intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT...

78
GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co. Ltd. Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055, India Policy Servicing Branch: 3rd Floor, Zodiac Avenue,Opp Mayor's Bunglow, Nr Law Garden,Ellisbridge, Ahmedabad GUJARAT Policy Branch Office Code: 1602 Agent/Broker Code:Direct Policy No: 160231829140000070 Date of proposal:05/09/2018 Details of previous policy (in case of renewal) ProposalNo:P090118108968 Previous policy No:160231729140100477 Date of expiry: 31/08/2018 TaxInvoice No & Date :P090118108968 & 9/5/2018 3:36:00 PM INSURED NAME : DAIICT GSTIN /UN of the insured 24AAAJT1203A1ZZ Policy Holder Address / Place Of Supply : NR INDRODA CIRCLE,GANDHINAGAR GUJARAT GANDHINAGAR 382007 Period of Insurance: From 01/09/2018 to mid night on 31/08/2019 Total No of Employees Covered 1698 Total No of Lives Covered 1698 Type of Policy Named Total Sum Insured(Rs) 84900000.00 Description of Group STUDENTS Nature of Business Coverage Details and List of members covered as per Schedule attached. Premium (Rs) 46694.92 CGST (@9.00%) 4202.54 SGST (@9.00 %) 4202.54 TOTAL PREMIUM PAYABLE(Rs) 55100.00 Branch GSTIN :24AABCR6747B1ZM;HSN Code :9971;Description Of Services :Financial and related services; Consolidated Stamp duty Paid vide Letter of Authorisation No. CSD/89/2018/2910-11/18 dated 25th July 2018 at General Stamp Office, Mumbai. ** Not Applicable for the State of Jammu & Kashmir This document shall be treated as a Tax Invoice as per Rule 9(2) of the Goods and Services Tax Invoice Rules. Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710 Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055. Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14 RGI/UW/CO/ 2914 /PS/VER. 1.0/310118 1 of 78 *Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License. An ISO 9001:2008 Certified Company (Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Transcript of intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT...

Page 1: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

GROUP PERSONAL ACCIDENT SCHEDULECorporate Office/Policy Issuing Office: Reliance General Insurance Co. Ltd.Reliance Centre, 4th Floor, South Wing,Off. Western Express Highway,Santacruz (East), Mumbai - 400 055, India

Policy Servicing Branch: 3rd Floor, Zodiac Avenue,Opp Mayor's Bunglow, Nr Law Garden,Ellisbridge, Ahmedabad GUJARAT

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

Policy No: 160231829140000070

Date of proposal:05/09/2018 Details of previous policy (in case of renewal)

ProposalNo:P090118108968 Previous policy No:160231729140100477

Date of expiry: 31/08/2018

TaxInvoice No & Date :P090118108968 & 9/5/2018 3:36:00 PM

INSURED NAME : DAIICT

GSTIN /UN of the insured 24AAAJT1203A1ZZ

Policy Holder Address / Place Of Supply :

NR INDRODA CIRCLE,GANDHINAGAR

GUJARAT

GANDHINAGAR

382007

Period of Insurance: From 01/09/2018 to mid night on 31/08/2019

Total No of Employees Covered 1698

Total No of Lives Covered 1698

Type of Policy Named

Total Sum Insured(Rs) 84900000.00

Description of Group STUDENTS

Nature of Business

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

Premium (Rs) 46694.92

CGST (@9.00%) 4202.54

SGST (@9.00 %) 4202.54

TOTAL PREMIUM PAYABLE(Rs) 55100.00

Branch GSTIN :24AABCR6747B1ZM;HSN Code :9971;Description Of Services :Financial and related services;

Consolidated Stamp duty Paid vide Letter of Authorisation No. CSD/89/2018/2910-11/18 dated 25th July 2018 at General Stamp Office, Mumbai.** Not Applicable for the State of Jammu & Kashmir

This document shall be treated as a Tax Invoice as perRule 9(2) of the Goods and Services Tax Invoice Rules.

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

1 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 2: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

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

In witness whereof this policy has been signed at Mumbai on 05/09/2018

In case of a renewal, the benefits provided under the policy and/or terms and conditions of the policy including premium rate may be subject to change.

Grievance Clause: For resolution of any query or grievance, Insured may contact the respective branch office of the Company or may call at 1800 3009 or may write an email at [email protected]. In case the insured is not satisfied with the response of the office, insured may contact the Nodal Grievance Officer of the Company at [email protected]. In the event of unsatisfactory response from the Nodal Grievance Officer, insured may email to Head Grievance Officer at [email protected]. In the event of unsatisfactory response from the Head Grievance Officer, he/she may, subject to vested jurisdiction, approach the Insurance Ombudsman for the redressal of grievance. Details of the offices of the Insurance Ombudsman are available at IRDAI website www.irda.gov.in or on company website www.reliancegeneral.co.in or on www.gbic.co.in. The insured may also contact the following office of the Insurance Ombudsman within whose territorial jurisdiction the branch or office of the Company is located.Office of the Insurance Ombudsman,Jeevan Prakash Building,6th floor,Tilak Marg,Relief Road,Ahmedabad – 380 001. Tel.: 079 - 25501201/02/05/06 Email: [email protected]

For and on behalf of

Reliance General Insurance Company Limited.

Agent Code Direct

Agent Contact No Authorised Signatory

User ID: 70175496 Policy Generation Date :05/09/2018

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

2 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 3: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule attached to and forming part of Policy No.160231829140000070

Cover Name Sum insured Co-pay Special Conditions

Table C-Death +Permanent Total Disability +Permanent Partial Disability

Table C covers, Death+Permanent Total Disablement+Permanent Partial Disablement due to external accidental means

Medical expenses Medical expenses 20% of sum insured or 40% of admissible claim or actuals whichever is lower, only when claim is admissible under benefit table A,B or C

Carriage of Dead Body Carriage of Dead body - 2% of Capital Sum Insured or Rs. 2500/- Whichever is less.

General Conditions: 1) Policy will be on named basis 2) AOA Rs.4 crores3) Maximum any one life limit will be Rs. 50,0004) Addition-deletion will be done on pro-rata premium basis for students once in a month only, subject to all relevent details being forwarded to insurer before 7th day of succeeding month.5) Minimum age of beneficiary 16 years and maximum 50 years6) Terrorism is covered, however, terrorism activity arising out of Nuclear, Biological and/or Chemical means is excluded from the scope of this policy7) Ambulance Hiring Charges: - The policy will be reimbursed upto Rs.1,000 for ambulance hiring charges in the event of an accident.8) Special Conditions:Below mentioned activity shall be outside the scope of the policy:-Professional sports team in respect of specific benefit for inability to performParticipation in any kind of motor speed contestWhile engaged in aviation, or whilst mounting or dismounting from or traveling in any aircraft. ( Not applicable for fare Paying Passengers)Underground mining & contractor specializing in tunneling and Offshore actvitiesNaval, military or air force personnelRadioactivity, Nuclear risks, ionizing radiationAnimal bite/Insect bite is not covered.Exclusions:-Suicide, attempt to Suicide or intentionally self- inflicted injury, sexually transmitted conditions, mental disorder, anxiety, stress or depression.Being under influence of drugs, alcohol, or other intoxication or hallucinogensParticipation in actual or attempted felony, riot, civil commotion, crime misdemeanorCommitting any breach of law of land with criminal intent.Death or disablement resulting from Pregnancy or childbirthRisk Category III people are out of the scope of the policy

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

3 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 4: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

SCHEDULE ATTACHED TO AND FORMING PART OF POLICY NO.: '160231829140000070' MEDICAL EXPENSES EXTENSION (Group Insurance)Endorsement extending Insurance under Policy No. '160231829140000070' in the name of 'DAIICT ' In consideration of the payment of an additional premium paid under the policy it is hereby agreed and declared that notwithstanding anything in the within written policy contained to the contrary, this insurance is extended to cover the medical expenses necessarily incurred and expended in connection with any accident as specified in the Policy, for which a claim is made by the Insured and admitted by the Company. The Company shall reimburse to the insured person an amount up to but not exceeding ___% of the Admissible Claim or ___% of claim amount or actual whichever is less. Further, it is a condition precedent to the payment of such medical expenses that the medical attendant’s detailed account shall, if the Company so requires be submitted to and is approved by the Company.

PROVIDED ALWAYS THAT:1. The insurance shall not apply, in so far as it applies to a female to expenses incurred in respect of any condition arising from the traceable to any disease of the organs of generation, malignant diseases of mammary glands, pregnancy, childbirth, abortion or miscarriage or any complications and or sequels arising from the foregoing, unless otherwise provided hereafter.2. The Company shall not be liable to may any payment under this Policy in respect of :-i. Disease, Injury, Death or Disablement directly or indirectly due to war, Invasion, Act of Foreign Enemy Hostilities or Warlike Operations (whether war be declared or not) or Civil War or Rebellion, Revolution, Insurrection Mutiny, Military, Naval or Air Service or Breach of Law of Hunting Steeple chasing or engaging in aviation or Ballooning other than as a passenger (fare paying or otherwise) in any licensed Standard Type of Aircraft.ii. Circumcision or Strictures of Vaccination or Inoculation or change of life or beauty treatment of any description of dental or eye treatment other than treatment for the diseases etc. or Intentional self injury or insanity or dissipation or Nervous Breakdown (which expression shall cover also general debility "run down" conditions and General "overhaul") or Venereal Disease or intemperance or the use of intoxicating drugs or liquors or any diseases, injury, death or disablement directly or indirectly due to any one or more of them.

Subject otherwise to the terms, exceptions, conditions and limitations of the Policy.

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

4 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 5: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1 201301081

SOLANKI GAURAVKUMAR NATVARSINH

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

2 201321004

VINEET KUMAR DAD NA STUDENT 33 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

3 201321009

SHAH NIRMESH JAYESHKUMAR

NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

4 201401107

SHAH SAPREM MUKESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

5 201401221

RAIYA DEEP KIRTIKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

6 201421001

ARCHANA NIGAM NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

7 201421002

SUMUKH BANSAL NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

8 201421004

HARDIK GAJERA NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

9 201421005

DESAI NIDHI NITINBHAI

NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

10 201421006

RAHUL VASHISTH NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

11 201501002

PARV CHADHA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

12 201501004

AASHINI NILESHKUMAR SONI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

13 201501005

AMARNATH KARTHI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

14 201501006

SOUMYA AGRAWAL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

15 201501007

AGRAWAL ABHISHEK MANOJ

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

16 201501008

RAVIRAM MAMIDI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

17 201501009

PRAKHAR ANANYA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

18 201501010

ISAAC MALSAWMA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

19 201501011

KUNAL NIRAV KHATRI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

20 201501012

KEYA DESAI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

21 201501013

KOLI POOJA TUKARAM

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

22 201501014

NIKITA VERMA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

23 201501015

PATEL PARTH HITENDRAKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

5 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 6: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

24 201501016

SALONI MUNDRA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

25 201501017

PATEL RAHUL HASMUKHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

26 201501018

VARIA NEELANSHI ATUL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

27 201501019

RAGHAV AGARWAL NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

28 201501020

SHUBHAM D ANNADATE

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

29 201501021

ROSHAN ASHOKBHAI SHAH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

30 201501022

SHETH RUTVIK LALITKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

31 201501023

PATEL DEV NARENDRAKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

32 201501024

PARAMJEET SUNIL DESAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

33 201501025

SHUBHAM SONKAR NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

34 201501026

SHUBHAM S MEENA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

35 201501027

PRASHIK NAGRALE NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

36 201501028

BHANSALI YASH GAURANGBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

37 201501029

VANAMALA VYSHNAVI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

38 201501030

PUROHIT DEVANSH NARESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

39 201501031

SHAH MIHIR BIRENDRAKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

40 201501032

DIVYANSHU SINGH NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

41 201501033

DAVAWALA NIDHI DEVANG

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

42 201501034

HARDIK BANSAL NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

43 201501035

PATEL HARSH ALPESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

44 201501036

SHAH DHAIRYA MUKESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

45 201501037

GOSWAMI JAY SURESHGIRI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

46 201501038

DOBARIYA HARDIK PARESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

47 201501039

MEENA ABHISHEK HARI SHANKAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

6 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 7: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

48 201501040

MAYANK NAHAR NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

49 201501041

VIDISH PANKAJKUMAR TRIVEDI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

50 201501042

VINEETA MEENA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

51 201501043

R P KOUSHIK NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

52 201501044

PRAKRUTI HASIT JOSHI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

53 201501045

PATEL SHREEMAD SANSKAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

54 201501046

PATEL YASH MANHARBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

55 201501047

JAYANTHI ARAVIND NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

56 201501048

SHIWANGI KASHYAP NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

57 201501049

SHUBHAM ATRI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

58 201501050

CHAUDHARY KEYURKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

59 201501051

RAMAVATH SASANK RATHOD

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

60 201501052

BAROCHIYA DHRUV DILIPBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

61 201501053

KHATNANI BHAVESH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

62 201501054

RATHOD MIHIRBHAI MANSUKHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

63 201501055

SAI ANISH GARAPATI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

64 201501056

DOSHI NIRAV JAYANTILAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

65 201501057

DHANVANTHRI KUMAR AGARWAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

66 201501058

PATEL RAVIBHAI BHARATBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

67 201501059

SHAH FENIL MUKESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

68 201501060

VIDHI SHAILESHBHAI KATKORIA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

69 201501061

MAVURAPU UMESH REDDY

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

70 201501062

BHATT RISHIKESH JAYESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

7 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 8: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

71 201501063

VIKANI PREMANG BHARATBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

72 201501065

GUNDAPANENI LOHITA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

73 201501066

CHINTALAPATI VENKATA RAMA RAHUL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

74 201501067

UPPU KAAVYA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

75 201501068

RAM NIRBHAY JESABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

76 201501069

KASHISH NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

77 201501070

RISHAB ARORA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

78 201501071

SHAH JAY NILESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

79 201501072

SOLANKI SHARVIL ATULBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

80 201501073

SHAH MALHAR BHARAT

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

81 201501074

RAJAT GARG NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

82 201501075

ASHUTOSH MAHESHWARI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

83 201501076

DHOLAKIA NINAD SHIRISHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

84 201501077

PATEL DARSHAN BHARATKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

85 201501078

KUNJAL RUPALA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

86 201501079

ANUPRIYA JAJU NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

87 201501080

JADAV HARDIK PRAVINBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

88 201501081

SHAH MEGH RAJESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

89 201501082

NASIT SAMARTH GORDHANBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

90 201501083

RUTVIK SHAH NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

91 201501085

AKSHIT SONI NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

92 201501086

LILA DHAVALKUMAR JAYANTILAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

93 201501087

BHUVA JAYKUMAR ANILKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

94 201501088

ETTA SRI POOJITHA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

8 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 9: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

95 201501089

SANGHANI ANILKUMAR GOPALBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

96 201501090

PIYUSH AJMERIA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

97 201501091

DHOLIYA DHUMIL ASHOK

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

98 201501092

CHIRANG MALVIYA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

99 201501093

GOTI MEET RAJENDRAKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

100 201501095

DIVYANSHU SHEKHAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

101 201501096

PATEL SHASHANK NARESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

102 201501097

KRITI UPADHYAY NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

103 201501098

THAKRANI POOJA AMRUTLAL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

104 201501099

AGAM ALKESHKUMAR SHAH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

105 201501100

AMIN MEET ANILKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

106 201501101

HARSH VYAS NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

107 201501102

SAKET JAJOO NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

108 201501103

HITESH KAUSHIK KORABATHINA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

109 201501104

KALANGI SRAVANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

110 201501105

SAINI KARAN RAJSINGH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

111 201501107

SHRIMALI JAY NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

112 201501108

SOLANKI DIVYAKUMAR BIPINKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

113 201501109

MADHURYA SANKHLA

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

114 201501110

MISTRY DARREN JAYKANT

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

115 201501111

MITESH KAPASIA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

116 201501112

SAKSHI SHARMA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

117 201501113

SHAH SHREY MANISHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

9 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 10: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

118 201501114

VAGHELA BHARAT JETHALAL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

119 201501115

MAKWANA VIRAJ NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

120 201501116

VADALIYA KARN KAUSHIK

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

121 201501117

GANATRA HARMISH SANDIPBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

122 201501118

KAUSHIK P MAKWANA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

123 201501119

PATIL TEJASKUMAR RAVINDRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

124 201501120

ETTA MADHUMITHA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

125 201501121

ANDHARIA DHAVAL KALPESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

126 201501122

HIMANSHU GUPTA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

127 201501123

ASHRAY BHARAMBE NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

128 201501124

SHUBHANGI MEHROTRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

129 201501125

PATEL POOJA KALPESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

130 201501126

ATKURI SRI DUTTA SAI SANDEEP

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

131 201501127

GAJERA MIHIR HASMUKHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

132 201501128

SHIRISH JAIN NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

133 201501129

PRATIK N WANKHEDE

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

134 201501130

RAVAL PARTH SANJAYBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

135 201501131

ADITI SOGRA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

136 201501132

SHAH MAULI NILESH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

137 201501133

MEHTA AAGAM PARESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

138 201501134

NISARG PATEL NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

139 201501135

GADHVI VEDANT NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

140 201501136

MEHTA YASH DIPAK NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

141 201501137

RATHOD KAUSTUK AJAYBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

10 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 11: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

142 201501138

PRIYANKKUMAR PRAJAPATI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

143 201501139

AGRAWAL AAYUSH KAILASH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

144 201501140

MACHIRAJU UNNATHI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

145 201501141

ENGINEER TIRTH JIGNESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

146 201501142

SHAH LABDHI JIGNESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

147 201501143

ONKAR PANDIT NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

148 201501144

KHOKHAR SOHIL ABDULRASID

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

149 201501145

CHANDNANI CHIRAG KHUSHIRAM

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

150 201501146

AKSHAY MARU NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

151 201501147

PATEL KISHANKUMAR HASMUKHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

152 201501148

RATHOD ANKITKUMAR DHIRAJLAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

153 201501149

PANCHAL UMANG HASMUKHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

154 201501150

SAJAL TIWARI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

155 201501151

VIKASH KUMAR NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

156 201501152

MUKUL JOSHI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

157 201501153

TIWARI RAVIKUMAR VYAS

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

158 201501154

RIYA TALWAR NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

159 201501155

AASHAY BINAYKIA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

160 201501156

VAISHNAV ASHISH ANIRUDHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

161 201501157

PATEL NIKISHA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

162 201501158

BRINDA JENA NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

163 201501159

KIRTANKUMAR A PATEL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

164 201501160

SIDDHARTH MISHRA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

11 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 12: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

165 201501163

CHINMAY V GAMETI NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

166 201501164

PATEL DHVANI PRASHANT

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

167 201501165

AJAYKUMAR SHAMLA

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

168 201501171

RAJ AJITKUMAR GAMIT

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

169 201501172

CHAUDHARI DVEEP PARESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

170 201501173

GAMIT DEEP KANALAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

171 201501174

KARTIK MUDGAL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

172 201501175

PATEL MAULIK BHARATKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

173 201501176

SHAH HET PRASHANTBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

174 201501177

DODIA NAITIK NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

175 201501178

BHAGYASHREE SOLANKI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

176 201501179

SHAH ADIT JAYESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

177 201501180

KRUTI VYOMESH SHETH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

178 201501181

PRIYAM MALAYKUMAR VORA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

179 201501182

LUKHI DRASHTI DHIRAJLAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

180 201501183

AMAN VANGANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

181 201501184

HEMIL HASMUKHBHAI JAIN

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

182 201501185

SHAH MEET DIMPLEKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

183 201501186

PATEL JAY RASIKBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

184 201501187

KAPADIA AASHKA BHADRESH KUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

185 201501188

PRAJAPATI DHAVALKUMAR GOVINDBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

186 201501189

PATEL NIRMAL JAGDISHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

187 201501190

VORA DARSHIT GIRISHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

188 201501191

MAKWANA HARSH JAYVEERBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

12 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 13: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

189 201501192

PARMAR MIHIR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

190 201501193

BAMBHANIA PRATIK JAYANTI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

191 201501194

NAIK DHAIWAT NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

192 201501195

CHAUHAN HIRENKUMAR JITENDRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

193 201501196

DARJI CHIRAG BHAVESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

194 201501197

MODI SMIT JIGNESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

195 201501198

PRAJAPATI PRATIK ARVINDBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

196 201501199

MODI TAPAN RAJNIKANT

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

197 201501200

SACHIN CHAUHAN NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

198 201501201

GOHIL AJAY ASHOKKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

199 201501203

SHUKLA ADARSH DWARIKANATH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

200 201501204

MISTRY KHUSHIL BHADRESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

201 201501205

PATEL SKENY SATISHCHANDRA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

202 201501206

CHAUHAN YAGNESH SURESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

203 201501207

GOHIL AVANIBEN ASHOKKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

204 201501208

VRAJ JITENDRA MEHTA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

205 201501210

BHAT KOPAL VIR KUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

206 201501211

PRAJAPATI PARTH RAMESHCHANDRA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

207 201501212

GAJJAR AKASHKUMAR ASHOKBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

208 201501213

PRAJAPATI JEELKUMAR MAHENDRABHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

209 201501214

DARJI ATMAN JAYESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

210 201501215

VADHAIYA NIRAJKUMAR SURESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

13 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 14: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

211 201501216

DARJI JAYMINKUMAR NAVINBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

212 201501217

APPURVA MURAWAT

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

213 201501218

HIMANSHU AGARWAL

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

214 201501219

PATEL KAUSHAL PANKAJKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

215 201501220

DOSHI SAVAN DIXESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

216 201501221

KALYANI RISHABH SANJAYKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

217 201501223

MEGHPARA RAJKUMAR PRAVINBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

218 201501224

SHAH ROMIL RAJESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

219 201501225

OZA DHRUMIL UMESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

220 201501226

PATEL NILKUMAR BABUBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

221 201501227

PATEL AMAN MUKESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

222 201501228

KAHODARIYA MAHARSHI MAHESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

223 201501229

DOSHI PARTH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

224 201501230

PATEL PRITHVI VIJAYKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

225 201501231

PATEL HELLY JIGNESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

226 201501232

SHAH ANURAG AJAYKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

227 201501234

PATEL KAVAN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

228 201501235

JEEL SANTOKI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

229 201501236

ARNAV KAUSHIK SHARMA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

230 201501237

DARSH BHARAT VAJARIA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

231 201501238

PATEL BRIJESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

232 201501240

BHUPTANI DHRUVIL MITESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

233 201501241

KASUNDRA TEJAS RAJESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

14 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 15: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

234 201501242

KAVAR RUSHIKESH PRAFULBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

235 201501243

GOSALIYA KAJAL PARESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

236 201501244

PATEL RUTUL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

237 201501245

PATEL KADAMKUMAR BHARATBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

238 201501246

PATEL MANTHAN DILIPBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

239 201501247

LAD GAURAVKUMAR JAYESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

240 201501248

KAYASTHA PRATIK JAYESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

241 201501249

SUTHAR PRIYAM DIPAKBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

242 201501250

PATEL KUSH DIPESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

243 201501251

MIT SWAMI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

244 201501401

JIVANI KARAN PRAFULBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

245 201501402

BHORANIYA EKTA NITINBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

246 201501403

BHATT UJAVAL GUNVANTBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

247 201501404

VINEET MEHTA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

248 201501405

VASOYA HARSH DINESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

249 201501406

UNNATI PARESHBHAI PAREKH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

250 201501407

SAVALIYA SAGARKUMAR NAVNITBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

251 201501408

RAJ ASHOKBHAI JAKASANIYA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

252 201501409

THESIYA KISHAN MOHANBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

253 201501410

PATEL SMIT JASHVANTBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

254 201501411

JOSHI RUTVIK BHARATKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

255 201501412

MANVAR KRISHNA ARVINDBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

256 201501413

KOTHARI YASH SANJAYBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

15 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 16: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

257 201501414

PATEL GAURANG SURESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

258 201501415

DOSHI SAUMYA PARESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

259 201501416

HASNAIN AKIL GANDHI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

260 201501417

RAMRAKHIA YASH RAJENDRA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

261 201501418

MAKADIYA SAVAN MAHESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

262 201501419

KAKKAD ABHIN KETAN

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

263 201501420

MEHTA MANTHAN DHARMESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

264 201501421

GOYAL VISHAL NARENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

265 201501422

MEHTA CHAHAK PARAS

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

266 201501423

SWASTIKA SATISH NAYAK

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

267 201501424

PATEL ANERI ASHISH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

268 201501425

DARSHAN Y MAKWANA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

269 201501426

CHAVDA JAKSHIL DHIRUBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

270 201501427

PARMAR EKTA PANKAJBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

271 201501428

MAHESHWARI ROHAN PREMJI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

272 201501429

PARMAR VYOM JAYSUKHLAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

273 201501430

PRAJEET THAKUR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

274 201501431

AKRITI THAKUR NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

275 201501432

MAKWANA BHARGAV MAHESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

276 201501433

SUBHANIYA AYUB ANWER

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

277 201501434

SISODIYA SIDDHARAJ SADURBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

278 201501435

CHAUDHARY MAULIKKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

279 201501436

KALASWA RAJDEEPKUMAR CHANDULAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

16 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 17: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

280 201501437

SELOT PRIYANSHIBEN

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

281 201501438

PATEL HIRAL ASHVINKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

282 201501439

KARNAVAT PRADIPKUMAR MAHESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

283 201501440

THAKKAR SMIT RAJESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

284 201501441

THAKKER DHRUV VIKRAM

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

285 201501442

JOSHI ISHANI BHASKARBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

286 201501443

PATEL UTSAV PRAHLADBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

287 201501444

RAYVADERA MEET HITESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

288 201501445

PARMAR UMANG JASHVANTBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

289 201501446

MASTER KARAN RAJENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

290 201501447

MORI ABHIJITSINH SHAILESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

291 201501448

PRAJAPATI KAVI YAGNESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

292 201501449

GANDHI DHARMIL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

293 201501450

SHINGALA VISHALKUMAR BABUBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

294 201501452

PATEL DHRUV MAHESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

295 201501453

PATEL TIRTH JITENDRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

296 201501454

ANUSHRUTI PANDEY

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

297 201501456

DHARAK CHANDUBHAI GAMETI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

298 201501457

GAMIT PROMIL LAXMANBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

299 201501458

UPADHYAY UMANGBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

300 201501459

PATEL LUV DIPESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

301 201501460

CHAUDHARY VISHNUKUMAR BHARMALBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

17 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 18: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

302 201501461

KHODIFAD HARSHAL VALLABHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

303 201521001

CHAUDHARY PANKAJ PRABHUBHAI

NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

304 201521003

SUJATA NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

305 201521004

SANKHAVARA JAINISHA

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

306 201521005

KAMBLE MADHU RAYAPPA

NA STUDENT 27 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

307 201521006

RISHIKANT RAJDEEPAK

NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

308 201521008

PATEL PURVIBEN JAYPRAKASH

NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

309 201521009

SHAIKH MOHAMMEDSAYEEMUDDIN KALIMUDDIN

NA STUDENT 40 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

310 201521010

DOMADIYA PRASHANT MANSHUKHBHAI

NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

311 201521011

PATEL JIGNESH RAMESHCHANDRA

NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

312 201521012

PATEL MAYANKKUMAR LALABHAI

NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

313 201521013

ANJALI DIWAN NA STUDENT 41 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

314 201601001

SHIVANI BHANDARI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

315 201601002

SHETH VISHWA VILPESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

316 201601003

VIDHIN HITESH PARMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

317 201601004

ADARSH MISRA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

318 201601005

RAVAL DEVARSHI JAGATKISHORE

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

319 201601006

SWAPNIL DHIMMAR NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

320 201601007

PONAKA PRAYAG REDDY

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

321 201601008

BHUMITRA SAHWAL NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

322 201601009

TIRTH BHAVESHBHAI SHAH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

18 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 19: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

323 201601011

SHAH DHRUVIL MANISH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

324 201601012

AJINKYA JEETENDRA MATSAWAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

325 201601013

PATEL SMIT BHAVESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

326 201601014

JOSHI SHIVANG GIRISHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

327 201601015

SHREYA SANJAYKUMAR SAGAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

328 201601016

SASTRY SRIKUMAR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

329 201601017

BADIYANI GAURANG KAMLESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

330 201601018

PATEL RIDDHI DIPAKBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

331 201601019

SHETH PARITA MANOJBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

332 201601020

PRAPTI TRIVEDI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

333 201601021

JANI VISHVESH MUKESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

334 201601022

ARNAV SAHA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

335 201601023

ASHWIN PORWAL NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

336 201601024

PATEL PARTHKUMAR VASUDEVBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

337 201601025

MAYANK SHANTILAL SAVALIYA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

338 201601026

MANSI OD NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

339 201601027

ZANZARUKIYA ABHI RAJENDRABHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

340 201601029

MALONDKAR VISMAY JAYDIP

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

341 201601030

TIKAM ALMA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

342 201601031

SHAH HILLONI HITESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

343 201601032

JAINIL MANOJKUMAR PARIYA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

344 201601033

TANYA PUSHKIN GARG

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

19 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 20: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

345 201601034

HET THAKKAR NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

346 201601035

SANJOLI CHAUHAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

347 201601036

PATEL ARPITKUMAR JAYESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

348 201601037

DIVAKAR BHARGAV JAGDISHCHANDRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

349 201601038

DESAI ANUSHKA BHUPENDRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

350 201601039

MAVANI TARUN JAYESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

351 201601040

BHAVSAR SHACHI DIVYANG

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

352 201601041

SHAH MANISH RASIKLAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

353 201601042

MUNSHI JALANSH SAUMIL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

354 201601043

DOSHI PRITHVISH RAKESH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

355 201601044

MIRANI YASH NILESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

356 201601045

JAIN ISHITA HEMENDRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

357 201601046

PAREKH YASH ATULBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

358 201601047

SARANGI PATEL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

359 201601048

NIDHI GUPTA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

360 201601049

SONI MONIL PINAKIN

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

361 201601050

VAGHELA MAULIK JITENDRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

362 201601051

PARTH ARUN DADHANIA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

363 201601052

SHRUTI ARVIND CHAUDHARI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

364 201601053

BHAVSAR MAHER NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

365 201601054

VANDAN SONI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

366 201601055

RANK RAKSHA ARVINDBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

367 201601056

MARU PRANJALI RAJIV

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

368 201601057

SHEREKAR VAIBHAV RAJU

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

20 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 21: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

369 201601058

PRAJAPATI NISHIT PRAHLADBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

370 201601059

ROSHANI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

371 201601060

DHRUV JADAV NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

372 201601061

PAREKH NIKESH BHARAT

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

373 201601062

SHIVAM AGARWAL NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

374 201601063

CHIRAG PODDAR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

375 201601064

SHAH RIYA HEMENDRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

376 201601065

GUNDAM SAMHITHA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

377 201601067

ROHIT CHAKU NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

378 201601068

THANKI DEEP JAYSUKH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

379 201601069

GHATE AMEY ABHAY

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

380 201601072

RAJANI PRATIK PRAVINBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

381 201601073

JAYATI AMRUTBHAI PATEL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

382 201601074

BRIJESH PANARA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

383 201601075

MAYANK KUMAR JETHWA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

384 201601076

NILESH MEENA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

385 201601077

ANERY KIRTIBHAI PATEL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

386 201601078

KALLAKURI N V S PUSHPA RAMA MANASA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

387 201601079

RITWIK BHARADWAJ NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

388 201601080

HARSHA MAHAVER NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

389 201601081

PATEL KIRTAN DARSHANKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

390 201601082

PURVA MAKARAND MHASAKAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

391 201601083

GARIKIPATI GANESHSAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

392 201601084

PATEL KSHITIJ DINESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

21 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 22: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

393 201601085

PANDIT ADITYA SHIRISHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

394 201601086

PARTH RAJESHBHAI SHAH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

395 201601087

HIMANSHU KUMAR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

396 201601088

VISHNU KANDURI SREENIVAS

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

397 201601089

HARDIK MODI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

398 201601090

JANI SMEET BHAVESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

399 201601091

GAURAV SOFAT NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

400 201601092

NONGHANVADRA PRAGNESH BHARATBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

401 201601093

MEGH MAHESHKUMAR CHOKSI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

402 201601094

CHANDAN VATSAL VISHALBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

403 201601095

KHATRI HARSH RAVINDRA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

404 201601096

DUNGARANI MILAN VINODKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

405 201601097

KEYUR GARSONDIYA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

406 201601098

DESAI MUDRA PIYUSH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

407 201601099

SANMUKHANI DHWANI GOPAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

408 201601100

AVINASH AREKATLA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

409 201601102

PATEL NISHARG SHANKARBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

410 201601103

PATEL DHARMIL CHANDRESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

411 201601104

PAREEK CHHAVI SURESH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

412 201601105

TANGIRALA SUMANTH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

413 201601107

AARUSH SINGH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

414 201601108

SAI ADITYA PARUCHURI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

415 201601110

YASH PANWAR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

22 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 23: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

416 201601111

RAJKOTIYA DIVYESH SHAILESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

417 201601112

SHREYANSH KUMAR NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

418 201601113

DETROJA SMIT CHANDULAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

419 201601114

RUPAPARA ANKIT NARANBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

420 201601115

RADADIYA GAUTAMKUMAR HIMMATBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

421 201601116

DOBARIYA NIRAV CHATURBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

422 201601118

DHAMELIYA DIPESH SHAMJIBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

423 201601119

JADHWANI RISHABH KAMAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

424 201601120

SAWLANI RAVI GHANSHYAMDAS

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

425 201601121

SAMARTH SAXENA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

426 201601122

PATEL DARSHANKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

427 201601124

THAKKER RIDDHI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

428 201601126

MEET PRAVINBHAI SINOJIA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

429 201601127

JETHWA SWAPNIL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

430 201601129

KRITIKA GUPTA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

431 201601130

JAY PATEL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

432 201601131

SHAH BHAVYA BIMAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

433 201601132

PATEL SAKSHEE NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

434 201601133

AAYUSH BHAT NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

435 201601134

BHALANI UMANG GANESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

436 201601135

ABHISHEK BHOWMIK

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

437 201601136

AJUDIYA BHARGAV GIRDHARBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

438 201601139

PATEL GEET NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

23 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 24: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

439 201601140

YASH DEVANG SHAH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

440 201601141

PANCHAL PANKIL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

441 201601142

KUNIYA SANJAY BHAVANBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

442 201601143

PATEL VISHVAKUMARI BHARATBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

443 201601144

SHIKHAR DUBEY NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

444 201601145

VEDANT GUPTA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

445 201601146

ERANIYA JAYDEEP NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

446 201601147

MALAVIYA HARSHIT NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

447 201601148

PATEL MAYURBHAI JAGDISHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

448 201601149

MOTIYANI HARSHIL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

449 201601150

KACHHADIYA RAVI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

450 201601152

MAVANI RUTVIK MUKESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

451 201601153

PATEL YOGESH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

452 201601154

PANDYA SHLOKA MANISH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

453 201601157

PARMAR NAYAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

454 201601158

MEHTA MAUSAM NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

455 201601159

SATBHAI NIHAL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

456 201601160

PATEL MAITREYA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

457 201601161

HARSH KOTTA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

458 201601162

RATHOD SONALI RAJESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

459 201601163

PATEL JEET NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

460 201601164

CHAUDHARY NEEL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

461 201601165

MODI CHIRAG NARESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

462 201601166

PANCHASARA MILIT DIXITBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

24 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 25: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

463 201601167

RABADIYA JINAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

464 201601168

DASA VISHAL MENANDBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

465 201601169

GOHIL KASHYAP DINESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

466 201601170

DAVE KEVAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

467 201601171

CHOTALIYA KARAN NITINBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

468 201601172

GOVER VIVEK NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

469 201601173

POPAT ABHISHEK JAGDISHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

470 201601174

MODI PRAHAR NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

471 201601175

SUTHAR DHRUVAL MINESH KUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

472 201601176

KAVIT AMIT SHAH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

473 201601177

PRAJAPATI DEVEN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

474 201601178

PATEL HARSHILKUMAR VIPULKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

475 201601179

KAPADIYA DARSHANKUMAR MADHABHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

476 201601180

CHAUHAN SUJITSINH SUNILSINH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

477 201601181

PRAJAPATI NAMRA BHARATKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

478 201601183

CHAUDHARI ARPITKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

479 201601185

PATEL RAVIKUMAR BALKRISHNA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

480 201601186

PARDASANI HITESH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

481 201601187

CHAUDHARI VAISHVIKKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

482 201601188

PRANAV PARIMALBHAI CHAUDHARI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

483 201601190

GAMAR VISHNUBHAI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

484 201601191

CHARPOT KAUSHIL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

25 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 26: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

485 201601192

NAJA MAKWANA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

486 201601193

BHAVESH K DAMOR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

487 201601194

PRIYANK ASHWINKUMAR PATEL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

488 201601198

TRIVEDI DISHANT NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

489 201601201

GANDHI PIYUSH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

490 201601202

JOGI YASH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

491 201601203

VAGHELA HIREN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

492 201601204

MAINAK CHAUDHURI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

493 201601205

NISHTHA DHARMESH PANDYA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

494 201601206

PANKTI B SHAH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

495 201601207

VRAJ SWETAL MASHRUWALA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

496 201601208

PATEL MITULKUMAR RAJENDRAKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

497 201601209

AAKLIT TANEJA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

498 201601210

KIRTANA SUNIL PHATNANI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

499 201601211

MOHAMED SHADAB NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

500 201601212

AKSHAT GAUTAM NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

501 201601213

MOHMEDSAIF MOHMEDHABIB KOTWAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

502 201601214

RAGHAV MATTAD NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

503 201601215

GUPTA ARNAB ARUP

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

504 201601216

BHARDA PRASHANT PARESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

505 201601217

SIDDHANT JAIN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

506 201601218

MEHTA YASH BHUPENDRABHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

507 201601219

PATEL NAISHAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

26 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 27: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

508 201601220

PATEL JEET NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

509 201601221

KALATHIYA NIMESH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

510 201601222

CHHATRALA HARDIKKUMAR KANTILAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

511 201601223

MEHTA BHAVIK NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

512 201601224

DAVE JAY NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

513 201601225

RANA MANOHARSINH BABUJI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

514 201601226

PATEL MOHIL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

515 201601227

PATEL DHRUVIL KAMLESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

516 201601228

PATEL DHRUMIL BHUPENDRAKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

517 201601229

VAGHASIYA PRIYANKABEN ISHWARBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

518 201601230

SHAH NILAY NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

519 201601231

THAKKAR AVAN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

520 201601232

JOBANPUTRA YASH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

521 201601233

MALHOTRA AYUSHI SANJIV

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

522 201601234

PATEL UJJVAL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

523 201601235

PATEL VISHWA HITESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

524 201601236

RADIA KISHAN BHUPENDRABHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

525 201601237

VALA MEETRAJSINH HARESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

526 201601238

SHAH MEET NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

527 201601239

HIRPARA VATSAL PARESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

528 201601240

PANCHANI MEET ASHOKBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

529 201601241

SOLANKI KETUL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

530 201601242

KANERIA AKSHAT NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

27 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 28: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

531 201601243

ABHI RATNMAN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

532 201601244

PARMAR DARSHAN VINODBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

533 201601245

PANCHAL HAVYAKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

534 201601246

MADAKIYA FAIZAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

535 201601247

PATEL KRIT NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

536 201601248

POGUL SIDDHARTH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

537 201601249

SHAH YASH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

538 201601250

TADHA NILESHBHAI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

539 201601251

AGRAWAL MAHIN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

540 201601253

CHAUDHARI JAIMINKUMAR ASHOKBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

541 201601254

VADHER DHAVALKUMAR MATHURDAS

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

542 201601255

PANCHAL VISHVESH ASHWINBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

543 201601256

PRAJAPATI ASHOKKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

544 201601257

CHAVDA HIMANSHU NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

545 201601258

PATEL ADIT KAMLESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

546 201601259

PATEL HARDIK NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

547 201601260

PATEL VISHVA DAYALJIBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

548 201601261

KALAVADIYA ABHISHEK MAHENDRAKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

549 201601401

VASANI MIT PADMANABHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

550 201601402

SANGHVI JITESH HEMANSHUBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

551 201601403

ABHIGNYANA LAKSHMI CHALAMCHARLA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

552 201601404

AYUSH JAIN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

28 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 29: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

553 201601405

PANDYA KALPESH ARUN

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

554 201601406

SHAH SULAY ANANDBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

555 201601407

CELLY PRATEEK KAPIL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

556 201601408

DOSHI NISHI MITESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

557 201601409

PATEL HIMILKUMAR JITENDRABHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

558 201601410

SMIT SHAH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

559 201601411

SAKSENA DEVANSH JAYANTKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

560 201601412

RINDANI KHANTI NISHCHALBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

561 201601413

BISHESH ORAM NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

562 201601414

BHAVSAR SHIVAM RAKESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

563 201601415

PATEL PARVA CHANDUBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

564 201601416

RUTVIK SHAH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

565 201601417

RUTVIK JAYESHBHAI KOTHARI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

566 201601418

SARDHARA PREETKUMAR JAYSUKHLAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

567 201601419

KARAN JAIN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

568 201601420

MEHTA DHVANEE MANISH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

569 201601421

ROHAN DHANWANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

570 201601422

VACHHANI RUSHI UMANGBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

571 201601423

ASNANI DHRUVESH PAHARJIT

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

572 201601424

VRUND SHAH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

573 201601425

MALLAVARAPU ROHIT

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

574 201601426

RAJPARA UTSAV RASHMIKANT

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

575 201601427

SAVANI DEEP DEEPAKKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

29 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 30: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

576 201601428

KATBA YOGI RAJESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

577 201601429

MIHIR THAKKAR NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

578 201601431

PATEL PARTHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

579 201601432

KISHAN KUMAR PATEL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

580 201601433

VADGAMA MAITREY NAVINCHANDRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

581 201601434

VANSHIKA DARBARI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

582 201601435

PATEL UMANG NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

583 201601436

DETROJA SAKET SANJAYKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

584 201601437

JETHWA BHARGAV HARISHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

585 201601438

CHAVDA VIVEK NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

586 201601439

MEHTA SHYAMKUMAR CHANDRAKANTBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

587 201601440

CHUDASAMA SATISH MAHESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

588 201601441

SHAH KALPIT NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

589 201601442

VASAVA DHAVALKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

590 201601443

HARDIKI MUKESH DEVRE

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

591 201601444

KUNAL MANISH JANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

592 201601445

ANERI PIYUSH KUMAR PATEL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

593 201601446

KSHITIZ SAREEN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

594 201601447

PATEL ANSHU NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

595 201601448

ACHARYA ADITI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

596 201601449

VISHRUT CHETAN JETLY

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

597 201601450

DHAMELIYA POOJAN

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

598 201601451

KAMARIA PARTH NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

30 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 31: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

599 201601452

PADARIYA ABHISHEK

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

600 201601453

BABRIYA RAVIKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

601 201601454

PATEL YATINKUMAR SHASHIVADANBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

602 201601455

KALAVADIYA ANKIT NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

603 201601457

PIPALIYA ANAND JAYSUKHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

604 201601458

PARMAR JAYKISHAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

605 201601459

BRAHMBHATT VAISHVIK

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

606 201601460

BAROT KULDIPSINH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

607 201601461

RANSARIYA DIVYESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

608 201601462

PANSURIYA TANIK NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

609 201601463

PATEL KAVAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

610 201601464

PATEL YASH SATISHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

611 201601465

VAIDYA KATHAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

612 201601466

KARAN PARDASANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

613 201611006

MORADIYA BHARGAV DULABHAI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

614 201611023

PALAK THAKUR NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

615 201612005

RANADE SANKALP PRASHANT

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

616 201612053

RATHORE AKSHAY PRADEEPSINGH

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

617 201612061

LAKHANI ANKIT RAJUBHAI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

618 201612073

UNDHAD HEMANSHI RASIKBHAI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

619 201612116

RATHOD AUDARYA LALITNARAYAN

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

620 201621003

JOSHI NIKITA RAJESHBHAI

NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

621 201621005

MANAS SINGH SAKRWAR

NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

622 201621007

SHAH MIRAL ASHOKKUMAR

NA STUDENT 32 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

31 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 32: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

623 201621008

PATIL ANKUR TUKARAM

NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

624 201621009

GADHIYA TUSHARKUMAR DAMJIBHAI

NA STUDENT 27 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

625 201621010

SHAH AMI MAHENDRABHAI

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

626 201621011

EKTA RAJPUT NA STUDENT 27 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

627 201621012

NANDRE ASHISH GOKUL

NA STUDENT 36 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

628 201621013

PATHADE TAKSHASHILA ANAND

NA STUDENT 34 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

629 201621014

SWATI PRIYA NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

630 201621017

PRANAV VERMA NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

631 201701001

ANKIT KUMAR NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

632 201701003

JAHNAVI GUPTA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

633 201701004

GURNANI JAY MAHESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

634 201701005

KADUSKAR ANIKET NITIN

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

635 201701006

SWARNADITYA TAMONASH MAITRA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

636 201701007

DESAI SANYAM GAURANG

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

637 201701008

PATEL RAG NILESH NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

638 201701009

SHAH SMIT NILESH NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

639 201701010

MILAN NAGARIYA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

640 201701011

DESHPANDE ANISH MANGESH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

641 201701012

ABHISHEK SUTARIYA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

642 201701013

ANIMESH RASTOGI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

643 201701014

ROMIL JOSHI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

644 201701015

RAGHAV KHANDELWAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

645 201701016

PATEL DAX SHARADKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

32 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 33: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

646 201701017

SAGAR AJITKUMAR SINGH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

647 201701018

DEVESH AHUJA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

648 201701019

SHAH MANN JIGNESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

649 201701020

JASANI SMIT ASHOKBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

650 201701021

PATEL HARSH TARAK

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

651 201701022

IDIKA MITTAL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

652 201701023

DHRUV RAMKISHORE CHARAN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

653 201701024

SIDDHARTH DESHPANDE

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

654 201701025

BALANI HUNNY NARESH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

655 201701026

HARSH LUKKA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

656 201701027

JANAM DEVANG VAIDYA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

657 201701028

SATBIR SINGH GHAI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

658 201701029

LADANI RAJAN RAMNIKBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

659 201701030

PATEL MANTHANKUMAR JAYESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

660 201701031

AVI GUPTA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

661 201701032

SANTOKI NAYAN DEVJIBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

662 201701033

PATEL RUDRA RAJESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

663 201701034

HARSH JAIN NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

664 201701035

VACHHANI DEVASHISH DEVIDAS

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

665 201701036

SURAPANENI SRI AKHIL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

666 201701037

DONIKA JUTHANI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

667 201701038

ANMOL DIXIT NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

668 201701039

PURVA SINGHVI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

33 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 34: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

669 201701040

KAMMA BINDU PRIYA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

670 201701041

SOHAM CHANDUBHAI SOJITRA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

671 201701042

YADAV AMIT BRIJESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

672 201701043

AREX JAMBUSARWALA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

673 201701044

SHAH NIRMIT SACHIN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

674 201701045

SHAH YASHVI RAJESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

675 201701046

AYUSH GUPTA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

676 201701047

KARMADEEPSINH VALA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

677 201701048

RISHABH KRISHNAKANT PANDAT

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

678 201701049

SHEIN SOPARIWALA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

679 201701050

VYAS ANIKET CHETANKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

680 201701051

SAUMIL RAMNIKBHAI BHALODI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

681 201701052

RISHI CHETANKUMAR SANGHVI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

682 201701053

SHAH TATHAGAT AHAN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

683 201701054

DEEPESH LUDHYANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

684 201701055

RASIK MAHAJAN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

685 201701056

HASTIN MODI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

686 201701057

PATEL KAVIN ASHOKKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

687 201701058

PRANAV PANDEY NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

688 201701059

RITVIK RAJESH SINGHVI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

689 201701060

AGARWAL AMIT NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

690 201701061

SPARSH GOIL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

34 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 35: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

691 201701062

DUSHYANT KAMLESH PATHAK

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

692 201701063

MANTHAN KHUBCHANDANI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

693 201701064

GAURAV UDIA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

694 201701065

ABHINAV RAJ NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

695 201701066

MILEK AGRAWAL NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

696 201701067

ATHARVA BERGE NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

697 201701068

K V PANKAJ NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

698 201701069

PHALGUNI KHUDKHUDIA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

699 201701070

VITHANI RUCHIT JERAMBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

700 201701071

PATEL SMIT NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

701 201701072

ROHAN MAHESHWARI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

702 201701073

MEHTA PURVIL PRAMITBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

703 201701074

MEHTA BHARGEY JAY

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

704 201701075

KAUSHIL PARAG SHAH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

705 201701076

VEDANT VIJAYKUMAR PARIKH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

706 201701077

SHAH DHRUVI DHARMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

707 201701078

SAMYAK BAKLIWAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

708 201701079

YATRI PATEL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

709 201701081

MEDHANKITHA REDDY CHENNAREDDY

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

710 201701082

KOLLI BHAVANA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

711 201701083

GUNTUR MANEESHA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

712 201701084

RAVAL AAYUSH MANISH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

713 201701085

ISHA KAPOOR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

35 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 36: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

714 201701086

ABHISHEK KUMAR JISHU

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

715 201701087

CHINWALA MEHER ATIF

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

716 201701088

ADITYA KANAUJIA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

717 201701089

MODI PARAM JAIBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

718 201701090

HITI MITTAL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

719 201701091

AYUSH NIRWAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

720 201701092

PARMAR KAUSHAL PARESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

721 201701093

CHAUHAN VIKAS GIRISHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

722 201701094

VAGHELA PARTH SANJAYKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

723 201701095

DHRUVA PRAKASHKUMAR VALA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

724 201701096

RANA KRISHNA RAJESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

725 201701097

VANIYA RAJ JAYESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

726 201701098

PRANJAL GAWAI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

727 201701099

PARIKH YASH MAHENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

728 201701100

MAHERIA KEYUR SANJAY

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

729 201701101

CHAITALI SHAILESH ARLEKAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

730 201701102

INDRESH KUMAR VERMA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

731 201701103

PRASHANT BORANA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

732 201701104

MOTAWAR RAJ INDRAJIT

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

733 201701105

VATSALYA BUDDHA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

734 201701106

DEKKAPATI JAVIDRAJ

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

735 201701107

VAGHELA JAIMIN ASHIKKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

736 201701108

MICHIKA GAYARI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

737 201701109

DEEPANSH RAJ NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

36 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 37: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

738 201701111

SHAH KUSHAL RAJENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

739 201701112

BABITA BIRUA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

740 201701113

RAGINI MEENA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

741 201701114

GAMIT HETALKUMARI AJITBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

742 201701115

SAKARIA DAIVIK VITTHALBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

743 201701116

PRAGYA MAHESHWARI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

744 201701117

NEHA JAIN NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

745 201701118

PRUTHA MILAPKUMAR SHAHERAWALA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

746 201701119

HARIYALI PRAVINKUMAR GAJERA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

747 201701121

HIMADRI VIJAYKUMAR PATEL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

748 201701122

NISHTHA JIGNESHKUMAR DIWANJI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

749 201701123

AKSHAR JAYANT JOSHI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

750 201701125

PONNAM SAI DEEPAK

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

751 201701126

DHRUVAM ASHISH PANCHAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

752 201701128

SHAIL KRUPESHKUMAR KOTHARI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

753 201701129

SHOBHIT GOLA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

754 201701130

MOHUL SRIVASTAVA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

755 201701131

MUKUND KALRA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

756 201701133

JOSHI KRUPA BHARAT

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

757 201701134

YASHPAL SINGH CHAUHAN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

758 201701136

MAHEK RUPANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

759 201701137

SAUMYA AGHERA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

37 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 38: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

760 201701138

SWAPNIL DUBEY NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

761 201701139

DHANDHALYA SAGARKUMAR DINESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

762 201701140

JARSANIA TIRTH HARESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

763 201701141

THAKKAR CHINTAN HARESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

764 201701142

PATEL TARALKUMAR BHARATKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

765 201701143

SHAH MEET SNEHALKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

766 201701144

FICHADIYA ANURAG ATUL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

767 201701145

RAULJI YUVRAJSINH HARBHADRASINH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

768 201701146

MENDPARA DHRUV HITESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

769 201701147

PATEL AVI JITENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

770 201701148

PATEL JAY RAJENDRAKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

771 201701149

KAKADIYA RAJ KANTILAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

772 201701150

KANTARIA DHAVAL SHAILESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

773 201701152

DAFTARI KEVAN YATINBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

774 201701153

MEHTA ADIT PANKAJBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

775 201701154

JHAVERI KARAN PREYASHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

776 201701155

KAVATHIYA KISHAN HASAMUKHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

777 201701156

RAVAL MEET KAMLESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

778 201701158

SAKDASARIYA KISHAN PREMJIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

779 201701159

KOLADIYA BHAUTIK ASHVINBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

780 201701160

PATEL MEET ARVINDBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

781 201701161

PUROHIT RAHUL SANJAY

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

782 201701162

PATEL DRISHTI VIJAY

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

38 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 39: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

783 201701163

PATEL AMAN YOGESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

784 201701164

PATEL JATIN KIRITKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

785 201701165

KALAL KAUSHAL SURESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

786 201701166

PATEL MAHARSHI RAJENDRAKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

787 201701167

VIKANI KUSHAL RATILAL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

788 201701168

UGHAREJA UMANGKUMAR RAMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

789 201701169

SHAH SARTHAK KETANKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

790 201701170

BAXI RUSHIRAJ ASHISH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

791 201701171

MANIYAR DHAIRYAKUMAR BHAVESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

792 201701172

SARVAIYA ROHINEEBA VIRBHADRASINH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

793 201701173

JANI CHINTAN TRIKAMBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

794 201701174

PATEL KARPIT JAYENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

795 201701175

GOKHALE KARTIKEYA SANDEEP

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

796 201701176

PATEL JEEL MANOJBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

797 201701177

PATEL HARSHIL HEMANTBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

798 201701178

MISTRY ABHAY CHETAN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

799 201701179

NAVAPARIYA YASH SUBHASHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

800 201701180

BHENSDADIA DHAVAL JITESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

801 201701181

HINSU MEET TRIBHOVANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

802 201701182

NAKUM SAGARBHAI JIVABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

803 201701183

SATASIYA PRIYANK JAYANTIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

804 201701184

KAMDAR NIRAJ SHAILESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

39 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 40: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

805 201701185

BHUT HARSH KISHORBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

806 201701186

BHIMANI KESHVI BIPINBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

807 201701187

SHAH NIL PARESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

808 201701188

MAKWANA JAYKUMAR DINESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

809 201701189

TALAVIYA JAYDIP DINESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

810 201701190

KHATRI MITUL AMITKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

811 201701191

KAMBARIYA NIKUNJ RAJUBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

812 201701192

BHINGARADIYA VINAY VIJAYBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

813 201701193

PATEL NIRMALKUMAR MANOJKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

814 201701194

PATEL HARSH RAJESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

815 201701195

PATEL VAIDIK RAJESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

816 201701196

BALDANIYA PAVAN JAGDISHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

817 201701197

PRAJAPATI DARSHAN SHAILESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

818 201701198

SOLANKI DHARMINKUMAR RATILAL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

819 201701199

SOLANKI RUCHIT HIRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

820 201701200

CHHTRALIYA RAHULKUMAR SHANKARBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

821 201701203

PARMAR JAYMIN NARESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

822 201701204

DAVE JAYKUMAR PRAVINCHANDRA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

823 201701205

PARMAR VINAY BHARATBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

824 201701206

CHAUDHARY AKSHAY MULJIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

825 201701207

GAJJAR YASHPAL SHRIPAL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

826 201701208

MODI JAINIL RAVINDRAKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

40 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 41: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

827 201701209

SOLANKI MANAN RAKESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

828 201701210

CHAUHAN PARTH PRAFULBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

829 201701211

GOHEL DHARMANG MANOJKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

830 201701212

SOLANKI MOHIT AJAYBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

831 201701213

MANDALIYA SAHILBHAI MANOJBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

832 201701214

MODI ABHISHEK HITENDRAKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

833 201701215

MAKWANA PANKAJBHAI PRAVINBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

834 201701216

PALSANAWALA OM MUKESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

835 201701217

CHHOTALA BHAVIKKUMAR MANUBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

836 201701218

PRAJAPATI ROHANKUMAR BHAVESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

837 201701219

NANDANIYA GAURANG RAJESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

838 201701220

VAGHELA AXIL GHANSHYAMBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

839 201701221

CHAUHAN VAIBHAV MAVJIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

840 201701222

MODI RUTVIK ASHIK NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

841 201701223

BHARAD HITARTH BHAVESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

842 201701224

BERA JASVINKUMAR MANISHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

843 201701225

KADIA JAY DHARMENDRAKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

844 201701226

CHAUDHARY BHAVIK RAMJIBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

845 201701227

MOMIN MOHAMADSOHIL JAFARHUSEN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

846 201701228

PRAJAPATI JAIMINKUMAR KANTIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

41 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 42: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

847 201701229

SOLANKI JAY SANJAYBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

848 201701230

CHAUHAN PARTH PRAVINBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

849 201701231

PATEL JESICA SUNILBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

850 201701232

DARJI PARTHKUMAR SANJAYBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

851 201701234

BHAGAT SMIT SANJAYBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

852 201701235

VASAVA TEJAS DINESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

853 201701236

VASAVA RAKSHIT AKSHAY V VASAVA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

854 201701237

PATEL RAJKUMAR MADHUBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

855 201701238

PATEL RISHABH GULABBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

856 201701239

PARMAR MAULIKKUMAR BHARATSINH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

857 201701240

VAGADIA SHIVANGI BHAVESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

858 201701241

PATEL ANERI ROHITBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

859 201701242

PATEL ANVI DIVYESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

860 201701243

SANGADA JAYDEEP VIKRAMSIGH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

861 201701245

KAMOL VALAYKUMAR VIMALBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

862 201701246

PATEL KINJAL ASHOKBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

863 201701247

CHAUDHARI SANKET ANILBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

864 201701248

MURI TAHIR SABBIRBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

865 201701249

KACHA TUSHAL SURESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

866 201701250

SHETH CHIRAYU TUSHARBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

867 201701251

SHAH KUSHAL DHARMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

868 201701252

SOJITRA CHINTAN MAGANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

869 201701253

NAGRANI SIMRAN RAJKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

42 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 43: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

870 201701254

ILASARIYA CHINTAN DINESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

871 201701255

KUMBHANI YASH RAMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

872 201701256

BHAGIYA JANVI SHAILESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

873 201701257

MONSARA PRAYAG RAMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

874 201701258

HARSHIL AJADIYA UMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

875 201701259

PRAJAPATI YOGESH TRIBHUVANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

876 201701261

PANDITA SHIVAM SURINDER

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

877 201701262

PATEL ROM RAJESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

878 201701263

PIPALIYA DHVANIL MEHULKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

879 201701264

JAIN AKASH GANPATLAL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

880 201701265

PATEL RUTUL NITESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

881 201701266

VIRADIYA YASHKUMAR DINESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

882 201701267

LATHIYA JASMIT SURESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

883 201701268

KAKADIYA JAYDEEP ANILBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

884 201701269

PATEL DHRUVKUMAR PANKAJBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

885 201701270

PATEL MIHIR CHETANBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

886 201701271

PATEL DEVAM SAMIRBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

887 201701272

PATEL PARTH ASHVINBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

888 201701273

PATEL RHYTHM RAKESH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

889 201701274

DUBARIYA KISHAN RAMESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

890 201701401

JUI BHAVESH SHAH NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

891 201701402

AARSH PRAVINBHAI FEFAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

892 201701403

MEGH SHAH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

43 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 44: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

893 201701404

KATARIA YASH INDER

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

894 201701406

RATHVA RAJESHKUMAR JETSINH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

895 201701407

BHATT HARSH GOPALBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

896 201701408

SHAH DWISH HIMANSHU

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

897 201701409

KHENI KAVIT HASMUKHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

898 201701410

RUSHABH Y AGRAWAL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

899 201701411

KASHYAPKUMAR GOPALBHAI DAXINI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

900 201701412

NASIT DARSHIT JAYSUKHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

901 201701413

PARAM AMIT SHAH NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

902 201701414

SHAH HARSHIL VIPULKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

903 201701415

RAHIL VASUDEV PATEL

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

904 201701416

RONAK SANJAY NAHATA

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

905 201701417

MANAS KAUL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

906 201701418

GODHANI DEEP ASHWIN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

907 201701419

RONAK JAIN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

908 201701420

MAKASANA NIRAV MAHESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

909 201701421

JANI HARIN HIREN NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

910 201701422

RAJ PATEL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

911 201701423

JASH AJAY VITHLANI NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

912 201701424

KAPADIA JIGAR JITENDRA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

913 201701425

DEV JAY TAPANKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

914 201701427

KAPADIA KIRTAN MUKHESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

915 201701428

PATEL BRINDA MAHESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

44 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 45: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

916 201701429

DHAVALKUMAR HASMUKHBHAI SOLANKI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

917 201701432

RUSHABH JATIN GAJAB

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

918 201701433

SAIRAM VENKATACHALAM

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

919 201701435

SHAH RUCHIT JIGNESHBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

920 201701436

PATEL DARSHAN JASHVANTBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

921 201701437

PANCHAL KISHAN KALPESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

922 201701438

DALSANIA NIHARIKA KAILESHKUMAR

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

923 201701439

PATEL VIRAJ NRUPALKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

924 201701440

PATEL KAUSHALKUMAR JITENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

925 201701441

SAPOLIYA JAHANVI BHARATBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

926 201701442

SHAH SAUMYA SAURABHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

927 201701443

PATEL ZEEL SURESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

928 201701444

PATEL SHREY NARESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

929 201701445

CHAUHAN JHANVI JIGNASU

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

930 201701446

MEHTA JAY ARVINDKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

931 201701447

PATEL KARAN PINTUSH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

932 201701448

HIRANI HUSAIN MOHAMMEDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

933 201701449

PARIKH ROMIL NILESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

934 201701450

JASOLIYA PRANAV MEHULBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

935 201701451

SHAH NIKUNJ CHIRAGBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

936 201701452

CHHATBAR HARSH ANILKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

937 201701453

SAVANI KRUSHIKBHAI JAYANTIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

938 201701454

BHALODI YASH BHARATBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

45 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 46: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

939 201701455

DHARVA SALONI KISHORKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

940 201701456

KALIYANI CHINTAN CHANDRAKANTBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

941 201701457

KARENA BIREN NARANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

942 201701458

VALIYA DILIP KHIMJIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

943 201701459

PATEL DARSHAK AKASHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

944 201701460

TANK HARSH ASHOKBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

945 201701461

BERIYA ANIRUDHDH VIRAMBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

946 201701462

PRAJAPATI MEETKUMAR PRAHALADBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

947 201701463

KATAKIYA HARDIKKUMAR MANASUKHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

948 201701464

MACHHAR KULDIPKUMAR MUKESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

949 201701465

RATHVA DIVYESHKUMAR ISHWARBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

950 201701466

DESAI SHUBH HETALBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

951 201701467

BHATT BHAVYA HITESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

952 201701468

SUTARIYA DHRUVIL ASHOKBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

953 201711001

SHAH DIMPLE JAYENDRABHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

954 201711002

RISHABH GUPTA NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

955 201711004

PRAJAPATI PRATIKKUMAR KAMLESH

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

956 201711006

UDIT PRATAP SINGH SENGAR

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

957 201711007

PULAVWALA TASNEEM SHABBIR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

958 201711008

BHATT PRANJALBEN KETANBHAI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

959 201711009

BARANWAL SWEETY NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

960 201711010

SHAH JAINAM VIRENDRABHAI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

46 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 47: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

961 201711012

JIVANI FORAM PRAFULBHAI

NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

962 201711013

THAKER VANDAN BHARAT

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

963 201711014

MEHTA ARCHAN DEVANG

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

964 201711015

SHINGALA MITALEE RAMESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

965 201711016

PRIYA AHUJA NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

966 201711017

SHAH KETUL TEJASBHAI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

967 201711018

ETI MAHESHWARI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

968 201711019

SMRITI CHANGULANI

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

969 201711020

UPASANI ASHWINI PARAG

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

970 201711021

SHAH VIRAL ANILKUMAR

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

971 201711022

PARIKH DHARIT TUSHARBHAI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

972 201711023

MACWAN RINOY RAVIKANT

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

973 201711024

SHAH DHRUVA HIMANSHUBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

974 201711025

MALAVIYA SHUBHAMKUMAR MUKESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

975 201711026

DIVYANSHU DIMRI NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

976 201711027

DOSHI TIRTH ALKESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

977 201711028

PRANAV SINGH NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

978 201711029

PATEL KETUL RAJESHKUMAR

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

979 201711030

VIDHIBEN RABADIYA NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

980 201711031

BHATIA AAKASH JAGDISH

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

981 201711032

PANDAT AMIBEN JITENDRAKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

982 201711033

DAVE DHATRI ASHISHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

983 201711034

ANKUR SHARMA NA STUDENT 27 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

984 201711035

LAD PINAL BHARATBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

47 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 48: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

985 201711036

JAIN JIKET VIKRAMKUMAR

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

986 201711037

SHAH URMI MINESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

987 201711038

THAKRAR AKASH RAJESH

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

988 201711039

RACHESH TRIVEDI NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

989 201711040

GANGOPADHYAY SURUPENDU PRAKASH

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

990 201711041

SANGHAMITRA BANIK

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

991 201711042

ABHIJEET GHODGAONKAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

992 201711043

VORA YASH AMITBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

993 201711044

OZA URVI ARUNBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

994 201711045

PATEL VENUS ROHITKUMAR

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

995 201711046

BATADA ARLENE PARVIZ

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

996 201711047

BHOOMITI KAKRAN NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

997 201711049

ESHA NAGAICH NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

998 201711050

SHARMA CHINMAY SHASHIKANT

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

999 201711051

PATEL MAITRI BHAVESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1000 201711052

KOTADIA DHRUMIL SANDIPKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1001 201711054

SOMAIYA ISHA NALINBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1002 201711055

SANGANI CHINTAN PRAFULBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1003 201711056

PATEL MAUSAMEEBEN PARESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1004 201711057

VIJAY VINAY CHAVDA

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1005 201711058

PANCHAL KARISHMA VINODBHAI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1006 201711059

MITALI SHARADKUMAR NANDANI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

48 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 49: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1007 201711060

MANIAR SHAILJA APURVABHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1008 201711061

BITU KUMAR NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1009 201711063

SHAH RAJAT JATINBHAI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1010 201711065

GRISHMA SHAW NA STUDENT 27 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1011 201711066

AISHWARYA DINKAR UPHAD

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1012 201711067

PUSHPENDRA PRATAP SINGH

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1013 201711068

MAHAVADIA KRUTIKA JAYDEVKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1014 201711070

NANDAGIRI KRISHNA TEJA

NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1015 201712001

RANADE ARCHAN CHANDRASHEKHAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1016 201712002

SHAH DHRUVIL NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1017 201712003

RAI SAHIL SANJAY NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1018 201712004

VANZARA YASH NILESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1019 201712005

ACHARYA DHRUV ROHITBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1020 201712006

HIMANSHU KUMAR SAHU

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1021 201712007

SHAH KISHAN ASHWINBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1022 201712008

MEHTA YASH ANILBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1023 201712009

PRABHU RASHMI JAIDEV

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1024 201712010

DHYANI SHASHANK KESHAV

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1025 201712011

VALBHANI JAYESH ASHOK

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1026 201712013

KOCHAR RISHABH MAHENDRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1027 201712014

BAGADIA KRISHMA CHIRAG

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1028 201712016

BUCH VIDVATA KIRAN

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1029 201712017

JAIN HARSH LOKESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1030 201712018

ADITYA PERIWAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

49 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 50: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1031 201712019

SHAIKH SHAGUFTAANJUM SHAKILAHEMAD

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1032 201712020

DUTTA MRINAL ARUP

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1033 201712021

JAIN SURABHI SANJAYKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1034 201712022

MALVIYA VANEETA MULCHAND

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1035 201712023

BHOOTRA PALAK ANILKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1036 201712024

HINGORANI ABHISHEK SHANKARLAL

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1037 201712025

PATHAK CHARVI PARESH

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1038 201712026

JAFRI SHEHBAZHAIDER ZIAHAIDER

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1039 201712027

PRIYA HANDEKAR NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1040 201712029

CHEVLI CHIRAG URESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1041 201712030

SACHDEV HITESH RAMNIKLAL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1042 201712031

PANCHAL MAYUR DINESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1043 201712032

YATRI DHOLAKIA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1044 201712033

SHAH BHAKTI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1045 201712034

PRIYANSH CHINTAN SHETH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1046 201712035

AMI VIJAYKUMAR BHATT

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1047 201712036

TULIKA NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1048 201712037

CHRISTIAN RICHA ROBIN

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1049 201712038

DAVE NUPUR SANJAY

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1050 201712039

SHAH RUTVI BIRENKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1051 201712040

TAILOR RITESH DAKSHESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1052 201712041

LALWANI DEEPAK RAMESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1053 201712042

PRIYANSHI PATSARIA

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

50 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 51: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1054 201712043

SURANI SAHIL SIRAJBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1055 201712044

AMISHA FARKYA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1056 201712045

DOSHI SAHIL JITENDRAKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1057 201712046

SHAH KRUPALI SUNILKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1058 201712047

SHAH PARTH KINJAL NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1059 201712048

NIKHIL JETHALAL PATEL

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1060 201712049

SOLANKI ADITI PIYUSHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1061 201712050

SHAH AYUSHI APURVA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1062 201712051

SONI SHILPI NAINESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1063 201712052

PARIKH NISHA AMITBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1064 201712054

BACHANI KAMLESHKUMAR THAKURBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1065 201712055

SHAH DEEP MANISHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1066 201712056

DEEPAK KUMAR NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1067 201712057

DARJI RUTUL MANISHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1068 201712058

CHINIWALA MOHAMED AQUIB MIYAMOHAMED

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1069 201712059

JARIWALA PRIYANSHI HITESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1070 201712060

SAHIL KOTHARI NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1071 201712061

AVIK SEN NA STUDENT 32 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1072 201712062

GUPTA HARSH PRAKASHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1073 201712063

SHAH AASHKA SAMIRBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1074 201712065

VORA RAJVEE APOORVA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1075 201712066

SONI PRIT MANISHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1076 201712067

AMAN KUMAR GUPTA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

51 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 52: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1077 201712068

CHINIWALA SAMINA MOHAMED AQUIB

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1078 201712069

SHILPI KANUBHAI SHARMA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1079 201712070

SHIMPA SHARMA NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1080 201712071

DODIYA PRIYANKA KETANBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1081 201712072

MAYUR LALWANI NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1082 201712073

SHAH JANUSHI PARAGBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1083 201712074

SHAH PRASHAM NILESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1084 201712075

MAHESHWARI AKSHITA MANOHARLAL

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1085 201712076

RAJVIR UTSAV CHANDRAKANT

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1086 201712077

THAKKAR GAURAV MANSUKHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1087 201712078

NEBHANI LALIT SHANKARLAL

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1088 201712080

SAKSHI MITTAL NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1089 201712081

CHAUHAN TUFEL RAFIKBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1090 201712082

SHIKHA ASHISH MANIAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1091 201712083

PATEL PARTH NITESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1092 201712084

KIRTI PURSWANI NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1093 201712085

GAJJAR MADHAVI MILAPBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1094 201712086

MENGHANI ANKITA JAIKISHAN

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1095 201712087

BHALALA ANKIT PARESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1096 201712088

SHUKLA PIYUSH KAMLESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1097 201712089

VYAS NIDHI MAYURKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1098 201712090

MS. SHEJAL AGRAWAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1099 201712091

ABHIJNA PATHAK NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1100 201712092

SONI PRIYANK BHAVIKKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

52 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 53: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1101 201712093

DYER STUTI NIKUNJBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1102 201712094

MAGNANI MANISH NARENDRABHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1103 201712095

SHAH ANSHUL KAUSHAL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1104 201712096

BAGGA NAVDEEP SINGH AMARJEET SINGH

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1105 201712097

JAKHAR NISHA RAJENDRASINGH

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1106 201712099

KHATRI NILESH SURESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1107 201712100

SHAH KUNJAN SHAILESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1108 201712101

MEHTA DARSHIL KALPESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1109 201712102

SURTI DEVISHA VINAYBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1110 201712103

BHAVSAR ASTHA BIRENKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1111 201712104

AKHANI VISHANTKUMAR RAMESHCHANDRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1112 201712107

AABADANI ALIASGAR SAIFUDDINBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1113 201712108

MALIVAD KANU BABUBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1114 201712109

DHANDHUKIYA DARSHAN YOGESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1115 201712110

SHAH KRUSHANG MAYANKBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1116 201712111

SONI NIRVISHA KISHORBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1117 201712112

KALOLIYA PARTH DIPTESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1118 201712113

SHAH AAYUSHI DHARMESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1119 201712114

CHAUHAN DRASHTI JANAKBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1120 201712115

SONI MIHIR DIPAKKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1121 201712116

PRAJAPATI LIPIBEN SANJAYKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1122 201712117

ANKITKUMAR PANKAJBHAI BOGHRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

53 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 54: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1123 201712118

PATEL BHUMI DHARMENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1124 201712119

SHAH RIYA MINESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1125 201712120

DEEPAK KUMAR SINGH

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1126 201712121

MITTAL PALAK KAMALNAYAN

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1127 201712122

SOURABH KOTHARI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1128 201714002

PATEL PARTH SUNIL NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1129 201714004

ANUPRIYA AGNIHOTRI

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1130 201714005

VIKAS YADAV NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1131 201714008

DISHANT CHIRAG SHAH

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1132 201714009

SHWETA SINWAL NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1133 201714010

AAKANKSHA A AGARWAL

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1134 201714011

KADEGIA BHAVIK JETHABHAI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1135 201721001

PRIYANKA GUPTA NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1136 201721002

SURYA PRAKASH NA STUDENT 31 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1137 201721003

PRAMOD TRIPATHI NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1138 201721004

KALGI GANDHI NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1139 201721005

VAGHELA MAITRI MAHENDRAKUMAR

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1140 201721006

MEVADA PRATIK BABULAL

NA STUDENT 29 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1141 201721007

NEHA ARORA NA STUDENT 32 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1142 201721010

PRATIK GHOSH NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1143 201721011

RAMRAKHIYANI MADHVI NITIN

NA STUDENT 31 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1144 201721012

SOURAV DEB NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1145 201721013

ANKITA MEHROTRA NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1146 201721015

DAVE VIRALKUMAR ASHOKKUMAR

NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

54 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 55: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1147 201721016

SHANTI SWAROOP MOHARANA

NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1148 201721017

BIBIN BABY JOHN NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1149 201801001

ASHISH SHARMA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1150 201801002

MADDURI SRIRAM NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1151 201801003

POPAT JAYESH CHANDRESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1152 201801004

RATANPARA MAHIR YOGESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1153 201801005

KUSHAGRA PATHAK NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1154 201801006

SUVAGIYA RIDHAM RAJESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1155 201801008

SHAH ADITYA ARPIT NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1156 201801009

RAMANI NAYAN GOBARBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1157 201801010

SANKET JAIN NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1158 201801011

PRASHANTH VEJANDLA

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1159 201801012

DIVYANSH KHATRI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1160 201801013

PATEL NISARG HIMANSHUKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1161 201801014

MARGI HINGRAJIA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1162 201801015

SHANTANU TYAGI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1163 201801016

VISAJ NIRAV SHAH NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1164 201801017

KORADIA MITESH HITESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1165 201801018

MAHAVEER BOHRA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1166 201801019

ROHAN JASORIA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1167 201801020

KIRTAN HITESH DELWADIA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1168 201801021

DAVE PRAYUSH MANISH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1169 201801022

JOSHI HARSHIL MANISHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1170 201801023

ARIHANT PRATAP SINGH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

55 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 56: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1171 201801024

AKSHAY ASHVINBHAI MUNGALPARA

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1172 201801025

HEMANG SHRIMALI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1173 201801026

HARSHIL MANISH GANDHI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1174 201801027

JAGETIA NISHIT VASANTKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1175 201801028

AKSHYA GARG NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1176 201801029

MODI HARSH PARAG

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1177 201801030

NIKHIL DINESH MEHTA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1178 201801031

SRISHTI KALRA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1179 201801032

HEMANT JAIN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1180 201801033

DESAI MIHIR SHIRISH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1181 201801034

DEVANSHU ANAND VITHLANI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1182 201801035

THAKKAR VEDANT DIPENKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1183 201801036

SHAH VISHWA DHARMENDRA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1184 201801037

PUSHPANG SINGH RATHORE

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1185 201801038

CHIRAYU CHAPLOT NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1186 201801039

MAHI HARSHADBHAI PATEL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1187 201801040

CHAITANYA PATEL NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1188 201801041

AKARSH JAIN NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1189 201801042

GHAGHADA YASH JITESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1190 201801043

AGRAWAL ARCHIT RAKESHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1191 201801044

AGRAWAL MOHIT PANKAJBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1192 201801045

TANAYA ALPESHBHAI SHAH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1193 201801046

PATEL RAVI HITENDRABHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1194 201801047

BHAGYESH GANATRA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

56 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 57: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1195 201801048

AYUSH KRISHAN MOHAN

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1196 201801049

BADODARIYA DARSH BIPINBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1197 201801050

IYENGAR ANIRUDH VIJAY

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1198 201801051

AMIN PREET PRAKASH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1199 201801052

HITESH GOYAL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1200 201801053

AGRAWAL VATSAL DEVENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1201 201801054

TEJASWA ALIA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1202 201801055

KHATRI RAHUL NARAIN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1203 201801056

DHRUVIL BHATT NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1204 201801057

KHOKHAR AYAN ABBASALI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1205 201801058

SHUBHAM SHARMA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1206 201801059

MANAN JOSHI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1207 201801060

AAYUSH SAURIN DESAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1208 201801061

MEHTA ISHAN DARSHANKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1209 201801062

VYOM SARAF NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1210 201801063

SAMBHAV AGRAWAL

NA STUDENT 16 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1211 201801064

SHREYASH LADDHA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1212 201801065

NAMAN KHANDELWAL

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1213 201801066

KOUSHIK AGARWAL NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1214 201801067

AAKASH GOYAL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1215 201801068

TANU AGRAWAL NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1216 201801069

JILLA AMRUTHSAI NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1217 201801070

MAYANI HIREN SANJAYBHAI

NA STUDENT 16 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1218 201801071

ISHANG KUMAR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

57 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 58: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1219 201801072

RUSHIL BANGIA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1220 201801073

RISHI SHIVANI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1221 201801074

RITIK MALAVIYA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1222 201801075

AKASH KUMAR SINGH

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1223 201801076

NANDANI SHIVANI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1224 201801077

SHRUTI AGRAWAL NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1225 201801078

GUNANK GARG NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1226 201801079

YAMSANI ROHITH NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1227 201801080

SHUBHAM KUMAR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1228 201801081

KAPADIYA KAUSHAL GAUTAMBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1229 201801082

VINJORA BHAVYA HARESH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1230 201801083

NANAVATI SWAPNIL DIPANSHU

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1231 201801084

MAKWANA KETULKUMAR LALITKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1232 201801085

KAPADIYA ZEAL HARSHADKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1233 201801086

DIVYESH MANUBHAI ROHIT

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1234 201801087

RISHABH PRAVIN RATHOD

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1235 201801088

SOLANKI ABHISHEK PRIYAKANT

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1236 201801089

DIPANKAR SUGAT NIKESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1237 201801090

RISHABH MAKWANA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1238 201801091

TIPSI JADAV NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1239 201801092

SHAH ARPIT JAYESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1240 201801093

MANISH B CHOPRA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1241 201801094

SOLANKI OMKUMAR DHIRENBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1242 201801095

UDIT S MEENA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

58 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 59: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1243 201801096

RISHIRAJ MEENA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1244 201801097

VIVEK RAJ EKKA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1245 201801098

GOURAV DAMOR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1246 201801099

DEVANSHU CHICHOLIKAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1247 201801100

NUNAVATH SOUMYA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1248 201801101

AGRIM NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1249 201801102

ISHANI BANDYOPADHYAY

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1250 201801103

AADITI ROY NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1251 201801104

VANSHIKA KOCHHAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1252 201801105

JIYA KANUBHAI PATEL

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1253 201801106

PRIYAL SURESHBHAI RAJ

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1254 201801107

DESAI ISHA HITESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1255 201801108

ROHIN PRANIT NANAVATI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1256 201801109

RISHI SHARMA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1257 201801110

ANSH AGRAWAL NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1258 201801111

BODIWALA SHIVAM MILIND

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1259 201801112

UJAS THAKKAR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1260 201801113

RUTVIK DHAVALKUMAR SHAH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1261 201801114

SUDHANSHU MISHRA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1262 201801115

JIMIL DIPESHKUMAR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1263 201801116

HARSH ASHOK NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1264 201801117

URMIK MAKANI NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1265 201801118

SANAPAREDDY MANALI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1266 201801119

KHYATI VIPUL BHUVA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

59 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 60: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1267 201801120

KOTAK PAVAN BHAVESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1268 201801121

SINGH MANU AWADHESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1269 201801122

PRAJAPATI SMIT AMRUTKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1270 201801123

GAMI DHYEY KANTIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1271 201801124

MENDPARA NILAY ARVINDBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1272 201801125

MISTRY MILIN HEMANTKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1273 201801126

PATEL TIRTHKUMAR ATULKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1274 201801127

PATEL YASH ASHVINBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1275 201801128

KOTHARI ZENIL SAMIR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1276 201801129

MANGROLIYA HIREN GHANSHYAMBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1277 201801130

GOTI HARSHIL ARVINDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1278 201801131

SHAH YASH PARESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1279 201801132

PANCHAL DEVYANI KANAIYALAL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1280 201801133

SHAH JAY RUPESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1281 201801134

PATEL YASH ALPESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1282 201801135

HIRAPARA DHARMIN NILESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1283 201801136

VORA HARSH DIPAKBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1284 201801137

DHOLA VRUSHTI ARVINDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1285 201801138

TEJANI ROHIT GHANSHYAMBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1286 201801139

TANISHQA SUBHASH LALWANI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1287 201801140

KUNDNANI SUDARSHAN JAGDISHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1288 201801141

SHAH JAY NITINKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1289 201801142

PARIKH ACHAL RAKESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

60 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 61: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1290 201801143

MARKANA HARSHALKUMAR GIRISHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1291 201801144

VAGHELA DARSHAN RAJESHBHAI

NA STUDENT 16 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1292 201801145

KANSAGRA PARTHAV SHAILESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1293 201801146

PRAJAPATI DARSHANKUMAR PRAKASHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1294 201801147

GADHIYA KISHAN BHARATBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1295 201801148

PATEL UTSAV JAYESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1296 201801149

RUGHANI AKSHAR LALITBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1297 201801150

KATRODIYA PARTH ALPESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1298 201801151

CHAVDA DHRUV MAYURKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1299 201801152

DOSHI MIHIR CHETANBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1300 201801153

PATEL KIRANKUMAR MAHESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1301 201801154

RAJANI HARSH ASHOKBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1302 201801155

MEHTA SOHAM RAJESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1303 201801156

RAMOLIYA HIMANSHU RAJESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1304 201801157

THAKARAR KEVAL KAMLESHBHAI

NA STUDENT 16 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1305 201801158

NAKARANI HEMANG VALLABHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1306 201801159

JOSHI DIKSHEN RIPAL

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1307 201801160

TRIVEDI DAKSH BHARATKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1308 201801161

VERMA PALAK NARENDRAKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1309 201801162

GUJARATI VATSAL ALPESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1310 201801163

DHOLA SWAPNIL JITENDRABHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1311 201801164

BHATT PRAYAG PRASHANTBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

61 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 62: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1312 201801165

VAZIRANI DIVYA RAJESH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1313 201801166

PATEL RUSHI RAJESH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1314 201801167

SHAH DHANVI SWETAL

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1315 201801168

MODI PARAM JAGDISHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1316 201801169

SHAH ASTHA KIRANBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1317 201801170

PANDYA URVISH DILIPKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1318 201801171

JOSHI VED BHUPENDRAKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1319 201801172

PATEL JAINIT ROHITBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1320 201801173

MANGUKIYA ARSHIT DIPAKBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1321 201801174

JOSHI SHREYA RAJESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1322 201801175

SAKHIYA YAGNIK PRAVINBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1323 201801176

NAGHERA PARTH MERAMANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1324 201801177

DABHI AAKASHKUMAR LABHUBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1325 201801178

PATEL JANVI DASHARATHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1326 201801179

GONDALIYA MANN LALITBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1327 201801180

SHAH TULSI MITESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1328 201801181

PATEL HIMANSHUKUMAR PARESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1329 201801182

KHENI KEYUR ASHOKBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1330 201801183

DESAI RAJ JIGNESH NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1331 201801184

MALANI DEEP PRAKASH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1332 201801185

ASARI UTKARSH KILYON

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1333 201801186

MAULINA RAINA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1334 201801187

JASAPARA DHRUMIT NANDLAL

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

62 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 63: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1335 201801188

GUPTA CHIRAG DURGESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1336 201801189

SAVALIYA UMESH NARESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1337 201801190

MAKADIYA NEEL NARENDRABHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1338 201801191

MANGUKIYA SMIT RAMESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1339 201801192

NADPARA ANAND RAJNIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1340 201801193

PATEL PARITA HITESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1341 201801194

PARASKAR KUNJ JAYESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1342 201801195

PARMAR MEETBHAI MANUBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1343 201801196

CHAUHAN SIDDHARTH DINESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1344 201801197

VAGHELA YAGNIK MANOJKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1345 201801198

SHROFF JHANVI SANJAYKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1346 201801199

PARMAR KRUTIKKUMAR MAHESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1347 201801200

CHAUHAN PARESHKUMAR YASHVANTBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1348 201801201

MAKWANA PINANK NARSIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1349 201801202

DHRUV PRATHAM ISHWARBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1350 201801203

PATEL AYUSHI YOGESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1351 201801204

KATARIA ANANTKUMAR HARIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1352 201801205

RAMI RUTWA HITESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1353 201801207

BHUT VANDIT SHAMJIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1354 201801208

CHAUHAN PARTHRAJ ALKESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1355 201801209

CHAUHAN RAHUL BABUBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1356 201801210

VALA SKAND ARSIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

63 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 64: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1357 201801211

PARMAR PRATIKKUMAR NANJIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1358 201801212

PARAMAR AKASH AMRUTLAL

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1359 201801213

MAKWANA SHUBHAM BHAVESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1360 201801214

VAGHELA SHYAMKUMAR PARSOTTAMBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1361 201801215

PADHIAR ADITYA ROHIT

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1362 201801216

VAGHELA MAHARSHI ARVINDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1363 201801217

KHANDHARA JENIL NILANGBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1364 201801218

MODI ANIKET JAYESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1365 201801219

MODI VYOM RAJESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1366 201801220

DANGAR MIHIR RAJESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1367 201801221

JAKHOTRA MILANBHAI BHAGVANBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1368 201801222

KHANDAR MANISH DEVSHIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1369 201801223

HARNESHA MAYANK MAHESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1370 201801224

ZANZARUKIYA JIGAR HEMUBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1371 201801225

PATEL CHIRAGKUMAR SANJAYBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1372 201801226

LAKDAWALA RITIKA ANILKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1373 201801227

PANCHAL KRUTARTH BHAVESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1374 201801228

TANDEL VISMAY VINODBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1375 201801229

MISTRY SANKETKUMAR KIRANKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1376 201801230

ASMANI DHRUVIK CHETANKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1377 201801231

PARMAR MANISH DILIPBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

64 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 65: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1378 201801232

UMAT JEET BHARATSINH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1379 201801233

MAKWANA MANAN VISHALBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1380 201801234

PATEL NIPUNKUMAR RAJANIKANT

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1381 201801235

CHAUDHARY NISHTHA KUBERBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1382 201801236

SANGADA ASUTOSH DINESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1383 201801237

NISARG BHAMAT HARSHADBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1384 201801238

PATEL YASHANG HARSHADBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1385 201801239

VISAT SMIT NARAYANBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1386 201801240

NALVAYA UTKARSH NANJIBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1387 201801241

GAMIT JEETESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1388 201801242

PATEL PRIYA HARSHADBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1389 201801243

MAHLA RAJ RAMANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1390 201801244

PATEL SIDDHI DILIPBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1391 201801245

PATEL RICHA SUNILBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1392 201801246

DAMOR JEEL MAHESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1393 201801247

KHARADI ALAYKUMAR NARSINHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1394 201801248

TALAVIA YAKSH BHAVESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1395 201801249

UMAT YASHKUMAR NARESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1396 201801250

NAIK HARIT BHARATKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1397 201801251

TANISHQ NAGPAL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1398 201801252

SHAH RAHIL ASHISHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1399 201801253

ADITYA GOYAL NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

65 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 66: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1400 201801254

DADHANIA MEETKUMAR SANJAYBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1401 201801255

MADHAVENDRA PANKAJKUMAR CHOKSI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1402 201801256

VAGHASIYA HARSHAD MAN SUKHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1403 201801257

SANTOKI PARTHKUMAR NAVNITBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1404 201801258

GAJERA DEEP NALINKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1405 201801259

PATEL AAYUSH TEJASKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1406 201801260

VACHHANI DEVENKUMAR DINESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1407 201801261

PATEL PRITKUMAR DINESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1408 201801262

PAGHADAR HET KISHORBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1409 201801263

GODBOLE SHREEYA AJIT

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1410 201801264

SHAH KHUSHALI BHAVIN

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1411 201801401

DAVE BHRUGU AMITKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1412 201801402

DAVE BHARGAV RISHIKESH

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1413 201801403

SHAH NISHANT KETANKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1414 201801404

SMIT ANILBHAI KUMBHANI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1415 201801406

TALNIKAR SRINIVAS NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1416 201801407

PRATVI SHAH NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1417 201801408

ARKAPRABHA BANERJEE

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1418 201801409

HARDIK HARISHKUMAR MADHWANI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1419 201801410

RAJPARA RUSHI HARSHADBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1420 201801411

PATEL HARSH DIPAKKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1421 201801412

SANJAY NAIR NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

66 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 67: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1422 201801413

SAI RITHWIK M NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1423 201801414

AJAY K VALA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1424 201801415

PATEL MEET ARVINDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1425 201801416

KHIMANI MOHIL DEVAN

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1426 201801417

BHATIA KARAN ASHOK

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1427 201801418

TRIVEDI MAHAKSH KANHAIYALAL

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1428 201801419

SONI VRAJ JANAKKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1429 201801420

KASHYAP ANANY JAYANTKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1430 201801421

RAVURI VENKATA KIRAN

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1431 201801422

MEETKUMAR NATVARBHAI SALVI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1432 201801423

SHIV SHAILESH RAJ NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1433 201801424

SHROFF SHIVAM PRAKASH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1434 201801425

DEELIP SINGH NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1435 201801426

KARTAVI SHAH NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1436 201801427

RIDDHI ATUL TANNA NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1437 201801428

SHABBIR MURTAZA NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1438 201801429

PATEL KRUTARTHKUMAR MANISHKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1439 201801430

JIGARKUMAR DHARMENDRA MARVANIYA

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1440 201801431

MARMIK S PRAJAPATI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1441 201801432

PRAKHAR MAHESHWARI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1442 201801433

S SAKETH RAM NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1443 201801434

SHAH MEET JIGISHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1444 201801435

PATEL SARTHAK KIRTIKUMAR

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

67 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 68: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1445 201801436

PATEL VISHALKUMAR DILIPBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1446 201801437

BHAVSAR RAJ DIPAKKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1447 201801438

CHAUDHARY HIREN KIRANKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1448 201801439

DAVE NAMAN YAGNESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1449 201801440

PATIL TUSHAR RAOSAHEB

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1450 201801441

BHALODI MEET KISHORBHAI

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1451 201801442

THAKER DISHITA ASHISH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1452 201801443

PATEL DEEP SURESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1453 201801444

GANATRA BHAVYA HITESHKUMAR

NA STUDENT 16 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1454 201801445

BHATT ISHWA HETASKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1455 201801446

GOHIL RAJVIBA SHAILENDRASINH

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1456 201801447

BORAD ADHISH HIMMATBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1457 201801448

BHIMANI DHRUV BALABHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1458 201801449

GOTI DISHANT PRAVINBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1459 201801450

SONANI DEVAL ARVINDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1460 201801451

POPATIA AMAN ANAND

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1461 201801452

MACHHI JAYDEEP RAMANBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1462 201801453

PANCHAL PRATIK RAMESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1463 201801454

CHAUHAN JAYMIN MAGABHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1464 201801455

MAISURIYA VARSHITKUMAR BAKULBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1465 201801456

RATHOD MAHIRAJ GIRISHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1466 201801457

ZALA SHIVANGI TULSIBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1467 201801459

PANCHAL AAKASHKUMAR KAMLESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

68 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 69: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1468 201801460

DARJI JAYKUMAR DINESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1469 201801461

MAKWANA RAVI GIRISHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1470 201801462

RANA DARSHIL JITENDRAKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1471 201801463

PATEL PARTHIV MAHESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1472 201801464

BHOI PARTH MAHESHKUMAR

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1473 201801465

PATEL BHARGAV RAMESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1474 201801466

PARMAR SIDDHRAJ YOGESHBHAI

NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1475 201801467

NISARTA TIRTHRAJ VALUBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1476 201801468

KHARADI MEHULKUMAR ARVINDBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1477 201801469

SUDIKSHA THUSU NA STUDENT 18 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1478 201801470

MORADIYA SIDDHARTH ASHVINBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1479 201801471

MORADIYA SHIVAM JAYESHBHAI

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1480 201801472

KAMANI MITAL SHARDABEN

NA STUDENT 17 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1481 201811001

NANAVATI TILAK DIGANTKUMAR

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1482 201811002

NAIK KRISHNA KEYURBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1483 201811003

BHATT DHRUV KETANBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1484 201811004

PATEL PRINCE RAKESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1485 201811005

AYUSH MATHUR NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1486 201811006

SIDDHAPURA ABHIJIT KIRITBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1487 201811007

LANGHNODA POOJA RANCHHODBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1488 201811008

SHERASHIYA SHYAM PRANJIVANBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1489 201811009

PARIKH APURVA KETANBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1490 201811010

TANVI LAKKAD NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

69 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 70: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1491 201811011

HARSH SANJAYKUMAR DESAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1492 201811012

GAMI SHRADHAKUMARI JAYANTILAL

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1493 201811013

PATEL CHARMY BHARATBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1494 201811014

CHAVDA PARITA HEMENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1495 201811015

PRIYABRATA MISHRA

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1496 201811016

RITESH GUPTA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1497 201811017

BHAISAHEB SHABBIRHUSSAIN HAMID

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1498 201811018

METHANIYA DHRUVKUMAR BHARATKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1499 201811019

RAJUL ACHARYA NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1500 201811020

MUNGALPARA ANKITABEN BHARATBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1501 201811021

PRAVEEN KUMAR SINGH

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1502 201811022

SOHANI SHUBHAM NARESHCHANDRA

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1503 201811023

ANKUR KOSTA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1504 201811024

RAJAT KUMAR NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1505 201811025

BHATIA DIVYA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1506 201811026

PATIL KIRTIRAJ SAMADHAN

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1507 201811027

PATEL CHINTAN RAJESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1508 201811028

AMRUTIYA ADITYA SHANTILAL

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1509 201811029

PANDYA HIMADRI SHAILESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1510 201811030

SUTHAR SHUBHAM LALITKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1511 201811031

MAKDA TAHER MUSTFABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1512 201811032

RAJPURA DIVYESH GIRISHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

70 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 71: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1513 201811033

KAKADIYA ANKIT DINESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1514 201811034

PATEL PANKTI YOGESHCHANDRA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1515 201811035

NAIK PRACHI CHETANBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1516 201811036

SIVA SRAVANA KUMAR NEELI

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1517 201811037

LAHERI VISHAL BHARATKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1518 201811038

AJITA MISRA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1519 201811039

NEHA GARG NA STUDENT 34 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1520 201811040

ADITYA B MOHANTA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1521 201811041

KHENI DENISHKUMAR HIRABHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1522 201811042

MAYANK JHA NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1523 201811043

V V VINAY NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1524 201811044

SHAH ISHIT RAJIVKUMAR

NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1525 201811045

RAJAT SHARMA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1526 201811046

SHARMA ROHAN RAJESHKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1527 201811047

MEHTA NISHI RAJESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1528 201811048

MAULVI MOHAMMEDNADEEM GULAMMUSTUFA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1529 201811049

DAVE BHARGAV DEVEN

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1530 201811050

PATEL CHARIN PIYUSHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1531 201811051

ABHIMANYU SINGH BISHT

NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1532 201811052

KAPADIYA ASHIKKUMAR KISHORBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1533 201811053

ANWESHA DATTA NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1534 201811054

ATUL RAIZADA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1535 201811055

NAIMISHI GUPTA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

71 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 72: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1536 201811056

VAKHARIA HINAL AMITBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1537 201811057

SONI MAULIK SURESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1538 201811058

SADRANI RIYA DILIPBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1539 201811059

PATEL URMI BHIKHABHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1540 201811060

MAKWANA VIVEK HARESHBHAI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1541 201811061

INDRA KUMAR PATHAK

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1542 201811062

SHWETA SURESH NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1543 201811063

AKANSHA TYAGI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1544 201811064

ANUJ BAJPAI NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1545 201811065

AJAY THAKKAR NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1546 201811066

SHAH PUSHYA MAHESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1547 201811067

PUROHIT MIRALI VIRENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1548 201811068

PUROHIT SAURABH KUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1549 201811069

SUESHA GUPTA NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1550 201811070

SHUBHAM LATA NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1551 201811071

SOMPURA JIGAR PRAHLADBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1552 201811072

VAGHANI SHRUTI BHIMJIBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1553 201811073

DAVE RISHI MAULESHKUMAR

NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1554 201811074

KRATIKA VARSHNEY NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1555 201811075

MANMOHAN NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1556 201811076

RUCHI CHOURASIA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1557 201811077

NAITIK PAREKH NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1558 201811078

MARAKANA MEET RAJESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1559 201811079

CHHABLANI REENA MAHESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

72 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 73: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1560 201811080

MEHTA KAVISHA BHASMANG

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1561 201811081

CH SWARNLATA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1562 201811082

ADARSH SHIVHARE NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1563 201811083

SAPARA DHARA LAVKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1564 201811084

DIKSHA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1565 201811085

MANISH KUMAR NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1566 201811086

CHANDAN GAUTAM NA STUDENT 31 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1567 201812001

AKSHAY JAIN NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1568 201812002

AMAN KUMAR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1569 201812003

SHAH ROMIL HEMENDRA

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1570 201812004

GAJJAR ANIKET VINODBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1571 201812005

TRIVEDI SARTHAK VIPULKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1572 201812006

DESAI KHYATI RAJENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1573 201812007

HOTWANI PRATIBHA SUNIL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1574 201812008

RATHI JAYVIR YUDHISHTIR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1575 201812009

DEEPANSHU RAJPUT

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1576 201812010

MAKAWANA BRIJEN MAGANLAL

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1577 201812011

ASHITA PHULWANI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1578 201812012

KAPADIA RITU MAHESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1579 201812013

CHAWLA YOGESH NARAIN

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1580 201812014

MANGUKIYA PARTHKUMAR ARVINDBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1581 201812015

RUPERA KRUT YOGESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1582 201812016

JAIDEEP VIJAYAN WARRIER

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1583 201812017

GUPTA PRATIK PRAVINKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

73 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 74: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1584 201812018

AGRAWAL ARCHITA ASHOKKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1585 201812019

DEEP RAJESH GANDHI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1586 201812020

SHIVAM SAXENA NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1587 201812021

SHAH MALAV DEVANGBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1588 201812022

ZEEL JIGNESH MODI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1589 201812023

TANWANI MOHIT MURLIDHAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1590 201812024

NEETA KUMARI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1591 201812025

SONI PARTH JITENDRAKUNAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1592 201812026

BANSIKUMAR KANANI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1593 201812027

ABHISHEK SHARMA NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1594 201812028

GUNDECHA HARSH AMRITLAL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1595 201812029

PATEL AYUSH KHILANKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1596 201812030

PRIYA KUMARI NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1597 201812031

SHAH PALAK DAMODAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1598 201812032

DHAWAL MEHTA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1599 201812033

BHATT NIDHAN SUDHIR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1600 201812034

MODI DHRUMIL KALPESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1601 201812035

MEHTA KEVAL JAYESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1602 201812036

CHIRAG Y. CHATWANI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1603 201812037

SHAH ANERI BAKULESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1604 201812038

SHAH RUCHA JAGATKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1605 201812039

SHALINI PUROHIT NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1606 201812040

SHIVANI THAKKAR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1607 201812041

NIRAJ LAHORI NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

74 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 75: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1608 201812042

SHAH JAYSWEE NIRAJKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1609 201812043

KARTIK LAKHANI NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1610 201812044

BRIJ HITESHBHAI SHINGALA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1611 201812045

AGRAWAL KANIKA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1612 201812046

VADALIYA ALVISKUMAR DHIRAJLAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1613 201812047

ANKIT CHAWLA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1614 201812048

DAVE VATSAL MAULIKBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1615 201812049

VIRANI JINAL AAMBABHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1616 201812050

PRAJAPATI AKSHAY HITESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1617 201812051

DUDHANI PARITA GIRISHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1618 201812052

CHAUHAN DHWANI ASHOK KUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1619 201812053

RAHUL KHANCHANDANI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1620 201812054

CHAVDA RAJANBHAI KANTIBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1621 201812055

SHAH ROHAN DHANESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1622 201812056

BHAVSAR JAISHIL PRAFULKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1623 201812057

VAISHALI MANDOWARA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1624 201812058

SNEHA SINGH NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1625 201812059

GHAI SHIVAM RAKESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1626 201812060

SHAH SURAJ PARASBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1627 201812061

NEEL DHIRAJBHAI PRAJAPATI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1628 201812062

GAJIWALA MAHIMA NIRENKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1629 201812063

KAKKAD MEGHA SANJAYBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1630 201812064

SHAH JAINAM BHAVIKKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1631 201812065

TOLAT KHUSHBOO RAJESH

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

75 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 76: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1632 201812066

PATEL KIRAN BHARATBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1633 201812067

MUNDRA MEGHA KISHANGOPAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1634 201812068

THAKORE DHYEY RAVINKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1635 201812069

DEVVRAT PARASHAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1636 201812070

PRACHI KAPURBHAI JAIN

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1637 201812071

SHAH DHRUMIL DHARMENDRABHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1638 201812072

VYAS BHUMIL VIJAY NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1639 201812073

SHAH FENIL MANISHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1640 201812074

SHAH VIDISHA MANISHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1641 201812075

SHARMA AASTHA AJAY

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1642 201812076

KALAL KRUSHAL ROSHANBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1643 201812077

KSHATRIYA DHWANI PULINBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1644 201812078

VORA KARAN KIRANKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1645 201812079

AVKASH MANISH CHEVLI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1646 201812080

SALOMI EDWARD NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1647 201812081

SIDDHARTH MISHRA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1648 201812082

RICHA CHOPRA NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1649 201812083

UPASANA TRIVEDI NA STUDENT 23 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1650 201812084

PATIL DINESH MANIKCHAND

NA STUDENT 19 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1651 201812085

MEHTA YASH GAUTAMKUMAR

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1652 201812086

SHAH VRUSHTI MEHULBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1653 201812087

AVAIYA LALEET MAHESHBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1654 201812088

TANWANI VISHAL DHARMENDERBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1655 201812089

MAKWANA VIVEK PRATAPBHAI

NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

76 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 77: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1656 201812090

CHANCHAL SINGHAL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1657 201812091

DESAI SHIVANI MINESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1658 201812092

SAMNANI HARESH LAXMANDAS

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1659 201812093

SHAH MOHIT KALPESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1660 201812094

SHAH DEVARSHI BHARATBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1661 201812095

DAVE YASHVI BHARATBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1662 201812096

BADIYANI YASH GOPALBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1663 201812097

MEHTA ISHAN NIRENKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1664 201812098

SHAH URJIT RAJESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1665 201812099

DHINOJA MEERA SHASHIKANTBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1666 201812100

KOSHTI KRUPA PRAVINBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1667 201812101

SONI VISHWESH JIGNESHBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1668 201812102

SHAH RUTVI SWETALBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1669 201812103

MANDAPWALA TAHER SAMOIL

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1670 201812104

HAPANI SAVAN DILIPBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1671 201812105

SONIYA GOPALDAS VASYANI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1672 201812106

SHAH YASH HARESHKUMAR

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1673 201812107

HARSHI SHARMA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1674 201812108

VAIDYA VISHAL UDAYANBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1675 201812109

SUTARIYA BHAUTIK KANTILAL

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1676 201812110

DHWANI SAGAR NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1677 201812111

RIYA SHARMA NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1678 201812112

OJHA HARSHVARDHAN RAJKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1679 201812113

VAIDYA SONIYA RAJESHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

77 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra

Page 78: intranet.daiict.ac.inintranet.daiict.ac.in/~daiict_nt01/Announcement... · GROUP PERSONAL ACCIDENT SCHEDULE Corporate Office/Policy Issuing Office: Reliance General Insurance Co.

Schedule of Members covered attached to and forming part of Policy No 160231829140000070

SNo Emp Code

Name Nominee Grade Age Table A Table B

Table C Table D

Total Sum Insured

DateofJoining

Location Remarks

1680 201812114

MAHIMA KISHORBHAI BALDHA

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1681 201812115

PUJARA NAKSHI NARENDRABHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1682 201812116

BHATT VISHVAM DIPENBHAI

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1683 201812117

BHOOMI CHAPLOT NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1684 201812118

MANIYA DENISHKUMAR RAMJIBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1685 201812120

MEHTA DISHA YOGESHKUMAR

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1686 201812121

THAKKAR YOGESH JAGDISHBHAI

NA STUDENT 20 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1687 201814001

KANKESH KAK NA STUDENT 26 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1688 201814002

MOHIT NEGI NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1689 201814003

SHIVIKA SINGH NA STUDENT 22 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1690 201814004

PRATHAMESH VINAY SIDDHESH

NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1691 201814005

MILI VIPIN JAIN NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1692 201814006

PRANJALI BINWANI NA STUDENT 21 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1693 201821001

APRATIM DUTTA NA STUDENT 25 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1694 201821002

NABAGATA CHAUDHURY

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1695 201821003

HIMADRI JOSHI NA STUDENT 28 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1696 201821004

ALIK BANERJEE NA STUDENT 30 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1697 201821005

SOMANAND SARASWATI

NA STUDENT 24 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

1698 201821006

GURPREET SINGH BIMBRO

NA STUDENT 33 Yr 00 M

0 0 50000 0 50000 GANDHINAGAR

Grand Total 0 0 84900000 0 84900000

Reliance General Insurance Company Limited. IRDAI Registration No. 103. Registered Office: H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai 400710Corporate Office: Reliance Centre, 4th Floor, South Wing, Off. Western Express Highway, Santacruz (East), Mumbai - 400 055.Corporate Identity Number U66603MH2000PLC128300. UIN No. :IRDA/NL-HLT/RGI/P-P/V.I/320/13-14RGI/UW/CO/ 2914 /PS/VER. 1.0/310118

78 of 78

*Trade Logo displayed above belongs to Anil Dhirubhai Ambani Ventures Private Limited and used by Reliance General Insurance Company Limited under License.

An ISO 9001:2008 Certified Company

(Registered Office: Reliance General Insurance Co.Ltd., H Block, 1st Floor, Dhirubhai Ambani Knowledge City, Navi Mumbai - 400710), Maharashtra