Permanent Address

HOUSE NUMBER: 50
STREET NAME: C/o Kamal Jain, 50 Gaoshinde Nagar

LOCATION : Near Dhyan kendra

CITY /
PIN
CODE Khargone, Madhya Pradesh, 451001

TELEPHONE: 8908269685

Insured Information
TITLE: Mr.

GIVEN NAME : Sourabh

SUR NAME : Jain

DATE OF BIRTH 26/12/1991

PASSPORT NUMBER: K4891906

EMPLOYEE NUMBER 41374

NOMINEE Sakshi Choudhary - Wife