0

1499 510 3 Mah/527/2006

CHOUDHARI

RUTURAJMEGHRAJ

9 Male na Child 1 16/04/2019 0 0

1500 510 1 Mah/527/2006

CHOUDHARI

MEGHRAJRAMRAO

42 Male na Employee 16/04/2019 100000 0

1501 510 2 Mah/527/2006

CHOUDHARI

REKHAMEGHRAJ

35 Female na Spouse 16/04/2019 0 0

1502 572 1 Mah/5281/2013

MUTHAARPIT

NARENDRA

32 Male na Employee 16/04/2019 100000 0

1503 572 2 Mah/5281/2013

MUTHAASHWINI

ARPIT

27 Female na Spouse 16/04/2019 0 0

1504 572 3 Mah/5281/2013

MUTHAKHWAAISH ARPIT

2 Female na Child 1 16/04/2019 0 0

1505 3 1 Mah/5284/2007

NAIRSURESH

K

41 Male na Employee 16/04/2019 500000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1506 3 3 Mah/5284/2007

NAIRAYAN S

4 Male na Child 1 16/04/2019 0 0

1507 3 2 Mah/5284/2007

NAIRSAPNA S

35 Female na Spouse 16/04/2019 0 0

1508 9 11 Mah/532/1991

KONDEDESHMUK

HMAITHILIVITTHAL

15 Female na Child 2 16/04/2019 0 0

1509 9 1 Mah/532/1991

KONDEDESHMUK

HVITTHALBHAURA

O

54 Male na Employee 16/04/2019 500000 0

1510 9 3 Mah/532/1991

KONDEDESHMUK

HAADESHVITTHAL

20 Male na Child 1 16/04/2019 0 0

1511 9 2 Mah/532/1991

KONDEDESHMUK

HVAISHALIVITTHAL

46 Female na Spouse 16/04/2019 0 0

1512 476 1 Mah/5357/1987

KUMBHAR

VRUSHALI

RAMCHANDRA

31 Female na Employee 16/04/2019 200000 0

1513 407 3 Mah/5357/2009

KAWADEKRUSHNA

LISHRIKAN

T

3 Female na Child 1 16/04/2019 0 0

1514 407 1 Mah/5357/2009

KAWADESHRIKAN

TGANESHR

AO

33 Male na Employee 16/04/2019 300000 0

1515 407 2 Mah/5357/2009

KAWADESNEHALSHRIKAN

T

26 Female na Spouse 16/04/2019 0 0

1516 484 1 Mah/5357/2016

KUMHARVRUSHAL

IRAMCHA

NDRA

31 Female na Employee 16/04/2019 200000 0

1517 249 1 Mah/5359/2009

PHADKULE

ABHIJEETPAVAN

32 Male na Employee 16/04/2019 100000 0

1518 249 2 Mah/5359/2009

PHADKULE

SUCHITAABHIJEET

29 Female na Spouse 16/04/2019 0 0

1519 548 1 Mah/5376/2006

WANKHEDE

NILESHTRYAMBA

K

35 Male na Employee 16/04/2019 1000000 0

1520 548 2 Mah/5376/2006

WANKHEDE RINANILESH

34 Female na Spouse 16/04/2019 0 0

1521 548 3 Mah/5376/2006

WANKHEDE

SHRIKARNILESH

2 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1522 162 2 Mah/540/2001

LOKHANDE

ASHWINIMANOJ

34 Female na Spouse 16/04/2019 0 0

1523 162 1 Mah/540/2001

LOKHANDE MANOJSHRIRAMJ

I

40 Male na Employee 16/04/2019 100000 0

1524 162 3 Mah/540/2001

LOKHANDE RUJULMANOJ

5 Male na Child 1 16/04/2019 0 0

1525 162 11 Mah/540/2001

LOKHANDE DARSHMANOJ

3 Male na Child 2 16/04/2019 0 0

1526 281 3 Mah/5464/2008

MOHODGARIMAVISHAL

4 Female na Child 1 16/04/2019 0 0

1527 281 1 Mah/5464/2008

MOHODVISHAL

PANJABRAO

37 Male na Employee 16/04/2019 500000 0

1528 281 2 Mah/5464/2008

MOHODSEEMAVISHAL

35 Female na Spouse 16/04/2019 0 0

1529 322 1 Mah/5476/2013

CHIKTEBHIMRAO

RAMJI

65 Male na Employee 16/04/2019 200000 0

1530 322 2 Mah/5476/2013

CHIKTEANITA

BHIMRAO

50 Female na Spouse 16/04/2019 0 0

1531 385 1 Mah/5490/2010

SHINDEGAJANANDILIPRAO

32 Male na Employee 16/04/2019 200000 0

1532 385 3 Mah/5490/2010

SHINDENIRBHAYGAJANAN

3 Male na Child 1 16/04/2019 0 0

1533 385 2 Mah/5490/2010

SHINDEROHINI

GAJANAN

28 Female na Spouse 16/04/2019 0 0

1534 438 1 Mah/5519/2010

JAIN RAJUMODILAL

32 Male na Employee 16/04/2019 200000 0

1535 438 2 Mah/5519/2010

JAINCHETNA

RAJU

26 Female na Spouse 16/04/2019 0 0

1536 438 3 Mah/5519/2010

JAINNITIKARAJU

7 Female na Child 1 16/04/2019 0 0

1537 323 1 Mah/552/1991

KOTANGLE ASHOKNUSARA

MJI

52 Male na Employee 16/04/2019 1000000 0

1538 323 11 Mah/552/1991

KOTANGLE

SAMRATASHOK

6 Male na Child 2 16/04/2019 0 0

1539 323 2 Mah/552/1991

KOTANGLE

RAJASHREE

ASHOK

46 Female na Spouse 16/04/2019 0 0

1540 323 3 Mah/552/1991

KOTANGLE MANAVASHOK

20 Male na Child 1 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1541 284 1 Mah/5549/2005

KARADMURLIDH

ARSUNDERR

AO

37 Male na Employee 16/04/2019 200000 0

1542 284 2 Mah/5549/2005

KARADBHAGYAS

HREEMURLIDH

AR

29 Female na Spouse 16/04/2019 0 0

1543 284 11 Mah/5549/2005

KARADSHIVANS

HMURLIDH

AR

1 Male na Child 2 16/04/2019 0 0

1544 284 3 Mah/5549/2005

KARADSWARA

MURLIDHAR

6 Female na Child 1 16/04/2019 0 0

1545 82 1 Mah/555/1994

VISHELAXMAN

PANDURANG

63 Male na Employee 16/04/2019 200000 0

1546 82 2 Mah/555/1994

VISHEURMILALAXMAN

57 Female na Spouse 16/04/2019 0 0

1547 425 3 Mah/5573/2008

KAMBLERANVEER

AMOL

2 Male na Child 1 16/04/2019 0 0

1548 425 2 Mah/5573/2008

KAMBLEMAYAAMOL

27 Female na Spouse 16/04/2019 0 0

1549 425 1 Mah/5573/2008

KAMBLEAMOL

BALAVANT

34 Male na Employee 16/04/2019 200000 0

1550 425 11 Mah/5573/2008

KAMBLEMADHURA AMOL

0 Female na Child 2 16/04/2019 0 0

1551 169 2 Mah/5642/1999

BADGEARUNA

CHAKSHUPAL

54 Female na Spouse 16/04/2019 0 0

1552 169 1 Mah/5642/1999

BADGECHAKSHU

PALLAXMAN

61 Male na Employee 16/04/2019 100000 0

1553 525 3 Mah/5647/2007

PRAJAPATI

BHUMIKAOMPRAKA

SH

6 Female na Child 1 16/04/2019 0 0

1554 525 1 Mah/5647/2007

PRAJAPATI

OMPRAKASH

JAGALURAM

38 Male na Employee 16/04/2019 200000 0

1555 525 11 Mah/5647/2007

PRAJAPATI

AVANEESH

OMPRAKASH

3 Male na Child 2 16/04/2019 0 0

1556 525 2 Mah/5647/2007

PRAJAPATI

NIRMALAOMPRAKA

SH

30 Female na Spouse 16/04/2019 0 0

1557 481 2 Mah/5662/2017

ROSEBLOSSOM

T

41 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1558 481 11 Mah/5662/2017

NICOLE T 13 Female na Child 2 16/04/2019 0 0

1559 481 3 Mah/5662/2017

AMANDAT

15 Female na Child 1 16/04/2019 0 0

1560 481 1 Mah/5662/2017

THALAKOTTURJACK

KURIYAKKU

48 Male na Employee 16/04/2019 300000 0

1561 462 1 Mah/5672/2008

SURVASERAJHANSPANDITR

AO

36 Male na Employee 16/04/2019 200000 0

1562 462 2 Mah/5672/2008

SURVASESHRADD

HARAJHANS

28 Female na Spouse 16/04/2019 0 0

1563 462 3 Mah/5672/2008

SURVASEVIRAJ

RAJHANS

3 Male na Child 1 16/04/2019 0 0

1564 462 11 Mah/5672/2008

SURVASESWARAJRAJHANS

3 Male na Child 2 16/04/2019 0 0

1565 565 2 Mah/573/2013

PUNJABISAPNARAVI

44 Female na Spouse 16/04/2019 0 0

1566 565 3 Mah/573/2013

PUNJABISONALI

RAVI

22 Female na Child 1 16/04/2019 0 0

1567 565 1 Mah/573/2013

PUNJABIRAVI

SRICHAND

51 Male na Employee 16/04/2019 500000 0

1568 171 1 Mah/5767/2015

SAKHARESHRIHARISHANKAR

RAO

61 Male na Employee 16/04/2019 200000 0

1569 171 2 Mah/5767/2015

SAKHAREJYOTSNASHRIHARI

53 Female na Spouse 16/04/2019 0 0

1570 412 3 Mah/577/2005

PATHAKSOHAMSACHIN

7 Male na Child 1 16/04/2019 0 0

1571 412 1 Mah/577/2005

PATHAKSACHIN

DILIP

42 Male na Employee 16/04/2019 200000 0

1572 412 2 Mah/577/2005

PATHAKSUVARNASACHIN

35 Female na Spouse 16/04/2019 0 0

1573 245 1 Mah/5770/2014

SOMVANSHII

SUUDHASANJAY

37 Female na Employee 16/04/2019 1000000 0

1574 245 2 Mah/5770/2014

SOMVANSHII

SANJAYRAJPAL

39 Male na Spouse 16/04/2019 0 0

1575 459 1 Mah/5823/2006

MUNDEANGAD

PANDHARINATH

37 Male na Employee 16/04/2019 100000 0

1576 459 11 Mah/5823/2006

MUNDEVIRAT

ANGAD

6 Male na Child 2 16/04/2019 0 0

1577 459 3 Mah/5823/2006

MUNDEAASCHRYA ANGAD

9 Female na Child 1 16/04/2019 0 0

1578 459 2 Mah/5823/2006

MUNDESUREKHAANGAD

36 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1579 491 2 Mah/590/1981

PINGALEASHA

MADHUKAR

58 Female na Spouse 16/04/2019 0 0

1580 491 1 Mah/590/1981

PINGALEMADHUK

ARHIRAMAN

66 Male na Employee 16/04/2019 500000 0

1581 305 1 Mah/5936/2008

PANDGESHIVAJI

NARSINGRAO

38 Male na Employee 16/04/2019 500000 0

1582 490 3 Mah/5945/2014

PATILVAISHNAVI AJAY

16 Female na Child 1 16/04/2019 0 0

1583 490 11 Mah/5945/2014

PATILNIRMITI

AJAY

12 Female na Child 2 16/04/2019 0 0

1584 490 2 Mah/5945/2014

PATILASHWINI

AJAY

41 Female na Spouse 16/04/2019 0 0

1585 490 1 Mah/5945/2014

PATILAJAY

JANARDAN

49 Male na Employee 16/04/2019 200000 0

1586 601 2 Mah/5963/2014

ROKADESAVITAHARESH

30 Female na Spouse 16/04/2019 0 0

1587 601 1 Mah/5963/2014

ROKADEHARESHEKNATH

38 Male na Employee 16/04/2019 100000 0

1588 601 11 Mah/5963/2014

ROKADEROHIT

HARESH

8 Male na Child 2 16/04/2019 0 0

1589 601 3 Mah/5963/2014

ROKADESAKSHIHARESH

12 Female na Child 1 16/04/2019 0 0

1590 561 2 Mah/5965/2015

KAUSHIKANITASUNIL

46 Female na Spouse 16/04/2019 0 0

1591 561 3 Mah/5965/2015

KAUSHIKSAKSHISUNIL

22 Female na Child 1 16/04/2019 0 0

1592 561 11 Mah/5965/2015

KAUSHIKKARTIKEYA SUNIL

18 Male na Child 2 16/04/2019 0 0

1593 561 1 Mah/5965/2015

KAUSHIKSUNIL

SUMAN

53 Male na Employee 16/04/2019 800000 0

1594 518 3 Mah/597/2006

SATHEVIDIT

UMESH

8 Male na Child 1 16/04/2019 0 0

1595 518 1 Mah/597/2006

SATHEUMESH

RAMDAS

39 Male na Employee 16/04/2019 200000 0

1596 518 2 Mah/597/2006

SATHEVAISHALIUMESH

41 Female na Spouse 16/04/2019 0 0

1597 58 3 Mah/5980/2007

BHOITESHRIMAYIMAHESH

5 Female na Child 1 16/04/2019 0 0

1598 58 1 Mah/5980/2007

BHOITEMAHESHAMARSIN

G

36 Male na Employee 16/04/2019 1000000 0

1599 58 2 Mah/5980/2007

BHOITESWAPNALI MAHESH

31 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1600 166 1 Mah/5994/2007

PABALEMANISHMARUTI

36 Male na Employee 16/04/2019 500000 0

1601 166 2 Mah/5994/2007

PABLEROHINIMARUTI

27 Female na Spouse 16/04/2019 0 0

1602 166 3 Mah/5994/2007

PABLERUTVIJMARUTI

2 Male na Child 1 16/04/2019 0 0

1603 543 1 Mah/60/1994

SHROFFJAYESH

PURUSHOTTAM

53 Male na Employee 16/04/2019 200000 0

1604 328 1 Mah/6012/2018

DONGARE KETAKIPRABHAK

AR

23 Female na Employee 16/04/2019 300000 0

1605 560 3 Mah/6020/2007

PANDITDIVIEJARAHUL

7 Female na Child 1 16/04/2019 0 0

1606 560 1 Mah/6020/2007

PANDITRAHULRAM

36 Male na Employee 16/04/2019 500000 0

1607 560 2 Mah/6020/2007

PANDITKIRANRAHUL

37 Female na Spouse 16/04/2019 0 0

1608 560 11 Mah/6020/2007

PANDITRAAVEERAHUL

4 Female na Child 2 16/04/2019 0 0

1609 377 1 Mah/6022/2008

SONAWANE

NUTANMADHUS

UDAN

37 Female na Employee 16/04/2019 1000000 0

1610 161 3 Mah/606/1992

POTDARNUTAN

SURENDRA

22 Female na Child 1 16/04/2019 0 0

1611 161 1 Mah/606/1992

POTDARSURENDR

AGORAKH

NATH

54 Male na Employee 16/04/2019 200000 0

1612 161 2 Mah/606/1992

POTDARSHUBHA

NGISURENDR

A

50 Female na Spouse 16/04/2019 0 0

1613 254 2 Mah/6062/2006

PAYGHANURMILA

GIRIDHAR

42 Female na Spouse 16/04/2019 0 0

1614 254 3 Mah/6062/2006

PAYGHANBHUSHA

NGIRIDHAR

11 Male na Child 1 16/04/2019 0 0

1615 254 1 Mah/6062/2006

PAYGHANGIRIDHARMADHAV

43 Male na Employee 16/04/2019 100000 0

1616 367 1 Mah/6074/2015

KHUTALEROSHANIKUNDALI

K

25 Female na Employee 16/04/2019 200000 0

1617 367 2 Mah/6074/2015

GAIKARSURAJ

ROHIDAS

29 Male na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1618 486 1 Mah/6099/2011

BANGARSANDEEPGANPAT

35 Male na Employee 16/04/2019 200000 0

1619 486 3 Mah/6099/2011

BANGARNIDHI

SANDEEP

2 Female na Child 1 16/04/2019 0 0

1620 486 2 Mah/6099/2011

BANGARSWATI

SANDEEP

27 Female na Spouse 16/04/2019 0 0

1621 62 3 Mah/6343/2010

GAIKWADPRAGALB

HAPRAVIN

6 Male na Child 1 16/04/2019 0 0

1622 62 2 Mah/6343/2010

GAIKWADPRERANAPRAVIN

33 Female na Spouse 16/04/2019 0 0

1623 62 1 Mah/6343/2010

GAIKWADPRAVINSHAM

37 Male na Employee 16/04/2019 200000 0

1624 244 3 Mah/6347/2011

WADGHULE

SOHAMDNYANO

BA

7 Male na Child 1 16/04/2019 0 0

1625 244 2 Mah/6347/2011

WADGHULE

SARIKADNYANO

BA

35 Female na Spouse 16/04/2019 0 0

1626 244 1 Mah/6347/2011

WADGHULE

DNYANOBA

SAMPAT

37 Male na Employee 16/04/2019 200000 0

1627 243 3 Mah/6365/2011

THARKUDE

TANMAYBHARAT

15 Male na Child 1 16/04/2019 0 0

1628 243 2 Mah/6365/2011

THARKUDE

MANGALBHARAT

38 Female na Spouse 16/04/2019 0 0

1629 243 1 Mah/6365/2011

THARKUDE

BHARATCHANDRAKANT

45 Male na Employee 16/04/2019 200000 0

1630 582 2 Mah/653/1985

BHIDEADITI

AVINASH

54 Female na Spouse 16/04/2019 0 0

1631 582 1 Mah/653/1985

BHIDEAVINASHJANARDA

N

59 Male na Employee 16/04/2019 100000 0

1632 327 2 Mah/6566/2008

SONKARANURAD

HAHARISHCHANDRA

48 Female na Spouse 16/04/2019 0 0

1633 327 1 Mah/6566/2008

SONKARHARISHCHANDRASHRIRAM

54 Male na Employee 16/04/2019 300000 0

1634 327 3 Mah/6566/2008

SONKARKARAN

HARISHCHANDRA

24 Male na Child 1 16/04/2019 0 0

1635 363 2 Mah/6589/2007

RATHISHITALNILESH

29 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1636 363 1 Mah/6589/2007

RATHINILESH

JAYAPRAKASH

44 Male na Employee 16/04/2019 200000 0

1637 363 11 Mah/6589/2007

RATHISIDDHINILESH

5 Female na Child 2 16/04/2019 0 0

1638 363 3 Mah/6589/2007

RATHITANISHQNILESH

12 Male na Child 1 16/04/2019 0 0

1639 150 1 Mah/66/2012

KOCHALETUSHAR

BHIMRAO

31 Male na Employee 16/04/2019 500000 0

1640 150 2 Mah/66/2012

KOCHALEPOOJA

TUSHAR

27 Female na Spouse 16/04/2019 0 0

1641 541 1 Mah/660/1987

GHUMARE

RAJENDRA

YASHAWANTRAO

58 Male na Employee 16/04/2019 300000 0

1642 541 2 Mah/660/1987

GHUMARE

SANJEEVANI

RAJENDRA

55 Female na Spouse 16/04/2019 0 0

1643 6 3 Mah/662/1990

WAGHPRACHI

PRAKASH

28 Female na Child 1 16/04/2019 0 0

1644 6 11 Mah/662/1990

WAGHSAMEERPRAKASH

25 Male na Child 2 16/04/2019 0 0

1645 6 2 Mah/662/1990

WAGHLATA

PRAKASH

55 Female na Spouse 16/04/2019 0 0

1646 6 1 Mah/662/1990

WAGHPRAKASHGANGAD

HAR

61 Male na Employee 16/04/2019 100000 0

1647 549 1 Mah/667/1988

NANGAREPANDURA

NGDATTATR

YA

65 Male na Employee 16/04/2019 100000 0

1648 549 2 Mah/667/1988

NANGAREHEMLATAPANDURA

NG

60 Female na Spouse 16/04/2019 0 0

1649 551 2 Mah/67/1996

KALEGAYATRIMUKUND

49 Female na Spouse 16/04/2019 0 0

1650 551 1 Mah/67/1996

KALEMUKUNDBHAGWANTRAO

51 Male na Employee 16/04/2019 200000 0

1651 551 11 Mah/67/1996

KALEBHARGAVMUKUND

19 Male na Child 2 16/04/2019 0 0

1652 551 3 Mah/67/1996

KALEISHWARIMUKUND

21 Female na Child 1 16/04/2019 0 0

1653 153 2 Mah/670/1996

SALVIPUJA AJIT

45 Female na Spouse 16/04/2019 0 0

1654 153 1 Mah/670/1996

SALVIAJIT

ANANT

51 Male na Employee 16/04/2019 200000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1655 153 11 Mah/670/1996

SALVIAJINKYA

AJIT

12 Male na Child 2 16/04/2019 0 0

1656 153 3 Mah/670/1996

SALVIARYA AJIT

18 Female na Child 1 16/04/2019 0 0

1657 46 11 Mah/683/2006

KADAMRAJVEERRAVINDR

A

3 Male na Child 2 16/04/2019 0 0

1658 46 2 Mah/683/2006

KADAMRUPALI

RAVINDRA

33 Female na Spouse 16/04/2019 0 0

1659 46 3 Mah/683/2006

KADAMTANVI

RAVINDRA

7 Female na Child 1 16/04/2019 0 0

1660 46 1 Mah/683/2006

KADAMRAVINDR

APANDURA

NG

37 Male na Employee 16/04/2019 300000 0

1661 602 2 Mah/6906/2015

SHETTYARTHI

PREMANANDA

50 Female na Spouse 16/04/2019 0 0

1662 602 1 Mah/6906/2015

SHETTYPREMANA

NDANARAYAN

54 Male na Employee 16/04/2019 300000 0

1663 602 3 Mah/6906/2015

SHETTYDIVYA

PREMANANDA

23 Female na Child 1 16/04/2019 0 0

1664 172 1 Mah/6910/2010

SAABDENITINN

RAJANIKANT

36 Male na Employee 16/04/2019 1000000 0

1665 172 2 Mah/6910/2010

SAABDEANNUSH

AKANITINN

36 Female na Spouse 16/04/2019 0 0

1666 577 1 Mah/6918/2015

DESHMUKH

CHETANHIRALAL

29 Male na Employee 16/04/2019 100000 0

1667 575 1 Mah/7101/2018

VAIDYAAMEYAABHIJIT

27 Male na Employee 16/04/2019 100000 0

1668 420 1 Mah/7114/2010

VARMAPRITESHKAILASH

34 Male na Employee 16/04/2019 300000 0

1669 420 11 Mah/7114/2010

VARMAGAURAA

NSHPRITESH

4 Male na Child 2 16/04/2019 0 0

1670 420 3 Mah/7114/2010

VARMARIDDHI

PRITESH

5 Female na Child 1 16/04/2019 0 0

1671 420 2 Mah/7114/2010

VARMADIPIKA

PRITESH

28 Female na Spouse 16/04/2019 0 0

1672 273 2 Mah/716/1995

SHAIKHYASMINNASIR

40 Female na Spouse 16/04/2019 0 0

1673 273 1 Mah/716/1995

SHAIKHNASIR

HAZARTALI

48 Male na Employee 16/04/2019 100000 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1674 273 3 Mah/716/1995

SHAIKHSAIF

NASIR

18 Male na Child 1 16/04/2019 0 0

1675 273 11 Mah/716/1995

SHAIKHIRFANNASIR

13 Male na Child 2 16/04/2019 0 0

1676 368 11 Mah/722/1997

KARANJKAR

JAYANTJALINDAR

6 Male na Child 2 16/04/2019 0 0

1677 368 3 Mah/722/1997

KARANJKAR

JANHAVIJALINDAR

9 Female na Child 1 16/04/2019 0 0

1678 368 2 Mah/722/1997

KARANJKAR

MANJUSHA

JALINDAR

44 Female na Spouse 16/04/2019 0 0

1679 368 1 Mah/722/1997

KARANJKAR

JALINDARJAGANNA

TH

52 Male na Employee 16/04/2019 300000 0

1680 39 1 Mah/726-A/1995

SINGHBHOOPE

NDRAKUMAR B

52 Male na Employee 16/04/2019 500000 0

1681 39 3 Mah/726-A/1995

SINGHSHRADD

HABHOOPE

NDRAKUMAR

23 Female na Child 1 16/04/2019 0 0

1682 39 2 Mah/726-A/1995

SINGHUSHA

BHOOPENDRA

KUMAR

49 Female na Spouse 16/04/2019 0 0

1683 39 11 Mah/726-A/1995

SINGHSHUBHA

MBHOOPE

NDRAKUMAR

21 Male na Child 2 16/04/2019 0 0

1684 423 11 Mah/726A/1995

SINGHSHUBHA

MBHOOPE

NDRAKUMAR

21 Male na Child 2 16/04/2019 0 0

1685 423 1 Mah/726A/1995

SINGHBHOOPE

NDRAKUMAR B

52 Male na Employee 16/04/2019 500000 0

1686 423 3 Mah/726A/1995

SINGHSHRADD

HABHOOPE

NDRAKUMAR

23 Female na Child 1 16/04/2019 0 0

1687 423 2 Mah/726A/1995

SINGHUSHA

BHOOPENDRA

KUMAR

49 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1688 282 1 Mah/727-A/1986

THAKKARVINODKU

MARLALJIBHAI

66 Male na Employee 16/04/2019 200000 0

1689 282 2 Mah/727-A/1986

THAKKARSHARADA

BENVINODKU

MAR

65 Female na Spouse 16/04/2019 0 0

1690 361 2 Mah/7272/2017

HADOLIKAR

VISHAKHA

CHETAN

32 Female na Spouse 16/04/2019 0 0

1691 361 1 Mah/7272/2017

HADOLIKAR

CHETANHOUSAJIR

AO

39 Male na Employee 16/04/2019 300000 0

1692 361 3 Mah/7272/2017

HADOLIKAR

NEELMEGH

CHETAN

7 Male na Child 1 16/04/2019 0 0

1693 502 2 Mah/736/1976

MAHAMUNE

SUREKHAASHOK

59 Female na Spouse 16/04/2019 0 0

1694 502 1 Mah/736/1976

MAHAMUNE

ASHOKPRALHAD

RAO

69 Male na Employee 16/04/2019 300000 0

1695 54 2 Mah/740/1988

PANDEYBINDU

MATASHANKER

54 Female na Spouse 16/04/2019 0 0

1696 54 1 Mah/740/1988

PANDEYMATASHA

NKERSABHAPA

TI

57 Male na Employee 16/04/2019 200000 0

1697 505 3 Mah/747/2006

NIMBALKAR

UNNATIAJAY

7 Female na Child 1 16/04/2019 0 0

1698 505 11 Mah/747/2006

NIMBALKAR

SHANAYAAJAY

1 Female na Child 2 16/04/2019 0 0

1699 505 2 Mah/747/2006

NIMBALKAR

MEGHAAJAY

37 Female na Spouse 16/04/2019 0 0

1700 505 1 Mah/747/2006

NIMBALKAR AJAYSHIVAJIR

AO

39 Male na Employee 16/04/2019 100000 0

1701 421 2 Mah/753/1999

CHHEDANAYNA

MUKESH

55 Female na Spouse 16/04/2019 0 0

1702 421 1 Mah/753/1999

CHHEDAMUKESH

VIRGI

57 Male na Employee 16/04/2019 1000000 0

1703 267 1 Mah/757/2012

SHELAKERAHULANAND

30 Male na Employee 16/04/2019 100000 0

1704 267 2 Mah/757/2012

SHELAKESONALRAHUL

29 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1705 267 3 Mah/757/2012

SHELAKEADVAITRAHUL

2 Male na Child 1 16/04/2019 0 0

1706 395 1 Mah/762/1985

CHANDAK

PREMSUKH

RAMCHANDRA

69 Male na Employee 16/04/2019 300000 0

1707 395 2 Mah/762/1985

CHANDAK LALITAPREMSUK

H

67 Female na Spouse 16/04/2019 0 0

1708 1395 1 Mah/773/2011

CHANDAK PRITI

PREMSUKH

34 Female na Employee 16/04/2019 300000 0

1709 314 1 Mah/786/1987

GHUGEPOPATRA

OMURLIDH

AR

56 Male na Employee 16/04/2019 100000 0

1710 314 2 Mah/786/1987

GHUGEANITA

POPATRAO

46 Female na Spouse 16/04/2019 0 0

1711 314 3 Mah/786/1987

GHUGERAHUL

POPATRAO

22 Male na Child 1 16/04/2019 0 0

1712 370 1 Mah/789/1991

NAGODEDATTA

GOVINDRAO

54 Male na Employee 16/04/2019 200000 0

1713 370 3 Mah/789/1991

NAGODEABHISHEK DATTA

22 Male na Child 1 16/04/2019 0 0

1714 370 2 Mah/789/1991

NAGODESAVITADATTA

44 Female na Spouse 16/04/2019 0 0

1715 370 11 Mah/789/1991

NAGODEVIDYADATTA

26 Female na Child 2 16/04/2019 0 0

1716 47 3 Mah/792/2008

MONDERUHI

GANPAT

8 Female na Child 1 16/04/2019 0 0

1717 47 1 Mah/792/2008

MONDEGANPATNAMDEO

38 Male na Employee 16/04/2019 500000 0

1718 47 2 Mah/792/2008

MONDESIDDHIGANPAT

37 Female na Spouse 16/04/2019 0 0

1719 603 2 Mah/793/2002

SHAIKHRIYAZABDULWAHAB

50 Male na Spouse 16/04/2019 0 0

1720 603 1 Mah/793/2002

SHAIKHGAZALARIYAZ

50 Female na Employee 16/04/2019 100000 0

1721 603 3 Mah/793/2002

SHAIKHFARAANRIYAZ

19 Male na Child 1 16/04/2019 0 0

1722 603 11 Mah/793/2002

SHAIKHTABEERRIYAZ

14 Female na Child 2 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1723 595 1 Mah/7988/2010

BHONDWE SATISHSURYAKA

NT

34 Male na Employee 16/04/2019 200000 0

1724 595 3 Mah/7988/2010

BHONDWE

SHIVENDRA

SATISH

1 Male na Child 1 16/04/2019 0 0

1725 595 2 Mah/7988/2010

BHONDWE

PALLAVISATISH

31 Female na Spouse 16/04/2019 0 0

1726 415 1 Mah/801/2013

DODEJAANIL

BHOJRAJ

39 Male na Employee 16/04/2019 300000 0

1727 415 2 Mah/801/2013

DODEJARACHNA

ANIL

39 Female na Spouse 16/04/2019 0 0

1728 415 3 Mah/801/2013

DODEJAVANSHANIL

6 Male na Child 1 16/04/2019 0 0

1729 40 2 Mah/8020/2010

SINGHREETIKASHISHIR

31 Female na Spouse 16/04/2019 0 0

1730 40 1 Mah/8020/2010

SINGHSHISHIRKUMAR

33 Male na Employee 16/04/2019 300000 0

1731 40 3 Mah/8020/2010

SINGHDHAIRYASHISHIR

2 Male na Child 1 16/04/2019 0 0

1732 512 1 Mah/803/1981

SAYEDSHAMSU

DDINBABUMIY

A

64 Male na Employee 16/04/2019 300000 0

1733 512 2 Mah/803/1981

SAYEDSAMIRASHAMSU

DDIN

52 Female na Spouse 16/04/2019 0 0

1734 488 2 Mah/805/1982

PATELSMITAPANKAJ

60 Female na Spouse 16/04/2019 0 0

1735 488 1 Mah/805/1982

PATELPANKAJ

MANUBHAI

60 Male na Employee 16/04/2019 1000000 0

1736 393 3 Mah/8091/2010

JAGTAPSAAVI

SANJAY

5 Female na Child 1 16/04/2019 0 0

1737 393 1 Mah/8091/2010

JAGTAPSANJAYRAMESH

37 Male na Employee 16/04/2019 200000 0

1738 393 11 Mah/8091/2010

JAGTAPSIAANSANJAY

1 Female na Child 2 16/04/2019 0 0

1739 393 2 Mah/8091/2010

JAGTAPARCHANA

SANJAY

30 Female na Spouse 16/04/2019 0 0

1740 422 3 Mah/8106/2010

SHINDESHIVANYA VIJAY

2 Female na Child 1 16/04/2019 0 0

1741 422 1 Mah/8106/2010

SHINDEVIJAY

SHIVAJI

35 Male na Employee 16/04/2019 200000 0

1742 422 2 Mah/8106/2010

SHINDESHITALVIJAY

34 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1743 373 11 Mah/862/1991

PAWARKALYANIVASANT

20 Female na Child 2 16/04/2019 0 0

1744 373 2 Mah/862/1991

PAWARSANDHYAVASANT

53 Female na Spouse 16/04/2019 0 0

1745 373 1 Mah/862/1991

PAWARVASANTGOVIND

54 Male na Employee 16/04/2019 100000 0

1746 373 3 Mah/862/1991

PAWARGAURAVVASANT

25 Male na Child 1 16/04/2019 0 0

1747 287 2 Mah/867/2015

GHARATSHITALSATISH

27 Female na Spouse 16/04/2019 0 0

1748 287 1 Mah/867/2015

GHARATSATISH

DAMODAR

31 Male na Employee 16/04/2019 100000 0

1749 287 3 Mah/867/2015

GHARATJIYANSHSATISH

2 Male na Child 1 16/04/2019 0 0

1750 454 2 Mah/871/1991

WALKESANGITASHIVAJI

46 Female na Spouse 16/04/2019 0 0

1751 454 3 Mah/871/1991

WALKEGAYATRISHIVAJI

18 Female na Child 1 16/04/2019 0 0

1752 454 1 Mah/871/1991

WALKESHIVAJILAHANU

54 Male na Employee 16/04/2019 300000 0

1753 454 11 Mah/871/1991

WALKEVEDANTI

KASHIVAJI

13 Female na Child 2 16/04/2019 0 0

1754 365 2 Mah/880/2000

JADHAVASHOK

MOTIRAM

58 Male na Spouse 16/04/2019 0 0

1755 365 1 Mah/880/2000

JADHAVSARALAASHOK

54 Female na Employee 16/04/2019 100000 0

1756 283 3 Mah/898/1983

THOBDERITESHMILIND

30 Male na Child 1 16/04/2019 0 0

1757 283 2 Mah/898/1983

THOBDESUCHETAMILIND

50 Female na Spouse 16/04/2019 0 0

1758 283 1 Mah/898/1983

THOBDEMILIND

SHIVSHANKAR

58 Male na Employee 16/04/2019 200000 0

1759 283 11 Mah/898/1983

THOBDEMALLIKAMILIND

23 Female na Child 2 16/04/2019 0 0

1760 164 2 Mah/904/1977

RANANAWARE

SUNITADNYANES

HWAR

59 Female na Spouse 16/04/2019 0 0

1761 164 1 Mah/904/1977

RANANAWARE

DNYANESHWAR

TUKARAM

67 Male na Employee 16/04/2019 200000 0

1762 27 2 Mah/9096/2005

GAIKWADSHILPARANJIT

38 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1763 27 11 Mah/9096/2005

GAIKWADRUDRANI

RANJIT

-1 Female na Child 2 16/04/2019 0 0

1764 27 3 Mah/9096/2005

GAIKWADKALYANIRANJIT

10 Female na Child 1 16/04/2019 0 0

1765 27 1 Mah/9096/2005

GAIKWADRANJIT

BHASKARRAO

45 Male na Employee 16/04/2019 100000 0

1766 515 2 Mah/91/2010

CHAVANJYOTI

SOPAN

31 Female na Spouse 16/04/2019 0 0

1767 515 3 Mah/91/2010

CHAVANPURVISOPAN

6 Female na Child 1 16/04/2019 0 0

1768 515 1 Mah/91/2010

CHAVANSOPANBANDU

36 Male na Employee 16/04/2019 300000 0

1769 528 1 Mah/92/2009

SAHANESAMIR

PANDURANG

36 Male na Employee 16/04/2019 200000 0

1770 528 2 Mah/92/2009

SAHANETRUPTISAMIR

29 Female na Spouse 16/04/2019 0 0

1771 528 3 Mah/92/2009

SAHANEVIKRAMA

DITYASAMIR

6 Male na Child 1 16/04/2019 0 0

1772 506 2 Mah/93/2009

UGLEPRIYANKAVAIBHAV

25 Female na Spouse 16/04/2019 0 0

1773 506 3 Mah/93/2009

UGLEVEDASHR

IVAIBHAV

2 Female na Child 1 16/04/2019 0 0

1774 506 1 Mah/93/2009

UGLEVAIBHAVVASANTR

AO

33 Male na Employee 16/04/2019 100000 0

1775 234 1 Mah/930/2014

GAVADESANTOSHSAMBHAJI

48 Male na Employee 16/04/2019 500000 0

1776 234 3 Mah/930/2014

GAVADESARVESHSANTOSH

15 Male na Child 1 16/04/2019 0 0

1777 234 2 Mah/930/2014

GAVADENAMRATASANTOSH

45 Female na Spouse 16/04/2019 0 0

1778 597 3 Mah/9402002

CHAVANGIRIJA

RAJESH

8 Female na Child 1 16/04/2019 0 0

1779 597 1 Mah/9402002

CHAVANRAJESHVISHNU

42 Male na Employee 16/04/2019 200000 0

1780 597 2 Mah/9402002

CHAVANKANCHAN

RAJESH

37 Female na Spouse 16/04/2019 0 0

1781 597 11 Mah/9402002

CHAVANADITYARAJESH

5 Male na Child 2 16/04/2019 0 0

1782 480 1 Mah/948/1987

KAMATPRATAPSATAPA

66 Male na Employee 16/04/2019 100000 0

1783 480 2 Mah/948/1987

KAMATMEENAKS

HIPRATAPR

AO

65 Female na Spouse 16/04/2019 0 0

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

1784 236 2 Mah/948/1999

THOMBRE

CHANDRAKANT

VYANKATRAO

56 Male na Spouse 16/04/2019 0 0

1785 236 1 Mah/948/1999

JAGTAPSUMEDH

ATUKARAM

51 Female na Employee 16/04/2019 100000 0

1786 526 2 Mah/952/1983

CHADHAKAWALJIT

KAURTINDARPALSINGH

61 Female na Spouse 16/04/2019 0 0

1787 526 1 Mah/952/1983

CHADHATINDARPAL SINGH

60 Male na Employee 16/04/2019 200000 0

1788 366 3 Mah/953/1991

JADHAVSIDDHAR

THSHIRISH

25 Male na Child 1 16/04/2019 0 0

1789 366 1 Mah/953/1991

JADHAVSHIRISH

ANNASAHEB

52 Male na Employee 16/04/2019 300000 0

1790 366 2 Mah/953/1991

JADHAVVAISHALISHIRISH

51 Female na Spouse 16/04/2019 0 0

1791 611 3 Mah/959/1989

GHATGEMOHANIS

HSUBHASH

22 Male na Child 1 16/04/2019 0 0

1792 611 2 Mah/959/1989

GHATGESUHASINISUBHASH

51 Female na Spouse 16/04/2019 0 0

1793 611 1 Mah/959/1989

GHATGESUBHASH

JOTIBA

57 Male na Employee 16/04/2019 300000 0

1794 611 11 Mah/959/1989

GHATGESAUDAMI

NISUBHASH

21 Female na Child 2 16/04/2019 0 0

1795 50 2 Mah/962/1979

PAWARSUSHMASANJAY

60 Female na Spouse 16/04/2019 0 0

1796 50 1 Mah/962/1979

PAWARSANJAY

MANIKRAO

63 Male na Employee 16/04/2019 300000 0

1797 168 1 Mah/963/2005

NIHITHASHANKAR

AN

28 Female na Employee 16/04/2019 100000 0

1798 390 11 Mah/972/2012

KARKERATANISHKA RITESH

6 Female na Child 2 16/04/2019 0 0

1799 390 3 Mah/972/2012

KARKERAADITI

RITESH

10 Female na Child 1 16/04/2019 0 0

1800 390 2 Mah/972/2012

KARKERASAMPATTI RITESH

32 Female na Spouse 16/04/2019 0 0

1801 390 1 Mah/972/2012

KARKERARITESH

SHIVDAS

35 Male na Employee 16/04/2019 1000000 0

1802 NA NA NA NA NA NA NA NA 16/04/2019 0 0

Tax Invoice No : 11170019E0014882

Policy No. : 11170034190400000061Document generated by null at 13/10/2019 01:00:01 Hours.

Regd. & Head Office: New India Assurance Bldg., 87 M.G. Road, Fort, Mumbai - 400 001. TOLL FREE No. 1 800 209 1415.

For redressal of your grievance, if any,you may approach any one of the following offices- 1. Policy issuing office 2. Regional office 3. Head office.In case, you are not satisfied with

our own grievance redressal mechanism; you may also approach Insurance Ombudsman. For details of our office addresses and addresses of office of Insurance Ombudsman, please

visit our website http://newindia.co.in.

THE NEW INDIA ASSURANCE CO. LTD.(Government of India Undertaking)

IRDA Registration Number: 190