NAME OF THE INSURED

SL.NO Designation Plan RELATIONSHIP

PERSON

1 Dr.Naresh Kumar.B.G. Principal SELF

SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
2 Dr.C.Ramakrishne Gowda Prof.&HOD SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
3 Chandrashekar.M. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
4 Yashwanth.M.K. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
5 Avinash Gornale Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
 MOTHER IN LAW
6 Gururaj.M.H. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
7 Punith.N. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
8 Vinayraj.K. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
9 Dr.Madhu.S.P. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
10 Aniruddha.M. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
11 Pradeep.B. Asst. Prof SELF
SPOUSE
 CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
12 Shankare Gowda Asst. Prof SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
13 Bhavyashree B.N. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
14 Chandrashekar Gowda.K.N. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
15 Ashok Kumar.J.C. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
16 Achyuth.K.N. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
 MOTHER
FATHER IN LAW
MOTHER IN LAW
17 D.Ashwini Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
18 Manjunath.R.N. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
19 Varun.S. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
20 Ashish Dubay.B. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
21 Ravikiran L Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
22 Shruthi D.G. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
23 Manoj.B.R. Asst.Prof. SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
24 Vivek k Resident Engineer SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
25 Arun Kumar K C Lab Instructor SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
26 Saraswathi H M Lab Instructor SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
27 Megha Subramanya Lab Instructor SELF
SPOUSE
CHILD-1
 CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
28 Dakshayini J B Lab Instructor SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
29 Chinnaswamy Painter SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
30 Deepak K S Elec.Helper SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
31 Swamy Lab Assistant SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
32 Ramakrishne Gowda N Lab Assistant SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
 FATHER IN LAW
MOTHER IN LAW
33 Shivaraj Painter SELF
SPOUSE
CHILD-1
CHILD-2
FATHER
MOTHER
FATHER IN LAW
MOTHER IN LAW
 DOB
GENDER MATRIAL STATUS INSURED EMPLOYEE IDENTITY NO
DATE MONTH
 NEW
DOB DOJ INSURANCE CONTACT
AGE E MAIL
COVER NUMBER
YEAR DATE MONTH YEAR AMOUNT RS