THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by ...

139
Policy No. : 11170034160400000005 Document generated by null at 11/03/2017 01:00:17 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. (Wholly owned by the Govt. of India) Member Extract for Policy Number : 11170034160400000005 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 2157 MAH/1 964/20 08 3 3 baby of kuldip tanaji pawar 0 Female Mah/1964/2 008 ADDITION AL CHILDRE N 22/05/2016 0 0 1526 BCMG STAFF 2 BCMG STAFF SHINDE ASHWINI PAWAN 23 Female LAWYER Spouse 22/05/2016 0 0 1524 BCMG STAFF 1 BCMG STAFF SHINDE PAWAN DIPAK 23 Male LAWYER Employee 22/05/2016 100000 0 1904 Bansod e Archan a Umesh 2 Bansode Archana Umesh BANSODE UMESH PRAKASH 37 Male LAWYER Spouse 22/05/2016 0 0 2104 Bansod e Archan a Umesh 3 Bansode Archana Umesh BANSODE ANMOL UMESH 0 Female LAWYER Children 22/05/2016 0 0 1903 Bansod e Archan a Umesh 1 Bansode Archana Umesh BANSODE ARCHANA UMESH 33 Female LAWYER Employee 22/05/2016 100000 0 1027 Emp Code- 2 Emp Code- DALVI PRAMOD RAMCHA NDRA 32 Male LOWYER Spouse 22/05/2016 0 0 1022 Emp Code- 1 Emp Code- DALVI ANKITA PRAMOD 27 Female LOWYER Employee 22/05/2016 200000 0 957 Emp Code- 05 2 Emp Code- 05 MAHADIK MODINI MADHUK AR 53 Female LOWYER Spouse 22/05/2016 0 0 953 Emp Code- 05 1 Emp Code- 05 MAHADIK MADHUK AR RAMCHA NDER 58 Male LOWYER Employee 22/05/2016 200000 0 1005 Emp Code- 07 1 Emp Code- 07 BAGUL SHARAD TANAJI 37 Male LOWYER Employee 22/05/2016 200000 0 1017 Emp Code- 07 11 Emp Code- 07 BAGUL SHRUSTI SHARAD 5 Female LOWYER Child 2 22/05/2016 0 0 1013 Emp Code- 07 3 Emp Code- 07 BAGUL SARTHAK SHARAD 8 Male LOWYER Children 22/05/2016 0 0 1010 Emp Code- 07 2 Emp Code- 07 BAGUL SHUBHA NGI SHARAD 31 Female LOWYER Spouse 22/05/2016 0 0 1046 Emp Code- 10 2 Emp Code- 10 KHOT PRACHI VISHWAJI T 35 Female LOWYER Spouse 22/05/2016 0 0 1052 Emp Code- 10 3 Emp Code- 10 KHOT ATHARV VISHWAJI T 10 Male LOWYER Children 22/05/2016 0 0

Transcript of THE NEW INDIA ASSURANCE CO. LTD. (Wholly owned by ...

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Member Extract for Policy Number : 11170034160400000005

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2157 MAH/1964/20

08

3 3 baby ofkuldiptanajipawar

0 Female Mah/1964/2008

ADDITIONAL

CHILDREN

22/05/2016 0 0

1526 BCMGSTAFF

2 BCMGSTAFF

SHINDEASHWINIPAWAN

23 Female LAWYER Spouse 22/05/2016 0 0

1524 BCMGSTAFF

1 BCMGSTAFF

SHINDEPAWANDIPAK

23 Male LAWYER Employee 22/05/2016 100000 0

1904 Bansode

Archana

Umesh

2 BansodeArchanaUmesh

BANSODEUMESH

PRAKASH

37 Male LAWYER Spouse 22/05/2016 0 0

2104 Bansode

Archana

Umesh

3 BansodeArchanaUmesh

BANSODEANMOLUMESH

0 Female LAWYER Children 22/05/2016 0 0

1903 Bansode

Archana

Umesh

1 BansodeArchanaUmesh

BANSODEARCHANA

UMESH

33 Female LAWYER Employee 22/05/2016 100000 0

1027 EmpCode-

2 Emp Code- DALVIPRAMODRAMCHA

NDRA

32 Male LOWYER Spouse 22/05/2016 0 0

1022 EmpCode-

1 Emp Code- DALVIANKITA

PRAMOD

27 Female LOWYER Employee 22/05/2016 200000 0

957 EmpCode-

05

2 Emp Code-05

MAHADIKMODINI

MADHUKAR

53 Female LOWYER Spouse 22/05/2016 0 0

953 EmpCode-

05

1 Emp Code-05

MAHADIKMADHUK

ARRAMCHA

NDER

58 Male LOWYER Employee 22/05/2016 200000 0

1005 EmpCode-

07

1 Emp Code-07

BAGULSHARADTANAJI

37 Male LOWYER Employee 22/05/2016 200000 0

1017 EmpCode-

07

11 Emp Code-07

BAGULSHRUSTISHARAD

5 Female LOWYER Child 2 22/05/2016 0 0

1013 EmpCode-

07

3 Emp Code-07

BAGULSARTHAKSHARAD

8 Male LOWYER Children 22/05/2016 0 0

1010 EmpCode-

07

2 Emp Code-07

BAGULSHUBHA

NGISHARAD

31 Female LOWYER Spouse 22/05/2016 0 0

1046 EmpCode-

10

2 Emp Code-10

KHOTPRACHI

VISHWAJIT

35 Female LOWYER Spouse 22/05/2016 0 0

1052 EmpCode-

10

3 Emp Code-10

KHOTATHARVVISHWAJI

T

10 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1057 EmpCode-

10

11 Emp Code-10

KHOTAISHWAR

YAVISHWAJI

T

4 Female LOWYER Child 2 22/05/2016 0 0

1044 EmpCode-

10

1 Emp Code-10

KHOTVISHWAJIT ASHOK

38 Male LOWYER Employee 22/05/2016 200000 0

936 EmpCode-

11

1 Emp Code-11

TELICHANDRAKANTRAMA

53 Male LOWYER Employee 22/05/2016 200000 0

943 EmpCode-

11

2 Emp Code-11

TELICHANDRAKALA

CHANDRAKANT

51 Female LOWYER Spouse 22/05/2016 0 0

947 EmpCode-

11

3 Emp Code-11

TELIROHIT

CHANDRAKANT

18 Male LOWYER Children 22/05/2016 0 0

955 EmpCode-

11

11 Emp Code-11

TELIVILAS

CHANDRAKANT

16 Male LOWYER Child 2 22/05/2016 0 0

1060 EmpCode-

37

2 Emp Code-37

RAJAN MR

49 Male LOWYER Spouse 22/05/2016 0 0

1062 EmpCode-

37

3 Emp Code-37

RAJANARYA M

111 Female LOWYER Children 22/05/2016 0 0

1058 EmpCode-

37

1 Emp Code-37

RAJANSUNI

44 Female LOWYER Employee 22/05/2016 200000 0

945 EmpCode-

39

2 Emp Code-39

NARVEKAR

MARMIKPRABHAK

AR

38 Male LOWYER Spouse 22/05/2016 0 0

937 EmpCode-

39

1 Emp Code-39

NARVEKAR REENAMARMIK

35 Female LOWYER Employee 22/05/2016 200000 0

949 EmpCode-

39

3 Emp Code-39

NARVEKAR

TANISHKA

MARMIK

9 Female LOWYER Children 22/05/2016 0 0

1093 EmpCode-

13

2 Emp Code-13

NEELAMDEEPAKKADAM

31 Female LOWYER Spouse 22/05/2016 0 0

1089 EmpCode-

13

1 Emp Code-13

KADAMDEEPAKDINKAR

36 Male LOWYER Employee 22/05/2016 200000 0

996 EmpCode-

15

3 Emp Code-15

DENDGERUTUJA

SHRIKISHAN

10 Female LOWYER Children 22/05/2016 0 0

999 EmpCode-

15

11 Emp Code-15

DENDGEKARTIK

SHRIKISHAN

6 Male LOWYER Child 2 22/05/2016 0 0

990 EmpCode-

15

2 Emp Code-15

DENDGEMATHUR

ASHRIKISH

AN

29 Female LOWYER Spouse 22/05/2016 0 0

981 EmpCode-

15

1 Emp Code-15

DENDGESHRIKISH

ANRANGNAT

HRAO

41 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1043 EmpCode-

16

3 Emp Code-16

GAIKWADNABHARAKESH

3 Female LOWYER Children 22/05/2016 0 0

1031 EmpCode-

16

1 Emp Code-16

GAIKWADJAYSHREERAKESH

32 Female LOWYER Employee 22/05/2016 200000 0

1037 EmpCode-

16

2 Emp Code-16

GAIKWADRAKESH

C

33 Male LOWYER Spouse 22/05/2016 0 0

1083 EmpCode-

19

3 Emp Code-19

INGLEATHARV

AJAY

9 Male LOWYER Children 22/05/2016 0 0

1077 EmpCode-

19

1 Emp Code-19

INGLEAJAY

VASANT

40 Male LOWYER Employee 22/05/2016 200000 0

1081 EmpCode-

19

2 Emp Code-19

INGLEJYOTIAJAY

36 Female LOWYER Spouse 22/05/2016 0 0

971 EmpCode-

26

2 Emp Code-26

RANPISETARKESH

WARIPRAVINK

UMAR

42 Female LOWYER Spouse 22/05/2016 0 0

962 EmpCode-

26

1 Emp Code-26

RANPISEPRAVINK

UMARYADAVRA

O

50 Male LOWYER Employee 22/05/2016 200000 0

985 EmpCode-

26

11 Emp Code-26

RANPISEAKHILESHPRAVINK

UMAR

15 Male LOWYER Child 2 22/05/2016 0 0

977 EmpCode-

26

3 Emp Code-26

RANPISEPRATHME

SHPRAVINK

UMAR

22 Male LOWYER Children 22/05/2016 0 0

1051 EmpCode-.

08

2 Emp Code-.08

NAIRSRINIVAS

AN M

49 Male LOWYER Spouse 22/05/2016 0 0

1056 EmpCode-.

08

3 Emp Code-.08

NAIRSARANYA

S

18 Female LOWYER Children 22/05/2016 0 0

1050 EmpCode-.

08

1 Emp Code-.08

NAIRSANTHASRINIVAS

AN

50 Female LOWYER Employee 22/05/2016 200000 0

1149 Employee

CodeNo.

1 EmployeeCode No.

PATILRAMCHA

NDRAVIJAYKUM

AR

35 Male LOWYER Employee 22/05/2016 200000 0

1161 Employee

CodeNo. 18

1 EmployeeCode No.

18

BHASARKAR

HEMCHAND

KRISHNAJI

42 Male LOWYER Employee 22/05/2016 200000 0

1511 Employee

CodeNo. 19

2 EmployeeCode No.

19

PATILSUJATA

RAMCHANDRA

31 Female LOWYER Spouse 22/05/2016 0 0

1510 Employee

CodeNo. 19

1 EmployeeCode No.

19

PATILRAMCHA

NDRAVIJAYKUM

AR

35 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1512 Employee

CodeNo. 19

3 EmployeeCode No.

19

PATILRUDRAPR

ATAPRAMCHA

NDRA

10 Male LOWYER Children 22/05/2016 0 0

1514 Employee

CodeNo. 19

11 EmployeeCode No.

19

PATILJANHAVIRAMCHA

NDRA

5 Female LOWYER Child 2 22/05/2016 0 0

1513 Employee

CodeNo. 20

1 EmployeeCode No.

20

CHAVANVISHWAS

VILAS

25 Male LOWYER Employee 22/05/2016 100000 0

1515 Employee

CodeNo. 21

1 EmployeeCode No.

21

THENGESWAPNILASHOK

27 Male LOWYER Employee 22/05/2016 100000 0

1516 Employee

CodeNo. 21

2 EmployeeCode No.

21

THENGEPRIYANKASWAPNIL

22 Female LOWYER Spouse 22/05/2016 0 0

2158 MAH/1066/20

10

3 MAH/1066/201

baby ofsunil

sukaryataware

1 Female MAH/1066/2010

ADDITIONAL

CHILDREN

22/05/2016 0 0

2159 MAH/1899/20

06

3 MAH/1899/200

baby ofpratik vshinde

1 Male MAH/1899/2006

ADDITIONAL

CHILDREN

22/05/2016 0 0

1846 MAH/2298/20

07

3 MAH/2298/2007

AAYUSHAMOL

GAIKWAD

0 Female NA Children 22/05/2016 0 0

1844 MAH/2298/20

07

1 MAH/2298/2007

AMOLRATAN

GAIKWAD

35 Male NA Employee 22/05/2016 500000 0

1845 MAH/2298/20

07

2 MAH/2298/2007

POOJAAMOL

GAIKWAD

24 Female NA Spouse 22/05/2016 0 0

1847 MAH/2298/20

07

11 MAH/2298/2007

AARUSHIAMOL

GAIKWAD

0 Male NA Child 2 22/05/2016 0 0

1848 MAH/2298/20

07

12 MAH/2298/2007

ANUSKAAMOL

GAIKWAD

0 Male NA Child 3 22/05/2016 0 0

2160 MAH/3877/20

05

4 MAH/3877/200

baby ofsmitasuniltiwari

0 Female MAH/3877/2005

ADDITIONAL

CHILDREN

22/05/2016 0 0

2172 MAH/44/2010

3 MAH/44/2010

NEWBORN

BABY OFADV.JAIM

ALANIRAKESH

ASHOKKUMAR

0 Male MAH/44/2010

ADDITIONAL

CHILDREN

22/05/2016 0 0

2183 MAH/449/198

1

1 MAH/449/1981

ShindeGirish

Raghunath

61 Male MAH/449/1981

Employee 22/05/2016 200000 0

2184 MAH/449/198

1

2 MAH/449/1981

ShindeUmaGirish

53 Female Shinde UmaGirish

Spouse 22/05/2016 0 0

2181 MAH/610/200

9

1 MAH/610/2009

Manoharan JacobDavide

32 Male Mah/610/2009

Employee 22/05/2016 100000 0

2182 MAH/610/200

9

2 MAH/610/2009

JenibaRajaiahNadar

24 Female Mah/610/2009

Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1520 MAH/716/199

5

3 MAH/716/1995

SHAIKHSAIF

NASIR

16 Male MAH/716/1995

ADDITIONAL

CHILDREN

22/05/2016 0 0

1518 MAH/716/199

5

1 MAH/716/1995

SHAIKHNASIR

HAZRATALI

45 Male MAH/716/1995

Employee 22/05/2016 200000 0

1521 MAH/716/199

5

4 MAH/716/1995

SHAIKHIRFANNASIR

11 Male MAH/716/1995

Child 2 22/05/2016 0 0

1519 MAH/716/199

5

2 MAH/716/1995

SHAIKHYASMINNASIR

38 Female MAH/716/1995

Spouse 22/05/2016 0 0

1517 MAH/955/198

9

4 MAH/955/1989

BhateViraaj

Yogeshwar

23 Male na Child 2 22/05/2016 0 0

1849 MAH/1490/20

07

2 MAH1490/2007

MRS.PUJAPRAVIN

JAVALIKAR

23 Female Mah/1490/2007

Spouse 22/05/2016 0 0

2177 MAH/1533/20

00

2 MAH1533/2000

SAMRUDDHI

RAHULSHINDE

12 Female Mah/1533/2000

Children 22/05/2016 0 0

2178 MAH/1533/20

00

3 MAH1533/2000

PUNNYARAHULSHINDE

3 Female Mah/1533/2000

ADDITIONAL

CHILDREN

22/05/2016 0 0

2176 MAH/1533/20

00

1 MAH1533/2000

DIPALIRAHULSHINDE

38 Female Mah/1533/2000

Employee 22/05/2016 500000 0

1850 MAH/1783/20

08

3 MAH1783/2008

ARUNDHATI

PANKAJPAWAR

1 Female Mah/1783/2008

ADDITIONAL

CHILDREN

22/05/2016 0 0

2174 MAH/1947/20

12

1 MAH1947/2012

UdhanVishal

Vasantrao

29 Male Mah/1947/2012

Employee 22/05/2016 100000 0

2175 MAH/1947/20

12

2 MAH1947/2012

UdhanNiveditaVishal

26 Female MAH/1947/2012

Spouse 22/05/2016 0 0

2168 MAH1964/200

8

2 MAH1964/2008

SARITAKULDIPPAWAR

39 Female LAWYER Spouse 22/05/2016 0 0

2167 MAH1964/200

8

1 MAH1964/2008

PawarKuldipTanaji

31 Male LAWYER Employee 22/05/2016 200000 0

2166 MAH/2261/20

12

4 MAH2261/2012

baby ofhemant dwadekar

1 Female MAH/2261/2012

Child 2 22/05/2016 0 0

2163 MAH/2302/20

06

3 MAH2302/2006

baby ofkazi i

jafarali

0 Female MAH/2302/2006

ADDITIONAL

CHILDREN

22/05/2016 0 0

2188 MAH/2367/20

14

4 MAH2367/2014

Dandgavan

VihaanSandeep

1 Male Mah/2367/2014

Child 2 22/05/2016 0 0

2186 MAH/2367/20

14

2 MAH2367/2014

Dandgavan SonaliSandeep

33 Female Mah/2367/2014

Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2185 MAH/2367/20

14

1 MAH2367/2014

Dandgavan

SandeepVasantra

o

41 Male MAH/2367/2014

Employee 22/05/2016 100000 0

2187 MAH/2367/20

14

3 MAH2367/2014

Dandgavan ViraajSandeep

1 Male Mah/2367/2014

ADDITIONAL

CHILDREN

22/05/2016 0 0

2165 MAH/2441/20

06

4 MAH2441/2006

harshavardhar

sontoshsuryawan

shi

2 Male MAH/2441/2006

Child 2 22/05/2016 0 0

1852 MAH/2553/20

04

4 MAH2553/2004

REEYANSH RAHULTAMBE

0 Male Mah/2553/2004

ADDITIONAL

CHILDREN

22/05/2016 0 0

2162 MAH/3219/20

07

3 MAH3219/2007

baby ofashish umishra

1 Female MAH/3219/2007

ADDITIONAL

CHILDREN

22/05/2016 0 0

2180 MAH/3439/20

10

2 MAH3439/2010

TOKARESAI

SHIVAJI

23 Female Mah/3439/2010

Spouse 22/05/2016 0 0

2179 MAH/3439/20

10

1 MAH3439/2010

TOKARESHIVAJIKISAN

34 Male Mah/3439/2010

Employee 22/05/2016 500000 0

2161 MAH/4054/20

04

4 MAH4054/2004

baby ofrajesh dkakad

0 Male MAH/4054/2004

ADDITIONAL

CHILDREN

22/05/2016 0 0

2173 MAH/4194/20

07

3 MAH4194/2007

new bornbaby of

adv.vinayak v

katti

0 Male MAH/4194/2007

ADDITIONAL

CHILDREN

22/05/2016 0 0

2164 MAH/4594/20

07

3 MAH4594/2007

baby ofsalunkhereshma

amol

0 Male MAH/4594/2007

ADDITIONAL

CHILDREN

22/05/2016 0 0

2190 MAH/4708/2

013

4 MAH4708/201

New bornBaby of

Adv.Rajesh

Dharap.

0 Male MAH/4708/2013

Child 2 22/05/2016 0 0

2189 MAH/4708/20

13

3 MAH4708/2013

New bornBaby of

Adv.RajeshDharap

0 Male MAH/4708/2013

ADDITIONAL

CHILDREN

22/05/2016 0 0

1522 MAH/4751/20

07

4 MAH4751/2007

NEWBORN

BABY OFADV.MR.S.U.NAIK

0 Female MAH/4751/2007

ADDITIONAL

CHILDREN

22/05/2016 0 0

2170 MAH/6187/20

09

2 MAH6187/2009

MRS.KOMALSACHINVARALE

25 Female Mah/6187/2009

Spouse 22/05/2016 0 0

2171 MAH/6187/20

09

3 MAH6187/2009

KUM.SWAYAN

SACHINVARALE

0 Male Mah/6187/2009

Children 22/05/2016 0 0

112 Mah/1385/2

002

2 Mah/1385/2002

KHAIRNAR

VAISHALIJAYENDR

A

32 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

105 Mah/1385/2

002

1 Mah/1385/2002

KHAIRNAR

JAYEDNDRA D

36 Male LOWYER Employee 22/05/2016 1000000 0

119 Mah/1385/2

002

3 Mah/1385/2002

KHAIRNAR KARTIKJAYENDR

A

2 Male LOWYER Children 22/05/2016 0 0

1186 Mah/01/2011

1 Mah/01/2011

DABADENITIN

BAJARANG

33 Male LOWYER Employee 22/05/2016 100000 0

1191 Mah/01/2011

2 Mah/01/2011

DABADEVAISHALI

NITIN

25 Female LOWYER Spouse 22/05/2016 0 0

1194 Mah/01/2011

3 Mah/01/2011

DABADEDHAIRYA

SHEELNITIN

0 Male LOWYER Children 22/05/2016 0 0

1909 Mah/04/2009

1 Mah/04/2009

DUKAREGAJANAN

PALU

41 Male LAWYER Employee 22/05/2016 800000 0

1913 Mah/04/2009

2 Mah/04/2009

DUKARERIDDHI

GAJANAN

25 Female LAWYER Spouse 22/05/2016 0 0

2107 Mah/04/2009

3 Mah/04/2009

DUKAREDEVRAJ

GAJANAN

3 Male LAWYER Children 22/05/2016 0 0

502 Mah/1001/199

8

1 Mah/1001/1998

BARSAWADE

MRUDULA

PURUSHOTTAM

46 Female LOWYER Employee 22/05/2016 500000 0

506 Mah/1001/199

8

3 Mah/1001/1998

BARSAWADE

SHREYASPURUSHO

TTAM

22 Male LOWYER Children 22/05/2016 0 0

510 Mah/1001/199

8

11 Mah/1001/1998

BARSAWADE

YUGANDHAR

PURUSHOTTAM

16 Male LOWYER Child 2 22/05/2016 0 0

1045 Mah/1005/201

1

2 Mah/1005/2011

VAIDEHIMILIND

NAKASHE

28 Female LOWYER Spouse 22/05/2016 0 0

1040 Mah/1005/201

1

1 Mah/1005/2011

NAKASHEMILINDARJUN

33 Male LOWYER Employee 22/05/2016 200000 0

397 Mah/1008/198

1

1 Mah/1008/1981

CHAVANGAJANAN

BABAJI

57 Male LOWYER Employee 22/05/2016 500000 0

402 Mah/1008/198

1

2 Mah/1008/1981

SUPRIYA 53 Female LOWYER Spouse 22/05/2016 0 0

407 Mah/1008/198

1

3 Mah/1008/1981

MRUNRUAYEE

20 Female LOWYER Children 22/05/2016 0 0

1234 Mah/1008/201

0

2 Mah/1008/2010

KAURMANPREE

T

18 Female LOWYER Spouse 22/05/2016 0 0

1239 Mah/1008/201

0

3 Mah/1008/2010

SINGHSAMARJE

ET

1 Male LOWYER Children 22/05/2016 0 0

1225 Mah/1008/201

0

1 Mah/1008/2010

CHOUHAN

RANJEETDALIP

40 Female LOWYER Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1932 Mah/1019/199

2

11 Mah/1019/1992

POKHARKAR

KARTIKDARSHAN

11 Male LAWYER Child 2 22/05/2016 0 0

1921 Mah/1019/199

2

1 Mah/1019/1992

POKHARKAR

DARSHANDINKARR

AO

48 Male LAWYER Employee 22/05/2016 200000 0

1927 Mah/1019/199

2

2 Mah/1019/1992

POKHARKAR

SANDHYADARSHAN

44 Female LAWYER Spouse 22/05/2016 0 0

2116 Mah/1019/199

2

3 Mah/1019/1992

POKHARKAR

ADITYADARSHAN

20 Male LAWYER Children 22/05/2016 0 0

573 Mah/102/1994

2 Mah/102/1994

TIDKESONALI

GOPINATH

38 Female lawyer Spouse 22/05/2016 0 0

572 Mah/102/1994

1 Mah/102/1994

TIDKEGOPINAT

HTRIMBAK

47 Male lawyer Employee 22/05/2016 200000 0

574 Mah/102/1994

3 Mah/102/1994

TIDKESAURABHGOPINAT

H

16 Male lawyer Children 22/05/2016 0 0

1270 Mah/102/2015

2 Mah/102/2015

GHOGARE VIDYASHARAD

20 Female LOWYER Spouse 22/05/2016 0 0

1265 Mah/102/2015

1 Mah/102/2015

GHOGARE

SHARADUDAYBHA

N

28 Male LOWYER Employee 22/05/2016 100000 0

1303 Mah/1026/199

1

1 Mah/1026/1991

HALWASIA

SUSHILKUMAR

POONAMCHAND

53 Male LOWYER Employee 22/05/2016 500000 0

1306 Mah/1026/199

1

2 Mah/1026/1991

HALWASIA SHUCHISUSHILK

UMAR

48 Female LOWYER Spouse 22/05/2016 0 0

1310 Mah/1026/199

1

3 Mah/1026/1991

HALWASIA SNEHASUSHILK

UMAR

17 Female LOWYER Children 22/05/2016 0 0

1313 Mah/1026/199

1

11 Mah/1026/1991

HALWASIA

SHREEYASUSHILK

UMAR

14 Female LOWYER Child 2 22/05/2016 0 0

429 Mah/1026/200

1

2 Mah/1026/2001

GHATGESEEMA

SANJAYKUMAR

37 Female LOWYER Spouse 22/05/2016 0 0

437 Mah/1026/200

1

3 Mah/1026/2001

GHATGEISHWARISANJAYK

UMAR

11 Female LOWYER Children 22/05/2016 0 0

421 Mah/1026/200

1

1 Mah/1026/2001

GHATGESANJAYK

UMARVILASRA

O

44 Male LOWYER Employee 22/05/2016 1000000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

387 Mah/1031/198

8

1 Mah/1031/1988

SANAPGAJENDR

APANDURA

NG

53 Male LOWYER Employee 22/05/2016 200000 0

394 Mah/1031/198

8

2 Mah/1031/1988

SANAPALAKA

GAJENDRA

53 Female LOWYER Spouse 22/05/2016 0 0

1525 Mah/1036/199

4

1 Mah/1036/1994

SHARMAAMRESHBHIKANL

AL

50 Male LAWYER Employee 22/05/2016 300000 0

1533 Mah/1036/199

4

3 Mah/1036/1994

SHARMAADITYAAMRESH

15 Male LAWYER Children 22/05/2016 0 0

1530 Mah/1036/199

4

2 Mah/1036/1994

SHARMAANUPAM

AAMRESH

49 Female LAWYER Spouse 22/05/2016 0 0

2448 Mah/104/2007

3 Mah/104/2007

GAYAKISWARAJ

NARENDRA

5 Male LAWYER Children 22/05/2016 0 0

2434 Mah/104/2007

1 Mah/104/2007

GAYAKINARENDR

AEKNATH

36 Male LAWYER Employee 22/05/2016 100000 0

2444 Mah/104/2007

2 Mah/104/2007

GAYAKISAPNA

NARENDRA

28 Female LAWYER Spouse 22/05/2016 0 0

305 Mah/1045/196

8

2 Mah/1045/1968

KAVITA 59 Female LOWYER Spouse 22/05/2016 0 0

295 Mah/1045/196

8

1 Mah/1045/1968

SAMELMOHAN

DATTATRAYA

68 Male LOWYER Employee 22/05/2016 300000 0

1939 Mah/1045/200

8

2 Mah/1045/2008

WADEKAR DIPALIMAHESH

25 Female LAWYER Spouse 22/05/2016 0 0

2121 Mah/1045/200

8

3 Mah/1045/2008

WADEKAR ANUJ

MAHESH

2 Male LAWYER Children 22/05/2016 0 0

1936 Mah/1045/200

8

1 Mah/1045/2008

WADEKAR

MAHESHANKUSHR

AO

34 Male LAWYER Employee 22/05/2016 100000 0

1340 Mah/1050/198

6

1 Mah/1050/1986

DESHMUKH

SATISHABARAO

55 Male LOWYER Employee 22/05/2016 500000 0

1345 Mah/1050/198

6

2 Mah/1050/1986

DESHMUKH

SUNITASATISH

46 Female LOWYER Spouse 22/05/2016 0 0

1348 Mah/1050/198

6

3 Mah/1050/1986

DESHMUKH ADITHSATISH

22 Male LOWYER Children 22/05/2016 0 0

1351 Mah/1050/198

6

11 Mah/1050/1986

DESHMUKH

SHARAYUSATISH

19 Female LOWYER Child 2 22/05/2016 0 0

518 Mah/1051/200

1

11 Mah/1051/2001

MISHRAAMAN

SANJAY

14 Male LOWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

515 Mah/1051/200

1

1 Mah/1051/2001

MISHRASANJAY

AMARNATH

41 Male LOWYER Employee 22/05/2016 500000 0

516 Mah/1051/200

1

2 Mah/1051/2001

MISHRASEEMASANJAY

39 Female LOWYER Spouse 22/05/2016 0 0

517 Mah/1051/200

1

3 Mah/1051/2001

MISHRASURAJSANJAY

17 Male LOWYER Children 22/05/2016 0 0

600 Mah/1061-

A/1984

1 Mah/1061-A/1984

BHAGIRATHI PALAI

66 Male lawyer Employee 22/05/2016 300000 0

605 Mah/1061-

A/1984

2 Mah/1061-A/1984

MRSBANDAN

A

56 Female lawyer Spouse 22/05/2016 0 0

607 Mah/1061-

A/1984

3 Mah/1061-A/1984

MANISHA 25 Female lawyer Children 22/05/2016 0 0

1963 Mah/1062/199

2

1 Mah/1062/1992

KALE AJITBABANRA

O

47 Male LAWYER Employee 22/05/2016 500000 0

1951 Mah/1062/199

2

11 Mah/1062/1992

KALESATYAJIT

AJIT

9 Male LAWYER Child 2 22/05/2016 0 0

1959 Mah/1062/199

2

2 Mah/1062/1992

KALEBHAVANA

AJIT

44 Female LAWYER Spouse 22/05/2016 0 0

2126 Mah/1062/199

2

3 Mah/1062/1992

KALESAKSHI

AJIT

19 Female LAWYER Children 22/05/2016 0 0

615 Mah/1063/200

3

1 Mah/1063/2003

GANOREVIKAS

SUDHAKAR

50 Male lawyer Employee 22/05/2016 500000 0

629 Mah/1063/200

3

3 Mah/1063/2003

SRUSHTIVIKAS

GANORE

20 Female lawyer Children 22/05/2016 0 0

624 Mah/1063/200

3

2 Mah/1063/2003

VASUDHAVIKAS

GANORE

47 Female lawyer Spouse 22/05/2016 0 0

633 Mah/1063/200

3

11 Mah/1063/2003

NILANJANVIKAS

GANORE

19 Male lawyer Child 2 22/05/2016 0 0

1356 Mah/1066/200

7

1 Mah/1066/2007

PANDITVAISHALI

RAM

37 Female LOWYER Employee 22/05/2016 300000 0

1361 Mah/1066/200

7

2 Mah/1066/2007

TAYADEDINESH

DATTATRAY

38 Male LOWYER Spouse 22/05/2016 0 0

1366 Mah/1066/200

7

3 Mah/1066/2007

TAYADEAARAVDINESH

6 Male LOWYER Children 22/05/2016 0 0

434 Mah/1066/201

0

2 Mah/1066/2010

TAWARESAMRUD

DHISUNIL

25 Female LOWYER Spouse 22/05/2016 0 0

426 Mah/1066/201

0

1 Mah/1066/2010

TAWARESUNIL

SUKARYA

30 Male LOWYER Employee 22/05/2016 300000 0

1541 Mah/1071/198

1

2 Mah/1071/1981

DANDANE

SHARDABALKRISH

NA

52 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1532 Mah/1071/198

1

1 Mah/1071/1981

DANDANE

BALKRISHNA

BABURAO

59 Male LAWYER Employee 22/05/2016 300000 0

2132 Mah/1072/199

0

3 Mah/1072/1990

SASANESHWETASUDHIR

20 Female LAWYER Children 22/05/2016 0 0

1994 Mah/1072/199

0

1 Mah/1072/1990

SASANESUDHIRSAVATA

51 Male LAWYER Employee 22/05/2016 300000 0

1998 Mah/1072/199

0

2 Mah/1072/1990

SASANEJAYASHR

EESUDHIR

42 Female LAWYER Spouse 22/05/2016 0 0

1383 Mah/1073/199

8

3 Mah/1073/1998

VINCHUADYA

DHANANJAY

12 Male LOWYER Children 22/05/2016 0 0

1376 Mah/1073/199

8

2 Mah/1073/1998

VINCHUARUNA

DHANANJAY

43 Female LOWYER Spouse 22/05/2016 0 0

1371 Mah/1073/199

8

1 Mah/1073/1998

VINCHUDHANANJ

AYANKUSH

44 Male LOWYER Employee 22/05/2016 500000 0

122 Mah/1073/200

8

1 Mah/1073/2008

DEORESHANTAR

AMBHASKAR

RAO

35 Male LOWYER Employee 22/05/2016 300000 0

134 Mah/1073/200

8

2 Mah/1073/2008

SUNANDA

SHANTARAM

DEORE

1817 Female LOWYER Spouse 22/05/2016 0 0

144 Mah/1073/200

8

3 Mah/1073/2008

KRISHASHANTAR

AMDEORE

3 Female LOWYER Children 22/05/2016 0 0

974 Mah/1074/200

1

1 Mah/1074/2001

BHANGDE

SANDEEPBHAGWA

NDAS

40 Male LOWYER Employee 22/05/2016 500000 0

980 Mah/1074/200

1

2 Mah/1074/2001

GAYATRISANDEEPBHANGD

E

38 Female LOWYER Spouse 22/05/2016 0 0

987 Mah/1074/200

1

3 Mah/1074/2001

JEEVIKASANDEEPBHANGD

E

1 Female LOWYER Children 22/05/2016 0 0

1125 Mah/1074/200

1

11 Mah/1074/2001

VEDIKASANDEEPBHANGD

E

6 Female LOWYER Child 2 22/05/2016 0 0

1116 Mah/1075/200

8

1 Mah/1075/2008

CHANDAK

SHASHIKANT

33 Male LOWYER Employee 22/05/2016 200000 0

1118 Mah/1075/200

8

3 Mah/1075/2008

NIKUNJ 4 Male LOWYER Children 22/05/2016 0 0

1117 Mah/1075/200

8

2 Mah/1075/2008

MRSKANCHAN

33 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

640 Mah/1080/199

0

1 Mah/1080/1990

JADHAVMAHESHEKNATHR

AO

50 Male lawyer Employee 22/05/2016 500000 0

653 Mah/1080/199

0

3 Mah/1080/1990

JADHAVHARSHWARDHANMAHESH

20 Male lawyer Children 22/05/2016 0 0

649 Mah/1080/199

0

2 Mah/1080/1990

JADHAVKIRAN

MAHESH

45 Female lawyer Spouse 22/05/2016 0 0

665 Mah/1082/198

9

2 Mah/1082/1989

MRSRAJASHRI

53 Female lawyer Spouse 22/05/2016 0 0

668 Mah/1082/198

9

3 Mah/1082/1989

SAMEER 25 Male lawyer Children 22/05/2016 0 0

661 Mah/1082/198

9

1 Mah/1082/1989

KURUNDKAR

SUNILVASANTR

AO

56 Male lawyer Employee 22/05/2016 500000 0

1048 Mah/1082/201

4

1 Mah/1082/2014

JAHAGIRDAR ANUJA

AMIT

35 Female LOWYER Employee 22/05/2016 500000 0

1054 Mah/1082/201

4

2 Mah/1082/2014

JAHAGIRDAR AMIT

ARUN

37 Male LOWYER Spouse 22/05/2016 0 0

2018 Mah/1095/200

3

11 Mah/1095/2003

BORADEAVNISHUMESH

3 Male LAWYER Child 2 22/05/2016 0 0

2016 Mah/1095/200

3

3 Mah/1095/2003

BORADEAYUSHAUMESH

12 Female LAWYER Children 22/05/2016 0 0

2014 Mah/1095/200

3

2 Mah/1095/2003

BORADEVIDYAUMESH

42 Female LAWYER Spouse 22/05/2016 0 0

1546 Mah/1095/200

3

1 Mah/1095/2003

BORADEUMESHSAVALA

42 Male LAWYER Employee 22/05/2016 300000 0

2031 Mah/1097/198

1

2 Mah/1097/1981

BHOSLEPOONAMMARUTI

61 Female LAWYER Spouse 22/05/2016 0 0

2026 Mah/1097/198

1

1 Mah/1097/1981

BHOSLEMARUTI

PANDURANG

67 Male LAWYER Employee 22/05/2016 300000 0

2142 Mah/11/2008

3 Mah/11/2008

KAMTAMSOHAN

SADANAND

3 Male LAWYER Children 22/05/2016 0 0

2048 Mah/11/2008

1 Mah/11/2008

KAMTAMSADANAN

DMUTTAN

NA

37 Male LAWYER Employee 22/05/2016 500000 0

2053 Mah/11/2008

2 Mah/11/2008

KAMTAMGAYATRISADANAN

D

23 Female LAWYER Spouse 22/05/2016 0 0

2477 Mah/110/2013

2 Mah/110/2013

WAGHMARE VIDYA

VIRAJ

28 Female LAWYER Spouse 22/05/2016 0 0

2471 Mah/110/2013

1 Mah/110/2013

WAGHMARE VIRAJSHANTAR

AM

30 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1582 Mah/1104/200

6

2 Mah/1104/2006

KHERATKAR

SHAILESHLIMBAJI

37 Male LAWYER Spouse 22/05/2016 0 0

1569 Mah/1104/200

6

1 Mah/1104/2006

KHERATKAR

MEGHASHAILESH

35 Female LAWYER Employee 22/05/2016 200000 0

1088 Mah/1109/200

9

1 Mah/1109/2009

GUNALEGOPALKR

ISHNAGORAKH

NATH

36 Male LOWYER Employee 22/05/2016 200000 0

1091 Mah/1109/200

9

2 Mah/1109/2009

GUNALEKIRTI

GOPALKRISHNA

32 Female LOWYER Spouse 22/05/2016 0 0

1406 Mah/1110/200

7

3 Mah/1110/2007

PATILGAURAVIGANESH

2 Female LOWYER Children 22/05/2016 0 0

1401 Mah/1110/200

7

2 Mah/1110/2007

PATILGAYATRIGANESH

32 Female LOWYER Spouse 22/05/2016 0 0

1390 Mah/1110/200

7

1 Mah/1110/2007

PATILGANESHVILASRA

O

32 Male LOWYER Employee 22/05/2016 200000 0

230 Mah/1118/197

9

2 Mah/1118/1979

PRACHIPRAMODARJUNWA

DKAR

52 Female LOWYER Spouse 22/05/2016 0 0

209 Mah/1118/197

9

1 Mah/1118/1979

ARJUNWADKAR P R

60 Male LOWYER Employee 22/05/2016 300000 0

1151 Mah/1122/200

5

2 Mah/1122/2005

NANNAWARE

RASHMISHAHADE

V

40 Female LOWYER Spouse 22/05/2016 0 0

1152 Mah/1122/200

5

3 Mah/1122/2005

NANNAWARE

DEVYANISHAHADE

V

16 Female LOWYER Children 22/05/2016 0 0

1153 Mah/1122/200

5

11 Mah/1122/2005

NANNAWARE

ABHISHEK

SHAHADEV

11 Male LOWYER Child 2 22/05/2016 0 0

1150 Mah/1122/200

5

1 Mah/1122/2005

NANNAWARE

SHAHADEV

MAHADEV

40 Male LOWYER Employee 22/05/2016 300000 0

248 Mah/1130/198

5

2 Mah/1130/1985

DINESH 61 Male LOWYER Spouse 22/05/2016 0 0

257 Mah/1130/198

5

3 Mah/1130/1985

SHRUSTI 21 Female LOWYER Children 22/05/2016 0 0

246 Mah/1130/198

5

1 Mah/1130/1985

GANDHISHARMIS

TADINESH

61 Female LOWYER Employee 22/05/2016 200000 0

1015 Mah/1140/198

7

2 Mah/1140/1987

RENUKAYOGESHYAGNIK

56 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1007 Mah/1140/198

7

1 Mah/1140/1987

YAGNIKYOGESH

PAURUSHKUMAR

59 Male LOWYER Employee 22/05/2016 200000 0

1020 Mah/1140/198

7

3 Mah/1140/1987

JITESHYOGESHYAGNIK

24 Male LOWYER Children 22/05/2016 0 0

2575 Mah/1140/201

3

3 Mah/1140/2013

TAMBEPRASADPRAMOD

3 Male LAWYER Children 22/05/2016 0 0

2573 Mah/1140/201

3

2 Mah/1140/2013

TAMBEPRIYA

PRAMOD

39 Female LAWYER Spouse 22/05/2016 0 0

2570 Mah/1140/201

3

1 Mah/1140/2013

TAMBEPRAMODNARAYAN

35 Male LAWYER Employee 22/05/2016 200000 0

1606 Mah/1147-

A/1986

1 Mah/1147-A/1986

ADVBHARTI

SHRIPRAKASH

58 Male LAWYER Employee 22/05/2016 500000 0

1630 Mah/1147-

A/1986

3 Mah/1147-A/1986

KABIR 25 Male LAWYER Children 22/05/2016 0 0

1624 Mah/1147-

A/1986

2 Mah/1147-A/1986

MRSSUMAN

55 Female LAWYER Spouse 22/05/2016 0 0

1637 Mah/1147-

A/1986

11 Mah/1147-A/1986

MEERA 24 Female LAWYER Child 2 22/05/2016 0 0

2339 Mah/115/2012

1 Mah/115/2012

KATHARESANDEEPGANPATR

AO

30 Male LAWYER Employee 22/05/2016 100000 0

2349 Mah/115/2012

2 Mah/115/2012

KATHARERANJANASANDEEP

25 Female LAWYER Spouse 22/05/2016 0 0

1023 Mah/1152/200

6

1 Mah/1152/2006

KADAMVILAS

SHANTARAM

36 Male LOWYER Employee 22/05/2016 300000 0

1028 Mah/1152/200

6

2 Mah/1152/2006

KADAMSNEHALVILAS

32 Female LOWYER Spouse 22/05/2016 0 0

513 Mah/1153/200

7

3 Mah/1153/2007

DAKASHES

2 Male LOWYER Children 22/05/2016 0 0

511 Mah/1153/200

7

2 Mah/1153/2007

PALLAVI 29 Female LOWYER Spouse 22/05/2016 0 0

507 Mah/1153/200

7

1 Mah/1153/2007

THORATRAVINDR

ASAKHARA

M

36 Male LOWYER Employee 22/05/2016 200000 0

697 Mah/1161/198

7

3 Mah/1161/1987

ANEESHRAGHUR

AJDESHPAN

DE

23 Male lawyer Children 22/05/2016 0 0

688 Mah/1161/198

7

1 Mah/1161/1987

DESHPANDE

RAGHURAJ

SHRIRAM

55 Male lawyer Employee 22/05/2016 500000 0

692 Mah/1161/198

7

2 Mah/1161/1987

NEETARAGHUR

AJDESHPAN

DE

50 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

386 Mah/1167/199

6

1 Mah/1167/1996

DEOREVIJAY

BHIKAJI

44 Male LOWYER Employee 22/05/2016 500000 0

398 Mah/1167/199

6

2 Mah/1167/1996

VEENA 41 Female LOWYER Spouse 22/05/2016 0 0

409 Mah/1167/199

6

3 Mah/1167/1996

SOHAM 13 Male LOWYER Children 22/05/2016 0 0

143 Mah/1174/201

2

2 Mah/1174/2012

MRSKALPANAVARMA

55 Female LOWYER Spouse 22/05/2016 0 0

136 Mah/1174/201

2

1 Mah/1174/2012

ADVVERMA

VISHNUPRASAD

63 Male LOWYER Employee 22/05/2016 200000 0

1641 Mah/1177/200

5

1 Mah/1177/2005

DERESAMBHAJISHIVAJI

38 Male LAWYER Employee 22/05/2016 500000 0

1655 Mah/1177/200

5

11 Mah/1177/2005

DERESHREYA

SAMBHAJI

1 Female LAWYER Child 2 22/05/2016 0 0

1647 Mah/1177/200

5

2 Mah/1177/2005

DERESONAL

SAMBHAJI

30 Female LAWYER Spouse 22/05/2016 0 0

1650 Mah/1177/200

5

3 Mah/1177/2005

DERE JAYSAMBHAJI

9 Male LAWYER Children 22/05/2016 0 0

1857 Mah/1184/200

2

11 Mah/1184/2002

PARDHISHRAVNI

NITIN

7 Female LAWYER Child 2 22/05/2016 0 0

1854 Mah/1184/200

2

2 Mah/1184/2002

PARDHIVIBHANITIN

38 Female LAWYER Spouse 22/05/2016 0 0

1856 Mah/1184/200

2

3 Mah/1184/2002

PARDHIPURVESH

NITIN

9 Male LAWYER Children 22/05/2016 0 0

1853 Mah/1184/200

2

1 Mah/1184/2002

PARDHINITINRAM

47 Male LAWYER Employee 22/05/2016 200000 0

103 Mah/1196/198

9

3 Mah/1196/1989

SHRUTINANDKU

MARBHOLE

19 Female LOWYER Children 22/05/2016 0 0

88 Mah/1196/198

9

1 Mah/1196/1989

BHOLENANDKU

MARBALKRISH

NA

51 Male LOWYER Employee 22/05/2016 500000 0

109 Mah/1196/198

9

11 Mah/1196/1989

MIHIRNANDKU

MARBHOLE

14 Male LOWYER Child 2 22/05/2016 0 0

96 Mah/1196/198

9

2 Mah/1196/1989

VAISHALINANDKU

MARBHOLE

44 Female LOWYER Spouse 22/05/2016 0 0

2067 Mah/1198/199

3

1 Mah/1198/1993

GAIKWADDEEPAKRAJARAM

51 Male LAWYER Employee 22/05/2016 200000 0

2071 Mah/1198/199

3

11 Mah/1198/1993

GAIKWADPADMAJADEEPAK

15 Female LAWYER Child 2 22/05/2016 0 0

2070 Mah/1198/199

3

2 Mah/1198/1993

GAIKWADSMITA

DEEPAK

45 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2146 Mah/1198/199

3

3 Mah/1198/1993

GAIKWADGAYATRIDEEPAK

19 Female LAWYER Children 22/05/2016 0 0

1677 Mah/1201/198

5

1 Mah/1201/1985

INGLEGANESHHARIBHA

U

58 Male LAWYER Employee 22/05/2016 100000 0

1699 Mah/1201/198

5

3 Mah/1201/1985

INGLEAISHWAR

YAGANESH

21 Female LAWYER Children 22/05/2016 0 0

1704 Mah/1201/198

5

11 Mah/1201/1985

INGLEOJAS

GANESH

10 Male LAWYER Child 2 22/05/2016 0 0

1695 Mah/1201/198

5

2 Mah/1201/1985

INGLEVIJAYA

GANESH

49 Female LAWYER Spouse 22/05/2016 0 0

395 Mah/1202/200

4

1 Mah/1202/2004

TIDAMEPANDURA

NGNARAYAN

38 Male LOWYER Employee 22/05/2016 200000 0

405 Mah/1202/200

4

2 Mah/1202/2004

VANDANA

PANDURANG

TIDAME

30 Female LOWYER Spouse 22/05/2016 0 0

525 Mah/1202/200

4

3 Mah/1202/2004

SIDDHIPANDURA

NGTIDAME

10 Female LOWYER Children 22/05/2016 0 0

2369 Mah/1203/198

9

1 Mah/1203/1989

VORASMITA

AMRATLAL

51 Female LAWYER Employee 22/05/2016 100000 0

469 Mah/1211/199

1

1 Mah/1211/1991

MANEANURAD

HAASHOK

55 Female LOWYER Employee 22/05/2016 500000 0

495 Mah/1211/199

1

11 Mah/1211/1991

MANEPRATIKASHOK

20 Male LOWYER Child 2 22/05/2016 0 0

487 Mah/1211/199

1

3 Mah/1211/1991

MANEAMOLASHOK

23 Male LOWYER Children 22/05/2016 0 0

476 Mah/1211/199

1

2 Mah/1211/1991

MANEASHOK

SHRIPAT

60 Male LOWYER Spouse 22/05/2016 0 0

1707 Mah/122/2010

1 Mah/122/2010

NALAVADE AMIT

ACHYUTRAO

40 Male LAWYER Employee 22/05/2016 800000 0

1712 Mah/122/2010

2 Mah/122/2010

NALAVADE

SWAPNAAMIT

34 Female LAWYER Spouse 22/05/2016 0 0

1717 Mah/122/2010

3 Mah/122/2010

NALAVADE

RANVERAMIT

9 Male LAWYER Children 22/05/2016 0 0

1165 Mah/1220/199

2

1 Mah/1220/1992

MEMONSHOAIBIBRAHIM

52 Male LOWYER Employee 22/05/2016 500000 0

1169 Mah/1220/199

2

3 Mah/1220/1992

MEMONIBRAHIMSHOAIB

20 Male LOWYER Children 22/05/2016 0 0

1167 Mah/1220/199

2

2 Mah/1220/1992

MEMONZAIBUANI

SASHOAIB

50 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

725 Mah/1222/198

3

11 Mah/1222/1983

SIRAJRAJAK

SHAIKH

20 Male lawyer Child 2 22/05/2016 0 0

704 Mah/1222/198

3

1 Mah/1222/1983

SHAIKHRAJAK

NABISAHEB

58 Male lawyer Employee 22/05/2016 1000000 0

715 Mah/1222/198

3

2 Mah/1222/1983

NOORJAHABEGAM

RAJAKSHAIKH

51 Female lawyer Spouse 22/05/2016 0 0

718 Mah/1222/198

3

3 Mah/1222/1983

BENAZEER RAJAKSHAIKH

24 Female lawyer Children 22/05/2016 0 0

561 Mah/1227/200

4

3 Mah/1227/2004

AVANIVIVEKKHARE

7 Female LOWYER Children 22/05/2016 0 0

559 Mah/1227/200

4

1 Mah/1227/2004

KHAREVIVEKVIJAY

37 Male LOWYER Employee 22/05/2016 500000 0

562 Mah/1227/200

4

11 Mah/1227/2004

ANVIVIVEKKHARE

5 Female LOWYER Child 2 22/05/2016 0 0

560 Mah/1227/200

4

2 Mah/1227/2004

SONIAVIVEKKHARE

31 Female LOWYER Spouse 22/05/2016 0 0

444 Mah/1228/200

9

1 Mah/1228/2009

KAMBLEKAMALJE

ETSHIVHAR

38 Male LOWYER Employee 22/05/2016 300000 0

450 Mah/1228/200

9

2 Mah/1228/2009

KAMBLEPOONAMKAMALJE

ET

34 Female LOWYER Spouse 22/05/2016 0 0

1770 Mah/1234/200

2

11 Mah/1234/2002

BODKESAIRAJ

PRAKASH

6 Male LAWYER Child 2 22/05/2016 0 0

1759 Mah/1234/200

2

2 Mah/1234/2002

BODKEPUJA

PRAKASH

33 Female LAWYER Spouse 22/05/2016 0 0

1765 Mah/1234/200

2

3 Mah/1234/2002

BODKEPRERNA

PRAKASH

11 Female LAWYER Children 22/05/2016 0 0

1749 Mah/1234/200

2

1 Mah/1234/2002

BODKEPRAKASHBHASKAR

40 Male LAWYER Employee 22/05/2016 300000 0

2449 Mah/1237/198

1

2 Mah/1237/1981

DEVALEPRADNYAPRATAP

50 Female LAWYER Spouse 22/05/2016 0 0

2438 Mah/1237/198

1

1 Mah/1237/1981

DEVALEPRATAP

PRABHAKAR

62 Male LAWYER Employee 22/05/2016 100000 0

493 Mah/124/1979

1 Mah/124/1979

JAIMALANI ASHOK

RAMESHCHANDRA

62 Male LOWYER Employee 22/05/2016 300000 0

498 Mah/124/1979

2 Mah/124/1979

URMILA 59 Female LOWYER Spouse 22/05/2016 0 0

530 Mah/1245/201

0

2 Mah/1245/2010

HEMANGI 31 Female LOWYER Spouse 22/05/2016 0 0

465 Mah/1245/201

0

1 Mah/1245/2010

CHAVANVIKRAM

GAJANAN

31 Male LOWYER Employee 22/05/2016 300000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

759 Mah/1247/200

5

2 Mah/1247/2005

DESAIRESHMADATTATR

AYA

31 Male lawyer Spouse 22/05/2016 0 0

750 Mah/1247/200

5

1 Mah/1247/2005

DESAIDATTATR

AYADINKAR

35 Male lawyer Employee 22/05/2016 200000 0

761 Mah/1247/200

5

3 Mah/1247/2005

DESAISANCHIT

ADATTATR

AYA

4 Female lawyer Children 22/05/2016 0 0

2247 Mah/1263/200

2

2 Mah/1263/2002

KITEKARAMRUTAKIRANKU

MAR

30 Female LAWYER Spouse 22/05/2016 0 0

2248 Mah/1263/200

2

3 Mah/1263/2002

KITEKARMUGDHAKIRANKU

MAR

9 Female LAWYER Children 22/05/2016 0 0

2253 Mah/1263/200

2

11 Mah/1263/2002

KITEKARVEDANTKIRANKU

MAR

3 Male LAWYER Child 2 22/05/2016 0 0

2241 Mah/1263/200

2

1 Mah/1263/2002

KITEKARKIRANKU

MARSURYAKA

NT

39 Male LAWYER Employee 22/05/2016 100000 0

2151 Mah/1267/198

1

3 Mah/1267/1981

INGALEABHISHEK TEJPAL

17 Male LAWYER Children 22/05/2016 0 0

1905 Mah/1267/198

1

1 Mah/1267/1981

INGALETEJPAL

SHRIKANT

59 Male LAWYER Employee 22/05/2016 500000 0

1906 Mah/1267/198

1

2 Mah/1267/1981

INGALESANGEETA TEJPAL

45 Female LAWYER Spouse 22/05/2016 0 0

794 Mah/1267/198

9

1 Mah/1267/1989

PATILKOLHE

RAMESHWARVALU

53 Male lawyer Employee 22/05/2016 800000 0

797 Mah/1267/198

9

2 Mah/1267/1989

MRSMEENAKS

HI

40 Female lawyer Spouse 22/05/2016 0 0

801 Mah/1267/198

9

3 Mah/1267/1989

RASHAN 23 Male lawyer Children 22/05/2016 0 0

805 Mah/1267/198

9

11 Mah/1267/1989

SURAJ 21 Male lawyer Child 2 22/05/2016 0 0

1204 Mah/1272/199

1

11 Mah/1272/1991

KARNAVAT ANAND

VIJAY

17 Male LOWYER Child 2 22/05/2016 0 0

1198 Mah/1272/199

1

2 Mah/1272/1991

KARNAVAT

CHANDAVIJAY

41 Female LOWYER Spouse 22/05/2016 0 0

1196 Mah/1272/199

1

1 Mah/1272/1991

KARNAVAT VIJAY

BABULAL

49 Male LOWYER Employee 22/05/2016 100000 0

1201 Mah/1272/199

1

3 Mah/1272/1991

KARNAVAT

CHANDAVIJAY

21 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2418 Mah/1281/199

9

11 Mah/1281/1999

RATHODYUVRAJDILIP

9 Male LAWYER Child 2 22/05/2016 0 0

2407 Mah/1281/199

9

3 Mah/1281/1999

RATHODPRITIDILIP

15 Female LAWYER Children 22/05/2016 0 0

2386 Mah/1281/199

9

1 Mah/1281/1999

RATHODDILIP

TUKARAM

46 Male LAWYER Employee 22/05/2016 100000 0

2397 Mah/1281/199

9

2 Mah/1281/1999

RATHODMEERADILIP

37 Female LAWYER Spouse 22/05/2016 0 0

110 Mah/1284/199

2

11 Mah/1284/1992

MIKHAIL 10 Male LOWYER Child 2 22/05/2016 0 0

99 Mah/1284/199

2

2 Mah/1284/1992

ROSENDA 46 Female LOWYER Spouse 22/05/2016 0 0

93 Mah/1284/199

2

1 Mah/1284/1992

PEREIRADARRYL

B

47 Male LOWYER Employee 22/05/2016 100000 0

104 Mah/1284/199

2

3 Mah/1284/1992

BORIS 12 Male LOWYER Children 22/05/2016 0 0

225 Mah/129/1983

3 Mah/129/1983

AISHWARYA

DEEPAKMORE

22 Female LOWYER Children 22/05/2016 0 0

220 Mah/129/1983

2 Mah/129/1983

UJWALADEEPAKMORE

51 Female LOWYER Spouse 22/05/2016 0 0

212 Mah/129/1983

1 Mah/129/1983

MOREDEEPAKRAVINDR

A

56 Male LOWYER Employee 22/05/2016 1000000 0

578 Mah/1290/200

0

11 Mah/1290/2000

RANKAWAT

HARSHKISHOR

7 Male lawyer Child 2 22/05/2016 0 0

577 Mah/1290/200

0

3 Mah/1290/2000

RANKAWAT GEETKISHOR

9 Female lawyer Children 22/05/2016 0 0

576 Mah/1290/200

0

2 Mah/1290/2000

RANKAWAT NEETUKISHOR

36 Female lawyer Spouse 22/05/2016 0 0

575 Mah/1290/200

0

1 Mah/1290/2000

RANKAWAT

KISHORNANDLAL

JI

39 Male lawyer Employee 22/05/2016 1000000 0

584 Mah/1299/200

3

2 Mah/1299/2003

DIPALI 31 Female lawyer Spouse 22/05/2016 0 0

586 Mah/1299/200

3

3 Mah/1299/2003

MANASWI 9 Female lawyer Children 22/05/2016 0 0

588 Mah/1299/200

3

11 Mah/1299/2003

UDAYAN 6 Male lawyer Child 2 22/05/2016 0 0

580 Mah/1299/200

3

1 Mah/1299/2003

ARAJDEEPAK

SURESHCHANDRA

41 Male lawyer Employee 22/05/2016 200000 0

433 Mah/1305/200

8

1 Mah/1305/2008

PATILDHANANJ

AYRAGHUN

ATH

34 Male LOWYER Employee 22/05/2016 300000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

436 Mah/1305/200

8

2 Mah/1305/2008

MONALI 29 Female LOWYER Spouse 22/05/2016 0 0

2306 Mah/1307/201

2

2 Mah/1307/2012

DEVALEROHINIPRATIK

26 Female LAWYER Spouse 22/05/2016 0 0

2299 Mah/1307/201

2

1 Mah/1307/2012

DEVALEPRATIKPRATAP

29 Male LAWYER Employee 22/05/2016 100000 0

1245 Mah/1308/200

7

2 Mah/1308/2007

SURYAWANSHI

JAYASHREE

KAILAS

24 Female LOWYER Spouse 22/05/2016 0 0

1242 Mah/1308/200

7

1 Mah/1308/2007

SURYAWANSHIKAILASBHATA

31 Male LOWYER Employee 22/05/2016 100000 0

1248 Mah/1308/200

7

3 Mah/1308/2007

SURYAWANSHI

ARNAVIKAILAS

2 Female LOWYER Children 22/05/2016 0 0

1273 Mah/131/1997

1 Mah/131/1997

SHAIKHNADIMRIYAZ

49 Male LOWYER Employee 22/05/2016 100000 0

1276 Mah/131/1997

2 Mah/131/1997

SHAIKHASIYANADIM

40 Female LOWYER Spouse 22/05/2016 0 0

1284 Mah/131/1997

11 Mah/131/1997

SHAIKHMOIZ

NADIM

7 Male LOWYER Child 2 22/05/2016 0 0

1280 Mah/131/1997

3 Mah/131/1997

SHAIKHMOHIBNADIM

11 Male LOWYER Children 22/05/2016 0 0

1531 Mah/1320/200

2

11 Mah/1320/2002

PATILPRATYUSH VINOD

1 Male LAWYER Child 2 22/05/2016 0 0

1529 Mah/1320/200

2

3 Mah/1320/2002

PATILVIBHAWARI VINOD

8 Female LAWYER Children 22/05/2016 0 0

1528 Mah/1320/200

2

2 Mah/1320/2002

PATILPORNIMA

VINOD

30 Female LAWYER Spouse 22/05/2016 0 0

1527 Mah/1320/200

2

1 Mah/1320/2002

PATILVINOD

PRAKASH

38 Male LAWYER Employee 22/05/2016 200000 0

1919 Mah/1330/200

7

2 Mah/1330/2007

JADHAVDIKSHA

SANTOSH

20 Female LAWYER Spouse 22/05/2016 0 0

1915 Mah/1330/200

7

1 Mah/1330/2007

JADHAVSANTOSH

JANAK

32 Male LAWYER Employee 22/05/2016 100000 0

1319 Mah/1330/201

0

2 Mah/1330/2010

SURYAWANSHIRUTUJAROSHAN

25 Female LOWYER Spouse 22/05/2016 0 0

1316 Mah/1330/201

0

1 Mah/1330/2010

SURYAWANSHI

ROSHANSANJIV

31 Male LOWYER Employee 22/05/2016 100000 0

2370 Mah/1333/200

2

3 Mah/1333/2002

PADILESANJANASACHIN

9 Female LAWYER Children 22/05/2016 0 0

2348 Mah/1333/200

2

1 Mah/1333/2002

PADILESACHINDNYANO

BA

38 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2382 Mah/1333/200

2

11 Mah/1333/2002

PADILESHOURYASACHIN

6 Male LAWYER Child 2 22/05/2016 0 0

2361 Mah/1333/200

2

2 Mah/1333/2002

PADILERUPALISACHIN

31 Female LAWYER Spouse 22/05/2016 0 0

1544 Mah/1337/200

3

3 Mah/1337/2003

ANVEKARPARTH

RATNAKAR

7 Male LAWYER Children 22/05/2016 0 0

1536 Mah/1337/200

3

1 Mah/1337/2003

KASARSNEHALGANESH

38 Female LAWYER Employee 22/05/2016 100000 0

1540 Mah/1337/200

3

2 Mah/1337/2003

ANVEKARRATNAKA

RNARHAR

46 Male LAWYER Spouse 22/05/2016 0 0

240 Mah/1337/200

6

1 Mah/1337/2006

CASTELLINO

BRUNO

53 Male LOWYER Employee 22/05/2016 800000 0

252 Mah/1337/200

6

2 Mah/1337/2006

ANITACASTELLI

NO

53 Female LOWYER Spouse 22/05/2016 0 0

260 Mah/1337/200

6

3 Mah/1337/2006

MALAIKACASTELLI

NO

16 Female LOWYER Children 22/05/2016 0 0

1353 Mah/1349/198

2

1 Mah/1349/1982

CHIDDARWARATUL

VASANTRAO

59 Male LOWYER Employee 22/05/2016 300000 0

1359 Mah/1349/198

2

2 Mah/1349/1982

CHIDDARWAR

VIJAYAATUL

51 Female LOWYER Spouse 22/05/2016 0 0

229 Mah/1350/200

9

2 Mah/1350/2009

BHARATMANILAL

SHAH

39 Male LOWYER Spouse 22/05/2016 0 0

221 Mah/1350/200

9

1 Mah/1350/2009

VORAKOMALPANCHA

MLAL

38 Female LOWYER Employee 22/05/2016 200000 0

283 Mah/1365/200

6

2 Mah/1365/2006

VANITA 38 Female LOWYER Spouse 22/05/2016 0 0

291 Mah/1365/200

6

3 Mah/1365/2006

SUYOG 8 Male LOWYER Children 22/05/2016 0 0

272 Mah/1365/200

6

1 Mah/1365/2006

CHAUDHARI

BALKRUSHNA

BHIMRAO

40 Male LOWYER Employee 22/05/2016 200000 0

1369 Mah/1366/198

3

1 Mah/1366/1983

KULKARNI MANJIRIACHUTRA

O

56 Female LOWYER Employee 22/05/2016 200000 0

1373 Mah/1366/198

3

2 Mah/1366/1983

KULKARNI ACHUTMADHAV

RAO

61 Male LOWYER Spouse 22/05/2016 0 0

2516 Mah/1368/201

2

2 Mah/1368/2012

JOSHIAMOL

ARVIND

35 Male LAWYER Spouse 22/05/2016 0 0

2508 Mah/1368/201

2

1 Mah/1368/2012

JOSHIASHWINI

AMOL

27 Female LAWYER Employee 22/05/2016 200000 0

71 Mah/1369/198

8

1 Mah/1369/1988

PUROHITKUMARESH BRIJLAL

53 Male LOWYER Employee 22/05/2016 800000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

80 Mah/1369/198

8

2 Mah/1369/1988

PANNAKUMARES

HPURODHI

T

44 Female LOWYER Spouse 22/05/2016 0 0

1938 Mah/1375/200

2

2 Mah/1375/2002

TOPESANYOGI

TASAMBHAJI

33 Female LAWYER Spouse 22/05/2016 0 0

2105 Mah/1375/200

2

3 Mah/1375/2002

TOPERIYA

SAMBHAJI

11 Female LAWYER Children 22/05/2016 0 0

1942 Mah/1375/200

2

11 Mah/1375/2002

TOPERANVIR

SAMBHAJI

6 Male LAWYER Child 2 22/05/2016 0 0

1934 Mah/1375/200

2

1 Mah/1375/2002

TOPESAMBHAJISUBHASH

RAO

37 Male LAWYER Employee 22/05/2016 500000 0

324 Mah/1376/200

8

3 Mah/1376/2008

ADITI 7 Female LOWYER Children 22/05/2016 0 0

300 Mah/1376/200

8

1 Mah/1376/2008

SONAWANE

BHARATPARSHUR

AM

37 Male LOWYER Employee 22/05/2016 300000 0

310 Mah/1376/200

8

2 Mah/1376/2008

REKHA 27 Female LOWYER Spouse 22/05/2016 0 0

1393 Mah/1389/200

2

2 Mah/1389/2002

SAWALEMEGHAN

AKAMLAKA

R

31 Female LOWYER Spouse 22/05/2016 0 0

1397 Mah/1389/200

2

3 Mah/1389/2002

SAWALEJANVI

KAMLAKAR

7 Female LOWYER Children 22/05/2016 0 0

1388 Mah/1389/200

2

1 Mah/1389/2002

SAWALEKAMLAKA

RHIMMTRA

O

37 Male LOWYER Employee 22/05/2016 200000 0

417 Mah/1405/200

2

1 Mah/1405/2002

PUNDESACHIN

SURYAKANT

36 Male LOWYER Employee 22/05/2016 1000000 0

435 Mah/1405/200

2

11 Mah/1405/2002

PUNDEKAUSTUBH SACHIN

3 Male LOWYER Child 2 22/05/2016 0 0

432 Mah/1405/200

2

3 Mah/1405/2002

PUNDEADWAITASACHIN

5 Female LOWYER Children 22/05/2016 0 0

425 Mah/1405/200

2

2 Mah/1405/2002

PUNDEDEEPASACHIN

38 Female LOWYER Spouse 22/05/2016 0 0

2262 Mah/1412/201

1

1 Mah/1412/2011

SHINDERAVI

GIRISH

29 Male LAWYER Employee 22/05/2016 200000 0

1419 Mah/1419/201

2

2 Mah/1419/2012

SHINDEPOOJA

VISHVAJEET

21 Female LOWYER Spouse 22/05/2016 0 0

1411 Mah/1419/201

2

1 Mah/1419/2012

SHINDEVISHVAJE

ETVIJAYKUM

AR

26 Male LOWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1940 Mah/1429/201

1

1 Mah/1429/2011

KAKADEDEEPAKMADHAV

RAO

27 Male LAWYER Employee 22/05/2016 200000 0

1943 Mah/1429/201

1

2 Mah/1429/2011

KAKADEKAVITADEEPAK

29 Female LAWYER Spouse 22/05/2016 0 0

2518 Mah/1435/198

9

3 Mah/1435/1989

KHARECHIRAGPRAVIN

17 Male LAWYER Children 22/05/2016 0 0

2507 Mah/1435/198

9

1 Mah/1435/1989

KHAREPRAVIN

SHARDAPRASHAD

52 Male LAWYER Employee 22/05/2016 300000 0

2511 Mah/1435/198

9

2 Mah/1435/1989

KHARECHHAYAPRAVIN

47 Female LAWYER Spouse 22/05/2016 0 0

2523 Mah/1435/198

9

11 Mah/1435/1989

KHAREANISHAPRAVIN

15 Female LAWYER Child 2 22/05/2016 0 0

1143 Mah/1438/199

0

3 Mah/1438/1990

PARTHHASMUKH SHAH

23 Male LOWYER Children 22/05/2016 0 0

1144 Mah/1438/199

0

11 Mah/1438/1990

PRINCEHASMUKH SHAH

21 Male LOWYER Child 2 22/05/2016 0 0

1142 Mah/1438/199

0

1 Mah/1438/1990

SAROJHASMUKH SHAH

47 Female LOWYER Employee 22/05/2016 100000 0

1155 Mah/1457/200

8

2 Mah/1457/2008

PATILPRATIBHA AURN

29 Female LOWYER Spouse 22/05/2016 0 0

1154 Mah/1457/200

8

1 Mah/1457/2008

PATILARUN

DINKAR

37 Male LOWYER Employee 22/05/2016 200000 0

211 Mah/1458/200

9

1 Mah/1458/2009

GHADGEMAHESHATMARA

M

37 Male LOWYER Employee 22/05/2016 200000 0

233 Mah/1458/200

9

3 Mah/1458/2009

PARTH 8 Male LOWYER Children 22/05/2016 0 0

238 Mah/1458/200

9

11 Mah/1458/2009

SWARIT 6 Male LOWYER Child 2 22/05/2016 0 0

223 Mah/1458/200

9

2 Mah/1458/2009

MRSVAISHALI

33 Female LOWYER Spouse 22/05/2016 0 0

325 Mah/1458/201

5

1 Mah/1458/2015

PRABHUAKSHATH

AEKNATH

46 Female LOWYER Employee 22/05/2016 800000 0

336 Mah/1458/201

5

2 Mah/1458/2015

PRABHUEKNATHVENKATE

SHA

51 Male LOWYER Spouse 22/05/2016 0 0

349 Mah/1458/201

5

3 Mah/1458/2015

PRABHUABHAY

EKNATH

22 Male LOWYER Children 22/05/2016 0 0

1171 Mah/1460/200

0

1 Mah/1460/2000

SONARCHINTAM

ANIRAMAKA

NT

39 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1172 Mah/1460/200

0

2 Mah/1460/2000

SONARDIMPLE

CHINTAMANI

31 Female LOWYER Spouse 22/05/2016 0 0

1210 Mah/1469/199

0

2 Mah/1469/1990

PATILSHILPA

NANDKUMAR

45 Female LOWYER Spouse 22/05/2016 0 0

1213 Mah/1469/199

0

3 Mah/1469/1990

PATILSHIVANINANDKU

MAR

20 Female LOWYER Children 22/05/2016 0 0

1216 Mah/1469/199

0

11 Mah/1469/1990

PATILNANDININANDKU

MAR

15 Female LOWYER Child 2 22/05/2016 0 0

1207 Mah/1469/199

0

1 Mah/1469/1990

PATILNANDKU

MARBABURAO

51 Male LOWYER Employee 22/05/2016 300000 0

1545 Mah/1473/200

8

1 Mah/1473/2008

TIWARIGYANPRA

KASHCHINTAM

ANI

36 Male LAWYER Employee 22/05/2016 300000 0

1548 Mah/1473/200

8

2 Mah/1473/2008

TIWARISEEMA

GYANPRAKASH

30 Female LAWYER Spouse 22/05/2016 0 0

1550 Mah/1473/200

8

3 Mah/1473/2008

TIWARITANISHAGYANPRA

KASH

4 Female LAWYER Children 22/05/2016 0 0

1966 Mah/1482/200

7

1 Mah/1482/2007

GHORPADE

NILESHJAGANNA

TH

33 Male LAWYER Employee 22/05/2016 200000 0

1970 Mah/1482/200

7

2 Mah/1482/2007

GHORPADE

PADMANILESH

30 Female LAWYER Spouse 22/05/2016 0 0

2110 Mah/1482/200

7

3 Mah/1482/2007

GHORPADE

YUVRAJNILESH

2 Male LAWYER Children 22/05/2016 0 0

1558 Mah/1483/200

7

2 Mah/1483/2007

GHORPADE

DHANASHRI

YUVRAJ

31 Female LAWYER Spouse 22/05/2016 0 0

1552 Mah/1483/200

7

3 Mah/1483/2007

GHORPADE

RANAKSINH

YUVRAJ

4 Male LAWYER Children 22/05/2016 0 0

1554 Mah/1483/200

7

1 Mah/1483/2007

GHORPADE

YUVRAJSUNIL

31 Male LAWYER Employee 22/05/2016 200000 0

1250 Mah/1484/201

2

1 Mah/1484/2012

SHILWANT BAPU

PRAKASH

30 Male LOWYER Employee 22/05/2016 100000 0

1253 Mah/1484/201

2

2 Mah/1484/2012

SHILWANT

SANDHYABAPU

30 Female LOWYER Spouse 22/05/2016 0 0

1255 Mah/1484/201

2

3 Mah/1484/2012

SHILWANT

DHANRAJBAPU

1 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

474 Mah/1485/199

3

3 Mah/1485/1993

ABHINAV 25 Male LOWYER Children 22/05/2016 0 0

456 Mah/1485/199

3

1 Mah/1485/1993

MISHRADINESHKUMAR

50 Male LOWYER Employee 22/05/2016 200000 0

480 Mah/1485/199

3

11 Mah/1485/1993

HRUSHIKASH

17 Male LOWYER Child 2 22/05/2016 0 0

464 Mah/1485/199

3

2 Mah/1485/1993

USHADEVI

45 Female LOWYER Spouse 22/05/2016 0 0

1030 Mah/1485/200

0

3 Mah/1485/2000

MIHIR 2 Male LOWYER Children 22/05/2016 0 0

1025 Mah/1485/200

0

2 Mah/1485/2000

SUMEDHA

32 Female LOWYER Spouse 22/05/2016 0 0

1134 Mah/1485/200

0

11 Mah/1485/2000

ISHWARI 5 Female LOWYER Child 2 22/05/2016 0 0

1021 Mah/1485/200

0

1 Mah/1485/2000

KHADILKAR

YOGESHYASHAVA

NT

39 Male LOWYER Employee 22/05/2016 200000 0

2562 Mah/1486/201

1

2 Mah/1486/2011

SHELARVRUSHALI ADITYA

26 Female LAWYER Spouse 22/05/2016 0 0

2558 Mah/1486/201

1

1 Mah/1486/2011

SHELARADITYA

MADHAV

30 Male LAWYER Employee 22/05/2016 100000 0

2468 Mah/1487/201

6

3 Mah/1487/2016

KORGAONKAR

APRUVAKESHAV

21 Female LAWYER Children 22/05/2016 0 0

2456 Mah/1487/201

6

1 Mah/1487/2016

KORGAONKAR

KESHAVATMARA

M

56 Male LAWYER Employee 22/05/2016 500000 0

2462 Mah/1487/201

6

2 Mah/1487/2016

KORGAONKAR

MADHAVIKESHAV

54 Female LAWYER Spouse 22/05/2016 0 0

1595 Mah/1488/200

4

3 Mah/1488/2004

PARMARARKINAASACHIN

3 Female LAWYER Children 22/05/2016 0 0

1585 Mah/1488/200

4

1 Mah/1488/2004

PARMARSACHIN

NATWARLAL

39 Male LAWYER Employee 22/05/2016 200000 0

1591 Mah/1488/200

4

2 Mah/1488/2004

PARMARSMRITISACHIN

33 Female LAWYER Spouse 22/05/2016 0 0

940 Mah/1490/200

7

1 Mah/1490/2007

JAWLIKARPRAVIN

BALIRAM

33 Male LOWYER Employee 22/05/2016 200000 0

1646 Mah/1492/200

7

2 Mah/1492/2007

DONGARE

DEEPIKARAVIKIRA

N

28 Female LAWYER Spouse 22/05/2016 0 0

1640 Mah/1492/200

7

1 Mah/1492/2007

DONGARE

RAVIKIRAN

GAJANAN

32 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1290 Mah/1507/200

6

2 Mah/1507/2006

MORENAYANAYOGESH

32 Female LOWYER Spouse 22/05/2016 0 0

1288 Mah/1507/200

6

1 Mah/1507/2006

MOREYOGESHK

UMARCHINTAM

AN

36 Male LOWYER Employee 22/05/2016 100000 0

1106 Mah/151/2004

3 Mah/151/2004

RAJVARDHAN

RAVINDRA

NARWADE

6 Male LOWYER Children 22/05/2016 0 0

1105 Mah/151/2004

2 Mah/151/2004

ASHLESHA

RAVINDRA

NARWADE

29 Female LOWYER Spouse 22/05/2016 0 0

1103 Mah/151/2004

1 Mah/151/2004

NARWADE

RAVINDRA

BHIMRAO

38 Male LOWYER Employee 22/05/2016 200000 0

902 Mah/1520/199

1

2 Mah/1520/1991

MRSMANISHA

44 Female LOWYER Spouse 22/05/2016 0 0

908 Mah/1520/199

1

3 Mah/1520/1991

MAKARAND

18 Male LOWYER Children 22/05/2016 0 0

895 Mah/1520/199

1

1 Mah/1520/1991

BAPATVIVEK

MADHAO

48 Male LOWYER Employee 22/05/2016 200000 0

2005 Mah/1520/201

4

2 Mah/1520/2014

KATEKIRTIROHIT

26 Female LAWYER Spouse 22/05/2016 0 0

2002 Mah/1520/201

4

1 Mah/1520/2014

KATEROHITKUMAR

26 Male LAWYER Employee 22/05/2016 300000 0

2280 Mah/1533/200

0

1 Mah/1533/2000

SHINDEDIPALIRAHUL

38 Female LAWYER Employee 22/05/2016 500000 0

2286 Mah/1533/200

0

3 Mah/1533/2000

SHINDESAMRUD

DHIRAHUL

12 Female LAWYER Children 22/05/2016 0 0

2291 Mah/1533/200

0

11 Mah/1533/2000

SHINDEPUNNYARAHUL

3 Female LAWYER Child 2 22/05/2016 0 0

1320 Mah/154/1993

1 Mah/154/1993

SHIRSATRAMESHSHANKAR

RAO

51 Male LOWYER Employee 22/05/2016 200000 0

1323 Mah/154/1993

2 Mah/154/1993

SHIRSATRAJASHR

EERAMESH

45 Female LOWYER Spouse 22/05/2016 0 0

1326 Mah/154/1993

3 Mah/154/1993

SHIRSATPRANITARAMESH

23 Female LOWYER Children 22/05/2016 0 0

1330 Mah/154/1993

11 Mah/154/1993

SHIRSATNIKITA

RAMESH

22 Female LOWYER Child 2 22/05/2016 0 0

2436 Mah/154/2017

1 Mah/154/2017

SHETTYSANTOSHKUSSAPP

A

30 Male LAWYER Employee 22/05/2016 100000 0

2445 Mah/154/2017

2 Mah/154/2017

SHETTYDOLLY

SANTOSH

24 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2021 Mah/1551/200

8

2 Mah/1551/2008

WAGHUMESH

RAMDAS

32 Male LAWYER Spouse 22/05/2016 0 0

2117 Mah/1551/200

8

3 Mah/1551/2008

WAGHSHARVILUMESH

1 Male LAWYER Children 22/05/2016 0 0

2020 Mah/1551/200

8

1 Mah/1551/2008

WAGHASHWINIUMESH

31 Female LAWYER Employee 22/05/2016 200000 0

916 Mah/1552/199

4

2 Mah/1552/1994

WARKEANJALI

SURESHKUMAR

64 Female LOWYER Spouse 22/05/2016 0 0

911 Mah/1552/199

4

1 Mah/1552/1994

WARKESURESHK

UMARKHUSHAL

66 Male LOWYER Employee 22/05/2016 300000 0

909 Mah/1552/201

1

1 Mah/1552/2011

KALESUDAM

SHRIRAM

29 Male LOWYER Employee 22/05/2016 200000 0

1860 Mah/1553/200

2

2 Mah/1553/2002

KALYANI 34 Female LAWYER Spouse 22/05/2016 0 0

1862 Mah/1553/200

2

3 Mah/1553/2002

ANUSHKA 7 Female LAWYER Children 22/05/2016 0 0

1855 Mah/1553/200

2

1 Mah/1553/2002

MAHAJANSAGARPRADIP

37 Male LAWYER Employee 22/05/2016 200000 0

141 Mah/156/2000

1 Mah/156/2000

DHANUKA

JAYPRAKASH

KISHANLAL

43 Male LOWYER Employee 22/05/2016 1000000 0

2555 Mah/1560/200

7

1 Mah/1560/2007

MOREGIRISH

SURESHRAO

34 Male LAWYER Employee 22/05/2016 100000 0

2556 Mah/1560/200

7

2 Mah/1560/2007

MORESWATIGIRISH

20 Female LAWYER Spouse 22/05/2016 0 0

1662 Mah/1578/200

9

1 Mah/1578/2009

NISARGAN NITIN

TUKARAM

32 Male LAWYER Employee 22/05/2016 300000 0

1673 Mah/1578/200

9

3 Mah/1578/2009

NISARGAN

ARHANTNITIN

3 Male LAWYER Children 22/05/2016 0 0

1668 Mah/1578/200

9

2 Mah/1578/2009

NISARGAN JYOTINITIN

34 Female LAWYER Spouse 22/05/2016 0 0

1370 Mah/1582/200

1

2 Mah/1582/2001

GAIKWADABOLI

HEMANT

29 Female LOWYER Spouse 22/05/2016 0 0

1364 Mah/1582/200

1

1 Mah/1582/2001

GAIKWADHEMANTSHANKAR

40 Male LOWYER Employee 22/05/2016 100000 0

1372 Mah/1582/200

1

3 Mah/1582/2001

GAIKWADSHLOK

HEMANT

6 Male LOWYER Children 22/05/2016 0 0

86 Mah/1583/198

5

1 Mah/1583/1985

PAWARMOHANPARBATI

59 Male LOWYER Employee 22/05/2016 500000 0

101 Mah/1583/198

5

2 Mah/1583/1985

MEGHAMOHANPAWAR

57 Female LOWYER Spouse 22/05/2016 0 0

106 Mah/1583/198

5

3 Mah/1583/1985

AMEYMOHANPAWAR

24 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1066 Mah/1592/200

6

1 Mah/1592/2006

PATILSATYAJEE

TVISHWAS

RAO

41 Male LOWYER Employee 22/05/2016 300000 0

1069 Mah/1592/200

6

2 Mah/1592/2006

PATILJYOTI

SATYAJEET

37 Female LOWYER Spouse 22/05/2016 0 0

1072 Mah/1592/200

6

3 Mah/1592/2006

PATILAJINKYA

SATYAJEET

4 Female LOWYER Children 22/05/2016 0 0

1131 Mah/1592/200

6

11 Mah/1592/2006

PATILJANHAVI

SATYAJEET

8 Female LOWYER Child 2 22/05/2016 0 0

2304 Mah/1594/201

0

2 Mah/1594/2010

AGARWAL

JAYSHREEBHOOMIT

28 Female LAWYER Spouse 22/05/2016 0 0

2290 Mah/1594/201

0

1 Mah/1594/2010

AGRAWAL

BHOOMITASHOK

31 Male LAWYER Employee 22/05/2016 200000 0

616 Mah/1596/198

1

2 Mah/1596/1981

BORAWAR ANJALIPRAMOD

53 Female lawyer Spouse 22/05/2016 0 0

611 Mah/1596/198

1

1 Mah/1596/1981

BORAWAR

PRAMODBHASKAR

60 Male lawyer Employee 22/05/2016 500000 0

2458 Mah/1598/200

8

1 Mah/1598/2008

PADHYARHEMANTMAHEND

RA

34 Male LAWYER Employee 22/05/2016 200000 0

2472 Mah/1598/200

8

3 Mah/1598/2008

BADGUJAR OJASVIHEMANT

5 Female LAWYER Children 22/05/2016 0 0

2463 Mah/1598/200

8

2 Mah/1598/2008

BADGUJAR

RAJSHRIHEMANT

28 Female LAWYER Spouse 22/05/2016 0 0

40 Mah/1600/199

3

2 Mah/1600/1993

TIGDESMITA

SUBHASH

60 Female LOWYER Spouse 22/05/2016 0 0

36 Mah/1600/199

3

1 Mah/1600/1993

TIGADESUBHASHDAMODA

R

63 Male LOWYER Employee 22/05/2016 500000 0

2036 Mah/1606/198

5

2 Mah/1606/1985

BIRAJDARANUPAM

ABHIMASHANKAR

45 Female LAWYER Spouse 22/05/2016 0 0

2034 Mah/1606/198

5

1 Mah/1606/1985

BIRAJDARBHIMASHANKAR

DHARMARAO

57 Male LAWYER Employee 22/05/2016 800000 0

2156 Mah/1606/198

5

3 Mah/1606/1985

BIRAJDARROHIT

BHIMSHANKAR

21 Male LAWYER Children 22/05/2016 0 0

488 Mah/161/1986

2 Mah/161/1986

PANDEYURMILAOMKARN

ATH

55 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

484 Mah/161/1986

1 Mah/161/1986

PANDEYOMKARN

ATHLATAPRA

SAD

56 Male LOWYER Employee 22/05/2016 300000 0

1713 Mah/1624/201

4

1 Mah/1624/2014

AHERAMOL

BHAUSHAHEB

32 Male LAWYER Employee 22/05/2016 300000 0

1721 Mah/1624/201

4

2 Mah/1624/2014

AHERASHWINI

AMOL

25 Female LAWYER Spouse 22/05/2016 0 0

638 Mah/1635/200

5

2 Mah/1635/2005

MRSSMITA

35 Female lawyer Spouse 22/05/2016 0 0

648 Mah/1635/200

5

11 Mah/1635/2005

ARNAV 15 Male lawyer Child 2 22/05/2016 0 0

637 Mah/1635/200

5

1 Mah/1635/2005

KADAMUTTAMSHIVAJI

36 Male lawyer Employee 22/05/2016 200000 0

644 Mah/1635/200

5

3 Mah/1635/2005

SIDDHI 16 Female lawyer Children 22/05/2016 0 0

1038 Mah/1641/200

6

1 Mah/1641/2006

NARWADE

SANTOSHBHIMRAO

36 Male LOWYER Employee 22/05/2016 200000 0

1047 Mah/1641/200

6

3 Mah/1641/2006

SURBHISANTOSHNARWAD

E

2 Female LOWYER Children 22/05/2016 0 0

1042 Mah/1641/200

6

2 Mah/1641/2006

BHAGYASHREE

SANTOSHNARWAD

E

25 Female LOWYER Spouse 22/05/2016 0 0

1722 Mah/1641/201

4

1 Mah/1641/2014

DHAMNEKAR

LAXMANBARAMAP

PA

360 Male LAWYER Employee 22/05/2016 100000 0

1725 Mah/1641/201

4

2 Mah/1641/2014

DHAMNEKAR

SAROJINILAXMAN

50 Female LAWYER Spouse 22/05/2016 0 0

2057 Mah/1650/199

9

1 Mah/1650/1999

SALUNKHE VIJAY

PRABHAKAR

44 Male LAWYER Employee 22/05/2016 1000000 0

2059 Mah/1650/199

9

2 Mah/1650/1999

SALUNKHE

VANDANA VIJAY

24 Female LAWYER Spouse 22/05/2016 0 0

2127 Mah/1650/199

9

3 Mah/1650/1999

SALUNKHE

CHETANAVIJAY

18 Female LAWYER Children 22/05/2016 0 0

2368 Mah/1650/200

8

2 Mah/1650/2008

GHARALPRIYANKA

YUVRAJ

25 Female LAWYER Spouse 22/05/2016 0 0

2355 Mah/1650/200

8

1 Mah/1650/2008

GHARALYUVRAJ

SADASHIV

38 Male LAWYER Employee 22/05/2016 100000 0

2377 Mah/1650/200

8

3 Mah/1650/2008

GHARALSAI

YUVRAJ

4 Female LAWYER Children 22/05/2016 0 0

1788 Mah/1657/200

1

3 Mah/1657/2001

TRIMBAKE ANUPGANESH

6 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1792 Mah/1657/200

1

11 Mah/1657/2001

TRIMBAKE

PRATHAMGANESH

5 Male LAWYER Child 2 22/05/2016 0 0

1782 Mah/1657/200

1

2 Mah/1657/2001

TRIMBAKE

SUVARNAGANESH

36 Female LAWYER Spouse 22/05/2016 0 0

1776 Mah/1657/200

1

1 Mah/1657/2001

TRIMBAKE

GANESHSUBHASH

39 Male LAWYER Employee 22/05/2016 100000 0

1538 Mah/1677/200

3

11 Mah/1677/2003

JUNNARERUTWARAJESH

1 Female LAWYER Child 2 22/05/2016 0 0

1535 Mah/1677/200

3

2 Mah/1677/2003

JUNNAREVAISHALIRAJESH

37 Female LAWYER Spouse 22/05/2016 0 0

1534 Mah/1677/200

3

1 Mah/1677/2003

JUNNARERAJESHASHOK

37 Male LAWYER Employee 22/05/2016 200000 0

1537 Mah/1677/200

3

3 Mah/1677/2003

JUNNARESANIKARAJESH

7 Female LAWYER Children 22/05/2016 0 0

1557 Mah/1683/200

0

3 Mah/1683/2000

HADKARSHREEYADEELIP

13 Female LAWYER Children 22/05/2016 0 0

1549 Mah/1683/200

0

1 Mah/1683/2000

HADKARDEELIP

MURLIDHAR

41 Male LAWYER Employee 22/05/2016 200000 0

1553 Mah/1683/200

0

2 Mah/1683/2000

HADKARHARSHADA DEELIP

40 Female LAWYER Spouse 22/05/2016 0 0

2367 Mah/1685/201

5

2 Mah/1685/2015

VEERKARVARSHARAVINDR

A

25 Female LAWYER Spouse 22/05/2016 0 0

2352 Mah/1685/201

5

1 Mah/1685/2015

VEERKARRAVINDR

AMURLIDH

AR

29 Male LAWYER Employee 22/05/2016 100000 0

662 Mah/1692/199

2

2 Mah/1692/1992

KUTWADSUSHMA

SUNIL

40 Female lawyer Spouse 22/05/2016 0 0

666 Mah/1692/199

2

3 Mah/1692/1992

KUTWADSHRADDHA SUNIL

16 Female lawyer Children 22/05/2016 0 0

671 Mah/1692/199

2

11 Mah/1692/1992

KUTWADSHRISARTH SUNIL

8 Male lawyer Child 2 22/05/2016 0 0

656 Mah/1692/199

2

1 Mah/1692/1992

KUTWADSUNIL

DEVIDAS

45 Male lawyer Employee 22/05/2016 500000 0

483 Mah/170/1988

1 Mah/170/1988

GADHEAVINASHSHRIDHA

R

53 Male LOWYER Employee 22/05/2016 200000 0

486 Mah/170/1988

2 Mah/170/1988

GADHEVIDYA

AVINASH

52 Female LOWYER Spouse 22/05/2016 0 0

492 Mah/170/1988

3 Mah/170/1988

GADHECHINMAYAVINASH

23 Male LOWYER Children 22/05/2016 0 0

496 Mah/170/1988

11 Mah/170/1988

GADHEBHAKTI

AVINASH

20 Female LOWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1145 Mah/1700/200

2

1 Mah/1700/2002

JAGNADENILESH

MURLIDHAR

37 Male NA Employee 22/05/2016 500000 0

1146 Mah/1700/200

2

2 Mah/1700/2002

JAGNADEVAISHALINILESH

32 Female NA Spouse 22/05/2016 0 0

1148 Mah/1700/200

2

11 Mah/1700/2002

JAGNADEVARADNILESH

0 Male NA Child 2 22/05/2016 0 0

1147 Mah/1700/200

2

3 Mah/1700/2002

JAGNADEKANIKANILESH

5 Female NA Children 22/05/2016 0 0

1567 Mah/1702/201

0

2 Mah/1702/2010

KEDAREVAISHALIVASANT

31 Female LAWYER Spouse 22/05/2016 0 0

1561 Mah/1702/201

0

1 Mah/1702/2010

KEDAREVASANT

SHANKAR

37 Male LAWYER Employee 22/05/2016 500000 0

462 Mah/1711-

A/1995

2 Mah/1711-A/1995

RENUSINGH

34 Female LOWYER Spouse 22/05/2016 0 0

451 Mah/1711-

A/1995

1 Mah/1711-A/1995

SOMVANSHI

ARUNKUMAR SSINGH

49 Male LOWYER Employee 22/05/2016 200000 0

471 Mah/1711-

A/1995

11 Mah/1711-A/1995

KRISHNA 8 Male LOWYER Child 2 22/05/2016 0 0

467 Mah/1711-

A/1995

3 Mah/1711-A/1995

ANSHU 18 Female LOWYER Children 22/05/2016 0 0

2216 Mah/1718/200

4

2 Mah/1718/2004

SARATECHAYA

INDRAJEET

36 Female LAWYER Spouse 22/05/2016 0 0

2221 Mah/1718/200

4

3 Mah/1718/2004

SARATEKANISHKINDRAJEE

T

11 Male LAWYER Children 22/05/2016 0 0

2224 Mah/1718/200

4

11 Mah/1718/2004

SARATETANISHAINDRAJEE

T

6 Female LAWYER Child 2 22/05/2016 0 0

2212 Mah/1718/200

4

1 Mah/1718/2004

SARATEINDRAJEE

TSHIVAJIR

AO

42 Male LAWYER Employee 22/05/2016 100000 0

2133 Mah/1718/200

9

3 Mah/1718/2009

SHELKESAMRUD

DHISANDEEP

4 Female LAWYER Children 22/05/2016 0 0

2076 Mah/1718/200

9

2 Mah/1718/2009

SHELKEMANISHASANDEEP

29 Female LAWYER Spouse 22/05/2016 0 0

2073 Mah/1718/200

9

1 Mah/1718/2009

SHELKESANDEEPSITARAM

32 Male LAWYER Employee 22/05/2016 100000 0

2079 Mah/1718/200

9

11 Mah/1718/2009

SHELKESAMEERSANDEEP

1 Male LAWYER Child 2 22/05/2016 0 0

942 Mah/1723/201

2

2 Mah/1723/2012

HONPOONAM

AJIT

27 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

950 Mah/1723/201

2

3 Mah/1723/2012

HONCHINMAY

AJIT

1 Male LOWYER Children 22/05/2016 0 0

934 Mah/1723/201

2

1 Mah/1723/2012

HON AJITDILIP

28 Male LOWYER Employee 22/05/2016 300000 0

1865 Mah/1724/198

8

1 Mah/1724/1988

CARDOZO

PACIENCIA

SALVATION

51 Female LAWYER Employee 22/05/2016 300000 0

505 Mah/1726/199

0

2 Mah/1726/1990

Q S ATARIQUE

53 Male LOWYER Spouse 22/05/2016 0 0

501 Mah/1726/199

0

1 Mah/1726/1990

KAZISABAHATTARIQUE

48 Female LOWYER Employee 22/05/2016 300000 0

1129 Mah/1727/199

9

11 Mah/1727/1999

BHALERAO

GAURAVISHRIKAN

T

9 Female LOWYER Child 2 22/05/2016 0 0

1055 Mah/1727/199

9

3 Mah/1727/1999

BHALERAO VIRAJ

SHRIKANT

4 Male LOWYER Children 22/05/2016 0 0

1053 Mah/1727/199

9

2 Mah/1727/1999

BHALERAO ANJALISHRIKAN

T

31 Female LOWYER Spouse 22/05/2016 0 0

1049 Mah/1727/199

9

1 Mah/1727/1999

BHALERAO

SHRIKANT

PURUSHOTTAM

44 Male LOWYER Employee 22/05/2016 500000 0

1385 Mah/1729/199

8

3 Mah/1729/1998

VAIBHAVAPACHPO

R

12 Male LOWYER Children 22/05/2016 0 0

1382 Mah/1729/199

8

2 Mah/1729/1998

DIPALIAPACHPO

R

37 Female LOWYER Spouse 22/05/2016 0 0

1378 Mah/1729/199

8

1 Mah/1729/1998

PACHPORABHAY

PRABHAKAR

44 Male LOWYER Employee 22/05/2016 500000 0

984 Mah/1729/200

0

2 Mah/1729/2000

DEEPALAKSHMI V

IYER

37 Female LOWYER Spouse 22/05/2016 0 0

988 Mah/1729/200

0

3 Mah/1729/2000

HRISHIKESH V IYER

9 Male LOWYER Children 22/05/2016 0 0

978 Mah/1729/200

0

1 Mah/1729/2000

IYERVISHWANATHRAOVENKATRAMRAO

40 Male LOWYER Employee 22/05/2016 1000000 0

1600 Mah/1736-

A/1988

1 Mah/1736-A/1988

SINGHJAIPRAKA

SHBANSHBA

HAPUR

51 Male LAWYER Employee 22/05/2016 200000 0

1607 Mah/1736-

A/1988

3 Mah/1736-A/1988

SINGHPRIYANS

HJAIPRAKA

SH

22 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1613 Mah/1736-

A/1988

11 Mah/1736-A/1988

SINGHPRAGYAJAIPRAKA

SH

19 Female LAWYER Child 2 22/05/2016 0 0

1604 Mah/1736-

A/1988

2 Mah/1736-A/1988

SINGHMADHURIJAIPRAKA

SH

41 Female LAWYER Spouse 22/05/2016 0 0

680 Mah/1742/200

7

2 Mah/1742/2007

SARIKAPPATIL

32 Female lawyer Spouse 22/05/2016 0 0

673 Mah/1742/200

7

1 Mah/1742/2007

PATILPRADEEPPRATAPR

AO

36 Male lawyer Employee 22/05/2016 200000 0

1658 Mah/1755/200

1

2 Mah/1755/2001

GAWARESHWETA

NITIN

21 Female LAWYER Spouse 22/05/2016 0 0

1664 Mah/1755/200

1

3 Mah/1755/2001

GAWARETANISHKA NITIN

9 Female LAWYER Children 22/05/2016 0 0

1667 Mah/1755/200

1

11 Mah/1755/2001

GAWAREYASHRAJ

NITIN

4 Male LAWYER Child 2 22/05/2016 0 0

1651 Mah/1755/200

1

1 Mah/1755/2001

GAWARENITIN

VITTHALRAO

37 Male LAWYER Employee 22/05/2016 200000 0

894 Mah/1758/200

8

1 Mah/1758/2008

PATILNILESH

PRAKASH

32 Male LOWYER Employee 22/05/2016 300000 0

900 Mah/1758/200

8

2 Mah/1758/2008

PATILPRITI

NILESH

31 Female LOWYER Spouse 22/05/2016 0 0

905 Mah/1758/200

8

3 Mah/1758/2008

PATILVIVANNILESH

6 Male LOWYER Children 22/05/2016 0 0

1412 Mah/176/2007

11 Mah/176/2007

MAURYAPRATIK K

1 Male LOWYER Child 2 22/05/2016 0 0

1402 Mah/176/2007

1 Mah/176/2007

MAURYAKAILASH

NATHJAWAHAR

LAL

35 Male LOWYER Employee 22/05/2016 500000 0

1404 Mah/176/2007

2 Mah/176/2007

MAURYASAVITA K

29 Female LOWYER Spouse 22/05/2016 0 0

1409 Mah/176/2007

3 Mah/176/2007

MAURYAPRACHI K

9 Female LOWYER Children 22/05/2016 0 0

1908 Mah/1763/200

7

2 Mah/1763/2007

SHIRSATANJALI

CHANDRAKANT

27 Female LAWYER Spouse 22/05/2016 0 0

1910 Mah/1763/200

7

11 Mah/1763/2007

SHIRSATAJINKYACHANDRAKANT

3 Male LAWYER Child 2 22/05/2016 0 0

2138 Mah/1763/200

7

3 Mah/1763/2007

SHIRSATGUNJANCHANDRAKANT

6 Female LAWYER Children 22/05/2016 0 0

1907 Mah/1763/200

7

1 Mah/1763/2007

SHIRSATCHANDRAKANT

SADASHIV

34 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1420 Mah/1764/200

7

1 Mah/1764/2007

GANGURDE

MANGESH

HARISHCHANDRA

36 Male LOWYER Employee 22/05/2016 200000 0

1430 Mah/1764/200

7

3 Mah/1764/2007

GANGURDE

RUTVIKMANGES

H

5 Male LOWYER Children 22/05/2016 0 0

1425 Mah/1764/200

7

2 Mah/1764/2007

GANGURDE

SONALMANGES

H

32 Female LOWYER Spouse 22/05/2016 0 0

709 Mah/177/1984

2 Mah/177/1984

LATA CPODDAR

55 Female lawyer Spouse 22/05/2016 0 0

711 Mah/177/1984

3 Mah/177/1984

GAURAVC

PODDAR

21 Male lawyer Children 22/05/2016 0 0

702 Mah/177/1984

1 Mah/177/1984

PODDARCHANDRASHEKHA

RSHRINIW

AS

58 Male lawyer Employee 22/05/2016 500000 0

1685 Mah/1774/200

8

3 Mah/1774/2008

ANSH SPHADTAR

E

6 Male LAWYER Children 22/05/2016 0 0

1678 Mah/1774/200

8

1 Mah/1774/2008

PHADTARE

SANDEEPDILIP

35 Male LAWYER Employee 22/05/2016 300000 0

1683 Mah/1774/200

8

2 Mah/1774/2008

DARSHANA S

PHADTARE

31 Female LAWYER Spouse 22/05/2016 0 0

489 Mah/1778/199

8

1 Mah/1778/1998

SALUNKHE RAJAN

42 Male LOWYER Employee 22/05/2016 500000 0

494 Mah/1778/199

8

2 Mah/1778/1998

ARCHANA 34 Female LOWYER Spouse 22/05/2016 0 0

500 Mah/1778/199

8

3 Mah/1778/1998

YASH 10 Male LOWYER Children 22/05/2016 0 0

503 Mah/1778/199

8

11 Mah/1778/1998

ARYA 6 Female LOWYER Child 2 22/05/2016 0 0

738 Mah/1781/200

7

2 Mah/1781/2007

ANUSHKARADHAKR

USHNAINGOLE

27 Female lawyer Spouse 22/05/2016 0 0

732 Mah/1781/200

7

1 Mah/1781/2007

INGOLERADHAKR

USHNAKESHAVR

AO

34 Male lawyer Employee 22/05/2016 200000 0

742 Mah/1781/200

7

3 Mah/1781/2007

PARTHRADHAKR

USHNAINGOLE

3 Male lawyer Children 22/05/2016 0 0

748 Mah/1781/200

7

11 Mah/1781/2007

SHARAYURADHAKR

USHNAINGOLE

1 Female lawyer Child 2 22/05/2016 0 0

924 Mah/1783/200

8

2 Mah/1783/2008

PAWARSUPRIYAPANKAJ

32 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

915 Mah/1783/200

8

1 Mah/1783/2008

PAWARPANKAJSAMPAT

33 Male LOWYER Employee 22/05/2016 300000 0

1739 Mah/1786/199

8

3 Mah/1786/1998

KULKARNI NIDHIRAHUL

13 Female LAWYER Children 22/05/2016 0 0

1726 Mah/1786/199

8

1 Mah/1786/1998

KULKARNI RAHULHANMAN

TRAO

42 Male LAWYER Employee 22/05/2016 200000 0

1743 Mah/1786/199

8

11 Mah/1786/1998

KULKARNI ANURAG

RAHUL

9 Male LAWYER Child 2 22/05/2016 0 0

1732 Mah/1786/199

8

2 Mah/1786/1998

KULKARNI

VISHAKHA RAHUL

40 Female LAWYER Spouse 22/05/2016 0 0

2539 Mah/1788/200

5

2 Mah/1788/2005

PATHANKAUSARZAFAR

33 Female LAWYER Spouse 22/05/2016 0 0

2531 Mah/1788/200

5

1 Mah/1788/2005

PATHANZAFARMAJID

34 Male LAWYER Employee 22/05/2016 100000 0

2553 Mah/1788/200

5

11 Mah/1788/2005

PATHANMADIHAZAFAR

4 Female LAWYER Child 2 22/05/2016 0 0

2548 Mah/1788/200

5

3 Mah/1788/2005

PATHANHASNAINZAFAR

7 Male LAWYER Children 22/05/2016 0 0

1127 Mah/1789/200

9

11 Mah/1789/2009

RUCHASHYAMNA

YANABHYANK

AR

9 Female LOWYER Child 2 22/05/2016 0 0

1034 Mah/1789/200

9

2 Mah/1789/2009

AMRUTASHYAMNA

YANABHYANK

AR

39 Female LOWYER Spouse 22/05/2016 0 0

1029 Mah/1789/200

9

1 Mah/1789/2009

ABHYANKAR

SHYAMNAYAN

NIELKANTH

39 Male LOWYER Employee 22/05/2016 500000 0

1035 Mah/1789/200

9

3 Mah/1789/2009

TEJASSHYAMNA

YANABHYANK

AR

8 Male LOWYER Children 22/05/2016 0 0

280 Mah/1792/201

3

11 Mah/1792/2013

DHRUVSAGAR

WALZADE

4 Male LOWYER Child 2 22/05/2016 0 0

239 Mah/1792/201

3

1 Mah/1792/2013

WALZADE SAGARDATTU

30 Male LOWYER Employee 22/05/2016 200000 0

256 Mah/1792/201

3

2 Mah/1792/2013

UJJAWALASAGAR

WALZADE

28 Female LOWYER Spouse 22/05/2016 0 0

273 Mah/1792/201

3

3 Mah/1792/2013

YADUNANDAN

SAGARWALZAD

E

6 Male LOWYER Children 22/05/2016 0 0

32 Mah/1794/199

9

1 Mah/1794/1999

ADVRANEVILAS

VASANT

42 Male LOWYER Employee 22/05/2016 300000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

533 Mah/1794/199

9

2 Mah/1794/1999

MRSSULBHA

45 Female LOWYER Spouse 22/05/2016 0 0

534 Mah/1794/199

9

3 Mah/1794/1999

MEGHRAJ 17 Male LOWYER Children 22/05/2016 0 0

946 Mah/1795/199

0

3 Mah/1795/1990

VINDHYARAHUL

RANPISE

17 Male LOWYER Children 22/05/2016 0 0

939 Mah/1795/199

0

2 Mah/1795/1990

ARCHANARAHUL

RANPISE

41 Female LOWYER Spouse 22/05/2016 0 0

1132 Mah/1795/199

0

11 Mah/1795/1990

OSHINRAHUL

RANPISE

22 Female LOWYER Child 2 22/05/2016 0 0

933 Mah/1795/199

0

1 Mah/1795/1990

RANPISERAHUL

ABHIMANYU

52 Male LOWYER Employee 22/05/2016 300000 0

1925 Mah/1796/200

9

2 Mah/1796/2009

PATILADESH

DADASAHEB

35 Male LAWYER Spouse 22/05/2016 0 0

1923 Mah/1796/200

9

1 Mah/1796/2009

PATILTANUJAADESH

31 Female LAWYER Employee 22/05/2016 500000 0

2143 Mah/1796/200

9

3 Mah/1796/2009

PATILSHAURYA

ADESH

6 Male LAWYER Children 22/05/2016 0 0

779 Mah/1806/200

2

3 Mah/1806/2002

VANKETASH

9 Male lawyer Children 22/05/2016 0 0

785 Mah/1806/200

2

11 Mah/1806/2002

SHRIKANT

5 Male lawyer Child 2 22/05/2016 0 0

769 Mah/1806/200

2

1 Mah/1806/2002

JADHAVRAMAKA

NTMADHAV

RAO

40 Male lawyer Employee 22/05/2016 100000 0

775 Mah/1806/200

2

2 Mah/1806/2002

MRSSUREKHA

39 Female lawyer Spouse 22/05/2016 0 0

961 Mah/1810/200

2

2 Mah/1810/2002

MRMANOJ

43 Male LOWYER Spouse 22/05/2016 0 0

967 Mah/1810/200

2

3 Mah/1810/2002

SANSKAR 10 Male LOWYER Children 22/05/2016 0 0

1124 Mah/1810/200

2

11 Mah/1810/2002

ONKAR 10 Male LOWYER Child 2 22/05/2016 0 0

956 Mah/1810/200

2

1 Mah/1810/2002

DODEVAISHALIMANOJ

40 Female LOWYER Employee 22/05/2016 500000 0

973 Mah/1810/201

2

1 Mah/1810/2012

MARATHEKAUSTUB

HNAGESH

27 Male LOWYER Employee 22/05/2016 300000 0

1158 Mah/1814/200

0

3 Mah/1814/2000

DUBASHMYRA

FARHAN

11 Female LOWYER Children 22/05/2016 0 0

1159 Mah/1814/200

0

11 Mah/1814/2000

DUBASHLEAH

FARHAN

4 Female LOWYER Child 2 22/05/2016 0 0

1157 Mah/1814/200

0

2 Mah/1814/2000

DUBASHNATASHAFARHAN

37 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1156 Mah/1814/200

0

1 Mah/1814/2000

DUBASHFARHANPARVEZ

39 Male LOWYER Employee 22/05/2016 1000000 0

960 Mah/1823/200

9

1 Mah/1823/2009

MOHITEABHIJEETCHANDRAKANT

30 Male LOWYER Employee 22/05/2016 200000 0

966 Mah/1823/200

9

2 Mah/1823/2009

MOHITESUPRIYAABHIJEET

29 Female LOWYER Spouse 22/05/2016 0 0

98 Mah/1829/200

5

3 Mah/1829/2005

SANVIPRABHAK

ARJADHAV

6 Female LOWYER Children 22/05/2016 0 0

85 Mah/1829/200

5

1 Mah/1829/2005

JADHAVPRABHAK

ARMANOHA

R

35 Male LOWYER Employee 22/05/2016 500000 0

107 Mah/1829/200

5

11 Mah/1829/2005

SHAURYAPRABHAK

ARJADHAV

2 Male LOWYER Child 2 22/05/2016 0 0

91 Mah/1829/200

5

2 Mah/1829/2005

MAYURIPRABHAK

ARJADHAV

26 Female LOWYER Spouse 22/05/2016 0 0

1174 Mah/1830/200

3

1 Mah/1830/2003

DALVISATISH

DATTATRAY

41 Male LOWYER Employee 22/05/2016 300000 0

1180 Mah/1830/200

3

11 Mah/1830/2003

DALVIPURVASATISH

4 Female LOWYER Child 2 22/05/2016 0 0

1178 Mah/1830/200

3

3 Mah/1830/2003

DALVISHANTANU SATISH

11 Male LOWYER Children 22/05/2016 0 0

1176 Mah/1830/200

3

2 Mah/1830/2003

DALVISMITASATISH

37 Female LOWYER Spouse 22/05/2016 0 0

2481 Mah/1830/200

7

1 Mah/1830/2007

KANAWADE AJAYTHAKAJI

33 Male LAWYER Employee 22/05/2016 100000 0

2487 Mah/1830/200

7

2 Mah/1830/2007

KANAWADE

SUJATAAJAY

30 Female LAWYER Spouse 22/05/2016 0 0

2491 Mah/1830/200

7

3 Mah/1830/2007

KANAWADE

GAYATRIAJAY

3 Female LAWYER Children 22/05/2016 0 0

2420 Mah/1836/200

6

3 Mah/1836/2006

PATILSWARANJ

ALIKISHOR

5 Female LAWYER Children 22/05/2016 0 0

2427 Mah/1836/200

6

11 Mah/1836/2006

PATILAAROHIKISHOR

2 Female LAWYER Child 2 22/05/2016 0 0

2412 Mah/1836/200

6

2 Mah/1836/2006

PATILROHINIKISHOR

31 Female LAWYER Spouse 22/05/2016 0 0

2406 Mah/1836/200

6

1 Mah/1836/2006

PATILKISHOR

DILIP

36 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1738 Mah/184/2000

11 Mah/184/2000

CHAUDHARI

RANVIRRANJEET

6 Male LAWYER Child 2 22/05/2016 0 0

1730 Mah/184/2000

1 Mah/184/2000

CHAUDHARI

RANJEETUTTAMRA

O

42 Male LAWYER Employee 22/05/2016 100000 0

1733 Mah/184/2000

2 Mah/184/2000

CHAUDHARI

VIDYARANJEET

36 Female LAWYER Spouse 22/05/2016 0 0

1735 Mah/184/2000

3 Mah/184/2000

CHAUDHARI

SIDDHIRANJEET

10 Female LAWYER Children 22/05/2016 0 0

540 Mah/1842/200

9

3 Mah/1842/2009

KRUSHNACHANDRASHEKHA

RPANGARK

AR

3 Male LOWYER Children 22/05/2016 0 0

538 Mah/1842/200

9

1 Mah/1842/2009

PANGARKAR

CHANDRASHEKHA

RVASANT

32 Male LOWYER Employee 22/05/2016 200000 0

539 Mah/1842/200

9

2 Mah/1842/2009

SUVARNACHANDRASHEKHA

RPANGARK

AR

29 Female LOWYER Spouse 22/05/2016 0 0

542 Mah/185/1976

2 Mah/185/1976

SUSHILARAJENDRA SINGH

57 Female LOWYER Spouse 22/05/2016 0 0

185 Mah/185/1976

1 Mah/185/1976

SINGHRAJENDR

APRASAD

65 Male LOWYER Employee 22/05/2016 200000 0

810 Mah/1855/200

4

1 Mah/1855/2004

YADAVSHRIKAN

THANMAN

TRAO

39 Male lawyer Employee 22/05/2016 300000 0

820 Mah/1855/200

4

3 Mah/1855/2004

YADAVBHUSHA

NSHRIKAN

T

8 Male lawyer Children 22/05/2016 0 0

822 Mah/1855/200

4

11 Mah/1855/2004

YADAVSWARA

SHRIKANT

3 Female lawyer Child 2 22/05/2016 0 0

815 Mah/1855/200

4

2 Mah/1855/2004

YADAVSUVARNASHRIKAN

T

35 Female lawyer Spouse 22/05/2016 0 0

1796 Mah/1858/201

3

1 Mah/1858/2013

DONGARE

CHANDRAKIRAN

GAJANAN

29 Male LAWYER Employee 22/05/2016 100000 0

1801 Mah/1858/201

3

2 Mah/1858/2013

DONGARE

PRIYANKACHANDRAKIRAN

25 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

581 Mah/1872/200

9

2 Mah/1872/2009

DURGA 30 Female lawyer Spouse 22/05/2016 0 0

579 Mah/1872/200

9

1 Mah/1872/2009

PAWARABHIJITDADASA

HEB

32 Male lawyer Employee 22/05/2016 300000 0

449 Mah/1876/199

4

2 Mah/1876/1994

DAVESHARMIS

HTARAKESH

38 Female LOWYER Spouse 22/05/2016 0 0

442 Mah/1876/199

4

1 Mah/1876/1994

DAVERAKESHDURGASHANKAR

46 Male LOWYER Employee 22/05/2016 500000 0

455 Mah/1876/199

4

3 Mah/1876/1994

DAVENEEL

RAKESH

15 Male LOWYER Children 22/05/2016 0 0

459 Mah/1876/199

4

11 Mah/1876/1994

DAVEKHUSHIRAKESH

13 Female LOWYER Child 2 22/05/2016 0 0

901 Mah/1879/200

6

3 Mah/1879/2006

KANBARKAR

MANASVIONKAR

1 Female LOWYER Children 22/05/2016 0 0

897 Mah/1879/200

6

2 Mah/1879/2006

KANBARKAR KETKIONKAR

30 Female LOWYER Spouse 22/05/2016 0 0

892 Mah/1879/200

6

1 Mah/1879/2006

KANBARKAR

ONKARWAMANR

AO

32 Male LOWYER Employee 22/05/2016 200000 0

357 Mah/1884/201

0

1 Mah/1884/2010

SURYAVANSHI

AMARJEET VASANT

31 Male LOWYER Employee 22/05/2016 500000 0

1229 Mah/1891/200

1

11 Mah/1891/2001

KADAMRADHEYABHIJIT

5 Male LOWYER Child 2 22/05/2016 0 0

1226 Mah/1891/200

1

3 Mah/1891/2001

KADAMGAYATRIABHIJIT

7 Female LOWYER Children 22/05/2016 0 0

1218 Mah/1891/200

1

1 Mah/1891/2001

KADAMABHIJIT

BAPUSAHEB

38 Male LOWYER Employee 22/05/2016 500000 0

1221 Mah/1891/200

1

2 Mah/1891/2001

KADAMSARIKAABHIJIT

31 Female LOWYER Spouse 22/05/2016 0 0

1842 Mah/1895/200

6

3 Mah/1895/2006

BADODEJANHAVISHYAM

8 Female LAWYER Children 22/05/2016 0 0

1543 Mah/1895/200

6

11 Mah/1895/2006

BADODEVEER

SHYAM

6 Male LAWYER Child 2 22/05/2016 0 0

1542 Mah/1895/200

6

2 Mah/1895/2006

BADODESHITALSHYAM

29 Female LAWYER Spouse 22/05/2016 0 0

1539 Mah/1895/200

6

1 Mah/1895/2006

BADODESHYAM

DHARMRAJ

35 Male LAWYER Employee 22/05/2016 200000 0

358 Mah/1897-

H/2000

2 Mah/1897-H/2000

DUBEYSANGEET

AARUNKU

MAR

40 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

379 Mah/1897-

H/2000

11 Mah/1897-H/2000

DUBEYPRIYAMARUNKU

MAR

14 Male LOWYER Child 2 22/05/2016 0 0

351 Mah/1897-

H/2000

1 Mah/1897-H/2000

DUBEYARUNKU

MAR

47 Male LOWYER Employee 22/05/2016 200000 0

370 Mah/1897-

H/2000

3 Mah/1897-H/2000

DUBEYSATYAMARUNKU

MAR

18 Male LOWYER Children 22/05/2016 0 0

1084 Mah/1899/197

7

3 Mah/1899/1977

SHRAVANRAJKUMA

RBHOSLE

4 Male LOWYER Children 22/05/2016 0 0

1121 Mah/1899/197

7

11 Mah/1899/1977

SANCHITA

RAJKUMAR

BHOSLE

9 Female LOWYER Child 2 22/05/2016 0 0

1075 Mah/1899/197

7

1 Mah/1899/1977

BHOSLERAJKUMA

RSHANKAR

RAO

38 Male LOWYER Employee 22/05/2016 200000 0

1079 Mah/1899/197

7

2 Mah/1899/1977

SWATIRAJKUMA

RBHOSLE

28 Female LOWYER Spouse 22/05/2016 0 0

1573 Mah/1899/200

6

3 Mah/1899/2006

SHREYAPRATIKSHINDE

6 Female LAWYER Children 22/05/2016 0 0

1563 Mah/1899/200

6

1 Mah/1899/2006

SHINDEPRATIK

VISHWANATH

32 Male LAWYER Employee 22/05/2016 200000 0

1566 Mah/1899/200

6

2 Mah/1899/2006

PRIYAPRATIKSHINDE

32 Female LAWYER Spouse 22/05/2016 0 0

1258 Mah/190/1999

1 Mah/190/1999

BASARKAR ANIL

PRABHAKARRAO

43 Male LOWYER Employee 22/05/2016 200000 0

1262 Mah/190/1999

3 Mah/190/1999

BASARKAR

RUTUPRANA ANIL

9 Male LOWYER Children 22/05/2016 0 0

1260 Mah/190/1999

2 Mah/190/1999

BASARKAR AARTI

ANIL

35 Female LOWYER Spouse 22/05/2016 0 0

594 Mah/1901/200

8

3 Mah/1901/2008

SAKHAREOM

SANJAY

11 Male lawyer Children 22/05/2016 0 0

590 Mah/1901/200

8

1 Mah/1901/2008

SAKHARESANJAY

CHANDRAKANT

39 Male lawyer Employee 22/05/2016 300000 0

592 Mah/1901/200

8

2 Mah/1901/2008

SAKHARESUJATASANJAY

32 Female lawyer Spouse 22/05/2016 0 0

625 Mah/1902/200

6

3 Mah/1902/2006

SANSKRUTI

GANESHPAWAR

5 Female lawyer Children 22/05/2016 0 0

619 Mah/1902/200

6

1 Mah/1902/2006

PAWARGANESHDEORAM

35 Male lawyer Employee 22/05/2016 200000 0

621 Mah/1902/200

6

2 Mah/1902/2006

POONAMGANESHPAWAR

28 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2590 Mah/1903/199

2

2 Mah/1903/1992

PATILKAVITA

SHAMSUNDER

44 Female LAWYER Spouse 22/05/2016 0 0

2591 Mah/1903/199

2

3 Mah/1903/1992

PATILSUSHMIT

HSHAMSU

NDER

19 Male LAWYER Children 22/05/2016 0 0

2220 Mah/1903/199

2

1 Mah/1903/1992

PATILSHAMSU

NDERBABARAO

55 Male LAWYER Employee 22/05/2016 100000 0

1004 Mah/1904/200

7

2 Mah/1904/2007

GAIKWADVAISHNAVI RAVI

33 Female LOWYER Spouse 22/05/2016 0 0

997 Mah/1904/200

7

1 Mah/1904/2007

GAIKWADRAVI

ROHIDAS

36 Male LOWYER Employee 22/05/2016 200000 0

2425 Mah/1908-

B/1994

1 Mah/1908-B/1994

MISHRADHARMR

AJRAMAKA

NT

49 Male LAWYER Employee 22/05/2016 100000 0

2442 Mah/1908-

B/1994

11 Mah/1908-B/1994

MISHRAPRASHAN

TDHARMR

AJ

18 Male LAWYER Child 2 22/05/2016 0 0

2437 Mah/1908-

B/1994

3 Mah/1908-B/1994

MISHRAVISHAL

DHARMRAJ

22 Male LAWYER Children 22/05/2016 0 0

2431 Mah/1908-

B/1994

2 Mah/1908-B/1994

MISHRAURMILAD

EVIDHARMR

AJ

47 Female LAWYER Spouse 22/05/2016 0 0

657 Mah/1912/200

3

3 Mah/1912/2003

RAJGUREANUSHKAMANOHA

R

7 Female lawyer Children 22/05/2016 0 0

655 Mah/1912/200

3

2 Mah/1912/2003

RAJGUREMANISHAMANOHA

R

30 Female lawyer Spouse 22/05/2016 0 0

651 Mah/1912/200

3

1 Mah/1912/2003

RAJGUREMANOHA

RDADARA

O

37 Male lawyer Employee 22/05/2016 200000 0

1560 Mah/1919/200

5

2 Mah/1919/2005

GAVAIPRIYA

PRASHANT

26 Female LAWYER Spouse 22/05/2016 0 0

1556 Mah/1919/200

5

1 Mah/1919/2005

GAVAIPRASHAN

TVISHRAM

33 Male LAWYER Employee 22/05/2016 100000 0

396 Mah/1921/199

9

2 Mah/1921/1999

ANUPRITA A

DESHMUKH

42 Female LOWYER Spouse 22/05/2016 0 0

418 Mah/1921/199

9

11 Mah/1921/1999

AJINKYA ADESHMU

KH

8 Male LOWYER Child 2 22/05/2016 0 0

388 Mah/1921/199

9

1 Mah/1921/1999

DESHMUKH

ASHISHPANJABR

AO

43 Male LOWYER Employee 22/05/2016 1000000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

408 Mah/1921/199

9

3 Mah/1921/1999

ARPTIA ADESHMU

KH

15 Female LOWYER Children 22/05/2016 0 0

44 Mah/1923/200

3

3 Mah/1923/2003

RUDRATEJ RUPESHBOBADE

2 Male LOWYER Children 22/05/2016 0 0

27 Mah/1923/200

3

1 Mah/1923/2003

BOBADERUPESHKRISHNA

TH

37 Male LOWYER Employee 22/05/2016 300000 0

39 Mah/1923/200

3

2 Mah/1923/2003

SWARUPA

RUPESHBOBADE

33 Female LOWYER Spouse 22/05/2016 0 0

49 Mah/1923/200

3

11 Mah/1923/2003

TEJASWINI RUPESHBOBADE

2 Female LOWYER Child 2 22/05/2016 0 0

2578 Mah/192A/197

1

1 Mah/192A/1971

SRIVASTAVA

VIJAYKUMAR

KANHANALAL

69 Male LAWYER Employee 22/05/2016 100000 0

2579 Mah/192A/197

1

2 Mah/192A/1971

VIJAYKUMAR

PREMLATA

56 Female LAWYER Spouse 22/05/2016 0 0

2422 Mah/1932/200

5

2 Mah/1932/2005

DARANDALE

SNEHALABHIJIT

29 Female LAWYER Spouse 22/05/2016 0 0

2415 Mah/1932/200

5

1 Mah/1932/2005

DARANDALE

ABHIJITCHANDRAKANT

34 Male LAWYER Employee 22/05/2016 100000 0

2428 Mah/1932/200

5

3 Mah/1932/2005

DARANDALE

VISHWAJEET

ABHIJIT

3 Male LAWYER Children 22/05/2016 0 0

2394 Mah/1933/200

6

2 Mah/1933/2006

KHARADEAJAY

CHANDRAKANT

41 Male LAWYER Spouse 22/05/2016 0 0

2384 Mah/1933/200

6

1 Mah/1933/2006

KHARADEDIPA AJAY

36 Female LAWYER Employee 22/05/2016 200000 0

679 Mah/1939/200

5

2 Mah/1939/2005

TRUPTIPRADEEPKUMAR

RANDHIR

30 Female lawyer Spouse 22/05/2016 0 0

674 Mah/1939/200

5

1 Mah/1939/2005

RANDHIRPRADEEPKUMAR

DHONDIBA

36 Male lawyer Employee 22/05/2016 100000 0

684 Mah/1939/200

5

3 Mah/1939/2005

ABHIDNYA

PRADEEPKUMAR

RANDHIR

10 Female lawyer Children 22/05/2016 0 0

689 Mah/1939/200

5

11 Mah/1939/2005

ANANYAPRADEEPKUMAR

RANDHIR

4 Female lawyer Child 2 22/05/2016 0 0

2263 Mah/1940/198

9

2 Mah/1940/1989

SABADELALITA

BHARAT

49 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2258 Mah/1940/198

9

1 Mah/1940/1989

SABADEBHARAT

PRABHAKARRAO

51 Male LAWYER Employee 22/05/2016 100000 0

2267 Mah/1940/198

9

3 Mah/1940/1989

SABADERAGHVEN

DRABHARAT

27 Male LAWYER Children 22/05/2016 0 0

2271 Mah/1940/198

9

11 Mah/1940/1989

SABADESHRINIW

ASBHARAT

20 Male LAWYER Child 2 22/05/2016 0 0

2227 Mah/1947/201

2

1 Mah/1947/2012

UDHANVISHAL

VASANTRAO

29 Male LAWYER Employee 22/05/2016 100000 0

2231 Mah/1947/201

2

2 Mah/1947/2012

UDHANNIVEDITAVISHAL

26 Female LAWYER Spouse 22/05/2016 0 0

315 Mah/1960/198

9

3 Mah/1960/1989

ANKITADHANANJAY RAJE

21 Female LOWYER Children 22/05/2016 0 0

316 Mah/1960/198

9

11 Mah/1960/1989

VIDULADHANANJAY RAJE

16 Female LOWYER Child 2 22/05/2016 0 0

296 Mah/1960/198

9

1 Mah/1960/1989

RAJEDHANANJ

AYKRISHNAJ

I

51 Male LOWYER Employee 22/05/2016 500000 0

303 Mah/1960/198

9

2 Mah/1960/1989

PRATIBHA

DHANANJAY RAJE

44 Female LOWYER Spouse 22/05/2016 0 0

1949 Mah/1962/199

5

11 Mah/1962/1995

KUNDEKAR VIRAJARVIND

4 Male LAWYER Child 2 22/05/2016 0 0

2147 Mah/1962/199

5

3 Mah/1962/1995

KUNDEKAR JAYAARVIND

7 Female LAWYER Children 22/05/2016 0 0

1944 Mah/1962/199

5

1 Mah/1962/1995

KUNDEKAR ARVINDGOVIND

49 Male LAWYER Employee 22/05/2016 1000000 0

1947 Mah/1962/199

5

2 Mah/1962/1995

KUNDEKAR MAYAARVIND

45 Female LAWYER Spouse 22/05/2016 0 0

2293 Mah/1964/200

8

1 Mah/1964/2008

PAWARKULDIPTANAJI

31 Male LAWYER Employee 22/05/2016 200000 0

2301 Mah/1964/200

8

2 Mah/1964/2008

PATILSARITA

NARAYAN

39 Female LAWYER Spouse 22/05/2016 0 0

2327 Mah/1964/201

3

2 Mah/1964/2013

HARIHARAN

SHOBHA

58 Female LAWYER Spouse 22/05/2016 0 0

2322 Mah/1964/201

3

1 Mah/1964/2013

GHARIHAR

AN

64 Male LAWYER Employee 22/05/2016 500000 0

1946 Mah/1968/201

2

1 Mah/1968/2012

MAHANGADE

AKASHPRALHAD

26 Male LAWYER Employee 22/05/2016 100000 0

1950 Mah/1968/201

2

2 Mah/1968/2012

MAHANGADE

PRITAMAKASH

26 Female LAWYER Spouse 22/05/2016 0 0

687 Mah/1990/200

7

2 Mah/1990/2007

NEHAPRAMODMAYURE

25 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

683 Mah/1990/200

7

1 Mah/1990/2007

MAYUREPRAMODCHANDRASHEKHA

R

33 Male lawyer Employee 22/05/2016 200000 0

691 Mah/1990/200

7

3 Mah/1990/2007

BHARGAVPRAMODMAYURE

1 Male lawyer Children 22/05/2016 0 0

1296 Mah/1995/200

9

3 Mah/1995/2009

ATOLEAYUSHKA

NITIN

3 Female LOWYER Children 22/05/2016 0 0

1292 Mah/1995/200

9

1 Mah/1995/2009

ATOLENITIN

APPASAHEB

31 Male LOWYER Employee 22/05/2016 200000 0

1295 Mah/1995/200

9

2 Mah/1995/2009

ATOLESHUBHANGI NITIN

26 Female LOWYER Spouse 22/05/2016 0 0

1338 Mah/1998/200

5

11 Mah/1998/2005

KHANDEKAR

AKHILESHSANTOSH

3 Male LOWYER Child 2 22/05/2016 0 0

1335 Mah/1998/200

5

3 Mah/1998/2005

KHANDEKAR

SRUSHTISANTOSH

8 Female LOWYER Children 22/05/2016 0 0

1333 Mah/1998/200

5

1 Mah/1998/2005

KHANDEKAR

SANTOSHSHIVAJI

36 Male LOWYER Employee 22/05/2016 100000 0

1334 Mah/1998/200

5

2 Mah/1998/2005

KHANDEKAR

SONALISANTOSH

30 Female LOWYER Spouse 22/05/2016 0 0

297 Mah/2005/199

3

1 Mah/2005/1993

SINGHRAJANEERANJAN

52 Female LOWYER Employee 22/05/2016 1000000 0

307 Mah/2005/199

3

2 Mah/2005/1993

RANJANKUMARSINHA

57 Male LOWYER Spouse 22/05/2016 0 0

319 Mah/2005/199

3

3 Mah/2005/1993

SINGHTANISHA

20 Female LOWYER Children 22/05/2016 0 0

1586 Mah/2008/199

9

11 Mah/2008/1999

RAWANREETSUNIL

4 Female LAWYER Child 2 22/05/2016 0 0

1578 Mah/2008/199

9

3 Mah/2008/1999

RAWANPARTHSUNIL

10 Male LAWYER Children 22/05/2016 0 0

1574 Mah/2008/199

9

2 Mah/2008/1999

RAWANVARSHAR

ANISUNIL

36 Female LAWYER Spouse 22/05/2016 0 0

1571 Mah/2008/199

9

1 Mah/2008/1999

RAWANSUNIL

GHURAL

43 Male LAWYER Employee 22/05/2016 300000 0

948 Mah/2010/200

7

3 Mah/2010/2007

GAIKWADSHRAVANI SANDIP

5 Female LOWYER Children 22/05/2016 0 0

935 Mah/2010/200

7

1 Mah/2010/2007

GAIKWADSANDIP

MAHADEO

32 Male LOWYER Employee 22/05/2016 200000 0

941 Mah/2010/200

7

2 Mah/2010/2007

GAIKWADARATI

SANDIP

29 Female LOWYER Spouse 22/05/2016 0 0

2251 Mah/2018/201

6

1 Mah/2018/2016

HADPENILESHVALIBA

29 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2260 Mah/2018/201

6

2 Mah/2018/2016

HADPESUPRIYANILESH

27 Female LAWYER Spouse 22/05/2016 0 0

1628 Mah/202/1998

3 Mah/202/1998

GITESONALVILAS

22 Female LAWYER Children 22/05/2016 0 0

1632 Mah/202/1998

11 Mah/202/1998

GITEVAISHANAVI VILAS

13 Female LAWYER Child 2 22/05/2016 0 0

1615 Mah/202/1998

1 Mah/202/1998

GITEVILAS

NAMDEORAO

55 Male LAWYER Employee 22/05/2016 200000 0

1621 Mah/202/1998

2 Mah/202/1998

GITERAJASHREE VILAS

48 Female LAWYER Spouse 22/05/2016 0 0

1690 Mah/2022/200

1

11 Mah/2022/2001

BEOI 2 Male LAWYER Child 2 22/05/2016 0 0

1674 Mah/2022/200

1

1 Mah/2022/2001

PATELNAVINKUMAR

42 Male LAWYER Employee 22/05/2016 300000 0

1682 Mah/2022/200

1

2 Mah/2022/2001

VARSHA 34 Female LAWYER Spouse 22/05/2016 0 0

1688 Mah/2022/200

1

3 Mah/2022/2001

ARJUN 4 Male LAWYER Children 22/05/2016 0 0

191 Mah/2028/200

0

3 Mah/2028/2000

SUMITSHANKARDNYANDE

V

17 Male LOWYER Children 22/05/2016 0 0

177 Mah/2028/200

0

2 Mah/2028/2000

JYOTISHANKARDNYANDE

V

37 Female LOWYER Spouse 22/05/2016 0 0

167 Mah/2028/200

0

1 Mah/2028/2000

ERANDESHANKARDNYANDE

V

45 Male LOWYER Employee 22/05/2016 200000 0

201 Mah/2028/200

0

11 Mah/2028/2000

PURVASHANKARDNYANDE

V

12 Female LOWYER Child 2 22/05/2016 0 0

294 Mah/2028/201

3

11 Mah/2028/2013

FARHAN 4 Female LOWYER Child 2 22/05/2016 0 0

281 Mah/2028/201

3

3 Mah/2028/2013

AMAN 7 Male LOWYER Children 22/05/2016 0 0

263 Mah/2028/201

3

1 Mah/2028/2013

PATHANANWARRAMJAN

30 Male LOWYER Employee 22/05/2016 200000 0

267 Mah/2028/201

3

2 Mah/2028/2013

SAMEENA 27 Female LOWYER Spouse 22/05/2016 0 0

548 Mah/203/1994

1 Mah/203/1994

DHIKALERATAN

BABURAO

47 Male LOWYER Employee 22/05/2016 200000 0

549 Mah/203/1994

2 Mah/203/1994

MANISHA 39 Female LOWYER Spouse 22/05/2016 0 0

551 Mah/203/1994

11 Mah/203/1994

GAYATRI 15 Female LOWYER Child 2 22/05/2016 0 0

550 Mah/203/1994

3 Mah/203/1994

NIKHIL 19 Male LOWYER Children 22/05/2016 0 0

253 Mah/2030/199

2

11 Mah/2030/1992

SHRUTIYA

13 Female LOWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

219 Mah/2030/199

2

1 Mah/2030/1992

KHOTRESHYAM

MURLIDHAR

49 Male LOWYER Employee 22/05/2016 200000 0

232 Mah/2030/199

2

2 Mah/2030/1992

MRSDEEPALI

38 Female LOWYER Spouse 22/05/2016 0 0

243 Mah/2030/199

2

3 Mah/2030/1992

SHRAWANI

16 Female LOWYER Children 22/05/2016 0 0

391 Mah/2032/200

0

2 Mah/2032/2000

SAKSHISANJAYPATIL

33 Female LOWYER Spouse 22/05/2016 0 0

383 Mah/2032/200

0

1 Mah/2032/2000

PATILSANJAY

BHAGAWAN

45 Male LOWYER Employee 22/05/2016 300000 0

399 Mah/2032/200

0

3 Mah/2032/2000

ROHITSANJAYPATIL

11 Male LOWYER Children 22/05/2016 0 0

411 Mah/2032/200

0

11 Mah/2032/2000

VANSHIKA SANJAY

PATIL

7 Female LOWYER Child 2 22/05/2016 0 0

1691 Mah/2033/201

3

1 Mah/2033/2013

PHARANDE

DHANANJAY

BALIRAM

31 Male LAWYER Employee 22/05/2016 100000 0

1697 Mah/2033/201

3

2 Mah/2033/2013

PHARANDE

PRADNYADHANANJ

AY

29 Female LAWYER Spouse 22/05/2016 0 0

1702 Mah/2033/201

3

3 Mah/2033/2013

PHARANDE

DURVAADHANANJ

AY

0 Female LAWYER Children 22/05/2016 0 0

720 Mah/2046/200

4

1 Mah/2046/2004

VYASAMOL

ASHOKRAO

37 Male lawyer Employee 22/05/2016 300000 0

345 Mah/2057/200

4

1 Mah/2057/2004

YAMGARRAJU

MARUTI

37 Male LOWYER Employee 22/05/2016 1000000 0

361 Mah/2057/200

4

3 Mah/2057/2004

YAMGARAARYARAJU

2 Female LOWYER Children 22/05/2016 0 0

354 Mah/2057/200

4

2 Mah/2057/2004

YAMGARSAVITARAJU

25 Female LOWYER Spouse 22/05/2016 0 0

754 Mah/2062/201

2

1 Mah/2062/2012

HAGAWANE

SACHINVILAS

28 Male lawyer Employee 22/05/2016 200000 0

763 Mah/2062/201

2

2 Mah/2062/2012

HAGAWANE

MOHINISACHIN

25 Female lawyer Spouse 22/05/2016 0 0

767 Mah/2062/201

2

3 Mah/2062/2012

HAGAWANE

SHIVRAJSACHIN

1 Male lawyer Children 22/05/2016 0 0

795 Mah/2063/200

1

2 Mah/2063/2001

MALTI 41 Female lawyer Spouse 22/05/2016 0 0

802 Mah/2063/200

1

3 Mah/2063/2001

ADVAIT 11 Male lawyer Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

790 Mah/2063/200

1

1 Mah/2063/2001

JASUTKAR

PRAFULLA

WAMANRAO

44 Male lawyer Employee 22/05/2016 200000 0

364 Mah/2064/199

9

1 Mah/2064/1999

KOLEKARVIKAS

RAJARAM

42 Male LOWYER Employee 22/05/2016 200000 0

384 Mah/2064/199

9

3 Mah/2064/1999

KOLEKARDIGVIJAY

VIKAS

11 Male LOWYER Children 22/05/2016 0 0

375 Mah/2064/199

9

2 Mah/2064/1999

KOLEKARNEETAVIKAS

34 Female LOWYER Spouse 22/05/2016 0 0

393 Mah/2064/199

9

11 Mah/2064/1999

KOLEKARDNYANES

HWARIVIKAS

8 Female LOWYER Child 2 22/05/2016 0 0

964 Mah/2066/201

0

2 Mah/2066/2010

SHINDEAPARNAKEDAR

25 Female LOWYER Spouse 22/05/2016 0 0

951 Mah/2066/201

0

1 Mah/2066/2010

SHINDEKEDARPRATAP

30 Male LOWYER Employee 22/05/2016 300000 0

2489 Mah/2067/201

0

1 Mah/2067/2010

SHIVARKAR

PRASADVIJAY

29 Male LAWYER Employee 22/05/2016 100000 0

2495 Mah/2067/201

0

2 Mah/2067/2010

SHIVARKAR

VISHAKHA

PRASAD

27 Female LAWYER Spouse 22/05/2016 0 0

827 Mah/207/2009

1 Mah/207/2009

BARGEVICKRAMANANDR

AO

30 Male lawyer Employee 22/05/2016 200000 0

830 Mah/207/2009

2 Mah/207/2009

BARGEASHWINIVICKRAM

21 Female lawyer Spouse 22/05/2016 0 0

1386 Mah/2075/200

4

3 Mah/2075/2004

BODKHEBHAGYASHRI BALU

6 Female LOWYER Children 22/05/2016 0 0

1380 Mah/2075/200

4

2 Mah/2075/2004

BODKHEYOGITABALU

35 Female LOWYER Spouse 22/05/2016 0 0

1377 Mah/2075/200

4

1 Mah/2075/2004

BODKHEBALU

SAHEBRAO

37 Male LOWYER Employee 22/05/2016 100000 0

1389 Mah/2075/200

4

11 Mah/2075/2004

BODKHESHRIKANT BALU

1 Male LOWYER Child 2 22/05/2016 0 0

1392 Mah/2078/200

4

1 Mah/2078/2004

BHUJBALGANESHBALASAH

EB

37 Male LOWYER Employee 22/05/2016 300000 0

1395 Mah/2078/200

4

2 Mah/2078/2004

DEEPALIGANESHBHUJBAL

34 Female LOWYER Spouse 22/05/2016 0 0

1403 Mah/2078/200

4

3 Mah/2078/2004

SAISHGANESHBHUJBAL

4 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1418 Mah/2079/200

4

1 Mah/2079/2004

SONAWANE

MORESHWAR

RAMCHANDRA

37 Male LOWYER Employee 22/05/2016 100000 0

1424 Mah/2079/200

4

2 Mah/2079/2004

SONAWANE

SANGITAMORESH

WAR

31 Female LOWYER Spouse 22/05/2016 0 0

1432 Mah/2079/200

4

3 Mah/2079/2004

SONAWANE

SAMRUDDHI

MORESHWAR

5 Female LOWYER Children 22/05/2016 0 0

2572 Mah/209/1985

2 Mah/209/1985

DESHMUKH

SHOBHAVIJAY

54 Female LAWYER Spouse 22/05/2016 0 0

2569 Mah/209/1985

1 Mah/209/1985

DESHMUKH VIJAYMANIKRA

O

55 Male LAWYER Employee 22/05/2016 200000 0

271 Mah/2090/199

3

2 Mah/2090/1993

TIWARISANGEET

AMUKESH

44 Female LOWYER Spouse 22/05/2016 0 0

262 Mah/2090/199

3

1 Mah/2090/1993

TIWARIMUKESHSHAMBHUNATH

48 Male LOWYER Employee 22/05/2016 300000 0

282 Mah/2090/199

3

3 Mah/2090/1993

TIWARIPRIYA

MUKESH

23 Female LOWYER Children 22/05/2016 0 0

288 Mah/2090/199

3

11 Mah/2090/1993

TIWARISIDDHAN

TMUKESH

16 Male LOWYER Child 2 22/05/2016 0 0

1747 Mah/2092/199

9

1 Mah/2092/1999

ARLIKARMANOJ

MANOHARRAO

43 Male LAWYER Employee 22/05/2016 100000 0

1752 Mah/2092/199

9

2 Mah/2092/1999

ARLIKARSUDESHNA MANOJ

36 Female LAWYER Spouse 22/05/2016 0 0

1755 Mah/2092/199

9

3 Mah/2092/1999

ARLIKARARYANMANOJ

14 Male LAWYER Children 22/05/2016 0 0

1762 Mah/2092/199

9

11 Mah/2092/1999

ARLIKARMANTHAN MANOJ

10 Male LAWYER Child 2 22/05/2016 0 0

582 Mah/2113/199

9

1 Mah/2113/1999

CHATEVITHAL

MARUTIRAO

29 Male lawyer Employee 22/05/2016 500000 0

583 Mah/2113/199

9

2 Mah/2113/1999

SUMITA 40 Female lawyer Spouse 22/05/2016 0 0

587 Mah/2113/199

9

11 Mah/2113/1999

SRUSHTI 9 Female lawyer Child 2 22/05/2016 0 0

585 Mah/2113/199

9

3 Mah/2113/1999

OMKAR 13 Male lawyer Children 22/05/2016 0 0

597 Mah/2113/200

4

2 Mah/2113/2004

KORESEEMA

MANGESH

30 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

601 Mah/2113/200

4

11 Mah/2113/2004

KOREDEVAJ

MANGESH

4 Male lawyer Child 2 22/05/2016 0 0

598 Mah/2113/200

4

3 Mah/2113/2004

KOREARNAVIMANGES

H

7 Female lawyer Children 22/05/2016 0 0

595 Mah/2113/200

4

1 Mah/2113/2004

KOREMANGES

HDIGAMBA

R

36 Male lawyer Employee 22/05/2016 200000 0

1442 Mah/2117/200

7

2 Mah/2117/2007

SOLANKEMOHINI

SHRIKRASHNA

26 Female LOWYER Spouse 22/05/2016 0 0

1446 Mah/2117/200

7

3 Mah/2117/2007

SOLANKENIRINJANSHRIKRA

SHNA

4 Male LOWYER Children 22/05/2016 0 0

1436 Mah/2117/200

7

1 Mah/2117/2007

SOLANKESHRIKRA

SHNABHAGWA

NRAO

31 Male LOWYER Employee 22/05/2016 200000 0

631 Mah/2118/200

3

1 Mah/2118/2003

NANDEDKAR ANILVIRBHAD

RA

40 Male lawyer Employee 22/05/2016 200000 0

639 Mah/2118/200

3

3 Mah/2118/2003

NANDEDKAR

SHARADAANIL

11 Female lawyer Children 22/05/2016 0 0

643 Mah/2118/200

3

11 Mah/2118/2003

NANDEDKAR

SHWETAANIL

4 Female lawyer Child 2 22/05/2016 0 0

635 Mah/2118/200

3

2 Mah/2118/2003

NANDEDKAR

KAVERIANIL

36 Female lawyer Spouse 22/05/2016 0 0

2152 Mah/2119/199

9

3 Mah/2119/1999

WANKHEDE

AMEYAANAND

9 Male LAWYER Children 22/05/2016 0 0

1977 Mah/2119/199

9

2 Mah/2119/1999

WANKHEDE

VANDANA ANAND

111 Female LAWYER Spouse 22/05/2016 0 0

1973 Mah/2119/199

9

1 Mah/2119/1999

WANKHEDE

ANANDJAGANNA

TH

43 Male LAWYER Employee 22/05/2016 800000 0

675 Mah/2120/200

7

11 Mah/2120/2007

AARYANVINAYAKKAGNE

0 Male lawyer Child 2 22/05/2016 0 0

660 Mah/2120/200

7

1 Mah/2120/2007

KAGNEVINAYAKMAROTIR

AO

36 Male lawyer Employee 22/05/2016 300000 0

664 Mah/2120/200

7

2 Mah/2120/2007

MANISHAVINAYAKKAGNE

35 Female lawyer Spouse 22/05/2016 0 0

669 Mah/2120/200

7

3 Mah/2120/2007

VIRAAJVINAYAKKAGNE

2 Male lawyer Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

176 Mah/2138/200

1

1 Mah/2138/2001

ADVMOTIWAL

AABDETAIY

EB

39 Male LOWYER Employee 22/05/2016 1000000 0

554 Mah/2138/200

1

2 Mah/2138/2001

MRSRUQAIYA

H

32 Female LOWYER Spouse 22/05/2016 0 0

555 Mah/2138/200

1

3 Mah/2138/2001

SAKINA 7 Female LOWYER Children 22/05/2016 0 0

2323 Mah/2138/200

8

2 Mah/2138/2008

KHARATLAXMI

KASHINATH

23 Female LAWYER Spouse 22/05/2016 0 0

2310 Mah/2138/200

8

1 Mah/2138/2008

KHARATKASHINA

THDATTATR

AY

30 Male LAWYER Employee 22/05/2016 100000 0

1160 Mah/214/2009

1 Mah/214/2009

TRIVEDIRADHESH

YAMAMBALAL

43 Male LOWYER Employee 22/05/2016 200000 0

701 Mah/2141/201

5

2 Mah/2141/2015

KACHARESMITA

PRADEEP

36 Female lawyer Spouse 22/05/2016 0 0

710 Mah/2141/201

5

11 Mah/2141/2015

KACHARENIKHIL

PRADEEP

9 Male lawyer Child 2 22/05/2016 0 0

705 Mah/2141/201

5

3 Mah/2141/2015

KACHAREANJALI

PRADEEP

10 Female lawyer Children 22/05/2016 0 0

695 Mah/2141/201

5

1 Mah/2141/2015

KACHAREPRADEEPSOPAN

40 Male lawyer Employee 22/05/2016 800000 0

2012 Mah/2161/200

6

2 Mah/2161/2006

SANGAVADEKARBHAKTI

SHIVPRASAD

28 Female LAWYER Spouse 22/05/2016 0 0

2008 Mah/2161/200

6

1 Mah/2161/2006

SANGAVADEKAR

SHIVPRASAD

SHIVPAL

33 Male LAWYER Employee 22/05/2016 200000 0

2538 Mah/2167/200

6

3 Mah/2167/2006

BAGALYESHVAR

DHANDHANAJI

8 Male LAWYER Children 22/05/2016 0 0

2534 Mah/2167/200

6

2 Mah/2167/2006

BAGALPRITI

DHANAJI

31 Female LAWYER Spouse 22/05/2016 0 0

2544 Mah/2167/200

6

11 Mah/2167/2006

BAGALSHREYAS

HDHANAJI

5 Male LAWYER Child 2 22/05/2016 0 0

2527 Mah/2167/200

6

1 Mah/2167/2006

BAGALDHANAJIPANDIT

34 Male LAWYER Employee 22/05/2016 500000 0

903 Mah/2173/200

5

1 Mah/2173/2005

VARMASIDDHAR

THBALKRISH

NA

35 Male LOWYER Employee 22/05/2016 200000 0

907 Mah/2173/200

5

2 Mah/2173/2005

SAROJSIDDHAR

THVARMA

35 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

328 Mah/2176/201

2

3 Mah/2176/2012

AARAVBAPUNIKAM

1 Male LOWYER Children 22/05/2016 0 0

311 Mah/2176/201

2

2 Mah/2176/2012

SHWETABAPUNIKAM

26 Female LOWYER Spouse 22/05/2016 0 0

301 Mah/2176/201

2

1 Mah/2176/2012

NIKAMBAPUVIJAY

30 Male LOWYER Employee 22/05/2016 300000 0

696 Mah/2178/200

3

1 Mah/2178/2003

PADOLCHHAYATEJRAO

38 Female lawyer Employee 22/05/2016 200000 0

700 Mah/2178/200

3

2 Mah/2178/2003

ASHOKZINJURDE

44 Male lawyer Spouse 22/05/2016 0 0

2023 Mah/2181/201

2

1 Mah/2181/2012

KADAMJITENDRABHASKAR

27 Male LAWYER Employee 22/05/2016 100000 0

2025 Mah/2181/201

2

2 Mah/2181/2012

KADAMPRIYA

JITENDRA

26 Female LAWYER Spouse 22/05/2016 0 0

1182 Mah/2181/201

4

1 Mah/2181/2014

BHAGWAT

CHINMAYRAVINDR

A

25 Male LOWYER Employee 22/05/2016 200000 0

147 Mah/2182/200

5

1 Mah/2182/2005

KALEAMAR

MAHADEVRAO

34 Male LOWYER Employee 22/05/2016 1000000 0

161 Mah/2182/200

5

2 Mah/2182/2005

KALEPRANITA

AMAR

34 Female LOWYER Spouse 22/05/2016 0 0

169 Mah/2182/200

5

3 Mah/2182/2005

KALEPARTHAMAR

10 Male LOWYER Children 22/05/2016 0 0

19 Mah/2183/200

5

3 Mah/2183/2005

VEERAPRASHAN

THAGARE

4 Female LOWYER Children 22/05/2016 0 0

11 Mah/2183/200

5

1 Mah/2183/2005

HAGAREPRASHAN

TSUBHASH

35 Male LOWYER Employee 22/05/2016 300000 0

15 Mah/2183/200

5

2 Mah/2183/2005

UJJWALAPRASHAN

THAGARE

29 Female LOWYER Spouse 22/05/2016 0 0

1741 Mah/2190/199

3

1 Mah/2190/1993

GOLEWAR

VISHWANATH

PANDITRAO

48 Male LAWYER Employee 22/05/2016 200000 0

1750 Mah/2190/199

3

3 Mah/2190/1993

GOLEWAR VIKRAMVISHWAN

ATH

14 Male LAWYER Children 22/05/2016 0 0

1753 Mah/2190/199

3

11 Mah/2190/1993

GOLEWAR ADITYAVISHWAN

ATH

14 Male LAWYER Child 2 22/05/2016 0 0

1745 Mah/2190/199

3

2 Mah/2190/1993

GOLEWAR

TANABAIVISHWAN

ATH

37 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1808 Mah/2196/199

4

2 Mah/2196/1994

YADAVNEENA

GIRISHKUMAR

40 Female LAWYER Spouse 22/05/2016 0 0

1806 Mah/2196/199

4

1 Mah/2196/1994

YADAVGIRISHKU

MARPRABHUN

ATH

46 Male LAWYER Employee 22/05/2016 200000 0

1810 Mah/2196/199

4

3 Mah/2196/1994

YADAVRAHUL

GIRISHKUMAR

20 Male LAWYER Children 22/05/2016 0 0

1813 Mah/2196/199

4

11 Mah/2196/1994

YADAVANKIT

GIRISHKUMAR

17 Male LAWYER Child 2 22/05/2016 0 0

1238 Mah/2204/200

6

11 Mah/2204/2006

HAMBARDE ANSHANGAD

1 Male LOWYER Child 2 22/05/2016 0 0

1230 Mah/2204/200

6

1 Mah/2204/2006

HAMBARDE

ANGADBHAGWA

NRAO

33 Male LOWYER Employee 22/05/2016 300000 0

1236 Mah/2204/200

6

3 Mah/2204/2006

HAMBARDE

VITTHALANGAD

5 Male LOWYER Children 22/05/2016 0 0

1233 Mah/2204/200

6

2 Mah/2204/2006

HAMBARDE

SHALINIANGAD

28 Female LOWYER Spouse 22/05/2016 0 0

727 Mah/2213/200

4

1 Mah/2213/2004

MULCHANDANIMANOJ

TIKAMDAS

36 Male lawyer Employee 22/05/2016 200000 0

731 Mah/2213/200

4

2 Mah/2213/2004

MRSBHAVIKA

MMULCHANDANI

27 Female lawyer Spouse 22/05/2016 0 0

733 Mah/2213/200

4

3 Mah/2213/2004

YASH MMULCHANDANI

3 Male lawyer Children 22/05/2016 0 0

1547 Mah/2218/201

1

1 Mah/2218/2011

BARGESANTOSHSHIVAJI

28 Male LAWYER Employee 22/05/2016 100000 0

1551 Mah/2218/201

1

2 Mah/2218/2011

BARGEBHAGYAS

HRISANTOSH

23 Female LAWYER Spouse 22/05/2016 0 0

236 Mah/2222/201

2

1 Mah/2222/2012

THOBDERITESHMILIND

27 Male LOWYER Employee 22/05/2016 300000 0

771 Mah/2233/201

3

1 Mah/2233/2013

PODDARANIKET

CHANDRASHEKHA

R

27 Male lawyer Employee 22/05/2016 800000 0

774 Mah/2233/201

3

2 Mah/2233/2013

SNEHAKISHOR

PALDIWAL

27 Female lawyer Spouse 22/05/2016 0 0

231 Mah/226/1981

2 Mah/226/1981

SHETTYKASTURIMADHUR

ANJAN

59 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

222 Mah/226/1981

1 Mah/226/1981

SHETTYMADHUR

ANJANMUDDNN

A

60 Male LOWYER Employee 22/05/2016 200000 0

1100 Mah/2261/201

2

2 Mah/2261/2012

WADEKAR POOJAHEMANT

24 Female LOWYER Spouse 22/05/2016 0 0

1096 Mah/2261/201

2

1 Mah/2261/2012

WADEKAR

HEMANTDATTATR

AY

32 Male LOWYER Employee 22/05/2016 200000 0

880 Mah/2262/201

2

2 Mah/2262/2012

HAGAWANE SWATIVIKRAM

26 Female LOWYER Spouse 22/05/2016 0 0

874 Mah/2262/201

2

1 Mah/2262/2012

HAGAWANE

VIKRAMMADHUK

AR

30 Male LOWYER Employee 22/05/2016 200000 0

882 Mah/2262/201

2

3 Mah/2262/2012

HAGAWANE

VEDIKAVIKRAM

0 Female LOWYER Children 22/05/2016 0 0

818 Mah/2270/200

3

11 Mah/2270/2003

MALDODE

SHREEMAYI SANJAY

1 Female lawyer Child 2 22/05/2016 0 0

811 Mah/2270/200

3

2 Mah/2270/2003

MALDODE

SULBHASANJAY

33 Female lawyer Spouse 22/05/2016 0 0

808 Mah/2270/200

3

1 Mah/2270/2003

MALDODE SANJAYRAJESHW

AR

37 Male lawyer Employee 22/05/2016 200000 0

816 Mah/2270/200

3

3 Mah/2270/2003

MALDODE SHIVAMSANJAY

3 Male lawyer Children 22/05/2016 0 0

1577 Mah/228/2013

1 Mah/228/2013

KOMMURAVI

RANGARAJU

37 Male LAWYER Employee 22/05/2016 200000 0

1581 Mah/228/2013

2 Mah/228/2013

KOMMUSWARUPA RAVI

31 Female LAWYER Spouse 22/05/2016 0 0

1584 Mah/228/2013

3 Mah/228/2013

KOMMUANISHKA

RAVI

3 Female LAWYER Children 22/05/2016 0 0

372 Mah/2284/200

9

1 Mah/2284/2009

PATILRANJEETHAMBIRR

AO

29 Male LOWYER Employee 22/05/2016 300000 0

2236 Mah/2298/200

7

1 Mah/2298/2007

GAIKWADAMOLRATAN

36 Male LAWYER Employee 22/05/2016 500000 0

2242 Mah/2298/200

7

2 Mah/2298/2007

GAIKWADPOOJAAMOL

24 Female LAWYER Spouse 22/05/2016 0 0

833 Mah/2300/200

0

1 Mah/2300/2000

YERAWAR ANIL

NAGORAO

40 Male lawyer Employee 22/05/2016 500000 0

836 Mah/2300/200

0

2 Mah/2300/2000

PRANITA 32 Female lawyer Spouse 22/05/2016 0 0

839 Mah/2300/200

0

3 Mah/2300/2000

VEDANT 12 Female lawyer Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1267 Mah/2302/200

6

2 Mah/2302/2006

KAZIFARHAD

INAYATALI

27 Female LOWYER Spouse 22/05/2016 0 0

1264 Mah/2302/200

6

1 Mah/2302/2006

KAZIINAYATAL

IJAFARALI

38 Male LOWYER Employee 22/05/2016 100000 0

2041 Mah/2303/200

5

2 Mah/2303/2005

PATILSHITAL

SANTOSH

27 Female LAWYER Spouse 22/05/2016 0 0

2040 Mah/2303/200

5

1 Mah/2303/2005

PATILSANTOSHSHYAMRA

O

35 Male LAWYER Employee 22/05/2016 300000 0

2106 Mah/2303/200

5

3 Mah/2303/2005

PATILSWARA

SANTOSH

4 Female LAWYER Children 22/05/2016 0 0

468 Mah/2314/200

1

11 Mah/2314/2001

YADAVSURABHIAJAYKUM

AR

7 Female LOWYER Child 2 22/05/2016 0 0

463 Mah/2314/200

1

3 Mah/2314/2001

YADAVPRAGATIAJAYKUM

AR

11 Female LOWYER Children 22/05/2016 0 0

445 Mah/2314/200

1

1 Mah/2314/2001

YADAVAJAYKUM

AR R

39 Male LOWYER Employee 22/05/2016 200000 0

453 Mah/2314/200

1

2 Mah/2314/2001

YADAVMADHURIAJAYKUM

AR

33 Female LOWYER Spouse 22/05/2016 0 0

2255 Mah/2318/200

6

1 Mah/2318/2006

PATHANJUBERKH

ANNASIRKH

AN

35 Male LAWYER Employee 22/05/2016 100000 0

2266 Mah/2318/200

6

2 Mah/2318/2006

PATHANRIZWANB

EGAMJUBORKH

AN

24 Female LAWYER Spouse 22/05/2016 0 0

2269 Mah/2318/200

6

3 Mah/2318/2006

PATHANZARINKH

ANJUBERKH

AN

5 Female LAWYER Children 22/05/2016 0 0

2279 Mah/2318/200

6

11 Mah/2318/2006

PATHANZIYANKHAN

JUBERKHAN

1 Male LAWYER Child 2 22/05/2016 0 0

2391 Mah/2328/201

0

1 Mah/2328/2010

JAGTAPDHAIRYA

SHILSHIVAJI

32 Male LAWYER Employee 22/05/2016 500000 0

2404 Mah/2328/201

0

2 Mah/2328/2010

JAGTAPSHALAKADHAIRYA

SHIL

27 Female LAWYER Spouse 22/05/2016 0 0

2205 Mah/2334/200

3

1 Mah/2334/2003

GHATOLSHAHAJI

BAPURAO

36 Male LAWYER Employee 22/05/2016 500000 0

2213 Mah/2334/200

3

2 Mah/2334/2003

GHATOLSANGITASHAHAJI

34 Female LAWYER Spouse 22/05/2016 0 0

2215 Mah/2334/200

3

3 Mah/2334/2003

GHATOLSHRINIVA

SSHAHAJI

9 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2218 Mah/2334/200

3

11 Mah/2334/2003

GHATOLSARVASV

ASHAHAJI

1 Male LAWYER Child 2 22/05/2016 0 0

2065 Mah/2334/201

3

2 Mah/2334/2013

BORSESWATI

SWAPNIL

23 Female LAWYER Spouse 22/05/2016 0 0

2062 Mah/2334/201

3

1 Mah/2334/2013

BORSESWAPNILPUNJARA

M

28 Male LAWYER Employee 22/05/2016 100000 0

589 Mah/2348/199

5

1 Mah/2348/1995

GUNJALBHARATIBALWANT

44 Female lawyer Employee 22/05/2016 200000 0

593 Mah/2348/199

5

3 Mah/2348/1995

SURAJ 14 Male lawyer Children 22/05/2016 0 0

591 Mah/2348/199

5

2 Mah/2348/1995

MRBALWANT

47 Male lawyer Spouse 22/05/2016 0 0

1565 Mah/2358/200

8

1 Mah/2358/2008

DONGARE

AVADHUTRAMDAS

30 Male LAWYER Employee 22/05/2016 100000 0

1575 Mah/2358/200

8

3 Mah/2358/2008

DONGARE

SANCHITAVADHUT

0 Male LAWYER Children 22/05/2016 0 0

1570 Mah/2358/200

8

2 Mah/2358/2008

DONGARE

PRAGATIAVADHUT

26 Female LAWYER Spouse 22/05/2016 0 0

292 Mah/2358/201

4

1 Mah/2358/2014

BANAITMONIKAASHOK

28 Female LOWYER Employee 22/05/2016 200000 0

618 Mah/236/1979

11 Mah/236/1979

SAMEER 29 Male lawyer Child 2 22/05/2016 0 0

608 Mah/236/1979

2 Mah/236/1979

MRSSHASHIK

ALA

58 Female lawyer Spouse 22/05/2016 0 0

604 Mah/236/1979

1 Mah/236/1979

BHOSALEANNASAH

EBKACHARU

62 Male lawyer Employee 22/05/2016 200000 0

612 Mah/236/1979

3 Mah/236/1979

POOJA 25 Female lawyer Children 22/05/2016 0 0

1589 Mah/2360/201

1

1 Mah/2360/2011

SASTEAMOL

BABANRAO

27 Male LAWYER Employee 22/05/2016 100000 0

1594 Mah/2360/201

1

2 Mah/2360/2011

SASTENILAMAMOL

25 Female LAWYER Spouse 22/05/2016 0 0

2546 Mah/2367/201

4

2 Mah/2367/2014

DANDGAVAN

SONALISANDEEP

33 Female LAWYER Spouse 22/05/2016 0 0

2550 Mah/2367/201

4

3 Mah/2367/2014

DANDGAVAN

VIRAAJSANDEEP

1 Male LAWYER Children 22/05/2016 0 0

2552 Mah/2367/201

4

11 Mah/2367/2014

DANDGAVAN

VIHAANSANDEEP

1 Male LAWYER Child 2 22/05/2016 0 0

2535 Mah/2367/201

4

1 Mah/2367/2014

DANDGAVAN

SANDEEPVASANTR

AO

41 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1638 Mah/2372/201

5

1 Mah/2372/2015

PARDESHI NIKHILRAMCHANDARA

24 Male LAWYER Employee 22/05/2016 100000 0

2388 Mah/2380/200

8

1 Mah/2380/2008

BHOSALESHASHIK

ANTJAISHANK

AR

31 Male LAWYER Employee 22/05/2016 100000 0

2393 Mah/2380/200

8

2 Mah/2380/2008

BHOSALEMOHINI

SHASHIKANT

19 Female LAWYER Spouse 22/05/2016 0 0

150 Mah/2384/200

2

3 Mah/2384/2002

SNEHAL 24 Female LOWYER Children 22/05/2016 0 0

137 Mah/2384/200

2

2 Mah/2384/2002

YOGINI 48 Female LOWYER Spouse 22/05/2016 0 0

127 Mah/2384/200

2

1 Mah/2384/2002

BISANSHISHIR

56 Male LOWYER Employee 22/05/2016 200000 0

2080 Mah/2384/200

8

1 Mah/2384/2008

KASHIDRAHUL

MADHUKAR

35 Male LAWYER Employee 22/05/2016 800000 0

2082 Mah/2384/200

8

2 Mah/2384/2008

KASHIDSHILPARAHUL

29 Female LAWYER Spouse 22/05/2016 0 0

1911 Mah/2393/199

9

1 Mah/2393/1999

GOHADNILESH

SHANKARRAO

42 Male LAWYER Employee 22/05/2016 200000 0

1912 Mah/2393/199

9

2 Mah/2393/1999

GOHADSWATINILESH

35 Female LAWYER Spouse 22/05/2016 0 0

2111 Mah/2393/199

9

3 Mah/2393/1999

GOHADRENUKANILESH

2 Female LAWYER Children 22/05/2016 0 0

1709 Mah/2411/200

7

3 Mah/2411/2007

WADKARSHOURYA

VISHAL

2 Female LAWYER Children 22/05/2016 0 0

1706 Mah/2411/200

7

2 Mah/2411/2007

WADKARVARSHAVISHAL

28 Female LAWYER Spouse 22/05/2016 0 0

1700 Mah/2411/200

7

1 Mah/2411/2007

WADKARVISHAL

SHANKAR

32 Male LAWYER Employee 22/05/2016 300000 0

192 Mah/2417/200

0

1 Mah/2417/2000

BAROTSHIVARAJMANGAL

DAS

39 Male LOWYER Employee 22/05/2016 200000 0

216 Mah/2417/200

0

3 Mah/2417/2000

KEYURISHIVARAJBAROT

9 Female LOWYER Children 22/05/2016 0 0

197 Mah/2417/200

0

2 Mah/2417/2000

SONALSHIVARAJBAROT

34 Female LOWYER Spouse 22/05/2016 0 0

227 Mah/2417/200

0

11 Mah/2417/2000

MONILSHIVARAJBAROT

5 Male LOWYER Child 2 22/05/2016 0 0

646 Mah/2417/201

0

1 Mah/2417/2010

JAGTAPANAND

ANKUSHRAO

34 Male lawyer Employee 22/05/2016 200000 0

652 Mah/2417/201

0

2 Mah/2417/2010

JAGTAPPAYALANAND

27 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2452 Mah/2418/200

1

1 Mah/2418/2001

SHARMATARLOKCHAND

60 Male LAWYER Employee 22/05/2016 100000 0

2475 Mah/2418/200

1

3 Mah/2418/2001

SHARMATANVI

TARLOK

21 Female LAWYER Children 22/05/2016 0 0

2480 Mah/2418/200

1

11 Mah/2418/2001

SHARMARAJATTARLIK

18 Male LAWYER Child 2 22/05/2016 0 0

2466 Mah/2418/200

1

2 Mah/2418/2001

SHARMARENU

TARLOK

50 Female LAWYER Spouse 22/05/2016 0 0

1710 Mah/2421/201

0

2 Mah/2421/2010

RASALABHAYYUVRAJ

30 Male LAWYER Spouse 22/05/2016 0 0

1708 Mah/2421/201

0

1 Mah/2421/2010

RASALSMITAABHAY

29 Female LAWYER Employee 22/05/2016 100000 0

334 Mah/2423/200

6

3 Mah/2423/2006

SAJERISACHINGHUGE

8 Female LOWYER Children 22/05/2016 0 0

342 Mah/2423/200

6

11 Mah/2423/2006

ARNISHSACHINGHUGE

1 Male LOWYER Child 2 22/05/2016 0 0

320 Mah/2423/200

6

2 Mah/2423/2006

SACHINSURENDRA GHUGE

37 Male LOWYER Spouse 22/05/2016 0 0

314 Mah/2423/200

6

1 Mah/2423/2006

PALVESUVARNA

ARJUN

33 Female LOWYER Employee 22/05/2016 200000 0

1767 Mah/2441/200

6

1 Mah/2441/2006

SURYAWANSHI

SANTOSHSUBHASH

36 Male LAWYER Employee 22/05/2016 500000 0

1773 Mah/2441/200

6

2 Mah/2441/2006

SURYAWANSHI

ASHWINISANTOSH

27 Female LAWYER Spouse 22/05/2016 0 0

1783 Mah/2441/200

6

3 Mah/2441/2006

SURYAWANSHI

YASHWARDHAN

SANTOSH

7 Male LAWYER Children 22/05/2016 0 0

33 Mah/2442/200

2

11 Mah/2442/2002

VRITIKAHEMSINGH MOHTA

4 Female LOWYER Child 2 22/05/2016 0 0

22 Mah/2442/200

2

1 Mah/2442/2002

MOHTAHEMSING

HMOTISIN

GH

33 Male LOWYER Employee 22/05/2016 200000 0

24 Mah/2442/200

2

2 Mah/2442/2002

RADHAHEMSINGH MOHTA

30 Female LOWYER Spouse 22/05/2016 0 0

28 Mah/2442/200

2

3 Mah/2442/2002

NITIKAHEMSINGH MOHTA

6 Female LOWYER Children 22/05/2016 0 0

1301 Mah/2447/200

6

3 Mah/2447/2006

MALPANIMADHUR

ASANTOSH

2 Female LOWYER Children 22/05/2016 0 0

1300 Mah/2447/200

6

2 Mah/2447/2006

MALPANISAVITRI

SANTOSH

32 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1298 Mah/2447/200

6

1 Mah/2447/2006

MALPANISANTOSHGOPIKISH

AN

34 Male LOWYER Employee 22/05/2016 300000 0

678 Mah/2449/200

8

1 Mah/2449/2008

WANIRUCHIRSUBODH

31 Male lawyer Employee 22/05/2016 300000 0

682 Mah/2449/200

8

2 Mah/2449/2008

PATELRENU

PUSHPAK

28 Female lawyer Spouse 22/05/2016 0 0

165 Mah/2450/199

9

2 Mah/2450/1999

UJJWALAJALINDARTADGE

33 Female LOWYER Spouse 22/05/2016 0 0

154 Mah/2450/199

9

1 Mah/2450/1999

TADGEJALINDARVASANT

42 Male LOWYER Employee 22/05/2016 200000 0

175 Mah/2450/199

9

3 Mah/2450/1999

AARUSHJALINDARTADGE

12 Male LOWYER Children 22/05/2016 0 0

183 Mah/2450/199

9

11 Mah/2450/1999

SHRAVANI

JALINDARTADGE

6 Female LOWYER Child 2 22/05/2016 0 0

1931 Mah/2462/200

9

2 Mah/2462/2009

WABLEMANJUSH

REENILESH

29 Female LAWYER Spouse 22/05/2016 0 0

1928 Mah/2462/200

9

1 Mah/2462/2009

WABLENILESHMOHAN

30 Male LAWYER Employee 22/05/2016 300000 0

174 Mah/247/1975

1 Mah/247/1975

DHARIARAJESH

KIRTANLAL

67 Male LOWYER Employee 22/05/2016 500000 0

187 Mah/247/1975

2 Mah/247/1975

KUMUDRAJESHDHARIA

66 Female LOWYER Spouse 22/05/2016 0 0

1074 Mah/2477/200

3

11 Mah/2477/2003

REDUMPRITHVIR

AJMAHAMU

LKAR

2 Male LOWYER Child 2 22/05/2016 0 0

1068 Mah/2477/200

3

2 Mah/2477/2003

SWARUPA

PRITHVIRAJ

MAHAMULKAR

33 Female LOWYER Spouse 22/05/2016 0 0

1065 Mah/2477/200

3

1 Mah/2477/2003

MAHAMULKAR

PRITHVIRAJ

SAMPAT

41 Male LOWYER Employee 22/05/2016 200000 0

1071 Mah/2477/200

3

3 Mah/2477/2003

SWARAJPRITHVIR

AJMAHAMU

LKAR

8 Male LOWYER Children 22/05/2016 0 0

1087 Mah/248/1994

3 Mah/248/1994

AARADHANA A

FULEY

17 Female LOWYER Children 22/05/2016 0 0

1123 Mah/248/1994

11 Mah/248/1994

VASUNDHARA AFULEY

21 Female LOWYER Child 2 22/05/2016 0 0

1085 Mah/248/1994

1 Mah/248/1994

FULEYANILKUM

ARPISARAM

53 Male LOWYER Employee 22/05/2016 200000 0

1086 Mah/248/1994

2 Mah/248/1994

PANCHSHEELA AFULEY

46 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2490 Mah/2482/200

3

3 Mah/2482/2003

MANDAOGADEGAURIRAJESH

6 Female LAWYER Children 22/05/2016 0 0

2483 Mah/2482/200

3

2 Mah/2482/2003

MANDAOGADE

JAYSHRIRAJESH

33 Female LAWYER Spouse 22/05/2016 0 0

2473 Mah/2482/200

3

1 Mah/2482/2003

MANDAOGADE

RAJESHDADARA

O

41 Male LAWYER Employee 22/05/2016 100000 0

1954 Mah/249-

A/1988

1 Mah/249-A/1988

SHUKLABIRENDRANATH

JEETNARAYAN

55 Male LAWYER Employee 22/05/2016 1000000 0

1957 Mah/249-

A/1988

2 Mah/249-A/1988

SHUKLAREKHA

BIRENDRANATH

49 Female LAWYER Spouse 22/05/2016 0 0

83 Mah/2490/200

9

3 Mah/2490/2009

RAJGORSMRUTIYOGEND

RA

11 Female LOWYER Children 22/05/2016 0 0

69 Mah/2490/200

9

1 Mah/2490/2009

RAJGORYOGEND

RAARVIND

40 Male LOWYER Employee 22/05/2016 500000 0

77 Mah/2490/200

9

2 Mah/2490/2009

RAJGORPRAFULAYOGEND

RA

35 Female LOWYER Spouse 22/05/2016 0 0

89 Mah/2490/200

9

11 Mah/2490/2009

RAJGORPRARTHN

AYOGEND

RA

10 Female LOWYER Child 2 22/05/2016 0 0

2330 Mah/2497/200

2

2 Mah/2497/2002

MORAMPALLE

SWATISANDIPA

N

38 Female LAWYER Spouse 22/05/2016 0 0

2318 Mah/2497/200

2

1 Mah/2497/2002

MORAMPALLE

SANDIPAN

NAMDEV

40 Male LAWYER Employee 22/05/2016 100000 0

2335 Mah/2497/200

2

3 Mah/2497/2002

MORAMPALLE

ADITYASANDIPA

N

12 Male LAWYER Children 22/05/2016 0 0

2346 Mah/2497/200

2

11 Mah/2497/2002

MORAMPALLE

VARADSANDIPA

N

6 Male LAWYER Child 2 22/05/2016 0 0

1953 Mah/2497/200

3

2 Mah/2497/2003

CHITALERASHMIVIKAS

34 Female LAWYER Spouse 22/05/2016 0 0

1955 Mah/2497/200

3

3 Mah/2497/2003

SALVEGAURAVSACHIN

5 Male LAWYER Children 22/05/2016 0 0

1757 Mah/2497/200

3

1 Mah/2497/2003

SALVESACHIN

VASANTRAO

40 Male LAWYER Employee 22/05/2016 1000000 0

43 Mah/2500/200

0

1 Mah/2500/2000

PARDESHI SURESHTUKARAM

67 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

48 Mah/2500/200

0

2 Mah/2500/2000

VIMALSURESH

PARDESHI

55 Female LOWYER Spouse 22/05/2016 0 0

54 Mah/2500/200

0

3 Mah/2500/2000

KOUNTEYSURESH

PARDESHI

38 Male LOWYER Children 22/05/2016 0 0

57 Mah/2500/200

0

11 Mah/2500/2000

PRITHVIRAJ

SRURESHPARDESH

I

33 Male LOWYER Child 2 22/05/2016 0 0

9 Mah/2512/200

0

1 Mah/2512/2000

PATILKIRAN

TULSHIDAS

52 Male LOWYER Employee 22/05/2016 500000 0

12 Mah/2512/200

0

2 Mah/2512/2000

PATILYAMINIKIRAN

51 Female LOWYER Spouse 22/05/2016 0 0

13 Mah/2512/200

0

3 Mah/2512/2000

PATILSAMITINJAY KIRAN

24 Male LOWYER Children 22/05/2016 0 0

1346 Mah/2515/200

7

3 Mah/2515/2007

SAYYADSAMADJABBAR

5 Male LOWYER Children 22/05/2016 0 0

1349 Mah/2515/200

7

11 Mah/2515/2007

SAYYADSIDRA

JABBAR

0 Female LOWYER Child 2 22/05/2016 0 0

1343 Mah/2515/200

7

2 Mah/2515/2007

SAYYADRIJWANAJABBAR

28 Female LOWYER Spouse 22/05/2016 0 0

1341 Mah/2515/200

7

1 Mah/2515/2007

SAYYADJABBARAKBAR

36 Male LOWYER Employee 22/05/2016 100000 0

2240 Mah/2523/200

7

2 Mah/2523/2007

ATOLEDHANSHRI SUNIL

29 Female LAWYER Spouse 22/05/2016 0 0

2244 Mah/2523/200

7

3 Mah/2523/2007

ATOLEMANASSUNIL

7 Male LAWYER Children 22/05/2016 0 0

2234 Mah/2523/200

7

1 Mah/2523/2007

ATOLESUNIL

SOPANA

33 Male LAWYER Employee 22/05/2016 200000 0

717 Mah/2532/200

7

2 Mah/2532/2007

GHODKESANDHYADEEPAK

31 Female lawyer Spouse 22/05/2016 0 0

723 Mah/2532/200

7

3 Mah/2532/2007

GHODKEKSHITIJDEEPAK

7 Male lawyer Children 22/05/2016 0 0

729 Mah/2532/200

7

11 Mah/2532/2007

GHODKESPRUHADEEPAK

2 Female lawyer Child 2 22/05/2016 0 0

716 Mah/2532/200

7

1 Mah/2532/2007

GHODKEDEEPAK

MURLIDHAR

37 Male lawyer Employee 22/05/2016 200000 0

2307 Mah/2534/201

0

3 Mah/2534/2010

PHADKEPARTHSANDIP

3 Male LAWYER Children 22/05/2016 0 0

2294 Mah/2534/201

0

1 Mah/2534/2010

PHADKESANDIP

DATTATRAY

30 Male LAWYER Employee 22/05/2016 300000 0

2300 Mah/2534/201

0

2 Mah/2534/2010

PHADKEREKHASANDIP

25 Female LAWYER Spouse 22/05/2016 0 0

1394 Mah/2541/200

1

1 Mah/2541/2001

KADAMSHANKARBABURAO

40 Male LOWYER Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1396 Mah/2541/200

1

2 Mah/2541/2001

KADAMSANGEET

ASHANKAR

40 Female LOWYER Spouse 22/05/2016 0 0

1399 Mah/2541/200

1

3 Mah/2541/2001

KADAMMAHESHSHANKAR

12 Male LOWYER Children 22/05/2016 0 0

1407 Mah/2541/200

1

11 Mah/2541/2001

KADAMRUTUJA

SHANKAR

6 Female LOWYER Child 2 22/05/2016 0 0

1817 Mah/2551/200

0

2 Mah/2551/2000

KATARNAVARE

SHEELARAJESH

34 Female LAWYER Spouse 22/05/2016 0 0

1821 Mah/2551/200

0

11 Mah/2551/2000

KATARNAVARE

MRUNALRAJESH

2 Female LAWYER Child 2 22/05/2016 0 0

1819 Mah/2551/200

0

3 Mah/2551/2000

KATARNAVARE

HIMANSHU RAJESH

9 Male LAWYER Children 22/05/2016 0 0

1815 Mah/2551/200

0

1 Mah/2551/2000

KATARNAVARE

RAJESHDAMODA

R

44 Male LAWYER Employee 22/05/2016 500000 0

1555 Mah/2553/200

4

1 Mah/2553/2004

TAMBERAHUL

ASHOKRAO

34 Male LAWYER Employee 22/05/2016 1000000 0

1559 Mah/2553/200

4

2 Mah/2553/2004

TAMBEPRIYANKA

RAHUL

29 Female LAWYER Spouse 22/05/2016 0 0

1562 Mah/2553/200

4

3 Mah/2553/2004

TAMBESHAURYA

JEETRAHUL

5 Male LAWYER Children 22/05/2016 0 0

1405 Mah/2567/201

3

1 Mah/2567/2013

JADHAVRITESH

NAMDEO

37 Male LOWYER Employee 22/05/2016 500000 0

1410 Mah/2567/201

3

2 Mah/2567/2013

JADHAVSUMITARITESH

33 Female LOWYER Spouse 22/05/2016 0 0

1439 Mah/2577/201

3

2 Mah/2577/2013

MRSSHAKUNT

ALA

25 Female LOWYER Spouse 22/05/2016 0 0

1441 Mah/2577/201

3

1 Mah/2577/2013

ADVSANGVIK

ARVINOD

PRAKASHRAO

30 Male LOWYER Employee 22/05/2016 200000 0

1070 Mah/2581/199

5

1 Mah/2581/1995

PATILARUN

CHANRAKANT

48 Male LOWYER Employee 22/05/2016 200000 0

1076 Mah/2581/199

5

3 Mah/2581/1995

PATILHETALARUN

10 Female LOWYER Children 22/05/2016 0 0

1073 Mah/2581/199

5

2 Mah/2581/1995

PATILANJUARUN

36 Female LOWYER Spouse 22/05/2016 0 0

2443 Mah/2595/201

1

2 Mah/2595/2011

BANSALERAHUL

PRAMOD

33 Male LAWYER Spouse 22/05/2016 0 0

2429 Mah/2595/201

1

1 Mah/2595/2011

BANSALEPRIYANKA

RAHUL

28 Female LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2470 Mah/2596/201

5

2 Mah/2596/2015

GUJARATHI

DEEPALIRAJESH

35 Female LAWYER Spouse 22/05/2016 0 0

2467 Mah/2596/201

5

1 Mah/2596/2015

GUJARATHI

RAJESHDWARKA

NATH

41 Male LAWYER Employee 22/05/2016 300000 0

2484 Mah/2596/201

5

11 Mah/2596/2015

GUJARATHI OM

RAJESH

3 Male LAWYER Child 2 22/05/2016 0 0

2479 Mah/2596/201

5

3 Mah/2596/2015

GUJARATHI

KRISHNARAJESH

12 Male LAWYER Children 22/05/2016 0 0

1460 Mah/2611/200

4

3 Mah/2611/2004

BARGEPRIYANKA

VISHAL

6 Female LOWYER Children 22/05/2016 0 0

1453 Mah/2611/200

4

2 Mah/2611/2004

BARGESUPRIYAVISHAL

31 Female LOWYER Spouse 22/05/2016 0 0

1449 Mah/2611/200

4

1 Mah/2611/2004

BARGEVISHAL

VIJAYRAO

34 Male LOWYER Employee 22/05/2016 200000 0

330 Mah/2618/201

3

1 Mah/2618/2013

CHOWDHARY

RINKYGYANEND

RA

38 Female LOWYER Employee 22/05/2016 100000 0

1873 Mah/2631/200

8

3 Mah/2631/2008

SABLEMAYURES

HHEMANT

4 Male LAWYER Children 22/05/2016 0 0

1872 Mah/2631/200

8

2 Mah/2631/2008

SABLESONAL

HEMANT

28 Female LAWYER Spouse 22/05/2016 0 0

1870 Mah/2631/200

8

1 Mah/2631/2008

SABLEHEMANT

KISAN

34 Male LAWYER Employee 22/05/2016 300000 0

214 Mah/2647/200

8

1 Mah/2647/2008

HUNNURKAR

SEEMA S

31 Female LOWYER Employee 22/05/2016 500000 0

344 Mah/265/1972

1 Mah/265/1972

SURYAVANSI

VASANTVITTHAL

68 Male LOWYER Employee 22/05/2016 1000000 0

359 Mah/265/1972

2 Mah/265/1972

SUVARNALATA

VASNATSURYAVA

NSI

65 Female LOWYER Spouse 22/05/2016 0 0

2229 Mah/2658/200

3

3 Mah/2658/2003

KAMBLERAJATNITIN

6 Male LAWYER Children 22/05/2016 0 0

2226 Mah/2658/200

3

2 Mah/2658/2003

KAMBLEMANISHA

NITIN

29 Female LAWYER Spouse 22/05/2016 0 0

2222 Mah/2658/200

3

1 Mah/2658/2003

KAMBLENITIN

MANOHAR

37 Male LAWYER Employee 22/05/2016 100000 0

2122 Mah/2658/201

6

3 Mah/2658/2016

KHEDKARHARSHITPRADIP

1 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1981 Mah/2658/201

6

1 Mah/2658/2016

KHEDKARPRADIP

RANGNATH

33 Male LAWYER Employee 22/05/2016 100000 0

1985 Mah/2658/201

6

2 Mah/2658/2016

KHEDKARNILAMPRADIP

34 Female LAWYER Spouse 22/05/2016 0 0

1601 Mah/2660/200

7

3 Mah/2660/2007

KUMBHAR

SHOURYASACHIN

3 Male LAWYER Children 22/05/2016 0 0

1590 Mah/2660/200

7

1 Mah/2660/2007

KUMBHAR SACHINPANDURA

NG

32 Male LAWYER Employee 22/05/2016 300000 0

1599 Mah/2660/200

7

2 Mah/2660/2007

KUMBHAR

RAJASHRISACHIN

31 Female LAWYER Spouse 22/05/2016 0 0

714 Mah/2660/200

9

2 Mah/2660/2009

CHAITRALI

SWANAND

KULKARNI

26 Female lawyer Spouse 22/05/2016 0 0

706 Mah/2660/200

9

1 Mah/2660/2009

KULKARNI

SWANAND

CHANDRASHEKHA

R

30 Male lawyer Employee 22/05/2016 1000000 0

1878 Mah/267/1972

2 Mah/267/1972

PATILSMITA

PRAKASH

67 Female LAWYER Spouse 22/05/2016 0 0

1877 Mah/267/1972

1 Mah/267/1972

PATILPRAKASHBHASKAR

67 Male LAWYER Employee 22/05/2016 300000 0

427 Mah/2678/199

9

3 Mah/2678/1999

SWARANJALI

INDRAJEET

SURVANSHI

7 Female LOWYER Children 22/05/2016 0 0

420 Mah/2678/199

9

2 Mah/2678/1999

SUCHITRA

INDRAJEET

SURYAVANSHI

36 Female LOWYER Spouse 22/05/2016 0 0

413 Mah/2678/199

9

1 Mah/2678/1999

SURYAVANSHI

INDRAJEET VASANT

41 Male LOWYER Employee 22/05/2016 500000 0

438 Mah/2678/199

9

11 Mah/2678/1999

SAMAIRAINDRAJEE

TSURVANS

HI

3 Female LOWYER Child 2 22/05/2016 0 0

2316 Mah/2684/200

6

3 Mah/2684/2006

SHINDEPRITHVIR

AJSACHIN

4 Male LAWYER Children 22/05/2016 0 0

2311 Mah/2684/200

6

2 Mah/2684/2006

SHINDEJYOTI

SACHIN

25 Female LAWYER Spouse 22/05/2016 0 0

2302 Mah/2684/200

6

1 Mah/2684/2006

SHINDESACHINGOROBA

33 Male LAWYER Employee 22/05/2016 100000 0

2576 Mah/2697/201

0

2 Mah/2697/2010

DHERESNEHADHIRAJ

26 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2574 Mah/2697/201

0

1 Mah/2697/2010

DHEREDHIRAJ

VITTHAL

33 Male LAWYER Employee 22/05/2016 100000 0

1162 Mah/270/2008

1 Mah/270/2008

TUPEYOGESHCHANDRAKANT

36 Male LOWYER Employee 22/05/2016 200000 0

1163 Mah/270/2008

2 Mah/270/2008

NILIMAYOGESH

TUPE

32 Female LOWYER Spouse 22/05/2016 0 0

1164 Mah/270/2008

3 Mah/270/2008

ISHWARYYOGESH

TUPE

1 Female LOWYER Children 22/05/2016 0 0

1183 Mah/2713/200

2

1 Mah/2713/2002

RODEDILIP

BHANUDAS

45 Male LOWYER Employee 22/05/2016 200000 0

1185 Mah/2713/200

2

3 Mah/2713/2002

RODEKAUSHIK

DILIP

9 Male LOWYER Children 22/05/2016 0 0

2459 Mah/2713/201

3

2 Mah/2713/2013

ABHANGSWAPNAL

IDHANANJ

AY

22 Female LAWYER Spouse 22/05/2016 0 0

2453 Mah/2713/201

3

1 Mah/2713/2013

ABHANGDHANANJAY KISAN

32 Male LAWYER Employee 22/05/2016 100000 0

226 Mah/2715/200

8

1 Mah/2715/2008

JADHAVVITTHALPOPATRA

O

68 Male LOWYER Employee 22/05/2016 200000 0

558 Mah/2715/200

8

2 Mah/2715/2008

TARABAIVITTHALJADHAV

61 Female LOWYER Spouse 22/05/2016 0 0

1884 Mah/273/2005

3 Mah/273/2005

NAMSVEENAGESHR

AOCHAVAN

3 Female LAWYER Children 22/05/2016 0 0

1883 Mah/273/2005

2 Mah/273/2005

PRIYANKANAGESHR

AOCHAVAN

29 Female LAWYER Spouse 22/05/2016 0 0

1882 Mah/273/2005

1 Mah/273/2005

CHAVANNAGESHR

AOYASHVAN

T

35 Male LAWYER Employee 22/05/2016 300000 0

125 Mah/2747/200

3

1 Mah/2747/2003

PATILPRASHAN

TDAULATR

AO

35 Male LOWYER Employee 22/05/2016 300000 0

149 Mah/2747/200

3

11 Mah/2747/2003

KAVYAPRASHANT PATIL

2 Female LOWYER Child 2 22/05/2016 0 0

138 Mah/2747/200

3

3 Mah/2747/2003

SHARANYA

PRASHANT PATIL

7 Female LOWYER Children 22/05/2016 0 0

132 Mah/2747/200

3

2 Mah/2747/2003

SHARMILA

PRASHANT PATIL

32 Female LOWYER Spouse 22/05/2016 0 0

740 Mah/2747/200

4

1 Mah/2747/2004

CHOUDHARY

ABHIJITASHOK

37 Male lawyer Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

757 Mah/2747/200

4

11 Mah/2747/2004

CHOUDHARY

SAHASRAABHIJIT

2 Female lawyer Child 2 22/05/2016 0 0

747 Mah/2747/200

4

2 Mah/2747/2004

CHOUDHARY

NILIMAABHIJIT

36 Female lawyer Spouse 22/05/2016 0 0

753 Mah/2747/200

4

3 Mah/2747/2004

CHOUDHARY

NITYASHRI ABHIJIT

9 Female lawyer Children 22/05/2016 0 0

1243 Mah/2747/201

3

2 Mah/2747/2013

KOKARERESHMARAVINDR

A

21 Female LOWYER Spouse 22/05/2016 0 0

1241 Mah/2747/201

3

1 Mah/2747/2013

KOKARERAVINDR

ADATTATR

AYA

26 Male LOWYER Employee 22/05/2016 100000 0

2015 Mah/2755/201

0

1 Mah/2755/2010

MANEVAIBHAVSHRIKRU

SHNA

32 Male LAWYER Employee 22/05/2016 100000 0

2017 Mah/2755/201

0

2 Mah/2755/2010

MANESHUBHAB

NGIVAIBHAV

23 Female LAWYER Spouse 22/05/2016 0 0

2128 Mah/2755/201

0

3 Mah/2755/2010

MANEVIRAJA

VAIBHAV

3 Female LAWYER Children 22/05/2016 0 0

419 Mah/2761/200

0

3 Mah/2761/2000

SOHAN 10 Male LOWYER Children 22/05/2016 0 0

410 Mah/2761/200

0

2 Mah/2761/2000

NEHA 43 Male LOWYER Spouse 22/05/2016 0 0

428 Mah/2761/200

0

11 Mah/2761/2000

NIRANJAY 2 Male LOWYER Child 2 22/05/2016 0 0

401 Mah/2761/200

0

1 Mah/2761/2000

PASHILKAR NITIN

TUKARAM

48 Female LOWYER Employee 22/05/2016 200000 0

1597 Mah/277/2008

11 Mah/277/2008

MADDEANANNYASHRIKAN

T

0 Female LAWYER Child 2 22/05/2016 0 0

1587 Mah/277/2008

2 Mah/277/2008

MADDESHRADD

HASHRIKAN

T

24 Female LAWYER Spouse 22/05/2016 0 0

1580 Mah/277/2008

1 Mah/277/2008

MADDESHRIKAN

TBABURAO

33 Male LAWYER Employee 22/05/2016 200000 0

1592 Mah/277/2008

3 Mah/277/2008

MADDEARPIT

SHRIKANT

5 Male LAWYER Children 22/05/2016 0 0

1598 Mah/2774/200

9

1 Mah/2774/2009

SHIRASATH

SUHASRAJANDR

A

29 Male LAWYER Employee 22/05/2016 100000 0

1608 Mah/2774/200

9

2 Mah/2774/2009

SHIRASATH

KAVERISUHAS

21 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

789 Mah/2777/201

3

3 Mah/2777/2013

TANVI 9 Female lawyer Children 22/05/2016 0 0

780 Mah/2777/201

3

1 Mah/2777/2013

PARWANIBHARAT

38 Male lawyer Employee 22/05/2016 1000000 0

786 Mah/2777/201

3

2 Mah/2777/2013

ASHA 36 Female lawyer Spouse 22/05/2016 0 0

200 Mah/2779/201

4

2 Mah/2779/2014

KIRTI 38 Female LOWYER Spouse 22/05/2016 0 0

190 Mah/2779/201

4

1 Mah/2779/2014

DESHMUKH

AVINASHLAXMAN

40 Male LOWYER Employee 22/05/2016 200000 0

2517 Mah/2788/200

7

1 Mah/2788/2007

KULKARNI

SHRIRAMASHOK

36 Male LAWYER Employee 22/05/2016 300000 0

2524 Mah/2788/200

7

2 Mah/2788/2007

KULKARNI SONALISHRIRAM

26 Female LAWYER Spouse 22/05/2016 0 0

2529 Mah/2788/200

7

3 Mah/2788/2007

KULKARNI

SHRIRANG

SHRIRAM

2 Male LAWYER Children 22/05/2016 0 0

173 Mah/2790/201

3

1 Mah/2790/2013

DUBERATNESHMADHUK

ANT

34 Male LOWYER Employee 22/05/2016 300000 0

1891 Mah/2802/200

2

3 Mah/2802/2002

KALEPRATHAV

IRAJPRAMOD

7 Male LAWYER Children 22/05/2016 0 0

1889 Mah/2802/200

2

1 Mah/2802/2002

KALEPRAMODDEVIDAS

37 Male LAWYER Employee 22/05/2016 1000000 0

1890 Mah/2802/200

2

2 Mah/2802/2002

KALEUSHA

PRAMOD

37 Female LAWYER Spouse 22/05/2016 0 0

2315 Mah/2807/201

5

1 Mah/2807/2015

DESHMUKH

RAHULASHOK

26 Male LAWYER Employee 22/05/2016 100000 0

2028 Mah/2814/200

5

1 Mah/2814/2005

WATTAMWAR

GOVINDOMPRAKA

SH

34 Male LAWYER Employee 22/05/2016 100000 0

2134 Mah/2814/200

5

3 Mah/2814/2005

WATTAMWAR

ANUSHKAGOVIND

6 Female LAWYER Children 22/05/2016 0 0

2030 Mah/2814/200

5

2 Mah/2814/2005

WATTAMWARPRITY

GOVIND

31 Female LAWYER Spouse 22/05/2016 0 0

2341 Mah/2820/200

7

2 Mah/2820/2007

KANSARAPRITI

PRITISH

26 Female LAWYER Spouse 22/05/2016 0 0

2325 Mah/2820/200

7

1 Mah/2820/2007

KANSARAPRITISH

SUBHASH

34 Male LAWYER Employee 22/05/2016 200000 0

2046 Mah/2826/200

5

2 Mah/2826/2005

KERESUMAN

STHITPRADNYA

35 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2139 Mah/2826/200

5

3 Mah/2826/2005

KEREDNYANES

HSTHITPRA

DNYA

6 Male LAWYER Children 22/05/2016 0 0

2044 Mah/2826/200

5

1 Mah/2826/2005

KERESTHITPRA

DNYASAMPATR

AO

37 Male LAWYER Employee 22/05/2016 100000 0

1269 Mah/2831/201

2

1 Mah/2831/2012

PATILSANDEEPRAMKISH

AN

28 Male LOWYER Employee 22/05/2016 500000 0

1274 Mah/2831/201

2

2 Mah/2831/2012

KENDREPRANITADNYANO

BA

27 Female LOWYER Spouse 22/05/2016 0 0

828 Mah/2832/201

2

2 Mah/2832/2012

TRUPATIKEDAR

CHAUDHARI

27 Female lawyer Spouse 22/05/2016 0 0

824 Mah/2832/201

2

1 Mah/2832/2012

CHAUDHARI

KEDARKISHOR

29 Male lawyer Employee 22/05/2016 200000 0

7 Mah/2847/200

4

3 Mah/2847/2004

SWARAPRASAD

KULKARNI

2 Female LOWYER Children 22/05/2016 0 0

5 Mah/2847/200

4

1 Mah/2847/2004

KULKARNI PRASADBANOOP

ANT

36 Male LOWYER Employee 22/05/2016 300000 0

6 Mah/2847/200

4

2 Mah/2847/2004

ASHWINIPRASAD

KULKARNI

31 Female LOWYER Spouse 22/05/2016 0 0

846 Mah/2873/200

8

2 Mah/2873/2008

SOLANKESHRADD

HARAHUL

26 Female lawyer Spouse 22/05/2016 0 0

844 Mah/2873/200

8

1 Mah/2873/2008

SOLANKERAHUL

RANGNATHRAO

31 Male lawyer Employee 22/05/2016 200000 0

1308 Mah/2877/200

3

2 Mah/2877/2003

TORASKAR

PRANJALSHANTAR

AM

40 Female LOWYER Spouse 22/05/2016 0 0

1305 Mah/2877/200

3

1 Mah/2877/2003

TORASKAR

SHANTARAM

TUKARAM

40 Male LOWYER Employee 22/05/2016 200000 0

2201 Mah/2879/200

4

2 Mah/2879/2004

KSHIRSAGAR

RAGINISHIVKUM

AR

28 Female LAWYER Spouse 22/05/2016 0 0

2197 Mah/2879/200

4

1 Mah/2879/2004

KSHIRSAGAR

SHIVKUMAR

GANGADHARRAO

37 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2068 Mah/289/2013

1 Mah/289/2013

SABALENILIMAAMRIT

30 Female LAWYER Employee 22/05/2016 100000 0

2075 Mah/289/2013

2 Mah/289/2013

SABALENILIMAAMRIT

31 Male LAWYER Spouse 22/05/2016 0 0

213 Mah/290/1982

2 Mah/290/1982

CHARUBALA

PRITHVISHKUMARPUROHIT

50 Female LOWYER Spouse 22/05/2016 0 0

206 Mah/290/1982

1 Mah/290/1982

PUROHITPRITHVISHKUMARBRIJLAL

58 Male LOWYER Employee 22/05/2016 800000 0

1355 Mah/2908/199

9

2 Mah/2908/1999

NENEREKHAVIJAY

39 Female LOWYER Spouse 22/05/2016 0 0

1352 Mah/2908/199

9

1 Mah/2908/1999

NENEVIJAY

VASANT

41 Male LOWYER Employee 22/05/2016 500000 0

1360 Mah/2908/199

9

11 Mah/2908/1999

NENEKASTURI

VIJAY

10 Female LOWYER Child 2 22/05/2016 0 0

1358 Mah/2908/199

9

3 Mah/2908/1999

NENEATHARVA

VIJAY

13 Male LOWYER Children 22/05/2016 0 0

67 Mah/2913/200

6

11 Mah/2913/2006

MATREVAISHNA

VIRAJKUMA

R

4 Female LOWYER Child 2 22/05/2016 0 0

62 Mah/2913/200

6

3 Mah/2913/2006

MATREAISHWAR

YARAJKUMA

R

7 Female LOWYER Children 22/05/2016 0 0

47 Mah/2913/200

6

1 Mah/2913/2006

MATRERAJKUMA

RSIDDHAR

AM

33 Male LOWYER Employee 22/05/2016 300000 0

51 Mah/2913/200

6

2 Mah/2913/2006

MATREMANGALRAJKUMA

R

26 Female LOWYER Spouse 22/05/2016 0 0

1416 Mah/292/2012

2 Mah/292/2012

DHUMALANUIVIRAJ

26 Female LOWYER Spouse 22/05/2016 0 0

1414 Mah/292/2012

1 Mah/292/2012

DHUMALVIRAJ

VISHWAS

32 Male LOWYER Employee 22/05/2016 200000 0

2086 Mah/2931/200

8

2 Mah/2931/2008

GAWALIPOONAMSATISH

22 Female LAWYER Spouse 22/05/2016 0 0

2084 Mah/2931/200

8

1 Mah/2931/2008

GAWALISATISH

DNYANESHWAR

32 Male LAWYER Employee 22/05/2016 100000 0

461 Mah/2941/200

4

2 Mah/2941/2004

SONALVIJAY

MUNDHE

31 Female LOWYER Spouse 22/05/2016 0 0

454 Mah/2941/200

4

1 Mah/2941/2004

MUNDHEVIJAY

MANOHAR

35 Male LOWYER Employee 22/05/2016 300000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

76 Mah/2947/200

7

2 Mah/2947/2007

SABLESHILEND

RASAMPAT

42 Male LOWYER Spouse 22/05/2016 0 0

82 Mah/2947/200

7

3 Mah/2947/2007

SABLESAHIL

SHILENDRA

14 Male LOWYER Children 22/05/2016 0 0

75 Mah/2947/200

7

1 Mah/2947/2007

SABLEARCHANASHAILEN

DRA

34 Female LOWYER Employee 22/05/2016 300000 0

2363 Mah/295/2013

1 Mah/295/2013

SONAWANE AMOLBALASO

31 Male LAWYER Employee 22/05/2016 100000 0

2378 Mah/295/2013

2 Mah/295/2013

SONAWANE

PRATIBHA AMOL

26 Female LAWYER Spouse 22/05/2016 0 0

2347 Mah/2960/201

1

2 Mah/2960/2011

POTDARMEGHARAJESH

37 Female LAWYER Spouse 22/05/2016 0 0

2360 Mah/2960/201

1

3 Mah/2960/2011

POTDAROM

RAJESH

14 Male LAWYER Children 22/05/2016 0 0

2373 Mah/2960/201

1

11 Mah/2960/2011

POTDARNARAYANI RAJESH

1 Female LAWYER Child 2 22/05/2016 0 0

2342 Mah/2960/201

1

1 Mah/2960/2011

POTDARRAJESH

SHRIPATRAO

44 Male LAWYER Employee 22/05/2016 100000 0

1916 Mah/2964/201

1

2 Mah/2964/2011

SHELARDEEPALIVINOD

27 Female LAWYER Spouse 22/05/2016 0 0

1914 Mah/2964/201

1

1 Mah/2964/2011

SHELARVINOD

SUDHAKAR

31 Male LAWYER Employee 22/05/2016 100000 0

1643 Mah/2977/200

6

1 Mah/2977/2006

TENHALLIKAR

SANTOSHBABURAO

37 Male LAWYER Employee 22/05/2016 300000 0

1656 Mah/2977/200

6

2 Mah/2977/2006

TENHALLIKAR

VAISHALISANTOSH

27 Female LAWYER Spouse 22/05/2016 0 0

1026 Mah/2992/201

0

1 Mah/2992/2010

PAYGUDEKUMARVILAS

28 Male LOWYER Employee 22/05/2016 200000 0

1033 Mah/2992/201

0

2 Mah/2992/2010

PAYGUDEVISHRANTI KUMAR

27 Female LOWYER Spouse 22/05/2016 0 0

1417 Mah/302/2010

1 Mah/302/2010

SARWADE

SOMNATH

RADHAKRISHNA

30 Male LOWYER Employee 22/05/2016 200000 0

1423 Mah/302/2010

2 Mah/302/2010

SARWADE

PALLAVISOMNAT

H

23 Female LOWYER Spouse 22/05/2016 0 0

602 Mah/3021/200

6

3 Mah/3021/2006

HARITHITESHPATEL

8 Male lawyer Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

603 Mah/3021/200

6

11 Mah/3021/2006

YAKSHHITESHPATEL

4 Male lawyer Child 2 22/05/2016 0 0

599 Mah/3021/200

6

2 Mah/3021/2006

ARUNAHITESHPATEL

33 Female lawyer Spouse 22/05/2016 0 0

596 Mah/3021/200

6

1 Mah/3021/2006

PATELHITESH

RANCHHODBHAI

34 Male lawyer Employee 22/05/2016 300000 0

623 Mah/3025/201

2

1 Mah/3025/2012

SHELKEANAND

DAMODHAR

27 Male lawyer Employee 22/05/2016 200000 0

627 Mah/3025/201

2

2 Mah/3025/2012

SHELKEPRANJALIANAND

21 Female lawyer Spouse 22/05/2016 0 0

2366 Mah/3028/200

8

1 Mah/3028/2008

MADHEKAR

MUKUNDBALASAH

EB

32 Male LAWYER Employee 22/05/2016 100000 0

2371 Mah/3028/200

8

2 Mah/3028/2008

MADHEKAR

ANUSAYAMUKUND

31 Female LAWYER Spouse 22/05/2016 0 0

2381 Mah/3028/200

8

3 Mah/3028/2008

MADHEKAR

MANASVIMUKUND

2 Female LAWYER Children 22/05/2016 0 0

1078 Mah/303/2001

1 Mah/303/2001

SIRSATABHAY

RATNAKAR

39 Male LOWYER Employee 22/05/2016 1000000 0

1133 Mah/303/2001

11 Mah/303/2001

SIRSATSAEE

ABHAY

7 Female LOWYER Child 2 22/05/2016 0 0

1082 Mah/303/2001

3 Mah/303/2001

SIRSATSANVIABHAY

3 Female LOWYER Children 22/05/2016 0 0

1080 Mah/303/2001

2 Mah/303/2001

SIRSATSMITAABHAY

34 Female LOWYER Spouse 22/05/2016 0 0

58 Mah/3037/200

6

2 Mah/3037/2006

DEOKARASHWINIPANKAJ

30 Female LOWYER Spouse 22/05/2016 0 0

53 Mah/3037/200

6

1 Mah/3037/2006

DEOKARPANKAJ

POPATRAO

32 Male LOWYER Employee 22/05/2016 800000 0

663 Mah/3038/200

5

2 Mah/3038/2005

RECHWADE

MEERASUSHIL

34 Female lawyer Spouse 22/05/2016 0 0

670 Mah/3038/200

5

3 Mah/3038/2005

RECHWADE

SHASHWAT

SUSHIL

6 Male lawyer Children 22/05/2016 0 0

659 Mah/3038/200

5

1 Mah/3038/2005

RECHWADE

SUSHILSOPANRA

O

35 Male lawyer Employee 22/05/2016 300000 0

1444 Mah/3038/200

8

1 Mah/3038/2008

KULKARNI RAKESHDEVIDAS

32 Male LOWYER Employee 22/05/2016 200000 0

1450 Mah/3038/200

8

2 Mah/3038/2008

KULKARNI RUTUJARAKESH

29 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1455 Mah/3038/200

8

3 Mah/3038/2008

KULKARNI RUDRARAKESH

10 Male LOWYER Children 22/05/2016 0 0

373 Mah/3043/200

1

1 Mah/3043/2001

TIWARIMANOJKU

MARPREMCHA

ND

42 Male LOWYER Employee 22/05/2016 500000 0

390 Mah/3043/200

1

3 Mah/3043/2001

AARYAN 16 Male LOWYER Children 22/05/2016 0 0

380 Mah/3043/200

1

2 Mah/3043/2001

SAROJ 37 Female LOWYER Spouse 22/05/2016 0 0

1715 Mah/3046/200

7

1 Mah/3046/2007

MAHAJANDNYANA

DADAMODA

R

36 Female LAWYER Employee 22/05/2016 100000 0

146 Mah/3066/200

6

1 Mah/3066/2006

MOGRENIRANJANAVINASH

33 Male LOWYER Employee 22/05/2016 500000 0

168 Mah/3066/200

6

3 Mah/3066/2006

MOGRENEIL

NIRANJAN

2 Male LOWYER Children 22/05/2016 0 0

157 Mah/3066/200

6

2 Mah/3066/2006

MOGRETEJAL

NIRANJAN

31 Female LOWYER Spouse 22/05/2016 0 0

1718 Mah/3072/200

3

1 Mah/3072/2003

TARMALERAJARAMSHANKAR

51 Male LAWYER Employee 22/05/2016 200000 0

1728 Mah/3072/200

3

3 Mah/3072/2003

TARMALEMAYUR

RAJARAM

23 Male LAWYER Children 22/05/2016 0 0

1731 Mah/3072/200

3

11 Mah/3072/2003

TARMALEPRATIK

RAJARAM

17 Male LAWYER Child 2 22/05/2016 0 0

1723 Mah/3072/200

3

2 Mah/3072/2003

TARMALEKALPANARAJARAM

45 Female LAWYER Spouse 22/05/2016 0 0

1933 Mah/3072/200

5

1 Mah/3072/2005

GAIDHANE PRAVINSADASHI

V

34 Male LAWYER Employee 22/05/2016 100000 0

1935 Mah/3072/200

5

2 Mah/3072/2005

GAIDHANE

RADHIKAPRAVIN

34 Female LAWYER Spouse 22/05/2016 0 0

1128 Mah/309/1995

11 Mah/309/1995

NEWTONNEIL

VASANT

15 Male LOWYER Child 2 22/05/2016 0 0

1111 Mah/309/1995

2 Mah/309/1995

NEWTONVASANT P

51 Male LOWYER Spouse 22/05/2016 0 0

1112 Mah/309/1995

3 Mah/309/1995

NEWTONKRISH

VASANT

9 Male LOWYER Children 22/05/2016 0 0

1110 Mah/309/1995

1 Mah/309/1995

NEWTONRAJESHR

EE V

47 Female LOWYER Employee 22/05/2016 200000 0

2332 Mah/3100/200

6

3 Mah/3100/2006

LADBHARGAV

VILAS

7 Male LAWYER Children 22/05/2016 0 0

2319 Mah/3100/200

6

2 Mah/3100/2006

LADSUPRIYA

VILAS

32 Female LAWYER Spouse 22/05/2016 0 0

2312 Mah/3100/200

6

1 Mah/3100/2006

LADVILAS

RAMESH

36 Male LAWYER Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

473 Mah/3105/200

1

1 Mah/3105/2001

AKHANDAJAY

NIMBAJI

40 Male LOWYER Employee 22/05/2016 200000 0

479 Mah/3105/200

1

2 Mah/3105/2001

AKHANDPRAVEEN

A AJAY

40 Female LOWYER Spouse 22/05/2016 0 0

698 Mah/3125/200

2

3 Mah/3125/2002

SHREYAR SONI

10 Female lawyer Children 22/05/2016 0 0

693 Mah/3125/200

2

2 Mah/3125/2002

VAISHNAVI R SONI

35 Female lawyer Spouse 22/05/2016 0 0

686 Mah/3125/200

2

1 Mah/3125/2002

SONIRAHUL

RAJENDRAPRASAD

37 Male lawyer Employee 22/05/2016 300000 0

1961 Mah/3125/200

8

1 Mah/3125/2008

WADIAANISH

32 Male LAWYER Employee 22/05/2016 1000000 0

1962 Mah/314/2010

2 Mah/314/2010

LONARESHIKHABADAL

25 Female LAWYER Spouse 22/05/2016 0 0

1958 Mah/314/2010

1 Mah/314/2010

LONAREBADAL

JAGDISH

31 Male LAWYER Employee 22/05/2016 100000 0

521 Mah/3149/200

3

3 Mah/3149/2003

ATHARVA 8 Male LOWYER Children 22/05/2016 0 0

519 Mah/3149/200

3

1 Mah/3149/2003

DEOKARKRISHNA

BHIVA

39 Male LOWYER Employee 22/05/2016 100000 0

520 Mah/3149/200

3

2 Mah/3149/2003

SANDHYA 35 Female LOWYER Spouse 22/05/2016 0 0

368 Mah/3149/200

7

3 Mah/3149/2007

AAROHI 1 Female LOWYER Children 22/05/2016 0 0

356 Mah/3149/200

7

2 Mah/3149/2007

AISHWARYA

31 Female LOWYER Spouse 22/05/2016 0 0

350 Mah/3149/200

7

1 Mah/3149/2007

MAHAJANHIMANSH

UNANURAJ

31 Male LOWYER Employee 22/05/2016 200000 0

963 Mah/3152/200

4

2 Mah/3152/2004

GOLEASHWINIASHUTOS

H

33 Female LOWYER Spouse 22/05/2016 0 0

970 Mah/3152/200

4

3 Mah/3152/2004

GOLEANIKA

ASHUTOSH

3 Female LOWYER Children 22/05/2016 0 0

954 Mah/3152/200

4

1 Mah/3152/2004

GOLEASHUTOS

HRAVINDR

A

34 Male LOWYER Employee 22/05/2016 500000 0

2494 Mah/3154/201

0

2 Mah/3154/2010

SABADRARAKHI

SHAILESH

31 Female LAWYER Spouse 22/05/2016 0 0

2488 Mah/3154/201

0

1 Mah/3154/2010

SABADRASHAILESHSUMATIL

AL

32 Male LAWYER Employee 22/05/2016 100000 0

2505 Mah/3154/201

0

3 Mah/3154/2010

SABADRAJINAL

SHAILESH

4 Female LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1991 Mah/3175/200

8

2 Mah/3175/2008

CHAUDHARI

SHRADDHA

SHRIRAM

21 Female LAWYER Spouse 22/05/2016 0 0

1987 Mah/3175/200

8

1 Mah/3175/2008

CHAUDHARI

SHRIRAMSHANTAR

AM

31 Male LAWYER Employee 22/05/2016 500000 0

264 Mah/318/1993

2 Mah/318/1993

VAISHALINITIN

VADNERKAR

43 Female LOWYER Spouse 22/05/2016 0 0

275 Mah/318/1993

3 Mah/318/1993

ATHARVANITIN

VADNERKAR

16 Male LOWYER Children 22/05/2016 0 0

250 Mah/318/1993

1 Mah/318/1993

VADNERKAR NITINASHOK

50 Male LOWYER Employee 22/05/2016 200000 0

284 Mah/318/1993

11 Mah/318/1993

MANASNITIN

VADNERKAR

10 Male LOWYER Child 2 22/05/2016 0 0

1469 Mah/3180/200

8

2 Mah/3180/2008

DHAMALKAVITA

SHRIKANT

26 Female LOWYER Spouse 22/05/2016 0 0

1463 Mah/3180/200

8

1 Mah/3180/2008

DHAMALSHRIKAN

TKISANRA

O

32 Male LOWYER Employee 22/05/2016 500000 0

1473 Mah/3180/200

8

3 Mah/3180/2008

DHAMALKAVYA

SHRIKANT

5 Female LOWYER Children 22/05/2016 0 0

2019 Mah/3188/200

5

1 Mah/3188/2005

SONTAKKE

RAVINDRA DEWAJI

45 Male LAWYER Employee 22/05/2016 100000 0

2022 Mah/3188/200

5

2 Mah/3188/2005

SONTAKKE

DARSHANA

RAVINDRA

35 Female LAWYER Spouse 22/05/2016 0 0

2144 Mah/3188/200

5

3 Mah/3188/2005

SONTAKKE

AARYANRAVINDR

A

11 Male LAWYER Children 22/05/2016 0 0

1173 Mah/3194/200

5

11 Mah/3194/2005

SINGHPRADYUM

NDIGVIJAY

0 Male LOWYER Child 2 22/05/2016 0 0

1170 Mah/3194/200

5

3 Mah/3194/2005

SINGHPADMESHDIGVIJAY

9 Male LOWYER Children 22/05/2016 0 0

1168 Mah/3194/200

5

2 Mah/3194/2005

SINGHVIJETA

DIGVIJAY

31 Female LOWYER Spouse 22/05/2016 0 0

1166 Mah/3194/200

5

1 Mah/3194/2005

SINGHDIGVIJAYRAMBALI

36 Male LOWYER Employee 22/05/2016 300000 0

156 Mah/321/1999

1 Mah/321/1999

BORADESHRIKAN

TSHRIRAM

48 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

164 Mah/321/1999

2 Mah/321/1999

MOHINI SBORADE

37 Female LOWYER Spouse 22/05/2016 0 0

170 Mah/321/1999

3 Mah/321/1999

SWARA SBORADE

5 Female LOWYER Children 22/05/2016 0 0

181 Mah/321/1999

11 Mah/321/1999

KASTURIS

BORADE

1 Female LOWYER Child 2 22/05/2016 0 0

1190 Mah/321/2013

2 Mah/321/2013

CHINMAYVIJAYPATIL

13 Male LOWYER Spouse 22/05/2016 0 0

1188 Mah/321/2013

1 Mah/321/2013

GAWANDE NEETASAPURDA

34 Female LOWYER Employee 22/05/2016 200000 0

244 Mah/3213/200

7

1 Mah/3213/2007

TIGDESACHIN

SUBHASH

33 Male LOWYER Employee 22/05/2016 200000 0

259 Mah/3213/200

7

2 Mah/3213/2007

TIGDESHWETASACHIN

29 Female LOWYER Spouse 22/05/2016 0 0

4 Mah/3218/200

8

3 Mah/3218/2008

SHUBHRARUPESH

ZADE

2 Female LOWYER Children 22/05/2016 0 0

1 Mah/3218/200

8

1 Mah/3218/2008

ZADERUPESH

ATUL

33 Male LOWYER Employee 22/05/2016 300000 0

2 Mah/3218/200

8

2 Mah/3218/2008

SUSHAMA

RUPESHZADE

29 Female LOWYER Spouse 22/05/2016 0 0

73 Mah/3219/200

7

1 Mah/3219/2007

ADVMISHRAASHISH

UDAYSHANKAR

32 Male LOWYER Employee 22/05/2016 300000 0

527 Mah/3219/200

7

2 Mah/3219/2007

MRSSEEMA

32 Female LOWYER Spouse 22/05/2016 0 0

2148 Mah/322/1999

3 Mah/322/1999

AVHADVAISHNVIRAMESH

14 Female LAWYER Children 22/05/2016 0 0

2035 Mah/322/1999

2 Mah/322/1999

AVHADUSHA

RAMESH

33 Female LAWYER Spouse 22/05/2016 0 0

2032 Mah/322/1999

1 Mah/322/1999

AVHADRAMESHKISAN

48 Male LAWYER Employee 22/05/2016 100000 0

2037 Mah/322/1999

11 Mah/322/1999

AVHADSHUBHA

MRAMESH

12 Male LAWYER Child 2 22/05/2016 0 0

746 Mah/3231/200

5

3 Mah/3231/2005

NIKITA 5 Female lawyer Children 22/05/2016 0 0

741 Mah/3231/200

5

2 Mah/3231/2005

MRSDIPALEE

30 Female lawyer Spouse 22/05/2016 0 0

737 Mah/3231/200

5

1 Mah/3231/2005

BHALERAO

SUDHIRGOVINDR

AO

35 Male lawyer Employee 22/05/2016 500000 0

2051 Mah/3234/200

6

2 Mah/3234/2006

BHOIRSULAKSH

ANAPRADEEP

33 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2153 Mah/3234/200

6

3 Mah/3234/2006

BHOIRSARA

PRADEEP

5 Female LAWYER Children 22/05/2016 0 0

2049 Mah/3234/200

6

1 Mah/3234/2006

BHOIRPRADEEPSURESH

36 Male LAWYER Employee 22/05/2016 100000 0

1795 Mah/3238/200

1

3 Mah/3238/2001

VAREKARSOHAM

AJAY

7 Male LAWYER Children 22/05/2016 0 0

1798 Mah/3238/200

1

11 Mah/3238/2001

VAREKARAARYAN

AJAY

5 Male LAWYER Child 2 22/05/2016 0 0

1793 Mah/3238/200

1

2 Mah/3238/2001

VAREKARRANIAJAY

36 Female LAWYER Spouse 22/05/2016 0 0

1787 Mah/3238/200

1

1 Mah/3238/2001

VAREKARAJAY

SUBHASH

39 Male LAWYER Employee 22/05/2016 100000 0

1247 Mah/324/2006

3 Mah/324/2006

GHUGUSKAR

TANISHKA KISHOR

10 Female LOWYER Children 22/05/2016 0 0

1246 Mah/324/2006

2 Mah/324/2006

GHUGUSKAR

MANISHAKISHOR

37 Female LOWYER Spouse 22/05/2016 0 0

1244 Mah/324/2006

1 Mah/324/2006

GHUGUSKAR

KISHORTUKARAM

51 Male LOWYER Employee 22/05/2016 200000 0

41 Mah/3241/200

6

1 Mah/3241/2006

ADVSINGHNILESH

LALSAHAB

35 Male LOWYER Employee 22/05/2016 300000 0

528 Mah/3241/200

6

3 Mah/3241/2006

HARSHITA NILESH

SINGH

9 Male LOWYER Children 22/05/2016 0 0

526 Mah/3241/200

6

2 Mah/3241/2006

MRSDEEPTINILESHSINGH

34 Female LOWYER Spouse 22/05/2016 0 0

2343 Mah/3247/200

4

1 Mah/3247/2004

BANNAPURE

MANOHAR

MURLIDHAR

39 Male LAWYER Employee 22/05/2016 100000 0

2354 Mah/3247/200

4

2 Mah/3247/2004

BANNAPURE

MANISHAMANOHA

R

32 Female LAWYER Spouse 22/05/2016 0 0

2357 Mah/3247/200

4

3 Mah/3247/2004

BANNAPURE ANUJMANOHA

R

7 Male LAWYER Children 22/05/2016 0 0

719 Mah/3248/200

9

1 Mah/3248/2009

CHANDURKAR

SWAPNILSURESH

39 Male lawyer Employee 22/05/2016 200000 0

734 Mah/3248/200

9

3 Mah/3248/2009

ASMI 6 Female lawyer Children 22/05/2016 0 0

726 Mah/3248/200

9

2 Mah/3248/2009

SHWETA 28 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

768 Mah/3249/201

0

2 Mah/3249/2010

HARHADA

27 Female lawyer Spouse 22/05/2016 0 0

760 Mah/3249/201

0

1 Mah/3249/2010

RAYATESHRIKAN

TINDRABH

AN

29 Male lawyer Employee 22/05/2016 500000 0

1763 Mah/3249/201

3

1 Mah/3249/2013

BHAPKARPRASHAN

TGHANSHY

AM

26 Male LAWYER Employee 22/05/2016 200000 0

1896 Mah/325/1993

3 Mah/325/1993

KUBER 15 Male LAWYER Children 22/05/2016 0 0

1895 Mah/325/1993

2 Mah/325/1993

MRSANUJA

41 Female LAWYER Spouse 22/05/2016 0 0

1894 Mah/325/1993

1 Mah/325/1993

SHAHMAHEND

RALALBHAI

51 Male LAWYER Employee 22/05/2016 200000 0

1897 Mah/325/1993

11 Mah/325/1993

NANDINI 10 Female LAWYER Child 2 22/05/2016 0 0

803 Mah/3250/201

0

3 Mah/3250/2010

AADITYA 1 Male lawyer Children 22/05/2016 0 0

798 Mah/3250/201

0

2 Mah/3250/2010

MRSROHINI

26 Female lawyer Spouse 22/05/2016 0 0

793 Mah/3250/201

0

1 Mah/3250/2010

BHOSALESAMEER

ANNASAHEB

29 Male lawyer Employee 22/05/2016 200000 0

1822 Mah/3257/200

4

1 Mah/3257/2004

RODGEBALASAH

EBANKUSHR

AO

36 Male LAWYER Employee 22/05/2016 100000 0

1827 Mah/3257/200

4

11 Mah/3257/2004

RODGEPRUTHVI

RAJBALASAH

EB

4 Male LAWYER Child 2 22/05/2016 0 0

1825 Mah/3257/200

4

3 Mah/3257/2004

RODGESRUSHTIBALASAH

EB

7 Female LAWYER Children 22/05/2016 0 0

1824 Mah/3257/200

4

2 Mah/3257/2004

RODGEINDRAYA

NIBALASAH

EB

30 Female LAWYER Spouse 22/05/2016 0 0

2542 Mah/3259/200

5

1 Mah/3259/2005

PALAVAMIT

GANPAT

35 Male LAWYER Employee 22/05/2016 500000 0

2547 Mah/3259/200

5

2 Mah/3259/2005

PALAVSONALAMIT

34 Female LAWYER Spouse 22/05/2016 0 0

2551 Mah/3259/200

5

3 Mah/3259/2005

PALAVADVAIT

AMIT

5 Male LAWYER Children 22/05/2016 0 0

2265 Mah/3263/200

3

1 Mah/3263/2003

PANALESACHIN

SUBHASHRAO

37 Male LAWYER Employee 22/05/2016 500000 0

2283 Mah/3263/200

3

3 Mah/3263/2003

PANALEAVANI

SACHIN

10 Female LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2292 Mah/3263/200

3

11 Mah/3263/2003

PANALESIYA

SACHIN

7 Female LAWYER Child 2 22/05/2016 0 0

2270 Mah/3263/200

3

2 Mah/3263/2003

PANALEASHWINISACHIN

35 Female LAWYER Spouse 22/05/2016 0 0

1564 Mah/3263/200

8

1 Mah/3263/2008

KELUSKAR

GANESHMAHADE

V

34 Male LAWYER Employee 22/05/2016 200000 0

1064 Mah/3270/200

6

3 Mah/3270/2006

ARYAMANSANTOSHTHAKUR

6 Male LOWYER Children 22/05/2016 0 0

1061 Mah/3270/200

6

2 Mah/3270/2006

GAYATRISANTOSHTHAKUR

36 Female LOWYER Spouse 22/05/2016 0 0

1059 Mah/3270/200

6

1 Mah/3270/2006

THAKURSANTOSHDAMODA

R

36 Male LOWYER Employee 22/05/2016 500000 0

1278 Mah/3276/200

8

1 Mah/3276/2008

JAGTAPVAIBHAVBHAURA

O

30 Male LOWYER Employee 22/05/2016 100000 0

2581 Mah/3287/200

1

3 Mah/3287/2001

JADHAVNARAYAN

IPRASHAN

T

11 Female LAWYER Children 22/05/2016 0 0

2583 Mah/3287/200

1

11 Mah/3287/2001

JADHAVSHREE

PRASHANT

3 Male LAWYER Child 2 22/05/2016 0 0

2580 Mah/3287/200

1

2 Mah/3287/2001

JADHAVDEVYANIPRASHAN

T

38 Female LAWYER Spouse 22/05/2016 0 0

2577 Mah/3287/200

1

1 Mah/3287/2001

JADHAVPRASHAN

TDATTATR

AY

39 Male LAWYER Employee 22/05/2016 800000 0

2202 Mah/3291/200

6

1 Mah/3291/2006

NIMBURGE AMOL

MADOLAPPA

36 Male LAWYER Employee 22/05/2016 100000 0

2206 Mah/3291/200

6

2 Mah/3291/2006

NIMBURGE

ANURADHA AMOL

28 Female LAWYER Spouse 22/05/2016 0 0

2208 Mah/3291/200

6

3 Mah/3291/2006

NIMBURGE ARNAVI

AMOL

4 Female LAWYER Children 22/05/2016 0 0

1119 Mah/3326/200

4

3 Mah/3326/2004

MEHUL 8 Male LOWYER Children 22/05/2016 0 0

1120 Mah/3326/200

4

11 Mah/3326/2004

MAHEK 4 Female LOWYER Child 2 22/05/2016 0 0

918 Mah/3326/200

4

2 Mah/3326/2004

RAGINI 33 Female LOWYER Spouse 22/05/2016 0 0

910 Mah/3326/200

4

1 Mah/3326/2004

RAUTNETAJI

MADHUKAR

40 Male LOWYER Employee 22/05/2016 100000 0

1312 Mah/3334/200

9

1 Mah/3334/2009

PATILSACHIN

RAVINDRA

29 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1315 Mah/3334/200

9

2 Mah/3334/2009

PATILASHWINISACHIN

27 Female LOWYER Spouse 22/05/2016 0 0

2320 Mah/3336/200

8

2 Mah/3336/2008

SINGHKHUSHB

OOASWINI

28 Female LAWYER Spouse 22/05/2016 0 0

2313 Mah/3336/200

8

1 Mah/3336/2008

SINGHASWINI

RAVINDRA

32 Male LAWYER Employee 22/05/2016 800000 0

279 Mah/3343/201

2

1 Mah/3343/2012

SHAIKHAAFRINHANIF

27 Female LOWYER Employee 22/05/2016 500000 0

293 Mah/3343/201

2

2 Mah/3343/2012

SHAIKHMOHDHANIF

45 Male LOWYER Spouse 22/05/2016 0 0

2461 Mah/3348/201

1

2 Mah/3348/2011

VAIKUNTHI

SHWETAABHISHE

K

29 Female LAWYER Spouse 22/05/2016 0 0

2454 Mah/3348/201

1

1 Mah/3348/2011

VAIKUNTHI

ABHISHEK ARUN

30 Male LAWYER Employee 22/05/2016 200000 0

2081 Mah/335/1989

2 Mah/335/1989

PAWARNEELAMHARSH

41 Female LAWYER Spouse 22/05/2016 0 0

2083 Mah/335/1989

11 Mah/335/1989

PAWARSOHAMHARSH

6 Male LAWYER Child 2 22/05/2016 0 0

2077 Mah/335/1989

1 Mah/335/1989

PAWARHARSH

TUKARAM

55 Male LAWYER Employee 22/05/2016 1000000 0

2108 Mah/335/1989

3 Mah/335/1989

PAWARCHAITAN

YAHARSH

9 Male LAWYER Children 22/05/2016 0 0

929 Mah/3355/200

2

3 Mah/3355/2002

YADAVKASHISHRAMPRAV

ESH

11 Female LOWYER Children 22/05/2016 0 0

925 Mah/3355/200

2

2 Mah/3355/2002

YADAVKIRAN

RAMPRAVESH

37 Female LOWYER Spouse 22/05/2016 0 0

923 Mah/3355/200

2

1 Mah/3355/2002

YADAVRAMPRAV

ESHCHANDRI

KA

37 Male LOWYER Employee 22/05/2016 200000 0

242 Mah/336/1980

1 Mah/336/1980

ADVCHAUREMADHAVDAGUJI

63 Male LOWYER Employee 22/05/2016 200000 0

255 Mah/336/1980

2 Mah/336/1980

MRSRAMA

57 Female LOWYER Spouse 22/05/2016 0 0

1605 Mah/3361/200

6

1 Mah/3361/2006

NIRMALRAVINDR

AJAGDEVR

AO

35 Male LAWYER Employee 22/05/2016 100000 0

1609 Mah/3361/200

6

2 Mah/3361/2006

KUTEPOOJA

ABASAHEB

28 Female LAWYER Spouse 22/05/2016 0 0

1614 Mah/3361/200

6

3 Mah/3361/2006

NIRMALRUJULA

RAVINDRA

2 Female LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1374 Mah/3367/200

7

3 Mah/3367/2007

SHAIKHSARASAMIR

5 Female LOWYER Children 22/05/2016 0 0

1367 Mah/3367/200

7

2 Mah/3367/2007

SHAIKHSHAHINSAMIR

25 Female LOWYER Spouse 22/05/2016 0 0

1363 Mah/3367/200

7

1 Mah/3367/2007

SHAIKHSAMIR

SHABBIR

31 Male LOWYER Employee 22/05/2016 200000 0

835 Mah/339/1998

2 Mah/339/1998

BADDEBHAGYAS

HREENAGNAT

H

42 Female lawyer Spouse 22/05/2016 0 0

838 Mah/339/1998

3 Mah/339/1998

BADDESNEHA

NAGNATH

17 Female lawyer Children 22/05/2016 0 0

841 Mah/339/1998

1 Mah/339/1998

BADDENAGNAT

HBAPURAO

45 Male lawyer Employee 22/05/2016 500000 0

1625 Mah/3393/200

3

11 Mah/3393/2003

MALIDAKSH

SHARAD

3 Male LAWYER Child 2 22/05/2016 0 0

1610 Mah/3393/200

3

2 Mah/3393/2003

MALIANITA

SHARAD

37 Female LAWYER Spouse 22/05/2016 0 0

1603 Mah/3393/200

3

1 Mah/3393/2003

MALISHARADMADHUK

AR

44 Male LAWYER Employee 22/05/2016 200000 0

1619 Mah/3393/200

3

3 Mah/3393/2003

MALISANEESASHARAD

11 Female LAWYER Children 22/05/2016 0 0

879 Mah/3399/200

7

1 Mah/3399/2007

DESHMUKH VIVEKMANIKRA

O

36 Male LOWYER Employee 22/05/2016 500000 0

886 Mah/3399/200

7

3 Mah/3399/2007

MANASVI 6 Female LOWYER Children 22/05/2016 0 0

890 Mah/3399/200

7

11 Mah/3399/2007

ADARSHA 2 Female LOWYER Child 2 22/05/2016 0 0

884 Mah/3399/200

7

2 Mah/3399/2007

VEDIKA 28 Female LOWYER Spouse 22/05/2016 0 0

852 Mah/3406/200

4

3 Mah/3406/2004

TANAYA 5 Male lawyer Children 22/05/2016 0 0

850 Mah/3406/200

4

2 Mah/3406/2004

NAMITA 32 Female lawyer Spouse 22/05/2016 0 0

848 Mah/3406/200

4

1 Mah/3406/2004

TUNGARNIKHILES

HKULDIPAK

35 Male lawyer Employee 22/05/2016 200000 0

2089 Mah/3413/200

9

2 Mah/3413/2009

HAKKEPRATIBH

ARAMDAS

31 Female LAWYER Spouse 22/05/2016 0 0

2087 Mah/3413/200

9

1 Mah/3413/2009

HAKKERAMDASPRABHUR

AO

31 Male LAWYER Employee 22/05/2016 200000 0

1427 Mah/3415/201

1

2 Mah/3415/2011

LINGALOD

PRIYANKAARJUN

19 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1422 Mah/3415/201

1

1 Mah/3415/2011

LINGALOD ARJUNVENKATI

30 Male LOWYER Employee 22/05/2016 300000 0

606 Mah/3430/200

3

1 Mah/3430/2003

JADHAVNANDKIS

HORTATYABA

40 Male lawyer Employee 22/05/2016 1000000 0

613 Mah/3430/200

3

11 Mah/3430/2003

JADHAVJANHAVINANDKIS

HOR

6 Female lawyer Child 2 22/05/2016 0 0

610 Mah/3430/200

3

3 Mah/3430/2003

JADHAVOMKAR

NANDKISHOR

13 Male lawyer Children 22/05/2016 0 0

609 Mah/3430/200

3

2 Mah/3430/2003

JADHAVSARIKA

NANDKISHOR

34 Female lawyer Spouse 22/05/2016 0 0

2276 Mah/3439/201

0

1 Mah/3439/2010

TOKARESHIVAJIKISAN

34 Male LAWYER Employee 22/05/2016 500000 0

2285 Mah/3439/201

0

2 Mah/3439/2010

TOKARESAI

SHIVAJI

23 Female LAWYER Spouse 22/05/2016 0 0

1618 Mah/345/1992

2 Mah/345/1992

YADAVNIRMALASACHINDRAKUMA

R

48 Female LAWYER Spouse 22/05/2016 0 0

1623 Mah/345/1992

3 Mah/345/1992

YADAVNEHA

SACHINDRAKUMA

R

22 Female LAWYER Children 22/05/2016 0 0

1611 Mah/345/1992

1 Mah/345/1992

YADAVSACHINDRAKUMA

RGURUDIN

49 Male LAWYER Employee 22/05/2016 100000 0

1629 Mah/345/1992

11 Mah/345/1992

YADAVROHIT

SACHINDRAKUMA

R

19 Male LAWYER Child 2 22/05/2016 0 0

1435 Mah/3464/201

0

2 Mah/3464/2010

MAHADAS ANKITAABHAY

27 Female LOWYER Spouse 22/05/2016 0 0

1429 Mah/3464/201

0

1 Mah/3464/2010

MAHADAS ABHAY

UDAY

29 Male LOWYER Employee 22/05/2016 100000 0

1917 Mah/3471/201

6

1 Mah/3471/2016

BAGALSUHAS

SURESH

26 Male LAWYER Employee 22/05/2016 300000 0

2571 Mah/35/1983

11 Mah/35/1983

ADSULPOOJA

VASANT

17 Female LAWYER Child 2 22/05/2016 0 0

2568 Mah/35/1983

3 Mah/35/1983

ADSULKRANTIVASANT

20 Female LAWYER Children 22/05/2016 0 0

2560 Mah/35/1983

1 Mah/35/1983

ADSULVASANT

GANDATRAO

66 Male LAWYER Employee 22/05/2016 100000 0

2565 Mah/35/1983

2 Mah/35/1983

ADSULCHITRAVASANT

43 Female LAWYER Spouse 22/05/2016 0 0

59 Mah/350/1998

1 Mah/350/1998

DIXITRAJESHRAJMANI

44 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

72 Mah/350/1998

2 Mah/350/1998

MRSANITADIXIT

39 Female LOWYER Spouse 22/05/2016 0 0

79 Mah/350/1998

3 Mah/350/1998

GAURAVDIXIT

20 Male LOWYER Children 22/05/2016 0 0

87 Mah/350/1998

11 Mah/350/1998

ANURAGDIXIT

16 Male LOWYER Child 2 22/05/2016 0 0

329 Mah/3500/201

2

1 Mah/3500/2012

PEREIRAMELWYN

30 Male LOWYER Employee 22/05/2016 200000 0

337 Mah/3500/201

2

2 Mah/3500/2012

MRSADELYN

29 Female LOWYER Spouse 22/05/2016 0 0

641 Mah/3503/200

1

11 Mah/3503/2001

JAGTAPYOGESH

TUKARAM

16 Male lawyer Child 2 22/05/2016 0 0

636 Mah/3503/200

1

3 Mah/3503/2001

JAGTAPAKASH

TUKARAM

20 Male lawyer Children 22/05/2016 0 0

630 Mah/3503/200

1

1 Mah/3503/2001

JAGTAPTUKARAMBALIRAM

43 Male lawyer Employee 22/05/2016 300000 0

632 Mah/3503/200

1

2 Mah/3503/2001

JAGTAPSINDHU

TUKARAM

41 Female lawyer Spouse 22/05/2016 0 0

1464 Mah/3504/200

2

3 Mah/3504/2002

PATILDWEEJSANJAY

3 Male LOWYER Children 22/05/2016 0 0

1456 Mah/3504/200

2

1 Mah/3504/2002

PATILSANJAY

JAGANNATH

38 Male LOWYER Employee 22/05/2016 200000 0

1459 Mah/3504/200

2

2 Mah/3504/2002

PATILSUVARNASANJAY

26 Female LOWYER Spouse 22/05/2016 0 0

1466 Mah/3504/200

2

11 Mah/3504/2002

PATILSPARSHSANJAY

1 Male LOWYER Child 2 22/05/2016 0 0

898 Mah/351/1979

3 Mah/351/1979

DESHPANDE

KOUSTUBHA

ACHYUT

31 Male LOWYER Children 22/05/2016 0 0

888 Mah/351/1979

1 Mah/351/1979

DESHPANDE

ACHYUTRANGNAT

H

65 Male LOWYER Employee 22/05/2016 200000 0

893 Mah/351/1979

2 Mah/351/1979

DESHPANDE

DHANASHRI

ACHYUT

61 Female LOWYER Spouse 22/05/2016 0 0

563 Mah/3517/200

2

1 Mah/3517/2002

WAJAGEVIJAY

SHASHIKANT

37 Male LOWYER Employee 22/05/2016 100000 0

564 Mah/3517/200

2

2 Mah/3517/2002

RESHMAVWAJAGE

33 Female LOWYER Spouse 22/05/2016 0 0

1479 Mah/3521/201

2

2 Mah/3521/2012

PATOLESHITAL

PRADEEP

25 Female LOWYER Spouse 22/05/2016 0 0

1476 Mah/3521/201

2

1 Mah/3521/2012

PATOLEPRADEEPHARISHCHANDRA

29 Male LOWYER Employee 22/05/2016 500000 0

2353 Mah/3526/201

0

3 Mah/3526/2010

SHINDESAURABHSUBHASH

4 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2359 Mah/3526/201

0

11 Mah/3526/2010

SHINDESARTHAKSUBHASH

1 Male LAWYER Child 2 22/05/2016 0 0

2345 Mah/3526/201

0

2 Mah/3526/2010

SHINDEBHAGYAS

HRISUBHASH

24 Female LAWYER Spouse 22/05/2016 0 0

2334 Mah/3526/201

0

1 Mah/3526/2010

SHINDESUBHASHPANDURA

NG

32 Male LAWYER Employee 22/05/2016 200000 0

1181 Mah/3533/200

3

11 Mah/3533/2003

KATARIYAAARADHYA SACHIN

3 Female LOWYER Child 2 22/05/2016 0 0

1179 Mah/3533/200

3

3 Mah/3533/2003

KATARIYAGARGEESACHIN

13 Female LOWYER Children 22/05/2016 0 0

1177 Mah/3533/200

3

2 Mah/3533/2003

KATARIYASHEETALSACHIN

34 Female LOWYER Spouse 22/05/2016 0 0

1175 Mah/3533/200

3

1 Mah/3533/2003

KATARIYASACHIN

SUBHASHLAL

36 Male LOWYER Employee 22/05/2016 200000 0

1671 Mah/3538/200

4

3 Mah/3538/2004

BHOIRATHARVASHATRUG

HNA

6 Male LAWYER Children 22/05/2016 0 0

1669 Mah/3538/200

4

2 Mah/3538/2004

BHOIRHARSHAL

ISHATRUG

HNA

31 Female LAWYER Spouse 22/05/2016 0 0

1660 Mah/3538/200

4

1 Mah/3538/2004

BHOIRSHATRUG

HNAMAHADE

V

37 Male LAWYER Employee 22/05/2016 100000 0

61 Mah/3556/200

9

1 Mah/3556/2009

DARANDALE

PRASHANT

BALASAHEB

32 Male LOWYER Employee 22/05/2016 300000 0

66 Mah/3556/200

9

2 Mah/3556/2009

DARANDALE

SMITAPRASHAN

T

25 Female LOWYER Spouse 22/05/2016 0 0

1193 Mah/3567/201

5

1 Mah/3567/2015

BALIPALLAVIBALDEV

23 Male LOWYER Employee 22/05/2016 1000000 0

363 Mah/357/2013

1 Mah/357/2013

MAGARSUNIL

DASHARATH

38 Male LOWYER Employee 22/05/2016 200000 0

366 Mah/357/2013

2 Mah/357/2013

MAGARALKASUNIL

36 Female LOWYER Spouse 22/05/2016 0 0

376 Mah/357/2013

3 Mah/357/2013

MAGARSANKALP

SUNIL

1814 Male LOWYER Children 22/05/2016 0 0

989 Mah/3581/201

3

1 Mah/3581/2013

SATHEMAHEND

RASHANKAR

36 Male LOWYER Employee 22/05/2016 200000 0

994 Mah/3581/201

3

2 Mah/3581/2013

SATHERESHMAMAHEND

RA

29 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1003 Mah/3581/201

3

3 Mah/3581/2013

SATHEMAITHILIMAHEND

RA

1 Female LOWYER Children 22/05/2016 0 0

1251 Mah/3605/200

3

2 Mah/3605/2003

LALBIGEANJALI

YOGESH

35 Female LOWYER Spouse 22/05/2016 0 0

1252 Mah/3605/200

3

3 Mah/3605/2003

LALBIGETANISHK

AYOGESH

10 Female LOWYER Children 22/05/2016 0 0

1249 Mah/3605/200

3

1 Mah/3605/2003

LALBIGEYOGESH

VILAS

39 Male LOWYER Employee 22/05/2016 300000 0

1724 Mah/3614/200

5

2 Mah/3614/2005

SULANENAYAN

SAMADHAN

24 Female LAWYER Spouse 22/05/2016 0 0

1720 Mah/3614/200

5

1 Mah/3614/2005

SULANESAMADH

ANUTTAM

34 Male LAWYER Employee 22/05/2016 1000000 0

1727 Mah/3614/200

5

3 Mah/3614/2005

SULANESIDDHI

SAMADHAN

5 Female LAWYER Children 22/05/2016 0 0

1729 Mah/3614/200

5

11 Mah/3614/2005

SULANERIDDHI

SAMADHAN

3 Female LAWYER Child 2 22/05/2016 0 0

1734 Mah/3621/201

3

1 Mah/3621/2013

GAVALEKETANKISHOR

25 Male LAWYER Employee 22/05/2016 100000 0

37 Mah/3623/200

6

2 Mah/3623/2006

SUPRIYASANDEEPKOREGAV

E

30 Female LOWYER Spouse 22/05/2016 0 0

34 Mah/3623/200

6

1 Mah/3623/2006

KOREGAVE

SANDEEPSHRIPAL

33 Male LOWYER Employee 22/05/2016 300000 0

42 Mah/3623/200

6

3 Mah/3623/2006

SHOURYASANDEEPKOREGAV

E

3 Male LOWYER Children 22/05/2016 0 0

982 Mah/364/1986

3 Mah/364/1986

MARATHEAISHWAR

YANAGESH

17 Female LOWYER Children 22/05/2016 0 0

976 Mah/364/1986

1 Mah/364/1986

MARATHENAGESHNARAYAN

61 Male LOWYER Employee 22/05/2016 100000 0

166 Mah/3645/201

1

2 Mah/3645/2011

TAWARISWAPNAUMESH

28 Female LOWYER Spouse 22/05/2016 0 0

158 Mah/3645/201

1

1 Mah/3645/2011

TAWARIUMESH

BRIJRATAN

29 Male LOWYER Employee 22/05/2016 300000 0

1286 Mah/3651/200

7

3 Mah/3651/2007

SANDHUJASPREET

KAURKAMALJIT

SINGH

21 Female LOWYER Children 22/05/2016 0 0

1289 Mah/3651/200

7

11 Mah/3651/2007

SANDHUGURPREET SINGHKAMALJIT

SINGH

15 Male LOWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1283 Mah/3651/200

7

2 Mah/3651/2007

SANDHUIVENDER

KAURKAMALJIT

SINGH

42 Female LOWYER Spouse 22/05/2016 0 0

1281 Mah/3651/200

7

1 Mah/3651/2007

SANDHUKAMALJIT

SINGHLAKHMIN

DERSINGH

44 Male LOWYER Employee 22/05/2016 200000 0

1317 Mah/3652/200

7

1 Mah/3652/2007

JOSHIAMOL

BHAGWAT

34 Male LOWYER Employee 22/05/2016 200000 0

1321 Mah/3652/200

7

2 Mah/3652/2007

JOSHIKARISHMA AMOL

30 Female LOWYER Spouse 22/05/2016 0 0

2113 Mah/3652/201

4

3 Mah/3652/2014

PANDEYKINJALPANKAJ

9 Female LAWYER Children 22/05/2016 0 0

1941 Mah/3652/201

4

2 Mah/3652/2014

PANDEYSEEMAPANKAJ

31 Female LAWYER Spouse 22/05/2016 0 0

1945 Mah/3652/201

4

11 Mah/3652/2014

PANDEYKAMAKSHPANKAJ

5 Male LAWYER Child 2 22/05/2016 0 0

1937 Mah/3652/201

4

1 Mah/3652/2014

PANDEYPANKAJ

SUBHASHCHANDR

A

30 Male LAWYER Employee 22/05/2016 500000 0

1391 Mah/3653/201

4

3 Mah/3653/2014

SINGHARYAN

SANJAYKUMAR

11 Male LOWYER Children 22/05/2016 0 0

1387 Mah/3653/201

4

2 Mah/3653/2014

SINGHPAMMI

SANJAYKUMAR

34 Female LOWYER Spouse 22/05/2016 0 0

1381 Mah/3653/201

4

1 Mah/3653/2014

SINGHSANJAYK

UMARPARASNA

TH

35 Male LOWYER Employee 22/05/2016 200000 0

1067 Mah/3654/201

1

2 Mah/3654/2011

OKASHARVI

SAURABH

32 Female LOWYER Spouse 22/05/2016 0 0

1063 Mah/3654/201

1

1 Mah/3654/2011

OKASAURABHSHRIKAN

T

28 Male LOWYER Employee 22/05/2016 500000 0

1433 Mah/3663/200

6

2 Mah/3663/2006

MULEYRUCHAROHIT

26 Female LOWYER Spouse 22/05/2016 0 0

1437 Mah/3663/200

6

3 Mah/3663/2006

MULEYPRIYANSHI ROHIT

3 Female LOWYER Children 22/05/2016 0 0

1428 Mah/3663/200

6

1 Mah/3663/2006

MULEYROHIT

RAMESH

32 Male LOWYER Employee 22/05/2016 200000 0

2506 Mah/3668/200

4

3 Mah/3668/2004

GAPATAKSHATAPRAMOD

7 Female LAWYER Children 22/05/2016 0 0

2500 Mah/3668/200

4

2 Mah/3668/2004

GAPATKAUSHAL

YAPRAMOD

33 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2510 Mah/3668/200

4

11 Mah/3668/2004

GAPATANAY

PRAMOD

2 Male LAWYER Child 2 22/05/2016 0 0

2497 Mah/3668/200

4

1 Mah/3668/2004

GAPATPRAMODBABANRA

O

36 Male LAWYER Employee 22/05/2016 100000 0

690 Mah/3670/200

6

11 Mah/3670/2006

NETRARAMESHWAKADE

2 Female lawyer Child 2 22/05/2016 0 0

677 Mah/3670/200

6

1 Mah/3670/2006

WAKADERAMESHIRBARAO

35 Male lawyer Employee 22/05/2016 300000 0

681 Mah/3670/200

6

2 Mah/3670/2006

MINAKSHIRAMESHWAKADE

28 Female lawyer Spouse 22/05/2016 0 0

685 Mah/3670/200

6

3 Mah/3670/2006

APURVARAMESHWAKADE

5 Female lawyer Children 22/05/2016 0 0

277 Mah/3672I/199

9

3 Mah/3672I/1999

ASHWINVINODSINGH

20 Male LOWYER Children 22/05/2016 0 0

290 Mah/3672I/199

9

11 Mah/3672I/1999

SHWETAVINODSINGH

18 Female LOWYER Child 2 22/05/2016 0 0

269 Mah/3672I/199

9

2 Mah/3672I/1999

ARCHNAVINODSINGH

39 Female LOWYER Spouse 22/05/2016 0 0

261 Mah/3672I/199

9

1 Mah/3672I/1999

SINGHVINODKUMAR

44 Male LOWYER Employee 22/05/2016 300000 0

182 Mah/3673/200

3

1 Mah/3673/2003

KULKARNI

SHRINIWAS

DINKAR

66 Male LOWYER Employee 22/05/2016 300000 0

202 Mah/3673/200

3

2 Mah/3673/2003

KULKARNI

ANUNADHA

SHRINIWAS

56 Female LOWYER Spouse 22/05/2016 0 0

497 Mah/3685/200

7

1 Mah/3685/2007

JADHAVAR

RAJKUMAR

MAHADEO

33 Male LOWYER Employee 22/05/2016 200000 0

504 Mah/3685/200

7

3 Mah/3685/2007

CHINMAY 3 Male LOWYER Children 22/05/2016 0 0

499 Mah/3685/200

7

2 Mah/3685/2007

JYOTI 31 Female LOWYER Spouse 22/05/2016 0 0

1802 Mah/3690/200

3

2 Mah/3690/2003

SAYYADSHARIFAASHFAQU

E

37 Female LAWYER Spouse 22/05/2016 0 0

1799 Mah/3690/200

3

1 Mah/3690/2003

SAYYADASHFAQU

ENASIROD

DIN

45 Male LAWYER Employee 22/05/2016 100000 0

1769 Mah/3698/200

7

1 Mah/3698/2007

POLMAHESHDAMODA

R

31 Male LAWYER Employee 22/05/2016 200000 0

1775 Mah/3698/200

7

2 Mah/3698/2007

POLTRUPTI

MAHESH

27 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1974 Mah/3707/200

7

11 Mah/3707/2007

KHADEHRIDAANPRAVIN

2 Male LAWYER Child 2 22/05/2016 0 0

2118 Mah/3707/200

7

3 Mah/3707/2007

KHADEVIGHNESH PRAVIN

7 Male LAWYER Children 22/05/2016 0 0

1965 Mah/3707/200

7

1 Mah/3707/2007

KHADEPRAVIN

SHANTARAM

37 Male LAWYER Employee 22/05/2016 500000 0

1969 Mah/3707/200

7

2 Mah/3707/2007

KHADESHWETAMBARIPRAVIN

34 Female LAWYER Spouse 22/05/2016 0 0

703 Mah/372/1977

1 Mah/372/1977

MATHURVAISHYAASHOK

RAMKISAN

65 Male lawyer Employee 22/05/2016 500000 0

708 Mah/372/1977

2 Mah/372/1977

MATHURVAISHYANEELAMASHOK

58 Female lawyer Spouse 22/05/2016 0 0

1438 Mah/3734/200

2

1 Mah/3734/2002

DESAISANVI

SANTOSH

40 Female LOWYER Employee 22/05/2016 300000 0

1445 Mah/3734/200

2

2 Mah/3734/2002

SANTOSHSHRIDHAR DESAI

40 Male LOWYER Spouse 22/05/2016 0 0

1448 Mah/3734/200

2

3 Mah/3734/2002

ARYUNSHRIDHAR DESAI

5 Male LOWYER Children 22/05/2016 0 0

532 Mah/3736/200

2

3 Mah/3736/2002

ADVAIT 4 Male LOWYER Children 22/05/2016 0 0

204 Mah/3736/200

2

1 Mah/3736/2002

ADVSAWANTGURUNAT

HRAMCHA

NDRA

39 Male LOWYER Employee 22/05/2016 500000 0

531 Mah/3736/200

2

2 Mah/3736/2002

MRSVIDYA

35 Female LOWYER Spouse 22/05/2016 0 0

1829 Mah/3737/200

2

1 Mah/3737/2002

AGRESANTOSHLAXMAN

40 Male LAWYER Employee 22/05/2016 200000 0

1470 Mah/3755/201

2

1 Mah/3755/2012

BHOIRDEEPAK

DEVNATH

28 Male LOWYER Employee 22/05/2016 300000 0

1964 Mah/3767/200

6

1 Mah/3767/2006

SHINDEBALAJI

SAHEBRAO

35 Male LAWYER Employee 22/05/2016 200000 0

1968 Mah/3767/200

6

2 Mah/3767/2006

SHINDEPRITI

BALAJI

29 Female LAWYER Spouse 22/05/2016 0 0

1971 Mah/3767/200

6

11 Mah/3767/2006

SHINDEAKSHAYBALAJI

0 Male LAWYER Child 2 22/05/2016 0 0

2123 Mah/3767/200

6

3 Mah/3767/2006

SHINDEARYANBALAJI

6 Male LAWYER Children 22/05/2016 0 0

378 Mah/3777/200

1

11 Mah/3777/2001

MUGDHA 21 Female LOWYER Child 2 22/05/2016 0 0

369 Mah/3777/200

1

3 Mah/3777/2001

RAJ 23 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

365 Mah/3777/200

1

2 Mah/3777/2001

MEENA 57 Female LOWYER Spouse 22/05/2016 0 0

355 Mah/3777/200

1

1 Mah/3777/2001

BANSODEPETER

RAGHUNATH

60 Male LOWYER Employee 22/05/2016 200000 0

1576 Mah/3784/200

6

3 Mah/3784/2006

GADEKARYASHASH

REESANDEEP

4 Female LAWYER Children 22/05/2016 0 0

1579 Mah/3784/200

6

11 Mah/3784/2006

GADEKARYADNESHSANDEEP

0 Male LAWYER Child 2 22/05/2016 0 0

1568 Mah/3784/200

6

1 Mah/3784/2006

GADEKARSANDEEPSHIVAJI

33 Male LAWYER Employee 22/05/2016 200000 0

1572 Mah/3784/200

6

2 Mah/3784/2006

GADEKARMAYA

SANDEEP

30 Female LAWYER Spouse 22/05/2016 0 0

2274 Mah/3788/200

5

2 Mah/3788/2005

GUJARSNEHAL

PRABHANJAN

34 Female LAWYER Spouse 22/05/2016 0 0

2278 Mah/3788/200

5

3 Mah/3788/2005

GUJARANANYA

PRABHANJAN

7 Female LAWYER Children 22/05/2016 0 0

2264 Mah/3788/200

5

1 Mah/3788/2005

GUJARPRABHAN

JANBALWANT

36 Male LAWYER Employee 22/05/2016 500000 0

766 Mah/3791/200

2

3 Mah/3791/2002

JADHAVRUSHIKA

KIRAN

9 Female lawyer Children 22/05/2016 0 0

772 Mah/3791/200

2

11 Mah/3791/2002

JADHAVRUDRATEJ KIRAN

3 Male lawyer Child 2 22/05/2016 0 0

755 Mah/3791/200

2

1 Mah/3791/2002

JADHAVKIRAN

SHESHERAO

35 Male lawyer Employee 22/05/2016 200000 0

762 Mah/3791/200

2

2 Mah/3791/2002

JADHAVSUPRIYAKIRAN

31 Female lawyer Spouse 22/05/2016 0 0

152 Mah/3791/200

4

1 Mah/3791/2004

NARHAREDNYANO

BA

40 Male LOWYER Employee 22/05/2016 200000 0

172 Mah/3791/200

4

3 Mah/3791/2004

SURAJ 3 Male LOWYER Children 22/05/2016 0 0

163 Mah/3791/200

4

2 Mah/3791/2004

MRSMEGHA

20 Female LOWYER Spouse 22/05/2016 0 0

2543 Mah/3791/200

9

2 Mah/3791/2009

TATHODBHAGYAS

HRITUSHAR

25 Female LAWYER Spouse 22/05/2016 0 0

2540 Mah/3791/200

9

1 Mah/3791/2009

TATHODTUSHAR

UTTAMRAO

30 Male LAWYER Employee 22/05/2016 100000 0

327 Mah/3807/200

6

2 Mah/3807/2006

SINGHNIDHI

VAIBHAV

32 Female LOWYER Spouse 22/05/2016 0 0

335 Mah/3807/200

6

3 Mah/3807/2006

SINGHVIDVATA

MVAIBHAV

4 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

340 Mah/3807/200

6

11 Mah/3807/2006

SINGHVARDHA

NVAIBHAV

4 Male LOWYER Child 2 22/05/2016 0 0

309 Mah/3807/200

6

1 Mah/3807/2006

SINGHVAIBHAVAWADHE

SH

34 Male LOWYER Employee 22/05/2016 300000 0

2526 Mah/3809/201

6

1 Mah/3809/2016

CHITTIMALLE

SURYASHEKHAR

VASUDEV

35 Male LAWYER Employee 22/05/2016 100000 0

2536 Mah/3809/201

6

3 Mah/3809/2016

CHITTIMALLE NITUSURYASH

EKHAR

5 Female LAWYER Children 22/05/2016 0 0

2532 Mah/3809/201

6

2 Mah/3809/2016

CHITTIMALLE NEHASURYASH

EKHAR

28 Female LAWYER Spouse 22/05/2016 0 0

2336 Mah/3828/201

4

1 Mah/3828/2014

PAWARMUNNAASHOK

38 Male LAWYER Employee 22/05/2016 300000 0

1490 Mah/3829/200

3

3 Mah/3829/2003

VYASKRUPAPARAG

18 Female LOWYER Children 22/05/2016 0 0

1482 Mah/3829/200

3

1 Mah/3829/2003

VYASPARAG

ANANTRAI

49 Male LOWYER Employee 22/05/2016 1000000 0

1486 Mah/3829/200

3

2 Mah/3829/2003

VYASKAVITAPARAG

45 Female LOWYER Spouse 22/05/2016 0 0

2545 Mah/3829/201

6

1 Mah/3829/2016

GUPTAJITENDRAKUMAR

33 Male LAWYER Employee 22/05/2016 100000 0

2559 Mah/3829/201

6

11 Mah/3829/2016

GUPTAPANKHUD

IJITENDRA

4 Female LAWYER Child 2 22/05/2016 0 0

2554 Mah/3829/201

6

3 Mah/3829/2016

GUPTAPANKTI

JITENDRA

6 Female LAWYER Children 22/05/2016 0 0

2549 Mah/3829/201

6

2 Mah/3829/2016

GUPTAJESSIKA

JITENDRA

27 Female LAWYER Spouse 22/05/2016 0 0

1092 Mah/3831/200

5

2 Mah/3831/2005

MUNDESNEHAL

AMIT

32 Female LOWYER Spouse 22/05/2016 0 0

1094 Mah/3831/200

5

3 Mah/3831/2005

MUNDESAISHAAMIT

4 Female LOWYER Children 22/05/2016 0 0

1090 Mah/3831/200

5

1 Mah/3831/2005

MUNDEAMIT

KISHORRAO

34 Male LOWYER Employee 22/05/2016 1000000 0

2281 Mah/3837/200

5

2 Mah/3837/2005

HIRIJAGNER

AVINASH

38 Male LAWYER Spouse 22/05/2016 0 0

2284 Mah/3837/200

5

3 Mah/3837/2005

HIRIJAGNER VEDA

5 Female LAWYER Children 22/05/2016 0 0

2275 Mah/3837/200

5

1 Mah/3837/2005

HIRIJAGNER MANIMALAR

AVINASH

34 Female LAWYER Employee 22/05/2016 100000 0

2237 Mah/3848/200

9

2 Mah/3848/2009

LOMTEROHINI

RANJEET

29 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2243 Mah/3848/200

9

3 Mah/3848/2009

LOMTEAVANI

RANJEET

5 Female LAWYER Children 22/05/2016 0 0

2228 Mah/3848/200

9

1 Mah/3848/2009

LOMTERANJEETMAHIPATI

36 Male LAWYER Employee 22/05/2016 100000 0

1997 Mah/3849-

A/2004

2 Mah/3849-A/2004

SINGPRITI

DHEERENDRA

34 Female LAWYER Spouse 22/05/2016 0 0

1995 Mah/3849-

A/2004

1 Mah/3849-A/2004

SINGHDHEEREN

DRAKUMAR

35 Male LAWYER Employee 22/05/2016 500000 0

2000 Mah/3849-

A/2004

11 Mah/3849-A/2004

SINGHKRISHNADHEEREN

DRA

1 Male LAWYER Child 2 22/05/2016 0 0

2129 Mah/3849-

A/2004

3 Mah/3849-A/2004

SINGHRISIKA

DHEERENDRA

5 Female LAWYER Children 22/05/2016 0 0

1616 Mah/3859/200

6

1 Mah/3859/2006

JADHAVVIVEKAN

ANDUTTAMRA

O

32 Male LAWYER Employee 22/05/2016 100000 0

1620 Mah/3859/200

6

2 Mah/3859/2006

JADHAVASHWINIVIVEKAN

AND

26 Female LAWYER Spouse 22/05/2016 0 0

743 Mah/3877/200

5

1 Mah/3877/2005

TIWARISMITASUNIL

35 Male lawyer Employee 22/05/2016 500000 0

756 Mah/3877/200

5

3 Mah/3877/2005

SWHARAJ 3 Male lawyer Children 22/05/2016 0 0

749 Mah/3877/200

5

2 Mah/3877/2005

SUNIL 35 Female lawyer Spouse 22/05/2016 0 0

2235 Mah/3900/199

9

1 Mah/3900/1999

PATILJAYANTIL

ALDAMODA

R

44 Male LAWYER Employee 22/05/2016 300000 0

2239 Mah/3900/199

9

2 Mah/3900/1999

PATILVIJAYSHRIJAYANTIL

AL

38 Female LAWYER Spouse 22/05/2016 0 0

2259 Mah/3900/199

9

11 Mah/3900/1999

PATILMANAN

JAYANTILAL

2 Male LAWYER Child 2 22/05/2016 0 0

2252 Mah/3900/199

9

3 Mah/3900/1999

PATILURVI

JAYANTILAL

7 Female LAWYER Children 22/05/2016 0 0

537 Mah/3902/200

6

3 Mah/3902/2006

AARADHYA KAILASSHIRSAT

H

0 Male LOWYER Children 22/05/2016 0 0

535 Mah/3902/200

6

1 Mah/3902/2006

SHIRSATH KAILASNIVRUTTI

27 Male LOWYER Employee 22/05/2016 200000 0

536 Mah/3902/200

6

2 Mah/3902/2006

JYOTIKAILAS

SHIRSATH

24 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1645 Mah/3918/199

9

3 Mah/3918/1999

SHELKESNEHA

BHAUSAHEB

13 Female LAWYER Children 22/05/2016 0 0

1631 Mah/3918/199

9

1 Mah/3918/1999

SHELKEBHAUSAH

EBNAMDED

43 Male LAWYER Employee 22/05/2016 200000 0

1653 Mah/3918/199

9

11 Mah/3918/1999

SHELKESOHAM

BHAUSAHEB

3 Male LAWYER Child 2 22/05/2016 0 0

1635 Mah/3918/199

9

2 Mah/3918/1999

SHELKENEETA

BHAUSAHEB

36 Female LAWYER Spouse 22/05/2016 0 0

2432 Mah/3926/200

8

1 Mah/3926/2008

SARDABHARATMUKUND

32 Male LAWYER Employee 22/05/2016 200000 0

2440 Mah/3926/200

8

2 Mah/3926/2008

SARDASNEHA

BHARAT

32 Female LAWYER Spouse 22/05/2016 0 0

430 Mah/3935/200

6

2 Mah/3935/2006

JOSHIANIL

DAMODAR

36 Male LOWYER Spouse 22/05/2016 0 0

423 Mah/3935/200

6

1 Mah/3935/2006

JOSHIVAISHALI

ANIL

33 Female LOWYER Employee 22/05/2016 200000 0

2027 Mah/3950/200

7

2 Mah/3950/2007

DESHMUKH

SONALYOGESH

30 Female LAWYER Spouse 22/05/2016 0 0

2024 Mah/3950/200

7

1 Mah/3950/2007

DESHMUKH

YOGESHKASHINA

TH

35 Male LAWYER Employee 22/05/2016 500000 0

1642 Mah/3956/200

7

3 Mah/3956/2007

ADMANEKAVERI

RAVINDRA

3 Female LAWYER Children 22/05/2016 0 0

1636 Mah/3956/200

7

2 Mah/3956/2007

ADMANESAPNA

RAVINDRA

34 Female LAWYER Spouse 22/05/2016 0 0

1633 Mah/3956/200

7

1 Mah/3956/2007

ADMANERAVINDR

ASAMBHAJI

37 Male LAWYER Employee 22/05/2016 300000 0

1681 Mah/3958/201

2

2 Mah/3958/2012

BHOSALESWATI

SHRIKRUSHNA

23 Female LAWYER Spouse 22/05/2016 0 0

1676 Mah/3958/201

2

1 Mah/3958/2012

BHOSALESHRIKRU

SHNAVINAYAK

29 Male LAWYER Employee 22/05/2016 100000 0

1687 Mah/3958/201

2

3 Mah/3958/2012

BHOSALEVARAD

SHRIKRUSHNA

1 Male LAWYER Children 22/05/2016 0 0

2421 Mah/397/2014

2 Mah/397/2014

DONGARE NILESHBABARAO

30 Male LAWYER Spouse 22/05/2016 0 0

2411 Mah/397/2014

1 Mah/397/2014

KHOBRAGADE

MANJUSHA VINOD

27 Female LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

783 Mah/3986A/20

01

3 Mah/3986A/2001

JIYAANANOK

UMARSINGH

4 Female lawyer Children 22/05/2016 0 0

778 Mah/3986A/20

01

2 Mah/3986A/2001

JYOTIANANOK

UMARSINGH

31 Female lawyer Spouse 22/05/2016 0 0

773 Mah/3986A/20

01

1 Mah/3986A/2001

SINGHANANDK

UMARPARASNA

TH

37 Male lawyer Employee 22/05/2016 200000 0

2039 Mah/3991/201

5

1 Mah/3991/2015

MORENILESHKANHU

26 Male LAWYER Employee 22/05/2016 300000 0

1187 Mah/3994/200

5

2 Mah/3994/2005

KHEDKARNEHAAMOL

34 Female LOWYER Spouse 22/05/2016 0 0

1184 Mah/3994/200

5

1 Mah/3994/2005

KHEDKARAMOL

PANDURANG

34 Male LOWYER Employee 22/05/2016 200000 0

2056 Mah/3997/200

8

2 Mah/3997/2008

TARDESUSHMA

VIVEK

30 Female LAWYER Spouse 22/05/2016 0 0

2054 Mah/3997/200

8

1 Mah/3997/2008

TARDEVIVEK

VISHNU

32 Male LAWYER Employee 22/05/2016 100000 0

2135 Mah/3997/200

8

3 Mah/3997/2008

TARDEVEDANTVIVEK

3 Male LAWYER Children 22/05/2016 0 0

873 Mah/401/1980

3 Mah/401/1980

SURAJ 31 Male lawyer Children 22/05/2016 0 0

871 Mah/401/1980

2 Mah/401/1980

MRSSUREKHA

61 Female lawyer Spouse 22/05/2016 0 0

809 Mah/401/1980

1 Mah/401/1980

VYAVHARE

MADHUKAR

DAMODAR

61 Male lawyer Employee 22/05/2016 200000 0

1195 Mah/402/2003

1 Mah/402/2003

LENDGHAR

MANGESH

BALASAHEB

37 Male LOWYER Employee 22/05/2016 800000 0

1205 Mah/402/2003

11 Mah/402/2003

LENDGHAR

PRATHAMESH

MANGESH

4 Male LOWYER Child 2 22/05/2016 0 0

1202 Mah/402/2003

3 Mah/402/2003

LENDGHAR

SOUMYAMANGES

H

8 Female LOWYER Children 22/05/2016 0 0

1199 Mah/402/2003

2 Mah/402/2003

LENDGHAR NISHAMANGES

H

34 Female LOWYER Spouse 22/05/2016 0 0

2485 Mah/4020/201

0

1 Mah/4020/2010

KHANFAIJ

KHANJARIFKHAN

36 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2492 Mah/4020/201

0

2 Mah/4020/2010

SAIMASHIRIN

FAIJKHAN

28 Female LAWYER Spouse 22/05/2016 0 0

2501 Mah/4020/201

0

3 Mah/4020/2010

FAZALKHANFAIZKHAN

4 Male LAWYER Children 22/05/2016 0 0

1256 Mah/4044/201

4

2 Mah/4044/2014

BETHARIA

NAYANTARA

ASHWIN

26 Female LOWYER Spouse 22/05/2016 0 0

1254 Mah/4044/201

4

1 Mah/4044/2014

BETHARIA

ASHWINNUTANKU

MAR

30 Male LOWYER Employee 22/05/2016 200000 0

188 Mah/4054/200

4

1 Mah/4054/2004

KAKADRAJESHDATTU

39 Male LOWYER Employee 22/05/2016 1000000 0

193 Mah/4054/200

4

2 Mah/4054/2004

NUTAN 36 Female LOWYER Spouse 22/05/2016 0 0

199 Mah/4054/200

4

3 Mah/4054/2004

DEVANSHA

3 Male LOWYER Children 22/05/2016 0 0

1294 Mah/4056/200

5

3 Mah/4056/2005

GAIKWADNAITIK

PRAKASH

7 Male LOWYER Children 22/05/2016 0 0

1293 Mah/4056/200

5

2 Mah/4056/2005

GAIKWADMADHURIPRAKASH

28 Female LOWYER Spouse 22/05/2016 0 0

1291 Mah/4056/200

5

1 Mah/4056/2005

GAIKWADPRAKASHMARUTIR

AO

44 Male LOWYER Employee 22/05/2016 200000 0

847 Mah/406/2009

3 Mah/406/2009

AKHAYKUMAR

DWARKADAS

SHIVALAL

23 Male lawyer Children 22/05/2016 0 0

845 Mah/406/2009

2 Mah/406/2009

UMADWARKA

DASSHIVALAL

50 Female lawyer Spouse 22/05/2016 0 0

842 Mah/406/2009

1 Mah/406/2009

LADDADWARKA

DASSHIVLAL

57 Male lawyer Employee 22/05/2016 300000 0

854 Mah/4064/199

9

1 Mah/4064/1999

KHANDELWAL

RAKESHVIJAY

41 Male lawyer Employee 22/05/2016 300000 0

856 Mah/4064/199

9

2 Mah/4064/1999

RACHANAR

KHANDELWAL

35 Female lawyer Spouse 22/05/2016 0 0

858 Mah/4064/199

9

3 Mah/4064/1999

ATHARVAR

KHANDELWAL

10 Male lawyer Children 22/05/2016 0 0

860 Mah/4064/199

9

11 Mah/4064/1999

PARTH RKHANDEL

WAL

5 Male lawyer Child 2 22/05/2016 0 0

353 Mah/407/1999

2 Mah/407/1999

SONA 37 Female LOWYER Spouse 22/05/2016 0 0

374 Mah/407/1999

11 Mah/407/1999

SNEHA 11 Female LOWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

362 Mah/407/1999

3 Mah/407/1999

SHUBHAM

17 Male LOWYER Children 22/05/2016 0 0

346 Mah/407/1999

1 Mah/407/1999

UPADHYAY

SURESHVASUDEO

45 Male LOWYER Employee 22/05/2016 500000 0

287 Mah/407/2002

1 Mah/407/2002

KHAPARERAMESH

TUKARAM

41 Male LOWYER Employee 22/05/2016 500000 0

298 Mah/407/2002

2 Mah/407/2002

SUJATARAMESH

36 Female LOWYER Spouse 22/05/2016 0 0

313 Mah/407/2002

3 Mah/407/2002

ANISHRAMESH

10 Male LOWYER Children 22/05/2016 0 0

2140 Mah/4073/200

7

3 Mah/4073/2007

SALUNKEARNAV

NAVNATH

3 Male LAWYER Children 22/05/2016 0 0

2085 Mah/4073/200

7

1 Mah/4073/2007

SALUNKENAVNATHKALIDAS

35 Male LAWYER Employee 22/05/2016 500000 0

2088 Mah/4073/200

7

2 Mah/4073/2007

SALUNKEAMITA

NAVNATH

34 Female LAWYER Spouse 22/05/2016 0 0

52 Mah/4078/200

5

1 Mah/4078/2005

TIWARIRAKESHVISHRAM

37 Male LOWYER Employee 22/05/2016 500000 0

544 Mah/4078/200

5

11 Mah/4078/2005

PRANJALR TIWARI

12 Male LOWYER Child 2 22/05/2016 0 0

543 Mah/4078/200

5

3 Mah/4078/2005

RUPAL RTIWARI

14 Female LOWYER Children 22/05/2016 0 0

541 Mah/4078/200

5

2 Mah/4078/2005

MRSNEELAMR TIWARI

35 Female LOWYER Spouse 22/05/2016 0 0

481 Mah/4087/200

7

2 Mah/4087/2007

SONALSWAPNILKADAM

31 Female LOWYER Spouse 22/05/2016 0 0

485 Mah/4087/200

7

3 Mah/4087/2007

SHREEYANSH

SWAPNILKADAM

2 Male LOWYER Children 22/05/2016 0 0

472 Mah/4087/200

7

1 Mah/4087/2007

KADAMSWAPNILSADHU

33 Male LOWYER Employee 22/05/2016 300000 0

2257 Mah/4094/200

1

11 Mah/4094/2001

JADHAVTANISHQSATYAPRAKASH

13 Male LAWYER Child 2 22/05/2016 0 0

2246 Mah/4094/200

1

2 Mah/4094/2001

JADHAVSATYAPRAKASH

SHIVAJIRAO

48 Male LAWYER Spouse 22/05/2016 0 0

2238 Mah/4094/200

1

1 Mah/4094/2001

SAKHAREJYOTI

BHANUDASRAO

42 Female LAWYER Employee 22/05/2016 100000 0

2254 Mah/4094/200

1

3 Mah/4094/2001

JADHAVRUTUJ

SATYAPRAKASH

17 Male LAWYER Children 22/05/2016 0 0

1324 Mah/4099/200

1

1 Mah/4099/2001

PATILGAJANANDATTATR

AYA

41 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1329 Mah/4099/200

1

3 Mah/4099/2001

PATILISHITA

GAJANAN

10 Female LOWYER Children 22/05/2016 0 0

1327 Mah/4099/200

1

2 Mah/4099/2001

PATILROHINI

GAJANAN

35 Female LOWYER Spouse 22/05/2016 0 0

1746 Mah/4132/200

7

3 Mah/4132/2007

GOSAVIMALHARABHIJEET

6 Male LAWYER Children 22/05/2016 0 0

1742 Mah/4132/200

7

2 Mah/4132/2007

GOSAVIDARSHAN

AABHIJEET

34 Female LAWYER Spouse 22/05/2016 0 0

1736 Mah/4132/200

7

1 Mah/4132/2007

GOSAVIABHIJEETNARAYAN

34 Male LAWYER Employee 22/05/2016 300000 0

952 Mah/4136/200

6

2 Mah/4136/2006

MANISHA 29 Female LOWYER Spouse 22/05/2016 0 0

944 Mah/4136/200

6

1 Mah/4136/2006

KUVESKAR

PRASADPRAKASH

34 Male LOWYER Employee 22/05/2016 200000 0

958 Mah/4136/200

6

3 Mah/4136/2006

GAURANG

3 Male LOWYER Children 22/05/2016 0 0

2091 Mah/4147/200

7

1 Mah/4147/2007

RUNGTAMEENAKS

HIABHISHE

KH

33 Female LAWYER Employee 22/05/2016 800000 0

2093 Mah/4147/200

7

2 Mah/4147/2007

RUNGTAABHISHE

KH

32 Male LAWYER Spouse 22/05/2016 0 0

2145 Mah/4147/200

7

3 Mah/4147/2007

RUNGTADIVYANAABHISHE

KH

3 Female LAWYER Children 22/05/2016 0 0

382 Mah/4149/199

9

1 Mah/4149/1999

GUPTARAMPRAS

ADVISHWAN

ATH

40 Male LOWYER Employee 22/05/2016 300000 0

392 Mah/4149/199

9

2 Mah/4149/1999

MRSMAYA

38 Female LOWYER Spouse 22/05/2016 0 0

412 Mah/4149/199

9

11 Mah/4149/1999

DHRUV 10 Male LOWYER Child 2 22/05/2016 0 0

404 Mah/4149/199

9

3 Mah/4149/1999

RAMA 14 Female LOWYER Children 22/05/2016 0 0

237 Mah/4151/201

1

1 Mah/4151/2011

PABALETUSHARMARUTI

29 Male LOWYER Employee 22/05/2016 200000 0

2149 Mah/4173/200

5

3 Mah/4173/2005

BHISERIDHIMAASHISH

6 Female LAWYER Children 22/05/2016 0 0

1918 Mah/4173/200

5

1 Mah/4173/2005

BHISEASHISH

VISHWASRAO

36 Male LAWYER Employee 22/05/2016 100000 0

1920 Mah/4173/200

5

2 Mah/4173/2005

BHISELAWANYAASHISH

30 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1398 Mah/419/2012

1 Mah/419/2012

KARANDESACHINRAMCHA

NDRA

38 Male LOWYER Employee 22/05/2016 200000 0

1948 Mah/4194/200

7

1 Mah/4194/2007

KATTIVINAYAK

VILAS

33 Male LAWYER Employee 22/05/2016 100000 0

1952 Mah/4194/200

7

2 Mah/4194/2007

KATTIRANJANAVINAYAK

30 Female LAWYER Spouse 22/05/2016 0 0

1443 Mah/420/2015

2 Mah/420/2015

LOKEGAONKAR

URVASHIUPENDRA

31 Female LOWYER Spouse 22/05/2016 0 0

1440 Mah/420/2015

1 Mah/420/2015

LOKEGAONKAR

UPENDRAANANT

37 Male LOWYER Employee 22/05/2016 300000 0

1447 Mah/420/2015

3 Mah/420/2015

LOKEGAONKAR

KHUSHALUPENDRA

3 Male LOWYER Children 22/05/2016 0 0

1462 Mah/4212/200

8

3 Mah/4212/2008

SHINDEASMITAAMOL

5 Female LOWYER Children 22/05/2016 0 0

1452 Mah/4212/200

8

1 Mah/4212/2008

SHINDEAMOL

SHIVAJI

34 Male LOWYER Employee 22/05/2016 100000 0

1458 Mah/4212/200

8

2 Mah/4212/2008

SHINDERUPALIAMOL

27 Female LOWYER Spouse 22/05/2016 0 0

928 Mah/422/1974

2 Mah/422/1974

JYOTIGAJANAN

61 Female LOWYER Spouse 22/05/2016 0 0

922 Mah/422/1974

1 Mah/422/1974

KORHALKAR

GAJANANV

66 Male LOWYER Employee 22/05/2016 500000 0

1474 Mah/424/2010

1 Mah/424/2010

YADAVJEETEND

RARAMDAU

R

33 Male LOWYER Employee 22/05/2016 500000 0

1478 Mah/424/2010

2 Mah/424/2010

YADAVANJU

JEETENDRA

29 Female LOWYER Spouse 22/05/2016 0 0

1481 Mah/424/2010

3 Mah/424/2010

YADAVUNNATIJEETEND

RA

4 Female LOWYER Children 22/05/2016 0 0

1484 Mah/424/2010

11 Mah/424/2010

YADAVANSH

JEETENDRA

2 Male LOWYER Child 2 22/05/2016 0 0

1737 Mah/4250/201

2

1 Mah/4250/2012

ADSULEVISHANBABAN

28 Male LAWYER Employee 22/05/2016 100000 0

1740 Mah/4250/201

2

2 Mah/4250/2012

ADSULENILAKSHIVISHAN

30 Female LAWYER Spouse 22/05/2016 0 0

1492 Mah/4251/200

5

1 Mah/4251/2005

PISALPRAMODASARAM

34 Male LOWYER Employee 22/05/2016 200000 0

1494 Mah/4251/200

5

2 Mah/4251/2005

PISALPRAMILAPRAMOD

23 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2250 Mah/4281/201

0

2 Mah/4281/2010

SHENDGEUMA B

19 Female LAWYER Spouse 22/05/2016 0 0

2245 Mah/4281/201

0

1 Mah/4281/2010

RANDIVEBHALCHA

NDRAPANDURA

NG

32 Male LAWYER Employee 22/05/2016 100000 0

2401 Mah/4341/201

3

1 Mah/4341/2013

PENSALWAR OMBALAJI

26 Male LAWYER Employee 22/05/2016 100000 0

2423 Mah/4341/201

3

2 Mah/4341/2013

PANSALWAR

MAYURIOM

26 Female LAWYER Spouse 22/05/2016 0 0

1200 Mah/4352/200

7

11 Mah/4352/2007

VIHAANMANISH

JAIN

1 Male LOWYER Child 2 22/05/2016 0 0

1197 Mah/4352/200

7

3 Mah/4352/2007

KIRAMANISH

JAIN

5 Female LOWYER Children 22/05/2016 0 0

1192 Mah/4352/200

7

2 Mah/4352/2007

SHWETAMANISH

JAIN

35 Female LOWYER Spouse 22/05/2016 0 0

1189 Mah/4352/200

7

1 Mah/4352/2007

JAINMANISH

NANALAL

34 Male LOWYER Employee 22/05/2016 500000 0

1811 Mah/4359/200

7

2 Mah/4359/2007

MHATREPOONAMVIHANG

29 Female LAWYER Spouse 22/05/2016 0 0

1812 Mah/4359/200

7

3 Mah/4359/2007

MHATREBHARGAVI VIHANG

6 Female LAWYER Children 22/05/2016 0 0

1814 Mah/4359/200

7

11 Mah/4359/2007

MHATREHINDAVIVIHANG

2 Female LAWYER Child 2 22/05/2016 0 0

1804 Mah/4359/200

7

1 Mah/4359/2007

MHATREVIHANGCHANDRAKANT

36 Male LAWYER Employee 22/05/2016 500000 0

1209 Mah/4359/201

0

1 Mah/4359/2010

DANDANE

MAHESHBALKRISH

NA

30 Male LOWYER Employee 22/05/2016 300000 0

1211 Mah/4359/201

0

2 Mah/4359/2010

DANDANE NUTANMAHESH

24 Female LOWYER Spouse 22/05/2016 0 0

1215 Mah/4359/201

0

3 Mah/4359/2010

DANDANE

TRISHNAMAHESH

1 Female LOWYER Children 22/05/2016 0 0

8 Mah/4363/200

9

2 Mah/4363/2009

NIJHAWAN SWETAMANOJ

33 Female LOWYER Spouse 22/05/2016 0 0

3 Mah/4363/200

9

1 Mah/4363/2009

MOHITEGANESHMANOHA

R

31 Male LOWYER Employee 22/05/2016 200000 0

993 Mah/4366/200

5

1 Mah/4366/2005

JUMANIDHARAMSURESH

35 Male LOWYER Employee 22/05/2016 800000 0

998 Mah/4366/200

5

2 Mah/4366/2005

JUMANIAARTI

DHARAM

35 Female LOWYER Spouse 22/05/2016 0 0

1001 Mah/4366/200

5

3 Mah/4366/2005

JUMANIPRANAVDHARAM

1 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1784 Mah/4380/200

6

2 Mah/4380/2006

PANPATILSHILA

DADABHAI

32 Female LAWYER Spouse 22/05/2016 0 0

1779 Mah/4380/200

6

1 Mah/4380/2006

PANPATILDADABH

AISUDAM

38 Male LAWYER Employee 22/05/2016 100000 0

1790 Mah/4380/200

6

11 Mah/4380/2006

PANPATILPRERANADADABH

AI

11 Female LAWYER Child 2 22/05/2016 0 0

1786 Mah/4380/200

6

3 Mah/4380/2006

PANPATILKEDAR

DADABHAI

14 Male LAWYER Children 22/05/2016 0 0

321 Mah/4390-

B/2011

1 Mah/4390-B/2011

JADHAVMOHITRAO JADHAV

34 Male LOWYER Employee 22/05/2016 200000 0

2314 Mah/4397/200

9

3 Mah/4397/2009

SHUKLAJAGRUTIDEEPAK

5 Female LAWYER Children 22/05/2016 0 0

2296 Mah/4397/200

9

1 Mah/4397/2009

SHUKLADEEPAKVIRENDRANATH

31 Male LAWYER Employee 22/05/2016 300000 0

2308 Mah/4397/200

9

2 Mah/4397/2009

SHUKLAANJU

DEEPAK

30 Female LAWYER Spouse 22/05/2016 0 0

447 Mah/44/2010

2 Mah/44/2010

PARINITA 30 Female LOWYER Spouse 22/05/2016 0 0

439 Mah/44/2010

1 Mah/44/2010

JAIMALANI RAKESHASHOKKU

MAR

30 Male LOWYER Employee 22/05/2016 200000 0

547 Mah/440/2006

11 Mah/440/2006

ANVITAKAILASBORDE

3 Female LOWYER Child 2 22/05/2016 0 0

546 Mah/440/2006

3 Mah/440/2006

AMITAKAILASBORDE

6 Female LOWYER Children 22/05/2016 0 0

545 Mah/440/2006

2 Mah/440/2006

HEMAKAILASBORDE

32 Female LOWYER Spouse 22/05/2016 0 0

50 Mah/440/2006

1 Mah/440/2006

BORDEKAILAS

DATTATRAYA

40 Male LOWYER Employee 22/05/2016 300000 0

1982 Mah/4420/200

6

2 Mah/4420/2006

TAMHANENIKITA

KAUSHAL

33 Female LAWYER Spouse 22/05/2016 0 0

2154 Mah/4420/200

6

3 Mah/4420/2006

TAMHANEMOHISHAKAUSHAL

1 Female LAWYER Children 22/05/2016 0 0

1978 Mah/4420/200

6

1 Mah/4420/2006

TAMHANEKAUSHAL

ANIL

37 Male LAWYER Employee 22/05/2016 500000 0

1259 Mah/4438/199

9

2 Mah/4438/1999

NAGARKAR SMITAKIRAN

42 Female LOWYER Spouse 22/05/2016 0 0

1257 Mah/4438/199

9

1 Mah/4438/1999

NAGARKAR KIRANMADHUK

AR

48 Male LOWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1261 Mah/4438/199

9

3 Mah/4438/1999

NAGARKAR

TUSHARKIRAN

15 Male LOWYER Children 22/05/2016 0 0

1263 Mah/4438/199

9

11 Mah/4438/1999

NAGARKAR

NAMRATAKIRAN

10 Female LOWYER Child 2 22/05/2016 0 0

1975 Mah/444-

A/1985

1 Mah/444-A/1985

SIDDIQUIMUNIR

AHMAD NA

55 Male LAWYER Employee 22/05/2016 200000 0

1976 Mah/444-

A/1985

2 Mah/444-A/1985

SHADIAMUNIRAHMAD

43 Female LAWYER Spouse 22/05/2016 0 0

2109 Mah/444-

A/1985

3 Mah/444-A/1985

IQRAMUNIRAHMAD

20 Female LAWYER Children 22/05/2016 0 0

1980 Mah/444-

A/1985

11 Mah/444-A/1985

MAAZMUNIRAHMAD

18 Male LAWYER Child 2 22/05/2016 0 0

29 Mah/4440/200

7

1 Mah/4440/2007

RANIWALA SHIKHASHARAD

33 Female LOWYER Employee 22/05/2016 300000 0

1899 Mah/4440/200

9

2 Mah/4440/2009

GOKHALEAVINASHMUKUND

30 Male LAWYER Spouse 22/05/2016 0 0

1898 Mah/4440/200

9

1 Mah/4440/2009

GOKHALESHRUTI

AVINASH

30 Female LAWYER Employee 22/05/2016 1000000 0

331 Mah/4459/201

1

1 Mah/4459/2011

SUKHADIA

KRUTIKAKHIMJI

27 Female LOWYER Employee 22/05/2016 200000 0

1304 Mah/4460/201

4

11 Mah/4460/2014

MOURYAANUJ

HEERALAL

7 Male LOWYER Child 2 22/05/2016 0 0

1302 Mah/4460/201

4

3 Mah/4460/2014

MOURYAAANCHALHEERALA

L

9 Female LOWYER Children 22/05/2016 0 0

1299 Mah/4460/201

4

2 Mah/4460/2014

MOURYAINDU

HEERALAL

31 Female LOWYER Spouse 22/05/2016 0 0

1297 Mah/4460/201

4

1 Mah/4460/2014

MOURYAHEERALA

LKHARPAT

TUPRASAD

35 Male LOWYER Employee 22/05/2016 200000 0

1831 Mah/4469/201

1

1 Mah/4469/2011

KHANDAGALE

RUPALIKETAN

29 Female LAWYER Employee 22/05/2016 500000 0

1832 Mah/4469/201

1

2 Mah/4469/2011

KHANDAGALE

KETANSURESH

38 Male LAWYER Spouse 22/05/2016 0 0

1900 Mah/4470/201

0

1 Mah/4470/2010

VAIDYASARANGDILEEP

30 Male LAWYER Employee 22/05/2016 800000 0

1902 Mah/4470/201

0

3 Mah/4470/2010

VAIDYAVARUN

SARANG

1 Male LAWYER Children 22/05/2016 0 0

1901 Mah/4470/201

0

2 Mah/4470/2010

VAIDYAPRANALISARANG

29 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

286 Mah/449/2009

1 Mah/449/2009

GREGORYRODRIGU

ESDOMINIC

37 Male LOWYER Employee 22/05/2016 500000 0

381 Mah/4496/200

9

2 Mah/4496/2009

SONALI 31 Female LOWYER Spouse 22/05/2016 0 0

389 Mah/4496/200

9

3 Mah/4496/2009

SOHAM 1 Male LOWYER Children 22/05/2016 0 0

367 Mah/4496/200

9

1 Mah/4496/2009

MASKEYHARSHADHARIBAH

ADUR

31 Male LOWYER Employee 22/05/2016 200000 0

1593 Mah/4509/200

9

3 Mah/4509/2009

AHERSHIVANSH MANOJ

1 Male LAWYER Children 22/05/2016 0 0

1588 Mah/4509/200

9

2 Mah/4509/2009

GITESONALIPOPAT

24 Female LAWYER Spouse 22/05/2016 0 0

1583 Mah/4509/200

9

1 Mah/4509/2009

AHERMANOJBALU

33 Male LAWYER Employee 22/05/2016 100000 0

2557 Mah/4512/200

8

1 Mah/4512/2008

ASHTURESACHIN

VAIJNATHRAO

38 Male LAWYER Employee 22/05/2016 200000 0

2561 Mah/4512/200

8

2 Mah/4512/2008

ASHTURERANJANASACHIN

35 Female LAWYER Spouse 22/05/2016 0 0

2566 Mah/4512/200

8

11 Mah/4512/2008

ASHTUREPRAPTISACHIN

6 Female LAWYER Child 2 22/05/2016 0 0

2564 Mah/4512/200

8

3 Mah/4512/2008

ASHTUREISHAANSACHIN

10 Male LAWYER Children 22/05/2016 0 0

2513 Mah/4514/200

8

1 Mah/4514/2008

DESHMUKH

ABHIJEETVIJAYRAO

31 Male LAWYER Employee 22/05/2016 100000 0

2514 Mah/4514/200

8

2 Mah/4514/2008

CHOUDHARY

PRACHIDIGAMBE

R

24 Female LAWYER Spouse 22/05/2016 0 0

878 Mah/4515/200

5

2 Mah/4515/2005

KALINDIRAHULKADU

40 Female LOWYER Spouse 22/05/2016 0 0

876 Mah/4515/200

5

1 Mah/4515/2005

KADURAHUL

BHASKAR

42 Male LOWYER Employee 22/05/2016 200000 0

885 Mah/4515/200

5

3 Mah/4515/2005

RIYARAHULKADU

13 Female LOWYER Children 22/05/2016 0 0

74 Mah/453/1981

2 Mah/453/1981

ANUPAMA MOHAN

PATIL

43 Female LOWYER Spouse 22/05/2016 0 0

70 Mah/453/1981

1 Mah/453/1981

PATILMOHANVITTHAL

60 Male LOWYER Employee 22/05/2016 500000 0

81 Mah/453/1981

3 Mah/453/1981

VEDANTMOHANPATIL

10 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2001 Mah/4535/200

9

1 Mah/4535/2009

CHETTIYAR

SATISHKUMAR

RAGHUPATHI

35 Male LAWYER Employee 22/05/2016 100000 0

2033 Mah/455/2005

2 Mah/455/2005

DAYAREDIPALISATISH

23 Female LAWYER Spouse 22/05/2016 0 0

2114 Mah/455/2005

3 Mah/455/2005

DAYAREMANAVASATISH

1 Female LAWYER Children 22/05/2016 0 0

2029 Mah/455/2005

1 Mah/455/2005

DAYARESATISH

DHARMA

35 Male LAWYER Employee 22/05/2016 800000 0

620 Mah/4576/200

4

3 Mah/4576/2004

MAHI 8 Female lawyer Children 22/05/2016 0 0

617 Mah/4576/200

4

2 Mah/4576/2004

APARNA 35 Female lawyer Spouse 22/05/2016 0 0

614 Mah/4576/200

4

1 Mah/4576/2004

NIRMALMAHESHKONDBA

RAO

40 Male lawyer Employee 22/05/2016 300000 0

622 Mah/4576/200

4

11 Mah/4576/2004

VARAD 6 Male lawyer Child 2 22/05/2016 0 0

2042 Mah/458/2005

1 Mah/458/2005

AHIRNARESHRAMDAS

36 Male LAWYER Employee 22/05/2016 800000 0

2045 Mah/458/2005

2 Mah/458/2005

AHIRSEEMA

NARESH

29 Female LAWYER Spouse 22/05/2016 0 0

2050 Mah/458/2005

11 Mah/458/2005

AHIRSUKHADANARESH

2 Female LAWYER Child 2 22/05/2016 0 0

2119 Mah/458/2005

3 Mah/458/2005

AHIRMANASVINARESH

6 Female LAWYER Children 22/05/2016 0 0

23 Mah/4589/199

9

1 Mah/4589/1999

KADAMMANGESH GOPAL

42 Male LOWYER Employee 22/05/2016 200000 0

26 Mah/4589/199

9

2 Mah/4589/1999

JAYASHRIMANGESH KADAM

38 Female LOWYER Spouse 22/05/2016 0 0

30 Mah/4589/199

9

3 Mah/4589/1999

ADITIMANGESH KADAM

13 Female LOWYER Children 22/05/2016 0 0

31 Mah/4589/199

9

11 Mah/4589/1999

VEDANTMANGESH KADAM

6 Male LOWYER Child 2 22/05/2016 0 0

1627 Mah/4594/200

7

1 Mah/4594/2007

SALUNKHE

RESHMAAMOL

31 Female LAWYER Employee 22/05/2016 200000 0

1634 Mah/4594/200

7

2 Mah/4594/2007

SALUNKHE AMOLKISAN

27 Male LAWYER Spouse 22/05/2016 0 0

1339 Mah/4595/199

9

3 Mah/4595/1999

KHAITANTANAYANUP

12 Male LOWYER Children 22/05/2016 0 0

1342 Mah/4595/199

9

11 Mah/4595/1999

KHAITANKAAVYAANUP

6 Male LOWYER Child 2 22/05/2016 0 0

1337 Mah/4595/199

9

2 Mah/4595/1999

KHAITANANJUANUP

41 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1332 Mah/4595/199

9

1 Mah/4595/1999

KHAITANANUP

NIRANJAN

42 Male LOWYER Employee 22/05/2016 500000 0

1400 Mah/4615/201

2

1 Mah/4615/2012

KANGOKAR

ABHISHEK DEEPAK

27 Male LOWYER Employee 22/05/2016 500000 0

1408 Mah/4615/201

2

2 Mah/4615/2012

KANGOKAR

DHANASHREE

ABHISHEK

25 Female LOWYER Spouse 22/05/2016 0 0

1659 Mah/4645/201

4

1 Mah/4645/2014

SHINDEVILAS

SAWALA

60 Male LAWYER Employee 22/05/2016 1000000 0

1663 Mah/4645/201

4

2 Mah/4645/2014

SHINDESANDHYA

VILAS

51 Female LAWYER Spouse 22/05/2016 0 0

2064 Mah/4657/200

4

11 Mah/4657/2004

PATILPRADNYAN JIWAN

3 Male LAWYER Child 2 22/05/2016 0 0

2060 Mah/4657/200

4

1 Mah/4657/2004

PATILJIWAN

JAGANNATH

35 Male LAWYER Employee 22/05/2016 500000 0

2063 Mah/4657/200

4

2 Mah/4657/2004

PATILMOHINIJIWAN

29 Female LAWYER Spouse 22/05/2016 0 0

2124 Mah/4657/200

4

3 Mah/4657/2004

PATILSAMRUD

DHIJIWAN

6 Female LAWYER Children 22/05/2016 0 0

2389 Mah/466/1999

1 Mah/466/1999

RAI VIJAYRAMDUL

AR

47 Male LAWYER Employee 22/05/2016 100000 0

2417 Mah/466/1999

11 Mah/466/1999

RAIMAHEKVIJAY

9 Female LAWYER Child 2 22/05/2016 0 0

2410 Mah/466/1999

3 Mah/466/1999

RAIRAJVEER

VIJAY

15 Male LAWYER Children 22/05/2016 0 0

2398 Mah/466/1999

2 Mah/466/1999

RAI EKTAVIJAY

41 Female LAWYER Spouse 22/05/2016 0 0

650 Mah/4660/200

5

2 Mah/4660/2005

SATPUTEVARSHAJITENDRA

30 Female lawyer Spouse 22/05/2016 0 0

645 Mah/4660/200

5

1 Mah/4660/2005

SATPUTEJITENDRADNYANO

BA

34 Male lawyer Employee 22/05/2016 200000 0

654 Mah/4660/200

5

3 Mah/4660/2005

SATPUTESHRAVAS

TIJITENDRA

3 Female lawyer Children 22/05/2016 0 0

247 Mah/4660/201

1

1 Mah/4660/2011

PAWARLALA

ASHOK

42 Male LOWYER Employee 22/05/2016 500000 0

249 Mah/4660/201

1

2 Mah/4660/2011

PAWARAFROZLALA

41 Female LOWYER Spouse 22/05/2016 0 0

258 Mah/4660/201

1

3 Mah/4660/2011

PAWARPEENAR

LALA

12 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

270 Mah/4660/201

1

11 Mah/4660/2011

PAWARMOHHAM

MADSAADLALA

4 Male LOWYER Child 2 22/05/2016 0 0

2515 Mah/4664/200

7

2 Mah/4664/2007

DESHMUKH

MEERADNYANES

HWAR

28 Female LAWYER Spouse 22/05/2016 0 0

2509 Mah/4664/200

7

1 Mah/4664/2007

DESHMUKH

DNYANESHWAR

BABURAO

32 Male LAWYER Employee 22/05/2016 100000 0

2094 Mah/4674/199

9

11 Mah/4674/1999

MORESAIRAJVIJAY

9 Male LAWYER Child 2 22/05/2016 0 0

2130 Mah/4674/199

9

3 Mah/4674/1999

MOREOMRAJVIJAY

12 Male LAWYER Children 22/05/2016 0 0

2092 Mah/4674/199

9

2 Mah/4674/1999

MORERAJLAXMI

VIJAY

36 Female LAWYER Spouse 22/05/2016 0 0

2090 Mah/4674/199

9

1 Mah/4674/1999

MOREVIJAY

NANASAHEB

41 Male LAWYER Employee 22/05/2016 500000 0

343 Mah/4678/200

6

3 Mah/4678/2006

AARUSHI 4 Female LOWYER Children 22/05/2016 0 0

326 Mah/4678/200

6

1 Mah/4678/2006

ADVLOKAREKAILASHDNYANO

BA

38 Male LOWYER Employee 22/05/2016 200000 0

338 Mah/4678/200

6

2 Mah/4678/2006

MRSSURBHILOKARE

26 Female LOWYER Spouse 22/05/2016 0 0

322 Mah/4684/200

8

1 Mah/4684/2008

DESHPANDE

ARVINDPRABHAK

AR

44 Male LOWYER Employee 22/05/2016 200000 0

332 Mah/4684/200

8

2 Mah/4684/2008

BHAKTIARVIND

DESHPANDE

38 Female LOWYER Spouse 22/05/2016 0 0

2503 Mah/4684/201

0

3 Mah/4684/2010

KALERUTURAJMAHESH

4 Male LAWYER Children 22/05/2016 0 0

2493 Mah/4684/201

0

1 Mah/4684/2010

KALEAMBIKAMAHESH

28 Female LAWYER Employee 22/05/2016 100000 0

2589 Mah/4684/201

0

2 Mah/4684/2010

KALEMAHESHSHRIRAN

G

36 Male LAWYER Spouse 22/05/2016 0 0

2350 Mah/4687/199

9

11 Mah/4687/1999

BADAVEJYOTIRAD

ITYAASHUTOS

H

8 Male LAWYER Child 2 22/05/2016 0 0

2337 Mah/4687/199

9

3 Mah/4687/1999

BADAVEDIGVIJAYASHUTOS

H

10 Male LAWYER Children 22/05/2016 0 0

2329 Mah/4687/199

9

2 Mah/4687/1999

BADAVEAPARNA

ASHUTOSH

35 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2321 Mah/4687/199

9

1 Mah/4687/1999

BADAVEASHUTOS

H ANIL

42 Male LAWYER Employee 22/05/2016 100000 0

1454 Mah/4689/201

0

2 Mah/4689/2010

ASOLEJYOTIAMOL

24 Female LOWYER Spouse 22/05/2016 0 0

1451 Mah/4689/201

0

1 Mah/4689/2010

ASOLEAMOL

AMBADAS

31 Male LOWYER Employee 22/05/2016 100000 0

699 Mah/4708/201

3

2 Mah/4708/2013

DHARAPMANUSHA RAJESH

22 Female lawyer Spouse 22/05/2016 0 0

694 Mah/4708/201

3

1 Mah/4708/2013

DHARAPRAJESH

LACHAYYA

32 Male lawyer Employee 22/05/2016 300000 0

431 Mah/471/2014

1 Mah/471/2014

THAMKEDHARME

NDRALAXMAN

35 Male LOWYER Employee 22/05/2016 200000 0

446 Mah/471/2014

3 Mah/471/2014

AAROTI 3 Female LOWYER Children 22/05/2016 0 0

440 Mah/471/2014

2 Mah/471/2014

ANUSHREE

26 Female LOWYER Spouse 22/05/2016 0 0

2541 Mah/4712/200

7

11 Mah/4712/2007

MISHRAAASHI

DINESH

2 Female LAWYER Child 2 22/05/2016 0 0

2522 Mah/4712/200

7

1 Mah/4712/2007

MISHRADINESH

GULABCHANDRA

36 Male LAWYER Employee 22/05/2016 200000 0

2530 Mah/4712/200

7

2 Mah/4712/2007

MISHRAREENADINESH

32 Female LAWYER Spouse 22/05/2016 0 0

2537 Mah/4712/200

7

3 Mah/4712/2007

MISHRAAARAVDINESH

8 Male LAWYER Children 22/05/2016 0 0

2191 Mah/4723/201

4

1 Mah/4723/2014

SHINDESUVARNA

SHAM

35 Female LAWYER Employee 22/05/2016 500000 0

2192 Mah/4723/201

4

2 Mah/4723/2014

SHINDESHAMAAPU

40 Male LAWYER Spouse 22/05/2016 0 0

2194 Mah/4723/201

4

3 Mah/4723/2014

SHINDESHARVISHAM

11 Female LAWYER Children 22/05/2016 0 0

2195 Mah/4723/201

4

11 Mah/4723/2014

SHINDEDEVANSH

I SHAM

6 Female LAWYER Child 2 22/05/2016 0 0

927 Mah/474/1971

11 Mah/474/1971

NILESH 37 Male LOWYER Child 2 22/05/2016 0 0

919 Mah/474/1971

3 Mah/474/1971

RAJESH 43 Male LOWYER Children 22/05/2016 0 0

917 Mah/474/1971

2 Mah/474/1971

MRSPADMA

61 Female LOWYER Spouse 22/05/2016 0 0

912 Mah/474/1971

1 Mah/474/1971

BHANDARI

PRAKASHCHAND D

69 Male LOWYER Employee 22/05/2016 300000 0

2326 Mah/474/2014

1 Mah/474/2014

PAWARVILAS

DEVARAM

37 Male LAWYER Employee 22/05/2016 500000 0

2340 Mah/474/2014

2 Mah/474/2014

PAWARMANISHA

VILAS

26 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2351 Mah/474/2014

3 Mah/474/2014

PAWARMRUNAL

VILAS

3 Female LAWYER Children 22/05/2016 0 0

155 Mah/4751/200

7

2 Mah/4751/2007

SAYYEDMOHD

HUSSAINS

38 Male LOWYER Spouse 22/05/2016 0 0

148 Mah/4751/200

7

1 Mah/4751/2007

NAIKSHABNA

M

36 Female LOWYER Employee 22/05/2016 500000 0

1858 Mah/4752/200

7

1 Mah/4752/2007

GAWAREMILIND

BHIMRAO

40 Male LAWYER Employee 22/05/2016 200000 0

1859 Mah/4752/200

7

2 Mah/4752/2007

MRSBHIMA

36 Female LAWYER Spouse 22/05/2016 0 0

1861 Mah/4752/200

7

3 Mah/4752/2007

ADITYA 11 Male LAWYER Children 22/05/2016 0 0

1863 Mah/4752/200

7

11 Mah/4752/2007

RAJRATNA

GAWARE

11 Male LAWYER Child 2 22/05/2016 0 0

460 Mah/477/2005

11 Mah/477/2005

SHINGEDIYA

VISHAL

1 Female LOWYER Child 2 22/05/2016 0 0

452 Mah/477/2005

2 Mah/477/2005

SHINGENEELAMVISHAL

32 Female LOWYER Spouse 22/05/2016 0 0

443 Mah/477/2005

1 Mah/477/2005

SHINGEVISHAL

MANOHAR

38 Male LOWYER Employee 22/05/2016 500000 0

458 Mah/477/2005

3 Mah/477/2005

SHINGELOKESHVISHAL

8 Male LOWYER Children 22/05/2016 0 0

1652 Mah/4772/201

5

2 Mah/4772/2015

BALASUBRAMANIA

NAMUTHA

VALLI

32 Female LAWYER Spouse 22/05/2016 0 0

1648 Mah/4772/201

5

1 Mah/4772/2015

BALASUBRAMANIA

NARUMUG

AM

36 Male LAWYER Employee 22/05/2016 300000 0

306 Mah/4806/200

6

1 Mah/4806/2006

KANOJIYARAJESH

CHANDRA

MITHAILAL

33 Male LOWYER Employee 22/05/2016 200000 0

129 Mah/4811/200

7

1 Mah/4811/2007

SUNILDAULATR

AOBHARDE

33 Male LOWYER Employee 22/05/2016 300000 0

135 Mah/4811/200

7

2 Mah/4811/2007

BHARDESAVITASUNIL

29 Female LOWYER Spouse 22/05/2016 0 0

142 Mah/4811/200

7

3 Mah/4811/2007

BHARDETANUSHA

SUNIL

1 Female LOWYER Children 22/05/2016 0 0

1467 Mah/4829/201

4

1 Mah/4829/2014

KENIRAKESHVILAS

28 Male LOWYER Employee 22/05/2016 200000 0

2095 Mah/484/2014

1 Mah/484/2014

SASANEPRANILDILIP

33 Male LAWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2096 Mah/484/2014

2 Mah/484/2014

SASANEJAGRUTIPRANIL

29 Female LAWYER Spouse 22/05/2016 0 0

1692 Mah/4844/200

6

1 Mah/4844/2006

PATILVAIBHAVRAMESH

34 Male LAWYER Employee 22/05/2016 1000000 0

1701 Mah/4844/200

6

3 Mah/4844/2006

PATILKABIR

VAIBHAV

4 Male LAWYER Children 22/05/2016 0 0

1696 Mah/4844/200

6

2 Mah/4844/2006

PATILRANI

VAIBHAV

34 Female LAWYER Spouse 22/05/2016 0 0

1866 Mah/4847/200

7

2 Mah/4847/2007

SWATINITIN

RAMTEKE

25 Female LAWYER Spouse 22/05/2016 0 0

1864 Mah/4847/200

7

1 Mah/4847/2007

RAMTEKENITIN

BHAURAO

32 Male LAWYER Employee 22/05/2016 200000 0

2469 Mah/486/2005

3 Mah/486/2005

GAWADEARYAN

RANJEET

8 Male LAWYER Children 22/05/2016 0 0

2478 Mah/486/2005

11 Mah/486/2005

GAWADEABHIDNY

ARANJEET

2 Male LAWYER Child 2 22/05/2016 0 0

2450 Mah/486/2005

1 Mah/486/2005

GAWADERANJEETRAMCHA

NDRA

38 Male LAWYER Employee 22/05/2016 500000 0

2465 Mah/486/2005

2 Mah/486/2005

GAWADEPUNAM

RANJEET

32 Female LAWYER Spouse 22/05/2016 0 0

712 Mah/4867/200

5

1 Mah/4867/2005

JAWAKENITIN

SAHEBRAO

37 Male lawyer Employee 22/05/2016 200000 0

724 Mah/4867/200

5

3 Mah/4867/2005

JAWAKEAPURVA

NITIN

5 Female lawyer Children 22/05/2016 0 0

728 Mah/4867/200

5

11 Mah/4867/2005

JAWAKEPUSHKAR

NITIN

3 Male lawyer Child 2 22/05/2016 0 0

721 Mah/4867/200

5

2 Mah/4867/2005

JAWAKESMITANITIN

34 Female lawyer Spouse 22/05/2016 0 0

2295 Mah/4873/199

9

1 Mah/4873/1999

PATILRAMRAORAJARAM

51 Male LAWYER Employee 22/05/2016 300000 0

2303 Mah/4873/199

9

2 Mah/4873/1999

PATILRUPALI

RAMRAO

34 Female LAWYER Spouse 22/05/2016 0 0

1751 Mah/4892/199

9

1 Mah/4892/1999

NALAVADE

RUPESHBHUJANG

RAO

40 Male LAWYER Employee 22/05/2016 500000 0

1756 Mah/4892/199

9

2 Mah/4892/1999

NALAVADE ROSHNIRUPESH

31 Female LAWYER Spouse 22/05/2016 0 0

1761 Mah/4892/199

9

3 Mah/4892/1999

NALAVADE ARMANIRUPESH

8 Female LAWYER Children 22/05/2016 0 0

1871 Mah/49/1980

11 Mah/49/1980

SHIVAM 30 Male LAWYER Child 2 22/05/2016 0 0

1869 Mah/49/1980

3 Mah/49/1980

ANUJ 31 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1868 Mah/49/1980

2 Mah/49/1980

MRSGAYATRI

DEVI

61 Female LAWYER Spouse 22/05/2016 0 0

1867 Mah/49/1980

1 Mah/49/1980

AGRAWAL

GOPALDAS

GOVINDRAM

61 Male LAWYER Employee 22/05/2016 300000 0

2207 Mah/492/2005

2 Mah/492/2005

MUNDHEKAR

SONALSANGRA

M

30 Female LAWYER Spouse 22/05/2016 0 0

2210 Mah/492/2005

3 Mah/492/2005

MUNDHEKAR

SACHEESANGRA

M

5 Female LAWYER Children 22/05/2016 0 0

2199 Mah/492/2005

1 Mah/492/2005

MUNDHEKAR

SANGRAM

SUBHASH

35 Male LAWYER Employee 22/05/2016 200000 0

2289 Mah/4929/200

5

2 Mah/4929/2005

TIWARIPRIYANKACHANDRABHUSHA

N

36 Female LAWYER Spouse 22/05/2016 0 0

2282 Mah/4929/200

5

1 Mah/4929/2005

TIWARICHANDRABHUSHA

NCHANDRAPRAKAS

H

41 Male LAWYER Employee 22/05/2016 500000 0

2309 Mah/4929/200

5

11 Mah/4929/2005

TIWARIAAYUSHA

MAANCHANDRABHUSHA

N

12 Male LAWYER Child 2 22/05/2016 0 0

2298 Mah/4929/200

5

3 Mah/4929/2005

TIWARIAADITYACHANDRABHUSHA

N

13 Male LAWYER Children 22/05/2016 0 0

1489 Mah/4959/200

8

2 Mah/4959/2008

SHITOLEPOOJA

MADHAV

27 Female LOWYER Spouse 22/05/2016 0 0

1485 Mah/4959/200

8

1 Mah/4959/2008

SHITOLEMADHAVTRIMBAK

37 Male LOWYER Employee 22/05/2016 100000 0

1491 Mah/4959/200

8

3 Mah/4959/2008

SHITOLEPRUTHVI

RAJMADHAV

4 Male LOWYER Children 22/05/2016 0 0

2446 Mah/4963/200

7

2 Mah/4963/2007

JAGDISH 39 Male LAWYER Spouse 22/05/2016 0 0

2435 Mah/4963/200

7

1 Mah/4963/2007

METERUPALI

VIJAYRAO

34 Female LAWYER Employee 22/05/2016 200000 0

2455 Mah/4963/200

7

3 Mah/4963/2007

PARINITA 3 Female LAWYER Children 22/05/2016 0 0

777 Mah/4972/200

8

1 Mah/4972/2008

SHAIKHJAVED

RASHEED

33 Male lawyer Employee 22/05/2016 200000 0

787 Mah/4972/200

8

11 Mah/4972/2008

SHAIKHZAIN

JAVED

3 Male lawyer Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

784 Mah/4972/200

8

3 Mah/4972/2008

SHAIKHABDULLA

JAVED

4 Male lawyer Children 22/05/2016 0 0

781 Mah/4972/200

8

2 Mah/4972/2008

SHAIKHGAZALAJAVED

28 Female lawyer Spouse 22/05/2016 0 0

2136 Mah/5007/201

1

3 Mah/5007/2011

DESHMUKH

RUDRAKISHOR

2 Male LAWYER Children 22/05/2016 0 0

1922 Mah/5007/201

1

1 Mah/5007/2011

DESHMUKH

KISHORTUKARAM

32 Male LAWYER Employee 22/05/2016 500000 0

1924 Mah/5007/201

1

2 Mah/5007/2011

DESHMUKH

RUTUJAKISHOR

26 Female LAWYER Spouse 22/05/2016 0 0

2476 Mah/5018/201

1

1 Mah/5018/2011

MAHADIKAKSHAY

BABURAO

28 Male LAWYER Employee 22/05/2016 100000 0

2486 Mah/5018/201

1

2 Mah/5018/2011

MAHADIKBHAKTIAKSHAY

24 Female LAWYER Spouse 22/05/2016 0 0

1500 Mah/5021/200

5

3 Mah/5021/2005

GAIDHANE NITTYANEELESH

6 Female LOWYER Children 22/05/2016 0 0

1498 Mah/5021/200

5

2 Mah/5021/2005

GAIDHANE SONALINEELESH

30 Female LOWYER Spouse 22/05/2016 0 0

1496 Mah/5021/200

5

1 Mah/5021/2005

GAIDHANE

NEELESHMANOHA

R

36 Male LOWYER Employee 22/05/2016 200000 0

189 Mah/503/1993

2 Mah/503/1993

SAIRABANU

ABDULSAMAD

MULLA

52 Female LOWYER Spouse 22/05/2016 0 0

180 Mah/503/1993

1 Mah/503/1993

MULLAABDULSA

MADNOORMOHAMED

61 Male LOWYER Employee 22/05/2016 200000 0

198 Mah/503/1993

3 Mah/503/1993

ZUBERABDULSA

MADMULLA

32 Male LOWYER Children 22/05/2016 0 0

2379 Mah/5034/200

9

1 Mah/5034/2009

TADAKEPRADEEP

ARUN

29 Male LAWYER Employee 22/05/2016 100000 0

2390 Mah/5034/200

9

2 Mah/5034/2009

TADAKEPALLAVIPRADEEP

25 Female LAWYER Spouse 22/05/2016 0 0

178 Mah/5038/200

5

2 Mah/5038/2005

DASSAVITA

PRADHAN

35 Female LOWYER Spouse 22/05/2016 0 0

186 Mah/5038/200

5

3 Mah/5038/2005

DASMANYA

PRADHAN

6 Female LOWYER Children 22/05/2016 0 0

160 Mah/5038/200

5

1 Mah/5038/2005

DASPRADHANCHANDR

A

40 Male LOWYER Employee 22/05/2016 200000 0

1744 Mah/5042/201

0

1 Mah/5042/2010

PATHAKVIPIN

ASHOK

34 Male LAWYER Employee 22/05/2016 300000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1758 Mah/5042/201

0

11 Mah/5042/2010

PATHAKAARDHYA

VIPIN

6 Female LAWYER Child 2 22/05/2016 0 0

1754 Mah/5042/201

0

3 Mah/5042/2010

PATHAKMADHAVI

VIPIN

12 Female LAWYER Children 22/05/2016 0 0

1748 Mah/5042/201

0

2 Mah/5042/2010

PATHAKDIPIKAVIPIN

30 Female LAWYER Spouse 22/05/2016 0 0

60 Mah/5054/201

1

2 Mah/5054/2011

MRSPUSHPA

25 Female LOWYER Spouse 22/05/2016 0 0

55 Mah/5054/201

1

1 Mah/5054/2011

YADAVMANOJKUMAR

RAMLAKSHAN

32 Male LOWYER Employee 22/05/2016 200000 0

64 Mah/5054/201

1

3 Mah/5054/2011

ADITYA 0 Male LOWYER Children 22/05/2016 0 0

1203 Mah/5068/200

7

1 Mah/5068/2007

SARAFNIDHIGOPAL

32 Female LOWYER Employee 22/05/2016 100000 0

1206 Mah/5068/200

7

2 Mah/5068/2007

SANGANERIA

VISHAL

33 Male LOWYER Spouse 22/05/2016 0 0

764 Mah/5148/201

1

1 Mah/5148/2011

PATILRAMAKA

NTMOHAN

33 Male lawyer Employee 22/05/2016 200000 0

765 Mah/5148/201

1

2 Mah/5148/2011

PATILPRAMILAPARASHR

UM

24 Female lawyer Spouse 22/05/2016 0 0

1032 Mah/518/1976

1 Mah/518/1976

BHAGURKAR

MAKARAND

LAXMAN

39 Male LOWYER Employee 22/05/2016 200000 0

1039 Mah/518/1976

2 Mah/518/1976

MADHURIMAKARA

NDBHAGURK

AR

65 Female LOWYER Spouse 22/05/2016 0 0

788 Mah/518/2008

1 Mah/518/2008

THORATYOGESHDATTATR

AY

38 Male lawyer Employee 22/05/2016 300000 0

799 Mah/518/2008

3 Mah/518/2008

THORATATHARVAYOGESH

4 Male lawyer Children 22/05/2016 0 0

791 Mah/518/2008

2 Mah/518/2008

THORATNILIMA

YOGESH

2 Female lawyer Spouse 22/05/2016 0 0

814 Mah/5181/198

0

1 Mah/5181/1980

NANDEDKAR

VIRBHADRA AMEJI

63 Male lawyer Employee 22/05/2016 200000 0

819 Mah/5181/198

0

2 Mah/5181/1980

NANDEDKAR

SATYABHMA

VIRBHADRA

58 Female lawyer Spouse 22/05/2016 0 0

2588 Mah/5215/199

9

3 Mah/5215/1999

PATHANSUFIYANKHALILKHAN

10 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2587 Mah/5215/199

9

2 Mah/5215/1999

PATHANSHAMIMKHALILKHAN

31 Female LAWYER Spouse 22/05/2016 0 0

2586 Mah/5215/199

9

1 Mah/5215/1999

PATHANKHALILAH

MEDKHAN

HIDAYTKHAN

42 Male LAWYER Employee 22/05/2016 100000 0

1222 Mah/5228/201

0

2 Mah/5228/2010

SINGHMUDITA

28 Female LOWYER Spouse 22/05/2016 0 0

1219 Mah/5228/201

0

1 Mah/5228/2010

SINGHYUVRAJKUMAR

29 Male LOWYER Employee 22/05/2016 500000 0

1818 Mah/523/1994

2 Mah/523/1994

POKALESUCHITRA PARAG

44 Female LAWYER Spouse 22/05/2016 0 0

1820 Mah/523/1994

3 Mah/523/1994

POKALESANIKAPARAG

17 Female LAWYER Children 22/05/2016 0 0

1816 Mah/523/1994

1 Mah/523/1994

POKALEPARAG

PRABHAKAR

46 Male LAWYER Employee 22/05/2016 500000 0

14 Mah/5242/201

4

2 Mah/5242/2014

AHIREKALPANA

P

38 Female LOWYER Spouse 22/05/2016 0 0

10 Mah/5242/201

4

1 Mah/5242/2014

RAJAPRABUDD

HASAHEBRA

O

41 Male LOWYER Employee 22/05/2016 200000 0

20 Mah/5242/201

4

11 Mah/5242/2014

RAJMUDRA

9 Female LOWYER Child 2 22/05/2016 0 0

17 Mah/5242/201

4

3 Mah/5242/2014

RAJABUDDHA

YAN P

11 Male LOWYER Children 22/05/2016 0 0

1268 Mah/5243/200

8

2 Mah/5243/2008

MRSVARSHA

24 Female LOWYER Spouse 22/05/2016 0 0

1266 Mah/5243/200

8

1 Mah/5243/2008

ADVSANGVIK

ARANAND

PRAKASHRO

32 Male LOWYER Employee 22/05/2016 200000 0

318 Mah/525/2001

3 Mah/525/2001

ANUSHRI 5 Female LOWYER Children 22/05/2016 0 0

304 Mah/525/2001

1 Mah/525/2001

JALTAREAMOL

MOHAN

39 Male LOWYER Employee 22/05/2016 500000 0

312 Mah/525/2001

2 Mah/525/2001

AMRUTA 34 Female LOWYER Spouse 22/05/2016 0 0

1791 Mah/527/1976

1 Mah/527/1976

ADVYENEGURE ASHOKSIDVAMA

PPA

66 Male LAWYER Employee 22/05/2016 200000 0

1794 Mah/527/1976

2 Mah/527/1976

MRSPRAJAKTA

56 Female LAWYER Spouse 22/05/2016 0 0

1309 Mah/527/2001

2 Mah/527/2001

BIRADARDEEPA

RAMRAO

35 Female LOWYER Spouse 22/05/2016 0 0

1307 Mah/527/2001

1 Mah/527/2001

BIRADARRAMRAODHONDIR

AM

39 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1311 Mah/527/2001

3 Mah/527/2001

BIRADARANAY

RAMRAO

7 Male LOWYER Children 22/05/2016 0 0

25 Mah/5276/199

9

11 Mah/5276/1999

DEEPADNYA DILIPWALANJ

19 Female LOWYER Child 2 22/05/2016 0 0

16 Mah/5276/199

9

1 Mah/5276/1999

WALANJDILIPJANU

53 Male LOWYER Employee 22/05/2016 200000 0

21 Mah/5276/199

9

3 Mah/5276/1999

PRIYANKADILIP

WALANJ

26 Female LOWYER Children 22/05/2016 0 0

18 Mah/5276/199

9

2 Mah/5276/1999

ANITADILIP

WALANJ

46 Female LOWYER Spouse 22/05/2016 0 0

490 Mah/5284/200

7

3 Mah/5284/2007

AYAN 1 Male LOWYER Children 22/05/2016 0 0

477 Mah/5284/200

7

2 Mah/5284/2007

SAPNA 32 Female LOWYER Spouse 22/05/2016 0 0

466 Mah/5284/200

7

1 Mah/5284/2007

NAIRSURESHKUNHIRA

MAN

38 Male LOWYER Employee 22/05/2016 500000 0

1960 Mah/5296/200

9

2 Mah/5296/2009

KOSHTGAONKAR

RADHIKAPRAVIN

28 Female LAWYER Spouse 22/05/2016 0 0

1956 Mah/5296/200

9

1 Mah/5296/2009

KOSHTGAONKARPRAVIN

PANDITRAO

29 Male LAWYER Employee 22/05/2016 300000 0

552 Mah/532/1979

2 Mah/532/1979

MRSRAGINI

MAHESHDEVANI

54 Female LOWYER Spouse 22/05/2016 0 0

553 Mah/532/1979

3 Mah/532/1979

NIDHIMAHESHDEVANI

23 Female LOWYER Children 22/05/2016 0 0

56 Mah/532/1979

1 Mah/532/1979

ADVDEVANIMAHESHJINABHAI

61 Male LOWYER Employee 22/05/2016 300000 0

1344 Mah/532/1991

1 Mah/532/1991

KONDEDESHMUK

HVITTHALBHAURA

O

51 Male LOWYER Employee 22/05/2016 500000 0

1354 Mah/532/1991

11 Mah/532/1991

KONDEDESHMUK

HMAITHILIVITTHAL

13 Female LOWYER Child 2 22/05/2016 0 0

1350 Mah/532/1991

3 Mah/532/1991

KONDEDESHMUK

HAADESHVITTHAL

17 Male LOWYER Children 22/05/2016 0 0

1347 Mah/532/1991

2 Mah/532/1991

KONDEDESHMUK

HVAISHALIVITTHAL

43 Female LOWYER Spouse 22/05/2016 0 0

1986 Mah/5328/200

8

1 Mah/5328/2008

BHAWARE

TUSHARRAMCHA

NDRA

31 Male LAWYER Employee 22/05/2016 800000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2141 Mah/5328/200

8

3 Mah/5328/2008

BHAWARE

DEVANKTUSHAR

5 Male LAWYER Children 22/05/2016 0 0

1989 Mah/5328/200

8

2 Mah/5328/2008

BHAWARE TANVITUSHAR

27 Female LAWYER Spouse 22/05/2016 0 0

906 Mah/533/2014

1 Mah/533/2014

JADHAVSANJIVANI SACHIN

28 Female LOWYER Employee 22/05/2016 200000 0

921 Mah/533/2014

3 Mah/533/2014

SWARA 4 Female LOWYER Children 22/05/2016 0 0

913 Mah/533/2014

2 Mah/533/2014

SACHIN 36 Male LOWYER Spouse 22/05/2016 0 0

2439 Mah/5330/201

0

1 Mah/5330/2010

GOLEPRAVINC

HANDBABAN

29 Male LAWYER Employee 22/05/2016 100000 0

2447 Mah/5330/201

0

2 Mah/5330/2010

GOLEPOONAMPRAVINC

HAND

25 Female LAWYER Spouse 22/05/2016 0 0

2457 Mah/5330/201

0

3 Mah/5330/2010

GOLEVEDANSH

IPRAVINC

HAND

0 Female LAWYER Children 22/05/2016 0 0

1834 Mah/5342/201

1

2 Mah/5342/2011

SHELKECHETANAABHIJIT

26 Female LAWYER Spouse 22/05/2016 0 0

1833 Mah/5342/201

1

1 Mah/5342/2011

SHELKEABHIJIT

MOTIRAM

34 Male LAWYER Employee 22/05/2016 300000 0

1988 Mah/5357/200

9

3 Mah/5357/2009

KAWADEKRUSHNA

LISHRIKAN

T

0 Female LAWYER Children 22/05/2016 0 0

1596 Mah/5357/200

9

1 Mah/5357/2009

KAWADESHRIKAN

TGANESHR

AO

30 Male LAWYER Employee 22/05/2016 200000 0

1984 Mah/5357/200

9

2 Mah/5357/2009

KAWADESNEHALSHRIKAN

T

22 Female LAWYER Spouse 22/05/2016 0 0

1426 Mah/5383/201

3

11 Mah/5383/2013

PAWARRIDHIKARAVINDR

A

0 Female LOWYER Child 2 22/05/2016 0 0

1413 Mah/5383/201

3

1 Mah/5383/2013

PAWARRAVINDR

APOPATRA

O

44 Male LOWYER Employee 22/05/2016 200000 0

1421 Mah/5383/201

3

3 Mah/5383/2013

PAWARRIDHIMARAVINDR

A

6 Female LOWYER Children 22/05/2016 0 0

1415 Mah/5383/201

3

2 Mah/5383/2013

PAWARMANIUSH

ARAVINDR

A

39 Female LOWYER Spouse 22/05/2016 0 0

2004 Mah/5408/200

5

1 Mah/5408/2005

SINGHNARENDRA KUMAR

37 Male LAWYER Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2006 Mah/5408/200

5

2 Mah/5408/2005

SINGHRACHNA

NARENDRA

32 Female LAWYER Spouse 22/05/2016 0 0

2009 Mah/5408/200

5

11 Mah/5408/2005

SINGHARYAN

NARENDRA

6 Male LAWYER Child 2 22/05/2016 0 0

2150 Mah/5408/200

5

3 Mah/5408/2005

SINGHRIDDHI

NARENDRA

7 Female LAWYER Children 22/05/2016 0 0

1457 Mah/5411/200

9

1 Mah/5411/2009

MISHRASWATANT

RAAMARDE

O

33 Male LOWYER Employee 22/05/2016 200000 0

2482 Mah/543/2009

1 Mah/543/2009

KULKARNI

RATHINDRA

RAVINDRA

32 Male LAWYER Employee 22/05/2016 100000 0

2498 Mah/543/2009

2 Mah/543/2009

KULKARNI

VANDANA

RATHINDRA

27 Female LAWYER Spouse 22/05/2016 0 0

1109 Mah/5451/200

7

3 Mah/5451/2007

WAYALSHLOK

DIGAMBAR

7 Male LOWYER Children 22/05/2016 0 0

1108 Mah/5451/200

7

2 Mah/5451/2007

WAYALSWATI

DIGAMBAR

32 Female LOWYER Spouse 22/05/2016 0 0

1107 Mah/5451/200

7

1 Mah/5451/2007

WAYALDIGAMBAR MOHAN

37 Male LOWYER Employee 22/05/2016 200000 0

1477 Mah/5481/199

9

3 Mah/5481/1999

SAKHAREMANAABPRASHAN

T

6 Male LOWYER Children 22/05/2016 0 0

1475 Mah/5481/199

9

2 Mah/5481/1999

SAKHAREAMRITA

PRASHANT

42 Female LOWYER Spouse 22/05/2016 0 0

1471 Mah/5481/199

9

1 Mah/5481/1999

SAKHAREPRASHAN

TBABURAO

48 Male LOWYER Employee 22/05/2016 200000 0

883 Mah/5485/201

3

1 Mah/5485/2013

DUSANEPARAGHARISH

27 Male LOWYER Employee 22/05/2016 200000 0

889 Mah/5485/201

3

2 Mah/5485/2013

SHRUTIPARAG

DUSANE

26 Female LOWYER Spouse 22/05/2016 0 0

2358 Mah/55/2006

1 Mah/55/2006

DIVEKARBAPU

BABURAO

35 Male LAWYER Employee 22/05/2016 300000 0

2365 Mah/55/2006

2 Mah/55/2006

DIVEKARSANDHYA

RANIBAPU

29 Female LAWYER Spouse 22/05/2016 0 0

2374 Mah/55/2006

3 Mah/55/2006

DIVEKARSAI BAPU

6 Female LAWYER Children 22/05/2016 0 0

2385 Mah/55/2006

11 Mah/55/2006

DIVEKARYASHRAJ

BAPU

4 Male LAWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

95 Mah/5519/201

0

3 Mah/5519/2010

NITIKARAJU JAIN

4 Female LOWYER Children 22/05/2016 0 0

94 Mah/5519/201

0

2 Mah/5519/2010

CHETNARAJU JAIN

23 Female LOWYER Spouse 22/05/2016 0 0

90 Mah/5519/201

0

1 Mah/5519/2010

JAIN RAJUMODILAL

29 Male LOWYER Employee 22/05/2016 200000 0

210 Mah/5539/199

9

1 Mah/5539/1999

SHELKESURYAKANT JANU

42 Male LOWYER Employee 22/05/2016 300000 0

234 Mah/5539/199

9

11 Mah/5539/1999

VIGHNESH

SURYAKANT

SHELKE

3 Male LOWYER Child 2 22/05/2016 0 0

228 Mah/5539/199

9

3 Mah/5539/1999

SEJALSURYAKA

NTSHELKE

9 Female LOWYER Children 22/05/2016 0 0

217 Mah/5539/199

9

2 Mah/5539/1999

DEEPASHRI

SURYAKANT

SHELKE

38 Female LOWYER Spouse 22/05/2016 0 0

308 Mah/555/1994

2 Mah/555/1994

VISHEURMILALAXMAN

54 Female LOWYER Spouse 22/05/2016 0 0

302 Mah/555/1994

1 Mah/555/1994

VISHELAXMAN

PANDURANG

60 Male LOWYER Employee 22/05/2016 200000 0

2592 Mah/555/2008

2 Mah/555/2008

SHENDEPRITI

ASHISH

30 Female LAWYER Spouse 22/05/2016 0 0

2567 Mah/555/2008

3 Mah/555/2008

SHENDESAMARASHISH

4 Male LAWYER Children 22/05/2016 0 0

2563 Mah/555/2008

1 Mah/555/2008

SHENDEASHISHBANDUJI

33 Male LAWYER Employee 22/05/2016 100000 0

2430 Mah/556/1975

2 Mah/556/1975

BHOSLEPRAMILABALAJIRA

O

56 Female LAWYER Spouse 22/05/2016 0 0

2424 Mah/556/1975

1 Mah/556/1975

BHOSLEBALAJIRA

ORAMRAO

66 Male LAWYER Employee 22/05/2016 200000 0

2362 Mah/5565/201

0

3 Mah/5565/2010

JADHAVKSHITIJA

SATEJ

18 Female LAWYER Children 22/05/2016 0 0

2344 Mah/5565/201

0

1 Mah/5565/2010

JADHAVSUJATASATEJ

36 Female LAWYER Employee 22/05/2016 200000 0

2356 Mah/5565/201

0

2 Mah/5565/2010

JADHAVNANASO

SATEJ

46 Male LAWYER Spouse 22/05/2016 0 0

2375 Mah/5565/201

0

11 Mah/5565/2010

JADHAVATHARVA

SATEJ

11 Male LAWYER Child 2 22/05/2016 0 0

849 Mah/5573/200

8

1 Mah/5573/2008

KAMBLEAMOL

BALWANT

31 Male lawyer Employee 22/05/2016 200000 0

851 Mah/5573/200

8

2 Mah/5573/2008

MAYAAMOL

KAMBLE

24 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1876 Mah/5580/200

7

3 Mah/5580/2007

SHINDECHAITAN

AYPRASHAN

T

12 Male LAWYER Children 22/05/2016 0 0

1874 Mah/5580/200

7

1 Mah/5580/2007

JADHAVYOGITA

MANIKRAO

37 Female LAWYER Employee 22/05/2016 200000 0

1875 Mah/5580/200

7

2 Mah/5580/2007

SHINDEPRASHAN

TDONDIRA

M

43 Male LAWYER Spouse 22/05/2016 0 0

2499 Mah/5632/201

2

1 Mah/5632/2012

SHINDEDINESHMAHADE

O

32 Male LAWYER Employee 22/05/2016 100000 0

2504 Mah/5632/201

2

2 Mah/5632/2012

SHINDEANITA

DINESH

29 Female LAWYER Spouse 22/05/2016 0 0

995 Mah/5638/200

9

2 Mah/5638/2009

JYOTIARUN

MHASKE

22 Female LOWYER Spouse 22/05/2016 0 0

991 Mah/5638/200

9

1 Mah/5638/2009

MHASKEARUN

TRYMBAK

37 Male LOWYER Employee 22/05/2016 500000 0

1000 Mah/5638/200

9

3 Mah/5638/2009

PRANJALARUN

MHASKE

2 Female LOWYER Children 22/05/2016 0 0

153 Mah/564/1986

1 Mah/564/1986

MENDONTHUKARAM JABBA

57 Male LOWYER Employee 22/05/2016 200000 0

162 Mah/564/1986

2 Mah/564/1986

MENDONDAMAYA

NTITUKARAM

53 Female LOWYER Spouse 22/05/2016 0 0

171 Mah/564/1986

3 Mah/564/1986

MENDONMOHNISHTUKARAM

7 Male LOWYER Children 22/05/2016 0 0

46 Mah/564/2012

1 Mah/564/2012

MOHITESANTOSHBHAGUR

AM

40 Male LOWYER Employee 22/05/2016 200000 0

1495 Mah/5647/200

7

2 Mah/5647/2007

PRAJAPATI

NIRMALAOMPRAKA

SH

27 Female LOWYER Spouse 22/05/2016 0 0

1497 Mah/5647/200

7

3 Mah/5647/2007

PRAJAPATI

BHUMIKAOMPRAKA

SH

3 Female LOWYER Children 22/05/2016 0 0

1493 Mah/5647/200

7

1 Mah/5647/2007

PRAJAPATI

OMPRAKASH

JAGALURAM

34 Male LOWYER Employee 22/05/2016 200000 0

861 Mah/5649/200

9

1 Mah/5649/2009

DAMANIAALPESHK

UMARRAMESHCHANDRA

EMP

36 Male lawyer Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

863 Mah/5649/200

9

2 Mah/5649/2009

MRSSMITA

33 Female lawyer Spouse 22/05/2016 0 0

865 Mah/5649/200

9

3 Mah/5649/2009

YOVAN 10 Male lawyer Children 22/05/2016 0 0

1644 Mah/566/2007

2 Mah/566/2007

KADAMRUPALI

UMAKANT

23 Female LAWYER Spouse 22/05/2016 0 0

1639 Mah/566/2007

1 Mah/566/2007

KADAMUMAKANTGOKULDA

S

33 Male LAWYER Employee 22/05/2016 200000 0

1504 Mah/5665/200

6

2 Mah/5665/2006

SHARMANEETUMANISH

28 Female LOWYER Spouse 22/05/2016 0 0

1502 Mah/5665/200

6

1 Mah/5665/2006

SHARMAMANISH

GHANSHYAM

34 Male LOWYER Employee 22/05/2016 100000 0

1102 Mah/567/2009

1 Mah/567/2009

KOKATESUDHIRSITARAM

32 Male LOWYER Employee 22/05/2016 1000000 0

1104 Mah/567/2009

2 Mah/567/2009

POONAMSUDHIRKOKATE

28 Female LOWYER Spouse 22/05/2016 0 0

403 Mah/5672/200

8

1 Mah/5672/2008

SURVASERAJHANSPANDITR

AO

33 Male LOWYER Employee 22/05/2016 500000 0

414 Mah/5672/200

8

2 Mah/5672/2008

SURVASESHRADD

HARAJHANS

25 Female LOWYER Spouse 22/05/2016 0 0

2392 Mah/5674/200

9

2 Mah/5674/2009

MOREARPITA

ABHISHEK

29 Female LAWYER Spouse 22/05/2016 0 0

2408 Mah/5674/200

9

11 Mah/5674/2009

MORERUDRA

ABHISHEK

2 Male LAWYER Child 2 22/05/2016 0 0

2399 Mah/5674/200

9

3 Mah/5674/2009

MOREKANISHKABHISHE

K

5 Male LAWYER Children 22/05/2016 0 0

2383 Mah/5674/200

9

1 Mah/5674/2009

MOREABHISHE

KSIDDHAR

TH

31 Male LAWYER Employee 22/05/2016 200000 0

2043 Mah/57/1977

2 Mah/57/1977

BANAVALIKAR

DEEPADWARKA

NATH

61 Female LAWYER Spouse 22/05/2016 0 0

2038 Mah/57/1977

1 Mah/57/1977

BANAVALIKAR

DWARKANATH

RADHAKRISHNA

65 Male LAWYER Employee 22/05/2016 500000 0

1675 Mah/5702/199

9

2 Mah/5702/1999

VARMAKANCHANVIVEKKU

MAR

37 Female LAWYER Spouse 22/05/2016 0 0

1670 Mah/5702/199

9

1 Mah/5702/1999

VARMAVIVEKKU

MARSHAMBHU RATAN

44 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1679 Mah/5702/199

9

3 Mah/5702/1999

VARMAANANYAVIVEKKU

MAR

14 Female LAWYER Children 22/05/2016 0 0

224 Mah/571/1993

2 Mah/571/1993

MRSMANORA

MA

45 Female LOWYER Spouse 22/05/2016 0 0

215 Mah/571/1993

1 Mah/571/1993

SHINDEMAHEND

RAVISHNUP

ANT

52 Male LOWYER Employee 22/05/2016 800000 0

251 Mah/571/1993

11 Mah/571/1993

OMKAR 15 Male LOWYER Child 2 22/05/2016 0 0

241 Mah/571/1993

3 Mah/571/1993

MANASI 21 Female LOWYER Children 22/05/2016 0 0

1657 Mah/5730/200

6

1 Mah/5730/2006

SHINDESANDIPCHANDRAKANT

38 Male LAWYER Employee 22/05/2016 100000 0

1665 Mah/5730/200

6

2 Mah/5730/2006

SHINDEVARSHASANDIP

30 Female LAWYER Spouse 22/05/2016 0 0

1666 Mah/5730/200

6

3 Mah/5730/2006

SHINDESOHAMSANDIP

5 Male LAWYER Children 22/05/2016 0 0

2338 Mah/5730/201

0

3 Mah/5730/2010

SHELAKERUDRASATISH

4 Male LAWYER Children 22/05/2016 0 0

2328 Mah/5730/201

0

2 Mah/5730/2010

SHELAKENISHASATISH

27 Female LAWYER Spouse 22/05/2016 0 0

2317 Mah/5730/201

0

1 Mah/5730/2010

SHELAKESATISHARJUN

31 Male LAWYER Employee 22/05/2016 200000 0

2052 Mah/577/1994

1 Mah/577/1994

NIGUDKAR

RAJENDRA

PANDHARINATH

51 Male LAWYER Employee 22/05/2016 500000 0

2155 Mah/577/1994

3 Mah/577/1994

NIGUDKAR SAHILRAJENDR

A

19 Male LAWYER Children 22/05/2016 0 0

2055 Mah/577/1994

2 Mah/577/1994

NIGUDKAR

RUCHIRARAJENDR

A

42 Female LAWYER Spouse 22/05/2016 0 0

634 Mah/577/2005

3 Mah/577/2005

PATHAKSOHAMSACHIN

4 Male lawyer Children 22/05/2016 0 0

626 Mah/577/2005

1 Mah/577/2005

PATHAKSACHIN

DILIP

38 Male lawyer Employee 22/05/2016 200000 0

628 Mah/577/2005

2 Mah/577/2005

PATHAKSUVARNASACHIN

32 Female lawyer Spouse 22/05/2016 0 0

2112 Mah/5782/201

5

3 Mah/5782/2015

SHARMAARNAVRAJESH

10 Male LAWYER Children 22/05/2016 0 0

2066 Mah/5782/201

5

1 Mah/5782/2015

SHARMARAJESHKUMAR

42 Male LAWYER Employee 22/05/2016 100000 0

2072 Mah/5782/201

5

11 Mah/5782/2015

SHARMAAARYARAJESH

4 Female LAWYER Child 2 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

2069 Mah/5782/201

5

2 Mah/5782/2015

SHARMAGANDINI

40 Female LAWYER Spouse 22/05/2016 0 0

1214 Mah/5863/200

9

3 Mah/5863/2009

VISHWAKARMA

VEDIKAMAHESHK

UMAR

9 Female LOWYER Children 22/05/2016 0 0

1208 Mah/5863/200

9

1 Mah/5863/2009

VISHWAKARMA

MAHESHKUMAR

VIJAYBAHADUR

38 Male LOWYER Employee 22/05/2016 500000 0

1212 Mah/5863/200

9

2 Mah/5863/2009

VISHWAKARMA

VANDANA

MAHESHKUMAR

39 Female LOWYER Spouse 22/05/2016 0 0

1217 Mah/5863/200

9

11 Mah/5863/2009

VISHWAKARMA

SANCHITA

MAHESHKUMAR

5 Female LOWYER Child 2 22/05/2016 0 0

2099 Mah/5871/201

1

2 Mah/5871/2011

SANAPSWATINILESH

26 Female LAWYER Spouse 22/05/2016 0 0

2097 Mah/5871/201

1

1 Mah/5871/2011

SANAPNILESH

SURESHRAO

28 Male LAWYER Employee 22/05/2016 200000 0

658 Mah/5877/201

0

1 Mah/5877/2010

MULESANTOSHNARAYAN

ARAV

34 Male lawyer Employee 22/05/2016 200000 0

667 Mah/5877/201

0

2 Mah/5877/2010

SHARDASANTOSH

MULE

26 Female lawyer Spouse 22/05/2016 0 0

2115 Mah/590/2008

3 Mah/590/2008

SHINDEDWIJRAJ

NITIN

5 Male LAWYER Children 22/05/2016 0 0

2098 Mah/590/2008

1 Mah/590/2008

SHINDENITIN

RATNAKAR

35 Male LAWYER Employee 22/05/2016 1000000 0

2100 Mah/590/2008

2 Mah/590/2008

SHINDEARUNANITIN

28 Female LAWYER Spouse 22/05/2016 0 0

1703 Mah/5931/200

9

1 Mah/5931/2009

DODENAYNA

MADHAVRAO

35 Female LAWYER Employee 22/05/2016 200000 0

2521 Mah/5933/200

8

1 Mah/5933/2008

KHANDEAVINASHANGADR

AO

34 Male LAWYER Employee 22/05/2016 100000 0

2533 Mah/5933/200

8

3 Mah/5933/2008

KHANDEANVI

AVINASH

4 Female LAWYER Children 22/05/2016 0 0

2528 Mah/5933/200

8

2 Mah/5933/2008

KHANDEANJALI

AVINASH

28 Female LAWYER Spouse 22/05/2016 0 0

932 Mah/5944/201

1

1 Mah/5944/2011

BAGDERADHIKARAMESH

40 Female LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

938 Mah/5944/201

1

2 Mah/5944/2011

BAGDERAMESH

PANDURANG

44 Male LOWYER Spouse 22/05/2016 0 0

2496 Mah/5961/200

6

1 Mah/5961/2006

RATHODPAWANDAYARA

M

34 Male LAWYER Employee 22/05/2016 100000 0

2502 Mah/5961/200

6

2 Mah/5961/2006

RATHODPAYALPAWAN

23 Female LAWYER Spouse 22/05/2016 0 0

2405 Mah/597/2006

3 Mah/597/2006

SATHEVIDIT

UMESH

5 Male LAWYER Children 22/05/2016 0 0

2376 Mah/597/2006

1 Mah/597/2006

SATHEUMESH

RAMDAS

37 Male LAWYER Employee 22/05/2016 300000 0

2387 Mah/597/2006

2 Mah/597/2006

SATHEVAISHALIUMESH

38 Female LAWYER Spouse 22/05/2016 0 0

1224 Mah/5980/200

7

1 Mah/5980/2007

BHOITEMAHESHAMARSIN

G

33 Male LOWYER Employee 22/05/2016 800000 0

1232 Mah/5980/200

7

3 Mah/5980/2007

BHOITESHRIMAYIMAHESH

2 Female LOWYER Children 22/05/2016 0 0

1227 Mah/5980/200

7

2 Mah/5980/2007

BHOITESWAPAN

ALIMAHESH

29 Female LOWYER Spouse 22/05/2016 0 0

1771 Mah/5982/201

2

2 Mah/5982/2012

KOLASKAR MANJIRIMAHEND

RA

29 Female LAWYER Spouse 22/05/2016 0 0

1766 Mah/5982/201

2

1 Mah/5982/2012

KOLASKAR

MAHENDRA

MAHADEO

37 Male LAWYER Employee 22/05/2016 200000 0

1774 Mah/5982/201

2

3 Mah/5982/2012

KOLASKAR

MANAVAMAHEND

RA

1 Female LAWYER Children 22/05/2016 0 0

68 Mah/5994/200

7

2 Mah/5994/2007

ROHINIMANISHPABALE

25 Female LOWYER Spouse 22/05/2016 0 0

63 Mah/5994/200

7

1 Mah/5994/2007

PABALEMANISHMARUTI

33 Male LOWYER Employee 22/05/2016 200000 0

478 Mah/60/1994

1 Mah/60/1994

SHROFFJAYESH

PURUSHOTTAM

49 Male LOWYER Employee 22/05/2016 500000 0

1097 Mah/6011/201

3

1 Mah/6011/2013

BHALERAO

PRAKASHNAMDEO

60 Male LOWYER Employee 22/05/2016 200000 0

1099 Mah/6011/201

3

2 Mah/6011/2013

ASHAPRAKASHBHALERA

O

55 Female LOWYER Spouse 22/05/2016 0 0

1277 Mah/6020/200

7

11 Mah/6020/2007

PANDITRAAVEERAHUL

1 Female LOWYER Child 2 22/05/2016 0 0

1275 Mah/6020/200

7

3 Mah/6020/2007

PANDITDIVIEJARAHUL

4 Female LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1272 Mah/6020/200

7

2 Mah/6020/2007

PANDITKIRANRAHUL

34 Female LOWYER Spouse 22/05/2016 0 0

1271 Mah/6020/200

7

1 Mah/6020/2007

PANDITRAHULRAM

33 Male LOWYER Employee 22/05/2016 300000 0

1880 Mah/6020/201

1

2 Mah/6020/2011

JHA JYOTI 30 Female LAWYER Spouse 22/05/2016 0 0

1881 Mah/6020/201

1

3 Mah/6020/2011

JHASANVI

SHAMBHU

1 Female LAWYER Children 22/05/2016 0 0

1879 Mah/6020/201

1

1 Mah/6020/2011

JHASHAMBH

UMITHILES

H

31 Male LAWYER Employee 22/05/2016 200000 0

1926 Mah/6022/200

8

1 Mah/6022/2008

SONAWANE

NUTANMADHUS

UDAN

34 Female LAWYER Employee 22/05/2016 1000000 0

1967 Mah/6031/201

4

1 Mah/6031/2014

MOHITEDINESH

DNYANESHWAR

32 Male LAWYER Employee 22/05/2016 200000 0

1972 Mah/6031/201

4

2 Mah/6031/2014

MOHITEBHAGYAS

HRIDINESH

27 Female LAWYER Spouse 22/05/2016 0 0

2223 Mah/604/1976

1 Mah/604/1976

KULKARNI DILIP

KISHANRAO

63 Male LAWYER Employee 22/05/2016 300000 0

2232 Mah/604/1976

2 Mah/604/1976

KULKARNI

JAYASHREE DILIP

57 Female LAWYER Spouse 22/05/2016 0 0

1325 Mah/6043/201

4

11 Mah/6043/2014

PHADATARE

ABHINAVANIL

3 Male LOWYER Child 2 22/05/2016 0 0

1318 Mah/6043/201

4

2 Mah/6043/2014

PHADATARE

SUJATAANIL

30 Female LOWYER Spouse 22/05/2016 0 0

1314 Mah/6043/201

4

1 Mah/6043/2014

PHADATARE ANIL

SAMBHAJI

34 Male LOWYER Employee 22/05/2016 800000 0

1322 Mah/6043/201

4

3 Mah/6043/2014

PHADATARE

ANUSHREE ANIL

7 Female LOWYER Children 22/05/2016 0 0

1760 Mah/605/2009

1 Mah/605/2009

KAMBLESUSHANTSARJERA

O

35 Male LAWYER Employee 22/05/2016 100000 0

1764 Mah/605/2009

2 Mah/605/2009

KAMBLESMITA

SUSHANT

35 Female LAWYER Spouse 22/05/2016 0 0

1768 Mah/605/2009

3 Mah/605/2009

KAMBLEAAROHI

SUSHANT

3 Female LAWYER Children 22/05/2016 0 0

2272 Mah/6072/201

3

2 Mah/6072/2013

KADAMPATIL

RESHMAJANAK

23 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

2268 Mah/6072/201

3

1 Mah/6072/2013

KADAMPATIL JANAKDHANANJAYRAO

31 Male LAWYER Employee 22/05/2016 100000 0

565 Mah/6085/201

2

1 Mah/6085/2012

GAVANDEBHARAT

BALKRISHNA

38 Male LOWYER Employee 22/05/2016 500000 0

567 Mah/6085/201

2

3 Mah/6085/2012

ANUSHKAGAVANDE

11 Female LOWYER Children 22/05/2016 0 0

568 Mah/6085/201

2

11 Mah/6085/2012

ATHARVAGAVANDE

8 Male LOWYER Child 2 22/05/2016 0 0

566 Mah/6085/201

2

2 Mah/6085/2012

MRSNISHA

GAVANDE

35 Female LOWYER Spouse 22/05/2016 0 0

352 Mah/6099/201

1

2 Mah/6099/2011

BANGARSWATI

SANDEEP

23 Female LOWYER Spouse 22/05/2016 0 0

341 Mah/6099/201

1

1 Mah/6099/2011

BANGARSANDEEPGANPAT

31 Male LOWYER Employee 22/05/2016 500000 0

722 Mah/61/1994

3 Mah/61/1994

SURBHI 20 Female lawyer Children 22/05/2016 0 0

713 Mah/61/1994

2 Mah/61/1994

MEENA 41 Female lawyer Spouse 22/05/2016 0 0

707 Mah/61/1994

1 Mah/61/1994

HASEYADAVRA

OBABANRA

O

49 Male lawyer Employee 22/05/2016 200000 0

730 Mah/61/1994

11 Mah/61/1994

YESHAWANTRAYA

15 Female lawyer Child 2 22/05/2016 0 0

2512 Mah/610/2009

1 Mah/610/2009

MANOHARAN

JACOBDAVID

32 Male LAWYER Employee 22/05/2016 100000 0

2519 Mah/610/2009

2 Mah/610/2009

JENIBARAJAIAHNADAR

24 Female LAWYER Spouse 22/05/2016 0 0

151 Mah/6111/200

9

1 Mah/6111/2009

MESTRIDEELIP

NARAYAN

67 Male LOWYER Employee 22/05/2016 200000 0

159 Mah/6111/200

9

2 Mah/6111/2009

NUTANMESTRI

56 Female LOWYER Spouse 22/05/2016 0 0

2474 Mah/6121/201

1

2 Mah/6121/2011

CHAUDHARI

SUPRIYARAJESH

28 Female LAWYER Spouse 22/05/2016 0 0

2464 Mah/6121/201

1

1 Mah/6121/2011

CHAUDHARI

RAJESHRAMA

31 Male LAWYER Employee 22/05/2016 100000 0

111 Mah/6147/201

3

3 Mah/6147/2013

SALUNKHE

PRATHAMESH

DHONDIRAM

14 Male LOWYER Children 22/05/2016 0 0

102 Mah/6147/201

3

2 Mah/6147/2013

SALUNKHE

VASANTIDHONDIR

AM

39 Female LOWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

97 Mah/6147/201

3

1 Mah/6147/2013

SALUNKHE

DHONDIRAM

PANDURANG

41 Male LOWYER Employee 22/05/2016 200000 0

118 Mah/6147/201

3

11 Mah/6147/2013

SALUNKHE

ATHARVDHONDIR

AM

9 Male LOWYER Child 2 22/05/2016 0 0

1357 Mah/6158/200

7

1 Mah/6158/2007

ADVPATIL

ANANDSHIVAJI

35 Male LOWYER Employee 22/05/2016 300000 0

1362 Mah/6158/200

7

2 Mah/6158/2007

MRSGAURI

30 Female LOWYER Spouse 22/05/2016 0 0

1365 Mah/6158/200

7

3 Mah/6158/2007

ISHWARI 4 Female LOWYER Children 22/05/2016 0 0

116 Mah/6165-

F/2009

1 Mah/6165-F/2009

TIWARIKALYANIDEEPAK

33 Female LOWYER Employee 22/05/2016 300000 0

123 Mah/6165-

F/2009

2 Mah/6165-F/2009

TIWARIDEEPAK

30 Male LOWYER Spouse 22/05/2016 0 0

509 Mah/6187/200

9

1 Mah/6187/2009

VARALESACHINSUDHIR

33 Male LOWYER Employee 22/05/2016 200000 0

1434 Mah/6194/200

6

2 Mah/6194/2006

SUNGATPREETIVIJAY

29 Female LOWYER Spouse 22/05/2016 0 0

1431 Mah/6194/200

6

1 Mah/6194/2006

SUNGATVIJAYRAJU

34 Male LOWYER Employee 22/05/2016 100000 0

1996 Mah/622/2008

2 Mah/622/2008

SHELARHEMLATADAYARA

M

30 Female LAWYER Spouse 22/05/2016 0 0

1992 Mah/622/2008

1 Mah/622/2008

SHELARDAYARA

MGOPICHA

ND

38 Male LAWYER Employee 22/05/2016 200000 0

2120 Mah/622/2008

3 Mah/622/2008

SHELARKAVERIDAYARA

M

11 Female LAWYER Children 22/05/2016 0 0

1999 Mah/622/2008

11 Mah/622/2008

SHELARGAURAVDAYARA

M

9 Male LAWYER Child 2 22/05/2016 0 0

2402 Mah/6254/200

6

1 Mah/6254/2006

DASWADIKAR

SACHINCHANDRAKANT

35 Male LAWYER Employee 22/05/2016 100000 0

2409 Mah/6254/200

6

2 Mah/6254/2006

DASWADIKAR

SUVARNASACHIN

34 Female LAWYER Spouse 22/05/2016 0 0

2414 Mah/6254/200

6

3 Mah/6254/2006

DASWADIKAR

PRANJALSACHIN

5 Female LAWYER Children 22/05/2016 0 0

2125 Mah/6255/200

6

3 Mah/6255/2006

SHINDEADVAITSANJAY

3 Male LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1993 Mah/6255/200

6

2 Mah/6255/2006

SHINDEMANISHASANJAY

26 Female LAWYER Spouse 22/05/2016 0 0

1990 Mah/6255/200

6

1 Mah/6255/2006

SHINDESANJAY

PRABHAKAR

32 Male LAWYER Employee 22/05/2016 500000 0

2204 Mah/6276/200

7

2 Mah/6276/2007

CHAUDHARI

SARITASUNIL

28 Female LAWYER Spouse 22/05/2016 0 0

2203 Mah/6276/200

7

1 Mah/6276/2007

CHAUDHARI SUNIL

ISTARI

40 Male LAWYER Employee 22/05/2016 100000 0

735 Mah/628/1978

1 Mah/628/1978

PATHAKSHASHIK

ANTLAXMAN

64 Male lawyer Employee 22/05/2016 200000 0

872 Mah/628/1978

2 Mah/628/1978

SUNANDA

SHASHIKANT

PATHAK

64 Female lawyer Spouse 22/05/2016 0 0

792 Mah/6302/201

1

1 Mah/6302/2011

NIMKARABHIJIT

SHRIRAM

30 Male lawyer Employee 22/05/2016 300000 0

796 Mah/6302/201

1

2 Mah/6302/2011

NIMKARMOHINIABHIJIT

25 Female lawyer Spouse 22/05/2016 0 0

2211 Mah/6309/201

0

1 Mah/6309/2010

SHUKLASANDEEPVIRENDRANATH

29 Male LAWYER Employee 22/05/2016 300000 0

2214 Mah/6309/201

0

2 Mah/6309/2010

SHUKLANEELAMSANDEEP

26 Female LAWYER Spouse 22/05/2016 0 0

2011 Mah/6332/200

7

1 Mah/6332/2007

BARAPATRE

TUSHARMOHAN

33 Male LAWYER Employee 22/05/2016 100000 0

2013 Mah/6332/200

7

2 Mah/6332/2007

BARAPATRE

PRANJALITUSHAR

28 Female LAWYER Spouse 22/05/2016 0 0

1465 Mah/6402/200

6

2 Mah/6402/2006

LOHIAAKANKSHA ANKIT

32 Female LOWYER Spouse 22/05/2016 0 0

1468 Mah/6402/200

6

3 Mah/6402/2006

LOHIAAVIKAANKIT

6 Female LOWYER Children 22/05/2016 0 0

1472 Mah/6402/200

6

11 Mah/6402/2006

LOHIAANAYANKIT

1 Male LOWYER Child 2 22/05/2016 0 0

1461 Mah/6402/200

6

1 Mah/6402/2006

LOHIAANKITANIL

34 Male LOWYER Employee 22/05/2016 1000000 0

782 Mah/6433/200

7

3 Mah/6433/2007

ANANYA 1 Female lawyer Children 22/05/2016 0 0

776 Mah/6433/200

7

2 Mah/6433/2007

MRSNUTAN

25 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

770 Mah/6433/200

7

1 Mah/6433/2007

ADVJADHAVCHANDRAKANT

APPASAHEB

31 Male lawyer Employee 22/05/2016 200000 0

1823 Mah/65/2015

1 Mah/65/2015

PATILSUJATA

RAMCHANDRA

33 Female LAWYER Employee 22/05/2016 100000 0

140 Mah/6566/200

8

11 Mah/6566/2008

KARAV 21 Male LOWYER Child 2 22/05/2016 0 0

130 Mah/6566/200

8

3 Mah/6566/2008

POOJA 25 Female LOWYER Children 22/05/2016 0 0

124 Mah/6566/200

8

2 Mah/6566/2008

ANURADHA

45 Female LOWYER Spouse 22/05/2016 0 0

115 Mah/6566/200

8

1 Mah/6566/2008

SONKARHARISHCHANDRASHRIRAM

51 Male LOWYER Employee 22/05/2016 300000 0

817 Mah/658/1985

11 Mah/658/1985

RAGHAV 18 Male lawyer Child 2 22/05/2016 0 0

813 Mah/658/1985

3 Mah/658/1985

RADHIKA 19 Female lawyer Children 22/05/2016 0 0

807 Mah/658/1985

2 Mah/658/1985

MRSSNEHA

50 Female lawyer Spouse 22/05/2016 0 0

804 Mah/658/1985

1 Mah/658/1985

PATILSANJAY

TRIMBAKRAO

55 Male lawyer Employee 22/05/2016 300000 0

823 Mah/6589/200

7

1 Mah/6589/2007

RATHINILESH

JAYAPRAKASH

41 Male lawyer Employee 22/05/2016 200000 0

826 Mah/6589/200

7

2 Mah/6589/2007

SHITALNILESHRATHI

26 Female lawyer Spouse 22/05/2016 0 0

831 Mah/6589/200

7

11 Mah/6589/2007

SIDDHINILESHRATHI

2 Female lawyer Child 2 22/05/2016 0 0

829 Mah/6589/200

7

3 Mah/6589/2007

TANISHNILESHRATHI

9 Male lawyer Children 22/05/2016 0 0

979 Mah/659/1991

2 Mah/659/1991

HARSHAJAYESHYAGNIK

45 Female LOWYER Spouse 22/05/2016 0 0

968 Mah/659/1991

1 Mah/659/1991

YAGNIKJAYESH

PAURUSHKUMAR

51 Male LOWYER Employee 22/05/2016 200000 0

1122 Mah/659/1991

11 Mah/659/1991

LEENAJAYESHYAGNIK

20 Female LOWYER Child 2 22/05/2016 0 0

986 Mah/659/1991

3 Mah/659/1991

TRISHAJAYESHYAGNIK

12 Female LOWYER Children 22/05/2016 0 0

1797 Mah/660/1987

1 Mah/660/1987

GHUMARE

RAJENDRA

YASHWANTRAO

55 Male LAWYER Employee 22/05/2016 300000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1800 Mah/660/1987

2 Mah/660/1987

GHUMARE

SANJIVANI

RAJENDRA

52 Female LAWYER Spouse 22/05/2016 0 0

1803 Mah/660/1987

3 Mah/660/1987

GHUMARE

VAIBHAVRAJENDR

A

23 Male LAWYER Children 22/05/2016 0 0

78 Mah/670/1996

1 Mah/670/1996

SALVIAJIT

ANANT

48 Male LOWYER Employee 22/05/2016 200000 0

100 Mah/670/1996

11 Mah/670/1996

AJINKYA 9 Male LOWYER Child 2 22/05/2016 0 0

84 Mah/670/1996

2 Mah/670/1996

MRS PUJA 42 Female LOWYER Spouse 22/05/2016 0 0

92 Mah/670/1996

3 Mah/670/1996

ARYA 16 Female LOWYER Children 22/05/2016 0 0

2460 Mah/6701/201

0

2 Mah/6701/2010

KENEJYOTI

GURUNATH

27 Female LAWYER Spouse 22/05/2016 0 0

2451 Mah/6701/201

0

1 Mah/6701/2010

DIWANEVIJAY

EKNATH

34 Male LAWYER Employee 22/05/2016 500000 0

855 Mah/673/2006

2 Mah/673/2006

VANITA BBIRADAR

31 Female lawyer Spouse 22/05/2016 0 0

853 Mah/673/2006

1 Mah/673/2006

BIRADARBALASAH

EBRAMCHA

NDRA

35 Male lawyer Employee 22/05/2016 300000 0

857 Mah/673/2006

3 Mah/673/2006

MANASVIB

BIRADAR

3 Female lawyer Children 22/05/2016 0 0

1837 Mah/674/1995

3 Mah/674/1995

SUKRECHIRAGKISAN

16 Male LAWYER Children 22/05/2016 0 0

1836 Mah/674/1995

2 Mah/674/1995

SUKREANITAKISAN

42 Female LAWYER Spouse 22/05/2016 0 0

1835 Mah/674/1995

1 Mah/674/1995

SUKREKISAN

DEVRAM

47 Male LAWYER Employee 22/05/2016 500000 0

1838 Mah/674/1995

11 Mah/674/1995

SUKRESHRAVANI KISAN

13 Female LAWYER Child 2 22/05/2016 0 0

2416 Mah/6795/201

0

3 Mah/6795/2010

KADAMJIVISHA

MAHESH

1 Female LAWYER Children 22/05/2016 0 0

2400 Mah/6795/201

0

1 Mah/6795/2010

KADAMMAHESHBHAGOJI

39 Male LAWYER Employee 22/05/2016 100000 0

2413 Mah/6795/201

0

2 Mah/6795/2010

KADAMPRIYANKAMAHESH

27 Female LAWYER Spouse 22/05/2016 0 0

1488 Mah/683/1998

11 Mah/683/1998

VAIDEHIMILIND

DESHMUKH

13 Female LOWYER Child 2 22/05/2016 0 0

1487 Mah/683/1998

3 Mah/683/1998

VISHWAJEET

MILINDDESHMU

KH

16 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1480 Mah/683/1998

1 Mah/683/1998

DESHMUKH

MANKUNWAR

MILIND

41 Female LOWYER Employee 22/05/2016 200000 0

1483 Mah/683/1998

2 Mah/683/1998

MILIND VDESHMU

KH

46 Male LOWYER Spouse 22/05/2016 0 0

1036 Mah/684/2012

1 Mah/684/2012

JADHAVSAGAR

RAJENDRA

30 Male LOWYER Employee 22/05/2016 100000 0

1041 Mah/684/2012

2 Mah/684/2012

JADHAVANUJASAGAR

29 Female LOWYER Spouse 22/05/2016 0 0

1505 Mah/690/2003

11 Mah/690/2003

GHADAGE SHREYA

KIRAN

10 Female LOWYER Child 2 22/05/2016 0 0

1499 Mah/690/2003

1 Mah/690/2003

GHADAGE KIRAN

MURLIDHAR

37 Male LOWYER Employee 22/05/2016 200000 0

1501 Mah/690/2003

2 Mah/690/2003

GHADAGE

DHANSHRI KIRAN

38 Female LOWYER Spouse 22/05/2016 0 0

1503 Mah/690/2003

3 Mah/690/2003

GHADAGE SAIKIRAN

11 Female LOWYER Children 22/05/2016 0 0

2047 Mah/703/1979

2 Mah/703/1979

SANAPSINDHU

KACHARU

53 Female LAWYER Spouse 22/05/2016 0 0

1602 Mah/703/1979

1 Mah/703/1979

SANAPKACHARUPANDHAR

INATH

64 Male LAWYER Employee 22/05/2016 100000 0

1649 Mah/7049/201

0

1 Mah/7049/2010

SARAFARVINDRAGHUN

ATH

64 Male LAWYER Employee 22/05/2016 300000 0

1694 Mah/7086/201

5

3 Mah/7086/2015

FAKIRARFATCHAND

3 Male LAWYER Children 22/05/2016 0 0

1689 Mah/7086/201

5

2 Mah/7086/2015

FAKIRNAFISACHAND

34 Female LAWYER Spouse 22/05/2016 0 0

1684 Mah/7086/201

5

1 Mah/7086/2015

FAKIRCHAND

DAGADU

33 Male LAWYER Employee 22/05/2016 100000 0

2297 Mah/710/2010

3 Mah/710/2010

KATHAREBHAKTIMAHESH

7 Female LAWYER Children 22/05/2016 0 0

2305 Mah/710/2010

11 Mah/710/2010

KATHARESHRAVANI MAHESH

1 Female LAWYER Child 2 22/05/2016 0 0

2288 Mah/710/2010

2 Mah/710/2010

KATHAREMAYURIMAHESH

29 Female LAWYER Spouse 22/05/2016 0 0

2277 Mah/710/2010

1 Mah/710/2010

KATHAREMAHESHGANPATR

AO

37 Male LAWYER Employee 22/05/2016 100000 0

276 Mah/7103/201

0

2 Mah/7103/2010

DIPTIPRASHANT BARE

33 Female LOWYER Spouse 22/05/2016 0 0

268 Mah/7103/201

0

1 Mah/7103/2010

BAREPRASHAN

THARISHCHANDRA

33 Male LOWYER Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1135 Mah/7114/201

0

1 Mah/7114/2010

VARMAPRITESHKAILASH

31 Male LOWYER Employee 22/05/2016 200000 0

1136 Mah/7114/201

0

2 Mah/7114/2010

DIPIKA 23 Female LOWYER Spouse 22/05/2016 0 0

1140 Mah/7114/201

0

3 Mah/7114/2010

RIDDHI 2 Female LOWYER Children 22/05/2016 0 0

1141 Mah/7114/201

0

11 Mah/7114/2010

GAURAANTH

1 Male LOWYER Child 2 22/05/2016 0 0

867 Mah/715/1979

2 Mah/715/1979

MRSSHALINI

52 Female lawyer Spouse 22/05/2016 0 0

866 Mah/715/1979

1 Mah/715/1979

RAYATEINDRABH

ANRAMCHA

NDRA

62 Male lawyer Employee 22/05/2016 200000 0

1885 Mah/716/1995

1 Mah/716/1995

SHAIKHNASIR

HAZRATALI

45 Male LAWYER Employee 22/05/2016 200000 0

1886 Mah/716/1995

2 Mah/716/1995

SHAIKHYASMINNASIR

38 Female LAWYER Spouse 22/05/2016 0 0

1887 Mah/716/1995

3 Mah/716/1995

SHAIKHSAIF

NASIR

15 Male LAWYER Children 22/05/2016 0 0

1888 Mah/716/1995

11 Mah/716/1995

SHAIKHIRFANNASIR

11 Male LAWYER Child 2 22/05/2016 0 0

1680 Mah/727-

A/1986

2 Mah/727-A/1986

THAKKARSHARADA

BENVINODKU

MAR

62 Female LAWYER Spouse 22/05/2016 0 0

1672 Mah/727-

A/1986

1 Mah/727-A/1986

THAKKARVINODKU

MARLALJIBHAI

63 Male LAWYER Employee 22/05/2016 200000 0

1892 Mah/728/2011

1 Mah/728/2011

PAWARLALIT

VASANT

34 Male LAWYER Employee 22/05/2016 200000 0

1893 Mah/728/2011

2 Mah/728/2011

PAWARRAKHILALIT

28 Female LAWYER Spouse 22/05/2016 0 0

647 Mah/736/1976

2 Mah/736/1976

SUREKHAASHOK

MAHAMUNE

55 Female lawyer Spouse 22/05/2016 0 0

642 Mah/736/1976

1 Mah/736/1976

MAHAMUNE

ASHOKPRALHAD

RAO

65 Male lawyer Employee 22/05/2016 300000 0

672 Mah/740/1988

1 Mah/740/1988

PANDEYMATASHA

NKERSABHAPA

TJ

54 Male lawyer Employee 22/05/2016 300000 0

676 Mah/740/1988

2 Mah/740/1988

PANDEYBINDU

MATASHANKER

51 Female lawyer Spouse 22/05/2016 0 0

203 Mah/742/2005

3 Mah/742/2005

SINGHDIPENDR

ABANSHRA

J

13 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

208 Mah/742/2005

11 Mah/742/2005

SINGHPRIYANS

HUBANSHRA

J

11 Male LOWYER Child 2 22/05/2016 0 0

196 Mah/742/2005

2 Mah/742/2005

SINGHBINA

BANSHRAJ

36 Female LOWYER Spouse 22/05/2016 0 0

184 Mah/742/2005

1 Mah/742/2005

SINGHBANSHRA

JRAMBALI

39 Male LOWYER Employee 22/05/2016 300000 0

1711 Mah/743/2011

1 Mah/743/2011

KUMBHAR SUJAY

TUKARAM

29 Male LAWYER Employee 22/05/2016 200000 0

1716 Mah/743/2011

2 Mah/743/2011

KUMBHAR

GITANJALISUJAY

25 Female LAWYER Spouse 22/05/2016 0 0

2061 Mah/757/2012

1 Mah/757/2012

SHELAKERAHUL

ANANDRAO

27 Male LAWYER Employee 22/05/2016 100000 0

2058 Mah/757/2012

2 Mah/757/2012

SHELAKESONALRAHUL

26 Female LAWYER Spouse 22/05/2016 0 0

2074 Mah/762/1985

1 Mah/762/1985

CHANDAK

PREMSUKH

RAMCHANDRA

66 Male LAWYER Employee 22/05/2016 300000 0

2078 Mah/762/1985

2 Mah/762/1985

CHANDAK LALITAPREMSUK

H

64 Female LAWYER Spouse 22/05/2016 0 0

2101 Mah/773/2011

1 Mah/773/2011

CHANDAK PRITI

PREMSUKH

31 Female LAWYER Employee 22/05/2016 300000 0

2193 Mah/776/2003

1 Mah/776/2003

KOYALESHIVAJISOPAN

42 Male LAWYER Employee 22/05/2016 200000 0

2196 Mah/776/2003

2 Mah/776/2003

KOYALEKALPANASHIVAJI

37 Female LAWYER Spouse 22/05/2016 0 0

2200 Mah/776/2003

11 Mah/776/2003

KOYALESHRYESHSHIVAJI

14 Male LAWYER Child 2 22/05/2016 0 0

2198 Mah/776/2003

3 Mah/776/2003

KOYALESAYALISHIVAJI

16 Female LAWYER Children 22/05/2016 0 0

299 Mah/779/2015

1 Mah/779/2015

JAGTAPCHINMAY

EEMUKUND

28 Female LOWYER Employee 22/05/2016 300000 0

758 Mah/786/1987

11 Mah/786/1987

HARSHALI

POPATRAO GHUGE

23 Female lawyer Child 2 22/05/2016 0 0

751 Mah/786/1987

3 Mah/786/1987

RAHULPOPATRAO GHUGE

19 Male lawyer Children 22/05/2016 0 0

745 Mah/786/1987

2 Mah/786/1987

ANITAPOPATRAO GHUGE

43 Female lawyer Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

736 Mah/786/1987

1 Mah/786/1987

GHUGEPOPATRA

OMURLIDH

AR

53 Male lawyer Employee 22/05/2016 800000 0

739 Mah/789/2009

1 Mah/789/2009

DESHMUKH ARUN

ANUPANANT

32 Male lawyer Employee 22/05/2016 200000 0

744 Mah/789/2009

2 Mah/789/2009

MAHISHWARI

32 Female lawyer Spouse 22/05/2016 0 0

752 Mah/789/2009

3 Mah/789/2009

ARJUN 2 Male lawyer Children 22/05/2016 0 0

556 Mah/792/2008

2 Mah/792/2008

MRSSIDDHI GMONDE

33 Female LOWYER Spouse 22/05/2016 0 0

179 Mah/792/2008

1 Mah/792/2008

ADVMONDEGANPATNAMDEO

35 Male LOWYER Employee 22/05/2016 200000 0

557 Mah/792/2008

3 Mah/792/2008

MS RUHIG MONDE

4 Female LOWYER Children 22/05/2016 0 0

1018 Mah/796/2001

3 Mah/796/2001

PRIYANIPRITESHBANSOD

8 Female LOWYER Children 22/05/2016 0 0

1009 Mah/796/2001

1 Mah/796/2001

BANSODPRITESHVIJAYKUM

AR

39 Male LOWYER Employee 22/05/2016 200000 0

1012 Mah/796/2001

2 Mah/796/2001

KALYANIPRITESHBANSOD

33 Female LOWYER Spouse 22/05/2016 0 0

2395 Mah/799/1997

11 Mah/799/1997

PATILRANVEERKULDEEP

10 Male LAWYER Child 2 22/05/2016 0 0

2380 Mah/799/1997

3 Mah/799/1997

PATILRIYA

KULDEEP

14 Female LAWYER Children 22/05/2016 0 0

2364 Mah/799/1997

1 Mah/799/1997

PATILKULDEEPSHANKAR

RAO

43 Male LAWYER Employee 22/05/2016 800000 0

2372 Mah/799/1997

2 Mah/799/1997

PATILUJWALA

KULDEEP

40 Female LAWYER Spouse 22/05/2016 0 0

800 Mah/799/2008

1 Mah/799/2008

PARDESHI PRAVINCHANDRAKANT

32 Male lawyer Employee 22/05/2016 200000 0

806 Mah/799/2008

2 Mah/799/2008

PARDESHI

POONAMPRAVIN

29 Female lawyer Spouse 22/05/2016 0 0

812 Mah/799/2008

3 Mah/799/2008

PARDESHI

PRATHAMESH

PRAVIN

4 Male lawyer Children 22/05/2016 0 0

1789 Mah/800/2002

11 Mah/800/2002

GAIKWADAYUSHSANJAY

9 Male LAWYER Child 2 22/05/2016 0 0

1785 Mah/800/2002

3 Mah/800/2002

GAIKWADADITYASANJAY

11 Male LAWYER Children 22/05/2016 0 0

1778 Mah/800/2002

1 Mah/800/2002

GAIKWADSANJAY

DASHRATH

43 Male LAWYER Employee 22/05/2016 100000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1781 Mah/800/2002

2 Mah/800/2002

GAIKWADSANJEEV

ANISANJAY

32 Female LAWYER Spouse 22/05/2016 0 0

881 Mah/801/2013

2 Mah/801/2013

MRSRACHANA

36 Female LOWYER Spouse 22/05/2016 0 0

887 Mah/801/2013

3 Mah/801/2013

VANSH 3 Male LOWYER Children 22/05/2016 0 0

875 Mah/801/2013

1 Mah/801/2013

DODEJAANIL

BHOJRAJ

36 Male LOWYER Employee 22/05/2016 300000 0

195 Mah/803/1981

1 Mah/803/1981

SAYYEDSHAMSU

DDINBABUMIY

A

61 Male LOWYER Employee 22/05/2016 500000 0

207 Mah/803/1981

2 Mah/803/1981

SAMIRASHAMSU

DDINSAYYED

48 Female LOWYER Spouse 22/05/2016 0 0

218 Mah/803/1981

3 Mah/803/1981

WASIQUESHAMSU

DDINSAYYED

26 Male LOWYER Children 22/05/2016 0 0

2102 Mah/8106/201

0

1 Mah/8106/2010

SHINDEVIJAY

SHIVAJI

32 Male LAWYER Employee 22/05/2016 100000 0

2103 Mah/8106/201

0

2 Mah/8106/2010

SHINDESHITALVIJAY

31 Female LAWYER Spouse 22/05/2016 0 0

2403 Mah/815/2003

2 Mah/815/2003

PATILSMITA

SAMEER

35 Female LAWYER Spouse 22/05/2016 0 0

2396 Mah/815/2003

1 Mah/815/2003

PATILSAMEER

SURENDRARAO

37 Male LAWYER Employee 22/05/2016 100000 0

2426 Mah/815/2003

11 Mah/815/2003

PATILSHASHW

ATSAMEER

4 Male LAWYER Child 2 22/05/2016 0 0

2419 Mah/815/2003

3 Mah/815/2003

PATILSHARVARI SAMEER

10 Female LAWYER Children 22/05/2016 0 0

133 Mah/82/1989

11 Mah/82/1989

MULAKATTE

GREESHMA

RAMALINGAIAH

16 Female LOWYER Child 2 22/05/2016 0 0

126 Mah/82/1989

3 Mah/82/1989

MULAKATTE

MODINIRAMALIN

GAIAH

21 Female LOWYER Children 22/05/2016 0 0

121 Mah/82/1989

2 Mah/82/1989

MULAKATTE

SHUBHARAMALIN

GAIAH

49 Female LOWYER Spouse 22/05/2016 0 0

113 Mah/82/1989

1 Mah/82/1989

MULAKATTE

RAMALINGAIAH

NINGAIAH

54 Male LOWYER Employee 22/05/2016 800000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

289 Mah/82/2002

3 Mah/82/2002

SUMITANAND

HANWATE

12 Male LOWYER Children 22/05/2016 0 0

266 Mah/82/2002

1 Mah/82/2002

HANWATE ANANDRAMRAO

44 Male LOWYER Employee 22/05/2016 200000 0

278 Mah/82/2002

2 Mah/82/2002

VASHALIANNANDHANWAT

E

37 Female LOWYER Spouse 22/05/2016 0 0

965 Mah/822/2002

1 Mah/822/2002

DAMAPRASHNA

TPRABHUA

PPA

39 Male LOWYER Employee 22/05/2016 200000 0

972 Mah/822/2002

2 Mah/822/2002

VAISHALIRAAMRA

OKALYANK

AR

35 Female LOWYER Spouse 22/05/2016 0 0

1130 Mah/822/2002

11 Mah/822/2002

SOHAMPRASHANT DAMA

9 Male LOWYER Child 2 22/05/2016 0 0

983 Mah/822/2002

3 Mah/822/2002

SHOURYAPRASHANT DAMA

1 Male LOWYER Children 22/05/2016 0 0

1506 Mah/831/1990

1 Mah/831/1990

TAMBESUBHASHKASHINA

TH

50 Male LOWYER Employee 22/05/2016 300000 0

1508 Mah/831/1990

3 Mah/831/1990

TAMBEAISHWAR

YASUBHASH

50 Female LOWYER Children 22/05/2016 0 0

1507 Mah/831/1990

2 Mah/831/1990

TAMBEARCHANASUBHASH

43 Female LOWYER Spouse 22/05/2016 0 0

1509 Mah/831/1990

11 Mah/831/1990

TAMBESHRINIW

ASSUBHASH

15 Male LOWYER Child 2 22/05/2016 0 0

571 Mah/833/2009

11 Mah/833/2009

DHRUVEDEVANSH

12 Male LOWYER Child 2 22/05/2016 0 0

65 Mah/833/2009

1 Mah/833/2009

DHRUVEDEVEN

ARVINDKUMAR

39 Male LOWYER Employee 22/05/2016 300000 0

569 Mah/833/2009

2 Mah/833/2009

MRSDHRUVEANJANA

38 Female LOWYER Spouse 22/05/2016 0 0

570 Mah/833/2009

3 Mah/833/2009

DHRUVEMANAV

14 Male LOWYER Children 22/05/2016 0 0

1772 Mah/835/1995

1 Mah/835/1995

PHADEKNATHHARIBHA

U

49 Male LAWYER Employee 22/05/2016 1000000 0

1780 Mah/835/1995

3 Mah/835/1995

PHADADITYAEKNATH

15 Male LAWYER Children 22/05/2016 0 0

1777 Mah/835/1995

2 Mah/835/1995

PHADSANGITAEKNATH

48 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1014 Mah/842/1998

2 Mah/842/1998

NANAVARE

SANGITABABASAH

EB

43 Female LOWYER Spouse 22/05/2016 0 0

1024 Mah/842/1998

11 Mah/842/1998

NANAVARE

PASHYNABABASAH

EB

10 Female LOWYER Child 2 22/05/2016 0 0

1006 Mah/842/1998

1 Mah/842/1998

NANAVARE

BABASAHEB

DASHRATH

48 Male LOWYER Employee 22/05/2016 200000 0

1019 Mah/842/1998

3 Mah/842/1998

NANAVARE KABIR

BABASAHEB

18 Male LOWYER Children 22/05/2016 0 0

1830 Mah/842/2007

3 Mah/842/2007

RANDIVETANVIRAJU

1 Female LAWYER Children 22/05/2016 0 0

1828 Mah/842/2007

2 Mah/842/2007

RANDIVENIRMALA

RAJU

25 Female LAWYER Spouse 22/05/2016 0 0

1826 Mah/842/2007

1 Mah/842/2007

RANDIVERAJU

BABAN

37 Male LAWYER Employee 22/05/2016 500000 0

899 Mah/843/1994

3 Mah/843/1994

SAMIKSHA

39 Female LOWYER Children 22/05/2016 0 0

904 Mah/843/1994

11 Mah/843/1994

AHISH 13 Male LOWYER Child 2 22/05/2016 0 0

896 Mah/843/1994

2 Mah/843/1994

SAPANA 42 Female LOWYER Spouse 22/05/2016 0 0

891 Mah/843/1994

1 Mah/843/1994

BAHETIVIKAS

GHANSHYAMDAS

48 Male LOWYER Employee 22/05/2016 300000 0

1138 Mah/849/2004

2 Mah/849/2004

DESHMUKH

ANJALIABHIJIT

37 Female LOWYER Spouse 22/05/2016 0 0

1137 Mah/849/2004

1 Mah/849/2004

DESHMUKH

ABHIJITSUMANTR

AO

42 Male LOWYER Employee 22/05/2016 200000 0

1139 Mah/849/2004

3 Mah/849/2004

DESHMUKH

ABHIRAJABHIJIT

9 Male LOWYER Children 22/05/2016 0 0

825 Mah/862/1977

2 Mah/862/1977

SHUBHANGI AJITPATIL

59 Female lawyer Spouse 22/05/2016 0 0

821 Mah/862/1977

1 Mah/862/1977

PATIL AJITSADASHI

VRAO

63 Male lawyer Employee 22/05/2016 500000 0

832 Mah/862/1977

3 Mah/862/1977

ABHIJITAJIT PATIL

40 Male lawyer Children 22/05/2016 0 0

1011 Mah/867/1986

3 Mah/867/1986

SATEJ 25 Male LOWYER Children 22/05/2016 0 0

1016 Mah/867/1986

11 Mah/867/1986

SHREYA 20 Female LOWYER Child 2 22/05/2016 0 0

1008 Mah/867/1986

2 Mah/867/1986

TEJASHREE

47 Female LOWYER Spouse 22/05/2016 0 0

1002 Mah/867/1986

1 Mah/867/1986

JAINSANTOSHPADMAJI

53 Male LOWYER Employee 22/05/2016 500000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

877 Mah/87/2006

1 Mah/87/2006

CHAWARDOL

NILESHPRAKASH

RAO

36 Male LOWYER Employee 22/05/2016 100000 0

2131 Mah/887/2002

3 Mah/887/2002

GAIKWADGAURAN

GAISANJAYK

UMAR

4 Female LAWYER Children 22/05/2016 0 0

1929 Mah/887/2002

1 Mah/887/2002

GAIKWADSANJAYK

UMARSHIVDAS

43 Male LAWYER Employee 22/05/2016 1000000 0

1930 Mah/887/2002

2 Mah/887/2002

GAIKWADJAYSHREESANJAYK

UMAR

37 Female LAWYER Spouse 22/05/2016 0 0

2441 Mah/888/2010

2 Mah/888/2010

SURVEPRIYANKA

VIKAS

30 Female LAWYER Spouse 22/05/2016 0 0

2433 Mah/888/2010

1 Mah/888/2010

SURVEVIKAS

GANPAT

36 Male LAWYER Employee 22/05/2016 200000 0

1807 Mah/893/2002

2 Mah/893/2002

WAGHMARE

PRATIBHA BALAJI

41 Female LAWYER Spouse 22/05/2016 0 0

1805 Mah/893/2002

1 Mah/893/2002

WAGHMARE BALAJIMAROTI

43 Male LAWYER Employee 22/05/2016 300000 0

1809 Mah/893/2002

3 Mah/893/2002

WAGHMARE

OMKARBALAJI

11 Male LAWYER Children 22/05/2016 0 0

931 Mah/894/2009

1 Mah/894/2009

MATESURESHANANTA

33 Male LOWYER Employee 22/05/2016 200000 0

1126 Mah/894/2009

2 Mah/894/2009

MATESHITALSURESH

31 Female LOWYER Spouse 22/05/2016 0 0

35 Mah/898/1983

1 Mah/898/1983

THOBDEMILIND

SHIVSHANKAR

55 Male LOWYER Employee 22/05/2016 200000 0

45 Mah/898/1983

3 Mah/898/1983

THOBDEMALLIKAMILIND

20 Female LOWYER Children 22/05/2016 0 0

38 Mah/898/1983

2 Mah/898/1983

THOBDESUCHETAMILIND

47 Female LOWYER Spouse 22/05/2016 0 0

1983 Mah/904/1977

2 Mah/904/1977

RANANAWARE

SUNITADNYANES

HWAR

56 Female LAWYER Spouse 22/05/2016 0 0

1979 Mah/904/1977

1 Mah/904/1977

RANANAWARE

DNYANESHWAR

TUKARAM

64 Male LAWYER Employee 22/05/2016 200000 0

1840 Mah/905/2016

2 Mah/905/2016

SHARMANEELAMBRIJESHK

UMAR

31 Female LAWYER Spouse 22/05/2016 0 0

1841 Mah/905/2016

3 Mah/905/2016

SHARMADIVYA

BRIJESHKUMAR

8 Female LAWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

Sl No FamilyNumber

MemberSerial

Number

EmployeeNumber

Name ofEmployee/Member

Age Sex Designation Relation Date ofInsurance ofFirst policy

SumInsured(in `)

Details ofpre-existing

Diseases

1839 Mah/905/2016

1 Mah/905/2016

SHARMABRIJESHK

UMARPREMKAN

T

34 Male LAWYER Employee 22/05/2016 200000 0

424 Mah/91/2010

3 Mah/91/2010

CHAVANPURVISOPAN

2 Female LOWYER Children 22/05/2016 0 0

416 Mah/91/2010

1 Mah/91/2010

CHAVANSOPANBANDU

33 Male LOWYER Employee 22/05/2016 300000 0

529 Mah/91/2010

2 Mah/91/2010

CHAVANJYOTI

SOPAN

31 Female LOWYER Spouse 22/05/2016 0 0

347 Mah/912/1989

11 Mah/912/1989

SUMEET 18 Male LOWYER Child 2 22/05/2016 0 0

317 Mah/912/1989

1 Mah/912/1989

PINGALESUDAM

VISHVANATH

52 Male LOWYER Employee 22/05/2016 300000 0

333 Mah/912/1989

3 Mah/912/1989

HARSHAL 21 Male LOWYER Children 22/05/2016 0 0

323 Mah/912/1989

2 Mah/912/1989

JAISHREE 42 Female LOWYER Spouse 22/05/2016 0 0

360 Mah/917/1989

3 Mah/917/1989

RADHIKAVIJAY

KULKARNI

24 Female LOWYER Children 22/05/2016 0 0

339 Mah/917/1989

1 Mah/917/1989

KULKARNI VIJAY

LAXMAN

51 Male LOWYER Employee 22/05/2016 300000 0

348 Mah/917/1989

2 Mah/917/1989

VAIDEHIVIJAY

KULKARNI

50 Female LOWYER Spouse 22/05/2016 0 0

371 Mah/917/1989

11 Mah/917/1989

CHINMAYVIJAY

KULKARNI

20 Male LOWYER Child 2 22/05/2016 0 0

2249 Mah/92/1996

1 Mah/92/1996

PATILRAVINDR

AKASHINA

TH

47 Male LAWYER Employee 22/05/2016 500000 0

2261 Mah/92/1996

3 Mah/92/1996

PATIL SAIRAVINDR

A

18 Male LAWYER Children 22/05/2016 0 0

2256 Mah/92/1996

2 Mah/92/1996

PATILROSHNI

RAVINDRA

45 Female LAWYER Spouse 22/05/2016 0 0

2273 Mah/92/1996

11 Mah/92/1996

PATILPOOJA

RAVINDRA

17 Female LAWYER Child 2 22/05/2016 0 0

2219 Mah/92/2009

3 Mah/92/2009

SAHANEVIKRAMDI

TYASHRIPAD

4 Male LAWYER Children 22/05/2016 0 0

2209 Mah/92/2009

1 Mah/92/2009

SAHANESHRIPADPANDURA

NG

33 Male LAWYER Employee 22/05/2016 300000 0

2217 Mah/92/2009

2 Mah/92/2009

SAHANETRUPTI

SHRIPAD

27 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

992 Mah/921/2004

1 Mah/921/2004

MAURYAASHOK

RAMAJOR

38 Male LOWYER Employee 22/05/2016 500000 0

2003 Mah/922/1989

1 Mah/922/1989

MANEMAHEND

RASHIVRAM

51 Male LAWYER Employee 22/05/2016 100000 0

2010 Mah/922/1989

11 Mah/922/1989

MANEISHITA

MAHENDRA

13 Female LAWYER Child 2 22/05/2016 0 0

2007 Mah/922/1989

2 Mah/922/1989

MANESUREKHAMAHEND

RA

44 Female LAWYER Spouse 22/05/2016 0 0

2137 Mah/922/1989

3 Mah/922/1989

MANEMITHILAMAHEND

RA

18 Female LAWYER Children 22/05/2016 0 0

2287 Mah/925/1999

1 Mah/925/1999

AGARWAL UMA

SATYANARAYAN

49 Female LAWYER Employee 22/05/2016 300000 0

2233 Mah/926/1983

3 Mah/926/1983

PHADARUNDH

ATIRAGHUN

ATH

25 Female LAWYER Children 22/05/2016 0 0

2230 Mah/926/1983

2 Mah/926/1983

PHADSHAKUNT

ALARAGHUN

ATH

61 Female LAWYER Spouse 22/05/2016 0 0

2225 Mah/926/1983

1 Mah/926/1983

PHADRAGHUN

ATHMANAJI

61 Male LAWYER Employee 22/05/2016 100000 0

131 Mah/929/2002

2 Mah/929/2002

MRSSUNITA

34 Female LOWYER Spouse 22/05/2016 0 0

117 Mah/929/2002

1 Mah/929/2002

UPADHYAY

SANJAYKUMAR

HAJMANI

39 Male LOWYER Employee 22/05/2016 300000 0

139 Mah/929/2002

3 Mah/929/2002

ADITYA 16 Male LOWYER Children 22/05/2016 0 0

145 Mah/929/2002

11 Mah/929/2002

KANAK 13 Female LOWYER Child 2 22/05/2016 0 0

843 Mah/930/2002

11 Mah/930/2002

VARAD 5 Male lawyer Child 2 22/05/2016 0 0

840 Mah/930/2002

3 Mah/930/2002

SHRAVANI

11 Female lawyer Children 22/05/2016 0 0

837 Mah/930/2002

2 Mah/930/2002

HEMA 37 Female lawyer Spouse 22/05/2016 0 0

834 Mah/930/2002

1 Mah/930/2002

MAMIDWAR

VINODNANDKU

MAR

39 Male lawyer Employee 22/05/2016 500000 0

522 Mah/931/1990

1 Mah/931/1990

BARSAWADE

PURUSHOTTAM

KRISHNAJI

50 Male LOWYER Employee 22/05/2016 500000 0

523 Mah/931/1990

3 Mah/931/1990

BARSAWADE

SHREYASPURUSHO

TTAM

22 Male LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

524 Mah/931/1990

11 Mah/931/1990

BARSAWADE

YUGANDHAR

PURUSHOTTAM

16 Male LOWYER Child 2 22/05/2016 0 0

1223 Mah/931/2008

2 Mah/931/2008

SINGHMAMTARAJIV

33 Female LOWYER Spouse 22/05/2016 0 0

1228 Mah/931/2008

3 Mah/931/2008

SINGHSHIVANSH RAJIV

6 Male LOWYER Children 22/05/2016 0 0

1231 Mah/931/2008

11 Mah/931/2008

SINGHGAURAV

RAJIV

3 Male LOWYER Child 2 22/05/2016 0 0

1220 Mah/931/2008

1 Mah/931/2008

SINGHRAJIV

32 Male LOWYER Employee 22/05/2016 500000 0

128 Mah/933/1997

11 Mah/933/1997

KIANAMARIE

WASSODEW

13 Female LOWYER Child 2 22/05/2016 0 0

108 Mah/933/1997

1 Mah/933/1997

SEANMERVYNWASSOO

DEW

50 Male LOWYER Employee 22/05/2016 1000000 0

120 Mah/933/1997

3 Mah/933/1997

MIKAANNE

WASSODEW

18 Female LOWYER Children 22/05/2016 0 0

114 Mah/933/1997

2 Mah/933/1997

LARAMARIADIANA

ALMEIDA

48 Female LOWYER Spouse 22/05/2016 0 0

1237 Mah/934-

A/1998

2 Mah/934-A/1998

SINHALEENAPANKAJ

44 Female LOWYER Spouse 22/05/2016 0 0

1235 Mah/934-

A/1998

1 Mah/934-A/1998

SINHAPANKAJRANJAN

47 Male LOWYER Employee 22/05/2016 500000 0

1240 Mah/934-

A/1998

3 Mah/934-A/1998

SINHANIKUNJPANKAJ

10 Male LOWYER Children 22/05/2016 0 0

859 Mah/937/2006

1 Mah/937/2006

MULEYSANDEEP

BALAJI

36 Male lawyer Employee 22/05/2016 200000 0

862 Mah/937/2006

2 Mah/937/2006

VAISHALISANDEEP

MULEY

31 Female lawyer Spouse 22/05/2016 0 0

864 Mah/937/2006

3 Mah/937/2006

HARSHITA

SANDEEPMULEY

5 Female lawyer Children 22/05/2016 0 0

1626 Mah/940/2002

11 Mah/940/2002

CHAVANADITYARAJESH

2 Male LAWYER Child 2 22/05/2016 0 0

1617 Mah/940/2002

2 Mah/940/2002

CHAVANKANCHAN

RAJESH

34 Female LAWYER Spouse 22/05/2016 0 0

1612 Mah/940/2002

1 Mah/940/2002

CHAVANRAJESHVISHNU

39 Male LAWYER Employee 22/05/2016 300000 0

1622 Mah/940/2002

3 Mah/940/2002

CHAVANGIRIJA

RAJESH

5 Female LAWYER Children 22/05/2016 0 0

2520 Mah/948/1987

1 Mah/948/1987

KAMATPRATAPSATAPA

64 Male LAWYER Employee 22/05/2016 200000 0

2525 Mah/948/1987

2 Mah/948/1987

KAMATMINAKSHIPRATAP

58 Female LAWYER Spouse 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

512 Mah/948/2005

2 Mah/948/2005

NIDHI 33 Female LOWYER Spouse 22/05/2016 0 0

508 Mah/948/2005

1 Mah/948/2005

MOKASHINILESH

PANDURANG

38 Male LOWYER Employee 22/05/2016 100000 0

514 Mah/948/2005

3 Mah/948/2005

REEVA 2 Female LOWYER Children 22/05/2016 0 0

1287 Mah/95/1984

11 Mah/95/1984

MEHTAYESHA

CHETAN

20 Female LOWYER Child 2 22/05/2016 0 0

1282 Mah/95/1984

2 Mah/95/1984

MEHTABINITA

CHETAN

54 Female LOWYER Spouse 22/05/2016 0 0

1285 Mah/95/1984

3 Mah/95/1984

MEHTAJAHNAVICHETAN

25 Female LOWYER Children 22/05/2016 0 0

1279 Mah/95/1984

1 Mah/95/1984

MEHTACHETAN

NIRANJAN

60 Male LOWYER Employee 22/05/2016 500000 0

205 Mah/950/1978

2 Mah/950/1978

MOHILEANJALIGIRISH

61 Female LOWYER Spouse 22/05/2016 0 0

194 Mah/950/1978

1 Mah/950/1978

MOHILEGIRISH

NILKANTH

66 Male LOWYER Employee 22/05/2016 300000 0

930 Mah/952/1983

11 Mah/952/1983

RAVNEET 27 Female LOWYER Child 2 22/05/2016 0 0

926 Mah/952/1983

3 Mah/952/1983

MANDEEP 30 Female LOWYER Children 22/05/2016 0 0

920 Mah/952/1983

2 Mah/952/1983

MRSKAWALJE

ET

58 Female LOWYER Spouse 22/05/2016 0 0

914 Mah/952/1983

1 Mah/952/1983

CHADHATINDARPAL SINGHJASWANT

57 Male LOWYER Employee 22/05/2016 200000 0

1114 Mah/953/1991

2 Mah/953/1991

JADHAVVAISHALISHIRISH

48 Female LOWYER Spouse 22/05/2016 0 0

1115 Mah/953/1991

3 Mah/953/1991

JADHAVSIDDHAR

THSHIRISH

22 Male LOWYER Children 22/05/2016 0 0

1113 Mah/953/1991

1 Mah/953/1991

JADHAVSHIRISH

ANNASAHEB

50 Male LOWYER Employee 22/05/2016 500000 0

959 Mah/953/1992

1 Mah/953/1992

PAWARMARUTI

SUBHEDAR

52 Male LOWYER Employee 22/05/2016 200000 0

975 Mah/953/1992

3 Mah/953/1992

PAWARABHIJEETMARUTI

18 Male LOWYER Children 22/05/2016 0 0

969 Mah/953/1992

2 Mah/953/1992

PAWARMADHURIMARUTI

39 Female LOWYER Spouse 22/05/2016 0 0

1331 Mah/955/1989

2 Mah/955/1989

BHATERAJASHR

EEYOGESH

WAR

50 Female LOWYER Spouse 22/05/2016 0 0

1328 Mah/955/1989

1 Mah/955/1989

BHATEYOGESH

WARSHIVANA

TH

55 Male LOWYER Employee 22/05/2016 200000 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

1336 Mah/955/1989

3 Mah/955/1989

BHATEDHANAS

HREEYOGESH

WAR

24 Female LOWYER Children 22/05/2016 0 0

1654 Mah/956/2013

1 Mah/956/2013

KOLEKARSHRIKANT PRAVIN

34 Male LAWYER Employee 22/05/2016 200000 0

1661 Mah/956/2013

2 Mah/956/2013

KOLEKARSHWETASHRIKAN

T

33 Female LAWYER Spouse 22/05/2016 0 0

1719 Mah/959/2004

11 Mah/959/2004

UGADEVEDIKADILIP

0 Female LAWYER Child 2 22/05/2016 0 0

1714 Mah/959/2004

3 Mah/959/2004

UGADEACHINTYA DILIP

5 Male LAWYER Children 22/05/2016 0 0

1705 Mah/959/2004

2 Mah/959/2004

UGADERESHMA

DILIP

27 Female LAWYER Spouse 22/05/2016 0 0

1698 Mah/959/2004

1 Mah/959/2004

UGADEDILIP

BABURAO

37 Male LAWYER Employee 22/05/2016 500000 0

2584 Mah/959/2010

2 Mah/959/2010

PATILSUPRIYARINKU

DNYANESHWAR

26 Female LAWYER Spouse 22/05/2016 0 0

2585 Mah/959/2010

3 Mah/959/2010

PATILAARATI

DNYANESHWAR

3 Female LAWYER Children 22/05/2016 0 0

2582 Mah/959/2010

1 Mah/959/2010

PATILDNYANES

HWARJIVANRAO

33 Male LAWYER Employee 22/05/2016 100000 0

274 Mah/96/1980

2 Mah/96/1980

SHENDRERAJANI

PRAKASH

52 Female LOWYER Spouse 22/05/2016 0 0

285 Mah/96/1980

3 Mah/96/1980

SHENDREMRINAL

PRAKASH

25 Female LOWYER Children 22/05/2016 0 0

265 Mah/96/1980

1 Mah/96/1980

SHENDREPRAKASHANANDR

AO

60 Male LOWYER Employee 22/05/2016 200000 0

1368 Mah/96/2004

1 Mah/96/2004

BARAPATRE

CHAITANYA

GANGADHAR

40 Male LOWYER Employee 22/05/2016 200000 0

1375 Mah/96/2004

2 Mah/96/2004

BARAPATRE

HARSHALA

CHAITANYA

52 Female LOWYER Spouse 22/05/2016 0 0

1384 Mah/96/2004

11 Mah/96/2004

BARAPATRE

RHUGVED

CHAITANYA

3 Female LOWYER Child 2 22/05/2016 0 0

1379 Mah/96/2004

3 Mah/96/2004

BARAPATRE

SWARANGI

CHAITANYA

5 Female LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

385 Mah/960/1982

2 Mah/960/1982

YASHWANT

58 Male LOWYER Spouse 22/05/2016 0 0

377 Mah/960/1982

1 Mah/960/1982

THAKURUSHA

YASHWANT

59 Female LOWYER Employee 22/05/2016 500000 0

1693 Mah/962/1979

2 Mah/962/1979

PAWARSUSHAMA SANJAY

57 Female LAWYER Spouse 22/05/2016 0 0

1686 Mah/962/1979

1 Mah/962/1979

PAWARSANJAY

MANIKRAO

61 Male LAWYER Employee 22/05/2016 300000 0

235 Mah/963/1978

1 Mah/963/1978

MOTENANASAH

EBMAHADE

V

64 Male LOWYER Employee 22/05/2016 200000 0

245 Mah/963/1978

2 Mah/963/1978

NANDANI 53 Female LOWYER Spouse 22/05/2016 0 0

254 Mah/963/1978

3 Mah/963/1978

MANDAR 27 Male LOWYER Children 22/05/2016 0 0

868 Mah/977/2005

1 Mah/977/2005

GUDAPPEMURLIDH

ARGANGAD

HAR

37 Male lawyer Employee 22/05/2016 800000 0

870 Mah/977/2005

3 Mah/977/2005

GUDAPPENIRAJ

MURLIDHAR

5 Male lawyer Children 22/05/2016 0 0

869 Mah/977/2005

2 Mah/977/2005

GUDAPPEJAYASHRIMURLIDH

AR

29 Female lawyer Spouse 22/05/2016 0 0

470 Mah/980/1989

1 Mah/980/1989

NAIGAONKAR

PURVAPRASHAN

T

51 Female LOWYER Employee 22/05/2016 1000000 0

491 Mah/980/1989

11 Mah/980/1989

RITURAJ 20 Male LOWYER Child 2 22/05/2016 0 0

482 Mah/980/1989

3 Mah/980/1989

SRISHJI 22 Female LOWYER Children 22/05/2016 0 0

475 Mah/980/1989

2 Mah/980/1989

PRASHANT

53 Male LOWYER Spouse 22/05/2016 0 0

400 Mah/982/1988

1 Mah/982/1988

GOWARDIPE ANILMAHADE

ORAO

49 Male LOWYER Employee 22/05/2016 300000 0

422 Mah/982/1988

11 Mah/982/1988

KARTIKI 17 Female LOWYER Child 2 22/05/2016 0 0

415 Mah/982/1988

3 Mah/982/1988

KETKI 22 Female LOWYER Children 22/05/2016 0 0

406 Mah/982/1988

2 Mah/982/1988

SHUBHANGI

47 Female LOWYER Spouse 22/05/2016 0 0

1095 Mah/983/1989

1 Mah/983/1989

JOSHIPRASHAN

TPRABHAK

AR

49 Male LOWYER Employee 22/05/2016 800000 0

1098 Mah/983/1989

2 Mah/983/1989

JOSHIJANHAVI

PRASHANT

44 Female LOWYER Spouse 22/05/2016 0 0

1101 Mah/983/1989

3 Mah/983/1989

JOSHIVAISHAN

AVIPRASHAN

T

19 Female LOWYER Children 22/05/2016 0 0

Policy No. : 11170034160400000005Document generated by null at 11/03/2017 01:00:17 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.(Wholly owned by the Govt. of India)

448 Mah/986/1998

3 Mah/986/1998

PATILPRAJAKTAVASANT

16 Female LOWYER Children 22/05/2016 0 0

441 Mah/986/1998

1 Mah/986/1998

PATILVASANTCHINTAM

AN

48 Male LOWYER Employee 22/05/2016 500000 0

457 Mah/986/1998

11 Mah/986/1998

PATILNIVEDITAVASANT

13 Female LOWYER Child 2 22/05/2016 0 0

2324 Mah/9999/200

0

1 Mah/9999/2000

BANSODEARCHANA

UMESH

34 Female LAWYER Employee 22/05/2016 100000 0

2333 Mah/9999/200

0

3 Mah/9999/2000

BANSODEANMOLUMESH

1 Female LAWYER Children 22/05/2016 0 0

2331 Mah/9999/200

0

2 Mah/9999/2000

BANSODEUMESH

PRAKASH

37 Male LAWYER Spouse 22/05/2016 0 0

1523 NA NA NA NA NA NA NA NA 22/05/2016 0 0

2169 NA NA NA NA NA NA NA NA 22/05/2016 0 0

1851 NA NA NA NA NA NA NA NA 22/05/2016 0 0

1843 NA NA NA NA NA NA NA NA 22/05/2016 0 0