APPLICATIONNUMBER

ContractNumber

FOLLOWUPCODE PAN

10234927 00363393

10238350 00365958 10238877 00376611 10238885 00378300 10238885 00378300

SHT PFD FBS MER

10238885 00378300 10238885 00378300 10388026 00377323 10619059 00376804

NDT RUA SHT SHT

10619192 00344423

FBS

10619192 00344423

MER

10619192 00344423

PDD

10619192 00344423 10619356 00368372

RUA AGP

10619389 00368373 10619390 00369414 10619390 00369414

AGP OTH PFD

10620096 00380477

PHG

10620384 00377953 10620543 00376811

ACR SHT

10620914 10620991 10620991 10620991 10620991

00376812 00378314 00378314 00378314 00378314

OTH FBS HIV MER RUA

10622138 00359567 10630070 00370701 10630070 00370701

OTH FSP MAI

10667747 00368940

SAP

10667747 00368940 10667940 00374369 20008591 00377083

SHT MAI ACR

20008591 00377083 20008592 20009822 20009823 20009823 00377084 00373688 00373682 00373682

VDR ACR SPR OTH SPR

30657336 00359508 30657372 00366481 30657973 00343282

ALT FSP OTH

30687803 00371416 30692193 00374438

SPR OTH

30692942 00373569

DOB

30789778 00341448

PXD

30789895 00366830

DGH

30789895 00366830

PAN

30834299 00317432 30834299 00317432

FPF OTH

31008581 00349151 31072615 00366894

PXD ECG

31072615 00366894 31072615 31072615 31072615 31072615 00366894 00366894 00366894 00366894

ITR MAI MER RUA SUD

31100343 00363628 31100343 00363628 31100344 00375411 31100344 00375411

ADR OTH FHR MAI

31100344 00375411

PDD

31103918 00347459

SHT

31104133 00347461

OTH

31131458 00310173

FPF

31131458 00310173 31194478 00338747

SSF OTH

31219357 00366842 31219444 00340755 31219444 00340755 31219514 00347186

OTH ECG LPT OTH

31249231 00370603 31249255 31249323 31249323 31249323 00378610 00378611 00378611 00378611

PFC PAN FBS MER RUA

31249329 00378354

PXD

31249349 00376389 31265069 00374615

NBS MIL

31340015 00360506 31340021 00368561

OCQ MIL

31340021 00368561 31340057 00362693

SAP OTH

31340057 00362693

OTH

31340057 31340059 31340059 31340059

00362693 00362704 00362704 00362704

UPI ECG RUA SUD

31340066 00359805

OTH

31340066 00359805

OTH

31340070 00363759

OTH

31340070 00363759 31340070 00363759

PAN PHP

31340070 00363759 31340090 00371880 31340090 00371880 31340090 00371880 31340090 31340090 31340090 31340090 31340107 00371880 00371880 00371880 00371880 00368562

PXD GHB MER MHR OTH RUA SUD TMT MBU

31340194 00379790

INP

31340212 00381043

SIR

31340225 00380987 31340252 00378104

HEC MIL

31340254 31340255 31340255 31340255 31340258 31340258 31340258

00376443 00377114 00377114 00377114 00376386 00376386 00376386

INP FBS MER RUA FBS MER RUA PAN NDB

31340264 00363761 31340281 00378142

31340338 00368564

OTH

31340344 31340431 31340431 31340431 31340431 31340431 31340547 31340547 31340547 31340547

00362652 00370409 00370409 00370409 00370409 00370409 00363787 00363787 00363787 00363787

OTH ECG FBS LPT MER RUA ECG MER RUA SUD OTH

31340873 00369217

31340900 00367012 31340902 00366741 31340928 00367013 31340928 00367013

PXD PAN FBS MER

31340928 31340928 31340991 31340991 31340991 31340991 31340991

00367013 00367013 00371027 00371027 00371027 00371027 00371027

NDT RUA ECG FBS LPT MER RUA

31341153 00349778 31341377 00363764

PXD MAI

31341379 00363765 31341413 00371028 31341428 00375711 31341572 31341663 31341663 31341663 31341711 31341711 31341711 31341726 31341726 31341726 00380022 00380605 00380605 00380605 00378649 00378649 00378649 00378650 00378650 00378650

UPI MBU OTH INP FBS MER RUA FBS MER RUA FBS MER RUA PAN

31341795 00363736

31341795 00363736 31341935 31342253 31342253 31342253 31342253 00369245 00367202 00367202 00367202 00367202

VDR SLA FBS HIV MER RUA FHR

31342286 00378089

31342454 00362257

AAP

31342454 00362257 31342807 00377988

PDD PFD

31342848 00376569 31342848 00376569 31342849 00376570

OTH OTH OTH

31342849 31342942 31342942 31342942

00376570 00380990 00380990 00380990

OTH FBS MER RUA MAI ADP

31342952 00373684 31343050 00376483

31343050 00376483 31343130 00375715

INP MHR

31343210 00374571

OTH

31343226 00370548 31343267 00378654 31343354 00375716

CRO FSP MAI

31343515 00374585 31343641 00362696 31343653 00378361

SIR PAN FBS

31343653 00378361 31343653 00378361

MER RUA

31343972 00378658 31345573 00375724

PDD MBU

31352723 31356048 31356048 31356084 31356084 31356084 31356141 31356173 31356173 31356173 31356173

00378661 00369228 00369228 00368620 00368620 00368620 00367270 00367874 00367874 00367874 00367874

NDT ECG LPT FBS MER RUA PAN FBS MER RUA SIM OTH UPD OTH BMI RES BMI RES

31356282 00367456 31356296 00367459 31356311 00371955 31356334 00368622 31356334 00368622 31356335 00368623 31356335 00368623

31356513 00367529 31356528 00376393

PDD INP

31356549 00367899

OTH

31356549 00367899

OTH

31356584 00367484

OTH

31356646 00369246 31356646 00369246

HEC SSF

31356657 00376365

OTH

31356667 00367486

OTH

31356721 00369234 31356728 00374765 31356729 00374958 31356730 00375935 31356749 00369235 31356749 00369235 31356749 00369235 31356749 00369235 31356788 00367882 31356844 00368631

PDD SIR SIR SIR FBS MAI MER RUA MAI OTH

31356866 00378037 31356866 00378037

NBS SAP

31356907 00369341 31356909 00343013 31356909 00343013 31356909 31356909 31356909 31356909 00343013 00343013 00343013 00343013

OTH ITR MER MHR RUA SUD TMT

31356909 31356982 31356984 31356984

00343013 00375737 00368634 00368634

UPI OTH ECG LPT ITR MER MHR RUA SUD TMT

31356990 00343011 31356990 00343011 31356990 31356990 31356990 31356990 00343011 00343011 00343011 00343011

31356990 00343011

UPI

REQDESC Kindly submit Copy of PAN card (Actual copy )-as age proof Kindly remit Rs.372 being the shortage of premium. Due to increase in service tax Sec f Q2 e,f and Sec H Q5 of proposal form Fasting Blood Sugar Medical Examination Report Kindly give confirm whether Nominee chosen, if Yes submit full details of Nominee with name ,Date of Birth and relationship with life assured duly sign ed. Routine Urine Analysis Kindly remit Rs.2 being the shortage of premium. NSAP Extra Loading Kindly remit Rs.142 being the shortage of premium. NSAP Extra Loading Fasting Blood Sugar from any other medical centre other than Ayush Diagnostic Centre Medical Examination Report from any other medical centre other than Ayush Diag nostic Centre. Kindly Confirm policy and premium paying term alongwith fresh sales illustrati on for the same duly signed and dated by life assured. Routine Urine Analysis from any other medical centre other than Ayush Diagnost ic Centre Kindly submit Standard Age Proof as LA is graduate Standard age proof of life to be assured is required as life to be assured is graduate CONFIRM HEIGHT OF LIFE ASSURED SEC F Q2 E,F AND SECTION H Q1 OF PROPOSAL FORM Kindly submit a recent coloured passport size photograph of Life assured signed across.

REQDATE

Bank_Branch_Code

8/30/2011 536067

8/30/2011 6880 9/24/2011 559644 9/26/2011 535613 9/26/2011 535613

9/26/2011 535613 9/26/2011 535613 9/27/2011 541583 9/28/2011 548901

8/26/2011 541982

8/26/2011 541982

7/5/2011 541982

8/26/2011 541982 9/8/2011 541613

9/9/2011 541613 9/13/2011 541613 9/13/2011 541613

9/29/2011 544159

Kindly submit Agent Confidential Report. Kindly remit Rs.76 being the shortage of premium. NSAP Extra Loading Kindly provide same name declaration as on School Certificate name of life assured is 'Sanjai' whereas on application it is mentioned as ' Sanjay '. Fasting Blood Sugar HIV 1 & 2 Test Medical Examination Report Routine Urine Analysis KIndly provide fresh application of Defined Growth Endowment Plan duly filled, signed & dated by LIfe Assured. In SP Report Q no 1 not answered, clarification require Kindly provide replies to Sec A Q no 19,20 Kindly submit consent for extra premium charged in view of Non Std Age Proof duly signed. Kindly remit Rs. 349/- being the shortage of premium. ( Required as age of LA increased to 54 years as per age proof provided ) Kindly provide replies to Section I-Witness declaration required Kindly submit Agent Confidential Report. Kindly submit vernacular declaration duly filled,signed and dated by the declarant alongwith signature of LA Kindly submit Agent Confidential Report. Specified Person Report required. Annual incmoe details-duly signed Specified Person Report required. Kindly Submit Alternate Address Proof as given voter ID is not acceptable as a ddress is mismatch with application Kindly submit Fresh SP Report duly signed and dated by SP. Premium payers Identity proof

9/26/2011 541613 9/24/2011 541613

9/24/2011 9/26/2011 9/26/2011 9/26/2011 9/26/2011

542695 545376 545376 545376 545376

8/17/2011 543381 9/14/2011 557498 9/14/2011 557498

9/9/2011 541613

9/9/2011 541613 9/20/2011 559652 9/24/2011 543381

9/24/2011 543381 9/24/2011 9/19/2011 9/19/2011 9/19/2011 543381 7832 6880 6880

8/17/2011 7832 8/30/2011 6880 6/30/2011 537322

Specified Person Report required. 1. annual income details 2. complete vernacular dec required Kindly confirm date of birth of life assured alongwith fresh bank declaration for the same. ( required as , as per application date of birth is 20/06/1989 and as per bank declaration date of birth is 26/06/1989 ) Kindly submit PAN Exemption Declaration as pan exemption declaration given Good Health Declaration required in view of proposal date being more than 3 months old. Kindly submit Copy of PAN card duly self attested or PXD with PAN acknowledgem ent receipt Kindly Submit Fresh Proposal Form with current date & filled completely, signe d by LA. Prposal form now more than 6 months old. Need clarification for Q2 of SP report as answered YES duly signed by SP only. Kindly submit copy of PAN Card OR PAN Exemption Declaration with exact reason. Electrocardiogram Kindly submit last 3 years ITR's along with computation of income self atteste d by LA. Kindly provide replies to - section H - Q4 duly signed by LA. Medical examination report Routine Urine Analysis SUD-16 (CBC,ESR,LFT,RFT,HIV,LP,FBS) Kindly give full details of Appointee with name , date of birth and relationship with nominee duly signed by Appointee. please reinstate lapse policy 00002323 State of health of father is required Kindly provide replies to Place of declaration in Section J is required

9/14/2011 7835 9/20/2011 6917

9/20/2011 7830

9/14/2011 546682

9/8/2011 530387

9/8/2011 530387

9/22/2011 546038 9/22/2011 546038

7/21/2011 559296 9/6/2011 7815

9/6/2011 7815 9/6/2011 8/30/2011 8/30/2011 9/6/2011 7815 7815 7815 7815

8/26/2011 530336 8/26/2011 530336 9/22/2011 530336 9/22/2011 530336

Kindly Confirm Plan as in Proposal form it is DSP and in Sales illustration it is DSE along with corrected sales illustration and declaration from customer is required Kindly remit Rs.25000/-being the shortage of premium. Due to increase in service tax Kindly provide Nominee Age Proof duly signed ( required as discrepancy found in nominee date of birth in previous inforced policy with that of given in cur rent policy and requirement received ) Kindly Submit Fresh Proposal Form as proposal form signing date is more than 6 months Kindly submit 3 Specimen Signature in English and Hindi signed by life to assured signature does not tally with teh signature in proposal form Need recent photo of life assured, submitted photo can not be accepted. Clarification from branch manager only regarding DOB of life assured on bank's letterhead Electrocardiogram Lipid Profile Standard Age proof required since Life assured is a graduate Confirm Sum Assured as in proposal form it is 15.00lacs and in Sales illustrat ion it is 1.50lacs Kindly submit Copy of PAN card duly self attested. Fasting Blood Sugar Medical examination report Routine Urine Analysis Kindly submit copy of PAN Card OR PAN Exemption Declaration with exact reason.

9/22/2011 530336

7/14/2011 537322

8/10/2011 537322

8/10/2011 6917

8/10/2011 6917 6/21/2011 7190

8/30/2011 542024 6/28/2011 545538 6/28/2011 545538 7/13/2011 535397

9/14/2011 542954 9/27/2011 9/25/2011 9/25/2011 9/25/2011 538426 543217 543217 543217

9/27/2011 539783

6 month bank statement of payer reflecting SUD payment OR Kindly submit declaration if bank account newly opened with details of date of opening by Bank Authority with seal and signature MER Required as Life to be Assured is Illiterate Kindly Submit Occupation Questionnaire duly filled , signed and dated BY LA MER Required as Life to be Assured is Illiterate Kindly submit consent for extra premium charged in view of Non Std Age Proof duly signed. Kindly reinstate previous lapsed policy 00012435 Permanent residential address details require as business address is given as residential address Kindly submit details of all life insurance policies with exact Sum Assured and Status duly signed by life assured- other than SUD policy- as LIC premium seen in bank statement Electrocardiogram Routine Urine Analysis SUD-16 (CBC,ESR,LFT,RFT,HIV,LP,FBS) Declaration from life assured confirming whether ADb rider is opted or not if opted for ADB rider the details for sum assured, term is require & fresh sales illustration for the same duly signed by life assured Declaration from life assured confirming nominee DOB & age proof for the same as date of birth of nominee is mismatch with previous policy details Need confirmation of plan details with consent & illustration duly signed by life assured. Plan mismatch in submitted illustration.

9/24/2011 541982 9/20/2011 545651

8/22/2011 552011 9/8/2011 548871

9/8/2011 548871 8/27/2011 530409

8/27/2011 530409

8/27/2011 8/24/2011 8/23/2011 8/24/2011

530409 530409 530409 530409

8/18/2011 554561

8/18/2011 554561

9/16/2011 541397

Kindly submit Copy of PAN card of premium payer duly self attested. Kindly submit photo Identity proof of Premium Payer. Kindly submit copy of PAN Card OR PAN Exemption Declaration with exact reason. of the premium payer. Hba1C Medical examination report Kindly submit fresh MHR by AVP with details of Q.4 Details of all policies taken by life assured from all companies Routine Urine Analysis SUD-16 Tread Mill Test MER Required in view of Build Kindly submit Individual Income Proof for AML 6 MONTH Bank Statement showing SUD Premium Payment OR bank branch manager declaration for newly opened A/C Kindly Submit Sales Illustration duly signed and dated by proposer. Sum assured must match with Sum assured mentioned in PF (1.1 lac) Kindly give your consent for (EMR +25)in view of family history details duly signed by Life Assured. MER Required as Life to be Assured is Illiterate Kindly submit Individual Income Proof for AML such as ITR,Form16,Bank Statement showing SUD Premium Payment. Fasting Blood Sugar Medical Examination Report Routine Urine Analysis Fasting Blood Sugar Medical Examination Report Routine Urine Analysis Kindly submit Copy of PAN card of premium payer-Ram Kirti Yadav Nominee Date of Birth

8/26/2011 541397 8/26/2011 541397

8/26/2011 541397 9/15/2011 530352 9/15/2011 530352 9/15/2011 530352 9/15/2011 9/15/2011 9/15/2011 9/15/2011 9/9/2011 530352 530352 530352 530352 554448

9/28/2011 530280

9/29/2011 538400

9/29/2011 538027 9/26/2011 539783

9/23/2011 9/24/2011 9/24/2011 9/24/2011 9/24/2011 9/24/2011 9/24/2011

541567 541567 541567 541567 541567 541567 541567

9/16/2011 539783 9/26/2011 541567

Nominee relationship is required Confirm occupation of life assured as previous policy occupation of life assur ed is given as Tailor & current policy given as Service & also require latest 3 months salary slips or form 16 Electrocardiogram Fasting Blood Sugar Lipid Profile Medical Examination Report Routine Urine Analysis Electrocardiogram Medical Examination Report Routine Urine Analysis SUD-16 (CBC,ESR,LFT,RFT,HIV,LP,FBS) Kindly confirm Policy term with Fresh sale illustration. Kindly submit copy of PAN Card OR PAN Exemption Declaration with exact reason & PAN acknowledgement receipt Kindly submit Copy of PAN card duly self attested of payer required Fasting Blood Sugar Medical examination report Kindly give full details of Nominee with name , date of birth and relationship with Life Assured duly signed by life assured as date of birth is altered in a pplication Routine Urine Analysis Electrocardiogram Fasting Blood Sugar Lipid Profile Medical Examination Report Routine Urine Analysis Kindly submit copy of PAN Card OR PAN Exemption Declaration with exact reason. Kindly provide replies to Sec F 2 d) 1-3

9/9/2011 536351

8/24/2011 9/16/2011 9/13/2011 9/16/2011 9/13/2011 9/13/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011

536351 559300 559300 559300 559300 559300 536067 536067 536067 536067

9/9/2011 546216

8/30/2011 530387 8/30/2011 550116 8/30/2011 541486 8/30/2011 541486

9/6/2011 8/30/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011 9/16/2011

541486 541486 559300 559300 559300 559300 559300

7/25/2011 535397 8/26/2011 541486

Kindly submit details of all life insurance policies with exact Sum Assured and Status duly signed by life assured as LIC premium seen in bank statement MER Required in view of Build Confirm nominee DOB since same mismatch in current an previous policy Kindly submit Individual Income Proof for AML to justify LA's annual income. Fasting Blood Sugar Medical Examination Report Routine Urine Analysis Fasting Blood Sugar Medical examination report Routine Urine Analysis Fasting Blood Sugar Medical examination report Routine Urine Analysis Kindly submit Copy of PAN card duly self attested. Kindly submit vernacular declaration duly filled,signed and dated by the declarant alongwith signature of Proposer as per Co's format. Kindly submit study details of Life to be Assured Fasting Blood Sugar HIV 1 & 2 Test Medical Examination Report Routine Urine Analysis Need complete family history details duly signed by LA. Kindly submit Alternate Standard Age Proof like municipal birth certificate or school certificate of life assured as given progress report is not acceptable , Kindly Confirm policy and premium paying term duly signed by proposer alongwit h sales Illustration for the same. Sec F 2(e,f) to be answered in PF

8/26/2011 541486 9/14/2011 538001 9/22/2011 553883 9/29/2011 9/29/2011 9/29/2011 9/29/2011 9/26/2011 9/26/2011 9/26/2011 9/26/2011 9/26/2011 9/26/2011 546038 541176 541176 541176 543217 543217 543217 545937 545937 545937

8/26/2011 544175

8/26/2011 544175 9/13/2011 9/6/2011 9/6/2011 9/6/2011 9/6/2011 530328 6901 6901 6901 6901

9/28/2011 7003

8/23/2011 536041

8/23/2011 536041 9/26/2011 7013

Need conmplete copy of 6 months bank statement of LA duly signed & stamped by the bank official. Submitted in incomplete copy. Need clarification for Q10 of SP report as answered NO duly signed by SP. Need clarification for Q10 of SP report as answered NO duly signed by SP. Need 6 months bank statement of LA stamped & signed by the bank official. Submitted is not stamped by the bank. Fasting Blood Sugar Medical Examination Report Routine Urine Analysis Kindly provide replies to Section H-1 b)-duly signed Kindly submit recent valid Address Proof of LA Kindly submit Individual Income Proof for AML such as ITR,Form16,Bank Statement showing SUD Premium Payment. Kindly submit MHR duly filled and signed by Kindly provide additional source of income justifying total premium payment of Rs.30,000 yearly duly signed. ( Annual income does not justify 30,000, yearly premium payment hence required ) consent to reduced Crittical illness benefit rider sum assured till 75000/- as per product feature. Kindly submit Fresh SP Report duly signed and dated by SP. Kindly provide replies to Place of Declaration in Section J is required Kindly Submit Sales Illustration duly signed and dated by proposer with Premiu m payment term as 5 as per proposal form Kindly submit Copy of PAN card duly self attested. Fasting Blood Sugar

9/24/2011 7000 9/24/2011 7000 9/24/2011 7000

9/24/2011 9/29/2011 9/29/2011 9/29/2011

7000 6906 6906 6906

9/20/2011 7830 9/24/2011 530336

9/24/2011 530336 9/22/2011 543365

9/20/2011 546178

9/24/2011 541591 9/27/2011 543055 9/22/2011 6903

9/21/2011 541630 8/24/2011 548871 9/26/2011 545309

Medical Examination Report Routine Urine Analysis Kindly Confirm frequency of premium payment duly signed by Life Assured & fres h Sales Illustration for the same signed by Life Assured as it is mismatch in application & in sales iluustration MER Required in view of Build Kindly give full details of Nominee with name , date of birth and relationship with Life Assured duly signed by life assured, given details date of birth not given , given declaration not acceptable as sign mismatch with application Electro Cardiogram Lipid Profile Fasting Blood Sugar Medical Examination Report Routine Urine Analysis Kindly submit Copy of PAN card of payor (grand father )duly self attested. Fasting Blood Sugar Medical Examination Report Routine Urine Analysis Await simlutaneous-31356084 Kindly provide alternate standard age proof. Alternate Standard age proof Confirm Sum assured with sales illustration Confirm height and weight of life to be assured Kindly Reinstate previous policy 9441 Confirm height and weight of life to be assured Kindly Reinstate previous policy 9441 Kindly Confirm plan details duly signed by Life Assured/Proposer along with Sales Illustration for the same. 6month Bank statement duly stamped and signed is required

9/26/2011 545309 9/26/2011 545309

9/26/2011 541931 9/22/2011 530514

9/29/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 9/9/2011 9/7/2011 9/9/2011 9/9/2011 9/9/2011 9/7/2011

536067 550744 550744 559130 559130 559130 556858 559130 559130 559130 559130

9/8/2011 558605 9/7/2011 558605 9/16/2011 7845 9/9/2011 548219 9/9/2011 548219 9/9/2011 548219 9/9/2011 548219

9/7/2011 542172 9/23/2011 543004

Same name declaration is require as name in application & in school certificat e is mismatch ( Renu Kumari & Renu Singh)

9/7/2011 543284

Alternate mailing address of life assured require from life assured asn given bank address as mailing address is not acceptable 9/7/2011 543284 Need alternate address proof (bank letter) as in the submitted proof address of LA not mentioned. 9/8/2011 543004 Kindly give your consent for Health Extra (EMR +50)in view of raised blood sugar duly signed by Life Assured. 9/12/2011 558591 Kindly submit 3 Specimen Signature in different styles. 9/12/2011 558591 Agriculture Income Proof OR Consent to restrict Sum assured to 5lacs with fres h SI Kindly provide Service Extract OR Pension pay Order reflecting date of birth of life assured for age proof ( required in view of life assured being Govt. Employee ) Kindly Confirm plan details duly signed by Life Assured along with fresh Sales Illustration for the same. Fresh Sales Illustration with age as 54 years is required Fresh Sales Illustration with age as 54 years is required Fresh Sales Illustration with age as 54 years is required Fasting Blood Sugar Kindly provide replies to Q7 to be answered in Section A of Proposal form Medical examination report Routine Urine Analysis Kindly provide replies to Sec-F of proposal form Nominee relationship is required

9/23/2011 548090

9/8/2011 552038

9/9/2011 555894 9/24/2011 537136 9/24/2011 537136 9/24/2011 537136 9/9/2011 555894 9/9/2011 555894 9/9/2011 555894 9/9/2011 555894 9/9/2011 548596 9/9/2011 548049

6 month bank statement of payer reflecting SUD payment OR Kindly submit declaration if bank account newly opened with details of date of opening by Bank Authority with seal and signature Age Extra Consent Declaration form life assured that Mithilesh Devi and Mithilesh Kumari pandey are on and same person Kindly submit Income Proof such as 3 yaer ITR,with computaion of income Medical Examination Report Kindly submit MHR duly filled and signed by Routine Urine Analysis SUD-16 (CBC,ESR,LFT,RFT,HIV,LP,FBS) Tread Mill Test Kindly submit details of all life insurance policies with exact Sum Assured and Status duly signed by Confirm place on Proposal form Electrocardiogram Lipid Profile Kindly submit Income Proof such as 3 yaer ITR,with computaion of income Medical Examination Report Kindly submit MHR duly filled and signed by Routine Urine Analysis SUD-16 (CBC,ESR,LFT,RFT,HIV,LP,FBS) Tread Mill Test Kindly submit details of all life insurance policies with exact Sum Assured and Status duly signed by

9/26/2011 548481 9/25/2011 548481

9/19/2011 550744 6/30/2011 556858 6/30/2011 556858 6/30/2011 6/30/2011 6/30/2011 6/30/2011 556858 556858 556858 556858

6/30/2011 9/22/2011 9/9/2011 9/9/2011

556858 550744 550744 550744

6/30/2011 556858 6/30/2011 556858 6/30/2011 6/30/2011 6/30/2011 6/30/2011 556858 556858 556858 556858

6/30/2011 556858

Bank_Branch_Name Rathyatra Crossing - Varanasi Anita Devi

NAME

Branch_AVP Sunil Kumar

Faizabad BHIKARIPUR - VARANASI Railway Station - Varanasi Railway Station - Varanasi

Suveer Kumar Lokesh Chandra Gaur Dilip Kumar Dilip Kumar

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Railway Station - Varanasi Railway Station - Varanasi Raja Bazar Machati

Dilip Kumar Dilip Kumar Veena Kumari Reeta Devi

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Mirzabad

Radha Mohan Rai

Sunil Kumar

Mirzabad

Radha Mohan Rai

Sunil Kumar

Mirzabad

Radha Mohan Rai

Sunil Kumar

Mirzabad Zamania Kasba

Radha Mohan Rai Shiv Kumar Lal

Sunil Kumar Sunil Kumar

Zamania Kasba Zamania Kasba Zamania Kasba

Istkhar Ansari Dharmendra Das Dharmendra Das

Sunil Kumar Sunil Kumar Sunil Kumar

Kutchery Road - Ghazipur

Shushree Smita Nayar

Sunil Kumar

Zamania Kasba Zamania Kasba

Tejvant Singh Tribhuan Singh

Sunil Kumar Sunil Kumar

Hansrajpur Khalispur Khalispur Khalispur Khalispur

Sanjay Kumar Rajbhar Ashok Prasad Ashok Prasad Ashok Prasad Ashok Prasad

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Narai Bandh Jeycees Crossing - Jaunpur Jeycees Crossing - Jaunpur

Sanjeev Kumar Jaiswal Vivesh Kumar Gupta Vivesh Kumar Gupta

Sunil Kumar Sunil Kumar Sunil Kumar

Zamania Kasba

Dharmdani Pandey

Sunil Kumar

Zamania Kasba BHOJUBEER - VARANASI Narai Bandh

Dharmdani Pandey Jai Prakash Prajapati Jamwant Singh

Sunil Kumar Sunil Kumar Sunil Kumar

Narai Bandh Narai Bandh Musafirkhana Faizabad Faizabad

Jamwant Singh Siddharth Kumar Singh Om Prakash Sandeep Kumar Sandeep Kumar

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Musafirkhana Faizabad Shahabganj

Irshad Hussain Khan Budhish Chandra Sharma Rina Kumari

Sunil Kumar Sunil Kumar Sunil Kumar

GOPIGANJ Ghazipur

Santosh Kumar Singh Satish Chandra Verma

Sunil Kumar Sunil Kumar

Kauhar

Shakuntha Devi

Sunil Kumar

Lohra

Lalji Yadav

Sunil Kumar

Chandauli

Ramavtar Yadav

Sunil Kumar

Chandauli

Ramavtar Yadav

Sunil Kumar

Kotila Kotila

Sanjeev Kumar Singh Sanjeev Kumar Singh

Sunil Kumar Sunil Kumar

Karvi MANJHANPUR

Monika Gupta Mahesh Chand

Sunil Kumar Sunil Kumar

MANJHANPUR MANJHANPUR MANJHANPUR MANJHANPUR MANJHANPUR

Mahesh Chand Mahesh Chand Mahesh Chand Mahesh Chand Mahesh Chand

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

JAUNPUR MAIN JAUNPUR MAIN JAUNPUR MAIN JAUNPUR MAIN

Anwar Ahamad Qasmi Anwar Ahamad Qasmi Lata Sonkar Lata Sonkar

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

JAUNPUR MAIN

Lata Sonkar

Sunil Kumar

Shahabganj

Santosh Kumar Jaiswal

Sunil Kumar

Shahabganj

Anil Kumar Singh

Sunil Kumar

Ghazipur

Radha Krishna Pandey

Sunil Kumar

Ghazipur Ballia

Radha Krishna Pandey Pradeep Kumar Singh

Sunil Kumar Sunil Kumar

Surajpur Singhpur (Dist. Azamgarh) Singhpur (Dist. Azamgarh) Maharajganj (Dist. Jaunpur)

Gulab Chand Vindhyachal Pandey Vindhyachal Pandey Rajesh Kumar Nigam

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Shambuganj Sindaura Bazar Bhimber Bhimber Bhimber

Ajai Prakash Singh Preetam Maurya Ram Awatar Yadav Ram Awatar Yadav Ram Awatar Yadav

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Birno

Phal Jeet Pal

Sunil Kumar

Mirzabad Phoolesh

Laxman Rai Vidya Devi

Sunil Kumar Sunil Kumar

Padrauna Paharpur

Kanhaiya Prasad Kushwaha Tulsa Devi

Sunil Kumar Sunil Kumar

Paharpur Varanasi - Cantonment

Tulsa Devi Shahid Salim

Sunil Kumar Sunil Kumar

Varanasi - Cantonment

Shahid Salim

Sunil Kumar

Varanasi - Cantonment Varanasi - Cantonment Varanasi - Cantonment Varanasi - Cantonment

Shahid Salim Husain Jafar Husaini Husain Jafar Husaini Husain Jafar Husaini

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Shivpur

Manish Kumar Singh

Sunil Kumar

Shivpur

Manish Kumar Singh

Sunil Kumar

Kathirav Bazar

Ranta Devi

Sunil Kumar

Kathirav Bazar Kathirav Bazar

Ranta Devi Ranta Devi

Sunil Kumar Sunil Kumar

Kathirav Bazar Varanasi Main Varanasi Main Varanasi Main Varanasi Main Varanasi Main Varanasi Main Varanasi Main Belaisa

Ranta Devi Vijay Kumar Gupta Vijay Kumar Gupta Vijay Kumar Gupta Vijay Kumar Gupta Vijay Kumar Gupta Vijay Kumar Gupta Vijay Kumar Gupta Ram Darash Chauhan

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

AZAMGARH MAIN

Abdullah Khan

Sunil Kumar

Malikpura

Chaturi Singh Yadav

Sunil Kumar

Karanda Birno

Nand Kishor Yadav Lakhraj Ram Gor

Sunil Kumar Sunil Kumar

Aurihar Aurihar Aurihar Aurihar Aurihar Aurihar Aurihar Birno Aurihar

Ram Kunwar Jaiswal Heerawati Devi Gupta Heerawati Devi Gupta Heerawati Devi Gupta Heerawati Devi Gupta Heerawati Devi Gupta Heerawati Devi Gupta Umesh Yadav Rajan Singh

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Mughal Sarai

Hari Shankar Prasad

Sunil Kumar

Mughal Sarai Robertsganj Robertsganj Robertsganj Robertsganj Robertsganj Rathyatra Crossing - Varanasi Rathyatra Crossing - Varanasi Rathyatra Crossing - Varanasi Rathyatra Crossing - Varanasi Abhaipur

Rais Fatma Indradeo Ram Indradeo Ram Indradeo Ram Indradeo Ram Indradeo Ram Santosh Kumar Vishwakarma Santosh Kumar Vishwakarma Santosh Kumar Vishwakarma Santosh Kumar Vishwakarma Shekh Alamudin Khan

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Chandauli Rihand Nagar Shaktinagar Shaktinagar

Raj Kumar Shyam Lata Singh Kameshwar Chaudhari Kameshwar Chaudhari

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Shaktinagar Shaktinagar Robertsganj Robertsganj Robertsganj Robertsganj Robertsganj

Kameshwar Chaudhari Kameshwar Chaudhari Indradeo Ram Indradeo Ram Indradeo Ram Indradeo Ram Indradeo Ram

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Maharajganj (Dist. Jaunpur) Shaktinagar

Krishna Kumar Sangita Kumari

Sunil Kumar Sunil Kumar

Shaktinagar Naini - Allahabad Red Eagle Army Headquarters-Allahabad Kotila Rotaha Rotaha Rotaha Bhimber Bhimber Bhimber Chandpatti Chandpatti Chandpatti Gambhirpur

Harihar Prasad Gupta Santosh Devi Rajeev Kumar Pandey Mohammad Badre Alam Madan Mata Prasad Madan Mata Prasad Madan Mata Prasad Shiv Chandra Yadav Shiv Chandra Yadav Shiv Chandra Yadav Om Prakash Verma Om Prakash Verma Om Prakash Verma Shomnath Saroj

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Gambhirpur Bilariaganj Bari Bazar (Varanasi) Bari Bazar (Varanasi) Bari Bazar (Varanasi) Bari Bazar (Varanasi) Naini

Shomnath Saroj Hashibun Nisha Ashok Agrawal Ashok Agrawal Ashok Agrawal Ashok Agrawal Abid Husain

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Padav (Jalilpur)

Radheshyam Jagarnath

Sunil Kumar

Padav (Jalilpur) Sulemsarai

Radheshyam Jagarnath Amit Kushwaha

Sunil Kumar Sunil Kumar

Allahabad Allahabad Allahabad

Uma Shankar Uma Shankar Gopal Krishna Gupta

Sunil Kumar Sunil Kumar Sunil Kumar

Allahabad Orderly Bazar Orderly Bazar Orderly Bazar Kauhar JAUNPUR MAIN

Gopal Krishna Gupta Durga Prasad Pandey Durga Prasad Pandey Durga Prasad Pandey Mayank Shukla Akramullah Khan

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

JAUNPUR MAIN Gopalapur (Jaunpur)

Akramullah Khan Sunita D Maurya

Sunil Kumar Sunil Kumar

Chambaltara

Pyare Lal

Sunil Kumar

Itauri Bazar Sirkoni Sigra

Arun Kumar Prajapati Amar Nath Yadav Kiran Pandey

Sunil Kumar Sunil Kumar Sunil Kumar

Paigamberpur - Varanasi Paharpur Sadat (Near Railway Station)

Radhe Shyam Sanjay Singh Yadav Nikunja Kishore Rath

Sunil Kumar Sunil Kumar Sunil Kumar

Sadat (Near Railway Station) Sadat (Near Railway Station)

Nikunja Kishore Rath Nikunja Kishore Rath

Sunil Kumar Sunil Kumar

Kajgaon Gorakhpur Main

Rajbhadur Yadav Suresh Chand Gupta

Sunil Kumar Sunil Kumar

Rathyatra Crossing - Varanasi Medical College Road - Gorakhpur Medical College Road - Gorakhpur Kauri Ram Kauri Ram Kauri Ram Rajendra Nagar Kauri Ram Kauri Ram Kauri Ram Kauri Ram Collectorate Campus - Mau Collectorate Campus - Mau PADRAUNA Betihata - Gorakhpur Betihata - Gorakhpur Betihata - Gorakhpur Betihata - Gorakhpur

Rajesh Kumar Bind Jeetendra Narain Sharma Jeetendra Narain Sharma Gulab Chand Jaiswal Gulab Chand Jaiswal Gulab Chand Jaiswal Sumit Kumar Gulab Chand Jaiswal Gulab Chand Jaiswal Gulab Chand Jaiswal Gulab Chand Jaiswal Sah Mohammad Iqbal Manoj Kumar Singh Jayant Kumar Gupta Jeewan Gupta Jeewan Gupta Jeewan Gupta Jeewan Gupta

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Majhwara Maryadpur

Ram Bhawan Shaheen Khatoon

Sunil Kumar Sunil Kumar

Doharighat

Renu Singh

Sunil Kumar

Doharighat

Renu Singh

Sunil Kumar

Maryadpur

Pramod Ranjan Singh

Sunil Kumar

Vikas Bhavan - Basti Vikas Bhavan - Basti

Partal Paswan Partal Paswan

Sunil Kumar Sunil Kumar

Nagwan

Saroj Yadav

Sunil Kumar

Basti

Jyotish Prasad

Sunil Kumar

Baba Raghavdas Deoria Deoria Deoria Baba Raghavdas Baba Raghavdas Baba Raghavdas Baba Raghavdas Madanpur Khari

Brijesh Mani Tripathi Chandra Dev Yadav Chandra Deo Yadav Chandra Dev Yadav Prem Sheel Shukla Prem Sheel Shukla Prem Sheel Shukla Prem Sheel Shukla Devendra Singh Pratima ..

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Rampur (Dist. Ballia) Rampur (Dist. Ballia)

Sanmatiya Devi Sanmatiya Devi

Sunil Kumar Sunil Kumar

Medical College Road - Gorakhpur Rajendra Nagar Rajendra Nagar Rajendra Nagar Rajendra Nagar Rajendra Nagar Rajendra Nagar

Mithilesh Devi Gajanfar Ali Gajanfar Ali Gajanfar Ali Gajanfar Ali Gajanfar Ali Gajanfar Ali

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Rajendra Nagar Medical College Road - Gorakhpur Medical College Road - Gorakhpur Medical College Road - Gorakhpur Rajendra Nagar Rajendra Nagar Rajendra Nagar Rajendra Nagar Rajendra Nagar Rajendra Nagar

Gajanfar Ali M.S Khan Jeetendra Narain Sharma Jeetendra Narain Sharma Gajanfar Ali Gajanfar Ali Gajanfar Ali Gajanfar Ali Gajanfar Ali Gajanfar Ali

Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar Sunil Kumar

Rajendra Nagar

Gajanfar Ali

Sunil Kumar

Branch_BM Gaurav Bandhawakar

Branch_AM Shreya Maheswari

PremiumAmount 18972

Manish Pratap Singh Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar

Mohd.Shahid Khan Kritika Atul Kull Atul Kull

34184 7194 30008 30008

Gaurav Bandhawakar Gaurav Bandhawakar Samir Singh Ashish Kumar Singh

Atul Kull Atul Kull Manoj Kumar Snehil Srivastava

30008 30008 3989 12439

Ashish Kumar Singh

Snehil Srivastava

31522

Ashish Kumar Singh

Snehil Srivastava

31522

Ashish Kumar Singh

Snehil Srivastava

31522

Ashish Kumar Singh Ashish Kumar Singh

Snehil Srivastava Yogesh Dayal Dwivedi

31522 9504

Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh

Yogesh Dayal Dwivedi Yogesh Dayal Dwivedi Yogesh Dayal Dwivedi

14049 3481 3481

Ashish Kumar Singh

Ranvijay Pratap Singh

30456

Ashish Kumar Singh Ashish Kumar Singh

Yogesh Dayal Dwivedi Yogesh Dayal Dwivedi

6351 7021

Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh

Satish Kumar Singh Ranvijay Pratap Singh Ranvijay Pratap Singh Ranvijay Pratap Singh Ranvijay Pratap Singh

12701 9225 9225 9225 9225

Vineet Jonathan Stephen Samir Singh Samir Singh

Shivendram Dwivedi Prabodh Mohan Srivastava Prabodh Mohan Srivastava

11198 13178 13178

Ashish Kumar Singh

Yogesh Dayal Dwivedi

14760

Ashish Kumar Singh Gaurav Bandhawakar Vineet Jonathan Stephen

Yogesh Dayal Dwivedi Atul Kull Shivendram Dwivedi

14760 12027 9219

Vineet Jonathan Stephen Vineet Jonathan Stephen Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh

Shivendram Dwivedi Shivendram Dwivedi Vikas Mohan Singh Mohd.Shahid Khan Mohd.Shahid Khan

9219 8782 9249 18399 18399

Manish Pratap Singh Manish Pratap Singh Gaurav Bandhawakar

Vikas Mohan Singh Mohd.Shahid Khan Dushyant Pandey

25000 25000 100000

Manish Pratap Singh Manish Pratap Singh

Hemant Kumar Tripathi Shahanavaz Ahmad

25000 25000

Manish Pratap Singh

Vikas Mohan Singh

25000

Ashish Kumar Tiwari

Mohd.Shahid Khan

200000

Gaurav Bandhawakar

Prateek Jaiswal

100000

Gaurav Bandhawakar

Prateek Jaiswal

100000

Ashish Kumar Tiwari Ashish Kumar Tiwari

Parikshit Rajkumar Singh Parikshit Rajkumar Singh

25000 25000

Samir Singh Manish Pratap Singh

Dharmendra Kumar Mishra Shivesh Nandan Srivastava

75000 150000

Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh

Shivesh Nandan Srivastava Shivesh Nandan Srivastava Shivesh Nandan Srivastava Shivesh Nandan Srivastava Shivesh Nandan Srivastava

150000 150000 150000 150000 150000

Samir Singh Samir Singh Samir Singh Samir Singh

Manoj Kumar Manoj Kumar Manoj Kumar Manoj Kumar

25000 25000 15000 15000

Samir Singh

Manoj Kumar

15000

Gaurav Bandhawakar

Dushyant Pandey

75000

Gaurav Bandhawakar

Dushyant Pandey

100000

Manish Pratap Singh

Shahanavaz Ahmad

25000

Manish Pratap Singh Manish Pratap Singh

Shahanavaz Ahmad Ratan Kumar Seth

25000 25000

Vineet Jonathan Stephen Ashish Kumar Tiwari Ashish Kumar Tiwari Samir Singh

Sanjay Kumar Jaiswal Akhilesh Kumar Singh Akhilesh Kumar Singh Manoj Kumar

100000 25000 25000 15000

Samir Singh Gaurav Bandhawakar Ashish Kumar Tiwari Ashish Kumar Tiwari Ashish Kumar Tiwari

Abhinandan Singh Saurabh Pandey Vinod Kumar Pandey Vinod Kumar Pandey Vinod Kumar Pandey

15000 75000 50000 50000 50000

Ashish Kumar Singh

Satish Kumar Singh

75000

Ashish Kumar Singh Ashish Kumar Tiwari

Snehil Srivastava Vijay Pratap

100000 100000

Vineet Jonathan Stephen Ashish Kumar Singh

Satish Kumar Mishra Abhishek Upadhyay

15000 15000

Ashish Kumar Singh Gaurav Bandhawakar

Abhishek Upadhyay Saurabh Pandey

15000 100000

Gaurav Bandhawakar

Saurabh Pandey

100000

Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar

Saurabh Pandey Saurabh Pandey Saurabh Pandey Saurabh Pandey

100000 25000 25000 25000

Gaurav Bandhawakar

Gyanendra Shekhar Rai

15000

Gaurav Bandhawakar

Gyanendra Shekhar Rai

15000

Gaurav Bandhawakar

Gyanendra Shekhar Rai

100000

Gaurav Bandhawakar Gaurav Bandhawakar

Gyanendra Shekhar Rai Gyanendra Shekhar Rai

100000 100000

Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Ashish Kumar Tiwari

Gyanendra Shekhar Rai Poonam Sharma Poonam Sharma Poonam Sharma Poonam Sharma Poonam Sharma Poonam Sharma Poonam Sharma Parikshit Rajkumar Singh

100000 400000 400000 400000 400000 400000 400000 400000 25000

Ashish Kumar Tiwari

Parikshit Rajkumar Singh

100000

Ashish Kumar Singh

Satish Kumar Singh

100000

Ashish Kumar Singh Ashish Kumar Singh

Satish Kumar Singh Satish Kumar Singh

15000 15000

Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh Ashish Kumar Singh

Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh Satish Kumar Singh

100000 15000 15000 15000 100000 100000 100000 100000 15000

Gaurav Bandhawakar

Ajay Kumar Verma

15000

Gaurav Bandhawakar Samir Singh Samir Singh Samir Singh Samir Singh Samir Singh Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Gaurav Bandhawakar Ashish Kumar Singh

Ajay Kumar Verma Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Shreya Maheswari Shreya Maheswari Shreya Maheswari Shreya Maheswari Yogesh Dayal Dwivedi

20000 50000 50000 50000 50000 50000 25000 25000 25000 25000 30000

Gaurav Bandhawakar Samir Singh Samir Singh Samir Singh

Prateek Jaiswal Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai

300000 200000 50000 50000

Samir Singh Samir Singh Samir Singh Samir Singh Samir Singh Samir Singh Samir Singh

Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai Sanjay Kumar Rai

50000 50000 50000 50000 50000 50000 50000

Samir Singh Samir Singh

Manoj Kumar Sanjay Kumar Rai

75000 25000

Samir Singh Samir Singh Samir Singh Ashish Kumar Tiwari Samir Singh Samir Singh Samir Singh Ashish Kumar Tiwari Ashish Kumar Tiwari Ashish Kumar Tiwari Ashish Kumar Tiwari Ashish Kumar Tiwari Ashish Kumar Tiwari Ashish Kumar Tiwari

Sanjay Kumar Rai Dharmendra Kumar Mishra Dharmendra Kumar Mishra Parikshit Rajkumar Singh Shashwat Kumar Rai Shashwat Kumar Rai Shashwat Kumar Rai Vinod Kumar Pandey Vinod Kumar Pandey Vinod Kumar Pandey Vinod Kumar Pandey Vinod Kumar Pandey Vinod Kumar Pandey Niraj Kumar Upadhay

100000 25000 15000 1300000 50000 50000 50000 15000 15000 15000 15000 15000 15000 50000

Ashish Kumar Tiwari Ashish Kumar Tiwari Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh

Niraj Kumar Upadhay Vinod Kumar Pandey Shahanavaz Ahmad Shahanavaz Ahmad Shahanavaz Ahmad Shahanavaz Ahmad Shivesh Nandan Srivastava

50000 25000 100000 100000 100000 100000 25000

Gaurav Bandhawakar

Saurabh Pandey

15000

Gaurav Bandhawakar Manish Pratap Singh

Saurabh Pandey Shivesh Nandan Srivastava

15000 20000

Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh

Shivesh Nandan Srivastava Shivesh Nandan Srivastava Shivesh Nandan Srivastava

150000 150000 150000

Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Manish Pratap Singh Samir Singh

Shivesh Nandan Srivastava Shahanavaz Ahmad Shahanavaz Ahmad Shahanavaz Ahmad Vikas Mohan Singh Manoj Kumar

150000 15000 15000 15000 15000 100000

Samir Singh Samir Singh

Manoj Kumar Prabodh Mohan Srivastava

100000 15000

Samir Singh

Ravish Singh

30000

Samir Singh Samir Singh Manish Pratap Singh

Dev prakash Tripathi Gautam Kumar Seth Akanksha Kesharwani

15000 15000 25000

Gaurav Bandhawakar Ashish Kumar Singh Ashish Kumar Singh

Atul Kull Abhishek Upadhyay Abhishek Upadhyay

15000 95000 20000

Ashish Kumar Singh Ashish Kumar Singh

Abhishek Upadhyay Abhishek Upadhyay

20000 20000

Samir Singh Vineet Jonathan Stephen

Gautam Kumar Seth Sujeet Kumar Singh

15000 25000

Gaurav Bandhawakar Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Manish Pratap Singh Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen

Shreya Maheswari Shraddha Suman Pandey Shraddha Suman Pandey Shekhar Mandan Shekhar Mandan Shekhar Mandan Shraddha Suman Pandey Shekhar Mandan Shekhar Mandan Shekhar Mandan Shekhar Mandan Shivendram Dwivedi Shivendram Dwivedi

15000 15000 15000 15000 15000 15000 100000 15000 15000 15000 15000 15000 15000 15000

Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey

15000 15000 15000 15000

Vineet Jonathan Stephen Vineet Jonathan Stephen

Sanjay Kumar Jaiswal Sanjay Kumar Jaiswal

25000 95000

Vineet Jonathan Stephen

Shekhar Mandan

24000

Vineet Jonathan Stephen

Shekhar Mandan

24000

Vineet Jonathan Stephen

Sanjay Kumar Jaiswal

15000

Vineet Jonathan Stephen Vineet Jonathan Stephen

Rajeshwar Prasad Srivastava Rajeshwar Prasad Srivastava

25000 25000

Vineet Jonathan Stephen

Rajeshwar Prasad Srivastava

100000

Vineet Jonathan Stephen

Rajeshwar Prasad Srivastava

15000

Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen

Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Satish Kumar Mishra Santosh Kumar Rai

15000 100000 75000 75000 15000 15000 15000 15000 15000 15000

Vineet Jonathan Stephen Vineet Jonathan Stephen

Santosh Kumar Rai Santosh Kumar Rai

100000 100000

Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen

Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey

15000 50000 50000 50000 50000 50000 50000

Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen Vineet Jonathan Stephen

Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey Shraddha Suman Pandey

50000 15000 15000 15000 50000 50000 50000 50000 50000 50000

Vineet Jonathan Stephen

Shraddha Suman Pandey

50000

Remarks send to h.o.

medical done on 30-07-2011, standard pathology azamgarh. medical done on 30-07-2011, standard pathology azamgarh.

send to h.o. send to h.o. send to h.o. send to h.o.

Medical done on 21/09/2011