[XLS] · Web viewBadri Nath Verma Smt. Amrawati Devi Subedar Yadav Smt. Nazra Khatoon Rambriksh Ram...

PRAROOP NO. 10 Details of Reported claims for the month

Name of Compan District Name AMBEDKAR NAGAR

PROGRESS MONTH June , 2017

S.No. Date of Accident Amount Dt. Of Payment Death/disability Remarks

1 Ram Naresh Smt. Badda DeviAmbedkar Nagar

19/09/2016500000

22.12.2016 DeathPAID

2 Mithai Lal Smt. Sunita 22/08/2016NIL NA

DeathREPUDIATED

accident prior to policy inception

3 Fateh Bahadur Smt. Pushpa Sharma 20/11/2016500000

5/1/2017 DeathPAID

4 Sri Ram Smt. Vimla Devi 11/2/2016500000

27/12/2016 DeathPAID

5 Lal Charan Yadav Smt. Rajmati 10/29/2016500000


6 Sonu Kumar Smt. Manbhavti 20/11/2016500000

5/1/2017 DeathPAID

7 Ved prakash srivastava Smt. Sandya Srivastava

29/10/16500000


8Ram Nayan Verma Smt. Sushila Devi

27/10/2016500000


9BABU RAM GAUR SMT. JADAWATA

19.9.2016500000

3/2/2017 DeathPAID

10Shripat Smt. Sunita

15/11/2016500000


11THAKUR PRASAD

09.10.2016500000

4/18/2017 DeathPAID

12DABLU SMT. ANITA Ambedkar Nagar

19.09.2016500000

20.01.17 DeathPAID

13VIJENDRA SMT. PRAMILA

27/10/2016500000

2/8/2017 DeathPAID

14JAI SINGH SMT. POONAM DEVI

23/09/2016500000


15ZAINUDDIN SMT. JAMILA KHATOON

27/10/2016500000


16SHIV DAS SMT. SHEELA

10/31/2016500000

8/2/2017 DeathPAID

17BAHONA MAYARAM

10/23/2016500000

2/8/2017 DeathPAID

18Ram Laut Arvind kumar

18/09/2016500000


19Sri Jiya Lal Smt. Prabhawati

4/11/2016500000


20Abdul Sajeed Shah SMT SAMEENA KHATOOAmbedkar Nagar

21/09/2016500000


NATIONAL INSURANCE COMPANY LIMITED

Name of Injured person

Name of Nominee/benficiary

Adress & Mobile no. of Nominee/beneficiary

STATUS ( PAID/REPUDIATE/UND

ER PROCESS) If repudiated reason of

repudiation with in 20 words

Poorabajgoti,po.Asharfpur,Ambedkarnagar,9198814658

Vill.-Pali Kalyanpur, Ambedkar Nagar 9935571539

Ram Nagar, Ambedkar Nagar 9792889610

Vill.-Sukharpara, Ambedkar Nagar 9984707626

Palal Kalyanpur, Ambedkar Nagar 8390265133

Vill-Kazi Patti, Ambedkar Nagar 9451208224

Samapur, Doyan, Ambedkar Nagar 8601442002

Kotwa, Jaitpur, Ambedkar Nagar 8932941934

Kajpura, PS-Sammanpur, Ambedkar Nagar 9369323126

SHYAMJI, LALJI & BHARATJI

Vill. & Post-Vimawal, Allapur, Ambedkar Nagar 8004033783

Vill.-Bevana, PO-Bevana, Teh.-Akbarpur, Ambedkar Nagar 8417890184

Vill.-Uchepur, Allapur, Ambedkar Nagar 9839295829

Vill.-Sanjarpur, Sikandarpur, Ambedkar Nagar 7897640816

Vill.-Bahorikpur, Akbarpur, Ambedkar Nagar 9721218884

Daudpur, Akbarpur, Ambedkar Nagar 991932515862, HUSSAINPUR, FARID PUR, KALAN THANDA,AMBEDKAR NAGAR, 9455546112

ASHRAFPUR, MAJHGAVAM, JALALPUR, 7460030209

21NIZAMUDDIN KAMROOL JAHAN Ambedkar Nagar

18/09/2016500000


22RAM UJJAGIR YADAV Sudama Devi

7/10/2016500000


23RAM DULAR KAMLA DEVI

9/10/2016500000


24RAM BHARAT VIDYA DEVI

18.10.2016500000


25Ajay Kumar BINDU BALA

05.11.2016500000


26Achchhe RAM kanti devi

22/10/2016500000


27Kapil Dev Choudhary ram rati devi

05.12.2016500000


28SUBHAWAN RANJAN DEVI AMBEDKAR NAGAR, 9984607792

03.11.16NIL

NA DEATH UNDER PROCESS

29RAVINDRA KUMAR DURGAWATI

01.12.16500000


30Malti Manbhawati Ambedkar Nagar,8390265133

20.11.16NIL NA

DeathREPUDIATED

31Ram Kumar Ram Shiromani

25.09.16500000


32Vishwnath Tewari Amit Kumar Ambedkar Nagar,9648193886

21.11.16NIL NA

DeathREPUDIATED not hof

33Ram Milan Dhanraji Ambedkar Nagar,9670703415

05.11.16NIL NA

DeathREPUDIATED natural death

34MITHAI LAL SHANTI DEVI

03.11.2016500000

2/23/2017 DeathPAID

35RAM KEDAR TALUKA DEVI

29.10.2016500000


36Anwar Ali HAZRUL NISHA

16.11.2016500000


37VIRENDER SANJU Gadhawa, Ambedkar Nagar, 9005448014 16.10.2016 NIL NA

DeathREPUDIATED

38HAMID ALI RUKSANA 08.11.2016 NIL NA

DeathREPUDIATED NATURAL DEATH

39SHIV NARAIN VIDYA VATI

09.11.2016500000

2/3/2017 DeathPAID

40Balram Singh Shiv Kumar Singh 11/12/2016 NIL NA

DeathREPUDIATED

41Vinay Kumar Hari Om Pathak 20/11/16 NIL NA

DeathREPUDIATED

42Kumari Parshuram 11/12/2016 NIL NA

DeathREPUDIATED

43Phekoo Ramdas Ambedkar Nagar, 9795318253

17.11.16NIL NA

DeathREPUDIATED

44Shakuntala Devi Shiv Sagar Pathak 20.11.2016 NIL NA

DeathREPUDIATED Over age ( As per ADHAR 75 Yrs)

45Ram Janam Savita Devi Ambedkar Nagar,7571021219

15.12.16500000


46 Vimla Devi Shree Krashna 11.12.16NIL NA

DeathREPUDIATED

47Maya Devi

Ram SwaroopAmbedkar Nagar,9451419101

20.12.16NIL NA

DeathREPUDIATED not hof

POST GAURA, MAUMAD PUR, ASHRAFPUR, AMBEDKAR NAGAR , 9621833580VILLAGE HUSSAINPUR, MUSALMAN PO SAHJANA, AMBEDKARNAGAR ,9415182430

BABAHAN PUR, RAM NAGAR, ALAPUR , AMBEDKAR NAGAR, 78007760766

DAHIYABAD, SURAPUR, ALIGANJ, AMBEDKAR NAGAR, 9919587618

VILLAGE VISHESH PUR, PRATAP PUR, AMBEDKAR NAGAR , 9839864837VILLAGE PITRI , SAIDPUR, POST BALLIABADI, SHAHPUR, AMBEDKAR NAGAR, 9652852582

SURHURPUR, MALIPUR, JALALPUR, AMBEDKAR NAGAR, 8948591053

VILLAGE JAIDPUR KHAS, THE. BITTI, Ambedkar Nagar,8874845745

KAJPURA, HAJPURA, SAMMANPUR, AMBEDKAR NAGAR 7237878052

VILL.-JALALPUR, CHANDPUR, AMBEDKAR NAGAR 8726626581

VILL.-PAHARPUR, DADWA, AMBEDKAR NAGAR 9670399664

No Khatoni, No BPL card & No Income Ceartificate

MEHRUA BAGH , MEHRUA, AMBEDKARNAGAR 9838277912

Marthuya Saraiya, Ahrauli, Ambedkar Nagar 9838124002

Vill , Ghurhupur , Raje Sultanpur , Ambedkar nagar , 9005732086


Ahlade, Muslim , Jagdishpur , Ambedkar Nagar, 7379057952


Ghruhupur , Shaidpur , Ambedkar Nagar , 9415393913


Ahlade, Muslim , Jagdishpur , Ambedkar Nagar, 9795304004

Ambedkar Nagar,7705935864,8563072923

48Rohit Pandey

Kaushalawati 12/4/2016500000

3/23/2017 DeathPAID

49Rana Singh

Anupama Singh 12/19/2016500000

3/23/2017 DeathPAID

50Ram Bhujarat

Dharmendra KumarAmbedkar Nagar

12/9/2016500000

05.05.17 DeathPAID

51Bharthari Shabbu Devi, 984812949Ambedkar Nagar

06.01.17500000

17.04.17 DeathPAID

52Sachidanand Bindrawati, 737951204Ambedkar Nagar

12.02.17500000

17.04.17 DeathPAID

53Ramdas Sahani Cheedi Ambedkar Nagar,8795690588

07.01.17NIL NA

DeathREPUDIATED

54Harish Kumar Singh Preeti Singh, 94549559 Ambedkar Nagar

21/22.12.16500000

17.04.17 DeathPAID

55Parashuram Pal Om Prakash Pal, 983968AMBEDKAR NAGAR

04.01.17NIL


56Shobha Ram Lalli, 9919017850 Ambedkar Nagar

30.12.16500000

05.05.17 DeathPAID

57Subrat Ali Sayma Khatoon, 998452Ambedkar Nagar

02.01.17500000

05.05.17 DeathPAID

58Tihuri Gulabi 28.11.16 NIL NA

DeathREPUDIATED PMR , PM and panchnama as unknown

59Kunj Bihari Sushma Verma, 9935118AMBEDKAR NAGAR

07.12.16NIL

NA DEATH REPUDIATED

60Buddhu urf Buddhiram Asha Devi AMBEDKAR NAGAR, 9793361561

20.12.16NIL


61Jagdish Ram Kumari, 979525867

14.02.17500000

03.05.17 DeathPAID

62Premlata Ravi Kumar 24.01.17 NIL NA

DeathREPUDIATED not hof …( husband is hof )

63Mohd Rafique Mohd Shabbir

18.02.17NIL

NA DEATH REPUDIATED Over age ( 74 Years)

64SANT KUMAR SINGH

REKHA SINGHAMBEDKAR NAGAR

09.03.2017500000

18.05.2017 DEATH PAID

65SURYA PRAKASH

SHRI MATI 28.02.2017500000

01.05.17 DeathPAID

66shiv prasad

kalawati devi 30.01.2017500000

29.04.17 DeathPAID

67Khushiram Gyanmati Devi AMBEDKAR NAGAR, 8808753709

06.02.1750000


68Shree Ram Amrawati Devi AMBEDKAR NAGAR, 7317439071

01.03.17500000

27/05/2017 DEATH PAID

69CHANDRAMAN

SANGEETAAMBEDKAR NAGAR

24.01.2017NIL


70Chandra shekhar

Sangeeta 12.02.2017NIL

NA DEATH REPUDIATED natural death ( Death due to illness)

71JANT RAM

ANITA DEVIAMBEDKAR NAGAR

18.01.2017NIL


72Smt Neesha AMBEDKAR NAGAR,8726975085

05.03.2017NIL


73SRI NAND LAL SINGH SRI SANTOSH KUMAR AMBEDKAR NAGAR, 8175865496

04.02.2017NIL


74Shobha Ram Lalli 30.12.16 500000

5/5/2017 DeathPAID

Vill.-Tikari, PO-Dharamganj, Bheeti, Ambedkar Nagar 8419845742

Vill.-Lojhara, Bheeti, Ambedkar Nagar 7376596582

VILL BANDIPUR P.S. JAITPUR , AMBEDKAR NAGAR , 9628286722

not covered as per terms and confditions .No katauni…incomce certificate after 45 days

Kanjahapur, Akbarpur, Ambedkar Nagar 9795258678

VILL KADNAPUR , PS AKBARPUR , AMBEDKAR NAGAR , 9454883005Vill. Surhur Pur ,Teh. Jalalpur, AMBEDKAR NAGAR, 7607998485

Tiwaripur, Ahrauli, Ambedkar Nagar 8400582200

Vill.-Singhpur, Post-Senra Nasirpur, Ambedkar Nagar 8932974177

Vill. Bhawanipur,Umri,Po.Sutharpara, AMBEDKAR NAGAR,9450047815

SRI AJAY KUMAR

Gram Harni,Lakhanpur,Ambedkar Nagar,9919017850

75Subrat Ali Sayma Khatoon 02.01.17 500000

5/5/2017 DeathPAID

76 HAUSILA PRASAD BADAMA DEVI AMBEDKARANAGAR 7/1/2017 500000 23/05/2017 DEATH PAID

77SURYA PRAKASH Mamta Devi 12.02.17 NIL NA

DEATHREPUDIATED

78Shiv Nath Basmati AMBEDKAR NAGAR 08.01.17

DEATHUNDER PROCESS

79Dev Narain Bhanmati Devi AMBEDKAR NAGAR, 9838812233 19.02.17

DEATHUNDER PROCESS

80Vinay Kumar Pathak Hari Om Pathak AMBEDKAR NAGAR, 7379057952 20.11.16

DEATHUNDER PROCESS

81Panna Lal Kalawati AMBEDKAR NAGAR 26.10.16

DEATHUNDER PROCESS

82Kaushal Kishore Sushila AMBEDKAR NAGAR, 9956589374 09.04.17

DEATHUNDER PROCESS

83Ajeet Verma Malti AMBEDKAR NAGAR 17.02.17

DEATHUNDER PROCESS

84Trilok Nath Soni Meena AMBEDKAR NAGAR 20.02.2017 05.06.2017

DEATHPAID

85Shyam Lal Pankaj Kumar Yadav AMBEDKAR NAGAR, 8420281190 03.01.17

DEATHUNDER PROCESS

86Nanhe Lal Sahauna AMBEDKAR NAGAR, 7084764707 29.03.17

DEATHUNDER PROCESS

87Awadesh Kumar Kiran AMBEDKAR NAGAR, 7275914574 14.04.17 01.07.2017

DEATHPAID

88Britanti Ram Harish AMBEDKAR NAGAR, 7704842545 18.03.17

DEATHUNDER PROCESS

89SIYA RAM YADAV raj kumari AMBEDKAR NAGAR 19.04.17 500000 13.06.2017

DEATHPAID

90VIPIN KUMAR MAURYA RAJARAM MAURYA AMBEDKAR NAGAR 11.02.17 UNDER PROCESS

91SHIVAM ALIA RAVI SHANTI DEVI AMBEDKAR NAGAR 23.11.16 UNDER PROCESS

92NAND LAL SANTOSH KUMAR AMBEDKAR NAGAR 04.02.17 UNDER PROCESS

93Shobha wati Shailender Yadav AMBEDKAR NAGAR 17.03.17 NIL NA

DEATHREPUDIATED not HOF….HUSBAND was HOF

Behskari Tehsil Tanda,Ambedkar Nagar,9984528826

Vill. Mahuwari,PS Ibrahim pur, AMBEDKAR NAGAR,7233811870 no katauni …noBPL/income certificate of

deceased available.


Name of Company

District Name AZAMGARH Jun-17

S.No.

Date of Accident Amount Dt. Of Payment Remarks

1

Harendra Kumar Smt. Urmila Devi

Karanpur,Chandesar,Azamgarh

9/29/2016 NIL NA Death REPUDIATED

NOT HOF ( Father is HOF)

2 VINOD GUPTA GEETA DEVI AZAMGARH

09.10.2016 500000 9/3/2017 Death PAID

3 SHANKAR YADAV SMT. KALAWATI AZAMGARHAZAMGARH 17/10/2016

NIL NA Death REPUDIATED

OVERAGE ( More than 70 years)

4 RAJ NAYAN SINGH Smt Kalawati Devi AZAMGARH

23.09.2016 500000 1/20/2017 Death PAID

5 JANARDHAN SMT. BEILLI DEVI AZAMGARH

7/11/2016 500000 2/3/2017 Death PAID

6 Shiv Prasad Smt. Dhanpati AzAMGARH

10/9/2016 500000 1/27/2017 Death PAID

7 Sanjay Kumar Jaiswal Smt. Nisha Jaiswal AZAMGARH 9/29/2016


8 Ram Surat Singh Smt. Geeta Singh AZAMGARH

10/18/2016 500000 27/01/2017 Death PAID

9 Arvind Kumar Mishra Smt. Pushpa MishraAZAMGARH 11/19/2016


10 Shailesh Yadav Smt. Sadhna Devi AZAMGARH 11/20/2016


11 Lakhendra Smt. Urmila Devi AZAMGARH 11/19/2016



NATIONAL INSURANCE COMPANY LIMITED

Name of Injured person


Distt.


Death/disability

STATUS (PAID/REPUDIATE/UNDER

PROCESS) If repudiated reason of repudiation with

in 20 words Azamgarh

KATGHAR, LALGANJ, AZAMGARH 9236996008

VILL. & POST-BHAGATPUR, TEH.-BUDANPUR, AZAMGARH 9450365101

Gram-Birnaiya, Teh.-Mehnagar Tarava, AZAMGARH 9839269791

VILL. & POST-LOHRA, TEH.-BUDANPUR, AZAMGARH

Matloobpur , Atraulia , Buranpur , Azamgarh, 9795476881

As pr Panchnama deceased was alcholic person.

Deodati Patti, AZAMGARH, 9936084045

Balpur , Sarai Paltu , Lalganj , AZAMGARH. 7800450768

NO KATAUNI/NO BPLCARD/ NO INCOME PROOF

Sirsal Mohammadpur Nizamabad , Azamgarh, 8924994683

NEITHER KATAUNI NR BPL…NO INCOME CERTIFICATE

Pachkhora, Sagri, Azamgarh.7618989319

12 Shiv Pujan Suresh AZAMGARH 9/28/2016



13 Prem Sagar Smt. Pramila Devi AZAMGARHAZAMGARH

11/12/2016 500000 27.06.2017 Death PAID

14 Ram Naval Smt. SHAKUNTALA DEVIAZAMGARH 11/20/2016


15 Lojhari Rajbhar Smt. Mukha Devi AZAMGARH 11/21/2016


16 Harendra Singh Smt. Asha Singh AZAMGARH 16.12.2016

500000 Death PAID PAID

17 Vinod Kumar Singh Smt. Anju Singh AZAMGARH

10/4/2016 500000 10/2/2017 Death PAID

18 Surya Dev Smt. Shivrati AZAMGARH

10/11/2016 500000 10/2/2017 Death PAID

19 Karan Dev Smt. Basanti Devi AZAMGARH

10/5/2016 500000 15/02/2017 Death PAID

20 Ram Nayan Smt. Samlavati DeviAZAMGARH

10/13/2016 500000 10/2/2017 Death PAID

21 BAIJNATH KAMLA DEVI 10/18/2016

500000 02.03.17 Death PAID

22 RAMSAKAL CHINTA DEVI 10/28/2016

500000 18.04.17 Death PAID

23 BASU DEV PARVATI 11/30/2016

500000 08.03.17 Death PAID

24 DHANAUTI HARI RAM/ KANHAIYA 10/20/2016



25 BEKARU RAM BASMATI AZAMGARH

9/19/2016 UNDER PROCESS

26 SUBHAWATI RAMSUDHAR AZAMGARH



Imeliya , jeeyanpur , Sagri , Azamgarh , 9889915029

Sirsal Mohammadpur Nizamabad , Azamgarh, 7566018985

NO KATAUNI/NO BPLCARD/ NO INCOME PROOF .AS PER CLAIMIANT STATEMENT INCOME 10000/- PM

VILL MOKALPUR , TARVAN , AZAMGARH,9415522154

NO KATAUNI/NO BPLCARD/ NO INCOME PROOF

Gram Pipri,BUDANPUR,AZAMGARH,9415500663

MARHAT, POST-PAVAI, AZAMGARH 9984859008

VILL.-HARKHORI, AZAMGARH 7619971386

JAMUKHA, ABIRPUR, MEHNZAPUR, AZAMGARH 7800167067

RAHBARPUR, NIJAMABAD, AZAMGARH 8090952784

AZAMGARHVILL. BITHUA VIKASH KHAND TEKMA TE. LALGANJ,8916965051

AZAMGARHVILL. SIKHULA PARGANA ATRAULIA T. BURAN PUR ,9616966510

AZAMGARHVILL. MAHADEV PUR PO. SEN PUR DIST. AZAMGARH,9792177924

AZAMGARHIsmailpur , Goriya, Bilriyaganj , Sagari , Azamgarh, 8004397724

AZAMGARH

AZAMGARH

27 SUSHILA MUNNI LAL 12/16/2016


28 TARAK NATH GIRI TARAK NATH GIRI 23-12-2016

NIL NA DISABILITY REPUDIATED

29 Shree Rampal Bal Govind AZAMGARH

10/3/2016 500000 2/3/2017 Death PAID

30 Ramesh Yadav Smt. Pramila Devi AZAMGARH

11/11/2016 500000 15/02/2017 Death PAID

31 Gulab Vishwakarma SMT. RITA DEVI AZAMGARH

11/20/2016 500000 15/02/2017 Death PAID

32 Chandra Bhan Singh Sonmati Devi AZAMGARH

10/10/2016 500000 2/3/2017 Death PAID

33 VINOD SAVITA AZAMGARH


34 MAHENDER VARIOUS AZAMGARH


Not HOF Brother is HOF

35 RAMBALI PTD (SELF) AZAMGARH


36 CHANDR SHEKHER SANT RAJI DEVI 11/6/2016


37 RAMESH PRAMILA AZAMGARH

11/20/2016 NIL UNDER PROCESS

38 FAUJDAR YADAV INTLESH DEVI

11/12/2016 500000 21/02/2017 Death PAID

39 SURAJ SHASHI BALA 11/14/2016


NOT HOF ( mother is HOF)

40 RAJENDER YADAV CHANDRAMA

11/20/2016 500000 21/02/2017 Death PAID

41 ARTI VARIOUS 10/26/2016



AZAMGARHJalalpur Kothwa , buhanpur , Azamgarh 9646521902

NO KATAUNI…NO BPL…NO INCOME CERTIFICATE….NOT HOF ALSO ( Husband HOF)

AZAMGARH

VILL DEORIA, POST TAHAR , VAZIDPUR , BUDHANPUR DISTT AZAGARH,8800262254

DISABILITY CASE …..claim of right eye ….no proper proof of accident.

BILLARI LAKHANPUR, AZAMGARH 7860057608

PATTI BHIKARI, POST-BANGAON, THE.-LALGANJ, AZAMGARH 9598785315

ARARA, THE.-MARJINGANJ, AZAMGARH 9161328605

MOHAMMADPUR, SAGRI, AZAMGARH 9454632901

AZAMGARH

DEATH DURING ILLNESS….NOT PAYABLE

AZAMGARH

AZAMGARH

AZAMGARHKUKURI UR post Sathiav, Sadar Azamgarh, 9451117861

Not hof, Mother IS HOF, deceased was Student

AZAMGARH

AZAMGARHVill.-Girdharpur, Devgaon, AZAMGARH 8090436241

AZAMGARHRampur , jameen Palhan , kubakhas Azamgarh, 9919120419

AZAMGARHKANKBHAR, BHIMVAN, AZAMGARH 9129858637

AZAMGARHVILL PILKHUWAN , MEHNAGAR , AZAMGARH , 9918288289

42 SHESH NATH SHASHI BALA AZAMGARH


43 CHANDRA PRAKASH ASHA SINGH 10/14/2016


Sucide case

44 JOKHAN PARAMSHEELA 11/13/2016

500000 02.03.17 Death PAID

45 RAMESH KUMAR MUNITA AZAMGARH


46 SANGAM YADAV RAM PRASAD 12/10/2016


47 ARIZ AHMAD TABASSUM 10/15/2016

500000 02.03.17 Death PAID

48 BEER BAHADUR SINGH BEENA

11/3/2016 500000 21/02/2017 Death PAID

49 RAM JANAM VARIOUS 11/25/2016

500000 08.03.17 Death PAID

50 MUNNAR RAJNATH

10/18/2016 500000 21/02/2017 Death PAID

51 KUSAR RAZIA/KAMLI 10/18/2016


OVER AGE ( 74 years)

52 NAGESHWAR NIRMALA 12/12/2016


53 ALOK KUMAR PONAM 12/12/2016


54 RAM ASHISH REETA DEVI AZAMGARH


55 SURAJ RAMESH MADHUKAR AZAMGARH


NOT HOF

56 DALSINGAR CHAMPA 12/13/2016

500000 02.03.17 Death PAID

AZAMGARH

AZAMGARHvill Pura Achanak (Sehnupur Nizamabad , Azamgarh

AZAMGARHVILL. BASTI PO. SARAI MEER TE. NIZAMABAD,7388507878

AZAMGARH

AZAMGARHVILL Kerenhua , Maharajpur , Azamgarh, 8564934601

NO KATAUNI..NO BPL…NO INCOME CERTIFICATE ,Not HOF ( Father is HOF)

AZAMGARHVILL. SIDHARI BABUWAN TE. SADAR,8896114212

AZAMGARHCHIKIDEEH, SITHONA, AZAMGARH 9930307759

AZAMGARHVILL. BARWA. PO. MEHNAJPUR DIST AZAMGARH,811533702

AZAMGARH

GRAM-NONIPUR, POST-RAMPUR, KATHRAVA, MEHNAZPUR, AZAMGARH 9670551433

AZAMGARHVILL PAKDI KALA , THANA TARWAN , LALGANJ , AZAMGARH 7379533002

AZAMGARHAavdah, Khas Sarawa, Lalganj , Azamgarh, 8795700194

NO KATAUNI..NO BPL..NO INCOME CERTIFICATE

AZAMGARHVILL AVDAH , KHAS , SARAVAN , LALGANJ , AZAMGARH,9559150844

NO KATAUNI…NO BPL…NO INCOME CERTIFICATE

AZAMGARH

AZAMGARH

AZAMGARH

VILL. ARAZI KANETHA PO. FARIUDDINPUR TE. NIZAMABAD,8009313178

57 LAHRU GUDDI

10/29/2016 500000 21/02/2017 Death PAID

58 RAM PHAL ASHA

12/10/2016 500000 3/3/2017 Death PAID

59 THAKUR PRASAD MANBHAWTI AZAMGARH

10/23/2016 Death UNDER PROCESS

60 SANJAY SINGH BITTAN SINGH

12/10/2016 500000 3/3/2017 Death PAID

61 LAL MAN SURA 12/10/2016

NIL NA Death REPUDIATED OVERAGE ( More than 70 years)

62 AWDHESH SINGH URMILA

12/10/2016 500000 3/3/2017 Death PAID

63 SUNIL VIDHYA DEVI 11/1/2016


NOT HOF (mother is HOF)

64 GULAB SUMAN AZAMGARH

9/26/2016 NIL NA Death REPUDIATED NATURAL DEATH

65 BABLU GULZARI

9/26/2016 500000 3/3/2017 Death PAID

66 DAYARAM SUMAN DEVI 10/29/2016

500000 02.03.17 Death PAID

67 VIRENDRA KUMAR MATHILI RANI 11/19/2016

500000 02.03.17 Death PAID

68 BIRBAL GAUTAM DEVI

11/20/2016 3/3/2017 Death PAID

69 LALLAN USHA DEVI

12/16/2016 500000 4/7/2017 Death PAID

70 SUNIL YADAV SUMAN DEVI AZAMGARH


71 HARI URF HARISH CHAND ASHA DEVI

11/12/2016 500000 16.02.17 Death PAID

AZAMGARHKUTIA TAHBARPUR, NIZAMABAD, AZAMGARH 7084885977

AZAMGARHFATUHI, MARTINGANJ, AZAMGARH 9956699713

AZAMGARH

AZAMGARHVILL.-KAHROLI, MARTINGANJ, AZAMGARH 9984725902

AZAMGARHKohrauli , Pichora , Bardah. Martinganj , Azamgarh 9757395600

AZAMGARHKOHRALI, MARTINGANJ, AZAMGARH 8948450759

AZAMGARHVill,Manshirpur,Disstt. Azamgarh,70668742478

AZAMGARH

AZAMGARHBHELA KHAS, THEKMA, LALGANJ, AZAMGARH 9648313546

AZAMGARHVILL. OHNI TE. NIZAMABAD DIST. AZAMGARH,9598402317

AZAMGARHVILL. SURAI PO. FARIA TE. NIZAMABAD,7068675588

AZAMGARHGANGAPUR KAZI, NIJAMABAD, AZAMGARH 9621814862

AZAMGARHMalik Sudni, Gujarpur, Mubarakpur, AZAMGARH 9935118968

AZAMGARH

AZAMGARHVILL. TAMMARPUR PO. THEKMA DIST. AZAMGARH,9506015146

72 PATIRAM MOHAN YADAV KAMSHIYANA DEVI

10/29/2016 500000 16.02.17 Death PAID

73 RADHEY SHYAM PANDEY SHAKUNTALA DEVI AZAMGARH


NOT PAYABLE SUICIDE CASE

74 VINOD KUMAR DUBEY REETA DUBEY 10/10/2016

500000 02.03.17 Death PAID

75 AMIT KUMAR SINGH AYODHYA SINGH 27.10.2016


76 AZAMGARH


not entitled under the scheme

77 HARI LAL GULICHA DEVI 11/17/2016


OVERAGE ( 74 years)

78 VIRENDRA YADAV SHANTI DEVI 11/21/2016


deceased is a homeguard

79 RUDAL YADAV SHILA AZAMGARH


80 KHALEEL KAMRUL NISHA

AZAMGARH 18.12.2016 500000 9/3/2017 Death PAID

81 SHARVAN KUMAR KIRAN


82 CHANDRESH MUNNI

AZAMGARHAZAMGARH 24.10.2016 NIL NA Death REPUDIATED

83 GOVIND CHAHUAN SMT. JYOTI

AZAMGARH

04.10.2016


84 Ram Avadh

Baieli Devi AZAMGARHAZAMGARH 11/18/2016 500000 20.06.2017 Death PAID

85 Balchand

Chandrika AZAMGARH 11/11/2016 500000 3/23/2017 Death PAID

86 Radhey Shyam Sharma

Shanti Devi AZAMGARHAZAMGARH 12/2/2016 UNDER PROCESS

AZAMGARHVILL. LACHERA PO. MEHMONI DISTT. AZAMGARH,9005005819

AZAMGARH

AZAMGARHVILL. PADDU PUR VIKASH KHAND TARWA TE. MEHNAGAR,9452083127

AZAMGARHRampur Mubarakpatti , Post Bankat Azamgarh, 9452330900

NO BPL…NO Katauni…No income certificate ,Not HOF( Father is HOF)

KAMLESH URF KAMLA YADAV

REETA URF KAUSHALYA DEVI

AZAMGARH

AZAMGARH

VILL Rasoolpur , @ paseepur , , Vikas Khand ,Koyalsa , Budhanpur , Azamgarh , 8738016975

AZAMGARHVill Pahijan , Rampur , Ahiraula , Distt Azamgarh 9616288417

AZAMGARH

KHALILABAD, RANI KI SARAI, AZAMGARH 8737004953

BADHALGANJ, AZAMGARH 9451084446

NOT HOF query for HOF/ bread earner….status of elder brother…affidavit notorised issue…fir etc. in punjabi

Vill.Sheikhpura,Distt.Azamgarh,9451727707

ADHAR CARD, BANK PASSBOOK, DEATH CERTIFICATE REQUIRED ….NOT INTERESTED

VILL.-SINGAH, POST-GAMBIRPUR, TEH.-NIJAMABAD, AZAMGARH 9598075708

87 Indrasan Chaurasiya

Gayatri Devi AZAMGARH 1/15/2017 500000 3/23/2017 Death PAID

88 Rajesh

Ramsheela AZAMGARH 11/9/2016 500000 3/23/2017 Death PAID

89 Ram Briksh

Samrajee AZAMGARH 11/22/2016 500000 3/23/2017 Death PAID

90 RAJ NARAIN

SMT. KALAWATI

AZAMGARH

17.11.2016 500000 4/7/2017 Death PAID

91 JITENDER

smt. Rinkala

AZAMGARH

09.12.2016 500000 4/7/2017 Death PAID

92 Harender

AMLA WATI AZAMGARH

16.12.2016

5/5/2017 Death Death PAID

93 DUNMUN

CHANDRAKA DEVI AZAMGARHAZAMGARH 13.10.2016 500000 18/05/2017 Death PAID

94 BAHAU NISHAD

JAGWANTI AZAMGARHAZAMGARH 16.11.2016 500000 20.06.2017 Death PAID

95 SANJAY CHAHUAN

SUBHAWATI DEVI AZAMGARH

26.01.2017


96 MOHD SOHAL

NASRA BANO AZAMGARH 27.09.2016 500000 5/3/2017 Death PAID

97 SHYAM NARAYAN PRAJAPA

SUBHA WATI DEVI AZAMGARHSafipur,lalganj,azamgarh,8423237488

29.12.2016


98 SURESH

VIDYA DEVI AZAMGARH 25.10.2016 500000 4/18/2017 Death PAID

99 RAM KARAN

self AZAMGARHAZAMGARH 18.11.2016 Death UNDER PROCESS

100 BABLU

PRAMILA AZAMGARH

25.12.2016


101 Pramod Kumar Rai

Reeta Rai

AZAMGARH

25.12.16 500000 4/12/2017 Death PAID

DAKINGABA, POST-MAHUL, TEH.-PHOOLPUR, AZAMGARH 9598906929

DASANVAL, POST-KALAFATPUR, TEH.-PHOOLPUR, AZAMGARH 7839708097

KOTHIA, POST-RANI KI SARAI, AZAMGARH 9415558933

ZAMEENDASNAO, ATRAULIYA, AZAMGARH 9654495402

BISHUNPUR URF MAHARAJGANJ, GANDHI NAGAR, SANGDI, AZAMGARH 9807386409

Gram Pipri,BUDANPUR,AZAMGARH,9415500663

mahavatgarh, mundanpur , jeeyanpur , sagari Azamgarh, 9118181092

NOT HOF(,unmarried,Elder brother is HOF)

SHEIKHPUR, DILARIYAGANJ, AZAMGARH 9918502515

No Khatoni, No BPL Card, No Income Cert.

VILL. & POST-NOBRAAR, DEVARA, AZAMGARH 9119847136

Vill. Mubarakpur,Teh.Busanpur,Azamgarh,8576801933 No Khatoni, No BPL Card, No

Income Cert.

BASAI JARMEJPUR, TAHBARPUR, SADAR, AZAMGARH 9695691033

102 Harish Chandra

Mewati Devi

AZAMGARH

23.09.16 500000 4/12/2017 Death PAID

103 Sudhakar Singh

Durgawati Devi

Azamgarh

17.12.16 500000 4/12/2017 Death PAID

104 Faujdar

Kalawati Devi AZAMGARH 25.12.16 500000 4/18/2017 Death PAID

105 RAM BAHADUR

KAMLA DEVI AZAMGARH 13.01.2017 500000 18.04.17 Death PAID

106 RAM UJJAGIR

PRABHA WATI AZAMGARH 21.01.2017 500000 18.04.17 Death PAID

107 CHANDER SHEKHAR

REKHA AZAMGARH 24.12.2016 500000 20.04.17 Death PAID

108 RAM SHER YADAV

JUDIYA DEVI AZAMGARH 18.12.2016 500000 18.04.17 Death PAID

109 RAJ BALI YADAV

SUSHILA DEVI AZAMGARH 12.11.2016 500000 28.04.17 Death PAID

110 AJIT SINGH

PRIMBADA AZAMGARH 26.01.2017 500000 18.04.17 Death PAID

111 SUSHIL SHARMA

RAM ADIN SHARMAAZAMGARHAZAMGARH 16.01.2017 NIL NA Death REPUDIATED NOT ELIGIBLE

112 MADHURI DEVI

RAM PRASAD PRAJAPATIAZAMGARHAZAMGARH 23.01.2017 NIL NA Death REPUDIATED NOT HOF

113 SHER BAHADUR RAJBHAR

PURAN RAJBHAR AZAMGARHAZAMGARH 15.12.2016 NIL NA Death REPUDIATED NOT COVERED

114 JAIPRAKASH

SEEMA AZAMGARHAZAMGARH 18.11.2016 NIL NA Death REPUDIATED NOT COVERED

115 DHARMENDER GAUR

DHINANATH AZAMGARHAZAMGARH 28.12.2016 NIL NA Death REPUDIATED

116 RADHIKA DEVI

DHOODNATH RAJBHARAZAMGARHAZAMGARH 19.12.2016 NIL NA Death REPUDIATED NOT HOF

Naithi, Mohammadabad, Sadar, AZAMGARH 9616354347

Ahirauli, Bhagwat, Azamgarh 7052565781

ROHUYA, MUSTAFABAD, LAJGANJ, AZAMGARH 7054256626

VILL. KANTAL PUR ATRAULIA TE. BURANPUR ,8874496174

VILL. CHAK JUJHARI PO. AMBARI TE. PHULPUR,9838902205

VILL. KHARCHAL PUR, PARGANA / THE.NIZAMABAD,9044863060

VILL. BADDUPUR TE. SADAR TH. KOTWALI,8774747420

VILL. KOTWA PO. TAMULI THANA RANI KI SARAI T. SADAR,8774747420

JAMIL PUR PO. PITTHAURPUR TE. MEHNAGAR,9450717142

117 RAKESH KR. SINGH

ANITA SINGH

AZAMGARH

22.01.2017 500000 4/18/2017 Death PAID

118 Satish Jadhav Urf Shyama

SAVITA MAURYA AZAMGARHAZAMGARH 16.12.2016 Death UNDER PROCESS

119 MAHENDRA

SHARDA YADAV AZAMGARH 28.01.2017 500000 5/1/2017 Death PAID

120 RANJEET YADAV

SUBHAJEET YADAV AZAMGARH

26.02.2017

NIL NA Death REPUDIATED NOT HOF

121 REENA DEVI

MANOJ KUMAR AZAMGARH

31.12.2016


122 KAUSHLYA DEVI

KAMLESH YADAV AZAMGARHAZAMGARH 24.9.2016 Death UNDER PROCESS

123 JIYA LAL

DURGA PRASAD AZAMGARHAZAMGARH 3.2.2017 NIL NA Death REPUDIATED

Natural death due to illness

124 FEERU CHAUHAN

VIJAY CHAUHAN AZAMGARH

25.12.16

500000 5/5/2017 Death PAID

125 BANSI

RADHA AZAMGARHAZAMGARH 17.11.2016 NIL NA Death REPUDIATED

Sucide case

126 GANAI

RAM NIWAS AZAMGARH 31.12.2016 500000 5/1/2017 Death PAID

127 MOOLOORA

BACCHE LAL

AZAMGARH

29.12.2016 500000 5/1/2017 Death PAID

128 DHARAM DEEN

BANSADAI

AZAMGARH

24.12.2016 500000 4/29/2017 Death PAID

129 SANT RAM

SHEELA DEVI

AZAMGARHAZAMGARH

09.1.2017 Death UNDER PROCESS

130 GANESH UPADYAY

MANJU UPADYAYA

AZAMGARH

30.1.2017 500000 5/3/2017 Death PAID

131 AMARNATH

KAMLI DEVI

AZAMGARH

24.1.2017 500000 5/3/2017 Death PAID

BAHLOLPUR, MEHNAJPUR, LALGANJ, AZAMGARH 9792688995

VILL.-MADDUPUR, POST-MAHRAJPUR, SADAR, AZAMGARH 9936213550

KENAILA , DEVERAPATTI, BUDHANPUR , AZAMGARH, 9450339860

KARNEHUA, MAHARAJPUR , KANDHARAPUR SADAR , AZAMGARH, 9795432253

IDILPUR,VIKAS KHAND, JAHANAGANJ,AZAMGARH,8400345873

VILL.-MAHUVARA KHURD, POST-PUSHP NAGAR, AZAMGARH 9554501847

VILL.-DUHURU, POST-NIHULA, TEH.-DVGAON, AZAMGARH 9984445877

BELKUNDA, POST- BAIJAWADI, AZAMGARH 9452223159

VILL. & POST-RAMGARH, TEH.-SANGRI, AZAMGARH 7046974376

VILL. & POST-HARAIYA, TEH.-SANGADI, AZAMGARH 8004031229

132 JITENDER SINGH

SUNDIRI SINGH

AZAMGARHAZAMGARH

20.11.2016 500000 08.06.2017 Death PAID

133 DAYA RAM

SHAKUNTALA DEVI

AZAMGARHAZAMGARH


134 SUBASH

KUMARI

AZAMGARH

25.12.2016 500000 4/29/2017 Death PAID

135 SHAMBU NATH

JAGAT AMBA

AZAMGARH

05.1.2017 NIL NA Death REPUDIATED natural death and overage

136 RAM CHANDER

INDRASANI AZAMGARH 15.11.2016 500000 4/29/2017 Death PAID

137 MOOL CHANDRA RAM

SUNITA DEVI AZAMGARH 13.03.17 500000 5/5/2017 Death PAID

138 CHANDERBALI SINGH

PRABHAWATI DEVIAZAMGARH 10.12.2016 500000 03.05.2017 Death PAID

139 hans raj urf hansu Various, 7054553500


140 Shree Nath

Sheetla Pati,7887053764 AZAMGARH

25.03.17

500000 29.06.2017

PAID

141 Sahnawaj Various,

AZAMGARH 9838818106

06.03.17


142 Shiv Bachan Yadav Kamla Devi, 9455350653

AZAMGARH

18.03.17

500000 16.06.2017

paid

143 Hari Ram Yadav Thakur Devi, 9554334665

AZAMGARH

12.02.17 UNDER PROCESS

144 Ram Milan Lalti,

AZAMGARH

25.02.17

29.06.2017

PAID

145 Sambhu Agra Vijay, 9119953646

AZAMGARH

24.01.17

29.06.2017

PAID

146 Natwar Seema, 8933807945

AZAMGARH

22.03.17 UNDER PROCESS

VILL.-DHARNIPUR BISHYA, THANA-GAMBIRPUR, AZAMGARH 9125716840

Vill. Shadipur,Pargana Bela,Teh.Martinganj,Azamgarh,9628752082

VILL.-TARONDI, POST-TIKAPUR, TEH.-SADAR, AZAMGARH 9454272310

GRAM GOPALPUR,MEHNAGANJ, AZAMGARH,7388458865

VILL. & POST-MAHULA, TEH.-SANGADI, AZAMGARH 9455350264

Narve,MARTINGANJ,AZAMGARH,9454767272

147 Geeta Singh Mamta UpadhyayVarious, 7054553500AZAMGARH, 9839693045 06.03.17


148 Vimal Upadhyay Usha UpadhyayMamta Upadhyay, 9839693045AZAMGARH, 8004343434 04.02.17

16.06.2017

paid

149 Gopal Ji Bhular ChauhanUsha Upadhyay, 8004343434AZAMGARH,, 9138702597 24.03.17

16.06.2017

paid

150 Ram Samujh Various Bhular Chauhan, 9138702597AZAMGARH, 9621116389 08.01.17

29.06.2017

PAID

151 Gajraj Sharda Devi, Various, 9621116389AZAMGARH,7860222978 21.03.17


152 Jiut Rasmila, Sharda Devi, 7860222978AZAMGARH,8874987738 07.03.17 UNDER PROCESS

153 Yogendra Kusum Rasmila, 8874987738AZAMGARH, 12.01.17


154 Vinod Geeta, KusumAZAMGARH,9899467586 09.02.17 UNDER PROCESS

155 Virendra Dubey Shanti Devi, Geeta, 9899467586AZAMGARH, 8853724379 03.02.17 UNDER PROCESS

156 Lalji Chauhan Talimunnisha, Shanti Devi, 8853724379AZAMGARH,9838306708 06.04.17 UNDER PROCESS

157 Sarfuddin Sumaila Naz, Talimunnisha, 9838306708AZAMGARH,8960573121 28.02.17


158 Mohd Arif Rajkumari, Sumaila Naz, 8960573121AZAMGARH, 9451864518 06.03.17 UNDER PROCESS

159 Sarvajeet Radhika, Rajkumari, 9451864518AZAMGARH,8896035694 14.03.17 paid

160 Deep Chand Various, Radhika, 8896035694AZAMGARH, 8574300643 23.03.17 UNDER PROCESS

161 Ram Sevak Chanma Devi, Various, 8574300643AZAMGARH, 9794647979 19.02.17 UNDER PROCESS

162 Indra Dev Yadav Ragini, Chanma Devi, 9794647979AZAMGARH,7380795694 31.01.17


163 Amarjeet Shashi, Ragini, 7380795694AZAMGARH,9450501056 29.01.17

500000 29.06.2017

PAID

164 Om Roop Urmila Devi, Shashi, 9450501056AZAMGARH,8853485768 02.01.17 UNDER PROCESS

165 Shiv Chand Various, Urmila Devi, 8853485768AZAMGARH, 9059627553 06.03.17

500000 16.06.2017

paid

166 Ram Lakhan kailash Ch. YadavVarious, 9059627553AZAMGARH, 06.03.17 UNDER PROCESS

167 Lokesh Kund Durgawanti kailash Ch. YadavAZAMGARH,

08.12.16 NIL NA Death REPUDIATED

168 Prahlad

Azamgarh

DurgawantiAZAMGARH,


169 khajanti sitapati devi,

AZAMGARH,9453715877

09.04.2017

500000 18.05.2017

paid

170 MANOJ KUMAR GUPTA Smt. Reeeta

AZAMGARH,

06.02.2017

500000 08.06.2017

paid

NOT ACCIDENTAL DEATH…DIED DUE TO COLD


Name of Company NATIONAL INSURANCE COMPANY LIMITED District Name BALLIA

Progress month June , 2017

S.No. Name of Injured person Name of Nominee/benficiary Date of Accident Amount Dt. Of Payment Death/disability Remarks

1 Shiv Kumar Singh Smt. Bindu Singh ### 10/17/2016 500000 26/12/2016 DEATH PAID

2 Ram Awadh Prasad Smt. Kunti Devi ### 10/28/2016 500000 3/2/2017 DEATH PAID

3 Brijendra Pratap Thakur Smt. Sangeeta Devi ###Daulatpur, Ballia 9648206349 17/09/2016 500000 5/1/2017 DEATH PAID

4 Sadhu Bind Smt. Geeta Devi ###Jagdishpur,Ballia,9889970120 11/16/2016 NIL NA Death REPUDIATED NO EXTERNAL INJURY / ALCHOLIC

5 Ram Avtar Yadav Smt. Chanda Devi ###Rampur Mahabaar, Ballia 7506093026 10/16/2016 500000 10/1/2017 DEATH PAID

6 Wasid Kuraishi Smt. Madina Khatoon ###Premchak,Mauza,Ballia 9/28/2016 NIL NA Death REPUDIATED NOT HOF ( Father is HOF)

7 Kailash Ram Harikesh Kumar ### 10/1/2016 500000 10/1/2017 DEATH PAID

8 Rajesh Kumar Mrs. Jyoti Devi ###Rampur,Chit,Ballia 08/09-10-16 NIL NA Death REPUDIATED

9 Kumari Payal Mahendra Ram ###Vill. Pakdi,Ballia, 9/25/2016 NIL NA Death REPUDIATED UNDER AGE / 13 YRS

10 Afsaque Mohd. Mazhar ### 10/11/2016 NIL NA Death REPUDIATED

11 Ramashish Gaur Smt. Chandrawati ###Chhitwara, Ballia 8004991929 9/18/2016 500000 15/02/2017 DEATH PAID

12 Lal Muni Devi Ramayan ###Vill. Kaitholi,Ballia,9453019198 17/11/2016 NIL NA Death REPUDIATED NOT HOF( husband is HOF)

13 Amit Kumar Smt. Sharda Devi ###Chootki Narhi,Ballia, 8808815855 23/09/2016 NIL NA Death REPUDIATED NOT HOF ( father is HOF)

14 Heeraman Kanojiya Smt. Ranjana Devi ###Ballia 20/11/2016 NIL NA Death REPUDIATED

15 Soni Devi Ramnarayan Paswan ###Nagwakhas,Ballia,8565803066 12/9/2016 NIL NA Death REPUDIATED

16 Vimla Devi Vinod Sahani ###Shivpur,Diar,Ballia,7052071789 4/10/2016 NIL NA Death REPUDIATED

17 Vidyanand Smt. Urmila Devi ###Jamua Sawaru Bandh,7398481714 22/10/2016 NIL NA Death REPUDIATED

File no.


STATUS (PAID/REPUDIATE/U

NDER PROCESS) If repudiated reason of repudiation with

in 20 words

Gram-Patohi, Belthara Road, Ballia 9415064226

Arya Nagar, Phephna, Ballia 9434502058

Vaina, Post-Phepna, Ballia 7084467624

NO EXTERNAL INJURY SEEN AS PER PMR/ EX ARMY MAN / COVERED UNDER ANOTHER GPA POLICY / ASKED THE INVESTIGATOR TO PROVIDE POLICY COPY

Baheri Block,Hanumanganj,Kotwali,Ballia,9807980735

NOT HOF…deceased was unmarried and his father was HOF

QUERY FROM INVESTIGATOR ABOUT BPL CARD ….online BPL card required …..SDM certificate for 5000/- with BPLAccident Prior to inception of policy ( DOA 12.09.2016)

Not HOF/Not bread earner (Husband is HOF)no katuni/samjawadi pension/bpl…INCOME CERTIFICATE AFTER DEATH…..ration card required …..investigator to confirm income proof.

18 Brijnath rajbhar Smt Kalawati Devi ###kotwari , rasda , ballia, 9792296796 1/12/2016 NIL NA Death REPUDIATED

19 Chandra Bhan Chauhan Smt. Ekami Devi ### 14/10/2016 500000 20/01/2017 DEATH PAID

20 Bal Mohan Pal Smt. Urmila Devi ###Arman Thotta, Ballia 9005915676 11/11/2016 500000 10/1/2017 DEATH PAID

21 Dhananjaya Pandey Smt. Madhuri Devi ###Rasoolpur, Rasda, Ballia 7068367341 16/10/2016 500000 05.01.2017 DEATH PAID

22 Shyam Dev Yadav Smt. Shanti Devi ###Sultanpur Palani, Ballia 9838624285 27/09/2016 500000 10/1/2017 DEATH PAID

23 Ramjeet Gopi Chand ### 1/11/2016 NIL NA Death REPUDIATED

24 Sugya devi bhabhuti yadav Ballia 15.10.2016 500000 22.12.2016 DEATH PAID

25 SUKATH VERMA MUTUR VERMA ### 3/10/2016 NIL NA Death REPUDIATED

26 Sanjay Singh Smt. Malti Devi ### 11/16/2016 NIL NA Death REPUDIATED

27 Ramdev Sharma Smt. Ramrati Devi ### 9/21/2016 NIL NA Death REPUDIATED OVERAGE…

28 Kedar Kharwar Smt. Janki Devi ### 10/9/2016 NIL NA Death REPUDIATED Over age ( 76 YRS )

29 Bhimshankar Prasad Smt. Amrawati Devi ### 9/18/2016 500000 25/02/2017 DEATH PAID

30 Chandrabhan Yadav Smt. Reshmi Devi ### 12/2/2016 500000 21/02/2017 Death PAID

31 Bechu Ram Smt. Chandrawati Devi ###Banthra Khurd,Chandauli,7881121271 10/23/2016 NIL NA Death REPUDIATED

32 Suresh Singh Sanjay Kumar Singh ### 28/09/2016 NIL NA Death REPUDIATED NEITHER HOF NOR BREAD EARNER

33 Madan Yadav Smt. Kusum Devi ### 11/10/2016 500000 8/2/2017 DEATH PAID

34 Fuleshwari Devi Suresh Yadav ###Rasda,Ballia,7860208986 4/11/2016 NIL NA Death REPUDIATED NOT HOF( Husband is HOF)

35 Suggan Smt. Gayatri Devi ### 10/12/2016 500000 15/02/2017 DEATH PAID

36 Gulab Paswan Smt. Kusum Devi ###Sultanpur Basdih, Ballia 8726989079 10/19/2016 500000 10/2/2017 DEATH PAID

37 Devi Dayal Maurya Smt. Kaushlaya Devi ###Ballia 15.09.2016 500000 05.06.2017 DEATH PAID

38 Kailash Yadav Smt. Radhika Devi ### 9/20/2016 500000 2/10/2017 DEATH PAID

39 MADAN SHAH SMT. SHARDA DEVI BALLIA, 8896111550 16.9.2016 500000 02.03.17 DEATH PAID

40 RAMDEO CHAUHAN RAMDEO CHAUHAN BALLIA 8.10.2016 NIL NA Death REPUDIATED NATURAL DEATH

41 SUKATH YADAV Kamla Devi BALLIA,9918445193 06.10.2016 500000 02.03.17 DEATH PAID

42 KAMLESH SMT.VIDYAWATI BALLIA,9919891557 30.11.2016 500000 02.03.17 DEATH PAID

NOMINEE ISSUE MOTHER IS CLAIMING INSTEAD OF WIFE / RATION CARD/PARIVAR REQISTER REQUIRED ……..WIFE STATEMENT NOT AVAILABLE IN FILEPachrukha, Gaighat, Rewati, Ballia

9919100432

Narayanpur , Rasoolpur , Rasda. Ballia, 9532517497

not HOF/not bread earner/No Khatauni( Father is HOF)

Bada Gaon , Basdih Maniyar , Ballia, 8858811681

NOT HOF....NOR BREAD EARNER ( elder brother HOF)

Bharkhara Basdih , Sukhpura Ballia, 9473738467

MENTAL CASE ( Wife has also given the statemet)

Chotki Soriya , Basbih, Ballia 9889893860

Sonbarsa kharhatar , Gadwar , Ballia, 7398980881

Vill-Gaighat, Basdih, Ballia 9830818003

Sikandarapur, Barwa, Ballia 9453819678

DECEASED WAS RETIRED FROM GOVT. SCHOOL AS PEON. ( No Khatauni/No BPL/No Income Certificate)Mujahna/

Ramnagar,Pharenda,Maharajganj,8736915411Vikrampur Dakshin, Basdih, Ballia 7310110465

Karni Radhauli, Dubhaw, Ballia 9648229143

Jamau Gopalpur, Kotwali, Ballia 8528939137

43 BIRJU SMT.SEEMA DEVI BALLIA 22.11.2016 500000 02.03.17 DEATH PAID

44 SANJAY KUMAR SINGH SMT.URMILA DEVI BALLIA,8858285737 08.10.2016 500000 02.03.17 DEATH PAID

45 DEVMATI DEVI SUNIL KUMAR BHARTI BALLIA 07.10.2016 NIL NA Death REPUDIATED

46 GOPAL SMT.VIMLA DEVI BALLIA,8416926268 06.10.2016 500000 02.03.17 DEATH PAID

47 HARERAM UPADHYAY SMT.MANJU DEVI BALLIA, 8813063114 12.11.2016 500000 17.04.2017 DEATH PAID

48 HARERAM PRAJAPATI SMT. SHIV KUMARI DEVI BALLIA,9984508086 05.10.2016 500000 02.03.17 DEATH PAID

49 GULAB RASHMI DEVI BALLIA,9919376249 03.11.2016 500000 02.03.17 DEATH PAID

50 CHHOTE LAL THAKUR SMT. SUNITA DEVI BALLIA 26.11.2016 500000 02.03.17 DEATH PAID

51 MUNIB SMT.CHANDRAWATI BALLIA,9415806573 25.10.2016 500000 02.03.17 DEATH PAID

52 GANESH YADAV SMT. MUNNI DEVI BALLIA,9918427024 29.11.2016 500000 02.03.17 DEATH PAID

53 TEJU SMT. RADHIKA DEVI BALLIA,9601598025 25.12.2016 500000 02.03.17 DEATH PAID

54 BHAGWAN YADAV SMT.MANJU DEVI BALLIA,8318249656 23.10.2016 500000 02.03.17 DEATH PAID

55 ANAND JI SMT.TARA DEVI BALLIA 21.11.2016 500000 17.04.2017 DEATH PAID

56 SUGREEV PRASAD SMT. BASANTI DEVI BALLIA,9984297629 20.11.2016 500000 02.03.17 DEATH PAID

57 MEENA DEVI MOTI LAL VERMA BALLIA 23.11.2016 NIL NA Death REPUDIATED NOT HOF….husband is hof

58 SRINIWAS THAKUR SMT. RAMLA DEVI BALLIA,9984516144 09.11.2016 500000 02.03.2017 DEATH PAID

59 ARVIND SMT. MANWATI DEVI BALLIA 18.10.2016 NIL NA Death REPUDIATED NOT HOF

60 Shiv Kumar Miss Neha ### 10/4/2016 NIL NA Death REPUDIATED

61 Radhika Devi Miss Neha ### 10/4/2016 NIL NA Death REPUDIATED

62 Vishwakarma Asha Devi, 7068859642,7800786172, Ballia 10.12.16 APPROVED

63 Shree Nath Yadav Radhika Devi, 9170229539 Ballia 26.11.16 UNDER PROCESS

64 MUSH RAM MUTRI DEVI ###Saraya Dubhagat, Ballia 9984145737 21.09.2016 500000 25/02/2017 DEATH PAID

65 Balli Dradhika Devi, 9795255359 Ballia 08.12.16 UNDER PROCESS

66 Ankit Kumar Rai Rinki, 9453569872 Ballia 11.11.16 UNDER PROCESS

67 Neme Dhari Deepak Devi, 8858034012 Ballia 11.01.17 500000 12.06.2017 DEATH PAID

Nehar Kathwa , turn , Nonhara , Ghazipur , 7270559705

Not HOF...Nor BPL Card Holder... Nor Income Cert.

Shivpur , Diyar , New Basti , Ballia , 7270559705

Not HOF...Nor BPL Card Holder... Nor Income Cert.

68 SUDHIR KUMAR BHARTI SMT. BABY DEVI ###BALLIA 07.10.2016 500000 13/05/2017 DEATH PAID

69 Chhote Lal Hewanti Devi Ballia 09.11.16 Death APPROVED

70 NEETU BHARTI GIRANI DEVI ### 07.11.2016 NIL NA Death REPUDIATED Under age, Student , Age is 16 Yrs

71 NEELU SINGH SMT. TARA DEVI ( Mother) ###BALLIA 20.11.2016 NIL NA Death REPUDIATED ….NOT HOF

72 HARENDER KHARWAR SMT. TARA DEVI ###Tarva GADWAR, BALLIA, 9918529217 NOT DISCLOSED NIL NA Death REPUDIATED

73 Ravindra Chauhan Smt Manju Devi Ballia 05.01.2017 50000 08.06.2017 DEATH PAID

74 Shiv Kumar Singgh Urmila Devi Ballia,8299210700 23.11.2016 500000 17.04.17 DEATH PAID

75 Rajesh Kumar Jyoti Devi Ballia, 8948940080 10.10.2016 NIL NA Death REPUDIATED 30.03.2017

76 Ram Avtar Yadav Chanda Devi,9807636564 Ballia 16.10.2016 UNDER PROCESS

77 Kanhaiya Yadav Shanker Dayal Ballia,8896427903 13.12.16 500000 17.04.17 DEATH PAID

78 Dhanjay Kumar Rawat Mankiya Devi Ballia,7408371394 09.01.17 NIL NA Death REPUDIATED NOT ELIGIBLE UNDER THE SCHEME

79 Awdesh Kumar Tiwari Baijanti Devi, 9874028764 Ballia 22.11.16 UNDER PROCESS

80 Shree Krishna Yadav Shanti Devi, 9721592463 Ballia 16.12.16 UNDER PROCESS

81 Purnwasi Ram Prabhawati Devi Ballia,7800986076 27.01.17 500000 17.04.17 DEATH PAID

82 Manoj Kumar Singh Meena Singh, 7565990534 Ballia 08.12.16 UNDER PROCESS

83 Ganesh Sharma Sangeeta Devi ###Ballia,8382089192 23.12.16 50000 23.05.2017 DEATH PAID

84 Garju Chaudhari Rakhiya Devi ###Vil. Post Dumaria,Ballia,7234981309 26.12.16 NIL NA Death REPUDIATED overage and natural death

85 Jai Prakash Bashmati Devi ### 17.12.16 500000 5/5/2017 DEATH PAID

86 Nageena Manaki Devi ### 12.12.16 500000 19.04.2017 DEATH paid

87 Shambhu Nath Kharwar Rekha Devi ### 06.02.17 NIL NA Death REPUDIATED

88 Krishnanand Tiwari alias Ve Shempu Devi ###Ballia 14.10.16 500000 08.06.2017 DEATH PAID

89 Ranjeet Kumar Gupta Kajal Devi ###Pandeypur, Ballia 8932977182 23.01.17 500000 19.04.2017 DEATH paid

90 Dhananjay Singh Prabhawati Devi ### Ballia,9415032842 16.10.16 NIL NA Death REPUDIATED ….NOT HOF

91 Mannu Sahani Gudiya Devi ### 02.12.16 500000 19.04.2017 DEATH paid

92 Rajdeo Chaudhari Devanti Devi ###Ballia, 7084078461 17.01.17 NIL NA Death REPUDIATED

Sahiya (HaldiRampur ) , Belthara , Bazar , Ubhav , Ballia , 9936937142

NO KATAUNI…NO BPL..NO INCOME CERTIFICATE

133,NAVNAGAR,Ballia,UP-22177, 9838789697

VPO Duha Vihar, Sikandarpur, Ballia 9838789697

Vill. Duhijan,Post and Teh.Bansdeeh,Ballia ,9984880774

date of birth tempered in parivar register…no external injury

Bheekhpur Takarsan, Ballia 7236903470


93 Ajeet Chauhan Rajwati Devi ###Ballia, 9889531507 06.01.17 NIL NA Death REPUDIATED

94 Ram Nakshatra Munni Devi, 9559184552 Ballia 29.12.16 UNDER PROCESS

95 Jay Nath urf Jai Narain Shanti Devi Ballia, 9084937341 07.01.17 500000 23/05/2017 DEATH PAID

96 Dhirendra Pratap Singh Kusum Singh ###Ballia, 9452842528 24.02.17 500000 13/05/2017 DEATH PAID

97 Bechu Chauhan Sangita Devi ###Ballia, 9648607037 12.01.17 500000 13/05/2017 DEATH PAID

98 Nand Kishore Gupta Maya Kumari ###Ballia,Gauri, nanhul,9818568498 05.12.16 500000 5/5/2017 DEATH PAID

99 Surya Nath Yadav Parwati Devi, 9616431868 ###Ballia 10.02.17 DEATH UNDER PROCESS

100 Santosh Saraswati Devi, 9839681887 ###Ballia 14.01.17 DEATH UNDER PROCESS

101 Ram Pravesh Runia Devi, 9919009316 ###Ballia 31.10.16 500000 05.05.2017 DEATH PAID

102 Haridwar Prasad Fula Devi Ballia, 9538932540 28.01.17 500000 18/05/2017 DEATH PAID

103 Raj Kumar Verma Sonakshi, 8858902666 Ballia 21.01.17 DEATH UNDER PROCESS

104 Hansh Raj Prabhawati Devi, 9415470268 Ballia 17.01.17 DEATH UNDER PROCESS

105 LATE SUDESHWAR YADAV Ballia 16.02.2017 15.06.2017 DEATH PAID

106 LATE AKHILESH RAI SMT REENA RAI (WIFE),9415883916 Ballia 07.10.2016 DEATH UNDER PROCESS

107 LATE RADHA KISHAN GIRI VIKAS GIRI (SON),9565604046 Ballia 20.03.2017 16.06.2017 DEATH PAID

108 VINOD BABITA DEVI BALLIA 7/2/2017 500000 23/05/2017 DEATH PAID

109SATYENDER KUMAR SINGH KUSUM SINGH

07.2.2017 BALLA07.02.2017

DEATH UNDER PROCESS

110RAVINDER KUMAR BHARTI NEETU SINGH

20.12.2016 BALLA20.12.2016

DEATH APPROVED

111SHRI RAM YADAV ASHUTOSH YADAV

12.02.2017 BALLA11.2.2017

DEATH UNDER PROCESS

112BHUPENDER GIRI RAMJEET GIRI

03/04-01.17 BALLA03.1.2017

DEATH UNDER PROCESS

113DUKKHI SAHANI SUBHAWATI DEVI

08.1.17 BALLA08.1.17

DEATH UNDER PROCESS

114SHAHRUKH KHAN RAZIA PARVEEN

08.12.16 BALLA08.12.16

DEATH UNDER PROCESS

115VISHAL SINGH VIMALA SINGH

28.1.17 BALLA28.1.17

DEATH UNDER PROCESS

116SANJIT PATIL SHIV MANGAL PATER

28.1.17 BALLA28.1.17

DEATH UNDER PROCESS

117RAHUL PATEL USHA DEVI

28.1.17 BALLA28.1.17

DEATH UNDER PROCESS

NOT HOF ( Mother/Elder brother is HOF)

SMT GAMA DEVI (WIFE),7408817554

118GOVERDHAN RAJBHAR NISHA DEVI

01.01.17 BALLA01.01.17

DEATH UNDER PROCESS

119Buchiya Devi Ram Pravesh, 8765324757 09.04.17

BALLA09.04.17

DEATH UNDER PROCESS

120Visheshwar Prasad Meena Devi, 8546037611 14.02.17

BALLA14.02.17 500000 12.06.2017

DEATH PAID

121 RAJ NARAIN SAHANI RUKMINA DEVI 16/02/2017 500000 31/05/2017 DEATH PAID

122Moti Maurya Ramavati Devi, 7571850875 12.03.17

BALLA12.03.17

DEATH UNDER PROCESS

123Govardhan Nisha Devi, 9616565248 01.01.17

BALLA01.01.17

DEATH UNDER PROCESS

124Prem Bahadur urf Dileep Leelawati Devi, 8874285620 27.10.16

BALLA27.10.16

DEATH UNDER PROCESS

125Narendra Bhardwaj Sonva Devi, 9628286671 28.11.16

BALLA28.11.16

DEATH UNDER PROCESS

126Hari Nath Subhawati Devi, 7379856771 12.03.17

BALLA12.03.17

DEATH UNDER PROCESS

127SANTOSH KUMAR SINGH SHIBHU SINGH

07.02.2017 BALLA07.02.2017 500000

20.06.2017 DEATH UNDER PROCESS

128LAKSHU MAN VERMA SEEMA DEVI

28.12.16 BALLA28.12.16

DEATH UNDER PROCESS

129MANJU GIRI VIKAS GIRI (SON)

20.3.17 BALLA,956560404620.3.17

NIL NA Death REPUDIATED ….NOT HOF

130SATENDER RAJBHAR Priyanka Devi

06.2.17 BALLA06.02.2017

DEATH UNDER PROCESS

131SUMITRA DEVI SUDARSHAN

26.1.17 BALLA26.1.17

DEATH UNDER PROCESS

132SHIV DEVI PRASAD SHANTI DEVI

13.04.17 BALLA13.04.17

500000 09.06.2017 DEATH PAID

133RASHMI JHAKHAR RAJBHAR

12.02.17 BALLA12.02.17

DEATH UNDER PROCESS

134CHANDAN KUMAR SAHANI RUKHMANI DEVI

16.02.17 BALLA16.02.17

DEATH UNDER PROCESS

135LALAN RAJBHAR SUHABANI DEVI

13.12.17 BALLA12.12.17 500000


136LILA WATI DEVI MANJESH YADAV

16.10.16 BALLA16.10.16

DEATH APPROVED

137DADAN VERMA ASHA DEVI

28.12.16 BALLA28.12.16

DEATH UNDER PROCESS

138KUMAR PRIYANKA PROMILA DEVI

7.12.16 BALLA7.12.16

DEATH UNDER PROCESS

139KUMARI AMIRCHAND

14.12.16 BALLA14.12.16

DEATH UNDER PROCESS

140Ashok Kumar Singh Tara Devi 29.10.16

BALLA29.10.16

DEATH UNDER PROCESS

141Neelam Singh Anand Kr Singh 23.02.17

BALLA23.02.17

DEATH UNDER PROCESS

142Chandan Sahani Kavita Devi 16.02.17

BALLA16.02.17

DEATH UNDER PROCESS

MAHRAPUR, CHANDPUR, SATWA, BALLIA, 8542991644

143Sumitra Devi Sudarshan Ram 28.01.17

BALLA28.01.17

DEATH UNDER PROCESS

144Dukh Haran Fula Devi 26.01.17

BALLA26.01.17

DEATH UNDER PROCESS

145Vijendra Singh Soni Singh 10.01.17

BALLA10.01.17

DEATH UNDER PROCESS

146Prem Bahadur Singh Asha Devi 12.02.17

BALLA12.02.17

DEATH APPROVED

147Akshya Kumar Pushpa Devi 10.10.16

BALLA10.10.16

DEATH UNDER PROCESS

148Maheteshwari Devi Shashi Kant 23.02.17

BALLA23.02.17

DEATH UNDER PROCESS

149Uttam Soniya Devi 03.02.17

BALLA03.02.17

DEATH UNDER PROCESS

150Sarwanand Pandey Lalita Devi 23.03.17

BALLA23.03.17

DEATH UNDER PROCESS

151Abhai Gupta Soni Devi 18.12.16

BALLA18.12.16

DEATH UNDER PROCESS

152Jitan Yadav Ramawati Devi 18.03.17

BALLA18.03.17

DEATH UNDER PROCESS

153Anil Kumar Singh Kanchan Singh 09.04.17

BALLA09.04.17

DEATH UNDER PROCESS

154Lilawati Devi Manjesh Yadav, 9450775148 16.10.16

BALLA16.10.16

DEATH UNDER PROCESS

155Sudama Bandhui Devi 09.10.16

BALLA09.10.16

DEATH UNDER PROCESS

156Ashok Kumar Singh Sunaina Singh, 8418872374 03.10.16

BALLA03.10.16

DEATH UNDER PROCESS

157Chaneshwar Yadav Bhola Shanker Yadav,8601675352 05.04.17

BALLA05.04.17

DEATH UNDER PROCESS

158Ajeet Yadav Urmila Devi, 9721231645 02.03.17

BALLA02.03.17

DEATH UNDER PROCESS

159Santosh Singh Shibbu Singh 07.02.17

BALLA, 740807079007.02.17

NIL NA Death REPUDIATED not hof ( mother is HOF)

160Vinod Kumar Chauhan Rita Devi, 7752804190 15.01.17

BALLA15.01.17

DEATH UNDER PROCESS

161Bhagwat Singh Vinay Kumar Singh 09.10.16

BALLA09.10.16

DEATH UNDER PROCESS

162 Bhadai Yadav Budhiya Devi Sansartola,Kodraha, JP nagar, 8583979805 02.03.17 DEATH UNDER PROCESS

163 RAM BACHAN YADAV SARASWATI DEVI BALLA 16.02.2017 DEATH APPROVED

164 VISHWAKARMA Asha Devi BALLA 09.12.16 DEATH APPROVED

PRAROOP NO. 10

Name of Company - District Name BALRAMPUR


S.No. Name of Injured person Name of Nominee/benficiary Date of Accident Amount Dt. Of Payment

Death/disability

Remarks

1 Tahir Ali Riyaz Ahmad 11/20/2016 500000 15/12/2016Death

PAID

3RAMANAND DEEPAK KUMAR

22.10.2016 500000 3/2/2017Death

PAID

4Jhinku Prasad Smt. Chotka

8/11/2016 500000 8/2/2017Death

PAID

5Sanchit Yadav Smt. Shanti Devi

7/10/2016 500000 2/3/2017Death

PAID

6MUNNARAM POOJA DEVI

12/21/2016 500000 17/02/2017Death

PAID

7BADHURAM GEETA

9/30/2016 500000 15/02/2017Death

PAID

8MUNNAUWAR ALIAS GURHU SHAKIR JAHAN

12/16/2016 500000 15/02/2017Death

PAID

13LILAWATI CHATTI RAM

11/28/2016 500000 02.06.2017Death

PAID

15MANGAL PRASAD KUSUM

10/2/2016 500000 10/3/2017Death

PAID

17SHER BAHADUR SAKILA

12/30/2016 500000 6/4/2017Death

PAID

18NEEBAR KALAWATI

10/24/2016 500000 1/3/2017Death

PAID

20RAJ KARAN SONA DEVI

12/21/2016 500000 14.03.2017Death

PAID

31Muralidhar Bageshwari Devi

20.01.17 500000 6/4/2017Death

PAID

33ABDUL MANNAN MAREMA

1/22/2017 500000 14.03.2017Death

PAID

34GOVARDHAN SHANTI BALRAMPUR

10/10/2016 500000 02.06.2017Death

PAID

39GANESH PRATAP SINGH LAL MUNI

24.12.2016 500000 10/4/2017Death

PAID

42KRISHNA KUMAR VERMA KANCHAN VERMA

09.11.2016 500000 10/4/2017Death

PAID

49Ram Kishore Sangeeta Devi, 8874436511 Balrampur

11.12.16 500000 02.06.2017Death

PAID

50Vijay Kumar Karora Devi Balrampur

02.01.17 500000 18/05/2017Death

PAID

51Jainul Abdeen Rabia Balrampur

05.02.17 500000 13/05/2017Death

PAID

53Radhey Shyam Manju Devi Udaipur, Balrampur 9839009207

22.02.17 500000 4/18/2017Death

PAID PAID ON 18.04.2017 by do I

54Arvind Lal Shila Devi Balrampur, 9919241134

11.02.17 500000 13/05/2017Death

PAID


STATUS (PAID/REPUDIATE/UNDER PROCESS) If repudiated reason of repudiation with in 20 words

Vill-Gandas Bujurg, Balrampur 9161824755

Saheliya Sriduttganj, Balrampur 9396511237

Vill.-Paraspur, Tulsipur,Balrampur 9198581269

Gidhaur, Utraula, Balrampur 9919764434

village vitvaria kalan,tulsipurBalrampur,9621652928

chadwa mudilla, th. Tulsipur,Balrampur, 9838016145

ward no. 1, barketwa, nai bazar, Balrampur, 9935601280

purshotampur sonpur tulsipur BALRAMPUR 7522055968

vill. Nowasta , NARAINPUR, BALRAMPUR, 8948015607

RAM NAGAR, TULSIPUR , BALRAMPUR, 7800157552

LAMIYA THAIR , UTTRAULLA,BALRAMPUR,7408992185

MOTIPUR KALAN, BALRAMPUR, 7052664493

BAGHAJOT,UTTRAULA,Balrampur,7379217910

BHAGWANPUR, TULSIPUR,BALRAMPUR,7218476808

MAKHANHAWA MAUZA,GODIPUR,BALRAMPUR,9161216477

ROOP NAGAR, BALRAMPUR DEHAT, THE TULSIPUR, BALRAMPUR, 7310347612

56Shobha Ram Sunita Balrampur, 9651373568

13.03.17 500000 23/05/2017Death

PAID

64Akikul Afrunisha, 9628259265 Balrampur

28.03.17 500000 27.06.2017Death

PAID

65Mohd Umar Hadisunnisha, 8400832325 Balrampur

28.03.17 500000 08.06.2017Death

PAID

PRAROOP NO. 10 Details o

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name BASTI


S.No. Name of Injured person Name of Nominee/benficiary Date of Accid Amount Dt. Of Payment Death/disability Remarks

3 Hari Vansh Smt. Lal mati19/09/2016 500000 26.12.2016

DEATH PAID

4 Ravindra Kumar Smt. Vidya Kumari9/10/2016 500000 26/12/2016

DEATH PAID

6 AMRIT NATH PUSHP LATA 17.09.2016 500000 28.12.2016

DEATH PAID

7 Dinesh Kumar Smt. Usha Gupta10/11/2016 500000 1/5/2017

DEATH PAID

8 RADHEY SHYAM RUKMANI DEVI27.09.2016 500000 13/01/2017

DEATH PAID

9 RAM JEET ORI LAL , PARMATMA PRASAD 02.10.2016 500000 20/01/2017

DEATH PAID

10 RAJENDRA PRASAD RITA DEVI23.09.2016 500000 18.05.17

DEATH PAID

11 PANCHU SMT JASOMATI21.11.2016 500000 20.01.17

DEATH PAID

12500000 04.02.2017

DEATH PAID

13500000 04.02.2017

DEATH PAID

14500000 04.02.2017

DEATH PAID

15 BASTI, 9792246712500000 22.02.17

DEATH PAID

16500000 17.02.17

DEATH PAID

19500000 04.02.17

DEATH PAID

20500000 04.02.17

DEATH PAID

21500000 08.02.17

DEATH PAID

22 Ashok Kumar Smt Poonam Vill- Pakri post Belhar 24/10/2016 500000 2/4/2017 DEATH PAID

23 Hari nandan Sahay Smt Archana 3/10/2016 500000 3/24/2017 DEATH PAID

26 havaldar singh Lalta Prasad BASTI 08.11.2016 50000004.02.2017

DEATH PAID

27 Avnish Kumar Ramwati devi 12.10.2016 50000022.02.17

DEATH PAID

28 Ram chandar vilapta devi 05.10.2016 50000004.02.17

DEATH PAID

29 Pardeshi Babu smt pushpa devi 28.10.2016 50000004.02.17

DEATH PAID



vill. Shripalpur, po-walterganj,Basti, 9628712016Babni Mishra, The.-Rudauli, Basti 9984770881VILLAGE BASTI, POST BALGHAT, HARRAIYA, BASTI , 9838252487Vill.-Teliyadeeha, PO-Kaptanganj, Basti 9670971033VILL.-DAHADAMISHRA, JAGDISHPUR, BASTI 9950371765VILL.-PARSA HAJJAM, PO-MUNDERWA, BASTI 9616708655

AKALA, POST JAUPUR, BASTI 9984499365VILL.-MAHUVARI, TEH.-WALTER GANJ, BASTI 9648154813

Poornamasi Smt. Gyanmati

VILL.GOTHWA POST BABHANI MISHR, BASTI, 9838516856 01/11/2016

Ram Narayan urf Ramu Smt. Meera Devi

MAHMOODPUR, POST KATIYA , BASTI, 9792895576 15/10/2016

Kallu Smt. Vasmati

KATHAK PURVA, POST BHAWANI MISHR, RUDAOULI, BASTI, 9918124471 01/11/2016

Indresh Kumar Smt. Ranju SIngh 25/11/2016

Ajay Tiwari Smt. Annu Tiwari

VILLAGE KORIYA, POST KORIYA ,BASTI, 7379249391 17/10/2016

Ravi Kumar Chaudhary Smt. Malti Devi

BABAN GAON, POST GANDHI NAGAR, BASTI , 9565831036 01/10/2016

Ram Achal Smt. Saroj

MALHANI , POST BILWA BAZAR, HARIYA,BASTI, 9792171075 22/11/2016

Amar Nath Smt. Seema DeviVillage podhwara, basti, 9169618553 29/10/2016

Vill- Koilasa umraha Bhanpur ,7786969798

PANDITPUR, AAJGALI, BHANPUR, 8052964661CHANDPUR, POST DABOLIA, BASTI,7408752103THANA KHAS, PURAINA, HARRIYA, BASTI,9919445595

30 Rammurat smt. Sunita devi AMRAULI BASTI983832 20/10/2016 500000 4/2/2017 DEATH PAID

31 Ram ji chaudhary reena devi 22.11.2016 50000017.02.17

DEATH PAID

32 Ram komal sudama devi vill- shambhupur ,993 21/11/2016 500000 3/9/2017 DEATH PAID

33 GEETA DEVI VILL. USKA, BASTI, 78007 18.11.2016 50000017.02.17

DEATH PAID

34 LAKHAN PAL BEENA PAL BARWALIA, BASTI, 840 18.10.2016 50000022.02.17

DEATH PAID

35 UMA SHANKAR SUKLA KANTI DEVI PADRI,BASTI, 9565500201.01.2017 50000021.02.17

DEATH PAID

37 ASHOK KUMAR SELF ( DISABILITY ) BHARULIBABU BASTI, 92/10/2016 250000 3/24/2017 PAID

39 GIRISH CHAND RANJANA PANDEY CHAU, KAWA ,BASTI 9505.12.2016 50000021.02.17

DEATH PAID

40 Suresh Kumar Sandhya GAIGHAT BASTI,99842523/11/2016 500000 2/3/2017 Death PAID

41 Ram Sajivan urf Jhinku Rekha BADHAR HURDBASTI ,7 12/26/2016 500000 2/3/2017 Death PAID

43 Ram Kishore Subhawati OJHAGANJ BASTI,9784715/12/2016 500000 2/3/2017 Death PAID

44 Ajay Kumar Reeta BANSGAON BASTI,964811/25/2016 500000 3/2/2017 Death PAID

46 Sikander Amarawati DAFALI TOLA,842339234/12/2016 500000 3/2/2017 Death PAID

49 TILAK RAM URMILA DEVI 08.11.2016 500000 2/3/2017

Death PAID

50 RAVI PRAKASH MANJU DEVI GANGAPUR,9415857462/12/2016 500000 3/2/2017 Death PAID

51 CHANDRA PRAKASH MEERA DEVI BANSGAON BASTI,964825/11/2016 500000 2/3/2017 Death PAID

52 Sandeep Tiwari Seema PIYAREPUR GAIGHAT, 713/11/2016 500000 3/24/2017 Death PAID

53 Shrawan KumarSmt Lalita Devi

GAIGHAT BASTI, 73552 24/11/2016 500000 24/03/2017 Death PAID

54 Ram MuratSmt Radhika

AMRAULI BASTI, 99181 29/10/2016 500000 24/03/2017 Death PAID

55 RANGEELASmt Shobha

SAMASPUR BASTI, 962828/01/2017 500000 3/24/2017 Death PAID

56 Ram NathSmt Sangeeta Devi

GAIGHAT BASTI, 99190 3/1/2017 500000 3/24/2017 Death PAID

57 Ram Chandra SUSHILA DEVI MUKHHA BASTI, 99845 1/27/2017 500000 1/5/2017 Death PAID

58 Shankar Manoj DAFALI TOLA, 8795440026/12/2016 500000 5/1/2017 Death PAID

60 Gaisa Devi Chandra Prakash, 4/10/2016 500000 5/1/2017 Death PAID

61 Harish Chand Amrawati 17/01/2017 500000 5/1/2017 Death PAID

62 Dhruya Chand Naiwadaya 1/17/2017 500000 1/5/2017 Death PAID

63 Sant Ram Prema Devi 12/31/2016 500000 5/1/2017 Death PAID

64 Ram Autar Anara Devi 28/01/2017 500000 5/1/2017 Death PAID

65 Manoj Kumar Asha Devi, Barauli, Chawani, Basti 19.11.16 500000 4/18/2017

Death PAID

VILL. DHARI DIYA , POST MISRO LIYA ,BASTI, 8948018549

AUDHRAY ALIAS AVADH RAJ

Permanent Disability

VILL.-BANRAHI JUNGLE, BASTI 9565247120

TELIYADEEH BASTI ,7800528667

BHAISACHAUBE BASTI, 9452425465

BHAISACHAUBE BASTI, 9452425465

BELWARIYA JUNGLE BST, 9565830624

JOGHATA BASTI, 7565072618

66Ram Saware Basti 30.11.16 500000 13.06.2017

DEATH PAID

70 Madhav Prasad Manorama Shukla16.01.17 500000 4/19/2017

Death PAID

71 Chhote Lal Anita Devi26.01.17 500000 4/18/2017

Death PAID

72 Sajni Devi Munni lal31.12.16 500000 5/1/2017

Death PAID

73 Ganga Prasad Shyama Devi18.01.17 500000 4/19/2017

Death PAID

74 Badri Prasad Anil Kumar13.02.17 500000 4/19/2017

Death PAID

76 Indrasen Niranti Devi04.10.16 500000 4/19/2017

Death PAID

77 Bhagwat Singh Geeta Singh18.12.16 500000 4/19/2017

Death PAID

78 Parashuram Kanti Devi16.02.17 500000 4/19/2017

Death PAID

79 Prabhakar KALAWATI Gotwa, Katya, Basti 912.03.17 500000 4/19/2017

Death PAID

81 Amar Singh Asha Singh Atraura, Basti,9839632 05.02.17 50000013.05.17

DEATH PAID

87 Ashok Chhitauna Sushila Devi, 9794180488 Basti05.02.17 500000 20.06.2017

DEATH PAID

90 Gulaba Devi Arvind Kumar, 9839721450 Basti13.02.17 500000 09.06.2017

DEATH PAID

92 SHIV SARAN KANDSARA SMT PINKI DEVI,9565433550 Basti31.01.2017 500000 23/05/2017

DEATH PAID

95 RAM HIT RAKHIYA SMT DURGAWATI,9839519329 Basti23.02.2017 500000 31/05/2017

DEATH PAID

98 GAYA PRASAD S/O MUNNI LAL DULARMATI 01.03.2017 50000027.05.17

DEATH PAID

100 VIJAY BHAN ANITA BASTI13/02/2017

500000 18/05/2017 DEATH PAID

109 RAMHEET DURGAWATI DEVI BASTI 23.2.17 50000005.06.2017

DEATH PAID

122 DURGESH KUMAR GUPTA RAM RATI BASTI 15.03.17500000 27.06.2017

DEATH PAID

Parshuram & Satiram, 9161034206

Chakchai, Haraiya, Basti 9721541871

Charkaila, Basti 8009414036Vill.-Bhoyar, PO-Falwari, Teh.-Basti, Basti 7266040175Derdiha Khurd, Haraiya, Basti 8795847206Raikwar, Dubauli Dube, Basti 9919957409Sandi Hichchha, Tinich, Bhanpur, Basti9839388016

Digrapur, Haraiya, Basti 9554125582

Badhya Raja, Rudhauli, Basti 9993978479

KAKU ARA UT, KAPTANGANJ, basti, 9936975180

PRAROOP NO. 10

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name BHADOHI


S.No. Name of Injured person Date of Accident Amount Dt. Of Payment Death/disability Remarks

1 Nagendra Prasad Smt. Kesha Devi 10/10/2016 500000 16/11/2016 DeathPAID

7Faujdar Smt. Lalita Devi Umri Chouri, Bhadohi 7379249069

11/11/2016 500000 27/12/2016 DeathPAID

11Mukhtar Smt. Gena Devi Umri, Bhadohi 8953692102

11/11/2016 500000 5/1/2017 DeathPAID

16JILAJEET SINGH SMT. KANCHAN DEVI

8/12/2016 500000 1/27/2017 DeathPAID

19Ram Charan manjira devi

05.11.2016 500000 4/18/2017 DeathPAID

20Rakesh Chandra Choube MEERA DEVI

12.10.16 500000 2/3/2017 DeathPAID

22Budhi Ram Phuleshari Devi

08.12.16 500000 9/3/2017 DeathPAID

23 Rama Shankar Bind Shankutala Devi

Bhadohi 08/11/2016 500000 31/05/2017 DEATHPAID

25Suresh Chandra Jain Sunita Jain

Bhadohi 10/22/2016 500000 31/05/2017 DEATHPAID

26Rampati Sudama Devi

12/16/2016 500000 2/3/2017 DeathPAID

27Aanand Prakash Kanchan Devi

11/26/2016 500000 3/3/2017 DeathPAID

28GIRDHARI LAL SMT. NIRMALA DEVI

17.12.2016 500000 21/02/2017 DeathPAID

29Bharat Pal Malti Devi, 7753049631

Bhadohi 09.11.16 500000 31/05/2017 DEATHPAID

32MAHANTH KALAWATI DEVI

06.11.2016 500000 09.03.2017 DEATH PAID

43Ramesh


46Ashok Kumar Sukkhi Devi

21.02.17 500000 4/18/2017 Death PAID

48Shriprakash Ranno Devi, 7880877647

Bhadohi 17.02.17 500000 09.06.2017 DEATHPAID

53Ghanshyam Om PrakashUpadhyay,8


55Akhilesh

ANTIMA DEVI Bhadohi 13.01.2017 500000 08.06.2017 DEATHPAID




Gyanpur Mikki, Bhadohi 9956355013

Vill. & Post-Dwarikapur, Teh.-Orai, Bhadohi 9559994109

Bhagwatidaspur, Orrai, Bhadohi 8400417853Violl.-Chakkapur, Orai, Bhadohi 9598506650Manikpur, Parsipur, Bhadohi 8545080322

Bhanpur, Bhadohi 9695423873Bankat Uparwar, Bhadohi 9935694856

MADHORAMPUR, GOPIGANJ, BHADOHI 8417908412

DHARAMPUR MOR, BHADHOHI , 9559977041

Shobha Devi,74588881678

Kanchanpur, Badgaon, Gyanpur, Bhadohi 9454402827


Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name CHANDAULI

Progress month June 2017

S.No. Name of Injured person Date of Accident Amount Dt. Of Payment Remarks

1 Rajkumar Shiv Kumar ### 30/09/2016NIL NA Death

REPUDIATED NOT HOF…DECEASED BROTHER IS CLAIMANT

2 Hanuman Prasad Smt. Sharda Devi ### 15/09/2016NIL NA Death

REPUDIATED Natural Death (Heart Attack)

3 Sangeeta Kumari Baijnath ### 9/30/2016NIL NA Death

REPUDIATED NOT HOF….UNMARRIED AND HIS FATHER WAS HOF OF THE FAMILY

4sambhu yadav ###

11/6/2016NIL NA Death

REPUDIATED NOT HOF…UNMARRIED AND FATHER WAS HOF

5BACHU YADAV TARA DEVI ### 11/11/2016 NIL NA Death

REPUDIATED NO KATAUNI/ NO INCOME CERTIFICATE/NO BPL

6Nurullaha Khan Smt. Gudiya ###

12/10/2016 500000 10/2/2017 DEATH PAID

7Bachu Dom Smt. Shiv Kumari ### 1/10/2016 NIL NA Death

REPUDIATED Govt. Employee,NO KATAUNI/ NO INCOME CERTIFICATE/NO BPL

8Zafran Ahmad Smt. Praveen Begum ### 23/09/2016 NIL NA Death

REPUDIATED neither katauni nor inclone certificate /not bpl card holder

9Bihari Kharwar Smt. Anju Das ### 6/11/2016 NIL NA Death

REPUDIATED No PMR/NO FIR/NO GD /No Panchnama /Overage

10Ram Shringar Ram Smt. Droupadi Devi ### 30/10/2016 NIL NA Death

REPUDIATED death due to cardic arrest …..no FIR/NO GD/Panchnama /No PMR

11ANIL KUMAR KHARWAR SMT. MURAHI DEVI ###

2/11/2016 500000 1/27/2017 DEATH PAID

12Mithai Lal Paswan Smt. Asha Devi ###

10/30/2016 500000 10/2/2017 DEATH PAID

13Sumitra Devi Ramesh Kumar Prasad ### 10/13/2016 NIL NA Death

REPUDIATED NO HOF …..HER HUSBAND WAS HOF OF THE FAMILY

14Nagendra Pandey Smt. Bhavna Pandey ### 11/4/2016 NIL NA Death

REPUDIATED NATURAL DEATH ….CARDIC ARREST

15Neelam Devi Laxman ### 10/26/2016 NIL NA Death

REPUDIATED NOT HOF …HER HUSBAND WAS HOF

16Gupteshwar Singh Krishna Nandan Singh ### 9/26/2016 NIL NA Death

REPUDIATED OVER AGE AS PER PARIVAR REG. & VOTER ID (80 years)

17Amar Dev Singh Shamsher Singh ###


REPUDIATED not hof ( Brother HOF)

18Prema Devi Pintu Yadav ###


REPUDIATED NO KHATONI, NO BPL CARD, NO HOF( Husband HOF)

19Dilip Kumar Gupta Smt. Madhubala Gupta ###Chandauli,9452701432

9/24/2016DEATH

under process

20Mamta Devi Om Prakash Bari ###


REPUDIATED

21Dhannar Devi Sagelu Maurya ###


REPUDIATED

22Surendra Pratap Smt. Kisnawati Devi ###


REPUDIATED AS PER PANCHNAMA DEATH AS SUICIDE

23Ghulam Ahmad Smt. Shahnaz Begum ###


REPUDIATED Not HOF…. Nor Bread Earner ( Father is HOF)


File no.


Death/disability

STATUS ( PAID/REPUDIATE/UNDER PROCESS)

If repudiated reason of


Khagwal,BlockSakaldeeh,Cahndauli,8115129352

Vill.Chandasi,Kushwahabasti,Chandauli

Bagahi,Dehlipur,Mughal sarai,Chandauli,8176959527

VIRENDER /RAVENDRA YADAV

Karwat,Dhari,Mughal sari,Chandauli,8960694421

Odwar , Mughalsarai, Chandauli , 9695630043

Vill.-Chaurath, Chandauli 7080680610

Ram Mandir Road Mughalsarai , Chandauli, 99119945474

Shakurabad , Mughalsarai, Bilahri ,Chandauli, 9919147477

Bamhinayawa, Raipur , Danapur , Chandauli, 9005954871

Bamhinayawa, Raipur , Danapur , Chandauli, 73993645

MADHOPUR, CHANDAULI 7525962726DAK BUNGLOW ROAD, WARD NO. 5, TILAK NAGAR, CHANDAULI 8176092761

Doodhe Baburi , Chandauli, 9794202261

WAJIDPUR , Bisaura , Chandauli , 8175095910

Tipri Barthara , Chandauli , 8009402330

Hinauti , Bishauri , Chandauli, 7080360037

Awazapur,Dhanapur,Chandauli,8543094181

Nausagar,Bhaisasur,Brijmanganj,Maharajganj,9554267908

Dindaspur,Dharharnath,sakaldhia,Chandauli,9794099559

NO KHATONI, NO BPL CARD, NO INCOME CERT…NEITHER HOF ( Husband HOF)

Near Hanuman Mandir,Hanumant nagar Colony,Jangi Dhoosar,Gorakhpur,9935215520

DEATH DUE TO SEPTICEMIA AND INFECTIONand ,NO HOF/ No Bread earner( Husband is HOF)

Vijaypurwa,Chakia,Chandauli,7318255146

Dhanauti,Majhaos,Sukhpura,Ballia,81111052389101

24Aatma Prasad @ Aatma Smt. Ravita Devi ### 30/10/2016 NIL NA Death

REPUDIATED .no katauni…no bpl….no income certificate

25Sri Kishan Sonmati

30.9.2016 500000 07.02.2017 DEATH PAID

26Ramesh Ram Kesha devi

5.10.2016NIL NA Death

REPUDIATED No FIR/Post Mortem…CAUSE OF DEATH COULD NOT BE CONFIRMED

27Akhilesh Paswan Sithu Ram Ranepur,Sakadiha,Chandauli


REPUDIATED DOA before Commencement of Policy

28Shyam Sunder Maurya Bhagirathi Devi



29Rameshwar Sona devi



30Baliram Lakshmi Devi

1.11.2016 500000 07.02.2017 DEATH PAID

31Ramesh Chand Bachau Prasad


REPUDIATED Ramesh Chand was not the Head of the Family…HIS FATHER WAS hof

32Ravipratap Singh Manorama Singh



33Bihari Kalawati Devi



34Safulla Sahidan

25.11.2016 500000 07.02.2017 DEATH PAID

35Munna Singh Rita Devi

18.11.2016 500000 07.02.2017 DEATH PAID

36Rajdev Yadav Surja Devi

01.11.2016 500000 07.02.2017 DEATH PAID

37Ramakant Singh Amlesh

20.01.2017 500000 07.02.2017 DEATH PAID

38Rajendra Singh Krishnawati Devi

02.11.16 500000 23.03.2017 DEATH PAID

39Hemant K Singh Sanjana Singh Chandauli

13.01.17 500000 24/05/2017DEATH

PAID

40Prem Kumar Singh Sheela Devi Chandauli

13.01.17 500000 24/05/2017DEATH

PAID

41LUNGI DEVI RAM GHAN ### 29.09.2016 NIL NA Death

REPUDIATED NO hof/BREADEARNER

42SHIV SHAKTI KUMAR BABAN RAM ### 14.10.2016 NIL NA Death

REPUDIATED SUCIDE CASE

43RAMESH CHANDER BACCHU PRASAD ### 03.10.2016 NIL NA Death

REPUDIATED NO hof,unmarried ( Father is HOF)

44MAHESH SINGH SMT. USHA SINGH ###

28.10.2016 500000 3/23/2017 DEATH PAID

45SUSHILA DEVI NARENDER PRATAP SINGH ### 01.11.2016 NIL NA Death

REPUDIATED NOT HOF (Husband is HOF)

46CHANDRA VATI DEVI KALLAN SINGH ### 14.11.2016 NIL NA Death

REPUDIATED NOT HOF

47DASRATH CHAUHAN SMT. MEENA DEVI ###

18.09.2016 500000 4/19/2017 DEATH PAID

48AKSHAY KUMAR LAKSHMINA DEVI ###

09.11.2016 500000 3/9/2017 DEATH PAID

49RITU RAJ PATEL KUSUM LATA DEVI ### 18.12.2016 NIL NA Death

REPUDIATED NO KATAUNI…NO BPL..NO INCOME CERTIFICATE

50MUNIA DEVI NAURANG ### 08.11.2016 NIL NA Death

REPUDIATED OVERAGE , 75 Yrs

51GANGA RAM KAMLA DEVI ###

18.10.2016 500000 3/23/2017 DEATH PAID

52KUSBU SINGH KUMAR SHANTI SINGH ### 18.09.2016 NIL NA Death


53MAHRAJ URF GOLU Poonam Devi ### 01.11.2016 NIL NA Death

REPUDIATED NO KATAUNI…NO BPL..NO INCOME CERTIFICATE

BUDHWAR , NIYAMATABAD , BABURI , CHANDAULI, 9454689748

Pithapur,Sakaldiha,Chandauli, 7860065201

Kakari,Manrajpur,Chandauli, 7398392358

Dabariya,Sakadiha,Chandauli, 9795269437

Shantipur, Korwa,Sakaldiha Chandauli,

Dedhgaoan,Sakaldiha,Chandauli,7388668199

Kanta,Majhawar, Chandauli,9598885597

Baburi,Jalkhorkala , Chandauli,9838279213

Jamokhar,Majhawar, Chandauli,9170847526

Inayatpur,Kamalpur,Chandauli, 9389090817

Murlipur,Veera Sarai,Chandauli,9839342651

Naithi,Sakaldiha,Chandauli, 8423096857

Jigna,Sisauda Kala,Chandauli,7607329185

Akodha Kalan,Chaundauli, 8400405962

Manikpur , Naubatpur , Sayad Raja , Chandauli , 9120385856

Dariyapur , Bathwar, Sakaldiha , Chandauli, 8354883925

Kanta Saiyyed , Raja, Chandauli , 9598885597

Amawal, Batthi, Sakaldiha, Chandauli 9651545873

Kot Sakaldeeh ,varanasi,9839944012

Lokmatpur , Saiyyyed Raja, Chandauli 9794679966

Kakrahi, Sadalpur, Alinagar, Chandauli 9670857957

Ekauni, Baburi, Chandauli 8381954098

Bhisaudi , Dadi , Mughalsaray , Chandauli , 9621269045

Rohda , Niyantabad ,Ali Nagar , Chandauli .8795874990

BHOJAPUR, SAKALDEEHA, CHANDAULI 8423725910

Jamokhar , Vishnupur , Shahabganj , Chandauli, 9415885887

Ballipur, Balua, , Chandauli, 8808580614

54Rajesh Singh Geeta Singh

27.12.2016 500000 16.04.2017 DEATH PAID

55Umashankar Singh Chandrkala,9956047315 Chandauli

17.12.2016 500000 12/5/2017DEATH

PAID

56Sanjay Singh Baijanti Singh,9452141112 Chandauli

28.11.2016 500000 15/05/2017DEATH

PAID

57Manjay Singh Sarita Devi,9889035860 Chandauli

15.12.2016 500000 15/05/2017DEATH

PAID

58Jagnarayn Singh Durgawati,7860887242 Chandauli

23.12.2016 500000 27.06.2017DEATH

PAID

59Murari Lal

Urmila Devi### 12/28/2016 NIL NA Death

REPUDIATED NO KATAUNI…NO BPL…NO INCOME CERTIFICATE

60PARMANAND YADAV

BHAGWANTI DEVI 23.11.2016 500000 31.03.2017 DEATH PAID

61NASUDI PRASAD

POOJA DEVI### 03.02.2017 NIL NA Death

REPUDIATED No Khatoni, No BPL Card, No Income Cert.

62SUBHASH YADAV

ARCHANA YADAV### 01.11.2016 NIL NA Death


63Ranjana Pandey Ashish Pandey ### 16.10.16 NIL NA Death

REPUDIATED not hof

64Ram Murat Ram Savitri Devi, 9794811251 ###Chandauli

16.10.16 500000 27/05/2017DEATH

PAID

65Ram Ugrah Yadav

Pushpa Devi ### 21.02.17 500000 4/19/2017 DEATH PAID

66 Jai Ram###


REPUDIATED overage

67Murali Durgawati

### 27.12.16 500000 4/19/2017 DEATH PAID

68Shyam Bihari Chandrawati Devi, 7860432902 Chandauli

21.02.17 500000 27/05/2017DEATH

PAID

69Akhilesh Kumar Singh Rinku Singh, 8400514604 Chandauli

04.03.17 500000 23/05/2017DEATH

PAID

70 Dharmendra Yadav Lakshmi Devi Chandauli, 9795787984 23.01.17NIL NA Death

REPUDIATED Unmarried, NOT HOF …HER MOTHER /HER ELDER BROTHER IS HOF.

71Ganeshlal Srivastava Baby, 9794113879 Chandauli

25.03.17DEATH

under process

72Subhash Chaube Anju Devi, 7267933276 Chandauli

15.01.17 500000 27/05/2017DEATH

PAID

73Rajesh Kumar Usha Devi,8052488803 Chandauli

21.02.2017DEATH

Approved

74Sabbal Rinku Devi,9616485282 Chandauli

30.01.2017 500000 08.06.20147DEATH

PAID

75Rama Devi chandauli

28.02.2017DEATH

under process

76Jogamuni Parvati Devi chandauli DEATH

under process

77Amar Nath Durgavati Devi,9936741077 Chandauli

29.01.2017DEATH

Approved

78Badhu(Barhu ) Bhagvanti Devi,9519570541 Chandauli DEATH

Approved

79Manoj Kumar Sharma Suman Devi, 8004082693 Chandauli 27.03.17 DEATH

under process

80Deepak Kumar Meera Devi, 8765635820 Chandauli 21.03.17 DEATH

Approved

81Babita Devi Jitendra Kumar Chandauli 27.03.17 DEATH

under process

82Rambharosh Sonu & Vikas, 9651936677 Chandauli 30.03.17 DEATH

under process

83Shiv Bahadur Meena Devi, 9559091965 Chandauli 23.02.17 DEATH

Approved

Masoe, Imiliya,Chakiya ,Chandauli,8173049661

Pachokhar , Baburi , Chandauli , 9559489492

Khadehra,Sakaldeeha,Chandauli,9935209075

MUSTFAPUR , KATA SADAR , CHANDAULI, 9651802207

NAITHI , CHAHANIYA , BALUA , CHANDAULI , 9721929392

Ward No. 12 rajeev Nagar,Chandauli,7068373379

Kajipur, Sogai, Chandauli 8009876903

Lalvarat, Lalji, Kanta & Umashanker,

Vill. Karma& Gaurihar,Teh.Takia Chandauli,8576081753

Hadaura, Chakia, Chandauli 7754062140

Rakesh kumar Jaiswar,Rajesh, Brijesh&Hridayesh

30.1.17

15.3.17

84sheetla prasad gulabi devi Chandauli 28.01.2017 DEATH

under process

85Jhuri Rajeshwari Devi, 9129664546 Chandauli 08.03.17 DEATH

under process

86Pyare Lal Bind Indra Devi, 7607069830 Chandauli 22.03.17 DEATH

under process

87 Lalbarat alias Lalbharat Bhagavanti 26.04.17 DEATH UNDER PROCESS

88 Jainarayan Bhanumati 23.02.17 DEATH UNDER PROCESS

89 Rahamuddin Hasbun Nisha Tadia,Dhaneja,Chandauli - 9506920593 02.04.17 DEATH UNDER PROCESS

90ASHOK SINGH SANDHYA DEVI Chandauli 02.12.2016 NIL NA Death


91 DEEPAK PANDEY RINKU DEVI Chandauli 25.02.17 DEATH UNDER PROCESS 92 RAMA SHANKAR PRASAD PAVITRA DEVI Chandauli 12.01.17 DEATH UNDER PROCESS

Naubatpur,Narwan,Chandauli-9140551916

Bhujna,Narawan,Chandauli - 9935260683

PRAROOP NO. 10 De

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name DEORIA


S.No. Name of Injured person Date of Accident Amount Dt. Of Payment Remarks

1 Narad Muni Madehsiya Smt. Indrawati 9/20/2016 500000 10.01.17 Death PAID

2 Sanjay Prasad Smt. Gayatri Devi 10/15/2016 500000 10.01.17 Death PAID

3 Subhas Yadav Smt. Indrawati Devi 11/17/2016 NIL NA Death REPUDIATED NO ACCIDENT( Natural Death)

4 Gyanti Devi Chandra Shekhar 9/4/2016 NIL NA Death REPUDIATED Accident Date prior inception of policy

5 Madan Vishwakarma Smt. Maina Devi 9/19/2016 NIL NA Death REPUDIATED OVERAGE/NO FIR/NO PMR

6 Sandeep Yadav Ajit Yadav 9/28/2016 NIL NA Death REPUDIATED SUICIDE

7 Akash Gupta Indradev Gupta 10/14/2016 NIL NA Death REPUDIATED UNDERAGE /NOT HOF ( Father is HOF)

8 Pujari Giri Smr. Kaushlaya Devi 10/21/2016 NIL NA Death REPUDIATED MARRIED DAUGHTER NOT COMING IN FAMILY DEFINITION

9SHANKAR RAJ BHAR SMT. PARVATI DEVI

24.09.2016 500000 28.12.16 Death PAID

10SMT. PRABHA VATI DEVI ASHWANI GAUR 27.10.2016

NIL NA Death REPUDIATED NOT HOF / HUSBAND ALSO DIED IN THE SAME ACCIDENT

11RAM SHANKAR GAUR ASHWANI GAUR 27.10.2016

NIL NA Death REPUDIATED crossing under goods train

12RAM PRATAP SONIA 16.10.2016


13Munshi Mall Smt. Gena Devi

11/11/2016 500000 28.12.16 Death PAID

14Dinesh Rajbhar Smt. Sangeeta

7/10/2016 500000 28.12.16 Death PAID

15Raj Vanshi Smt. Fuleshri

21/09/2016 500000 28.12.16 Death PAID

16Sandeep Singh Smt. Mandavi Singh

19/09/2016 500000 25.04.17 Death paid

17Harihar Yadav Smt. Lalita Deoria


18Smt. Akali Deoria


19Salman Khan Tajmmual Hussain 4/10/2016


20Harhangi Bharat

21/09/2016 500000 13.03.17 Death PAID



Death/disability

STATUS ( PAID/REPUDIATE/UNDER PROCESS) If repudiated reason of repudiation with in 20 words

Sidhwa, Deoria 7379638969Vill- Bankatbahadurpur, Rampur, Deoria 9458642661

Karkhana,Deoria, 7068464396

Hirandpur,Distt,Deoria,

Karkhana,Deoria, 9918202634

Karkhana,Deoria, 9795258584Vill. Chandpur,Deoria, 9792851367Dhoos Mohalla,Deoria, 7706054772Misarwali Koria, Rudrapur, Deoria 7379084863Belwabazar , Sawareji, Kharag, Deoria, 9721052213Vill Belwa Bazar , Thana Rampur , Deoria, 9721052213 MUNDERA, GI ESTATE , DEORIA , 9565378995

nominee clarification…..status of wife required from investigator….. PARIVAR REGISTER REQUIRED ….INCOME PROOF OF DECEASED FAMILY REQUIRED

Mundera Bujurg, Deoria 9838457946

Godia, Deoria 8948842822342, Mudshari, Bordih Laar, Deoria 9919507425Rawatpur Raghen, Vikas khand, Salempur, Deoria 9793878683

No katauni and other entitled documents ...income certificate of deceased is also not available in file

Raghuvanshi alias Raju Prajapati

Hari kratan , Bhatni , Deoria , 9793024690

murder case….crimnal consipiracy….not BPL/NOT Katuani/Not HOF ( Father is HOF)

Main Raod, Indira Nagar, Deoria 9956919780

21Bheem Kumar Smt. Poonam Devi Deoria


22Rambadan Yadav Komal Yadav 28/10/2016


23Jitendra Prajapati Smt. Gyanti Devi Deoria

10/10/2016 NIL NA Death REPUDIATED no katauni /income/bpl card in the name of deceased/claimant….

24SITA RAM CHAUHAN SMT. DHARMI

23.09.2016 500000 05.01.17 Death PAID

25JITU GUPTA KISHORE 12.10.2016

NIL NA Death REPUDIATED NOT HOF/ BREAD EARNER ( Father is HOF)

26Pana Devi Subash Chauhan 01.11.2016

NIL NA Death REPUDIATED over age ….more than 70 yrs

27Rinku Naresh Chamar 18.09.2016

NIL NA Death REPUDIATED suicide case

28RAM BALI YADAV SMT. SARASWATI YADAV

5/12/2016 500000 31.01.017 Death PAID

29RITESH RAJBHAR SMT. JABITA DEVI 7/8/2016

NIL NA Death REPUDIATED ACCIDENT DATE PRIOR TO INCEPTION OF POLICY ( DOA 07.08.2016)

30SEEMA DEVI LAL BAHADUR 20/09/2016

NIL NA Death REPUDIATED NO HOF/NO BREAD EARNER ( HUSBAND IS HOF)

31SURESH CHAUHAN SMT. SUBHAWATI 1/11/2016

NIL NA Death REPUDIATED No Khatoni, No BPL Card , NOT ELIGIBLE UNDER THE POLICY

32PARDESHI 11/8/2016

NIL NA Death REPUDIATED AGE MORE THAN 70 YRS

33Jonhiya Devi Badri Singh 9/13/2016

NIL NA Death REPUDIATED Date of Accident prior to inception of policy ( 13.09.2016)

34Santosh Smt. Anita 11/3/2016

NIL NA Death REPUDIATED NO ACCIDENTAL DEATH….NATURAL DEATH

35Shri Ram Smt. Arti Devi 9/13/2016

NIL NA Death REPUDIATED Date of Accident prior to inception of policy

36Indrawati Devi Shimpi Sahni Deoria


37Daya Shankar Priyanka

08.12.16 500000 07.03.17 Death PAID

38Umashankar Kalawati Devi

19.12.16 500000 07.03.17 Death PAID

39VISHWNATH BHAGAT SMT. SANKESIYA 27.09.2016

NIL NA Death REPUDIATED Overage

40AMARJEET KUMAR MOTI LAL Deoria


41JITENDER YADAV SHANTI DEVI 15.11.2016

NIL NA Death REPUDIATED NOT BREAD EARNER/NOT HOF(Father is HOF)

42Anand Shukla Smt. Asha Shukla 6/11/2016

NIL NA Death REPUDIATED no katauni/no bpl/no income certificate/no HOF ( Mother is HOF)

43Sanjay Yadav Komal 16/11/2016


44Sadafal Sushila Devi


45Shakti Pal Prasad Bikau Prasad Deoria


46Pradumman Prasad

Kismati Devi 20.01.17 500000 26.04.17 Death PAID

NEITHER FARMER ….NO INCOME CERTIFICATE ….BPL IS IN THE NAME OF FATHER Gura Bharaj Ward

13 Gura Jay Nagar Deoria , 8423618444

NO KATUNI/NO BPL/NO SAMJAWADI PENSION/AS PER CLAIMANT INCOME OF DECEASED RS. 15000/ PER MONTH

31, EKDANGA TALAKOLHU RUDRAPUR, DEORIA 8052157185138, Sakrapar Khanda, 2 Sakra park Kotwali , Deoria, 9919633769

Bhagwanpur , Deoria, 96282176923 , Nagrauli Gauri Bazar , Deoria, 7388319130KARJAHANPUR SALEMPUR, DEORIA 9984078304Gram Bhalua , Guri Tappa Dod , Tehsil , salempur , Deoria , 9721968252Balua, Afgan. Goita Tola , Bhatparrani , Deoria, 9721133816H.N.175 KJ MISHRAULIYA BATULAHI DEORIA 7348013797

Jhannu Prajapati & Vijay Pratap (Sons)

SILA HAT Rudrapur , Deoria, 8573970487Tarkulwa Madari Patti . Tarkulwa, Deoria, 9838177132

93, Mishrauliya, Deoria.9565813263115 SiravaviyanKhand 2 , Deoria, 9794117998

VILL. BANUNTH PUR, RAMPUR, KARKHANA,Deoria, 9919261930VILL POST BARHARA, KALANPUR ,Deoria,08299597905

63 K Sarvaniya , Deoria, 9919483390

Harnahi Madanpur , Barhaj, Deoria, 9648425996Pipra shukl , Khukhudu, Deoria, 8896423749Nayapur , Harnahi , Baraon, Barhaj , Deoria , 9838027175

No Khatoni, No BPL card & No Income Ceartificate,No HOF ( Father is HOF)

Deoria, 9792862114

SAMOGAR, KANCHANPUR,Deoria, 08543076049

47Sawaru Jhanki Devi

06.02.2017 500000 26.04.17 Death PAID

48Sunil Paswan

Jayvanti Devi12/18/2016

NIL NA Death REPUDIATED NOT HOF , 18 Yrs OLD , Student ( Father is HOF)

49Munnilal Yadav

LAKSHMINA DEVI Deoria 10/28/2016 NIL NA Death REPUDIATED NO Khatauni/NO BPL?NO Income Proof

50Prem Prakash Caubey Amrawati Devi Deoria, 9792563346

17.01.17 NIL NA Death REPUDIATED NOT HOF ….HIS FATHER WAS HOF

51Munna Rajbhar Binda Devi Deoria

31.12.16 500000 13.05.17 Death PAID

52Shri chandra

Bindu Devi 11.12.16 500000 10.04.17 Death PAID

53Vikram Yadav Gyanmati Devi Deoria

08.11.2016 NIL NA Death REPUDIATED overage as per voter id card and overwriting in parivar register

54Tejbahadur Rambha Devi Deoria

23.11.2016 NIL NA Death REPUDIATED NATURAL DEATH

55Upendra Pandey Anju Devi Deoria

30.11.16 500000 13.05.17 Death PAID

56Rakesh Suman Devi Deoria

11.09.2016 NIL NA Death REPUDIATED dt. Of accident prior to policy

57Vinod Sanju Devi

500000 28.04.17 Death PAID

58Surendra Pratap Kunti Devi Deoria

09.12.2016 500000 25.04.17 Death PAID

59Digvijay Kamla Devi 09.10.2016

NIL NA Death REPUDIATED not eligible

60Arjun Nishad Guddi Devi 08.11.2016 UNDER PROCESS

61Devchandra Surendra, Virendra 08.11.2016

NIL NA Death REPUDIATED overage

62Sardar Verma Bhagmani Devi

12/9/2016 500000 24.04.17 Death paid

63Ramkeshia Devi Shivji & Jaiprakash Deoria

04.11.2016 NIL NA Death REPUDIATED overage …deceased was 77 yrs old as per documents.

64Rishimuni Subhawati Devi

21.09.2016 500000 26.04.17 Death paid

65 Ramlakhi Deoria 11.11.2016 500000 09.06.2017 Death PAID

66Durgesh Subhawati Devi 12.11.2016

NIL NA Death REPUDIATED not entitled under the policy

67Nurul Hoda Naseeb Ali, Sameem Ali Deoria

Death UNDER PROCESS

68Rambadan Bhagwanti Deoria

500000 20.06.2017 Death PAID

69Munni Lal Lakshmina Devi

31.12.16 500000 24.04.17 Death paid

70Pintu urf Ashish Priyanka Devi Deoria

30.10.16 500000 18.05.17 Death PAID

71Satyendra Gyanti Devi 17.12.2016

NIL NA Death REPUDIATED not hof

72Janardan Indrawati Devi 03.09.2016

NIL NA Death REPUDIATED accident prior to inception of policy

VILL. SARANGPUR, POST RAMPUR KARKHANA,DeoriaPathardewa , Trkulwa , Deoria , 8052706810

Karaundi, Thakur Doria, Deoria 9984661447

Rampur Khash, Tarkulwa, Deoria 7234945472

FRAMPUR , RAMPUR KHARKHANA, DEORIA, 7571844708DOL CHAPRA , SALEMPUR KOTWALI , DEORIA, 9793887247DOL CHAPRA , SALEMPUR KOTWALI , DEORIA, 9793887247Batulahi, Baitalpur, Rudrapur, Deoria 7408497644

Vill.-Pachma, Teh.-Rudrapur,Deoria 7266879069

Umesh, Ashok, Omprakash, Rejesh

VILL GHOTA , RASULPUR , DEORIA, 8795788107

Gram-Velahi, Deoria 8542991392

KATGHARA BANKATA , AMETHIA BHATPAR RANI DEORIA, 9554705519Babu Dharamkhor,Ghanti Bhani,Deoria,8543068665

73Chunni Lal Ramawati

05.1.2017 500000 24.04.17 Death paid

74Dinesh Tewari Usha Devi

06.12.2016 500000 19.04.17 Death paid

75Kanhaiya Kabutari Devi

11/5/2016 500000 19.304.17 Death paid

76Surnarayan Kaushalya Devi Deoria

Death UNDER PROCESS

77Narsingh Jahan Tanzeer Deoria

Death UNDER PROCESS

78Pramila Devi Shubham & Aditya Deoria

Death UNDER PROCESS

79Lalbahadur Buddhu Deoria

27.09.2016 NIL NA Death REPUDIATED NOT HOF …HIS FATHER WAS HOF OF HIS FAMILY

80Ajay Yadav Reena Devi Deoria

Death UNDER PROCESS

81Ajay Anjana Devi Deoria


82Harishanker Babita Devi Deoria


83Nandu Paswan Leela Devi Deoria

31.12.16 500000 18.05.17 Death PAID

84Munna Lalmati Devi Deoria

Death UNDER PROCESS

85Satwant Ranjana Deoria

Death UNDER PROCESS

86Ramjaan Zainab Khatoon Deoria

Death UNDER PROCESS

87Shyambadan Kalawati Devi Deoria

Death UNDER PROCESS

88Ram Naresh Marachi Devi Deoria

21.12.16 500000 18.05.17 Death PAID

89Jaigovind Geeta Devi Deoria

500000 08.06.2017 Death PAID

90Abdullah Ali Ansari Asma Bano Deoria

500000 13.06.2017 Death PAID

91Surjan Vimla Devi Deoria

05.10.16 500000 13.05.17 Death PAID

92Mohan Ramraji Devi Deoria

500000 13.06.2017 Death PAID

93Vijay Kumar Jhangat Deoria

Death UNDER PROCESS

94Akhilesh Saroj Devi Deoria

Death UNDER PROCESS

95Sona Devi Nathuni Deoria

Death UNDER PROCESS

96Parwati Devi Nishant Sahni Deoria

17.09.2016 NIL NA Death REPUDIATED NOT HOF..HER HUSBAND WAS HOF

97Suresh Maddhesia Mansha Devi

13.01.17 500000 24.04.17 Death paid

98Durgesh Kumar Usha Devi Deoria

22.01.17 NIL 31/05/2017 Death PAID

35 Thoka Vanshi, Salempur, Deoria 9919917134Marwaria Raja, Fatehpur, Rudrapur, Deoria 9818995302Padri, Rudrapur,Deoria 9454403226

no katauni…no bpl/income certificate in the name of deceased /his family. Case of alchohal also.

Vill.-Thoda, Rudrapur, Deoria 9621407317

99Tunganath Mishra Savitri Devi Deoria, 9919316049

09.03.17 500000 23.05.17 Death PAID

100bhola yadav subhawati devi

Deoria 08.12.2016 NIL 02.06.2017 Death PAID

101LT NIFIKIR ALLIAS KUKUR Manju Devi, Deoria


102LT JAVED AKHTAR ROKAIYA KHATUN Deoria


103 MANOJ BARNWAL SUNITA DEVI Deoria


104RAMCHANDRA BARNWALMEERA DEVI Deoria


105SHUSHIL BARNWAL SARITA DEVI Deoria


106SHAMBHU NATH YADAV GEETA DEVI Deoria 07.12.2016

Death UNDER PROCESS

107Vivek Vidyarthi Deoria 10.04.17

Death UNDER PROCESS

108Lakshman Kushmawati Devi Deoria 25.12.16

Death UNDER PROCESS

109Nand Lal Ishrawati Devi Deoria 16.12.16

Death UNDER PROCESS

110Sarswati Ganga Deoria 16.02.17

Death UNDER PROCESS

111Shiwa Suman Devi Deoria 20.12.16

Death UNDER PROCESS

112Balwant Shyama Devi Deoria 04.12.16

Death UNDER PROCESS

113Ram Dulare Chanpati Devi Deoria 15.01.17

Death UNDER PROCESS

114Amerika Basmati Devi Deoria 23.01.17

Death UNDER PROCESS

115Sohan Lal Usha Vishwakarma Deoria 12.04.17

Death UNDER PROCESS

116Pintoo Vidyarthi Deoria 10.04.17

Death UNDER PROCESS

117Pradeep Kumar Ram Dhani Prasad Deoria 10.04.17

Death UNDER PROCESS

118Manoranjan Pandey Anju Devi Deoria 22.12.16

Death UNDER PROCESS

119Ram Nath Kalawati Devi Deoria 21.11.16

Death UNDER PROCESS

120Jay Dayal Rambha Devi Deoria 31.12.16

Death UNDER PROCESS

121Om Prakash Kalawati Devi Deoria 13.02.16

Death UNDER PROCESS

122Shivranjay Madhuri Devi Deoria 16.01.17

Death UNDER PROCESS

123Ram Kishun Indrawati Deoria 02.12.16

NIL NA Death REPUDIATED NO KATAUNI/BPL/INCOME CERTIFICATE

124Santosh Kumar Singh Shubham & Aditya Deoria 17.11.16

NIL NA Death REPUDIATED no katauni…no bpl/income certificate.wife died in same accident and claim paid being katauni in her name

125DHARMENDER CHAHUAN SANDHIYA Deoria 26.11.16


126NAGANDER SINGH CHAHASADAPHAL Deoria 26.11.16


127Arshad Jamal Khan saira bhano Deoria 31.1.17

NIL NA Death REPUDIATED NATURAL DEATH…DECEASED WAS SUFFERING FROM CANCER

128Sami Ulla Mahajbeen Deoria 10.12.16

NIL NA DeathREPUDIATED suicide case

129Nand prasad Sumitra Devi, 8572976924 Deoria 23.12.16

NIL NA Death REPUDIATED natural death

130Pintoo sushila devi Deoria 10.4.17

Death UNDER PROCESS

131MUNNA CHORASIA NIRMLA DEVI Deoria 25.2.17

500000 09.06.2017 Death PAID

132MADAN TIWARI MALA TIWARI Deoria 11.2.17

Death UNDER PROCESS

133VIJAY YADAV MEENA DEVI Deoria 24.3.17

500000 09.06.2017 Death UNDER PROCESS

134Satya Narain Yadav Rajwanti Devi 16.05.17

Death UNDER PROCESS

135 Lt Sharda Dom Ugani Devi 09.03.17 Death UNDER PROCESS

136KAMLESH CHAHUAN Deoria

26.11.2016 NIL NA DeathREPUDIATED NOT HOF…HIS FATHER WAS HOF

NO KATAUNI/BPL/INCOME CERTIFICATE ….ALCHOLE SMELL PRESENT AS PER pmr

NOT HOF..HIS FATHER WAS HOF… ALCHOLE ALSO PRESENT AS PER PMR.

Deoria, 7398181615Ruchchapar, Baitalpur, Deoria

LAKHAN ALIAS RAM LAKHAN CHAUHAN

PRAROOP NO. 10 Details of R

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name GHAZIPUR

Progress month JUNE , 2017

S.No. Name of Injured person Name of Nominee/benficiary Date of Accident Amount Dt. Of Payment Remarks

1 Dadhibal Smt. Sursuti Devi 3/10/2016 500000 16.11.2016death PAID

2 Baijnath Alias Baiju Prem Ch. Balwant 9/10/2016 500000 2/3/2017 DeathPAID

3 Saurabh Roy Kripa Shankar Roy 11/20/2016NIL NA Death REPUDIATED NOT HOF…HIS FATHER WAS HOF

4 Mrs. Tetri Devi Bihari 10/9/2016NIL NA Death REPUDIATED

5 Mrs. Mansha Devi Bujharat 09/10-10-16NIL NA Death REPUDIATED NOT HOF/ HER HUSBAND WAS HOF

6 Jitendra Smt. Sheela Devi 10/9/2016NIL NA Death REPUDIATED NOT HOF / HIS FATHER WAS HOF

7 Sopari Bind Ram Surat 10/9/2016NIL NA Death REPUDIATED NOT HOF ( Father is HOF)

8 Pinki BihariBadhaipur,Ghazipur

10/9/2016NIL NA Death REPUDIATED UNDERAGE / 15 YRS

9 Paras Nath Tiwari Smt. Geeta Tiwari 9/14/2016NIL NA Death REPUDIATED

10 Sharda Devi Shama 09/10-10-2016NIL NA Death REPUDIATED NOT HOF ( Husband is HOF)

11 Komal Yadav Smt. Durgawati DeviGhazipur

10/21/2016NIL NA Death REPUDIATED NO income proof…katuni etc…

12 Brijesh Chauhan Smt. Suman Chauhan 11/13/2016 500000 15/02/2017 DeathPAID

13 Sonu Ahmad Nehruddin Ahmad 10/2/2016NIL NA Death REPUDIATED UNDERAGE /NOT HOF/HIS FATHER WAS HOF

14 Manoj Singh Smt. Kiran Singh 11/20/2016 500000 10/1/2017 DeathPAID

15 Ramrajiya Raj Kumar @ Kumar 10/9/2016NIL NA Death REPUDIATED NOT HOF…HER HUSBAND WAS HOF

16 Dhnanjaya Prajapati Smt. Kiran Devi 9/17/2016 500000 4/19/2017 Deathpaid


Death/disability

STATUS ( PAID/REPUDIATE/UNDER PROCESS)

If repudiated reason of


Gram hamid pur, jamaniya, Ghazipur,8115130183

Vill.-Badaipur, Ghazipur 7068516349Vill. Parsha,Ghazipur,7376734346

Badhaipur,Ghazipur, 9129394789

NOT HOF /NOR BREARD EARNER…her husband was HOF

Badhaipur,Ghazipur, 8808779355

Badhaipur,Ghazipur,8874104584

Badhaipur,Ghazipur,7843883441

Somarbari,Jhakhaunia,Ghazipur,7860328832

ACCIDENT PRIOR TO POLICY PERIOD 14.09.2016 AT 5 AM

Baraipur,Mohamdabad,Ghazipur,8565923228

Alipur Madara, Ghazipur 9415971476

Zafarpur,Dulharpur,Ghaziabad,894853

Vill.-Samur Paragana, Ghazipur 8879222340

Baraipur,Mohamdabad,Ghazipur,9616994259

Bikapur Kotwali, Sadar, Ghazipur 9125017867

17Lalji Ram Sarju Ram

15/09/2016NIL NA Death REPUDIATED NOT HOF/ HIS FATHER WAS HOF

18Jai Prakash Rajbhar Smt. Basanti Devi

1/12/2016NIL NA Death REPUDIATED

19Ram Adhar Bind Smt. Tetri Devi Mishrauliya, Ghazipur 96

19/10/2016 500000 5/1/2017 DeathPAID

20Pooja Soni Manish Soni & Ravi Soni

20/11/2016 NIL NA Death REPUDIATED under age ….not HOF (…brother is HOF)

21Radhey Shyam Smt. Gulabo Devi


22Kaushilya Devi

20/11/2016NIL NA Death REPUDIATED overage ….71 yrs

23Urmila Gupta Surendra Gupta

15/10/2016NIL NA Death REPUDIATED not hof….( HUSBAND HOF)

24Radhika Devi Bhullan Singh

5/11/2016NIL NA Death REPUDIATED not hof….( HUSBAND HOF )

25Rakesh Verma alias Ritesh


26Shravan Kumar Yadav Smt. Asha Devi Ghazipur

14/09/2016 NIL NADEATH under process

27Ram Bhajan Smt. Sunita Devi

20/09/2016NIL NA Death REPUDIATED not accidental death/ cadic arrest

28Hewanti Devi Mansih Soni & Ravi Soni

20/11/2016 500000 2/3/2017 DeathPAID

29SHIV POOJAN RAM SHIV KUMARI

10.10.2016 500000 1/20/2017 DeathPAID

30HARBANSH GUPTA SANJAY GUPTA Ghazipur

21.09.2016NIL NA Death REPUDIATED

31PANNA LAL RAJWANTI DEVI

25.11.2016NIL NA Death REPUDIATED age MORE THAN 70 yrs AS PER PARIVAR REGISTER

32Gopal Ram Rakesh Kumar Sasundi Para, Ghazipur 9

24.09.2016 500000 2/3/2017 DeathPAID

33Rahul Ram @ Bhola Ram Chandar Ram

18.09.2016NIL NA Death REPUDIATED NOT HOF ( Father is HOF)

34Arshad Jamal Arshad Jamal

23.09.2016NIL NA disability REPUDIATED injury case

35Vishal Deep Subhash Chandra

16.11.2016NIL NA Death REPUDIATED underage….13 yrs

36Rakesh @ Channu Jholai Prajapati

28.09.2016NIL NA Death REPUDIATED neither farmer…nor BPL….no income certificate

37RAVINDRA YADAV SMT. LALDEI DEVI

11/11/2016 500000 2/8/2017 DeathPAID

38Sudarshan Singh Smt. Tetri Devi

9/18/2016 500000 10/2/2017 DeathPAID

Padampur , Maigarai,, Mudkura, Ghazipur , 7852297561

Salempur,Ghazipur,7860746000 NO KATUNI/SAMAJWADI PENSION/BPL…NO INCOME

CERTIFICATE

TOOLApatti , Alias , Brahmanpura , Karanda, Ghazipur , 7772977381

Karnai Shukhpura , Ghazipur, 8874223132

OVER AGE ….NOFIR/GD….pension holder….pension Rs. 11314/- ..railway retired

Mukesh Verma, Nirmal Verma, Ritesh Soni, Vinod Verma & Pramod Verma

Toolapatti , Alias , Brahmanpura , Karanda, Ghazipur , 9755329767

Kusumbhi Kala, Nandganj , Ghazipur , 9648221740Rampur Bantara Nandganj , Ghazipur , 9879130689

Mukesh Verma, Nirmal Verma, Vinod Kumar Soni, Ritesh Soni & Pramod Kumar Soni

Tulapatti , Brahampura , Karanda, Ghazipur , 7379010345

neither farmer…nor BPL/income certificate …..not HOF….(elder brother HOF)

Vidyapara , chokiya, Kotwali Sadar , Ghazipur , 9598502050

Tulapatti, Barhampura, Ghazipur 7772977381

SAURAM, NANDGANJ, GHAZIPUR 9452572324

neither farmer…nor BPL card holder/income certificate….ration card APL……

Khijirpur , Karnda , Ghazipur , 9565182641

Gehmar Patti Teeka Rai , Gehmar Ghazipur 7348028756

Parsa Mohammadabad , Ghazipur , 98074753128Kusum hikala Nandganj ,Ghazipur , 8382945329

Sadatpur , Jangipur , Ghazipur , 9170242032Dharawa, Karanda Nandganj, Ghazipur 8808186174

Berawar Kalan, Jamania, Ghazipur 8127779936

39Sushila Devi Badri Nath Verma


40Anil Yadav Subedar Yadav


41Ashok Kumar Rambriksh Ram


42Vinod Paswan Smt. Uma Devi

9/17/2016NIL NA Death REPUDIATED NOT HOF ( Father is HOF)

43Manbhawati Devi Shivnath Rajbhar

9/14/2016NIL NA Death REPUDIATED NOT hof

44Phoolmati Yadav Rajesh Kumar Yadav


45Sewa Lal Smt. Nirmala Devi

11/1/2016NIL NA Death REPUDIATED NO KHATONI, NO BPL CARD, NO INCOME CERT.

46Manju Devi Ramashray Ram


47Kumbhkaran Smt. Sheela Devi

23/09/2016 500000 15/02/2017 DeathPAID

48Arshad Ali @ Shibu Smt. Talat Yasmin

9/10/2016 500000 2/10/2017 DeathPAID

49Harikesh Smt. SHAKUNTALA DEVI Sarai Gokul, Manihari, Gha

18/11/2016 500000 10/2/2017 DeathPAID

50Om Prakash Singh Smt. Namrata Singh

12/10/2016 500000 8/2/2017 DeathPAID

51Shiv Chandra Smt. Anita Devi

11/3/2016NIL NA Death REPUDIATED OVERAGE

52Ram Parvesh Ram Smt. Sangeeta Devi

12/5/2016NIL NA Death REPUDIATED UNDERAGE …10 YRS

53Jokhani Devi Mahadev

10/20/2016NIL NA Death REPUDIATED OVERAGE

54Abhilash Kumar Yadav SMT. MUNNI DEVI

9/17/2016NIL NA Death REPUDIATED NOT HOF ( Mother/Elder brother is HOF)

55MUNI DEVI VIRENDER KUMAR Ghazipur NIL NA Death REPUDIATED

56LAKHI CHAND Ghazipur

07.01.2017 500000 10.04.2017 DeathPAID

57AFJAL ANSARI AGSANA BEGUM Ghazipur

14.11.2016 500000 02.03.2017 DeathPAID

58SATENDER PRATAP SINGH Ghazipur NIL NA Death REPUDIATED REPORT SUBMITTED ON 23.02.2017

59MANI LAL RUKMANIYA Ghazipur

07.01.2017 500000 10.04.2017 DeathPAID

60DEVSHARAN RAM Ghazipur NIL NA Death REPUDIATED AGE OUT OF CRITERIA

Ward No 6 , saraswati Nagar Jangipur , Ghazipur , 9889972275

NO KHATONI, NO INCOME CERT., NO HOF( husband hof)

Bulandarpur,Fadanpur,Nonhara,Ghazipur,9661101377

NO KHATONI, NO INCOME CERT., NO HOF…( father is HOF)

Dinaura,Dadra,Khanpur,Ghazipur,991996817 DECEASED WAS GOVT. SERVENT/Not HOF ( father is

HOF)

Ranipur,Jamania, Nonhara, GhazipurGanga Bhagad,Kalakalwa,Malhipur,Shrawasti, 9450401764Nai Coat,jansoki Madahi,7379493393 NO KHATONI, NO BPL CARD & NOT HOF HER HUSBAND

WAS HOF

Mainpur,Rampur,Baburi,Chandauli,9839356278

Gaudhari,Gilaula,Shrawasti,9936769106 NOT HOF. As per police report, panchnama and PMR

death is natural.

Hakimpur, Nandganj, Ghazipur 9452572324

Khtibpur, Jakhania, Ghazipur 9919239220

Rampur Manjha, Saidpur, Ghazipur 9956874155

Gauspur , Jakhania, GHAZIPUR , 9889767134

Biranon, Ghazipur, 988954663

Biranon, Ghazipur, 9956646415Gadahichak , Jaharullah , Jamania , GHAZIPUR , 9452842760

61RAMESH RAJBHAR ASHA DEVI Ghazipur

29.11.2016 500000 02.03.2017 DeathPAID

62Achita Nand Roy Amrawati Devi Ghazipur


63Kanta Yadav Ganga Jali Devi Ghazipur, 9839944354

18.11.16 500000 10.04.2017 DeathPAID

64Manoj Prajapati Rajendra Prajapati, 9839257968 Ghazipur


65Gulab Chandra Ram Savita Devi, 9721987776 Ghazipur


66Mukh Ram Yadav Meera Devi Ghazipur, 9918396812

18.11.16 500000 07.04.2017 DeathPAID

67Mangla Prasad Gaur Mansa Devi Ghazipur, 9450126722

08.12.16 500000 10.04.2017 DeathPAID

68Ram briksh ram Mangari Devi, 8009167242 Ghazipur


69Prabhu Narain Singh Munrauta Devi, 9651135540 Ghazipur

20.11.16NIL NA Death REPUDIATED working in ordinance factory ….and no katauni

70LAKSHMAN NISHAD SONI DEVI 11.11.2016 NIL NA Death REPUDIATED NO KATAUNI ….NO BPL…NO INCOME CERTIFICATE

71MASOOD AHMED JARINA KATOON

23.09.2016NIL NA Death REPUDIATED No HOF ( Mother is HOF)

72lal chand vishwkarama sushila devi Ghazipur

31.10.2016 NIL NADEATH under process

73ARMAN ANSARI SAMSUN NISHA


74Chandrika Pushpa Devi, 7860565433 Ghazipur

21.12.1615.06.2017 500000 Death PAID

75Shiv Bachan Singh Sushila Devi, 8545837734 Ghazipur


76Shiv Narain Gupta Pooja Devi, 8052601187 Ghazipur


77SARITA DEVI JITENDER YADAV

GAZIPUR 20.09.2016NIL NA Death REPUDIATED Sucide ,NO HOF( Husband is HOF)

78RAM AWADH RAM Sudami, 8052472058

25.09.2016NIL NA Death REPUDIATED no katauni…no bpl…no income certificate

79Ghanshyam

Smt. Sanichari Devi 08.11.2016 500000 9/3/2017 DeathPAID

80DHARAM DEV YADAV MURAHI DEVI

27.12.2016 500000 9/3/2017 DeathPAID

81SARITA RAI RAVI KANT RAI

15.10.2016NIL NA Death REPUDIATED Sucide,NOT HOF…( FATHER IS HOF)

82AMARJJET GAUTAM SAROJ DEVI

08.11.2016NIL NA Death REPUDIATED NO KATAUNI…NO BPL..NO INCOME CERTIFICATE

PACHARA , NANADGANJ , KARANDA , , GHAZIPUR , 8733823668

Indore, Kasimabad , Ghazipur , 9651977364

UTRAO, MOHAMMADDINPUR , GHAZIPUR , 8795114718

not eligible….no katauni..no bpl card in the name of claimant family

Meerpur Tiraha, Dev Chandanpur , Saidpur , Ghazipur 9670132166

Jianpur, Shekhanpura, Ghazipur 72067035985

Singhpur, Saidpur, Ghazipur 7706045173

Rajauli Bagendra , Karimu ,Deenpur , Ghazipur , 9721190678JIYANPUR , SHEKHAN PURA , Kasimabad , Ghazipur . 8795425314

83Shyam Sunder Yadav self ,9670164131 Ghazipur


84Munshi chuaudhary Budhiya devi, Mo b No. Ghazipur


85NAVI Saibun Ghazipur


86Jai Prakash Rajbhar Basanti Devi Ghazipur


87Akash Yadav

Keshav Yadav 9/20/2016NIL NA Death REPUDIATED NOT HOF …HIS FATHER WAS HOF

88Wakeel Ahmad Shahida khastoon, 9889987630 Ghazipur


89MANOJ RAI

PRATIMA RAIGAZIPUR

22.11.2016 500000 20.03.2017 DeathPAID

90LALLAN KUSHWAHA

SAROJ DEVI 12.10.2016NIL NA Death REPUDIATED not accidental death….died due to cold in fields

91KRISHNA MOHAN CHOUBEY

PURNIMA CHOUBEY 29.09.2016 500000 4/7/2017 DeathPAID

92ANIL SINGH

VIDOTIMA SINGHGhazipur

14.10.2016 500000 07.04.2017 DeathPAID

93ASHOK KUMAR PANDEY

SUMAN PANDEYGhazipur

04.11.2016 500000 07.04.2017 DeathPAID

94Danish Kuraishi Tanveer Anjum, 9889023006 Ghazipur

05.03.17 NIL NADEATH REPUDIATED not hof ( elder brother /mother is hof)

95Munna Rajbhar Saroja Devi, 7379383001 Ghazipur


96Shiv Nath Prajapati Jaishri Prajapati, 9838597426 Ghazipur

05.03.17 NIL NADEATH REPUDIATED overage…age about 80 yrs

97Nankoo Ram Bhagmani Devi Ghazipur, 8931834653

22.02.17 500000 23.05.17 DeathPAID

98Rajendra Singh Satendra Singh Yadav,979519607 Ghazipur

05.02.17 NIL NADEATH REPUDIATED not accidental death….died due to cold in fields

99Ganga Sagar Sushma Devi Ghazipur, 8052873799

10.02.17 500000 13.05.17 DeathPAID

100Ramsukh Rajbhar Maniya Devi, 7398032750 Ghazipur


101Enam khan Akabari khatoon (mother),96654 Ghazipur


102Ajeet kumar singh Reema singh,9450027070 Ghazipur

27.01.2017 500000 25.06.2017DEATH PAID

103SUNIL KUMAR GAUTAM Rinki devi, 9721186221 Ghazipur

03.04.2017 500000 25.06.2017DEATH PAID

104SRI NATH URF PAMPA RAM Manu Prajapati,8896610099 Ghazipur

19.02.2017 500000 NADEATH PAID

BUDANPUR , Kasimabad , Ghazipur , 9984017469

SARDARPUR , BUDDHUPUR , BIRNO , GHAZIPUR , 8572987514

NARWA, MARDAH, GAZIPUR 9918651259

105RAJ NARAIN PRAJAPATI Ghazipur


106Sri Ram Rajbhar Ghazipur 10.03.17 500000 DEATH PAID

107Jitendra Yadav Ghazipur 06.03.17 500000 DEATH PAID

108Shyam Sunder Paswan Ghazipur 14.04.17 DEATH UNDER PROCESS

109Rajesh Yadav Ghazipur 01.04.17 DEATH UNDER PROCESS

110Tileshwar Yadav Ghazipur 03.02.17 DEATH UNDER PROCESS

111Sachchidanand Upadhyay Ghazipur 09.03.17 DEATH UNDER PROCESS

112Bharat Singh Ghazipur 06.05.17 DEATH UNDER PROCESS

113Bandhan Singh Ghazipur 23.04.17 DEATH UNDER PROCESS

114Anurudh Ram Gaur Ghazipur 14.04.17 DEATH UNDER PROCESS

115Jai Prakash Gaur Ghazipur 25.05.17 DEATH UNDER PROCESS

116Vinod Rajbhar Ghazipur 04.12.16 DEATH UNDER PROCESS

117Ashok yadav Ghazipur 03.02.17 DEATH UNDER PROCESS

118Prakash rajbhar Mahegawa, Ghazipur - 9628166346 Ghazipur 23.01.17 DEATH UNDER PROCESS

MANOJ KUMAR PRAJAPATI,8808318025

Akush pur, Ghazipur - 9819858056

Akush pur, Ghazipur - 9984965672

Bihra po-veerbalpur ,Ghazipur-8795211351

Chakta suddin jangipur,Gzp - 8726210441

mailto:[email protected]

PRAROOP NO. 10

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name GORAKHPUR

Progress month JUNE, 2017


1 Ram Chandra Mall Smt. Sitapati 12/10/2016NIL NA Death

REPUDIATED Natural Death (T.B.)

2 Surendra Kumar Smt. Laxmina Devi 10/13/2016NIL NA Death

REPUDIATED GOVT. EMPLOYEE

3 Vikash Kumar Baiju Prasad 10/28/2016NIL NA Death

REPUDIATED NOT HOF…FATHER WAS HOF

4 Banke Prasad Shukla Smt. Tara Mati 9/29/2016NIL NA Death

REPUDIATED AGE MORE THAN 70 YRS AS PER RATION CARD

5 Maan Bahadur Singh Smt. Bindu Singh 10/7/2016 500000 27/12/2016 Death PAID

6 RAM JI YADAV Smt. Balwanti Devi 10/16/2016NIL NA Death

REPUDIATED OVERAGE …..AS PER ADHAR CARD AGE IS 76 YRS

7 Bhagwat Pal Smt. Raj Kumari Pal 9/28/2016 500000 10/2/2017 Death PAID

8 Brijesh Kumar Rama Kant ChoudharySigaria,Kooraghat,Gorakhpur


REPUDIATED NOT HOF/NO INCOME PROOF/NOT ACCIDENTAL

9AJEET SAHANI Smt. Soni Devi 1/10/2016 NIL NA Death

REPUDIATED NOT PROVIDED PMR/BPL/NOT HOF

10Vikas Kumar Khetan Girish 2/11/2016 NIL NA Death

REPUDIATED

11Om Prakash Smt. Leelawati 13/11/2016 NIL NA Death

REPUDIATED

12Idrish Smt. Noorjahan

26/10/2016 500000 10/3/2017 Death PAID

13Mewa Kapil Dev 25/11/2016 NIL NA Death

REPUDIATED over age ….as per ration card and election id cards ….age 72 yrs

14Anil Upadhyaya Smt. Nirmala Upadhyaya 8/11/2016 NIL NA Death

REPUDIATED not hof….age 18 yrs ….unmarried son

15Amarjeet Smt. Rashmi Devi 31/10/2016 NIL NA Death

REPUDIATED NOT HOF, HIS FATHER WAS HOF OF THE FAMILY

16MANOJ SINGH ALKA

22.10.2016 500000 2/3/2017 Death PAID

17RAM ASHREY MASALA 05.09.2016 NIL NA Death

REPUDIATED PRIOER TO POLICY PERIOD

18RAKESH KUMAR NIRMLA DEVI Gorakhpur

01.11.2016 NIL NADEATH

REPUDIATED

19Narvada Anjani

11.10.2016 500000 13/01/2017 Death PAID

20Luv Kumar Vindravati 04.11.2016 NIL NA Death

REPUDIATED not HOF…unmarried

21Om Prakash Singh Lachhi Devi 27.11.2016 NIL NA Death

REPUDIATED NOT HOF…unmarried



STATUS ( PAID/REPUDIATE/UNDER PROCESS) If repudiated reason of repudiation with

in 20 words

Khajurahi Pali,Shahjanwa,Gorakhpur,8756878283

Sarsopar,BhuswalBasgaon,Gorakhpur, 9793652816

Mangalpur,Shukulpuri,Gorakhpur, 9794531039

Netwarpatti,patna,Badhalganj,Gorakhpur

Mahibara, Derwa, Gorakhpur 993608021287,Futhwaha InarShatrughanpur,Gorakhpur,9616596266Gram-Arajipal, Purawa Kauriram, Gorakhpur 9935383184Girdharganj Bazar , Kali Mandir Ward 48, Khaorabar , Kunraghat , Sahjanwa, Gorakhpur, 8574000172 Nagar Panchayat , Mundera Bazar Ward No 7, Chauari Chaura Gorakhpur ,

no katuni/samjawadi pension/bpl…UNMARRIED SON …..NOT HOF ……FATHER WAS HOF

jagdishpur, bhluaan , gagaha,Gorakhpur, 78270542272

NO KAUTANI/NOT BPL/NOT SAMAJWADI PENSION …..PMR NOT CLEAR

Shiwai post Kakrakhor, Gorakhpur 8874838199104, Baghagada , Gorakhpur Safdar , Gorakhpur , 7843901402

Dadura , Dhakhva Bhajar , Gorakhpur, 9621513942 VILL RAMPUR , BUZURG , POST DUMRI KHAS , CHAURI CHAURA , GORAKHPUR ,9695876674Vill.-Bheusa urf Bankata, Post-Bheusa, PS-Sikriganj, Gorakhpur 7754915408

Kushuti, Bhauwapar Bazar , Gorakhpur , 9506351084

neither katauni nor bpl/income certificate in the name of deceased or his family

Dumri Khas, Chauri Choura, Gorakhpur 9936345424Pipra Nnda Dughra Urua Bazar Gola Gorakhpur , 962136203010 Khajani Road Inter Collage Rampurwa Bihari Bujurag , Gorakhpur , 7897622262

22Ram Swaroop Yadav Sumitra Devi 12.09.2016 NIL NA Death

REPUDIATED accident prior to inception of policy

23Phool Chandra Paswan Subhawati

26.10.2016 500000 31/01/2017 Death PAID

24Dinesh Kumar Rekha

14.11.2016 500000 15/02/2017 Death PAID

25Subash Sangeeta Devi Gorakhpur


UNDER PROCESS

26ARJUN KUMAR SMT. NISHA DEVI

13/11/2016 500000 3/2/2017 Death PAID

27SHIVDHAR SMT. RITA DEVI

14/10/2016 500000 3/2/2017 Death PAID

28MEWA LAL SMT. LAKSHMI 31/10/2016 NIL NA Death

REPUDIATED DECEASED IS IV CLASS EMPLOYEE (SWEEPER)

29SANTOSH KUMAR SMT. PHOOLA DEVI

26/11/2016 500000 31/01/2017 Death PAID

30RAMBHAN PRASAD Smt. Rajmati Devi

17/09/2016 500000 27/01/2017 Death PAID

31SHIV KAPOOR SMT. LAKSHMI 10/12/2016 NIL NA Death

REPUDIATED NO KHATONI, NO PARIVAR REG.

32SHREE RAM SMT. ANITA DEVI

1/11/2016 500000 3/2/2017 Death PAID

33Rama @ Bhola Smt. Bhanmati Devi Gorakhpur

11/18/2016 500000 05.06.2017DEATH

PAID

34Ramesh Kumar Vishwakarma Smt. Sharda Vishwakarma

10/8/2016 500000 4/18/2017 Death PAID

35Vishwanath Yadav Smt. Sharda Devi

12/2/2016 500000 5/1/2017 Death PAID

36Rakesh Rai Smt. Rambha Rai

21/10/2016 500000 8/2/2017 Death PAID

37Avinash Kumar Tiwari Ashok


REPUDIATED NEITHER KATAUNI NOR BPL….NO INCOME CERTIFICATE

38Mahabal Smt. Ishrawati Devi

Rasda,Ballia,7860208986 4/11/2016NIL NA Death

REPUDIATED

39Jagdish Chauhan Gajanan Gorakhpur

11/16/2016 500000 13.05.2017 Death PAID

40Smt. Gujrati Devi

10/3/2016 500000 8/2/2017 Death PAID

41Chabbilal Yadav Smt. Kiran Bedi

11/24/2016 500000 15/02/2017 Death PAID

42Rasool Baksh Smt. Kamrun Nisha 10/12/2016 NIL NA Death

REPUDIATED OVERAGE

43Ram Sinhasan Smt. Salahanta

10/31/2016 500000 23/03/2017 Death PAID

44SANTOSH PASWAN

NIRMALA DEVI 11/10/2016 500000 3/2/2017 Death PAID

45MAJID MUHHAMAD

ABBASIYA KHATOONGorakhpur


REPUDIATED

46SHANKAR

BADAMI DEVIGorakhpur


REPUDIATED

47SWAMINATH YADAV

MALTI DEVI 11/11/2016 500000 01.02.2017 Death PAID

48KUMAR URF RAMKUMA

MURATI DEVICHORI CHORA, Gorakhpur

21/10/2016 500000 31.05.2017DEATH

PAID

49RAMCHANDER

MULWA DEVISardar Nagar, Gorakhpur

20/12/2016 500000 23.02.2017 Death PAID

Sonbarsa , Laknapar , Sahjanwa Gorakhpur , 7880586612

62, Parasiyaravat, Deidiha, Gorakhpur 705480427681, Mahadev Jhakadi,Gorakhpur 9793514610

Khunipur, Geetanjali Road, Gorakhpur 7388793061

Vill-Hathwa, Gopalpur, Gorakhpur 8174050615Haraiya, Bahrai, HaraiyaGorakhpur, 8182856186

Gram-Katwar, The.-Kajani, Gorakhpur 9839412274

Kaitholiya, Unnaula, Pipraich, Gorakhpur 7054312916BheusaBankate Bari Gaon , Dhakwa, Bazar , Gorakhpur , 7518970115

Bihusaraw, Bankata, Gorakhpur 7348706076

Bharatpur, Futhawa Inar, Chauri Chaura, Gorakhpur 9415407300Tekuapati Tola, Bannibhai, Sahjhanwa, Gorakhpur 7897957897

37 Ka, Kannchaiya, Gorakhpur 9450635139Khairati,nautanwa,Maharajganj 87268444174

overage AS PER RATION CARD NOT A SANE PERSON…..MENTALLY RETARDED

Rambhawan @ Bhawan Vishwakama

Vishunpur Khurd, Chauri Chaura, Gorakhpur 8009659579

Kharoli, Nayapar Khurd, Gorakhpur 9935420934Rampur , Bujurg, Gulahariya, Bazar, Gorakhpur , 8400180679473, Sirsiya, Gadai, Gulahariya, Gorakhpur 9936806459Haisai Bujurg, Basgaon, Gorakhpur 9621044193

sehorwa chori chora , GORAKHPUR, 9794075741

50PRADEEP

MANISHA DEVI 25/11/2016 500000 01.02.2017 Death PAID

51VINAY KUMAR GUPTA

MANORAMA DEVIGorakhpur


REPUDIATED

52VIRENDRA YADAV

CHAMPA DEVI 13/10/2016 500000 03.02.2017 Death PAID

53ALLAUDIN

JALLALUDIN Gorakhpur


REPUDIATED NO LAND ..NO BPL CARD..NO INCOME PROOF

54KAILASH

PREMSHILA Gorakhpur


REPUDIATED MENTALLY RETARED

55BRIJRAJ

VIDYAWATI DEVI 27/10/2016 500000 5/3/2017 Death PAID

56PRAMOD KUMAR

RINKI DEVI 23/10/2016 500000 5/3/2017 Death PAID

57RAJARAM

LALTI DEVI 12/10/2016 500000 9/3/2017 Death PAID

58SANJAI BHARTI

PRAMILA DEVI 1/11/2016 500000 9/3/2017 Death PAID

59RAMBHA DEVI

MAGHU PRASADGorakhpur


REPUDIATED no hof

60LALTI URF LACHI

MEWALAL Gorakhpur


REPUDIATED no hof

61SAURABH SINGH

SANDHYA SINGH 24/11/2016 500000 9/3/2017 Death PAID

62BHAGWATI SAHANI

SUBHAVATI DEVI 24/12/2016 500000 13/02/2017 Death PAID

63VINOD PAL

USHA DEVISikri ganj, Gorakhpur

10/25/2016 500000 13.02.2017 Death PAID

64JAYPRAKASH yadav

KAUSALYA 11/26/2016 500000 23.02.2017 Death PAID

65SURESH SINGH

INDRAVATI DEVIshazanwa, Gorakhpur

10/6/2016 500000 13.02.2017 Death PAID

66CHANDRKESH

GUDDI DEVIGorakhpur


REPUDIATED land was transferred after death

67BECHEN

CHANDRAVATI DEVI Bananli,Sahjawa, Gorakhpur 12/20/2016 500000 23.02.2017 Death PAID

68RAMKAVAL

SARSWATI DEVIGajpur, Gorakhpur

12/19/2016 500000 25.04.2017 Death PAID

69RAMMADAN

SATIYA DEVI 12/14/2016 500000 09.03.2017 Death PAID

70SATAI S/ORAMBARAN

GUDDI DEVI 22/10/2016 500000 9/3/2017 Death PAID

71RATAN SINGH

BINA DEVIGorakhpur


REPUDIATED underage….

72KISUN

DURGAVATI DEVI/771507Gorakhpur


REPUDIATED overage

73PANCHU

PRBHAVATI DEVISahzanwa, Gorakhpur

11/21/2016 500000 13.02.2017 Death PAID

74SHIVLAL S/O HARDEV

USHA DEVI/7897957897 1/1/2017 500000 23.02.2017 Death PAID

75Shambhu Nath Maurya Smt. Kunti Devi Gorakhpur

9/28/2016 500000 Death PAID

76Satyendra Smt. Seema Devi

11/16/2016 500000 15/02/2017 Death PAID

77Monnaka Devi Miss Monika

9/18/2016 500000 15/02/2017 Death PAID

Gram-Rampur, Sadar, Gorakhpur 8756005510

Rampur TaraMandal, Gorakhpur

Jungle Jhajwa, Khurd Ravawganj, Gorakhpur 9506006120Nedua, Pihi Mohammadpur, Gorakhpur 8756575762

Phulwaria, Chauri Chaura, Gorakhpur 9648409435

Rampur Chak, Mohripur, Gorakhpur 9129048081

Gram-Palli, Shahjanwa, Gorakhpur 8115346236

Duvha Chatai, Khaji, Gorakhpur 9118102348

Kaithwaliya, Chauri Chaura, Gorakhpur

gram rithiya tappi,Sadar,Gorakhpur,8924097695Gram haveli,Camperganj, Gorakhpur,8173928760

Baghhar,ChoriCHora , Gorakhpur, 7897957897

Ekganga, Near Masjid, Haraya, Behrampur, Gorakhpur 9956323096

Shatruganpur, Futwa Innar, Gorakhpur 9005652773

78Radhika Devi Brijbhan, 9651137956 Gorakhpur


UNDER PROCESS

79Rahul Mewati Devi, 9956882735Gorakhpur


REPUDIATED not hof/bread earner

80Rakesh Yadav Lilawati, 9005759872 Gorakhpur


REPUDIATED

81Ramdas Sahani Vidrawati Devi ManiRam, Gorakhpur

11.11.16 500000 17.04.2017 Death PAID

82Panch Bahadur Dubey Gyatri Devi, 7607905790

20/01/2017 500000 5/3/2017 Death PAID

83Ramanand Yadav Sanhari Devi, 9935258261Gorakhpur


REPUDIATED NOT PAYABLE,NO FIR,PANCHNAMA,DEATH DUE TO SNAKE BITE

84Baiju Prasad Rajpati Devi, 9559039892Changaha, Gorakhpur

18.11.16 500000 25.04.2017 Death PAID

85Pavan Kumar Neelam Devi, 900521151 Gorakhpur


REPUDIATED died in uae

86Malan Chauhan Leelawati Devi, 72699791

12.12.16 500000 02.06.2017Death

PAID

87Chandra Bhan Yadav Kismati Devi,

11/1/2017 500000 5/3/2017 Death PAID

88Brijesh Nishad Rajmati, 9919234599 Gorakhpur


REPUDIATED NO KHATAUNI,NO INCOME CERMTIFICATE

89Rudal Prasad Malti Devi Gorakhpur


REPUDIATED under influence of alchoal

90DHRUV SMT SEEMA DEVI Gorakhpur


UNDER PROCESS

91NABIULLAH SAHIL SHEIKH Gorakhpur


REPUDIATED

92RADHIKA CHANDAN 06.01.2017 NIL NA Death

REPUDIATED NOT HOF

93SANJAY SMT ASHA 06.11.2017 NIL NA Death

REPUDIATED NO KATAUNI ….NO BPL…NO INCOME CERTIFICATE

94LAKSHMAN JAISWAL SMT. KAMLA DEVI Gorakhpur


UNDER PROCESS

95CHANDRIKA SAHANI RAM DEV 07.01.2017 NIL NA Death

REPUDIATED NOT HOF

96SHASHIKALA SHARMA 15.11.2016 NIL NA Death

REPUDIATED NOT HOF…NO KATAUNI/BPL/INCOME CERTIFICATE

97SHUBHAM GUPTA LAKSHMAN GUPTA 15.10.2016 NIL NA Death

REPUDIATED

98Bhanmati Rajendra Prasad, 9839338Gorakhpur


REPUDIATED NO HOF

99Ramkisun Lalchand, 95590599009 Gorakhpur


REPUDIATED NOMINEE IS INDEPENDENT,INSURED IS OVER AGE

100Ravindra Khedna Devi

28/10/2016 500000 21/03/2017 Death PAID

101Angad Paswan Vindrawati, 9453639879 Gorakhpur


REPUDIATED NO HOF,NO BREAD EARNER,NO BPL CARD HOLDER

102Durgesh Singh Usha Singh, 9651747020 Gorakhpur


REPUDIATED NOT PAYABLE ,NO HOF

103GANGOTRI DEVI GURUDAYAL 06.11.2016 NIL NA Death

REPUDIATED NOT HOF …HER HUSBAND WAS HOF

104Mani Kant Shukla Smt. Poonam

19/09/16 500000 1/5/2017 Death PAID

105Sugreev Gaund Smt. Mevati Devi

16/01/2017 500000 2/3/2017 Death PAID

Bhagwanpur, Makhra, Khajni, Gorakhpur 7607905790

RASULPUR, GORAKHNATH, Gorakhpur, 7269979181Naguva, Jaitpur, Shahjanwa, Gorakhpur 9793809301

no katauni/bpl card/income certificate as per terms and condition of policy

Raghunathpur , Harihar Purva , Khajani , Gorakhpur

400,Sarhari,Gorakhpur,8808572985

Parasadad, Misrauliya, Gorakhpur , 8765358080

NAND KISHORE ALIANS KISHORE SHARMA

VILL Koilahawa, tola , Jangal H.n. 2 Moharipur, Chilu Atak Gorakhpur , 7235072757 Sri Ram Nagar Colony , Jungle Matadeen , Shahpur , Gorakhpur , 9889024883

NO KATAUNI/NO INCOME CERTIFCATE….NOT HOF/BREADEARNER

Vill.-Saraiya, Khanji, Gorakhpur 9935254865

Sarabari Tola,Gorakhpur,96565451778

Munda Kodara, Shahjanwa, Gorakhpur 7379534452Ram Bhangwa, Tappa Harshal, Gorakhpur 7518822753

106Nityanand Paswan Smt. Maya Devi Gorakhpur 1/1/2017 NIL NA Death

REPUDIATED not hof

107Suraj Sonkar Smt. Shila Devi 12/10/2016 NIL NA Death

REPUDIATED no katauni..no BPL card No income

108Acche Lal Ganga 8/1/2017 NIL NA Death

REPUDIATED not HOF ….NO katauni …NO BPL

109SURENDRA CHAUHAN SADHNA DEVI belghat, GORAKHPUR 13/10/2016 500000 23.02.2017 Death PAID

110Hiraman Chandrawati Devi, 97217 Gorakhpur


UNDER PROCESS

111RADHIKA MANTA 18.09.2016 NIL NA Death

REPUDIATED SUICIDE CASE

112NAND KISHORE ASHA 06.11.2016 NIL NA Death

REPUDIATED NO KATAUNI/NO BPL/NO INCOME CERTIFICATE

113RENU DEVI SANJAY KUMAR 26.10.2016 NIL NA Death

REPUDIATED NOT HOF, Husband Sanjay Kumar is alive

114Sant Prasad Kaushalya Devi, 9936245 Gola, Gorakhpur

15.02.17 500000 17.04.2017 Death PAID

115Sonmati Rajkumar, 7525900724 Gorakhpur


UNDER PROCESS

116Raju Jeevan Devi PIPROLI, Gorakhpur

02.02.17 500000 02.06.2017Death

PAID

117Lallu Prasad Leelawati Devi, 91980989Tiwaripur, Gorakhpur

06.11.16 500000 02.06.2017DEATH

PAID

118Gulab Anari Devi, 8574568989 Gorakhpur


UNDER PROCESS

119Gautam Sarita, 9889829739 Gorakhpur


REPUDIATED not hof

120SARITA DEVI JITENDER YADAV Gorakhpur 20.09.2016 NIL NA Death

REPUDIATED NO HOF

121SARITA RAI RAVI KANT RAI Gorakhpur 15.10.2016 NIL NA Death

REPUDIATED NOT HOF

122Umesh Kumar Pandey Anuradha pandey,938971 Gagan, Gorakhpur

01.02.2017 500000 29.03.2017 Death PAID

123Shyam Kumar Rukmani Devi Chori Chora, Gorakhpur

21.12.2017 500000 11.04.2017 Death PAID

124Shyamu Prazapati Kamlavati Devi

24.01.2017 500000 29/03/2017 Death PAID

125Shambhoo Bhagwanti Pipraich, Gorakhpur

22.02.2017 500000 11.04.2017 Death PAID

126Ram Lakhan Satiya,9838199299 Malanpar, Gorakhpur

15.02.2017 500000 17.04.2017 Death PAID

127Ram Bahoran Asarfa Devi,9451474170 Gorakhpur


REPUDIATED homeguard

128Jai Govind Yadav Pana Devi,7607993965 Gorakhpur


REPUDIATED 14.03.2017

129Buddhu Kusum Devi,8009247928 Gorakhpur


REPUDIATED REPORT SENT ON 30.03.2017

130Brijbhan Sanju Devi,7084118076 Gorakhpur


REPUDIATED no katauni…not bpl.

131Ayub Mazloomnisha,993677554

14.02.2017 500000 31.05.2017Death

PAID approved on 10.04.2017

132Arun Kumar Reeta Devi, Gorakhpur


REPUDIATED might be suicide…gross negligence

133Chandrabhan kaushlaya devi Gorakhpur


REPUDIATED MENtally unstable

Ward No 1 Mohalla. Chillupar , Barhalganj , Gorakhpur , 8574686487Vill Bheusa , Khajuri , Harpur , Budhar , Gorakhpur, 8574517949

Dhanai pur , Bhatwani Bazar , Bansgaon , Gorakhpur , 9956663955

400 , Sarahari , Galahareeya, Gorakhpur , 8808572985Bhuswalpur , Khurd , Bansgaon, Gorakhpur , 9415475780

VILL. DANGIPUR,POST LALPUR,SADAR DISTT,GORAKHPUR,8181942636

Jagdishpur, Bhasgaon,Gorakhpur, 9936775545

134Rajesh Yadav

Rajmani Devi11/8/2016 NIL NA Death

REPUDIATED WORKING IN INDIAN ARMY

135Sanni Jaiswal

Sita Ram11/12/2016 NIL NA Death

REPUDIATED NOT HOF/ SISTER IN LAW IS NOT HOF

136Sagar

Ram Sudhare11/8/2016 NIL NA Death


137Bindu Devi

Ram Dulare11/8/2016 NIL NA Death


138Ghanshyam Kumar Shukla

Neha Pandey Gorakhpur10/21/2016 NIL NA Death

REPUDIATED claim by wife of murderer

139 Ayodhya Yadav Gulabi Devi 30.01.17 500000 1/5/2017 Death PAID

140Ram Karan Pasi Devari Devi, 9936899377 Gorakhpur


REPUDIATED Overage

141Kesara Devi Acchelal, 8574079064 Gorakhpur


UNDER PROCESS

142Ramsakal Gulabi Devi, 8400866931 Badalganj, Gorakhpur

14.12.16 500000 25.04.2017 Death PAID

143Ram Chandra Maurya Jayantri Devi Gorakhpur

30.01.17 500000 02.06.2017DEATH

PAID

144Rakesh Yadav Reeta Devi, 9838953879 Gorakhpur

30.01.17500000 02.06.2017 Death

PAID

145MANOJ RAI

PRATIMA RAIGorakhpur

22.11.2016500000 20.03.2017 Death

PAID

146RAM JI

SMT. CHANDRAWATI DEVI26.05.2016 NIL NA Death

REPUDIATED ACCIDENT PRIOR TO POLICY

147kishan Yadav

SMT. CHANDRAWATI DEVIGorakhpur 06.02.2017NIL NA DEATH

REPUDIATED no katauni..no bpl..no income proof

148LALLAN KUSHWAHA

SAROJ DEVIGorakhpur 12.10.2016 NIL NA DEATH

REPUDIATED ….UNKNOWN PMR

149KRISHNA MOHAN CHOUBEY

PURNIMA CHOUBEYGorakhpur

29.09.2016500000 10.04.2017 Death

PAID

150Shila Devi Deepmala, 9839957604 Gorakhpur


REPUDIATED

151Ranjeet Singh Anshu Devi, 9198853532 Gorakhpur


UNDER PROCESS

152 Indrasen YadavGayatri Devi

25.12.16 500000 18/04/2017 Death PAID

153Hanif Khan Kaisar Jahan, 9651270544Gorakhpur

30.01.17 500000 27.06.2017DEATH

PAID

154Murali Manju Devi, 9198923894 Gorakhpur


REPUDIATED

155 Ramsubhash PandeyVidyawati Devi

08.02.17 500000 29/04/2017 Death PAID

156 DurgeshSangeeta Devi

25.02.17 500000 1/5/2017 Death PAID

157 Jokhan Singh Bilawati Devi 20.02.17 500000 18/04/2017 Death PAID

158Rajendra

Jagdish Gorakhpur 17.11.16NIL NA Death


159Rudal Tiwari

Suman Tiwari Gorakhpur 23.11.16 NIL NADEATH

REPUDIATED

160Ravindra Yadav

Durgawati Devi Gorakhpur 20.01.17NIL NA Death

REPUDIATED No Khatoni, No HOF

161Rajwati Devi

Raj Dhawal Yadav Gorakhpur 02.01.17NIL NA Death

REPUDIATED Not HOF

Vill Basuli , Bansgaon , Gorakhpur 9935412672Ward No 11 Vill Bansgaon , Distt Gorakhpur , 7379903116Niyamatpur , Chiutaha , Gorakhpur , 7704857884

Niyamatpur , Chiutaha , Gorakhpur , 7704857884

Vill.-Kkuwa Khurd, PS-Khajani, Gorakhpur 7754900439

VILL MAHADEVA BAZAR BARHYANPAR, DHAKHVA , BHAJAR , GORAKHPUR,783652591

Vill.-Kandrai, Post-Khajani, Gorakhpur 8756439011

Vill.-Ranipur, Post & Thana-Gola, Gorakhpur 9794076002Khuthana, Khazni, Gorakhpur 7460899026Dubauli, Kushmahi Bazar, Sadar, Gorakhpur 9956301434

no katauni…no bpl/income certificate in the name of deceased. Alcohol was also present in PMR

162MAHADEV

SUSHMA DEVI 28.02.2017 500000 18/04/2017 Death PAID

163Dinesh Yadav Asha Devi

08.12.16 500000 29/04/2017 Death PAID

164Hareram Pandey Subhawati Devi

13.03.17 500000 1/5/2017 Death PAID

165Cikhuri Gurjrati Devi Gorakhpur


REPUDIATED OVERAGE …AGE ABOUT 77 YRS AS PER DOCUMENTS

166Yogendra Vishwakarma Beena Devi

16.01.17 500000 5/5/2017 Death PAID

167Sachidanand Gudiya Devi,7268819934 Gorakhpur


UNDER PROCESS

168Gaurishankar Gayatri Devi, 8948562462 Gorakhpur


REPUDIATED natural death

169Rampyare Kamlawati Devi,95062014Gorakhpur


REPUDIATED not hof …his mother was hof

170Arun Maurya Shanti Maurya, 73886652 Gorakhpur


REPUDIATED

171Brijesh Yadav Yogendra Yadav, 9005000Gorakhpur

25.09.16NIL NA DEATH

REPUDIATED not hof…father was hof

172Rajaram Janki Devi, 9198956700 Gorakhpur


UNDER PROCESS

173Rambelas Laxminiya Devi, 87379405Gorakhpur


REPUDIATED

174Reshma Devi Mishri Yadav, 993651084 Gorakhpur


REPUDIATED

175 Satyasagar Gorakhpur 29.03.17 500000 13.05.2017DEATH

PAID

176VIRNDRA NISHAD MANITA DEVI,9936521269

Gorakhpur16.03.2017 APPROVED

177SALIM NOORBANO,KOLIYA,BELIP


178RAKESH SINGH RANJANA SINGH,9936226

Gorakhpur13.03.2017 500000 27.06.2017 DEATH PAID

179RAMASHREY KALAWATI,9956183996


180BIKESH URF VIKAS SUNITA VERMA,98898883

Gorakhpur29.10.2016 500000 27.06.2017 DEATH PAID

181CHANDRA P SINGH DIVYA SINGH,8009445977

Gorakhpur29.03.2017 50000 27.06.2017 Death PAID

182KAUSHALIYA DEVI BAINATH,7046403175

Gorakhpur01.12.2016 UNDER PROCESS

183RAM SINHASHAN SINGH RADHIKA SINGH

Gorakhpur10.01.2017 NIL NA DEATH

REPUDIATED NATURAL DEATH

184RAJU CHANARI DEVI



185NEERAJ YADAV GOVARI YADAV


REPUDIATED not hof…his father was hof

186SANTOSH KUMAR NAYAK ROHIT KUMAR NAYAK



187SURESH SAHANI ANJANI DEVI


188SHANAWAZ FARZANA KHATOON


189SUBAWATI DEVI AMARJEET

Gorakhpur07.1.17

REPUDIATED NOT HOF….HUSBAND CLAIMANT AND HOF

Vill.-Parsoni, Post-Jaghha, Gorakhpur 9792992342

Khakhaijkhor, Teh.-Gola, Gorakhpur 9795151820

Singhpur Dubey Tola, Teh.-Gauri Bazar, Gorakhpur

JANGAL NO.2 AMAHIYA,Gorakhpur9838738654

no katauni/bpl/income certificate as per terms and condition of policy

Vidyawati, 9621617893,7897957897

190GHANSHYAM REKHA DEVI

22.01.17500000 31.05.02017 DEATH

PAID

191AMAR NATH Kirti Devi GORAKHPUR 18.03.2017 500000

02.06.2017 Deathpaid

192Tarkeshwar Prasad Kilwati Gorakhpur 23.02.2017 500000

02.06.2016 Deathpaid

193BINDU DEVI PARADESI Gorakhpur 20.02.2017

NIL NADEATH REPUDIATED NOT HOF …(HUSBAND IS HOF)

194SANTRAJ MAHGU PRASAD Gorakhpur 28.01.2017 UNDER PROCESS

195CHHAMA NIRAHU Gorakhpur 01.01.17 REPUDIATED

196MANTU DEVI RAJ KUMAR Gorakhpur 04.01.17 REPUDIATED

NOT HOF .( HUSBAND IS HOF)

197Kamleshwar Ranju Devi, 8853055740 Gorakhpur 03.05.17 UNDER PROCESS

198Nand Lal Yadav Heermati Devi, 916153447Gorakhpur 01.04.17 500000 27.06.2017

DeathPAID

199Mithailal Subhawati Devi, 9936586 Gorakhpur 16.04.17 APPROVED

200Awadesh Kumar Srivastava SELF, PH Gorakhpur 22.12.16 UNDER PROCESS

201Bansilal Kitabi Devi, 8175096937 Gorakhpur 08.03.17 UNDER PROCESS

202Nagendra Prasad Shakuntala Devi, 9936087 Gorakhpur 16.02.17 APPROVED

203Mushtaq Zubaida Khatoon, 995672 Gorakhpur 01.04.17 UNDER PROCESS

204Kamlesh Kumar Kharpati Devi, 955935225 Gorakhpur 03.12.16 UNDER PROCESS

205Ram Sagar Phoolmati Devi, 98896830Gorakhpur 17.04.17 UNDER PROCESS

206Shrawan Kumar Shahi Premlata Shahi, 99360722Gorakhpur 15.03.17 UNDER PROCESS

207Surendra Nishad Shakuntala Devi Gorakhpur 21.01.17 UNDER PROCESS

208Raju Nishad Mamta Devi Gorakhpur 23.02.17 UNDER PROCESS

209Ram Kanwal Ramvata, 9838953879 Gorakhpur 31.03.17 UNDER PROCESS

210Ramanand Indrawati Devi, 91611737 Gorakhpur 22.11.16 Death

211Shyam Dulari Dinesh Nishad, 98070340Gorakhpur 29.03.17 NIL NA DEATH REPUDIATED

212SUBEDAR LAL ASHOK KUMAR SAHANI Gorakhpur 04.01.17 UNDER PROCESS

213SARVESH NARAIN NEETA YADAV Gorakhpur 22.01.17 UNDER PROCESS

214LIYAKAT ALI SHANSHUN NISHA Gorakhpur 06.12.17 APPROVED

215SOBHAGI DEVI RAM CHARAN Gorakhpur 28.01.17 REPUDIATED NOT HOF….HUSBAND CLAIMANT AND HOF

216JALASHERA DEVI SANJAY KUMAR Gorakhpur 24.12.16 REPUDIATED not hof…husband was hof

217SADHANA SHUKLA RADHA MOHAN SHUKLA Gorakhpur 25.11.16 REPUDIATED not hof…(FATHER is HOF )

Guriha, post-Haweli, Tehsil-Campierganj 9919583426

NOT HOF….DECEASED HUSBAND IS MISSING AND HER FATHER IN LAW IS HOF

218JASODA DEVI ALIA YASHODHA BRIJMAL Gorakhpur 18.02.17 REPUDIATED NOT HOF …( HUSBAND is HOF) .

219BHIM BHOLI DEVI Gorakhpur 16.02.17 UNDER PROCESS

220SOBHAGI DEVI RAM LAGAN Gorakhpur 09.12.16 REPUDIATED NOT HOF…HUSBAND IS HOF

221SHESH NATH YADAV RAM SURAT YADAV Gorakhpur 27.12.16 REPUDIATED not hof …( Father is HOF)

222AWDESH KUMAR YADAV SHEELA DEVI Gorakhpur 1.03.17 13.06.2017 paid

223RAKESH SINGH UDAY SINGH Gorakhpur 02.12.16 REPUDIATED not hof …( Father is HOF)

224UMESH MAYA DEVI Gorakhpur 05.12.16 UNDER PROCESS

225BHAVAN DAS MADHU BALA Gorakhpur 18.01.17 UNDER PROCESS

226AMAR NATH SANDHYA 15.12.16 500000


227RAM JEE YADAV KUMARI DEVI 12.01.17 UNDER PROCESS

228sandeep RAM BADAN Gorakhpur 15.12.16 NIL NA DEATH REPUDIATED not hof…his father was hof

229suraj sahani BINDU DEVI Gorakhpur 29.01.17 NIL NA DEATH REPUDIATED suicide case

230SIBBANLAL PARAMILA Gorakhpur 22.12.16 UNDER PROCESS

231MUKHLAL YADAV ALIAS MUKHER SHIV LAL Gorakhpur 06.02.17 500000


232LAXMAN SWAMINATH GORAKHPUR 13.12.16 UNDER PROCESS

233chhotai prasad chameli devi GORAKHPUR 05.01.17 NIL NA DEATH

REPUDIATED suicide case

234Kalawati devi inderpal GORAKHPUR 11.02.17 NIL NA DEATH

REPUDIATED not hof…herhusband was hof

235shailender lalmuni chaudhary GORAKHPUR 14.02.17 NIL NA DEATH

REPUDIATED not hof…father was hof

236Vidhyachal bechu GORAKHPUR 07.02.17 NIL NA DEATH

REPUDIATED not hof…claimant is brother and not dependet

237Ram Avtar kala dev GORAKHPUR 15.01.17 NIL NA DEATH

REPUDIATED not hof…unmarried …brother is hof

238prabha wati devi manju devi GORAKHPUR 24.02.17 NIL NA DEATH

REPUDIATED

MAHESRA, MOHARIPUR, GORAKHPUR, 8953625830JUNGLE AGHI, POST HAVELI, THE. CAMPIEHGANJ, GORAKHPUR, 9792334012

PRAROOP NO. 10 Details of Repo

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name JAUNPUR


S.No. Name of Injured person Name of Nominee/benficiary Date of Accident Amount Dt. Of Payment Death/disability Remarks

2 Arjun Yadav Smt. Pushpa Devi ### 1/10/2016 500000 22/12/2016 Death PAID

3 Arun Kr. Dubey alias Pappu Dubey Smt. Seema Dubey ### 9/20/2016 500000 27/12/2016 Death PAID

5 Keshav Yadav Smt. Gulabi Devi ### 9/23/2016 500000 27/12/2016 Death PAID

12SABAJIT SUNITA ###

11.10.2016 500000 5/1/2017 Death PAID

13BEDHAI RAM SAVITRI DEVI ###

06.11.2016 500000 1/27/2017 Death PAID

14Ram Tirath Maurya Prabhawati ###

24.11.2016 500000 21/02/2017 Death PAID

15Ram Prasad Dubey Geeta ###

29.10.2016 500000 13/01/2017 Death PAID

16Shyam Narain Singh Sharda ###

14.11.2016 500000 13/01/2017 Death PAID

17SIYA RAM YADAV SMT BAGWANTI DEVI ###

11.12.2016 500000 13/01/2017 Death PAID

18GYAN CHAND SHUKLA SMT. MADHURI DEVI ###

25/11/2016 500000 2/8/2017 Death PAID

19DHARMENDRA KUMAR SINGH SMT. SAVITA SINGH ###

10/11/2016 500000 8/2/2017 Death PAID

20KUNSHRAJ SMT. SURSATTI ###

4/10/2016 500000 27/01/2017 Death PAID

21VIRENDER KUMAR RAJBHAR SMT MADHURI ###

01.12.2016 500000 1/20/2017 Death PAID

22RADHEY KRISHNA TIWARI SMT. SAVITRI DEVI ###

7/10/2016 500000 1/27/2017 Death PAID

25Laxman s/o Harinath pooja 19.10.2016

500000 03.03.2017 Death PAID

26Rajesh Kumar Nirmala Devi 07.10.2016

500000 03.03.2017 Death PAID

27Shree ram s/o Ballu Umrai Devi 23.11.2016

500000 14.02.2017 Death PAID

28Chitrasen s/o devdhari Meera Devi 17.12.2016

500000 03.03.2017 Death PAID

29Subedar Sunita Singh 22.11.2016

500000 14.02.2017 Death PAID

31Ram Sewak Dhanmanni 12.11.2016

500000 21.02.2017 Death PAID

File no.


STATUS ( PAID/REPUDIATE/UN

DER PROCESS) If repudiated reason of


Vill.-Bahauddinpur, Jaunpur 9695152321

Bahaudin, Machli Shahr, Jaunpur 9554780184

Murkariya, Thana-Sureri, Jaunpur 9565176717

VILL.-RAMPUR, JAUNPUR 9838464303VILL.-GADWA HEMRAJ, POST-GOPALAPUR, THANA-RAMPUR, TEH.-MADIYAHOO, JAUNPUR 9721337631

Vill.-Bithar, Chorsant, Jaunpur 7860654865

Gram-Usrauli, Haiderpur, Jaunpur 9889290726

Jalaluding pur, Jamalpur, Jaunpur 9935568281

BULUHI PARAGANA, JAUNPUR 9213860960VILL.-POUNI, POST-UMRI, SURELA, TEH.-KERAKAT, JAUNPUR 9935687588VILL.-MISIRPUR. POST-DUKHAIPUR, SAMBALSHAH, JAUNPUR 8382050528

MERANWA, SHAHGANJ, JAUNPUR 9956135194VILL. & POST - CHITKO, THANA, CHANDBAK, TEH.-KERAKAT, JAUNPUR 7607276600VILL.-CHHADAN, POST-UCHGAON, BALVARGANJ, MACHLI SHAHR, JAUNPUR 9984180623

Vill. Deduwana Kerakat,7275897846

Vill. Bahaudiinpur Sujanganj,7408596750

Vill. Ranapur (Kadamtar) Po. Gopalpur,9598020065

Banswari Po.Udaichandpur9794638428

Vill. Karaura Po. Sarai Bhogi Distt. Jaunpur,9792150303

Vill.Nuaav Po. Barai jaunpur,7084598429

33Beila Devi Pankaj & others ###

18.0.9.2016 500000 21/02/2017 Death PAID

37Vishwajeet s/o Tilakdhari Smt.Usha singh 26.11.2016

500000 03.03.2017 Death PAID

38Samarnath s/o sobhnath Lalti Devi ###

05.11.2016 500000 21/02/2017 Death PAID

39Umesh Soni singh ### 07.12.2016

500000 5/5/2017 Death PAID

41Dharam Raj Hardev Pal Radhika Devi 24.12.2016

500000 03.03.2017 Death PAID

45Vijay Kumar alias Vijay Bahadur Seema ###Jaunpur

07.12.2016 500000 13.05.2017 Death PAID

46Vinod Yadav Smt. Nisha Yadav ###

10/18/2016 500000 2/23/2017 Death PAID

47Shiv Prakash Singh Smt. Reeta Singh ###

10/28/2016 500000 15/02/2017 Death PAID

48Brijesh Singh Smt. Devi Kumar ###

10/13/2016 500000 15/02/2017 Death PAID

49RAM ACHHAUR LATA DEVI ###

08.10.2016 500000 3/30/2017 Death PAID

51PRAMOD KUMAR YADAV PROMILA YADAV ###

22.09.2016 500000 4/7/2017 Death PAID

56SURENDER PRATAP SINGH ASHA SINGH 12.01.2017

500000 03.03.2017 Death PAID

57SITA RAM URF LALLU PRABHA VETI DEVI ###

22.12.2016 500000 3/3/2017 Death PAID

58LAL BAHADUR SINGH JAENTRI DEVI ###

22.12.2016 500000 5/3/2017 Death PAID

59DINESH PANDEY MAMTA ###

30.12.2016 500000 5/3/2017 Death PAID

61Kailash Nath Maurya Suremana, 04.12.2016

500000 03.03.2017 Death PAID

62Shivnaval Dubey Gulab devi ###

26.12.16 500000 5/3/2017 Death PAID

63Ram Sewak Surshati, 23.11.2017

500000 18.04.2017 Death PAID

65Ganga Deen Yadav Kamla Devi 13.01.2017

500000 18.04.2017 Death PAID

68Surendra Singh Pramila, Vill. Rampur Po. Dan,9454231529 05.11.2016

500000 18.04.2017 Death PAID

69Chhoteylal Santara Devi 16.11.2016

500000 18.04.2017 Death PAID

70SEEMA DEVI ###

09.10.2016 500000 25/02/2017 Death PAID

71RAMU YADAV SEEMA ###

16.11.2016 500000 25/02/2017 Death PAID

72RAM MILAN PANDEY DURGAWATI ###

16.09.2016 500000 25/02/2017 Death PAID

74Ajay Kumar Singh Abha Singh ###

20/11/2016 500000 3/3/2017 Death PAID

75Raghunath Tapesara Devi 02.12.2016

500000 18.04.2017 Death PAID

76Ajeem Khan Hakimul ###Jaunpur

01.12.16 500000 31/05/2017 DEATH PAID

Lurkhari, Jamuhari, Jaunpur 8808410546

Vill. Jaipalpur Po. Ram Nagar jaunpur, 7860333289

Vill.-Kachora Bahripur, Jaunpur 919870937

RASOOLPUR,KALI PATTI,LALA BAZAR,Jaunpur,9670724488

Vill. Tariyari Kasturi Jaunpur,9820725712

Vill.-Jongipur, Post-Bujurga, Teh.-Madiyahu, Jaunpur 9598136418

Gram-Atrahi, Thana-Saryaar, Jaunpur 8182014698

Jaipalpur, Ram Nagar, Jaunpur 7379786610

VILL.-NIBAPUR, TEH.-MACHLI SHAHR, JAUNPUR 8935018968ZAMEEN REAUDHLI, KHETASARAI, SHAHGANJ, JAUNPUR 9793562709

Vill.Anekpur Po.Karra kerakat,9956933964

TARSAVAN, MUSTAFABAD, JAUNPUR 9838867299

AHMADPUR, JAUNPUR 9161891895

SURAKPUR, KOILARI, KHAIRACUT, JAUNPUR 9990644967

Vill. Saraiyan Po.Kutir Chakke,9506592248

Nizamuddinpur, Shikrara, Jaunpur 9721274979

Vill. Kachhaura Badalapur,9454403632

Vill. Khampur Po. Biranjan8174856382

Vill.Kohara Po. Aurahi9918886163

AJAI KUMAR ALIAS SANTOSH CHOUBEY

Vishunpur, Majwara, Jaunpur 9005843324

Badwar Post, Bailong, Jaunpur 9794133816

Aamari Shahganj, Jaunpur 7570935758

Khetapur, Post-Surapur, Teh.-Shahganj, Jaunpur 9589496858

Vill. Gadela Sadar Jaunpur9081423796

77Rakesh Kumar Indu Devi ### 26.11.16

500000 5/5/2017 Death PAID

79Babua urf Ananta Bhuja Devi, 26.11.2016

500000 18.04.2017 Death PAID

80DAL SINGAR MANORMA DEVI ###

28.11.2016 500000 3/3/2017 Death PAID

81RAJ MANI GEETA DEVI ###

10.11.2016 500000 3/3/2017 Death PAID

83Krishna Kumar Sharma Kajal Sharma ###

14.11.16 500000 5/3/2017 Death PAID

89Phool Chand Chandrawati,995668170,9956668170Jaunpur

16.12.2016 500000 29.06.2017 Death PAID

91Bihari Lal Rekha Devi Vill. Ranipur Mariahu8601281038 12.01.2017

500000 18.04.2017 Death PAID

95Ram Kumar Yadav Dharadeyee ###

15.02.17 500000 5/3/2017 Death PAID

96Mithlesh Chandra pandey RANJANA PANDEY

### 05.03.17 500000 4/19/2017 Death PAID

97Kedar Yadav Savitri, ###

24.02.17 500000 4/18/2017 Death PAID

98Anil Kumar Urmila Devi ###Jaunpur, 88874182016

05.01.17 500000 27.05.2017 Death PAID

99Harish Chand Yadav Sangeeta Devi ###

31.12.16 500000 5/3/2017 Death PAID

100Rampal

Heerawati Devi###

04.11.16 500000 4/18/2017 Death PAID

GRAM DINAPUR,POST -MALAI,Jaunpur,9559141583

Vill. Dilawarpur Po.Belwa9598450053Vill.-Sheetalganj Ahiroli, Teh.-Madiyahoo, Jaunpur 9936521903

Vill.- Khateer Bhainsa, Jaunpur 7521097065

Newada, Mukhlishpur, Jaunpur 9616665445

Villai Ahan, Post-Devkali, Teh.-Khairacut, Jaunpur 8726572614

Chili Rampur, Post-Usrauli, Jaunpur 9454403632

Balrampur, Kerakat, Jaunpur 9454403455

Basahta, Post-Kotwa, Teh.-Machli Shahr, Jaunpur 9838958245Vill.-Sarai Phovara, Post-Povara, Teh.-Machli Shahr, Jaunpur 9616665445

103Puranwasi Piyari

### 08.03.17 500000 4/19/2017 Death PAID

106Raghuvansh Kalawati ###Jaunpur, 9935889640

06.02.17 500000 18.05.2017 Death PAID

107Dudhnath Durgawati ###Jaunpur, 7309976966

15.01.17 500000 13.05.2017 Death PAID

108Ramjas Vishwakarma Raj Kumari, 7037034532 ###Jaunpur

28.10.16 500000 31/05/2017 DEATH PAID

111RAMDHANI KISUNA DEVI ###JAUNPUR

500000 18.05.2017 Death PAID

113Lalji Gupta Premsheela

### 18.02.17 500000 4/29/2017 Death PAID

114ARVIND Kumar Singh Seema Singh ###

27.11.16 500000 5/3/2017 Death PAID

115Moti Lal Munne Lal ###

18.03.17 500000 5/3/2017 Death PAID

116Vijay Prakash Pandey Suman ###

09.03.17 500000 4/29/2017 Death PAID

117Amar Singh Usha Devi ###

05.02.17 500000 5/3/2017 Death PAID

119DHARMENDRA

CHANDRA WATI### 16.01.17

500000 5/5/2017 Death PAID

120RAM PALAT

LEELA WATI ### 23.03.2017 500000 4/29/2017 Death PAID

121SURENDRA K PATIL

BIMLA DEVI ### 20.1.2017 500000 5/1/2017 Death PAID

122Mithai Lal Bind Mahraji

### 10.03.17 500000 5/3/2017 Death PAID

124Raj Kumar Gupta Rekha Gupta

### 07.03.17 500000 5/1/2017 Death PAID

125Shiv Narain Gupta Sukhraji Jaunpur, 8739049913

06.03.17 500000 27.05.2017 Death PAID

127Janardan Yadav Kalawati, 8604140874 Jaunpur

15.03.17 PAID

131Ram Awadh Manraji Devi Jaunpur

29.01.17 500000 05.06.2017 DEATH PAID

132Radhey Shyam Nagina,Rakesh,Sanjay8423315775 Jaunpur

24.02.17 500000 05.06.2017 DEATH PAID

133Kanta Prasad Chanrama Devi, 9919826747 Jaunpur

26.02.17 500000 09.06.2017 DEATH PAID

135Mahender kumar vishwakarma

meena ### 06.02.2017 500000 4/29/2017 Death PAID

139Chintamani Gena Devi, 8052567579 Jaunpur

31.01.17 500000 29.06.2017 Death PAID

143Vanshraj Jagwanti Jaunpur,9956228148

02.02.2017 500000 27.05.2017 Death PAID

145Juber Ahmad Shahjahan Bano Jaunpur

24.02.2017 500000 31/05/2017 DEATH PAID

146KAMLA PRASAD

SHEELA###JAUNPUR 12.03.2017

500000 18.05.2017 Death PAID

147shobha nath yadav sarita yadav ### 08.3.17

500000 23.05.2017 Death PAID

150Ashok Kumar Singh Geeta Devi, 9795677272 JAUNPUR 06.03.17

500000 20.06.2017 Death PAID

Shahpur Newada. Badlapur, Jaunpur 8726852753

Vill.-Sultanpur, Post & Tehsil-Badlapur, Jaunpur 9565400710

Vill.-Sarai Triloki, Post-Umri, Badlapur, Jaunpur 9651319751

Pachval, Madiyahon, Jaunpur 7696300549

Deeh Asharfabad, Teh.-Shahganj, Jaunpur 7054070541Vill.-Bangaon Post-Saraibika, Teh.-Machlishahr, Jaunpur 9974126170

Mehranva, Sonikpur,Jaunpur,8874262103

Vill.-Chakmadhav Ram, Teh.-Kwrakat, Jaunpur 9125144183Meerpur Madhupur, Mungra Badshahpur, Machli Shahr, Jaunpur 9628595233

Vill.-Atrauda Sohasa, Teh.-Machli Shahr, Jaunpur 9628541357

Mahimapur Jalalpur, Kerakat, Jaunpur 9151169000

Vill.-Samopur Khurd, Karanja Kala, Jaunpur

230, Saidpur , Gadaur , Jaunpur 9918650072

151Jangi alias Jagdish Jadawati, 9415250524 JAUNPUR 17.02.17

500000 29.06.2017 Death PAID

152Pradeep Sunita Devi, 9897978644 JAUNPUR 10.02.17

500000 29.06.2017 Death PAID

153Bharat Suneeta Maurya, 7275495634 JAUNPUR 12.04.17

500000 29.06.2017 Death PAID

155SANJAY KUMAR GEETA SANJAY MISHRA JAUNPUR

500000 27.05.2017 Death PAID

162Raj Kumar Patel saroja devi JAUNPUR 23.03.2017

500000 05.06.2017 Death PAID

163BACHEY LAL MEENAKSHI GUPTA JAUNPUR 17.03.17

500000 08.06.2017 Death PAID

166SHARAD CHANDRA SMT. POONAM JAUNPUR 25.04.17

500000 13.06.2017 Death PAID

167MAN BAHAL BRAHMA DEVI JAUNPUR 25.11.2016

500000 13.06.2017 Death PAID

168dhirender kumar singh ROSHNI JAUNPUR 07.05.17

500000 13.06.2017 Death PAID

SHOBH NATH YADAV SUSHILA JAUNPUR 26.03.2016500000 13.06.2017 Death PAID

178JANARDHAN SINGH KAMINI DEVI JAUNPUR 15.3.17

500000 20.06.2017 Death PAID

PRAROOP NO. 10 Details of Reported clai

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name KUSHINAGAR

Progress month June, 2017

S.No. Name of Injured person Name of Nominee/benficiary Date of Accident Amount Dt. Of Payment Death/disability

1Sharvan Sahani Dulari Devi ### 31.10.2016

NIL NADEATH

REPUDIATED

2Dharmendra Yadav Geeta Devi ###

05.10.2016 500000 8/2/2017DEATH PAID

3Jugul Chauhan Anari Devi ###

12.10.2016 500000 13/01/2017DEATH PAID

4Birbal Savitiri Devi ###Kushinagar

15.09.2016 500000 13/01/2017DEATH PAID

5SHATRUDHAN SINGH SMT. SUMITRA SINGH ### 11/9/2016

NIL NADEATH

REPUDIATED

6SANDIP CHAURASIYA SMT. PRIYANKA ### 2/11/2016

NIL NADEATH

REPUDIATED

7JANG BAHADUR GUPTA SMT. CHAMPA DEVI ###

1/10/2016 500000 27/01/2017DEATH PAID

8PARMANAND YADAV Smt. Shanti Devi ###

2/10/2016 500000 3/2/2017DEATH PAID

9RAM KUMAR SHUKLA SMT. NIRMALA DEVI ###

29/10/2016 500000 31/01/2017DEATH PAID

10SANJEEV CHAUHAN SMT. SUNITA DEVI ### 10/10/2016

NIL NADEATH

REPUDIATED

11Kamlesh Smt. Geeta Devi ### 10/21/2016

NIL NADEATH

REPUDIATED

12Dinesh Yadav Smt. Sheela Devi ###

11/14/2016 500000 10/2/2017DEATH PAID

File no.



Remarks

Magurahi Paikauli Thana Hata , Kushi nagar , 7309096290

bite by honey bee… not covered

Moti Pakad Kabilasha, Kushinagar 8052976916

Vill.-Deoria Dehat, Post-Hata Thana, Kushinagar 8874073958

Kasia, dairia, Raja, Kasia, Kushinagar , 9651157288

ACCIDENT DATE PRIOR TO INCEPTION OF POLICY

1428. Gopalgarh . KASIA Kushi nagar , 9120725327

NO KASRA KATAUNI/NOR BPL/INCOME MORE THAN 75000/-

Chakni Bhumihari Patti, Nebua, Naurangiya, Kushinagar 9956560137

Basgao Kodai Tola, Tamkuhi Raj, 9648997405Kushinagar

Khajuriaya, Padrona, Kushinagar 9161427408

Jungeli , Belwa , Kushinagar , 7897201046

NO KHATONI/NO PARIVAR REGISTER

Pagara Hata Thana , Kushinagar, 9956326824

natural death

Jokhwa Khurd, Sohang, Turkpatti, Kushinagar 9648992366

13Mishri Devi Smt. Ashapati Devi ###

10/13/2016 500000 8/2/2017DEATH PAID

14Ram Kali Ramesh Choudhary ###

10/4/2016 500000 2/3/2017DEATH PAID

15 Baikunth Yadav Smt. Pushpa Devi ### 10/7/2016 NIL NA DEATH REPUDIATED

16Bhragurasan Yadav Satyendra Yadav ###

4/10/2016 500000 25/02/2017DEATH PAID

17Anirudh Rao Vishal Rao ###

9/16/2016 500000 18/05/2017DEATH PAID

18Sanjay Kumar Yadav Smt. Ishrawati Devi ###

11/21/2016 500000 8/2/2017DEATH PAID

19Laxmi Chauhan Smt. Kalawati ### 9/14/2016

NIL NADEATH

REPUDIATED

20Raksha alias Ram Raksha Smt. Chauthi ###

12/17/2016 500000 10/2/2017DEATH PAID

21Prince Kumar Yadav Smt. Anita Devi ### 10/12/2016

NIL NADEATH

REPUDIATED

22Rakesh Yadav Smt. Rina Devi

4/10/2016 500000 5/3/2017DEATH

paid

23Rajesh sharma Smt. Kiran Devi Kushinagar

22/09/2016 NIL NADEATH UNDER PROCESS

24Sanjeev Chauhan Smt. Sunita Devi

11/10/2016 500000 5/3/2017DEATH

paid

25Ramakant Smt. Phoolwanti

14/10/2016 500000 5/3/2017DEATH

paid

26Awadesh p singh Smt. Kiran singh

9/1/2017 500000 29/03/2017DEATH

PAID

27Onkar alias Om Prakash TiwariPRABHAWATI DEVI

30/09/2016 500000 5/3/2017DEATH

paid

28RAMDARAS VERMA SANTI DEVI

27/11/2016 500000 21/03/2017DEATH

PAID

29IMAMUDDIN SAH SAHJAHAN/9838120098 Kushinagar

NOT MENTIONED NIL NADEATH UNDER PROCESS

Mahuwari, singhpur,Kushinagar 7800391010

Awarwa, Toal Barwa, Sukrauli, Kushinagar 8382942996

Ahmedpur,KhurhatMohamdabad,Mau,9550614226

NO KHATONI, NO BPL CARD, NO INCOME CERT…..income certificate in the name of claimant and the same is required in the name of deceased/deceased family

Kudva Dileep Nagar, The.-Kasya, Kushinagar 8572933057

Lohepar Tehsil Hata, KUSHINAGAR

Rampur Patti, Natwalia, Kushinagar 7704072558

Bknaha , Ahirauli Bazar , Kasiya , Kushinagar

Date of Accident prior to inception of policy.

Barwa Khurd, Kushinagar 8417836602

Sukrauli, Bazar , Thana Hata, Kushi nagar , 9648846889

NOT hof …STUDENT

Jungle Belva Tola, Chouria, the Padrauna ,Kushinagar 9838782998

Jungla Balwa, Padrauna, Kushinagar 7897201046

Vishnupur, Tutthi, Silhat, Kushinagar 9044786869

BHATWALIA,SAKHWANIYA,GORAKHPUR,8948225118

Kankoria, Kasaya, Kushinagar 9936917533

BANKATA BAZAR,KOILASWA,9648279816

30HARKESH SAVITRI DEVI

21/09/2016 500000 17/04/2017DEATH PAID

31RAMNARESH SARJAMI DEVI

###Kushinagar


32SANTOSH SINGH SUMAN SINGH

14/10/2016 500000 22/02/2017DEATH

paid

33MANAAUAR MUNNI NISHA

Tikash Hata, Kushinagar 25/11/2016 500000 22/02/2017DEATH

paid

34SINHASAN MAMTA DEVI

Kaptanganj, Kushinagar 27/09/2016 500000 22/02/2017DEATH

paid

35KHEDU SIMRATI DEVI

21/10/2016 500000 9/3/2017DEATH PAID

36MITHILESH SHILA DEVI Kushinagar


37VAKIL GUDDI DEVI Kushinagar


38KASIM NAJRUN NISHA

12/11/2016 500000 23/02/2017DEATH PAID

39RAMCHANDAR yadav SAHODARA DEVI

Harpur, Padrauna, Kushinagar 12/11/2016 500000 22/02/2017DEATH

paid

40Vijay Pratap Singh ALPANA DEVI

18/10/2016 500000 5/3/2017DEATH

paid

41VIDYA DEV ( Vidya Nishad) RESHMAI DEVI

20/11/2016 500000 5/3/2017DEATH

paid

42Raghuvir Sudami, 8052472058 Kushinagar

24.11.16 NIL NADEATH UNDER PROCESS

43Durgesh Verma Asha Devi Kushinagar


44Kunti Devi

04.11.16 500000 9/3/2017DEATH PAID

45LILA WATI SAHANI RAJINDER SAHANI ### 21.11.2016

NIL NADEATH

REPUDIATED

46RAMDARAS SMT. KUNTI DEVI ###

20.09.2016 500000 2/3/2017DEATH PAID

BANK,TAMKUHIRAJ, kushi nagar

Badara, Kaptanganj, Kushinagar

31, Street Badhiyapura, Kudar, The.-Hata, Kushinagar 9936583887

BULAHI,CHANDRAPUR, kushinagar

Ahiroli, Silhat, Kushinagar 9918534045

Mahadev, Gothiyawa, Ada, Kushinagar 9956011390

Brij Bihari

Vill. Gopalgarh,kasya,Kusinagar 7526086513

Radhiya Deoria, Hata, Kushi Nagar , 7068219347

NOT hof/BREADEARNER

Rauri Dandopur, Kushinagar 9956850390

47Janki Devi Priti ###Kushinagar


48Indu Devi Rahul Giri ###Kushinagar


REPUDIATED

49Makeloo Ram Shakuntala Devi, 9935727291 Kushinagar


50RAM AVADH GUPTA RAJENDER

###Kushinagar


51Bhabhuti Subhawati

05.12.16 500000 17/04/2017DEATH PAID

52Brijesh Saroj Devi

5/12/2016 500000 21/03/2017DEATH

paid

53 Chandra Pratap Singh 20.11.16 500000 17/04/2017DEATH PAID

54Ram Komal Janki Devi

5/12/2016 500000 21/03/2017DEATH

PAID

55Ramjeet Sugiya Devi kUSHINAGAR, 8922922572

05.12.16 500000 17/04/2017DEATH PAID

56Sailesh Saroj Devi,

24/12/2016 500000 29/03/2017DEATH

PAID

57Samsuddin Khurshid & Ors, 8953584884 Kushinagar


58MARKENDEY DAHLIYA ### 20.11.2016

NIL NADEATH

REPUDIATED

59ROHIT YADAV SEEMA DEVI

###Kushinagar


60Govind Gupta

Sushila Devi### 10/11/2016

NIL NADEATH

REPUDIATED

61Surendra Upadhyaya

Meera Devi### 10/26/2016

NIL NADEATH

REPUDIATED

62Parmeshwar Sahani

Shanti Devi### 10/23/2016

NIL NADEATH

REPUDIATED

63Prithviraj Vishwkarma Rambasi Devi, 9956095468 Kushinagar


REPUDIATED

overage

GOPALGARH,KASIA, kushinagar, 8566800403

Fulvariya Magreev, Laxmiganj, Kushinagar 8574387939

Ayusi Kumari & Bhanu Pratap Singh RAMBUJURG,HATA,

kushinagar, 9410503122

PAID ON 17.04.2017

MAHUI,SAMOGAR,HATA,KUSHINAGAR,9839288625

03.03.17

VILL. DUBOLI, TEHSIL PADRONA,KUSHINAGAR,9519007360

Khotahi , Ramkola, Kushi nagar , 9793833902

no katauni…no bpl…no income certificate

Vill Chandarpur , Lxmiganj , Kushinagar , 9519743440

NO KATAUNI…NO BPL…NO INCOME CERTIFICATE

Vill. Gangalwa,Kushinagar,9532808826

NOT HOF

Khabbarabhar , Block - Kaptanganj , Kushinagar , 7477034368

NO KATAUNI…NO BPOL…NO INCOME CERTIFICATE

05.04.2017

64Patiram Yadav Kapalvati Devi ###

23.02.17 500000 18.05.2017DEATH PAID

65Pawhari Kailashi Devi ###

25.11.16 500000 19/04/2017DEATH paid

66Mutur urf Ramnarayan Vijay Gupta, 7800174793 ###Kushinagar


67Gyanti Devi Nandu Kushinagar


68Kayaspati Hari Yadav ### 18.02.17

NIL NADEATH

REPUDIATED

69Jitendra Yadav Nitu Yadav, 8874040223 ###

18.02.17 500000 19/04/2017DEATH paid

70Tara Devi Nathu Ram ### 18.02.17

NIL NADEATH

REPUDIATED

71Keshav Shashi, 9807340009 ###Kushinagar


72Ram Naresh Phoolmati Devi

08.01.17 5000000 13/05/2017DEATH PAID

73Umesh Radhika Devi ###Kushinagar, 7571846003

09.12.17 500000 13/05/2017DEATH PAID

74Sitaram Susheela Devi Kushinagar

13.01.17 500000 18/05/2017DEATH PAID

75Sitaram Chauhan Sunita Devi, 76178773378 Kushinagar

07.12.16 500000 23/05/2017DEATH PAID

76Ambika Parwati Devi Kushinagar, 9936605376

09.02.17 500000 23/05/2017DEATH PAID

77Prahlad Verma Arti Kunti Devi, 9005011712 Kushinagar


78Chandrika Uttim Devi Kushinagar, 8009743057

21.02.17 500000 13/05/2017DEATH PAID

79Deena Nath Sushila Devi Kushinagar, 8400118493

08.01.17 500000 27/05/2017DEATH PAID

80Om Prakash Sheela Singh, 9198223135 ###Kushinagar

25.01.17 500000 13/05/2017DEATH PAID

RAMPUR JAMUNIYA,BARWA PATTI,TAMKUHI, KUSHINAGAR,9794664712

Bhangra Piprasi, Thana-Kubersthan, Kushinagar 8009516686

Vill. Naurangia,Distt. Kushinagar,9838040831

not hof

Bankata Bazar Tola, Kasaiya, Kushinagar 8874040223

VILL GHAGHSARA , TEHSIL SEHJANWA , DISTT KUSHINAGAR 9838040831

not hof

RAMPUR JAMUNIYA,BARWA PATTI,TAMKUHI, KUSHINAGAR,9792125718

17.04.17

81Meena Devi Upendra,Tarkeshwar,8874649616 Kushinagar


82Dayanand Sarita Devi, 8853829817 Kushinagar

24.12.16 NIL NADEATH paid

83Abhimanyu Yadav Deena Nath Yadav, 9554506732 Kushinagar


84Gena Vidyawati Devi Kushinagar

02.12.16 500000 27.06.2017DEATH paid

85Rajan Kismati Devi, 8052305158 Kushinagar

07.12.16 NIL 27.06.2017DEATH PAID

86Ashok Prasad Reena Devi, 9670299679 Kushinagar

04.11.16 NIL 02.06.2017DEATH PAID

87Ranjeet Mishra Meena Mishra

###18.02.17

500000 5/5/2017DEATH

PAID

88Durgesh Verma

ASHA DEVI ###Kushinagar 30.10.2016 NIL NADEATH UNDER PROCESS

89RAM PRASAD

CHAN MATI DEVI###Kushinagar 08.02.2017 NIL NA

DEATHREPUDIATED

90Dinesh Rawat Fula Devi Kushinagar

16.01.17 NIL 08.06.2017DEATH PAID

91Babita (blank) ghanshyam gupta 16.01.17

NIL NADEATH REPUDIATED not HOF her husband was hof

92Awadesh kumar rao Kalindi Devi 24.02.17 500000

27.06.2017DEATH PAID paid on 27.06.2017 by do gorakhpur

93Mahlud Hamidun Nisha, 7309976032 21.01.17 DEATH UNDER PROCESS

94Keshav Yadav Vidyawati Devi,9506549613 29.01.17 DEATH UNDER PROCESS

95Asha Ghoora, 8756052100 14.12.16

NIL NADEATH REPUDIATED not hof ..her husband was hof of their family ( report sent on 16.06.2017)

96Arjun Yadav Sunita Devi, 9415279412 23.12.16 DEATH UNDER PROCESS

97Jairam Tewari Usha Devi 25.02.17 DEATH UNDER PROCESS

JANGAL SIKRI,TEHSIL SADAR,,GORAKHPUR,9956914308

NATURAL DEATH

98Mohan Vrijraj, 9198642371 18.02.17

NIL NADEATH REPUDIATED

99Ram Briksh Sugani Devi, 9743510341 19.01.17 DEATH UNDER PROCESS

100Sugreev Meena Devi, 8400879851 01.12.16 DEATH UNDER PROCESS

101Atma Yadav Rampati Devi, 9565186449 01.03.17 DEATH UNDER PROCESS

102RAMNAGINA GUPTA BANTI DEVI KUSHINNAGAR

27/12/2016500000 27/05/2017 DEATH PAID

103Udit Shila Dev KUSHINNAGAR,8400553706 08.11.16 DEATH UNDER PROCESS

104Vashisth Anita Devi, KUSHINNAGAR 9936922151 01.01.17 DEATH UNDER PROCESS

105Jaishree Sukhdev KUSHINNAGAR 27.01.17 DEATH UNDER PROCESS

106Harikeshwar Vishwkarma Raabri, KUSHINNAGAR9936768430 14.01.17 DEATH UNDER PROCESS

107Bilas urf Rambilas Sahani Shubhavati Devi, KUSHINNAGAR 7269813756 22.03.17 DEATH UNDER PROCESS

108Omprakash Pandey Kiran Devi, KUSHINNAGAR 7379091611 28.02.17 DEATH UNDER PROCESS

109Phoolman Aysha, KUSHINNAGAR 9120222089 05.04.17 DEATH UNDER PROCESS

110Raj Kumar Madhuri Devi, KUSHINNAGAR 9198578077 24.03.17 DEATH UNDER PROCESS

111Renu urf Babli Ajay Kumar, KUSHINNAGAR9721974848 19.10.16 DEATH UNDER PROCESS

112Sarvan Saroj Devi, KUSHINNAGAR7880569066 30.01.17 DEATH UNDER PROCESS

113Shekh Salahuddin Zaibun Nesha, KUSHINNAGAR8800932176 05.05.17 DEATH UNDER PROCESS

114Upendra Yadav Suresh Yadav, KUSHINNAGAR 8948491385 31.10.16 DEATH UNDER PROCESS

not hof…HIS FATHER WAS HOF OF THEIR FAMILY report sent to DO GKP on 16.06.2017

115PRINCE ALGU KUSHINNAGAR

24.11.2017NIL NA DEATH REPUDIATED NOT HOF ..HIS FATHER WAS HOF

116Pawan Anari Devi KUSHINNAGAR 26.04.17 DEATH UNDER PROCESS

117Aamir Naseema Parveen KUSHINNAGAR 26.12.16 DEATH UNDER PROCESS

118Badari Israwati Devi KUSHINNAGAR 05.03.17 DEATH UNDER PROCESS

119Badri Santi Devi KUSHINNAGAR 03.04.17 DEATH UNDER PROCESS

120Brindalal Dhanmati Devi KUSHINNAGAR 06.12.16 DEATH UNDER PROCESS

121Rama Shankar Moti Devi KUSHINNAGAR 10.04.17 DEATH UNDER PROCESS

122Pappu Yadav Kalawati Devi KUSHINNAGAR 13.03.17 DEATH UNDER PROCESS

123Sunil Kumar Neeraj Devi KUSHINNAGAR 02.01.17 DEATH UNDER PROCESS

124Mahendra Aspati Devi KUSHINNAGAR 12.03.17 DEATH UNDER PROCESS

125Naumi Vinod & Poonam KUSHINNAGAR 12.02.17 DEATH UNDER PROCESS

126Neeta Devi Ankit Kushwaha KUSHINNAGAR 12.01.17 DEATH UNDER PROCESS

127Shriram Suggi Devi KUSHINNAGAR 03.03.17 DEATH UNDER PROCESS

128Omprakash urmila Devi KUSHINNAGAR 30.03.17 DEATH UNDER PROCESS

129Shailesh Shakuntala Devi KUSHINNAGAR 24.04.17 DEATH UNDER PROCESS

130Jitendra Pati Tripathi Urmila Devi KUSHINNAGAR 20.12.16 DEATH UNDER PROCESS

131Mulri Kapil Dev KUSHINNAGAR 19.11.16 DEATH UNDER PROCESS

132Raj Bahadur Sunita Devi KUSHINNAGAR 19.01.17 DEATH UNDER PROCESS

133Sharada Srimati Devi KUSHINNAGAR 21.03.17 DEATH UNDER PROCESS

134Shambhu Kumar Gupta Rina Devi KUSHINNAGAR 05.12.16 DEATH UNDER PROCESS

135ROSHAN PRAJAPATI FEKANI DEVI KUSHINNAGAR

22.11.16DEATH UNDER PROCESS

136PRAMOD KUMAR SULOCHNA SRIVASTAVA KUSHINNAGAR

03.12.16DEATH APPROVED

not HOF her husband was hof

paid on 27.06.2017 by do gorakhpur

not hof ..her husband was hof of their family ( report sent on 16.06.2017)

NOT HOF ..HIS FATHER WAS HOF

APPROVED

PRAROOP NO. 10 Details of Reported

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name MAHARAJGANJ


S.No. Name of Injured persName of Nominee/benficiary Date of Accident Amount Dt. Of Payment Death/disability Remarks

5

Tara Das Smt. Damyanti Devi

22/09/2016 500000 21/02/2017 Death PAID

6

Nizammuddin Smt. Saifun Nisha

21/10/2016 500000 27/12/2016 Death PAID

8

MUNSHARIF kitabu nisha

02.11.2016 500000 23.03.2017 Death PAID

10

Shah Alam Smt. Nasreen Katun

30.10.2016 500000 8/2/2017 Death PAID

12

Mohd. Yaqub Smt. Jahiuddin Nisha

5/10/2016 500000 20/01/2017 Death PAID

14

Ramanad Smt. Rajmati Devi

20/09/2016 500000 3/30/2017 Death PAID

16

SANJAY CHAUDHARY SHASHIKALA

01.11.2016 500000 10/2/2017 Death PAID

17

RADHE SHYAM KALAWATI DEVI

26.09.2016 500000 10/1/2017 Death PAID

21

SMT. KUSHLAWATI DEVI

20/11/2016 500000 1/20/2017 Death PAID

22

Indramani Smt. Geeta Devi

9/26/2016 500000 8/2/2017 Death PAID


STATUS ( PAID/REPUDIATE/UNDER


in 20 words

Basaiyan, Bujurg Tola, Urmani, Maharajganj 9621464699

Narainpur Kotwali, Maharajganj 8127141576

Marjad Pur, Pahadi Tola, Parsa Malik, Maharajganj 7317887810

Badara Khas, Maharajganj 9918168952

Baiwa Jungle, Nautanwa, Maharajganj 9450672746Bajardih, Tenuaahiya, Lok Vidya Peeth Nagar, Pharenda, Maharajganj 9454376437

Mahadev Kashiram, Basantpur, Maharajganj 8400000392

jEk Sadwa,Maharajganj,9936079226

DAYASHANKAR @ MAHANT

Khutaha Bazar, Paniyara, Maharajganj 8423720377

Pipra Narayan, Mujhana Bujurg, Maharajganj 9838668750

29

SUGREEV

SONMATI 11/10/2016 500000 3/2/2017 Death paid

30

KASIM ALI Maharajganj

26/10/2016 500000 02.06.2017 DEATH PAID

31

KAMMAL

TETRA DEVI

Maharajganj

1/11/2016 500000 17.04.2017 Death PAID

33

KAMLESH

SHILA DEVI

Maharajganj9198673575

10/15/2016 500000 25.04.2017 Death paid

35

Mukhtar Singh Asha Devi

28/11/2016 500000 05.03.2017 Death paid

38 Jhinku

Gangotrai Devi

28/11/2016 500000 21/03/2017 Death paid

41

Noor Mohammad Naseema Khatoon Maharajganj, 9918080131

28.01.17 500000 11.04.2017 Death PAID

42

RAKESH SUNITA

6/11/2016 500000 5/3/2017 Death paid

43

SHIV MANGAL MURALI

15/10/2016 500000 5/3/2017 Death paid

46

MUKHTI NATH KAUSHLIYA DEVI

04.02.2017 500000 18/04/2017 Death PAID

54

Ram Kewal Indrawati Devi

28.10.2016 500000 18/04/2017 Death PAID

58

Phoolbadan Aywari Devi Maharajganj, 8587090148

25.10.16 500000 25/04/2017 Death paid

59

Sukkhu Malti Devi Maharajganj, 9161719351

06.02.17 500000 25/04/2017 Death paid

60 Allaudin Mohd Alam 31.01.17 500000 17/04/2017 Death PAID

54, Eksadva, Nautanva, Maharajganj 7507106082

Samra, chandauli, Maharajganj,9792623160

Laxmipur Mahant, Nebuiya, Maharajganj, 9559246562

Bhaisaiya, Ada Bazar, Nautanwa, Maharajganj 8953825033

vill Paisayababu,tehsil Nautanva,Maharajganj 7753058972

Chandan Chaffi Tolam Shampur, Maharajganj 7800406714

Haraiya, Puranderpur, Maharajganj 9936135106

Maharajganj, 9918152993,9695531180

61

Hari Lal Meera Devi Maharajganj, 9935143622

28.12.16 500000 23/05/2017 DEATH PAID

62

Harigovind Bhanmat, 9889393182

10.12.16 500000 29/04/2017 Death paid

63

Kalma Pintoo, Maharajganj, 9670471310

18.12.16 500000 18/05/2017 DEATH PAID

65

GYANESH ALIAS JILAJIT

HIRA DEVI 10.12.2016 500000 19/04/2017 Death paid

72

Phool Chand Parwati Devi, 9838266384

30.12.16 500000 19/04/2017 Death paid

74

Chiranjiv Durgawati, 7504739096

29.12.16 500000 5/3/2017 Death PAID

75

Rajendra Sharma

Sudha Sharma 31.01.17 500000 29/04/2017 Death paid

77

Rama Sushila Maharajganj, 9319669118

31.01.17 500000 23/05/2017 DEATH PAID

78

Nagendra Meera, 9935513235 Maharajganj

27.01.17 500000 02.06.2017 DEATH PAID

79

Chandrika Laichi, 8423582979 Maharajganj

25.01.17 500000 02.06.2017 DEATH PAID

81

RAM AVTAR

CHATTI DEVI

Maharajganj

07.11.2016 500000 11/4/2017 Death PAID

82

SUKHARI

Sugunti Devi

Maharajganj

18.09.2016 500000 11/4/2017 Death PAID

84

Sadanand Yadav Sheela Devi Maharajganj, 8423168790

27.01.17 500000 23/05/2017 DEATH PAID

85

SUKAI PRASAD

ASHA DEVI Maharajganj 26.01.2017 500000 13/05/2017 DEATH PAID

Vill.-Kanapar Urf Ramnagar, Post-Dhani, Maharajganj 9506293200

Kasamriya Chowk, Maharajganj 8738899331

Vankati, Lok Vidyapeeth Nagar, Pharenda, Maharajganj 9838266384

Suchitpur, Post-Vaida Bazar, Maharajganj 9794583177

Vill.- Soharavaliya Kala, PS-Purenderpur, Maharajganj 8601663188

88

RADHEY SHYAM MEENA DEVI

Maharajganj 16.11.2016 500000 18/05/2017 DEATH PAID

89

RAJMAN

MALTI DEVI 26.09.2016 500000 19/04/2017 Death paid

92

Bhukahl Reesa Devi, 7754879088 Maharajganj

31.01.17 500000 02.06.2017 DEATH PAID

106

RAMANAND SUMITRA DEVI Maharajganj 01.02.2017

500000 09.06.2016 DEATH PAID

PAID ON 09.06.02017

Shivpur, Bargahpur, Brijmanganj, Maharajganj 9918617740

PRAROOP NO. 10 Det

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name MAU



1 Virendra Yadav Ram Chandra Yadav 18/10/2016 500000 3/2/2017 Death PAID

2 Amar Nath Singh Smt. Ranjeeta SinghGhawaria,Distt. Mau,9984235642


3 Mohd. Jameel Abuliashvill. Ghosi,Mau,8853748628

10/21/2016 NIL NA Death REPUDIATEDNOT A HOF /APL

4 Hawaldar Smt. ManshaMau

9/16/2016 500000 28.12.02016 Death PAID

5 Mahatam Smt. Subhagi DeviZumala,mazil Mill,Raghauli,Mau.

11/16/2016 NIL NA Death REPUDIATEDNOT HOF

6 Ainul Ahmad Smt. Nasrin Bano 11/4/2016 NIL NA Death REPUDIATED

7 Mohd. Aslam Smt. Afsana KhatoonAllauddinpura,Kotwali,sadar,mau


8 Sudama Chauhan Smt. Parami Devi 10/31/2016 NIL NA Death REPUDIATEDoverage

9 Ram Prasad Gupta Smt. Gyanti Devi 11/20/2016 500000 2/3/2017 Death PAID

10RAM VIJAY CHAUHAN RAM RATAN CHAUHAN

17/09/2016 NIL NA Death REPUDIATEDNOT HOF / UNMARRIED SON

11Krishna Kumar Ram Prasad 1/12/2016


12Bechan Chauhan SURSATI Mohamadabad, Mau 7393925525

20/09/2016 500000 8/2/2017 Death PAID

13Yogendra Chauhan Smt. Bandana Devi 7/10/2016


14Virendra Gupta Smt. Bindu Devi

20/09/2016 500000 10/1/2017 Death PAID

15Chamaru Sonkar Smt. Satiya Atari khairabad, Mau 9807370046

25/10/2016 500000 21/02/2017 Death PAID

16Roop Chandra Smt. Keshri Devi

4/10/2016 500000 15/02/2017 Death PAID




PROCESS) If repudiated reason of repudiation with in

20 words

MUNGESHAR, MUGMASS, GHOSI, MAU 9795678449

NO KATAUNI/NO INCOME PROOF

Bibipur,haldhar,Sadar,Mau.9452996044

NATURAL DEATH BRAIN HAMRAGE

CRIMINAL ACTIVITY/APL CARD HOLDER

bakrabad,Chalara,Haldharpur,Sadar,Mau,9125473891

Billocha, Haldarpur, Mau 8174945300Khadagari,Haldharpur,Teh.Sadar,Mau,9795174902

Vill Tika Devari , Haldharpur , Mau, 9838008203

NO KATUNI/SAMAJWADI PENSION/BPL…NO INCOME CERTIFICATE ….NOT HOF

Badhua, Godam, Sarai Lakhansi Mau, 7398750005

NO GD…PANCHNAMA….neither kisan/nor BPL / no income certificate …..RATION CARD REQUIRED ……no income proof…

Nizamuddinpura, Nai Basti, Mau 9506931193

Bhagwanpur, Kushmor, Mau 9935068057

17Gorakhnath Smt. Girija Devi

4/10/2016 500000 10/1/2017 Death PAID

18VINDHYACHAL RAM LALBHCHI

11.11.2016 500000 15/02/2017 Death PAID

19GOPI KASHYAP DEVYANTI DEVI 07.11.2016


20DINESH SINGH URMILA DEVI 01.10.2016


21ANIL CHANDRAPATI 03.10.2016


22Indrasan Lal Sumitra Devi

08.11.2016 500000 2/3/2017 Death PAID

23SHIV CHANDRA SMT. PUSHPA DEVI MAU


24Aarti Devi Pati Ram 11/17/2016


25Dhananjaya Yadav Ram Awadh Yadav


26Saifullaha Ahmad Smt. Zareena Khatoon Mau

10/30/2016 NIL NA Death REPUDIATEDGOVT. EMPLOYEE

27BALCHAND S/O SUDDHU BAHETARI DEVI 4.11.2016

5000008.3.2017

Death PAID

28BANDHAN S/O PALJHAN MUKHIA DEVI 19.9.2016

50000022.3.2017

Death PAID

29LAXAN S/O VISHWAMBHAR RAMAWATI 19.10.2016

50000022.3.2017

Death PAID

30CHHOTE LAL S/O GARBHU PARASURAM 31.10.2016

5000008.3.2017

Death PAID

31MAHESH/LATE SHRI SUNDAR DURGAWATI 15.9.2016

50000022.3.2017

Death PAID

32JANARADAN S/O BARKHU MEERA 6.10.2016

5000008.3.2017

Death PAID

33RAJESH RAM S/O LATE SHRI INDU DEVI 13.10.2016

5000008.3.2017

Death PAID

34INDRAJEET YADAV S/O TILAK ARACHANA YADAV 10.11.2016

5000008.3.2017

Death PAID

35DURJAN S/O SAHDEV AARTI DEVI 8.10.2016

5000008.3.2017

Death PAID

36VINAY S/O KHEDAN BINDU DEVI 4.12.2016

50000022.3.2017

Death PAID

37 Parmeshwar Mau-7309444084 03.11.16 NIL NA Death REPUDIATED

38 Murat Mau9455299118 27.12.16 NIL NA Death REPUDIATED

39Brijkishori Devi Awadhesh Yadav Mau, 9793357576

04.11.16 NIL NA Death REPUDIATEDnot hof

40Umesh Rai Priti Rai Mau, 9451084513


Bheera, Walidpur, Mohammadabad Gohna, Mau 7275502449

BADHU GODAM, SARAI LAKANSHI, MAU 8808322207

Rajputana, Dakshin Tola sadar Mau, 9795203040

suicide case as per statement of deceased wife

Kamalpur , Kolaura , Mohammadabad, Mau, 9794236432

neither farmer …nor BPL card holder…..nor income certificate …..as per GD ….mentally distrubed person…death due to drawning

Rasoolpur , Halimabad Mohammadabad Gohna , Mau , 9651867153

NEITHER HOF…NOR BREAD EARNER….UNMAARIED SON….MURDER……NEITHER KISAN…NOR BPL.

Alauddinpur, Mohammadabad Gohna, Mau 7054595582

Kothia , bhabibh , Mohammadabad , Gohna , MAU, 9005927740

NO KHATONI, NO INCOME CERT., NO HOF

Kharhatar Khas,Gahwar,ballia,9598024429

NO KHATONI, NO INCOME CERT., NO HOF

BADAR,KHURAHAT, MAU MOB-9580557145

MIRZAPUR KANJHA RANIPUR MAU MOB-8423510277

TIPAKKABAD SURHUPUR MAU MOB-9793883686

SOHAD RAMPUR GHOSI MAU MOB-9867785080

NAYAMATPUR ADARI GHOSI MAU MOB-9532342155

MAJANA PIDOHARI HALDHARPUR MAU MOB-9453628396

MEWDI KALA RATANPURA MAU MOB-9506791294

KUSHMAUR SADAR SARAI LAKHANSI GHOSI MAU MO-9450705768

KOIRIYAPAR MOHAMDABAD MAU MO-7392935525

BAHAWNPUR ARIYASU GHOSI MAU MOB-9935578674

Ramdutt,Shivdhar,ShivduttJai Karan,Jai Prakash,Ramesh,Rajesh-

41Vinod Poonam Devi Mau, 9454021402

19.10.16 NIL NA Death REPUDIATEDreport sent on 28.03.2017

42SYAM NARAIN CHAUHAN TARA DEVI

15.11.2016 500000 3/9/2017 Death PAID

43BRIJESH KUMAR HARI GOVIND KUMAR 07.10.2016

NIL NA Death REPUDIATEDNOT HOF

44PAWAN KUMAR S/O LATE SUBDEEPIKA RAI 6.11.2014

50000022.3.2017

Death PAID

45AJEET S/O LATE PHOOL CHA GIRIJU DEVI 27.10.2016

50000022.3.2017

Death PAID

46FAUJDAR S/O DASRATH SARADA 10.10.2016

5000008.3.2017

Death PAID

47RAMDEV S/O LATE HARHANGISARADA 10.12.2016

5000008.3.2017

Death PAID

48Radhey Shyam Rajbhar Smt. Munni Devi 15/10/2016


49kumari priyanka SMT. URMILA DEVI 10.10.2016


50Ajay Kumar Pandey Jagdish Pandey Mau, 9454700279


51Akhilesh Kaushalya Devi Mau, 8933848750


52Krishan Dev Singh Sunil Singh Yadav 26.11.2016

50000018.4.2017

Death PAID

53Phulchand Jeera Devi 6.1.2017

50000018.4.2017

Death PAID

54Shambhu Kumar Pushpa Devi 15.12.2016

50000018.4.20174

Death PAID

55Ramanand Singh Sushila Devi Mau, 9415056657

07.10.16 500000 29.05.2016 Death PAID

56Shreepati Brijesh Kumar Nishad 31.12.2016

50000018.4.2017

Death PAID

57Govind Yadav Seema Devi Mau, 9621017900

23.12.16 NIL NA Death REPUDIATEDNOT ELIGIBLE

58Ram Bahal Fekani Devi Mau, 9616646429

16.11.16 NIL NA Death REPUDIATEDNOT ELIGIBLE

59Yogesh Singh Kavita Devi Mau, 9918847848

19.12.16 NIL NA Death REPUDIATED06.04.2017

60Rana Pratap Gautam

Rajkumari Devi21.02.17

NIL NA Death REPUDIATED not hof

61Ramanand Yadav

Meera Devi 11.12.16 500000 4/29/2017 Death PAID

62Sudama Yadav

Pramila Yadav 30.12.2016 500000 4/19/2017 Death PAID

63Dharbaran Jaiswar

Pushpa Devi Mau 20.09.16 NIL NADEATH UNDER PROCESS

64Shyam Murat Bhagwati, 9451618092 Mau


MOHAMMADPUR, JHAJHAWA, KOPAGANJ, MAU 9795983749

ChaksonPurhat, Mohammadabad, Gohna, Mau, 7800324391

MUNGMAS GHOSI MAU MOB-9651404044

SARPHUPUR GHOSI MAU MOB-7459956384

USARI KHURD JHUSI MAU MOB-8738877267

LARPUR GHOSI MAU MOB-9793147113

Sanegpur , Bakhtawarganj , Dakshin Tola , Sadar ,Mau, 9889183811

Deceased was mentally abnomal, ( suicide case)

Kandharapur , kamal sagar , Madhuban , Mau, 9889816885

VILL-MUJAR BUJURG PO-BATMILA MAU MOB-9419279488

VILL-PACHISTA MOLNAPUR NOHMDABAD MAU MO-8423510277

NAWALPUR RATOHI PO-KIRATH SARAI MAU MO-9415756570

VILL-PAKADI BUJURG HARIDASPUR GHOSI MAU MO-9919266026

VILL PARDAHA , TEHSIL SADAR DISTT MAU , 9451247503

Vill.-Chakkabojh, Teh.-Madhuban, Mau 9598118894

Vill.-Kandheri (Tala Sagar), Sadar, Mau 7084974760

65LALTI DEVI Mau


66HARILAL SURATI DEVI Mau,8808218231

08.03.2017 500000 29.05.2017 Death PAID

67HARDEEP PASI MALTIDEVI Mau,7309421785

06.03.2017 500000 29.05.2017 Death PAID

68BINDRA S/O SUMER DULARI DEVI, Mau9839376844

11.02.2017 500000 29.05.2017 Death PAID

69TILKU S/O LATE LALMAN Sushila Devi Mau, 7318363150

07.12.2016 500000 23.05.2017 Death PAID

70Swatantra Kumar Soni, 9415773234 20.01.17

UNDER PROCESS

71Mritunjay Kadam MAU 02.01.17

UNDER PROCESS

72Harinath Gupta Kamlawati, 8400721320 MAU 26.04.17

UNDER PROCESS

73Surendra Sanju Devi, 9616132589 MAU 23.12.16

UNDER PROCESS

74Durgvijay Singh Raj Kumar Devi, 893505595MAU 02.12.16

UNDER PROCESS

75Jay Prakash Singh Suman Singh, 7607550198 MAU 15.03.17

UNDER PROCESS

76Veer Bahadur Singh Anita Singh MAU 27.04.17

UNDER PROCESS

SHIV KUMAR CHAUHAN,9889770916 &7376551101

PRABHU TANDA MAU MO-9415056657

PRAROOP NO. 10 Detail

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name SANTKABIR NAGAR



1 Praveer Chandra Rudra Nath ChaurasiyaSant Kabir Nagar

11/20/2016 NIL NA DEATHREPUDIATED

2 Poonam Rudra Nath ChaurasiyaSant Kabir Nagar


3Uma Shankar Smt. Gayaytri Sant Kabir Nagar

9/10/2016 500000 31.01.2017DEATH PAID

4Shailendra Kumar Smt. Sunita Yadav Sant Kabir Nagar


5Abhishek Singh Smt Pushpa Singh Sant Kabir Nagar

29/10/2016 NIL NA DEATHREPUDIATED UNDER AGE / NOT HOF

6Yogendra Smt Champa Sant Kabir Nagar

26/10/2016 500000 09.06.2017DEATH PAID

7Ram Gyan Chandravati Sant Kabir Nagar

42670 NIL NA DEATHREPUDIATED

8INDRAJEET YADAV SMT. SAROJ Sant Kabir Nagar


9RADHEY SHAYM RAMJIT

14/11/2016 500000 1/2/2017 Death paid

10SUBHASH CHANDRA PREMSHEELA

3/11/2016 500000 1/2/2017 Death paid

11CHANDRA BHUSHAN NOT MENTIONED Sant Kabir Nagar

NIL NADEATH UNDER PROCES

12ISHRAWATI DEVI NOT MENTIONED Sant Kabir Nagar

NIL NA DEATHREPUDIATED

13GANESH SHANKAR GUDIYA DEVI Sant Kabir Nagar

NIL NA DEATHREPUDIATED

14HARIRAM VANDANA DEVI Sant Kabir Nagar

23.11.2016 500000 23.02.2017DEATH PAID




PROCESS) If repudiated reason of repudiation

with in 20 words

KASRA KATUANI DISPUTED /Train Accident DT. 20/11/2016/ APL CARD HOLDERTrain Accident DT. 20/11/2016/ NOT A HOF..HIS FATHER WAS HOF NOT ELIGIBLE….NO KATAUNI/NOT BPL/NOT SAMAJWADI PENSION/NO INCOME CERTIFICATE// NO PMR ……..MURDER CASE

NOT HOF, NO INCOME CERTIFICATEneither katauni….nor BPLcard in the name of claimant/deceased

77, Amava, Meerganj, Khalilabad, Sant Kabir Nagar 9838953879Kedariya Shikar, Khalilabad, Sant Kabir Nagar 8932948480

NOT COVERED UNDER TERMA AND CONDITION OF POLICYNOT COVERED UNDER TERMA AND CONDITION OF POLICY

15Jeevan Yadav Suman

28/11/2016 500000 29/03/2017DEATH PAID

16Paltu Rita Sant Kabir Nagar

21.10.16 NIL NADEATH UNDER PROCES

17Shravan Kumar Anjani Devi, 7755033582 Sant Kabir Nagar


18Surendra Kumar Sangeeta Jaisawar 9455195815

24.12.16 500000 10.04.2017DEATH PAID

19Mohrati Lalchand & Balchand Sant Kabir Nagar


20Piyari Devi Bhabhuti,7784816122 Sant Kabir Nagar


21Rakesh Kumar Girja Devi

5/12/2016 500000 21/03/2017DEATH PAID

22Mani Ram Khuhsboo

02.12.2016 500000 10.04.2017DEATH PAID

23 Ram Kripal Singh Gyanti DevI 19.12.16 500000 19.04.2017DEATH PAID

24Khetahu Hemanti Devi

Santkabir Nagar 06.01.17 NIL NA DEATHREPUDIATED

25Jawahir Sona Devi

04.03.17 500000 17.04.2017DEATH PAID

26 Mahesh Yadav Gudiya Devi, 10.02.17 500000 25.04.2017DEATH PAID

27Phool Chandra Nandini Devi

31.12.16 500000 18.05.2017DEATH PAID

28Gyanmati Devi Raghuvansh Singh Santkabir Nagar


29Suresh Singh Sushila Devi,

2/13/2017 500000 29.04.2017DEATH PAID

30Ramprasad Dharmendra, 7233074273 Santkabir Nagar


31Madho Prabhawati, 9161517105 Santkabir Nagar


32Sarita Tripathi Rajendra Tripathi, 99187645 Santkabir Nagar


33Pramod Kumar Durgawati Devi Santkabir Nagar


34Dharmendra Sangeeta Devi Santkabir Nagar 28.09.16

NIL NADEATH APPROVED

35Akhileshwar Tripathi Neelam Santkabir Nagar 07.01.17


36Amrullah, 7408444407 Kamarunnisha Santkabir Nagar 14.01.17


JAMOHARA,MEHDAWAL,SANT KABIR NAGAR,8542829838

SARAIYA ATRORA,KHALILABAD,8953203337

Sant Kabir Nagar,9838959879Bakha, Kopia, Bakhira, Santkabir Nagar 9628036905

NOT COVERED UNDER TERMA AND CONDITION OF POLICY

Santkabir Nagar, 9838953879

Santkabir Nagar 7317370740,8574943964

Santkabir Nagar, 9415943810

Vill.-Kharwaniya, PS-Mahuli, Santkabir Nagar

37Ramji, 9670959029 Champa Devi Santkabir Nagar 01.01.17


38Ram Milan, Kiran 19.02.17 500000 23.05.2017 DEATH PAID

39Vivekanand Pathak Chandra Prabha , 9648422783 06.02.17 500000 23.05.2017 DEATH PAID

40Raj Kumar Rajmati Santkabir Nagar 08.11.16 DEATH UNDER PROCES

41Ajay Pratap Singh Indrawati Singh Santkabir Nagar 26.01.17 DEATH UNDER PROCES

42Rahmullah Yaar Mohammad Santkabir Nagar 23.03.17 DEATH UNDER PROCES

43Sant Ram Rudramati Santkabir Nagar 12.03.17 DEATH UNDER PROCES

44Shiv Kumar Suman Devi Santkabir Nagar 07.03.17 DEATH UNDER PROCES

45Ram Briksh Jugura Devi Santkabir Nagar 13.03.17 DEATH UNDER PROCES

46Dhram Raj Sheela Devi Santkabir Nagar 14.03.17 DEATH UNDER PROCES

47Jeetan Malti Devi Santkabir Nagar 20.03.17 DEATH UNDER PROCES

48Sukkhu Lal Rajesh Kumar Santkabir Nagar 28.02.17 DEATH UNDER PROCES

49Indraman Malti Devi Santkabir Nagar 17.04.17 DEATH UNDER PROCES

50Raj Kumar Sangeeta Singh Santkabir Nagar 12.03.17 DEATH UNDER PROCES

Santkabir Nagar9695586932

PRAROOP NO. 10 Details of Repor

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name SHRAWASTI


S.No. Name of Injured person Name of Nominee/benficiary Date of AccidentAmount Dt. Of Payment Death/disability Remarks

1 Badlu Ram Fulkara SHRAWASTI 9/27/2016 500000 19.01.2017 Death PAID 2 Ganga Ram Smt. Jagrani SHRAWASTI 10/5/2016 500000 16.02.2017 Death PAID

3Laxmi Maurya Jagdhar

10/5/2016 NIL NA DeathREPUDIATED SUICIDE CASE

4Ramdin Smt. Dhani Ram

10/19/2016 NIL NA DeathREPUDIATED

5Asha Ram Shyam Monohar

29/09/2016 NIL NA DeathREPUDIATED OVERAGE …81 YRS

6 Asharam s/o ranjan Shyam manohar SHRAWASTI 08.10.2016 NIL NA Death REPUDIATED

7Mangli Prasad Raj kumar mishra & vashudev SHRAWASTI

13.09.2016 NIL NA DeathREPUDIATED

8 Dharm pal yadav kushuma devi alias Leela vati SHRAWASTI 27.09.2016 500000 31.01.2017 Death PAID 9 Krishnawati Udai Raj SHRAWASTI 17.10.2016 NIL NA Death REPUDIATED Not bread earner

10 Ram Dhiraj Anisa SHRAWASTI 07.12.2016 500000 15.02.2017 Death PAID 11 Sovansh Smt.pyari SHRAWASTI 02.12.2016 500000 09.02.2017 Death PAID 12 Ram Manohar Nemraj SHRAWASTI 20.10.2016 500000 17.02.2017 Death PAID 13 Hari Ram Mayawati SHRAWASTI 21.11.2016 500000 02.03.2017 Death PAID 14 Mohd. Yunus Sakira SHRAWASTI 18.11.2016 500000 02.03.2017 Death PAID 15 Hazarat Ali Naziran SHRAWASTI 11.11.2016 500000 08.05.2017 Death paid 16 Raj Kumar Rekha Devi SHRAWASTI 22.12.2016 500000 22.03.2017 Death PAID 17 Bandi Krishnawati SHRAWASTI 05.10.2016 UNDER PROCESS 18 Ram Surat Ram Kali SHRAWASTI 25.09.2016 UNDER PROCESS 19 Ram Murat Shanti Devi SHRAWASTI 08.11.2016 500000 02.03.2017 Death PAID 20 Ram Vilas Shanti Devi SHRAWASTI 23.09.2016 UNDER PROCESS 21 Sati Ram Jagdish,Raj Kr Sundri SHRAWASTI,9415751564 03.12.2016 UNDER PROCESS

22 Swami Nath Kori Nanmun Kori 26.09.2016 NIL NA Death REPUDIATED



Ganga Bhagat,Kalakalwa,Malhipur,Shrawasti,9450401764

Begumpur,Ranisir,Maharu,Murtiha,Shrawasti,9984868206

OVERAGE 71 YRS. AS PER PARIVAR REGISTER

Dullahpur,Kaitholi,Bethra,9838275422

accident prior to inception of policy

Bidu hani Mahdeillya, Ikauna, Sharawasti , 9838549798

NO KATAUNI ….NO BPL…NO INCOME CERTIFICATE

PRAROOP NO. 10 D

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name SIDHARTH NAGAR



1 Mrs. Kusum Tulsi RamSiddharth Nagar

25/10/2016 NIL NADEATH REPUDIATED

2JAGDISH SHARMA SMT SRIKANTI SHARMA

9/11/2016 500000 3/2/2017 DeathPAID

3Radha Choudhary Kodi Choudhary Siddharth Nagar


4Ghanshyamakar Pathak Smt. Indu Devi Siddharth Nagar


5Dharmendra Cheddi Siddharth Nagar


6TAZEEN AFTAB MALIK AHMAR

9/10/2016 500000 3/2/2017 DeathPAID

7Anirudh Kumar Kusumlata, 9889331107

16/11/2016 500000 21/03/2017 Death PAID

8INDIRA VATI BHOLA Siddharth Nagar

09.11.2016 NIL NADEATH REPUDIATED

NOT HOF

9LAXMINA KANIYA Siddharth Nagar

28.10.2016 NIL NADEATH REPUDIATED

10RAJ KUMAR CHAHUAN SUBHAWATI URF LALITA DE

Siddharth Nagar 24.10.2016 NIL NADEATH REPUDIATED

11Ashish Mishra Shashi Mishra,

9/12/2016 500000 29/03/2017 Death PAID

12CHANDER SHEKHAR

SAROJ 17.11.2016 500000 4/7/2017 DeathPAID

13Jaiprakash Narain Sushma Devi , 9839350082Siddharth Nagar

26.09.16 500000 27.05.2017DEATH PAID

14Chandradhar Dubey Godavari Devi Siddharth Nagar

14.01.17 500000 27.06.2017DEATH PAID

15 Ramjiyawan Siddharth Nagar 8127064986 07.10.16 NIL NADEATH UNDER PROCESS

16Vishwanath Madhubala Siddharth Nagar


17Girish Chand Poonam, Siddharth Nagar 9918018520

16.09.16 50000 27.06.2017DEATH PAID

18Asiya Begum Salim, Siddharth Nagar9224293816


19Nafadin Tara Devi, Siddharth Nagar 9919590046

01.10.16 500000 27.05.2017DEATH PAID

20Dharmendra Kumar Anita Devi, Siddharth Nagar7233918933

06.10.16 500000 27.05.2017DEATH PAID





in 20 words

NO PMR/GD/NO INCOME PROOF

Patila, Kakrala,Siddharth Nagar 9704884213

Date of Accident prior to inception of policy.

NEITHER KISAN NOR BPL NO INCOME CERTIFICATE

Kadirabad, Dumariya Ganj, Siddarth Nagar 9919505944

VILL. AGAYA,DUMRIYAGANJ,SIDHARTH NGR,9889331107

NOT HOF ..her husband was hof


USKA BAZAR,SIDHARTH NGR,7054720091

SUPARAJA, RAJABASI, JOGIYA, SIDHARTH NAGAR 8853504409

Ramkumar, Ramsaware, Ramnaresh,

21Ramujagir Janki Devi Siddharth Nagar, 8953305722

15.09.16 500000 NADEATH PAID

22Ramsahay Meera Devi, Siddharth Nagar9839674195


23Rambilas Anita, Siddharth Nagar 8874397372


24Molhu Laxmi, Siddharth Nagar7388008992


25Gyandev Sona Devi Siddharth Nagar


26Gyanmati Girish Siddharth Nagar, 9792235426


27Fida Hussain Ali, Siddharth Nagar 7233989019


28Ahmad Laisa, Siddharth Nagar8953175938


29Hariram Saraswati Devi Siddharth Nagar,8756557707

22.02.17 50000 27.06.2017DEATH PAID

30Sarda Vimla Devi Siddharth Nagar, 800917338


31Raju ANITA Siddharth Nagar,9161992198


32BHOTU URF RAMESH MADHURI DEVI Siddharth Nagar,9792669500


33Raj Kumar Minu Siddharth Nagar


34Rajkumar Neelam, 7081977550 Siddharth Nagar 18.02.17 UNDER PROCESS

35DAYA RAM CHINKALI Siddharth Nagar 24.02.17

NIL NADEATH REPUDIATE OVERAGE

PRAROOP NO. 10 De

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name SULTANPUR



1 Firoz Ahmad Smt. Sufia Bano 26/09/2016NIL NA Death REPUDIATED

2 Ram Kedar Smt. Jaasi 14/09/2016NIL NA Death REPUDIATED

ALCHOLIC

3 Dudhnath Smt. Sangam DeviSultanpur

16/09/2016 500000 22.12.2016Death PAID

4 Om Prakash Smt. Geeta DeviVinayakpur,Rajpur,Sultanpur

7/9/2016NIL NA SULTANPUR REPUDIATED

5 Ram Achal Yadav Smt. Rajmati 5/9/2016NIL NA Death REPUDIATED

6 Sunil Kumar Dubey Smt. Nisha 16/10/2016NIL NA Death REPUDIATED

not payable Alcholic

7 Vijay Pratap Singh Smt. Satyabhama Singh 28/10/2016 500000 21/12/2016Death PAID

8 Vinod Kumar Basant Lal 7/10/2016NIL NA Death REPUDIATED

9 Balbeer Kumar HausilaChharauli,dadpur,Sultanpur


10 Jitendra Kumar Smt. Kanchan Devi 11/20/2016 500000 27/12/2016Death PAID

11 Amit Kumar Yadav Smt. Meera DeviBahubara,sultanpur,9506864715


12 Mohd. Kafeel Mohd. ShakeelGhasipur,sultanpur,7753904107

11/10/2016NIL NA Death REPUDIATED NOT HOF

13 Phool Chandra Smt. Ram PatiShangauli,Sultanpur,9129951765





Bhartipur,Post Block Kurebher,Sultanpur,

No income proof /Not farmer

Vadi Ka Purva,Pikaura,Dhammaur,Sultanpur,


Poorey Baishi,Alliganj Bazar,Sultanpur,8853165386


PooreyBadgaiyan,Unchahar,Aliganj,9936131424

Vill. & Post-Ramnagar, Sultanpur 9651983952

Para bazar,Distt. Sultanpur,8400432264

NOT HOF /NO INCOME PROOF/APL CARD HOLDER

NOT HOF/NO PMR/NO INCOME CERTIFICATE

Salahpur, Mishrapur, Sultanpur 9935989837

unknown PMR/ income proof NA

NO PMR/NO INCOME PROOF/NO BPL/NO LAND RECORDS

14 Om Praksash Sonkar Smt. LeelawatiMeenpapur,Sultanpur,9451782223


15 Anil Vishwakarmafataipur,Sultanpur,7839832006

10/18/2016NIL NA Death REPUDIATED NOT A HOF

16Smt. Janki Sharma

8/10/2016 500000 2/3/2017Death PAID

17Brijendra Pratap Smt. Shiv Kumari Sultanpur

20/09/2016 NIL NADeath UNDER PROCESS

18Krishna Kumar Singh Smt. Sheela Singh

5/10/2016 500000 28/12/2016Death PAID

19Ram Gopal Mishra Smt. Janak Dulari Mishra 26/07/2016 NIL NA Death REPUDIATED

20Sonu Singh Rajendra Nath

Paliya,Sultanpur,9559145131 19/09/2016 NIL NADeath REPUDIATED

21Rakesh Kumar Mishra Smt. Pooja Mishra

20/10/2016 NIL NADeath REPUDIATED Mentally distrub person

22Kumari Monica Jai Prakash Vishwakarma

Vill. Bajwari,Sultanpur,8173054962 15/10/2016 NIL NADeath REPUDIATED

23RAJNESH PINKI

06.10.2016 500000 12/28/2016Death PAID

24RAM SAMUJH PURNIMA

21.09.2016 500000 12/28/2016Death PAID

25Devta din sharma chandrakali

06.10.2016 500000 28/12/2016Death PAID

26Vinod Kumar Sant Ram

9/10/2016 NIL NADeath REPUDIATED

27Satyam Singh Akhilesh Singh 6/10/2016 NIL NA Death REPUDIATED

28Uday Nath Dubey Ram Prakash Dubey 26/10/2016 NIL NA Death REPUDIATED

29Sunita Devi Shravan Kumar Sultanpur

3/10/2016 NIL NADeath UNDER PROCESS

30Radhey Shyam Pal Smt. Sushila Devi 8/7/2016 NIL NA Death REPUDIATED

31ASHISH JAISWAL ASHISH KUMAR 17.09.2016 NIL NA Death REPUDIATED

32SukuI Ram Prema Devi 14.09.2016 NIL NA Death REPUDIATED NOT HOF

NO INCOME PROOF /Not farmer /NO BPL

Buddhu Ram Vishwakarma

Mahesh Sharma s/o mahadev sharma

Vill.-Baidupara, Lambhua, Sultanpur 7897076457

Sarai Kalyan, Kadipur, Sultanpur 8948042315

Shakurabad , Mughalsarai, Bilahri dihChandauli, 9919147477 Accident date prior to

inception of policy

not HOF/ unmarried/ no katauni etc.

Maharani pachim,Sultanpur,7706045173

NOT HOF/ under age / seven yrs

Pure Kanpurian, PO-Atoula, Sultanpur 8874588461

Mahilo Ashapur, Barausa, PO-Kanauli, Sultanpur 9450885297

Vill.-Damodar Pakhanpur, Sultanpur 9795577038

Budna Makdampur,sultanpur8795874990

not HOF…..not farmer/bpl….HIS FATHER WAS HOF

Malapur , Kadipur , Sultanpur , 9792786167

SUICIDE CASE NOT PAYABLE

Balbhadrapur , Rikhpur , Chanda , Sultanpur , 9616133606

OVER AGE ….AS PER fir & POSTMARTEM…90 YRS AND AS PER RATION CARD MORE THAN 70 YRS.

Madhawpur , Kachcha, Bhitora, Motigarpur , Sultanpur , 9793530900

Accident Date prior to inceptionh of policy.

Mahila Ashapur . Kanauli , Gosainganj . Sultanpur , 8573943788

NOT A DEATH CASE….NO PERMANENT DISABILITY…NOT hof/NOT BREAD EARNER ….AGE 21 YRS UNMAARRIED SON.

Vill. Judupur,Distt. Sultanpur,8953622673

33Rahul @ Upendra Mishra Neelam Mishra 17.09.2016 NIL NA Death REPUDIATED

34Suresh Kumar Tiwari Kanchan Tiwari 29.09.2016 NIL NA Death REPUDIATED

35Ram milan Chandrawati Meeranpur mob. 9665455244 22.9.2016

50000016.2.2017 Death PAID

36Anil Kumar Prajapati Smt. Ravita Devi 9/14/2016 NIL NA Death REPUDIATED

37Suraj Singh Smt. Kalindi Yadav 10/6/2016 NIL NA Death REPUDIATED

38Mainuddin Anwar Hussain

Jangipur,Gzajipur,9919568181 9/17/2016 NIL NADeath REPUDIATED overage

39Rajesh Kumar Singh Smt. Suman Singh


40Maniram Smt. Pushpa Devi

3/10/2016 500000 2/3/2017Death PAID

41Munita Devi Kailash Chandra


42Rajesh Kumar Singh Smt. Renu Singh Sultanpur


43Abid sultan smt. Jahan ara

10.10.2016 500000 21/02/2017Death PAID

44Surender Sunita Barausa Mob.9450716753 14.9.2016

NIL NAdeath REPUDIATED

45Dharmendra pratap shobavati 26.9.2016

50000030.1.2017 Death PAID

46Sya ram sushila devi 29.9.2016

50000030.1.2017 Death PAID

47Alguram suman malva p.o. Vaidaha 9554013097 29.10.2016

50000030.1.2017 Death PAID

48Munni Lal Sing Ram Adhaar and Ram Sidh 21.10.2016

50000030.1.2017 Death PAID

49Jitender pratap singh Amita singh baldirai mob. 8924821928 11.11.2016

5000007.2.2017 Death PAID

50Krishna kumar pandey Rekha Devi chanda Mob. 9648361040 10.11.2016

5000006.2.2017 Death PAID

51Ishtiyaq Jinnatul Nisha Kadipur mob. 7897060135 24.9.2016

50000006.02.2017 Death PAID

KUREBHAR , SULTANPUR, 9559551056

neither katauni…nor bpl/incomce certificate

Poor Bhavan , Sohoguli , Sultanpur , 8400490604

neither katauni…nor bpl/incomce certificate

Upadhyaya Ka Purwa , Bhatti Ghammaur , Sultanpur 9988644604

alcholic ….Close Proximity CLEARANCE REQUIRED FROM lro

Karsa Amiliya, Sikra , Jaisinghpur , Sultanpur, 8127247721

UNMARRIED, NO HOF NOR BREAD EARNER

Lehuleara,Rampur,,Khanpur,Ghazipur,9984093199 Date of Accident prior to

inception of policy

Uskamau, Haliapur, Sultanpur 9971105272

Dullahpur,Kaitholi,Bethra,9838275422 NOT HOF …NOR BREAD

EARNERPERTAINS TO OTHER DISTRICT ….AMETHI…DISTT. RAI BARELLY

Vill.-Ayaz Manzil, Nabipur Miranpur, Sultanpur 9935602344

Documents not Completed

makhim nagar, mob. 9792827798

narapanpur, dhekapakahnpur mob.7525809499

Fareedpur,Akhandnagar, mob. 9695230828

52Dinesh Narayan Singari devi Kadipur mob. 7705844151 20.9.2016

5000007.2.2017 Death PAID

53Ramjas kalawati lambhuwa mob. 7897717292 3.10.2016

5000007.2.2017 Death PAID

54Shiv pratap singh suman jai singh pur mob 7618095172 29.10.2016

5000006.2.2017 Death PAID

55Arvind kumar singh vimla Singh Baldirai mob 9415929651 11.11.2016

5000007.2.2017 Death PAID

56Bismillah meraj Jahan Dhammaur mob. 7237024189 29.11.2016

50000016.2.2017 Death PAID

57Girish kumar Singh Seema singh Jaysinghpur mob. 9454780740 19.11.2016

50000016.2.2017 Death PAID

58Achhelal prema devi 17.11.2016

50000016.2.2017 Death PAID

59Naseem Ahmad Tarunnum bano 15.11.2016

50000016.2.2017 Death PAID

60Ram Autar karampati bedegaon mob. 8174045962 21.10.2016

50000016.2.2017 Death PAID

61Janki Sharma 8.10.2016

50000016.2.2017 Death PAID

62Krishna kumar upadhaya Vimla 13.11.2016

5000006.2.2017 Death PAID

63Ram Bhawan Jagi Kadipur, mob. 9565143661 3.11.2016

NIL NADeath REPUDIATED

64Ram Gopal Janki devi Gosayi ganj mob. 7897675263 26.7.2016


65Smt Sharda Devi Santosh Kumar Yadav Sultanpur


66Vinood Kumar Sadhana jaisngh pura mob.9453008721 21.10.2016


67Maan singh Sudha singh jaisingh pura mob.8400563425 8.9.2016


68Prem Shankar Dubey Sultanpur


69Madan lal Poojadevi jaysinghpur mob.8853982674 21.12.2016


70Budhiram Subhash Mauhariya mob. 7860771471 6.11.2016

5000002.3.2017 Death PAID

khizrabad,p.o aldemeu mob.8418944816

munshi ganj barosa mob.8931916626

Mahesh Sharma s/o Maahadev Sharma

Vill.-Baidura, Lambhua , sultanpur , mob.8934981911

pure shankar(deihli) utaula ,mob.9452647956

not hof….brother cannot be a legal heir.

Date of accident before policy

No claim by BO sultanpurAs per postmortem report visra preserved for chemical analysis , poison.

date of accident before policy)

No claim by BO sultanpurDecease was neither a famer nor bpl….AND NO INCOME CERTIFICATE PROVIDED

71Siya ram sarla Kotiya mob. 9450717598 12.11.2016

5000001.3.2017 Death PAID

72Amar singh Pushpa singh Saraiya pur vishen Mob.9450717598 12.12.2016

5000001.3.2017 Death PAID

73Lalti Devi Ram Achal Barausa mob. 9648743630 26.12.2016


74Ram ashry sahu Asha Devi Devkali saraiya Mob. 9473728512 25.1.2017

50000017.4.2017 Death PAID

75Ramsummer Rajesh Meranpur Mob. 8052629868 8.4.2016


76Mela Ram Verma Seetapati, 8856857045 Sultanpur

18.12.16 NIL NADeath UNDER PROCESS

77Ram Milan Nand Lal Sultanpur


78Ramakant Sarooj Sultanpur


79Brijesh Pratap

shiv kumari, 8576087207Sultanpur


80Sharwant kumar

GyanmatiSultanpur


81Sudhir

Sushila, 8858863222Sultanpur


82Juggi Lal Sultanpur


83 Firoz Ahmad Smt. Sufia BanoSultanpur


84Dharmendra

Sandhya SinghSultanpur


85Ram Asrey Sonu pal 22.12.2016

50000017.4.2017 Death PAID

86Om prakash Satya wati Jaipur, Lambhua Mob.9005155128 7.2.2017

50000029.3.2017 Death PAID

87Ramdeen Janpati 4.11.2016 NIL NA Death REPUDIATED

88Mahanth Kala Devi KOERIPUR MOB.9670203153 9.11.2016

50000029.3.2017 Death PAID

89Devi parsad Pathak Prema devi 20.11.2016

50000030.3.2017 Death PAID

Decease was neither the head nor the bread earner of his family.HER HUSBAND WAS HOF .

Noclaim Alcoholic in PMR

Chintamani Yadav, 9935571659

No income proof /Not farmer

Balampur , Lumbhua Mob.9628701511

Shivgarh , Lambhua Mob.9005077717

No claim cause of death could not be ascertained viscera preserved

Badapur , Lambhua mob.9956681000

90Hari ram Amrawati devi Garavpur mob. 7388420290 29.12.2016

50000029.3.2017 Death PAID

91Ganesh Kumar Kismita Devi Bohlolpur, Kudwar Mob.9506637713 7.1.2017 NIL NA Death REPUDIATED

92Ajay Kumar Saroj Devi 22.1.2017 NIL NA Death REPUDIATED

93Shiv Kumar Nishad

Rajesh Kumar 10/18/2016NIL NA Death REPUDIATED not HOF

94Kanhaiya lal Chauhan Savta Amethi Mob.9956771105 18.12.2016 NIL NA Death REPUDIATED

95Pawan Kumar Sunita Baghauna Mob. 9838773628 27.12.2016 NIL NA Death REPUDIATED

96Ram Lakhan Vimla Devi Sultanpur, 800917338

30.01.17 500000 05.05.2017Death PAID

97Sushila Devi Km Gange Devi Makdumpur, Mob. 9795617953 31.10.2016

50000017.4.2017 Death PAID

98Vinod Kumar Manisha 7.10.2016 NIL NA Death REPUDIATED

99Manoram sushila devi Dehh duggupr Mob. 9616516433 19.3.2017 NIL NA Death REPUDIATED

100Shivam singh Urmila singh Gosaiganj, Mob. 7052200461 26.12.2016 NIL NA Death REPUDIATED

101Ram Sewak Yadav Prema Devi Dadpur hasanpur Mob. 7052579261 6.10.2016 NIL NA Death REPUDIATED

No PMR, no panchnama

102RAJ KALI

GURUDIN NIL NA Death REPUDIATED

103RAM DHANI

GURUDIN NIL NA Death REPUDIATED PAPERS NOT COMPELTE

104Mohd Rashid Bilkeesh Gegum 23.11.2016 NIL NA Death REPUDIATED

105Gheesan Lalti devi Barausa Mob. 9415755891 2.10.2016 NIL NA Death REPUDIATED

106Ram ji Prajapati

Nirmala, Sultanpur9918346060 01.01.17NIL NA Death REPUDIATED

107Anant Ram Vimla Devi Jaijaura Mob.9911062725 19.1.2017

50000017.4.2017 Death PAID

108Sabhapati

Sadhana, 9721599249 Sultanpur 04.01.17 NIL NADeath UNDER PROCESS

No claim as per PMR Alcoholic smell present

purey shivdutt khare, Mob.9956127888

No claim as per PMR Alcolic smell present

Basaudi,Goshaiganj,Sultanpur,8173911616

no document to provided as per terms and condition

No claim no document to provided as per terms and condition

Purey deenbandhu shukla para bazar Mob.9450908715

No claim as per PMR Alcoholic smell presentNo PMR, no panchnama…CAUSE OF DEATH NOT ASCERTAINED.

No claim as per PMR Alcoholic smell present

Basaudi,Goshaiganj,Sultanpur,8173911616 Claimant denied to give

any documents

Basaudi,Goshaiganj,Sultanpur,8173911616

Shastri nagar, Khairabad Mob. 7860658384

no document to provided as per terms and condition deceased was not head of family and bread earnerNo claim no document to provided as per terms and condition

109Ram Ashish

Asha Devi, 7800875557 Sultanpur 05.01.17 NIL NADeath UNDER PROCESS

110Bhullor Sumitra Devi, 8572976924

10.01.17 500000 5/3/2017Death PAID

111Krishna Gopal Vidyawati, 9452622029 Sultanpur


112Ram Ashray Savitri Devi, 8808905666 Sultanpur


113Ram Singhare Savitri, 9670017565 Sultanpur


114Prem Chand Shobha Devi, 9198173551Sultanpur


115Shobhanath Urmila Devi, Sultanpur9889645222


116Deep Chander Suchitra Devi, Sultanpur 7398488210


117Ram Chander Srivastava Neeta Srivastava Sultanpur, 9452705972

25.11.16 27.05.2017Death Paid

118Jayant Kumar Singh Nisha Singh, Sultanpur 9450709998


119Karam Pal Sunita Sultanpur, 9795184581


120Prabhakar Mishra Pushpa Devi Sultanpur, 7080287501

07.03.17 23.05.2017Death paid

121Laxmi Narayan Prema Devi Sultanpur, 9616848031

01.02.17 27.05.2017Death paid

122VIJAY KUMAR YADAV Sultanpur,9506109689


123Shushma Sultanpur,8009170459


124RAMANAND sultanpur, 9651038105


125Shyama Devi Kamlesh Pandey, sultanpur 9721141600 17.02.17 Death UNDER PROCESS

126 PARSU RAM SATYAM & SHIVAM sultanpur 29.06.2016 NIL NA Death REPUDIATED

127Vidhyadeen Guriya, sultanpur 8115974828 01.03.17 Death APPROVED

Vill.-Anantpur, Teh.-Kadipur, Sultanpur 8572976924

REKHA DEVI

JAI NARAYAN

URMILA

DATE OF ACCIDENT PRIOR TO POLICY PERIOD

128Ramshankar Verma Anju, sultanpur 9454825879 15.02.17 Death UNDER PROCESS

129Dashrath Meena sultanpur 7570957462 07.09.16 Death UNDER PROCESS

130Ram Kumar Meena, sultanpur 06.04.17 Death UNDER PROCESS

131Lallan Prasad Yadav Mayavati, sultanpur 9454375818 28.03.17 Death UNDER PROCESS

132Nohar Paltoo, sultanpur 9721141600 02.04.17 Death UNDER PROCESS

133Ram Kewal Prabha devi, sultanpur08127635135 03.04.17 Death UNDER PROCESS

134Ram Kewal Shakuntala sultanpur, 9648929347 26.03.17 13.06.2017 Death PAID

135Hargovind Yadav Ranju Devi, sultanpur 9129363760 30.12.16 Death UNDER PROCESS

136Devi Prasad SELF - 70% Disability sultanpur,7619034296 09.01.17 Death APPROVED

137Vijay Pratap Chaubey Devati Devi sultanpur 03.04.17 Death APPROVED

138Mannu Sampatta, sultanpur9450216696 20.02.17 Death UNDER PROCESS

139Ram Shankar Yadav Sangeeta sultanpur 02.04.17 Death UNDER PROCESS

140Ram Awadh Mishra Shakuntala sultanpur 21.04.17 Death APPROVED

141Gaya Dei Ram Charitra Yadav sultanpur 23.04.17 Death UNDER PROCESS

142Ram Prasad Munara sultanpur 13.04.17 Death UNDER PROCESS

143Jalim Yadav Chandra Kali sultanpur 20.03.17 Death APPROVED

144Sabhajeet Manju, sultanpur9670203153 24.02.17 Death APPROVED

145Rakesh Sheela sultanpur, 7860879823 03.02.17 Death APPROVED

146Chhangu Nanhaka sultanpur 26.03.17 Death UNDER PROCESS

147Mohd Nayab Rabbiya sultanpur 06.05.17 Death UNDER PROCESS

148Jagram Nanhaka sultanpur 09.03.17 Death UNDER PROCESS

149Mahesh Chander Arti sultanpur 25.10.16 Death APPROVED

150prabha wati Ram Keval sultanpur 04.04.17 Death UNDER PROCESS

PRAROOP NO. 10 D

Name of Company : NATIONAL INSURANCE COMPANY LIMITED District Name VARANASI


1 Shabnam Bano Mohd. Saeed 10/25/2016


2Sanjay Srivastava Kanti Srivastava Varanasi

20.11.2016 500000 27.01.2017Death PAID

3Ashok Kumar Kewala Devi Varanasi 15.10.16

50000024.1.17 Death PAID

4Laksaman Yadav Ram Kunwar Yadav Varanasi 1.11.16 NIL NA Death REPUDIATED

5Hari Shankar Gond Anita Gond Varanasi 30.9.16

50000010.03.17 Death PAID

6Achal Yadav Tara Devi

VaranasiBuvalpur,Chandauli,9892387895 26.11.16

50000002.03.17 Death PAID

7Amarnath Yadav Sitabi Devi Varanasi 26.11.16

50000002.03.17 Death PAID

8Pramod K.Singh Smita Singh Varanasi

02.12.2016 50000002.03.17 Death PAID

9Sukkhu Basanti Devi

Varanasi 13.10.2016 50000010.03.17 Death PAID

10Santosh K Singh Sarita Patel Varanasi 30.11.16

50000027.12.16 Death PAID

11Ravindranath Kewla Devi Varanasi 23.10.16

50000002.03.17 Death PAID

12Nathe Ram Bind Rajendra Kumar Varanasi 26.11.16 NIL NA Death REPUDIATED NOTPAYABLE

13Ajay Patel Nandini

Varanasi 03.01.17 NIL NADeath UNDER PROCESS



Distt.

Adress & Mobile no. of Nominee/beneficiary STATUS (

PAID/REPUDIATE/UNDER PROCESS) If repudiated reason of repudiation

with in 20 words

VaranasiA-5/82,habibpura,Chetganj, Varanasi,

( illegal activities making crakers without licence)

Kayasthan,PindraVaranasi, 9695092903

Kazzakpura,Lot Bhairav,Varanasi,9026803439

Bela,Cholapur,Varanasi,9918080427

Deceased was unmarried and was having no family as per definition of family

Madaon,Rohania,Varanasi,7875058604

Mehdiganj,Rajatalab,Varanasi,9795211247

Chitrasenpur,Kachhawa Rd,Varanasi9452538455

Mishrapura,Chhitauni,Varanasi,9120250318

Mudadev,Tikri,Varanasi, 7052063354

Sutvalpur,Pindra,Varanasi, 9651907542

Pindra Rai,(koasla)Varanasi, 7059063354Varanasi, 9454544798

14 Bachha Lal Subhasha Varanasi 27.10.16 500000 30.03.17 Death PAID

15 Kanhaiya Lal Rita Devi VaranasiVaranasi 08.12.16 500000 15.05.2017 Death PAID 16 Jawahir Chaube Gyanti Devi, VaranasiVaranasi 22.10.16 NIL NA Death REPUDIATED 03.04.201717 Ashok Kumar Anita Singh VaranasiVaranasi, 8858185888 16.10.16 Death APPROVED

18Lalji Rajbhar

Dhanno Devi Varanasi 24.12.16 500000 4/18/2017Death PAID

19 Bullur Yadav Gulabi Devi VaranasiVaranasi, 9170572461 23.11.16 Death APPROVED

20Mikkan Urf Manoj Yadav

Shakuntala Devi Varanasi 31.12.16 500000 4/18/2017Death PAID

21Kalawati Devi Saroj Singh,

Varanasi14.03.17 NIL NA Death REPUDIATED

claimant is married daughter

22 Ram Murat Yadav VaranasiVaranasi, 9984849475 18.01.17 500000 13.05.2017Death PAID

23 Praveen Kumar Singh VaranasiVaranasi, 9919121318 16.01.17 500000 27.05.2017Death PAID

24Kishori Lal Singh Nirmal Singh Varanasi

3.10.16 500000 12.5.17 DeathPAID

25 Satish Kumar Jaiswal Lali Jaiswal VaranasiVaranasi, 8800424969 15.11.16 NIL NA Death UNDER PROCESS 26 Anand Yadav Sunita VaranasiVaranasi, 9860560886 14.03.17 NIL NA Death UNDER PROCESS 27 Arun Kumar Singh Jaleba Devi VaranasiVaranasi, 8624936268 22.04.17 NIL NA Death UNDER PROCESS 28 Lakshman Patel Kalawati Devi VaranasiVaranasi , 9454621836 14.03.17 NIL NA Death UNDER PROCESS 29 Ram Charan Patel Chandravati Devi VaranasiVaranasi , 7678980935 11.10.16 NIL NA Death UNDER PROCESS 30 Vikrant Kumar Reshma Mishra VaranasiVaranasi, 7785924312 23.03.17 500000 09.06.2017 Death PAID

31 Muse Sechani DeviVaranasi

29.11.16 500000 12.5.17 Death PAID

32 Manoj Kumar Chameli Devi VaranasiVaranasi,9838392377 16.02.2017 NIL NA Death UNDER PROCESS 33 SHIVSHANKAR VISHWAKARMA VaranasiVaranasi,9044707299 30.01.2017 500000 27.06.2017 Death PAID 34 LALJI PATEL AMRITA DEVI VaranasiVaranasi,7347829255 15.01.2017 NIL NA Death UNDER PROCESS 35 KAMAAL SHAHIDA PARVEEN VaranasiVaranasi,7398570983 11.03.2017 NIL NA Death UNDER PROCESS

36FUNNAN VaranasiVaranasi 23.11.2016

NIL NADeath UNDER PROCESS

37 BACHCHA LAL YADAV URMILA DEVI VaranasiVaranasi,8576095533 26.01.2017 NIL NA Death UNDER PROCESS 38 Chhotelal Malaki Devi VaranasiVaranasi, 9793840603 16.03.17 Death APPROVED

39 Alok K SinghVaranasiVaranasi


40 Shiv Adhar Mishra Hiran Devi VaranasiVaranasi, 9918499250 27.12.16 NIL NA Death UNDER PROCESS 41 Ram Kishun Yadav Ranno Devi VaranasiVaranasi, 9838571175 11.02.17 Death APPROVED 42 Arvind Kumar Sharma Arti devi VaranasiVaranasi 11.03.2017 500000 23.05.2017 Death PAID 43 Urmila Devi Rajkumar Patel VaranasiVaranasi, 8563887500 22.03.17 NIL NA Death UNDER PROCESS 44 Rajesh Kumar Vidyotama devi Varanasi 16.02.17 500000 05.06.2017 Death PAID 45 Brijesh Patel Shakuntala Devi, 856390 Varanasi 05.03.17 Death UNDER PROCESS46 Dinesh Kumar Meena Devi, 8896913719Varanasi 15.04.17 Death UNDER PROCESS47 Lal Bahadur Singh Manju Devi,8896316066 Varanasi 19.04.17 Death UNDER PROCESS48 Kanhaiya lal Jhnuiya Devi, 945335734Varanasi 01.11.16 Death UNDER PROCESS

Namapur,Badagaon,Varanasi,9454404377

Lohradeeh,Raja Talab, Varanasi 8601814742

Hajipur, Cholapur, Varanasi 8737882186

Vill. Kachnar,Raja Talab,Varanasi 9935739636

Jadavati Devi, Ajeet Yadav, PoonamAbhilasha Singh, Avantika, Abhigyan

Jariyari,Lalganj,Varanasi,73544974111

Bhiti Ramnagar,Varanasi,7052063554

SUSHEELA DEVI

HEERAWATI DEVI,9930098201,JALALPUR

Meenu Singh, 8115523417,8765507801

49 Rajan Shakuntala Devi, 789753 Varanasi 12.10.16 Death UNDER PROCESS50 Sheetla Prasad Maya devi, 7054253273 Varanasi 25.01.17 Death UNDER PROCESS51 Shivshankar Singh Reeta Singh, 9721181177Varanasi 24.04.17 500000 27.06.2017 Death PAID 52 Indrajeet Prasad Urmila Devi, 9935516134Varanasi 07.03.17 Death UNDER PROCESS53 Lalchand Arvind Kumar, 99363544 Varanasi 01.03.17 Death UNDER PROCESS54 sandlal Phoolmati Devi Varanasi 02.02.17 500000 09.06.2017 Death PAID 55 TRIBHUWAN RAM GAYTRI Varanasi 02.12.16 Death UNDER PROCESS56 Nandlal Vishwakarma Meera Devi Varanasi 05.04.17 Death UNDER PROCESS57 Satya Dev Kumar Gupta Soni Gupta Varanasi 18.03.17 Death UNDER PROCESS58 Ram krut TETRA DEVI varanasi 05.02.17 Death UNDER PROCESS

[XLS] · Web viewBadri Nath Verma Smt. Amrawati Devi Subedar Yadav Smt. Nazra Khatoon Rambriksh Ram...

Documents

Transcript of [XLS] · Web viewBadri Nath Verma Smt. Amrawati Devi Subedar Yadav Smt. Nazra Khatoon Rambriksh Ram...