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This Document is Digitally Signed

Signer: ATUL JERATH


Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL
GPA - NAMED POLICY SCHEDULE
IRDA/NL-HLT/OIC/P-P/V.1/457/13-14

Policy No. : 215300/48/2020/356 Prev.Policy No. : -


Cover Note No. : 215300810374 Cover Note Date : 12/04/2019

Insured's Code : AE0000000334 Issue Office code : 215300


Insured's Name : M/S. RITES LTD. (GSTIN: Issue Office Name : DO 2 GURGAON (GSTIN:
06AAACR0830Q1ZA) 06AAACT0627R1Z3)
Address : PLOT NO. 1, SECTOR-29, Address : PAYAL CINEMA COMMERCIAL
GURGAON COMPLEX
DELHI ROAD, SECTOR-14
GURGAON (HARYANA)
GURGAON 122001 GURGAON HARYANA 122001
Tel. /Fax /Email : / / 9868498967 / NA Tel. /Fax /Email : 8969802729/0124-2320146, 2314948 / /
ajay.sinha@orientalinsurance.co.in
Agent/Broker Details
Dev.Off.Code : NA0000000393 MOHINDER KUMAR DAWAR
Agent/Broker :
Address :
Tel/Fax/Email : ////
Period of Insurance : FROM 16:15 ON 12/04/2019 TO MIDNIGHT OF 11/04/2020
Collection No & Dt : CD A/C AE0000000334 GST INVOICE NO :061810018556 UIN :0
Gross Premium : 5,49,452 GST : 98902 Stamp Duty : 440 Total : 6,48,354
Co-insurance Details : NIL

Number of persons covered : 3311

Total Sum Insured : 5116600000

AOA Limit : 8800000

Details of Insured Persons :

Sr. Emp No./ Name Age Sex Section/Cover Sum Insured Additional Covers
No. ID No.

1 11842 KANHAIYA KUMAR 56 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
2 11844 ASHOK KUMAR 52 M Table of benefits II 12,00,000 NIL
HARDAHA Table of benefits III 8,00,000
20,00,000
3 11846 HARISH GOPE 40 M Table of benefits II 12,00,000 NIL
MANWANI

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 1 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

3 Table of benefits III 8,00,000


20,00,000
4 11847 PRADEEP KUMAR 43 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
5 11848 MUKESH H 45 M Table of benefits II 12,00,000 NIL
WAGHMARE Table of benefits III 8,00,000
20,00,000
6 11849 ALOKE BHOWMIK 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
7 11850 BISWARANJAN 37 M Table of benefits II 12,00,000 NIL
ROUT Table of benefits III 8,00,000
20,00,000
8 11852 SHISHUPAL SINGH 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
9 11853 ANWAR AHMED 52 M Table of benefits II 12,00,000 NIL
KHAN Table of benefits III 8,00,000
20,00,000
10 11855 MANOJ KUMAR 48 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
11 11856 MUKESH KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
12 11857 SUKUMAR KALITA 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
13 11860 RAGHVENDRA 31 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
14 11861 MAITHILI SHARAN 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
15 11862 PRAFULL RAMDAS 42 M Table of benefits II 8,00,000 NIL
NAIK Table of benefits III 4,00,000
12,00,000
16 11863 JITENDRA KUMAR 45 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
17 11864 SANJAY KUMAR 46 M Table of benefits II 12,00,000 NIL
NIRAJ Table of benefits III 8,00,000
20,00,000
18 103923 PURUSHOTTAM 30 M Table of benefits III 4,00,000 NIL
KUMAR SONI Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 2 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

18 10,00,000
19 103924 PANKAJ PAHUJA 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
20 103925 PREBHU D 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
21 103926 ABHISHEK ANAND 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
22 103927 PATHAKUNTI 26 M Table of benefits III 4,00,000 NIL
SREENIVASULA Table of benefits II 6,00,000
REDDY
10,00,000
23 103929 R LOGESH 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
24 103930 AVINASH KUMAR 28 M Table of benefits III 4,00,000 NIL
MISHRA Table of benefits II 6,00,000
10,00,000
25 103931 SIDDHARTHA 24 M Table of benefits III 4,00,000 NIL
PRIYADARSHI Table of benefits II 6,00,000
10,00,000
26 103932 ROHIT KUMAR 24 M Table of benefits III 4,00,000 NIL
BOPCHE Table of benefits II 6,00,000
10,00,000
27 103933 MOHAMMED 26 M Table of benefits III 4,00,000 NIL
JAHANGEER Table of benefits II 6,00,000
10,00,000
28 103934 CHANDAN KUMAR 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
29 103935 RAKESH KUMAR 28 M Table of benefits III 4,00,000 NIL
MEENA Table of benefits II 6,00,000
10,00,000
30 103936 RAMESH KUMAR 25 M Table of benefits II 6,00,000 NIL
SHUKLA Table of benefits III 4,00,000
10,00,000
31 103937 RAMRAJ KHATI 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
32 103939 MOHIT AGARWAL 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
33 103941 BANIYA LAL MEENA 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 3 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

34 103942 SADIQUE VP 26 M Table of benefits III 4,00,000 NIL


Table of benefits II 6,00,000
10,00,000
35 103943 MUTHUKRISHANAN 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
36 103944 INDRESH GS 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
37 103945 SANDEEP SAHANI 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
38 103947 ABHINAV RAJPUT 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
39 103948 YOGESH 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
40 103949 NAVEEN SINGH 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
41 103950 RONDLA SRINIVAS 27 M Table of benefits III 4,00,000 NIL
YADAV Table of benefits II 6,00,000
10,00,000
42 103951 RAHUL ARYA 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
43 103952 TANUJ SHARMA 24 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
44 103953 SUBODH KUMAR 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
45 103954 HEMANT KUMAR 24 M Table of benefits III 4,00,000 NIL
JATAV Table of benefits II 6,00,000
10,00,000
46 6082 A SATYASRINIVAS 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
47 6084 PADMA KUMARI 54 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
48 6086 BAPURAO LAXMAN 56 M Table of benefits II 8,00,000 NIL
RAUT Table of benefits III 4,00,000
12,00,000
49 6095 DEEPAK R NAYAR 54 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 4 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

49 Table of benefits III 8,00,000


20,00,000
50 6096 A V B SARMA 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
51 6117 TARUN SENGUPTA 59 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
52 6121 N K ROUTH 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
53 6122 PRADIP RANJAN 56 M Table of benefits II 12,00,000 NIL
SARKAR Table of benefits III 8,00,000
20,00,000
54 6130 MD IKLAQ 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
55 6134 MRINAL K MONDAL 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
56 6137 MD SHAKIL AKHTAR 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
57 6138 K VENKATESH 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
58 6139 KV 56 M Table of benefits II 12,00,000 NIL
RAMANAMURTHY Table of benefits III 8,00,000
20,00,000
59 6140 HARISANKAR 59 M Table of benefits II 12,00,000 NIL
GHOSH Table of benefits III 8,00,000
20,00,000
60 6141 BISWAJIT SAHA 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
61 6143 DIPAK KUMAR 59 M Table of benefits II 12,00,000 NIL
SARKAR Table of benefits III 8,00,000
20,00,000
62 6144 DEBI PRASAD 56 M Table of benefits II 12,00,000 NIL
MUKHERJEE Table of benefits III 8,00,000
20,00,000
63 6145 RAJVIR JAIN 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
64 6146 MD RAFIKUL ISLAM 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 5 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

64 20,00,000
65 6164 MD SABED ALI 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
66 6166 S A HAQUE 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
67 6168 P K DEY 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
68 6171 S P ROY 54 M Table of benefits II 12,00,000 NIL
CHOUDHURY Table of benefits III 8,00,000
20,00,000
69 6173 SUKUMAR MONDAL 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
70 10769 HARSH KUMAR 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
71 10770 DEEPAK RAWAT 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
72 10771 SANDEEP RAHI 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
73 10775 MANOJ KUMAR 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
74 10782 RAHUL KUMAR 35 M Table of benefits II 12,00,000 NIL
TEWARY Table of benefits III 8,00,000
20,00,000
75 10788 AJAY KUMAR 40 M Table of benefits II 12,00,000 NIL
GAOTAM Table of benefits III 8,00,000
20,00,000
76 6907 YOGESH 54 M Table of benefits II 12,00,000 NIL
CHOUDHARI Table of benefits III 8,00,000
20,00,000
77 6914 K V MANGALA 54 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
78 6930 BAL MUKUND 59 M Table of benefits II 12,00,000 NIL
ARORA Table of benefits III 8,00,000
20,00,000
79 6932 AJAY KUMAR 54 M Table of benefits II 12,00,000 NIL
AGARWAL Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 6 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

80 6933 RATNAKAR PD 56 M Table of benefits II 12,00,000 NIL


SINGH Table of benefits III 8,00,000
20,00,000
81 6935 G CHANDRASHEKAR 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
82 6936 AVIJIT BARDHAN 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
83 6937 RAJ KAPOOR 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
84 6941 I 51 M Table of benefits II 12,00,000 NIL
CHANDRASEKARAN Table of benefits III 8,00,000
20,00,000
85 6942 B JAYAKUMAR 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
86 6944 SATEESH KUMAR 49 M Table of benefits II 12,00,000 NIL
VERMA Table of benefits III 8,00,000
20,00,000
87 6946 MD NAFIS AHMAD 56 M Table of benefits II 12,00,000 NIL
KHAN Table of benefits III 8,00,000
20,00,000
88 6948 KOSHY T K 52 M Table of benefits II 12,00,000 NIL
VAIDYAN Table of benefits III 8,00,000
20,00,000
89 6954 ASHISH SAXENA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
90 6960 JATIN CHANDRA 51 M Table of benefits II 12,00,000 NIL
DAS Table of benefits III 8,00,000
20,00,000
91 17 MUKESH BHARDWAJ 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
92 26 RENU MALHOTRA 57 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
93 41 SHOBAN SINGH 59 M Table of benefits III 4,00,000 NIL
RANA Table of benefits II 8,00,000
12,00,000
94 73 NAGENDER SINGH 58 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
95 10729 C ANIL KUMAR 52 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 7 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

95 Table of benefits III 8,00,000


20,00,000
96 10730 GURU GOBINDA 45 M Table of benefits II 12,00,000 NIL
KOWER Table of benefits III 8,00,000
20,00,000
97 10750 SANJAY KUMAR 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
98 10753 DEEPAK SINGH 34 M Table of benefits II 12,00,000 NIL
RANA Table of benefits III 8,00,000
20,00,000
99 10765 ABHIMANYU SAHOO 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
100 10766 RAJENDRA 41 M Table of benefits II 12,00,000 NIL
SOTHWAL Table of benefits III 8,00,000
20,00,000
101 10767 MUKESH KUMAR 40 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
102 10768 DEEPAK NAUTIYAL 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
103 10794 SIBESH KUMAR 57 M Table of benefits II 12,00,000 NIL
GHOSAL Table of benefits III 8,00,000
20,00,000
104 10799 BIDHAN CHANDRA 37 M Table of benefits II 12,00,000 NIL
ROY Table of benefits III 8,00,000
20,00,000
105 10800 RAJESH RAHEJA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
106 10802 ARUN KUMAR SINGH 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
107 10807 SEKHAR NANDI 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
108 500627 RAVINDRA NATH 62 M Table of benefits II 6,00,000 NIL
GOSWAMI Table of benefits III 4,00,000
10,00,000
109 500629 SIBASISH DHAR 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
110 500630 RAKESH CHOPRA 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 8 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

110 10,00,000
111 500631 RAJ KUMAR 53 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
112 500632 VINOD KUMAR 60 M Table of benefits II 6,00,000 NIL
AGARWAL Table of benefits III 4,00,000
10,00,000
113 500633 ARUN KUMAR SEAL 66 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
114 500637 M GOBRE NAICK 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
115 500638 MOSES BERNIDI 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
116 500639 SAMSUL ALAM 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
117 500640 UTPAL KUMAR SAHA 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
118 500642 ASHOK KUMAR 62 M Table of benefits II 6,00,000 NIL
MALL Table of benefits III 4,00,000
10,00,000
119 500643 OM PRAKASH SINGH 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
120 500644 PRAMOD CHANDRA 60 M Table of benefits II 6,00,000 NIL
GUPTA Table of benefits III 4,00,000
10,00,000
121 500645 R DAVID MUTHU 61 M Table of benefits II 6,00,000 NIL
RAJ Table of benefits III 4,00,000
10,00,000
122 500646 KISHORE KUMAR 63 M Table of benefits II 6,00,000 NIL
PATHAK Table of benefits III 4,00,000
10,00,000
123 101798 SWAMI 42 M Table of benefits II 6,00,000 NIL
CHANDRASHEKHAR Table of benefits III 4,00,000
10,00,000
124 101803 JAI PRAKASH 59 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
125 101816 KAMRUL HASAN 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 9 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

126 101826 MANOJ KUMAR 39 M Table of benefits II 6,00,000 NIL


AGRAWAL Table of benefits III 4,00,000
10,00,000
127 101828 SHISHIR KUMAR 40 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
128 101836 PANKAJ SHARMA 49 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
129 101837 NILESH D RAUT 40 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
130 101845 DEEPAK KUMAR 43 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
131 101851 PRASANTA DAS 44 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
132 101868 AJAY KUMAR SINGH 34 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
133 101887 AJAY KUMAR 52 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
134 101897 SUNIL KUMAR 38 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
135 101923 NABAKUMAR SARMA 53 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
136 101925 RANJEET KUMAR 39 M Table of benefits II 6,00,000 NIL
BORKAR Table of benefits III 4,00,000
10,00,000
137 101926 MAHENDRAKUMAR 41 M Table of benefits II 6,00,000 NIL
RAJORIA Table of benefits III 4,00,000
10,00,000
138 101932 SHERSINGH 40 M Table of benefits II 6,00,000 NIL
PARIHAR Table of benefits III 4,00,000
10,00,000
139 101941 NARENDRA 49 M Table of benefits II 6,00,000 NIL
SINGARKHIA Table of benefits III 4,00,000
10,00,000
140 101944 K PRABHU 38 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
141 101948 P RAVINDRA BABU 43 M Table of benefits II 6,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 10 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

141 Table of benefits III 4,00,000


10,00,000
142 101954 JAI GOVIND VERMA 37 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
143 101960 RAM SAGAR 39 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
144 101973 NAROTTAM SAHAY 41 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
145 101979 MOHD JAMSHED 42 M Table of benefits II 6,00,000 NIL
KHAN Table of benefits III 4,00,000
10,00,000
146 101983 MANOJ KUMAR 42 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
147 101987 ANITA RANI 41 F Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
148 101993 SURESH SINGH 45 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
149 500502 ASHOK KUMAR 62 M Table of benefits II 6,00,000 NIL
HARIT Table of benefits III 4,00,000
10,00,000
150 500506 BARUN KUMAR DAS 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
151 500508 BIDYUT BARAN 62 M Table of benefits II 6,00,000 NIL
CHATTOPADHYAY Table of benefits III 4,00,000
10,00,000
152 500510 ASHOK KUMAR 63 M Table of benefits II 6,00,000 NIL
SRIVASTAVA Table of benefits III 4,00,000
10,00,000
153 500511 VIRENDRA KUMAR 62 M Table of benefits II 6,00,000 NIL
DIXIT Table of benefits III 4,00,000
10,00,000
154 500512 M VENKAT 60 M Table of benefits II 6,00,000 NIL
RAMANA Table of benefits III 4,00,000
10,00,000
155 500513 HECTOR IVON 62 M Table of benefits II 6,00,000 NIL
LAWRENCE Table of benefits III 4,00,000
10,00,000
156 500514 G V K N PRASAD 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 11 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

156 10,00,000
157 500516 BHUPINDER SINGH 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
158 500517 K ANBU 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
159 500520 GYANENDRA 62 M Table of benefits II 6,00,000 NIL
KUMAR SRIVASTAV Table of benefits III 4,00,000
10,00,000
160 500521 SURINDER SINGH 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
161 500523 RAKESH KUMAR 64 M Table of benefits II 6,00,000 NIL
ARORA Table of benefits III 4,00,000
10,00,000
162 500526 SHIV DESHWOR 61 M Table of benefits II 6,00,000 NIL
TIWARI Table of benefits III 4,00,000
10,00,000
163 500527 V V HANUMAN 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
164 500530 TEJ SINGH BHATI 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
165 500531 VIRENDRA SINGH 56 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
166 500533 DHIMAN ROY 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
167 12743 YASHPAL SINGH 30 M Table of benefits II 8,00,000 NIL
VERMA Table of benefits III 4,00,000
12,00,000
168 12745 MAHESH CHANDRA 59 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
169 12746 SURENDAR KUMAR 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
170 12747 SAURABH ROBA 33 M Table of benefits II 8,00,000 NIL
TIRKEY Table of benefits III 4,00,000
12,00,000
171 12748 SACHIDA NAND 53 M Table of benefits II 12,00,000 NIL
PATHAK Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 12 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

172 12750 ASHOK KUMAR 50 M Table of benefits II 20,00,000 NIL


MAHTHA Table of benefits III 10,00,000
30,00,000
173 12751 PRAGATI 41 F Table of benefits II 8,00,000 NIL
CHOUDHARY Table of benefits III 4,00,000
12,00,000
174 12754 ANIL KUMAR JAIN 49 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
175 12755 JYOTI SURGYANI 25 F Table of benefits II 8,00,000 NIL
MEENA Table of benefits III 4,00,000
12,00,000
176 12756 ISHWAR NATH 39 M Table of benefits II 8,00,000 NIL
THAKUR Table of benefits III 4,00,000
12,00,000
177 12757 BISHNU KUMAR 50 M Table of benefits II 12,00,000 NIL
NANDA Table of benefits III 8,00,000
20,00,000
178 12758 ANUPRIYA SOREN 28 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
179 12759 RAJNISH KUMAR 49 M Table of benefits II 20,00,000 NIL
GOYAL Table of benefits III 10,00,000
30,00,000
180 12760 SHIKHA BHUNJIA 28 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
181 103665 ANKIT CHAUDHARY 28 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
182 103667 RASISH SUBBA 27 M Table of benefits II 6,00,000 NIL
LIMBU Table of benefits III 4,00,000
10,00,000
183 103670 MOHD NASEEM 34 M Table of benefits II 6,00,000 NIL
RUKSHAD Table of benefits III 4,00,000
10,00,000
184 103671 HARERAM SAH 26 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
185 103674 PALLI 29 M Table of benefits II 6,00,000 NIL
LAKSHMINARAYANA Table of benefits III 4,00,000
10,00,000
186 103675 ABHISHEK GAUTAM 29 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
187 103676 CHETAN KUMAR 32 M Table of benefits II 6,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 13 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

187 Table of benefits III 4,00,000


10,00,000
188 103677 MAHESH TIRKEY 31 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
189 103680 LAKESH KUMAR 28 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
190 103681 RANJAN KUMAR 29 M Table of benefits II 6,00,000 NIL
DAS Table of benefits III 4,00,000
10,00,000
191 103682 BHAKTA CHARAN 32 M Table of benefits II 6,00,000 NIL
BHAINSAL Table of benefits III 4,00,000
10,00,000
192 103683 NEHA SHAH 28 F Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
193 103690 KESHAV RAMAN 29 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
194 103694 VIJAY MANI 32 M Table of benefits II 6,00,000 NIL
TRIPATHI Table of benefits III 4,00,000
10,00,000
195 12950 RAJESH KUMAR 43 M Table of benefits II 12,00,000 NIL
SINHA Table of benefits III 8,00,000
20,00,000
196 12951 MONIL GUPTA 25 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
197 12952 ISHMEET SINGH 24 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
198 12953 YASH SHUKLA 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
199 12954 TARUN KUMAR 24 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
200 12955 SIDDARTH RANJAN 28 M Table of benefits III 8,00,000 NIL
DUBEY Table of benefits II 12,00,000
20,00,000
201 12956 ANKIT BANDHU 25 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
202 12957 ABHISHEK KUMAR 21 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 14 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

202 20,00,000
203 200108 RAKESH KUMAR 44 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
204 200109 ABHIJIT 38 M Table of benefits II 6,00,000 NIL
BHATTACHARYA Table of benefits III 4,00,000
10,00,000
205 200110 KUSHAL KALITA 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
206 200111 MANISH MARKAND 36 M Table of benefits II 6,00,000 NIL
INDURKAR Table of benefits III 4,00,000
10,00,000
207 200113 SANJEEV RAJAURIA 49 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
208 200114 KANTILAL 47 M Table of benefits II 6,00,000 NIL
MULJIBHAI Table of benefits III 4,00,000
CHAUHAN
10,00,000
209 200115 HITESH MEENA 26 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
210 200116 SYED ARSHAD RAJA 33 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
211 12309 CHANDAN KUMAR 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
212 12311 GOWRI A 39 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
213 12313 MOHAMED SADIQ 39 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
214 12316 KIRAN K S 33 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
215 12317 ANISH DASGUPTA 40 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
216 12318 NARINDER KUMAR 40 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
217 12319 SAQUEBA AKHTAR 33 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 15 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

218 12321 PRASANNA 39 M Table of benefits III 8,00,000 NIL


MUKHERJEE Table of benefits II 12,00,000
20,00,000
219 12322 SIBRAM MONDAL 45 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
220 12323 PARTHASARATHI 52 M Table of benefits III 8,00,000 NIL
DAS Table of benefits II 12,00,000
20,00,000
221 12329 MRITUNJOY 35 M Table of benefits III 8,00,000 NIL
MONDAL Table of benefits II 12,00,000
20,00,000
222 12331 GIRISHANKAR D 37 M Table of benefits III 8,00,000 NIL
MALODE Table of benefits II 12,00,000
20,00,000
223 12332 ARVIND MESHRAM 35 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
224 12333 BISEN DEKESHWAR 36 M Table of benefits III 8,00,000 NIL
KUMAR PREMLAL Table of benefits II 12,00,000
20,00,000
225 12334 PURNENDU SHARAN 45 M Table of benefits III 8,00,000 NIL
MALL Table of benefits II 12,00,000
20,00,000
226 12335 PRASHANT 43 M Table of benefits III 8,00,000 NIL
NILKANTHRAO Table of benefits II 12,00,000
KAYARKAR
20,00,000
227 12336 TUSHAR 45 M Table of benefits III 8,00,000 NIL
PRABHUDAS Table of benefits II 12,00,000
SINGAMWAR
20,00,000
228 12337 NAND KISHORE 57 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
229 12339 GHALIB AHMED 48 M Table of benefits III 10,00,000 NIL
JILLANI Table of benefits II 20,00,000
30,00,000
230 12340 SHRIVANT VEER 38 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
231 12341 SRINIVAS ARSOLA 40 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
232 12342 ABHISHEK RAO 34 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
233 12343 ALOK CHAURASIA 35 M Table of benefits III 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 16 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

233 Table of benefits II 12,00,000


20,00,000
234 12344 RAMESHWARI MALL 31 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
235 12345 P GOPAL RAO 37 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
236 12346 HITESH KUMAR 38 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
237 12347 PUSHPENDRA 44 M Table of benefits III 8,00,000 NIL
KUMAR Table of benefits II 12,00,000
20,00,000
238 12348 SHRIMMI SHESHANK 41 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
239 95074 M R PATEL 59 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
240 95076 TS DEBADHIKARI 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
241 95077 SUPRATIK GHOSH 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
242 95078 C PARAMESHWAR 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
243 103955 LAXMAN NAGARAL 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
244 103956 DEEPAK KUMAR 27 M Table of benefits III 4,00,000 NIL
TIWARI Table of benefits II 6,00,000
10,00,000
245 103957 AMBUJ RAJ 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
246 103958 TARA CHAND 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
247 103959 DHANANJAY 26 M Table of benefits III 4,00,000 NIL
POLAMPALLI Table of benefits II 6,00,000
10,00,000
248 103315 LAXMI KANTA SHIT 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 17 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

248 10,00,000
249 103316 SYED NAZMUL 33 M Table of benefits III 4,00,000 NIL
HOSSAIN Table of benefits II 6,00,000
10,00,000
250 103321 L M Naveen 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
251 103322 Imdadur Rahaman 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
252 103323 Poorna Chander N 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
253 103324 Satyabrata Roy 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
254 103333 R MURUGAN 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
255 103335 SANOJ KUMAR 32 M Table of benefits III 4,00,000 NIL
YADAV Table of benefits II 6,00,000
10,00,000
256 103336 ARUN KUMAR 31 M Table of benefits III 4,00,000 NIL
TIWARI Table of benefits II 6,00,000
10,00,000
257 103337 S RAKESH KUMAR 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
258 103346 ABHISHEK KUMAR 30 M Table of benefits III 4,00,000 NIL
DUBEY Table of benefits II 6,00,000
10,00,000
259 11496 RANJEET KUMAR 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
260 11500 PANKAJ BHARTI 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
261 11501 MUKESH KUMAR 52 M Table of benefits II 12,00,000 NIL
SINHA Table of benefits III 8,00,000
20,00,000
262 11502 SANDIP SHARAN 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
263 11504 BHARAT KUMAR 39 M Table of benefits II 12,00,000 NIL
JAIN Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 18 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

264 11505 ANANT PRAKASH 49 M Table of benefits II 12,00,000 NIL


MISHRA Table of benefits III 8,00,000
20,00,000
265 11506 PRAMOD KUMAR 46 M Table of benefits II 12,00,000 NIL
GARHWAL Table of benefits III 8,00,000
20,00,000
266 11507 MANISHR INGLE 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
267 11508 CHANDRA BHUSHAN 48 M Table of benefits II 12,00,000 NIL
ARYA Table of benefits III 8,00,000
20,00,000
268 11509 J KANNAIYAN 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
269 11511 SUMANT KUMAR 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
270 11512 PRAVEEN CHANDRA 46 M Table of benefits II 12,00,000 NIL
MISHRA Table of benefits III 8,00,000
20,00,000
271 11514 VINOD KUMAR 43 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
272 11518 ARVIND KUMAR 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
273 11522 RAKESH KUMAR 48 M Table of benefits II 12,00,000 NIL
SUDHANSHU Table of benefits III 8,00,000
20,00,000
274 11526 SHASHI SHEKHAR 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
275 11527 DEEPAK KUMAR 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
276 11532 ASHOK KUMAR 58 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
277 11533 VIJAY SAPRA 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
278 11534 SURAJ SRIVASTAVA 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
279 11536 S HARINAG 38 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 19 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

279 Table of benefits III 8,00,000


20,00,000
280 11537 DR SANJAY KUMAR 43 M Table of benefits II 12,00,000 NIL
PRADHAN Table of benefits III 8,00,000
20,00,000
281 11538 RAVI SHARMA 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
282 11544 MOHD ZAKI KHAN 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
283 11554 SANJAYKUMAR 41 M Table of benefits II 12,00,000 NIL
ISHWARDAS RAUT Table of benefits III 8,00,000
20,00,000
284 11557 G LENIN KUMAR 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
285 11559 VED PARKASH 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
286 11561 HARI SHANKER 45 M Table of benefits II 12,00,000 NIL
GOUR Table of benefits III 8,00,000
20,00,000
287 11567 RAJANI KANT 49 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
288 102005 RUPESH DEVANAND 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
289 102007 RAJEEV KUMAR 37 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
290 102029 SHIBNATH MITRA 43 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
291 102032 SUJOY DAS 43 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
292 102045 SANJIB DEY 42 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
293 102049 ASHESH PRAKASH 42 M Table of benefits III 4,00,000 NIL
DUBEY Table of benefits II 6,00,000
10,00,000
294 102050 BABU LAL 45 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 20 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

294 10,00,000
295 102052 SUMIT KUMAR 41 M Table of benefits III 4,00,000 NIL
SRIVASTAVA Table of benefits II 6,00,000
10,00,000
296 102057 SRINIVAS S 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
297 10848 KAMAL GUPTA 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
298 10849 MALLA RANJAN 44 M Table of benefits II 12,00,000 NIL
KUMAR Table of benefits III 8,00,000
20,00,000
299 10854 RAJESH DHANRAJ 49 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
300 10855 MANISH MISHRA 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
301 10856 SARADA PRASANNA 49 M Table of benefits II 12,00,000 NIL
DALAI Table of benefits III 8,00,000
20,00,000
302 10857 RAJESH KUMAR 50 M Table of benefits II 12,00,000 NIL
SRIVASTAVA Table of benefits III 8,00,000
20,00,000
303 10859 PRADIPTA KUMAR 45 M Table of benefits II 12,00,000 NIL
LENKA Table of benefits III 8,00,000
20,00,000
304 10862 SATISH KUMAR 49 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
305 10863 SUBE SINGH 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
306 10865 TARUN JAIN 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
307 10868 SANJEEV GUPTA 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
308 10869 SHARAD 51 M Table of benefits II 12,00,000 NIL
SRIVASTAVA Table of benefits III 8,00,000
20,00,000
309 10875 HARPREET SINGH 47 M Table of benefits II 12,00,000 NIL
BAKSHI Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 21 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

310 10876 BARNALI ROY 46 F Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
311 10904 P K GUPTA 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
312 10908 VISHNU PRAKASH 44 M Table of benefits II 12,00,000 NIL
GOYAL Table of benefits III 8,00,000
20,00,000
313 10918 G MANOGARA 36 M Table of benefits II 12,00,000 NIL
PERUMAL Table of benefits III 8,00,000
20,00,000
314 10920 M SILAMBARASI 33 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
315 10921 MANOJ KUMAR 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
316 10922 DABOJITKR 37 M Table of benefits II 12,00,000 NIL
MAZUMDAR Table of benefits III 8,00,000
20,00,000
317 10925 AMITKR PATOA 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
318 10926 SAYAN BARMAN 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
319 10927 ROHITA KUMAR DAS 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
320 10928 SHIV KUMAR 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
321 10929 CHANDRASEN 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
322 10936 NIDHISH KR 34 M Table of benefits II 12,00,000 NIL
NARNAWARE Table of benefits III 8,00,000
20,00,000
323 10937 JYOTI AGARWAL 35 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
324 10938 PRIYANKA JAIN 38 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
325 10951 ANURAG YADAV 42 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 22 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

325 Table of benefits III 8,00,000


20,00,000
326 10952 GANESH POLEKAR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
327 10954 S VIJAYKUMAR 35 M Table of benefits II 12,00,000 NIL
DHOPARE Table of benefits III 8,00,000
20,00,000
328 10955 SANDIPSUBHASH 36 M Table of benefits II 12,00,000 NIL
KHAIRNAR Table of benefits III 8,00,000
20,00,000
329 10956 PRATAPKR ROUT 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
330 10957 MUKTA MITRA MRS 34 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
331 10958 DIPAKKUMAR 35 M Table of benefits II 12,00,000 NIL
HOWLADER Table of benefits III 8,00,000
20,00,000
332 500647 SHEO PRASAD 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
333 12761 V 33 M Table of benefits II 12,00,000 NIL
BALASUBRAMANYA Table of benefits III 8,00,000
M
20,00,000
334 12766 SUJIT KUMAR 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
335 12771 YOGESH PARTAITY 52 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
336 12772 CHANDAN KUMAR 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
337 12774 VISHANK AGARWAL 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
338 12779 REKHRAJ MEENA 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
339 12780 ROMIT RANJAN 29 M Table of benefits II 12,00,000 NIL
GUPTA Table of benefits III 8,00,000
20,00,000
340 12781 ASHUTOSH GUPTA 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 23 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

340 20,00,000
341 12784 ANSHUMAN PANDEY 24 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
342 12785 ANJALI 28 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
343 12787 ASHISH KUMAR 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
344 12788 ANIL KUMAR 56 M Table of benefits II 12,00,000 NIL
DWIVEDI Table of benefits III 8,00,000
20,00,000
345 12789 NIKHIL AGARWAL 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
346 12790 R L MEENA 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
347 12791 ARUN KUMAR SINGH 52 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
348 12792 NARESH KUMAR 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
349 12795 JATINDER KUMAR 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
350 12797 BANWARI LAL 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
351 12798 AJIT KUMAR 46 M Table of benefits II 12,00,000 NIL
CHOUDHARY Table of benefits III 8,00,000
20,00,000
352 12799 NAND KISHORE 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
353 12800 ARUNKUMAR G 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
354 12801 MOHIT GARG 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
355 200117 AMRIT KUMAR PANI 30 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 24 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

356 200118 ANOOP SHARMA 45 M Table of benefits II 6,00,000 NIL


Table of benefits III 4,00,000
10,00,000
357 200120 STIPHEN KUMAR 34 M Table of benefits II 6,00,000 NIL
SAHOO Table of benefits III 4,00,000
10,00,000
358 200122 AJAY GARG 56 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
359 11573 ANIMESH LODIYA 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
360 11574 S R NAYAK 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
361 11575 PAWAN KUMAR 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
362 11583 LAVINDER WALIA 34 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
363 11587 PRIYANKA KATARIA 34 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
364 11593 D RADHAKRISHNA 55 M Table of benefits II 20,00,000 NIL
REDDY Table of benefits III 10,00,000
30,00,000
365 11598 SANTHOSHKUMAR 32 M Table of benefits II 12,00,000 NIL
RAYAVARAPU Table of benefits III 8,00,000
20,00,000
366 11601 GAURAV SINGH 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
367 11610 P VENKATESWAR 55 M Table of benefits II 8,00,000 NIL
RAO Table of benefits III 4,00,000
12,00,000
368 11618 BHARAT SINGH 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
369 11619 SANTOSH KUMAR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
370 11620 BHANU PRATAP 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
371 11621 KALYAN KUMAR 35 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 25 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

371 Table of benefits III 8,00,000


20,00,000
372 11626 NEHA JAIN 32 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
373 11628 PRIYANK KUMAR 35 M Table of benefits II 12,00,000 NIL
ETAURIA Table of benefits III 8,00,000
20,00,000
374 11630 PUSHPENDRA 32 M Table of benefits II 12,00,000 NIL
KUMAR SINGH Table of benefits III 8,00,000
20,00,000
375 11634 KUMAR CHETAN 33 M Table of benefits II 12,00,000 NIL
VIKRAM Table of benefits III 8,00,000
20,00,000
376 11636 DEVADATTA NAYAK 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
377 11640 SUMER SINGH 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
378 11645 VIJAYANT TIWARI 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
379 11654 P VIJAY KUMAR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
380 11655 KRISHNA KUMAR 56 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
381 11656 SURESH KUMAR 58 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
382 11657 MAHENDRA SINGH 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
383 11658 ISHTIAQUE ANWAR 46 M Table of benefits II 12,00,000 NIL
ABDULLAH Table of benefits III 8,00,000
20,00,000
384 11659 MUSTAQUE ZAKIR 50 M Table of benefits II 12,00,000 NIL
HUSSAIN Table of benefits III 8,00,000
20,00,000
385 11661 VIJESH CHAND 42 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
386 11666 RAMESHWAR 38 M Table of benefits II 12,00,000 NIL
MAHADEO Table of benefits III 8,00,000
KURJEKAR

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 26 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

386 20,00,000
387 11679 SUDHAKAR VITHAL 51 M Table of benefits II 8,00,000 NIL
SUVARNA Table of benefits III 4,00,000
12,00,000
388 11681 M GANESH 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
389 11682 SATESH KUMARI 39 F Table of benefits II 12,00,000 NIL
NIM Table of benefits III 8,00,000
20,00,000
390 11683 PREETI KASHYAP 36 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
391 11697 MANGILAL MEENA 39 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
392 11699 NALINI MAHADEO 42 F Table of benefits II 12,00,000 NIL
POTE Table of benefits III 8,00,000
20,00,000
393 11700 MANOJ KUMAR 34 M Table of benefits II 8,00,000 NIL
MEENA Table of benefits III 4,00,000
12,00,000
394 11701 BADRI NARAYAN 43 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
395 11702 HARI SINGH 41 M Table of benefits II 12,00,000 NIL
PENDRE Table of benefits III 8,00,000
20,00,000
396 11703 HARENDRA KUMAR 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
397 11704 PROSENJIT 34 M Table of benefits II 8,00,000 NIL
MAJUMDER Table of benefits III 4,00,000
12,00,000
398 11705 SUDHANSHU 37 M Table of benefits II 12,00,000 NIL
KUMAR Table of benefits III 8,00,000
20,00,000
399 11706 APURBA TRIPURA 35 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
400 11707 RAJESH KUMAR 35 M Table of benefits II 12,00,000 NIL
RANJAN Table of benefits III 8,00,000
20,00,000
401 11709 NARENDRA MOHAN 35 M Table of benefits II 12,00,000 NIL
SOY Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 27 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

402 11710 ASHOK KUMAR 56 M Table of benefits II 12,00,000 NIL


YADAV Table of benefits III 8,00,000
20,00,000
403 11713 VISHAKHA 35 F Table of benefits II 12,00,000 NIL
VARSHNEY Table of benefits III 8,00,000
20,00,000
404 10808 CHANCHAL SARKAR 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
405 10809 SOUMEN PANJA 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
406 10810 ARVIND KUMAR 50 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
407 10817 M SIVA 51 M Table of benefits II 12,00,000 NIL
RAMAKRISHNA Table of benefits III 8,00,000
20,00,000
408 10820 RANVIR SINGH 52 M Table of benefits II 12,00,000 NIL
DHULL Table of benefits III 8,00,000
20,00,000
409 10838 AMIT GUHA 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
410 10839 PAWAN KUMAR 44 M Table of benefits II 12,00,000 NIL
MISHRA Table of benefits III 8,00,000
20,00,000
411 10842 S SALEEM 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
412 100329 BHANU SHARMA 41 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
413 100373 SUMANKUMAR 50 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000
414 100432 SUDHAKAR SINGH 57 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
415 100468 SURENDRA PRASAD 51 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
416 100510 MANOJ KUMAR 44 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
417 100515 HARENDRA KUMAR 48 M Table of benefits II 6,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 28 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

417 Table of benefits III 4,00,000


10,00,000
418 100605 DEEPAK AGGARWAL 43 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
419 100621 SREEDEVI JAYAN 48 F Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
420 100627 SANJAYKUMAR 49 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
421 100646 SHRIRAM NARETI 48 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
422 100664 GAJENDRA KUMAR 57 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
423 100729 HIMKER 43 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
424 100747 ANILKUMAR YADAV 44 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
425 100752 AJAY BHATT 38 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
426 100770 AWADHESHKUMAR 48 M Table of benefits II 6,00,000 NIL
VERMA Table of benefits III 4,00,000
10,00,000
427 100860 SAIKAT DEB 52 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
428 100899 UPENDRAKUMAR 44 M Table of benefits II 6,00,000 NIL
CHAUBEY Table of benefits III 4,00,000
10,00,000
429 100900 PRADEEP KUMAR 41 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
430 100903 ANIL KUMAR GAUR 47 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
431 100908 DR DHARMENDRA 43 M Table of benefits II 6,00,000 NIL
MISHRA Table of benefits III 4,00,000
10,00,000
432 500649 SATYA PRAKASH 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 29 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

432 10,00,000
433 500651 SUNIL KUMAR 60 M Table of benefits II 6,00,000 NIL
MOWAR Table of benefits III 4,00,000
10,00,000
434 500653 SWAPAN KUMAR 61 M Table of benefits II 6,00,000 NIL
DAS Table of benefits III 4,00,000
10,00,000
435 500654 ASIT BARAN SAHA 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
436 500656 GOVIND SINGH 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
437 500657 BHUPINDER SINGH 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
438 500658 JAGDISH 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
439 500660 R SATYANARAYANA 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
440 500663 SHANKAR DAS 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
441 12363 RAKESH KUMAR 32 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
442 12369 SUSHMA G 35 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
443 12370 MANOBENDRA 51 M Table of benefits III 10,00,000 NIL
GHOSHAL Table of benefits II 20,00,000
30,00,000
444 12371 SHLOK KUMAR 42 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
445 12374 AMIT KUMAR 32 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
446 12376 PREM PRAKASH 50 M Table of benefits III 8,00,000 NIL
SHARMA Table of benefits II 12,00,000
20,00,000
447 12381 ANKIT ANAND 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 30 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

448 12383 NEELMANI SINGH 28 M Table of benefits III 8,00,000 NIL


Table of benefits II 12,00,000
20,00,000
449 12385 AVINASH DEVRAO 49 M Table of benefits III 8,00,000 NIL
GAJBHIYE Table of benefits II 12,00,000
20,00,000
450 12386 NUPUR GULATI 31 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
451 12387 RITU MALIK 44 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
452 12388 RANI ROHIT 43 F Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
453 12390 DINESH M 33 M Table of benefits III 4,00,000 NIL
DEOCHAKE Table of benefits II 8,00,000
12,00,000
454 12391 RANJANA ROY 39 F Table of benefits III 8,00,000 NIL
CHOUDHURY MS Table of benefits II 12,00,000
20,00,000
455 12392 PRERANA 36 F Table of benefits III 4,00,000 NIL
KOTANGALE Table of benefits II 8,00,000
12,00,000
456 12393 G RAMBABU 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
457 12396 MITHILESH KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
458 12397 GHANSHYAM SINGH 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
459 12398 MOHANLAL 38 M Table of benefits III 4,00,000 NIL
DESHMUKH Table of benefits II 8,00,000
12,00,000
460 12399 BHALENDRA 47 M Table of benefits III 4,00,000 NIL
BANCHHOR Table of benefits II 8,00,000
12,00,000
461 12401 SANJAY SATYARTHI 49 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
462 12402 AJIT KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
463 12403 PANCHANAN SAHU 36 M Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 31 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

463 Table of benefits II 8,00,000


12,00,000
464 12405 A D SARATH 44 M Table of benefits III 4,00,000 NIL
KUMAR Table of benefits II 8,00,000
12,00,000
465 12406 T S ELANGOVAN 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
466 12407 GADIRAJU VENKATA 40 M Table of benefits III 4,00,000 NIL
RAJU Table of benefits II 8,00,000
12,00,000
467 12408 GUNJAN KUMAR 41 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
468 12409 RAJESHWARI DE 37 F Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
469 12410 PABITRA SARKAR 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
470 12411 PIJUSHKANTI 39 M Table of benefits III 4,00,000 NIL
BARMAN Table of benefits II 8,00,000
12,00,000
471 12412 MANAS DEY 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
472 12413 CHANDAN PAL 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
473 12414 ANANDI DAS 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
474 12415 NITYANANDA 38 M Table of benefits III 4,00,000 NIL
SONOWAL Table of benefits II 8,00,000
12,00,000
475 12418 SANTOSH PALIWAL 26 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
476 12419 NITESH GOYAL 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
477 11714 ANIL KUMAR SINGH 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
478 11716 NEERAJ SHARMA 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 32 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

478 20,00,000
479 11720 AMIT D MOTGHARE 38 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
480 11722 HARI KUMAR P 38 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
481 11723 RAGHUNATH TUDU 35 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
482 103820 AMIT KUMAR 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
483 103824 SANDEEP KUMAR 28 M Table of benefits III 4,00,000 NIL
YADAV Table of benefits II 6,00,000
10,00,000
484 103825 KARTIK JOSHI 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
485 103826 PALLAB DEY 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
486 103828 RAHUL TYAGI 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
487 103829 SAIYAD NAZAR 33 M Table of benefits III 4,00,000 NIL
HUSAIN RIZVI Table of benefits II 6,00,000
10,00,000
488 103830 ISHAN WADHWA 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
489 103831 ANAND SHARMA 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
490 103833 SUMIT KUMAR 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
491 103835 MANOJ KUMAR 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
492 103836 SANTOSH KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
493 103837 DEEPAK 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 33 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

494 103838 SUMIT KUMAR 24 M Table of benefits III 4,00,000 NIL


Table of benefits II 6,00,000
10,00,000
495 103839 MD SHAPHIK ALAM 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
496 103841 VICKY PRIYADARSHI 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
497 103845 RAJENDRA kUMAR 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
498 103847 MANOJ KUMAR 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
499 103848 BHUVNESH SEMWAL 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
500 103849 KULDEEP SINGH 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
501 103850 RAHUL NAGAR 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
502 103851 JAY PRAKASH 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
503 103852 GUNJAN KUMAR 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
504 103853 KULDEEP SINGH 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
505 103854 SIMPAL KUMAR 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
506 103855 GAGAN KUMAR 24 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 6,00,000
10,00,000
507 103856 KHILENDRA PAL 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
508 103858 AVANISH KUMAR 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
509 103859 RAJ KAMAL 25 M Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 34 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

509 Table of benefits II 6,00,000


10,00,000
510 103860 RAVINDRA kUMAR 26 M Table of benefits III 4,00,000 NIL
SAH Table of benefits II 6,00,000
10,00,000
511 103861 KUNDAN KUMAR 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
512 103864 KAPIL 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
513 103865 VAIBHAV KUMAR 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
514 103868 ABHINAY VERMA 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
515 103869 ANUJ KUMAR 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
516 103870 MEHBOOB KHAN 24 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
517 103871 SANDEEP KUMAR 25 M Table of benefits III 4,00,000 NIL
MAURYA Table of benefits II 6,00,000
10,00,000
518 103872 CHANDRIKA KUMAR 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
519 103873 ANKUR SHARMA 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
520 103874 PUNEET RATHORE 23 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
521 103875 JAI PRAKASH 28 M Table of benefits III 4,00,000 NIL
KUMAR Table of benefits II 6,00,000
10,00,000
522 6174 MD ENAMUL HAQUE 55 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
523 6176 MD NURSHED ALAM 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
524 6179 MD HASSAMUDDIN 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 35 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

524 12,00,000
525 6180 BHASKAR MITRA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
526 6181 CHANDAN 56 M Table of benefits II 8,00,000 NIL
MUKHERJEE Table of benefits III 4,00,000
12,00,000
527 6184 PIJUSH KANTI 58 M Table of benefits II 8,00,000 NIL
GHOSH Table of benefits III 4,00,000
12,00,000
528 6187 YADVINDER SINGH 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
529 6197 REKHA AHMED 53 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
530 2589 SUBHASH CHANDER 59 M Table of benefits II 20,00,000 NIL
CHHABRA Table of benefits III 10,00,000
30,00,000
531 2591 ABHAS KUMAR 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
532 2593 S S RAWAT 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
533 2595 AKHILESH P DUBEY 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
534 2601 SANJIV BHUSHAN 59 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
535 2606 V RAVI SHANKAR 57 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
536 2608 R K NAYYAR 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
537 2610 MD MOTIUR 52 M Table of benefits III 4,00,000 NIL
RAHAMAN Table of benefits II 8,00,000
12,00,000
538 2615 RAJIV RATN 59 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
539 2616 M RAMANATHAN 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 36 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

540 2617 SHIV BAHADUR 59 M Table of benefits III 8,00,000 NIL


OJHA Table of benefits II 12,00,000
20,00,000
541 2627 BANDI KUMAR 52 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 8,00,000
12,00,000
542 2628 SHREE RAM 52 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
543 2637 BHIMAL 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
544 2638 S C YADAV 59 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
545 2640 N N SHUKLA 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
546 2641 SUNDER LAL 57 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
547 2644 ANGAD GIRI 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
548 2646 VIJAY KUMAR 58 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
549 2649 U C SAKLANI 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
550 2656 MAHESH PAL 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
551 2657 VINOD KUMAR 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
552 2658 H C YADAV 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
553 2659 P S MEHTA 57 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
554 100929 NAVIN KUMAR 38 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
555 100938 AMUSH TOPPO 42 M Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 37 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

555 Table of benefits II 6,00,000


10,00,000
556 12422 AYUSH TYAGI 25 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
557 12424 MUKUND PATHAK 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
558 12428 RITESH KUMAR 26 M Table of benefits III 8,00,000 NIL
DUBEY Table of benefits II 12,00,000
20,00,000
559 12429 RAMAVATAR MEENA 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
560 12432 AAKASH PATHAK 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
561 12434 ALTAMASH SAYEED 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
562 12435 HARSHDEEP 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
563 12437 V KALYANI KUMAR 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
564 12438 PRASANNA 44 M Table of benefits III 4,00,000 NIL
VENKATESAN A Table of benefits II 8,00,000
12,00,000
565 12439 CHIRAG KUKAR 26 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
566 12441 MAHENDRA KUMAR 28 M Table of benefits III 8,00,000 NIL
MANGAL Table of benefits II 12,00,000
20,00,000
567 12445 MANOJ ARORA 53 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
568 12446 YOGESH SHARMA 53 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
569 12447 SAMEER PATHAK 49 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
570 12449 M A R NOEL 53 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 38 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

570 20,00,000
571 12452 PRATAP BHAN 27 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
572 12455 SUDHIR KUMAR 57 M Table of benefits III 10,00,000 NIL
SAXENA Table of benefits II 20,00,000
30,00,000
573 12456 ABHISHEK 42 M Table of benefits III 8,00,000 NIL
CHATTERJEE Table of benefits II 12,00,000
20,00,000
574 12458 V GOPAL 50 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
575 12459 AJIT SINGH 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
576 12460 ALOK KUMAR 53 M Table of benefits III 8,00,000 NIL
NAGARIA Table of benefits II 12,00,000
20,00,000
577 12463 PARTHA PRATIM 57 M Table of benefits III 8,00,000 NIL
BISWAS Table of benefits II 12,00,000
20,00,000
578 12464 VISHAL NINAWE 39 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
579 12465 KANISHK PADHI 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
580 10959 SUMAN HAWLADER 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
581 10961 ALOKESH MONDAL 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
582 10962 SHISIR ROY 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
583 10963 CHANDAN DAS 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
584 10966 AISHWARYA MS 34 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
585 10967 REKHA KUMARI MS 34 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 39 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

586 10969 RANVIJAY KUMAR 38 M Table of benefits II 12,00,000 NIL


SATYARTHI Table of benefits III 8,00,000
20,00,000
587 10971 MANOJ KUMAR 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
588 10973 RAJEEV KUMAR 39 M Table of benefits II 12,00,000 NIL
MISHRA Table of benefits III 8,00,000
20,00,000
589 10974 MD IFTEKHAR ALAM 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
590 10978 PRANAY UREWAR 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
591 10981 SIDDHARTHA PALIT 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
592 10983 GURULAKSHMI P 37 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
593 10991 VARINDER PAL 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
594 10992 BIMAL KRISHNA 57 M Table of benefits II 12,00,000 NIL
SINHA Table of benefits III 8,00,000
20,00,000
595 10994 PRAVEEN KUMAR 50 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
596 10995 V P SUNIL KUMAR 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
597 10998 P VR MURTHY 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
598 11001 M K SINGH 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
599 11003 REETU PATIAL MS 43 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
600 11036 AMARNATH SINGH 43 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
601 95079 T MURUGARAJ 49 M Table of benefits III 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 40 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

601 Table of benefits II 12,00,000


20,00,000
602 95081 P VENKATESH 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
603 95082 V H V MANIKANDA 50 M Table of benefits III 4,00,000 NIL
SARMA Table of benefits II 8,00,000
12,00,000
604 95090 S MUKHOPADHAY 48 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
605 95094 A MALAYADHRI 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
606 95096 C DAYALAN 49 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
607 95098 GIRISH BHATIA 56 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
608 100033 GULAB SINGH 53 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
609 100192 KUMAR 51 M Table of benefits II 6,00,000 NIL
KAUSHLENDRA Table of benefits III 4,00,000
10,00,000
610 100233 PANKAJKUMAR 34 M Table of benefits II 6,00,000 NIL
PANDEY Table of benefits III 4,00,000
10,00,000
611 100290 M LINGANNA 46 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
612 100300 ASHOK KUMAR 47 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
613 100307 RAMASHANKER 52 M Table of benefits II 6,00,000 NIL
PANDEY Table of benefits III 4,00,000
10,00,000
614 100310 BISHWAJEETKUMAR 56 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000
615 10533 PALASH DE 42 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
616 10534 N T VIJAYKUMAR 39 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 41 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

616 20,00,000
617 10535 V RAJAN 40 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
618 10538 K J MANIKANDAN 35 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
619 10539 ANIRBAN RAKSHIT 43 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
620 10541 RAJESH KUMAR 43 M Table of benefits II 12,00,000 NIL
CHAUDHARY Table of benefits III 8,00,000
20,00,000
621 10542 DHARMENDRA 47 M Table of benefits II 12,00,000 NIL
KUMAR SACHAN Table of benefits III 8,00,000
20,00,000
622 103876 NAVEEN RAWAT 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
623 103877 RAY BIPLAW JOSHI 24 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
624 103878 VIKAS SAHU 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
625 103879 SANJAY KUMAR 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
626 103880 GAURAV KASLIWAL 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
627 103882 ANISH P R 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
628 103884 MANJEET 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
629 103885 SUNNY 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
630 103886 RAVINDER KUMAR 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
631 103887 MUHAMMMED 27 M Table of benefits III 4,00,000 NIL
ANEES Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 42 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

632 11401 CHANDRA SHEKHAR 59 M Table of benefits II 12,00,000 NIL


TEWARI Table of benefits III 8,00,000
20,00,000
633 11404 N MURALIDHARAN 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
634 11406 SANDEEP KUMAR 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
635 11407 RAKESH RANJAN 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
636 11408 ROHIT SHEKHAR 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
637 11409 KRISHNA KANT 42 M Table of benefits II 12,00,000 NIL
CHAURASIA Table of benefits III 8,00,000
20,00,000
638 11410 DES KUMAR SAHU 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
639 11416 RAVINDRA PRASAD 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
640 11418 BRAJESH KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
641 11419 PRABHAT SHARMA 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
642 11420 MAYA KUMARI MS 49 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
643 11421 GULAB PRAJAPATI 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
644 11422 RANJEET KUMAR 52 M Table of benefits II 12,00,000 NIL
DAS Table of benefits III 8,00,000
20,00,000
645 11423 ANJANI KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
646 11424 BIRENDRA PRASAD 43 M Table of benefits II 12,00,000 NIL
YADAV Table of benefits III 8,00,000
20,00,000
647 11425 M CHANDRAKALA 57 F Table of benefits II 12,00,000 NIL
MS

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 43 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

647 Table of benefits III 8,00,000


20,00,000
648 11426 BIBHU KALYAN 43 M Table of benefits III 8,00,000 NIL
MOHANTY Table of benefits II 12,00,000
20,00,000
649 11427 RAJIV NANDAN 46 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
650 11428 ARVIND KUMAR 56 M Table of benefits II 12,00,000 NIL
CHAUHAN Table of benefits III 8,00,000
20,00,000
651 11429 RANJIT KUMAR 48 M Table of benefits II 12,00,000 NIL
VERMA Table of benefits III 8,00,000
20,00,000
652 11430 SANDEEP BHARTI 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
653 11431 SANJAY MEHTA 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
654 11432 PANKAJ 53 M Table of benefits II 12,00,000 NIL
KULSHRESHTHA Table of benefits III 8,00,000
20,00,000
655 11433 GAJENDRA KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
656 11434 SANJAY KUMAR RAI 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
657 11435 RAJIV SINGH 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
658 11436 ANIL KUMAR 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
659 11437 RAKESH KUMAR 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
660 11438 MANOJ KUMAR 39 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
661 11439 KAILASH CHAND 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
662 11440 ASHISH 46 M Table of benefits II 12,00,000 NIL
SRIVASTAVA Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 44 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

662 20,00,000
663 11442 NITISH KUMAR 40 M Table of benefits II 12,00,000 NIL
KAUSHIK Table of benefits III 8,00,000
20,00,000
664 11443 SHIV SHANKAR 47 M Table of benefits II 12,00,000 NIL
PRASAD Table of benefits III 8,00,000
20,00,000
665 11444 LOKESH KUMAR 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
666 11446 GIRISH KUMAR 36 M Table of benefits II 12,00,000 NIL
KAUSHIK Table of benefits III 8,00,000
20,00,000
667 2660 Shyam Narayan Singh 49 M Table of benefits III 4,00,000 NIL
YADAV Table of benefits II 8,00,000
12,00,000
668 2666 SHIV CHANDRA 56 M Table of benefits III 4,00,000 NIL
MISHRA Table of benefits II 8,00,000
12,00,000
669 2669 RAGHO KUMAR JHA 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
670 2670 VINOD KUMAR 50 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
671 2673 NEM SINGH PAL 52 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
672 2674 B S RAWAT 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
673 2675 PREM LAL 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
674 2676 MD MIRAZUDDIN ALI 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
675 2677 AJAY KUMAR 49 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
676 2679 PREM SINGH 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
677 2680 VIJAY KUMAR 49 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 45 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

678 2685 AMITABH KHARE 55 M Table of benefits III 8,00,000 NIL


Table of benefits II 12,00,000
20,00,000
679 2686 S K PANDEY 59 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
680 2689 MALA RAM 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
681 2690 MD JAINUDDIN 56 M Table of benefits III 4,00,000 NIL
ANSARI Table of benefits II 8,00,000
12,00,000
682 2691 TEJ PRATAP CHAND 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
683 2692 T K DAS 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
684 2693 HARIKESH YADAV 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
685 2694 SUBHASH CHANDER 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
686 2695 SAMIR KUMAR MAITI 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
687 2696 RANBIR SINGH 57 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
688 2697 RAJEEV GARG 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
689 2700 VINAY GUPTA 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
690 2704 PURAN SINGH BISHT 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
691 2708 RAJEEV KUMAR 53 M Table of benefits III 8,00,000 NIL
SHARMA Table of benefits II 12,00,000
20,00,000
692 2709 RAKESH KUMAR 54 M Table of benefits III 8,00,000 NIL
RAIZADA Table of benefits II 12,00,000
20,00,000
693 2712 PRADEEP TYAGI 53 M Table of benefits III 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 46 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

693 Table of benefits II 12,00,000


20,00,000
694 2716 SANJEEV JAIN 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
695 2719 RADHEY SHYAM 55 M Table of benefits III 4,00,000 NIL
MISHRA Table of benefits II 8,00,000
12,00,000
696 2724 VANSH BAHADUR 53 M Table of benefits III 4,00,000 NIL
MAURYA Table of benefits II 8,00,000
12,00,000
697 2725 SURENDER MADAN 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
698 2726 AMRISH KUMAR 55 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
699 2731 NARINDER SINGH 54 M Table of benefits III 8,00,000 NIL
RAWAT Table of benefits II 12,00,000
20,00,000
700 2733 MS 56 M Table of benefits III 8,00,000 NIL
RAJASEKHARAN Table of benefits II 12,00,000
20,00,000
701 2734 P KANDASAMY 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
702 2736 S R MISHRA 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
703 2738 K MADHESWARAN 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
704 2739 GAYA RAM PANDEY 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
705 2740 N K MISHRA 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
706 2741 VIJAY SHANKAR 55 M Table of benefits III 4,00,000 NIL
MISHRA Table of benefits II 8,00,000
12,00,000
707 2742 AWADESH PRASAD 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
708 2743 S K MISHRA 49 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 47 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

708 12,00,000
709 2744 V S TRIPATHI 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
710 2745 V K PATHAK 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
711 2746 B B SHARMA 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
712 11037 MANOJ KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
713 11038 PUSHP RAJ 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
714 11040 SAROJ KUMAR 50 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
715 11043 SAYED SHEFUL 43 M Table of benefits II 12,00,000 NIL
HODA Table of benefits III 8,00,000
20,00,000
716 11055 TVIJAY SHANKAR 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
717 11061 RAJA DEVINENI 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
718 11074 DONEPUDI 50 M Table of benefits II 12,00,000 NIL
KOTESWARA RAO Table of benefits III 8,00,000
20,00,000
719 11077 M HARI KISHORE 44 M Table of benefits II 12,00,000 NIL
ANAND Table of benefits III 8,00,000
20,00,000
720 11081 RANJAN KUMAR 49 M Table of benefits II 12,00,000 NIL
TIWARY Table of benefits III 8,00,000
20,00,000
721 11087 AJIT KUMAR 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
722 11090 T RAMA KRISHNA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
723 11098 CHAMANDEEP 40 M Table of benefits II 12,00,000 NIL
AGGARWAL Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 48 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

724 11102 BISHWAJEET 47 M Table of benefits II 12,00,000 NIL


KUMAR ARYA Table of benefits III 8,00,000
20,00,000
725 11104 VIRENDRA SINGH 56 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
726 11105 D MAJUMDAR 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
727 11106 LT COL C B PANDEY 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
728 11107 DOSAPATI 53 M Table of benefits II 12,00,000 NIL
NAGASREENIVAS Table of benefits III 8,00,000
20,00,000
729 11108 PARANJEET KUMAR 47 M Table of benefits II 12,00,000 NIL
LAL Table of benefits III 8,00,000
20,00,000
730 11109 GOUTAM JHA 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
731 11113 VIJAI KISHORE 56 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
732 11121 RAJIV SHARMA 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
733 11122 RADHEY SHYAM 47 M Table of benefits II 12,00,000 NIL
GUPTA Table of benefits III 8,00,000
20,00,000
734 11126 V R BHAIRI 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
735 102058 DEVARADDI J 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
736 102067 JASOBANTA 43 M Table of benefits III 4,00,000 NIL
MOHANTY Table of benefits II 6,00,000
10,00,000
737 102068 JOGENDRA KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
738 102069 TAPAN KUMAR 35 M Table of benefits III 4,00,000 NIL
BARIK Table of benefits II 6,00,000
10,00,000
739 102073 VINOD KUMAR 44 M Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 49 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

739 Table of benefits II 6,00,000


10,00,000
740 102077 VIJENDRAKUMAR 41 M Table of benefits III 4,00,000 NIL
PRASAD Table of benefits II 6,00,000
10,00,000
741 102078 AMOLARUN 40 M Table of benefits III 4,00,000 NIL
KHOBRAGADE Table of benefits II 6,00,000
10,00,000
742 102084 DINESHKUMAR 37 M Table of benefits III 4,00,000 NIL
SHAHU Table of benefits II 6,00,000
10,00,000
743 102085 ANU 33 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
744 102088 SAMUDRAGUPT 36 M Table of benefits III 4,00,000 NIL
ANAND Table of benefits II 6,00,000
10,00,000
745 102090 AJAY KUMAR 45 M Table of benefits III 4,00,000 NIL
VERMA Table of benefits II 6,00,000
10,00,000
746 102091 TEENA 37 F Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
747 102092 MEENA CHAWLA 38 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
748 102094 AMITKUMAR 36 M Table of benefits III 4,00,000 NIL
BHASKER Table of benefits II 6,00,000
10,00,000
749 102096 MARUTIMOHAN 38 M Table of benefits III 4,00,000 NIL
SRIVASTAVA Table of benefits II 6,00,000
10,00,000
750 102098 SURAJKAILASH 34 M Table of benefits III 4,00,000 NIL
SAHOO Table of benefits II 6,00,000
10,00,000
751 102103 NAND KUMAR 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
752 102113 PINTUSINHA ROY 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
753 102114 JAYBHADRA JHA 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
754 102123 SUTHARARVIND 54 M Table of benefits III 4,00,000 NIL
KUMAR Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 50 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

754 10,00,000
755 102125 SUSHANTKUMAR 41 M Table of benefits III 4,00,000 NIL
SAHU Table of benefits II 6,00,000
10,00,000
756 102148 ARUN KUMAR 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
757 11449 VINOD KUMAR 41 M Table of benefits II 12,00,000 NIL
JATAV Table of benefits III 8,00,000
20,00,000
758 11450 PRASHANT 35 M Table of benefits II 12,00,000 NIL
AGNIHOTRI Table of benefits III 8,00,000
20,00,000
759 11451 NADEEM AHMAD 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
760 11452 JYOTSNA DIXIT 38 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
761 11453 PRAMOD KUMAR 55 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
762 11455 RAMAKANT PANDEY 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
763 11456 MANOJ KUMAR 46 M Table of benefits II 12,00,000 NIL
PANDEY Table of benefits III 8,00,000
20,00,000
764 11457 NEETU SINGH MRS 36 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
765 11458 Ch KIRAN KUMAR 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
766 11459 KRIPAKAR MISHRA 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
767 11461 SURESH KUMAR 50 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
768 11462 B VENKATA SWAMY 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
769 11463 BISWAJIT GOSWAMI 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 51 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

770 11464 BHARAT N 45 M Table of benefits II 12,00,000 NIL


CHAUHAN Table of benefits III 8,00,000
20,00,000
771 11465 NAGESH 44 M Table of benefits II 12,00,000 NIL
RAMCHANDRA Table of benefits III 8,00,000
DEOTARE
20,00,000
772 11466 BISWA BHUSHAN 39 M Table of benefits II 12,00,000 NIL
PRADHAN Table of benefits III 8,00,000
20,00,000
773 11467 ANIL KUMAR 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
774 11468 SORABH KUMAR 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
775 11469 KUMAR SUNDARAM 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
776 11471 DHARMENDRA 41 M Table of benefits II 12,00,000 NIL
KUMAR Table of benefits III 8,00,000
20,00,000
777 11473 RAVINDRA 44 M Table of benefits II 12,00,000 NIL
SHYAMSUNDAR Table of benefits III 8,00,000
VORA
20,00,000
778 11474 AMIT KUMAR PATEL 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
779 11475 VIJAY KUMAR 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
780 11476 MD AMIRULLAH 39 M Table of benefits II 12,00,000 NIL
ANSARI Table of benefits III 8,00,000
20,00,000
781 11477 DEBASIS SAMANTA 40 M Table of benefits II 12,00,000 NIL
ROY Table of benefits III 8,00,000
20,00,000
782 11478 JEETENDRA KUMAR 46 M Table of benefits II 12,00,000 NIL
KHAN Table of benefits III 8,00,000
20,00,000
783 11479 SUDHANSHU 41 M Table of benefits II 12,00,000 NIL
SEKHAR MOHANTY Table of benefits III 8,00,000
20,00,000
784 11480 JITENDRA KUMAR 41 M Table of benefits II 12,00,000 NIL
ROUT Table of benefits III 8,00,000
20,00,000
785 11483 AJAY KUMAR 50 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 52 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

785 Table of benefits III 8,00,000


20,00,000
786 11484 S JAFFAR SADIQ ALI 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
787 11486 MANOJ KUMAR 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
788 11487 YOGENDRA PRASAD 57 M Table of benefits II 12,00,000 NIL
VERMA Table of benefits III 8,00,000
20,00,000
789 11488 SHIBA PRASAD 46 M Table of benefits II 12,00,000 NIL
PARIDA Table of benefits III 8,00,000
20,00,000
790 11489 SHIV KUMAR 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
791 11490 AMRISH KUMAR RAI 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
792 11492 LALIT RAWAT 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
793 11493 VINOD KUMAR 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
794 11494 SHIV SHANKER 52 M Table of benefits II 12,00,000 NIL
PRASAD Table of benefits III 8,00,000
20,00,000
795 103083 SMT SAVITA 35 F Table of benefits III 4,00,000 NIL
MALHOTRA Table of benefits II 6,00,000
10,00,000
796 103086 PRAMOD GAJBHIYE 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
797 103090 NAVNEET NIMESH 43 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
798 103091 KARRI ADITYA 33 M Table of benefits III 4,00,000 NIL
NARAYANAN Table of benefits II 6,00,000
10,00,000
799 103094 ATULKUMAR 38 M Table of benefits III 4,00,000 NIL
PANDEY Table of benefits II 6,00,000
10,00,000
800 103101 DILEEPKUMAR 38 M Table of benefits III 4,00,000 NIL
TRIPATHI Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 53 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

800 10,00,000
801 103104 JYOTIPRAKASH PATI 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
802 2747 ZILA JEET MAURIYA 49 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
803 2748 A K MITTAL 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
804 2749 BUDHI SINGH 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
805 2750 P P KUNDU 55 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
806 2752 RAMESH CHANDRA 52 M Table of benefits III 8,00,000 NIL
MISRA Table of benefits II 12,00,000
20,00,000
807 2753 TARUN KUMAR 51 M Table of benefits III 8,00,000 NIL
GUPTA Table of benefits II 12,00,000
20,00,000
808 2758 VINOD KUMAR 53 M Table of benefits III 8,00,000 NIL
MUDGAL Table of benefits II 12,00,000
20,00,000
809 2761 N GANESH BABU 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
810 2763 NARAIN SINGH 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
811 2764 D P SEMWAL 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
812 2765 VIJAY MANDAL 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
813 2768 SARVESH KUMAR 52 M Table of benefits III 8,00,000 NIL
ASTHANA Table of benefits II 12,00,000
20,00,000
814 2770 SUMITA BHADURI 52 F Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
815 2773 PRATAP SINGH 54 M Table of benefits III 4,00,000 NIL
ALARYA Table of benefits II 8,00,000
12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 54 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

816 2775 SATISH CH SHARMA 50 M Table of benefits III 4,00,000 NIL


Table of benefits II 8,00,000
12,00,000
817 2776 LALU PRASAD 48 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
818 2777 SHYAM SANKAR 54 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 8,00,000
12,00,000
819 2778 R PANEER SELVAM 48 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
820 2779 MISHRI LAL 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
821 2780 TRISHUL KUMAR 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
822 2784 ROHTAS KUMAR 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
823 2785 RAJ KUMAR MEHRA 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
824 2786 HAR SINGH 60 M Table of benefits III 4,00,000 NIL
RAUTELA Table of benefits II 8,00,000
12,00,000
825 2790 RAMAKANT RAM 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
826 2797 VED PARKASH 52 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
827 2798 RAMOOTAR 48 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
828 2799 BIRENDER SINGH 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
829 2806 M B SINGH 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
830 2808 KESHAV DEV 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
831 2817 AMRENDRA JHA 58 M Table of benefits III 10,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 55 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

831 Table of benefits II 20,00,000


30,00,000
832 10313 M MURALI 50 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
833 10318 PARDEEP MITTAL 50 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
834 10326 HARI SHANKAR 49 M Table of benefits III 8,00,000 NIL
PRASAD Table of benefits II 12,00,000
20,00,000
835 10327 K S PANDIAN 46 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
836 10336 SANDEEP GUPTA 44 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
837 10339 SUDEEP KUMAR 43 M Table of benefits III 8,00,000 NIL
GUPTA Table of benefits II 12,00,000
20,00,000
838 10353 A CHATTERJEE 59 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
839 10358 RAJEEV KUMAR 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
840 10375 JITENDRA KUMAR 40 M Table of benefits III 8,00,000 NIL
YADAV Table of benefits II 12,00,000
20,00,000
841 10385 SIREESHA M 40 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
842 10401 AMIT BISHT 38 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
843 10419 MANITA BANKA 38 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
844 10420 VIVEKANAND 50 M Table of benefits III 8,00,000 NIL
MUMDAS Table of benefits II 12,00,000
20,00,000
845 10421 DEEPAK MAHAJAN 46 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
846 10422 RAGHVENDRA 47 M Table of benefits III 8,00,000 NIL
KUMAR SHUKLA Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 56 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

846 20,00,000
847 102152 M SENTHIL KUMAR 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
848 102158 NISHANT KHARE 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
849 102162 MITEENKANT 38 M Table of benefits III 4,00,000 NIL
MESHRAM Table of benefits II 6,00,000
10,00,000
850 102170 SATBIR SINGH 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
851 12466 PRATEEK SINGH 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
852 12467 MAYANK TOMAR 26 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
853 12468 ROHIT SINGH 29 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
854 12469 BHAGWAN DAS 48 M Table of benefits III 4,00,000 NIL
RAIKWAR Table of benefits II 8,00,000
12,00,000
855 12470 SADHANA SHARMA 37 F Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
856 12471 TARUN GOYAL 38 F Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
857 12473 J 45 M Table of benefits III 8,00,000 NIL
MOHANAKRISHNAN Table of benefits II 12,00,000
20,00,000
858 12474 AVIJIT HALDER 53 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
859 12475 SHARAD KUMAR 57 M Table of benefits III 10,00,000 NIL
YAGNIK Table of benefits II 20,00,000
30,00,000
860 12477 SUKHINDER JEET 34 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
861 12478 SARVESH KUMAR 45 M Table of benefits III 8,00,000 NIL
GUPTA Table of benefits II 12,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 57 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

862 12479 MANOJ KUMAR 52 M Table of benefits III 8,00,000 NIL


TRIPATHI Table of benefits II 12,00,000
20,00,000
863 12480 M K SRIVASTAVA 53 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
864 12483 PRAMOD KUMAR 59 M Table of benefits III 8,00,000 NIL
PANDA Table of benefits II 12,00,000
20,00,000
865 12485 V SELVAM 56 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
866 12486 RAHUL NEMA 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
867 12487 SUMIT KUMAR 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
868 12488 MOHES KUMAR 53 M Table of benefits III 10,00,000 NIL
BEHERA Table of benefits II 20,00,000
30,00,000
869 12493 AVANI BHUSHAN 50 M Table of benefits III 10,00,000 NIL
GUPTA Table of benefits II 20,00,000
30,00,000
870 500665 ABADALI ANSARI 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
871 500666 GOPAL KRUSHNA 66 M Table of benefits II 6,00,000 NIL
RAY Table of benefits III 4,00,000
10,00,000
872 500667 UMA SHANKER 61 M Table of benefits II 6,00,000 NIL
ARYA Table of benefits III 4,00,000
10,00,000
873 500668 SUTANU SANTRA 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
874 500669 CHHAKKI LAL 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
875 500670 BHAGAT SINGH 61 M Table of benefits II 6,00,000 NIL
BANGA Table of benefits III 4,00,000
10,00,000
876 500671 DEVENDRA KUMAR 62 M Table of benefits II 6,00,000 NIL
SONI Table of benefits III 4,00,000
10,00,000
877 500672 SUDHIR KUMAR 60 M Table of benefits II 6,00,000 NIL
BOTKE

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 58 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

877 Table of benefits III 4,00,000


10,00,000
878 500673 ASHOK KUMAR 64 M Table of benefits II 6,00,000 NIL
GUPTA Table of benefits III 4,00,000
10,00,000
879 500674 MAN MOHAN DOGRA 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
880 500675 V 61 M Table of benefits II 6,00,000 NIL
RATNASABABATHY Table of benefits III 4,00,000
10,00,000
881 500676 MANRAJAN TANTY 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
882 500678 MUKHOPADHYAY 60 M Table of benefits II 6,00,000 NIL
MAHABIR Table of benefits III 4,00,000
10,00,000
883 500679 SWAPAN KUMAR 57 M Table of benefits II 6,00,000 NIL
CHATTERJEE Table of benefits III 4,00,000
10,00,000
884 500680 RATNESH KUMAR 52 M Table of benefits II 6,00,000 NIL
MISHRA Table of benefits III 4,00,000
10,00,000
885 500681 MAHENDRA NARAIN 61 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000
886 500682 NARENDRA SINGH 62 M Table of benefits II 6,00,000 NIL
ARYA Table of benefits III 4,00,000
10,00,000
887 500683 BHUSHAN PRASAD 37 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
888 500685 N HARIDAS 59 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
889 500686 MAHENDRA KUMAR 60 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
890 500687 RANDHIR SINGH 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
891 500688 J S YADAV 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
892 103112 KAPIL DEVIDAS 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 59 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

892 10,00,000
893 103117 G SIVAKUMAR 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
894 103122 CHETAN YADAV 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
895 103124 ASHWANI KUMAR 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
896 103125 R ARUNKUMAR 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
897 103126 A ANAND 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
898 103127 G ADINARAYANAN 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
899 103128 V GOPI 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
900 103130 AKHILESH PRATAP 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
901 103132 S EBINESAR 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
902 103134 S SURESH 44 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
903 103137 SUMIT MATHUR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
904 103138 PRIYABRATA 47 M Table of benefits III 4,00,000 NIL
MONDAL Table of benefits II 6,00,000
10,00,000
905 103146 ARTI TIWARI 34 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
906 103150 CILIMIKOTI MAHESH 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
907 103151 HIMADRI ROY 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 60 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

908 103153 SYED AHMED SHAH 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
909 103162 KRISHNENDU 36 M Table of benefits III 4,00,000 NIL
BANERJEE Table of benefits II 6,00,000
10,00,000
910 103163 SATYA PRAKASH 46 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
911 103164 GPG PALINISAMI 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
912 103165 VEERAPANDI AL 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
913 103166 EDWINALDRIN 38 M Table of benefits III 4,00,000 NIL
PEDAPUDI Table of benefits II 6,00,000
10,00,000
914 103169 MANVENDRA BHATI 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
915 103176 ANJU BAKSHI 50 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
916 103198 DEEPAK RAWAT 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
917 103202 SHAILENDRA 35 M Table of benefits III 4,00,000 NIL
KUMAR TRIPATHI Table of benefits II 6,00,000
10,00,000
918 103203 YOGESH CHANDRA 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
919 103205 SAIKAT DAS 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
920 103206 SAMYADIP BISWAS 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
921 103219 MEERA 39 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
922 103220 DIPTI SHAW 31 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
923 103224 SUPRIYA AICH 32 M Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 61 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

923 Table of benefits II 6,00,000


10,00,000
924 103227 SHITALVINOD 32 F Table of benefits III 4,00,000 NIL
MALUSARE Table of benefits II 6,00,000
10,00,000
925 103230 SAHIL MAQBUL 29 M Table of benefits III 4,00,000 NIL
MIRKAR Table of benefits II 6,00,000
10,00,000
926 103233 ARNAB NANDA 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
927 103235 REETABRATA 32 M Table of benefits III 4,00,000 NIL
GHOSH Table of benefits II 6,00,000
10,00,000
928 103242 SANDEEPJIYALAL 33 M Table of benefits III 4,00,000 NIL
BANSOD Table of benefits II 6,00,000
10,00,000
929 103243 ASHUTOSHKUMAR 33 M Table of benefits III 4,00,000 NIL
CHOUDHARY Table of benefits II 6,00,000
10,00,000
930 103246 B RAJAGURU 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
931 103249 CHUDAMAN S 35 M Table of benefits III 4,00,000 NIL
DESHMUKH Table of benefits II 6,00,000
10,00,000
932 103250 RAKESH 31 M Table of benefits III 4,00,000 NIL
RAHANGDALE Table of benefits II 6,00,000
10,00,000
933 103259 VANASHRI A PANDE 42 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
934 103261 PRIYA RANJAN 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
935 103265 PRATEEK SAHU 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
936 103271 NITIN KUMAR 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
937 10423 K B JAYAN 45 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
938 10425 ZIA MAJEED 40 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 62 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

938 20,00,000
939 10426 VIVEK KUMAR 40 M Table of benefits III 8,00,000 NIL
SHARMA Table of benefits II 12,00,000
20,00,000
940 10427 AJAY SHARMA 42 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
941 2818 MANOJ KUMAR 48 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 8,00,000
12,00,000
942 2819 ANJANA BAGAI 55 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
943 2822 ARUN CHATURVEDI 58 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
944 2823 RAJENDRA PRASAD 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
945 2824 B M DIXIT 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
946 2825 P P MITRA 56 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
947 2826 VINOD KUMAR 49 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
948 2827 KAMLESH KUMAR 57 M Table of benefits III 4,00,000 NIL
DUBEY Table of benefits II 8,00,000
12,00,000
949 2828 RAM BACHAN 52 M Table of benefits III 4,00,000 NIL
DUBEY Table of benefits II 8,00,000
12,00,000
950 2832 RAJESH KUMAR 57 M Table of benefits III 10,00,000 NIL
MAINI Table of benefits II 20,00,000
30,00,000
951 2835 AMITABHA DE 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
952 2836 SALESH KUMAR 50 M Table of benefits III 4,00,000 NIL
PANDEY Table of benefits II 8,00,000
12,00,000
953 2837 RAKESH KUMAR 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 63 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

954 2839 RAKESH KUMAR 50 M Table of benefits III 4,00,000 NIL


AGGARWAL Table of benefits II 8,00,000
12,00,000
955 2842 SHADILAL KAUL 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
956 2843 A R PRASAD 49 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
957 2845 SATISH KUMAR 56 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
958 2847 SUSHIL BHASKAR 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
959 2848 R SARVANAN 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
960 2849 PAWAN KUMAR 58 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
961 2850 RAM KISHAN 58 M Table of benefits III 8,00,000 NIL
KAPOOR Table of benefits II 12,00,000
20,00,000
962 2853 MADAN LAL 59 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
963 2861 MADHU ARORA 52 F Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
964 2863 R C SRIVASTAVA 51 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
965 2301 RAJENDER KUMAR 58 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
966 2302 NARENDER KUMAR 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
967 2312 ANIL BHASIN 56 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
968 2317 GOVIND MOHAN 58 M Table of benefits III 8,00,000 NIL
GOVILLA Table of benefits II 12,00,000
20,00,000
969 2324 JANAK RAJ ATRI 56 M Table of benefits III 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 64 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

969 Table of benefits II 12,00,000


20,00,000
970 2335 PRADEEPKUMAR 56 M Table of benefits III 8,00,000 NIL
KHATTAR Table of benefits II 12,00,000
20,00,000
971 2366 M S BISHT 52 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
972 2371 SUNIL KUMAR 56 M Table of benefits III 10,00,000 NIL
KAPOOR Table of benefits II 20,00,000
30,00,000
973 2373 VAKIL MANDAL 59 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
974 2378 R P SINGH 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
975 2380 JOGINDER SINGH 56 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
976 2383 RAKESH KAPOOR 58 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
977 2385 PONNUSWAMY 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
978 2390 ANIL KUMAR JAIN 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
979 2394 SUBRATA KUNAR 58 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
980 2395 JOGINDER PRASAD 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
981 2399 RAJEEV KUMAR 55 M Table of benefits II 20,00,000 NIL
DAYAL Table of benefits III 10,00,000
30,00,000
982 500689 SATISH KUMAR 60 M Table of benefits II 6,00,000 NIL
GULATI Table of benefits III 4,00,000
10,00,000
983 500690 K G SUBRAMANYA 60 M Table of benefits II 6,00,000 NIL
SARMA Table of benefits III 4,00,000
10,00,000
984 500691 MOOL CHAND 60 M Table of benefits II 6,00,000 NIL
CHAUHAN Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 65 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

984 10,00,000
985 500692 P JAYARAMULU 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
986 500695 PRAVAT KUMAR 63 M Table of benefits II 6,00,000 NIL
MUKHERJEE Table of benefits III 4,00,000
10,00,000
987 500696 BRIJPAL SHARMA 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
988 500699 SUDIPTA NARAYAN 60 M Table of benefits II 6,00,000 NIL
CHATTOPADHYAY Table of benefits III 4,00,000
10,00,000
989 500700 BIJ BHUSHAN SOOD 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
990 500702 CHANDRAKANT 60 M Table of benefits II 6,00,000 NIL
MAROTI BISARE Table of benefits III 4,00,000
10,00,000
991 500704 KAVITA KHIMSHARIA 60 F Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
992 500705 JAGDISH KUMAR 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
993 500706 DHEERENDRA 62 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000
994 500707 ASHOK KUMAR 0 M Table of benefits II 6,00,000 NIL
DHIMAN Table of benefits III 4,00,000
10,00,000
995 500709 A S MAHAPATRA 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
996 500711 ASHISH KUMAR 60 M Table of benefits II 6,00,000 NIL
GOEL Table of benefits III 4,00,000
10,00,000
997 500712 AMICHAND SURAT 65 M Table of benefits II 6,00,000 NIL
SINGH LAUHRI Table of benefits III 4,00,000
10,00,000
998 500713 SISIR KUMAR 60 M Table of benefits II 6,00,000 NIL
SAHOO Table of benefits III 4,00,000
10,00,000
999 500714 KANAI LAL DEY 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 66 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1000 500715 BILAL HUSAIN ZAIDI 32 M Table of benefits II 6,00,000 NIL


Table of benefits III 4,00,000
10,00,000
1001 500716 ROHIT 33 M Table of benefits II 6,00,000 NIL
JHUNJHUNWALA Table of benefits III 4,00,000
10,00,000
1002 500719 C V S VAIDYANATH 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1003 600081 VAID ARVIND 59 M Table of benefits II 6,00,000 NIL
KUMAR Table of benefits III 4,00,000
10,00,000
1004 600086 DR RAMAN SHARMA 59 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1005 600105 B N OJHA 49 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1006 600134 SUBIR DAS 53 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1007 600185 B N MUMHERJEE 67 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1008 600200 DR RAHUL SINGH 43 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1009 600261 ATMA DUBEY 66 M Table of benefits II 6,00,000 NIL
DUBEY Table of benefits III 4,00,000
10,00,000
1010 600299 S K KSHTRAPAL 65 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1011 102210 DEBASISH 40 M Table of benefits III 4,00,000 NIL
PRAMANIK Table of benefits II 6,00,000
10,00,000
1012 102214 AJAY KUMAR 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1013 102217 KARTIKCHANDRA 42 M Table of benefits III 4,00,000 NIL
KUNDU Table of benefits II 6,00,000
10,00,000
1014 102229 P PARASURAMAN 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1015 102242 ASHOKKUMAR 34 M Table of benefits III 4,00,000 NIL
SINGH

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 67 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1015 Table of benefits II 6,00,000


10,00,000
1016 102260 AMOL KUMAR 38 M Table of benefits III 4,00,000 NIL
NARNAWARE Table of benefits II 6,00,000
10,00,000
1017 102265 ANILKUMAR 45 M Table of benefits III 4,00,000 NIL
NAMDEO Table of benefits II 6,00,000
10,00,000
1018 102268 DEEPANSHU 33 M Table of benefits III 4,00,000 NIL
KUCHHAL Table of benefits II 6,00,000
10,00,000
1019 102271 GAURAV SHARMA 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1020 102307 L SHANKAR RAO 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1021 102311 KRISHNANANDAN 53 M Table of benefits III 4,00,000 NIL
KUMAR Table of benefits II 6,00,000
10,00,000
1022 102313 SANJIVKUMAR 50 M Table of benefits III 4,00,000 NIL
NANDKEOLYAR Table of benefits II 6,00,000
10,00,000
1023 102314 HAZARI LAL 48 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1024 102318 ARVINDKUMAR 56 M Table of benefits III 4,00,000 NIL
PANDEY Table of benefits II 6,00,000
10,00,000
1025 102320 PRAVIN SINGH 42 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1026 102329 JACKY GUPTA 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1027 200126 VINOD KUMAR 43 M Table of benefits II 6,00,000 NIL
VERMA Table of benefits III 4,00,000
10,00,000
1028 200127 HARPINDER SINGH 31 M Table of benefits II 6,00,000 NIL
SHINH Table of benefits III 4,00,000
10,00,000
1029 200128 WASEEM RAJA 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1030 200129 PRABHAKAR 42 M Table of benefits II 6,00,000 NIL
SATPUDE Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 68 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1030 10,00,000
1031 200130 AVINASH PARAS 32 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1032 200131 SANDEEP TIWARI 27 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1033 200132 JITENDRA 35 M Table of benefits II 6,00,000 NIL
YADUWANSHI Table of benefits III 4,00,000
10,00,000
1034 200133 DHARMENDRA 32 M Table of benefits II 6,00,000 NIL
KUMAR VERMA Table of benefits III 4,00,000
10,00,000
1035 200134 MANMOHAN PANDA 32 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1036 200135 MUKESH KUMAR 30 M Table of benefits II 6,00,000 NIL
PANDIT Table of benefits III 4,00,000
10,00,000
1037 200137 SANDEEP GOCHARE 35 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1038 200138 DINESH N 29 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1039 200140 ABHISHEK 36 M Table of benefits II 6,00,000 NIL
VENKATESH Table of benefits III 4,00,000
10,00,000
1040 200141 AMIT KUMAR 33 M Table of benefits II 6,00,000 NIL
UPRAITY Table of benefits III 4,00,000
10,00,000
1041 200142 MAHENDRA 25 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
1042 200143 PRAKASH KUMAR 34 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1043 200144 MILIND HARISH 34 M Table of benefits II 6,00,000 NIL
KALAMBHE Table of benefits III 4,00,000
10,00,000
1044 200145 AVINASH RANJAN 33 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1045 200147 ATUL SHRINET 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 69 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1046 200148 BHOLA PRASAD 36 M Table of benefits II 6,00,000 NIL


Table of benefits III 4,00,000
10,00,000
1047 200149 SYED NADEEM 26 M Table of benefits II 6,00,000 NIL
AKHTAR Table of benefits III 4,00,000
10,00,000
1048 200150 A V MAHESWARA 49 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1049 200152 DEVARSHI PRATAP 32 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000
1050 200153 AMIT MEENA 26 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1051 200154 VENUGOPALG 47 M Table of benefits II 6,00,000 NIL
UPADHYE Table of benefits III 4,00,000
10,00,000
1052 200155 VINEET 38 M Table of benefits II 6,00,000 NIL
CHOUDHARY Table of benefits III 4,00,000
10,00,000
1053 200156 MAITRY SHAH 27 F Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1054 200157 SUNITA 35 F Table of benefits II 6,00,000 NIL
CHOUDHARY Table of benefits III 4,00,000
10,00,000
1055 200158 HEMANT KUMAR 34 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1056 200159 ABHIJIT RAJ 25 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1057 200161 ABHISHEK 33 M Table of benefits II 6,00,000 NIL
BHATNAGAR Table of benefits III 4,00,000
10,00,000
1058 200163 SIVA NARAYANA 29 M Table of benefits II 6,00,000 NIL
CHUKKALA Table of benefits III 4,00,000
10,00,000
1059 200164 KHIRODA CHANDRA 54 M Table of benefits II 6,00,000 NIL
JENA Table of benefits III 4,00,000
10,00,000
1060 200166 VIPIN SAINI 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1061 200167 CHANDRABHAN 31 M Table of benefits II 6,00,000 NIL
VAJUBHAI GADHAVI

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 70 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1061 Table of benefits III 4,00,000


10,00,000
1062 200168 ADITYA GUPTA 35 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1063 200169 ANUPAM VIJAY 46 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1064 200170 RAJBIR YADAV 51 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1065 200171 ASHOK KUMAR 41 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1066 200173 JAY PRAKASH 48 M Table of benefits II 6,00,000 NIL
SHARAN SHARMA Table of benefits III 4,00,000
10,00,000
1067 200174 ASHOK KUMAR 46 M Table of benefits II 6,00,000 NIL
JANA Table of benefits III 4,00,000
10,00,000
1068 200175 GYANANDER 42 M Table of benefits II 6,00,000 NIL
KUMAR SHARMA Table of benefits III 4,00,000
10,00,000
1069 200176 ASHAY SHETE 31 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1070 200177 PANKAJ JYOTIRAM 37 M Table of benefits II 6,00,000 NIL
KHAMKAR Table of benefits III 4,00,000
10,00,000
1071 200178 SANDIP KUMAR 32 M Table of benefits II 6,00,000 NIL
MOHANTY Table of benefits III 4,00,000
10,00,000
1072 10543 RAKESH GUPTA 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1073 10544 ABHISHEK 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1074 10548 PRABHAKAR 43 M Table of benefits II 12,00,000 NIL
KATIYAR Table of benefits III 8,00,000
20,00,000
1075 10549 SANGAPPA N 41 M Table of benefits II 12,00,000 NIL
ABHIGERI Table of benefits III 8,00,000
20,00,000
1076 10551 MANOJ KUMAR 42 M Table of benefits II 12,00,000 NIL
CHAMUAH Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 71 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1076 20,00,000
1077 10552 RANJIT MOHANTY 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1078 10553 RAKESH 41 M Table of benefits II 12,00,000 NIL
SRIVASTAVA Table of benefits III 8,00,000
20,00,000
1079 10554 RAVI KANT SHARMA 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1080 10555 NEERAJ SINGH 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1081 10558 RAJEEV KUMAR 46 M Table of benefits II 12,00,000 NIL
AHUJA Table of benefits III 8,00,000
20,00,000
1082 10560 MANOJ KUMAR DAS 46 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1083 10586 ABHAY KUMAR 45 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
1084 10599 SUNIL KUMAR 46 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1085 10610 PRADEEP KUMAR 53 M Table of benefits II 12,00,000 NIL
CHATURVEDI Table of benefits III 8,00,000
20,00,000
1086 10618 HIMANSU SEKHAR 52 M Table of benefits II 12,00,000 NIL
NAYAK Table of benefits III 8,00,000
20,00,000
1087 103280 AKASH SAHU 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1088 103284 KAMESHWAR 30 M Table of benefits III 4,00,000 NIL
TIWARI Table of benefits II 6,00,000
10,00,000
1089 103285 SANDEEP KUMAR 31 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 6,00,000
10,00,000
1090 103289 MENAHEM M 31 M Table of benefits III 4,00,000 NIL
SHOMRON Table of benefits II 6,00,000
10,00,000
1091 103291 ABDUL ARIEF 31 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 72 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1092 103292 SUDESHNA SARKAR 39 M Table of benefits III 4,00,000 NIL


Table of benefits II 6,00,000
10,00,000
1093 103297 BAREN ROY 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1094 103298 PRALAY SANKAR 51 M Table of benefits III 4,00,000 NIL
RAY Table of benefits II 6,00,000
10,00,000
1095 103303 AYYUB AYYUB 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1096 103306 POONAM DUBEY 34 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1097 103308 MANOJ KUMAR 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1098 103310 P IRFAN AHMED 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1099 103311 BIJOY KUMAR SONI 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1100 103312 ASHES KUMAR 32 M Table of benefits III 4,00,000 NIL
DHUA Table of benefits II 6,00,000
10,00,000
1101 103314 SUMIT KUMAR 38 M Table of benefits III 4,00,000 NIL
SINHA Table of benefits II 6,00,000
10,00,000
1102 6539 BIGAL ORAON 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1103 6540 RABINDRA GOCHAIT 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1104 6541 HARIHAR GOCHAIT 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1105 6542 BIMAL MAZUMDAR 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1106 6543 TAPAS KUMAR 53 M Table of benefits II 12,00,000 NIL
MISRA Table of benefits III 8,00,000
20,00,000
1107 6547 SHYAMAL KUMAR 56 M Table of benefits II 8,00,000 NIL
MONDAL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 73 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1107 Table of benefits III 4,00,000


12,00,000
1108 6548 SHAKTIPADA ROY 55 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1109 6549 ASHOK KUMAR 53 M Table of benefits II 8,00,000 NIL
MONDAL Table of benefits III 4,00,000
12,00,000
1110 6550 G CHAKRABORTY 48 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1111 6552 ADHIR KUMAR 53 M Table of benefits II 8,00,000 NIL
MONDAL Table of benefits III 4,00,000
12,00,000
1112 6553 DEBASIS BOSE 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1113 6554 P S SHIVANANDA 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1114 6556 V KUMAR 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1115 6560 V S NAARAYANA 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1116 6561 MD ZAHEER KHAN 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1117 6562 R 54 M Table of benefits II 8,00,000 NIL
PARASURAMAYYA Table of benefits III 4,00,000
12,00,000
1118 6564 MANOJ KUMAR ROY 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1119 6568 ASHOK KUMAR 58 M Table of benefits II 12,00,000 NIL
CHOUBEY Table of benefits III 8,00,000
20,00,000
1120 6570 JAGMOHAN SINGH 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1121 6571 N S MYTHILI 56 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1122 6572 S KANNAN 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 74 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1122 12,00,000
1123 6573 N AJIT 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1124 6575 C ANTHONY PAUL 55 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1125 6576 V M SAKHRE 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1126 6577 A UTHRIA DASS 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1127 6579 M VASUDEV 48 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1128 6580 ANIL KUMAR 58 M Table of benefits II 8,00,000 NIL
MISHRA Table of benefits III 4,00,000
12,00,000
1129 6582 D BHATTACHARJEE 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1130 6583 CHANDRA KANT 52 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1131 6584 U K OJHA 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1132 2400 MANIGAM MOHAN 58 M Table of benefits II 12,00,000 NIL
RAO Table of benefits III 8,00,000
20,00,000
1133 2403 K MURALI KRISHNA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1134 2417 K R NAUTIYAL 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1135 2419 RAJNI KAPOOR 55 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1136 2420 MAM CHAND 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1137 2422 PRATAP SINGH 55 M Table of benefits II 8,00,000 NIL
DANGI Table of benefits III 4,00,000
12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 75 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1138 2443 K VENKATA RAO 57 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1139 2453 SUDHA GUHA 59 F Table of benefits II 8,00,000 NIL
THAKURTA Table of benefits III 4,00,000
12,00,000
1140 2454 R S THAPA 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1141 2460 SAMEY SINGH 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1142 2462 SHYAM SUNDER 52 M Table of benefits II 8,00,000 NIL
BHATIA Table of benefits III 4,00,000
12,00,000
1143 2464 PRAKASH SAHI 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1144 2466 STENLY ISSAC 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1145 2467 ISHWAR KUMAR 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1146 2468 PREM VALLABH 55 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1147 2469 A K PANDEY 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1148 2471 PANKAJ KUMAR 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1149 2472 JAGMOHAN SINGH 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1150 2476 KEDAR NATH 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1151 2478 FAGU PRASAD 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1152 2482 VIRENDRA SHARMA 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1153 2483 JUGAL K BHATTI 56 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 76 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1153 Table of benefits III 8,00,000


20,00,000
1154 2485 ASHOK BHASKAR 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1155 2489 ASHOK KUMAR 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1156 2490 KESAR SINGH 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1157 2491 B B SUBEDI 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1158 2495 BK PANDA 58 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1159 2497 DHANANJAYA 56 M Table of benefits II 12,00,000 NIL
DUBEY Table of benefits III 8,00,000
20,00,000
1160 2498 CHITRADA M RAJU 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1161 2504 S K CHAND 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1162 2505 J V V 55 M Table of benefits II 8,00,000 NIL
SATYANARAYANA Table of benefits III 4,00,000
12,00,000
1163 2509 R 54 M Table of benefits II 12,00,000 NIL
BALASUBRAMANIAM Table of benefits III 8,00,000
20,00,000
1164 2513 N C SRIVASTAVA 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1165 2515 SHALENDRA BHAN 53 M Table of benefits II 12,00,000 NIL
GUPTA Table of benefits III 8,00,000
20,00,000
1166 2517 SUSHIL PARASHAR 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1167 2525 SUMAN SAKHUJA 54 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1168 2526 ANITA MALHOTRA 57 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 77 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1168 20,00,000
1169 2530 SUJOY MUKHERJEE 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1170 2537 MINAKSHI JUNEJA 59 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1171 2538 DAYAL SINGH 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1172 2539 BECHAN JHA 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1173 2542 SUNITA KHURANA 56 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1174 2544 A K JHA 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1175 2547 K K PANDEY 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1176 2551 RAM KUMAR GOEL 58 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1177 100945 SHIV BAHADUR 38 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1178 100960 RAVI KUMAR 45 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1179 100966 RAHUL JAIN 35 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1180 100974 PRADEEP KUMAR 40 M Table of benefits II 6,00,000 NIL
PASWAN Table of benefits III 4,00,000
10,00,000
1181 100981 DEVA NAND 47 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1182 101529 MANOJ KUMAR 38 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1183 101534 SURENDRA PAL 38 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 78 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1184 101562 PRAMOD KUMAR 43 M Table of benefits II 6,00,000 NIL


BHARTI Table of benefits III 4,00,000
10,00,000
1185 101574 PANKAJ KUMAR 38 M Table of benefits II 6,00,000 NIL
PAIKRA Table of benefits III 4,00,000
10,00,000
1186 101579 ALOK CHANDRA 40 M Table of benefits II 6,00,000 NIL
DAS Table of benefits III 4,00,000
10,00,000
1187 102330 LALITKUMAR 36 M Table of benefits III 4,00,000 NIL
AHIRWAR Table of benefits II 6,00,000
10,00,000
1188 102333 OMPRAKASH YADAV 50 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1189 102335 AMIT TALUKDER 43 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1190 102341 SHIVENDRAPRATAP 56 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 6,00,000
10,00,000
1191 102345 ANILKUMAR SINGH 45 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1192 102390 CHAVDA RAMESH 52 M Table of benefits III 4,00,000 NIL
CHANDRA ARJAN Table of benefits II 6,00,000
10,00,000
1193 102394 PRAVIN 44 M Table of benefits III 4,00,000 NIL
RAMAKRISHNA Table of benefits II 6,00,000
10,00,000
1194 102418 VIVEK 36 M Table of benefits III 4,00,000 NIL
SHRIVASTAVA Table of benefits II 6,00,000
10,00,000
1195 102421 ANAND KUMAR B 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1196 102427 J ALEX AMUDHAN 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1197 102447 A GANESH 41 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1198 102466 ASHISH KUMAR 45 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1199 102468 KIRTI SINHA 43 F Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 79 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1199 Table of benefits II 6,00,000


10,00,000
1200 102471 NABA KUMAR 42 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1201 102472 ANIL V BAIJAKAL 46 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1202 102475 R K BOBOSANA 45 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 6,00,000
10,00,000
1203 102488 SANDIRA KUMAR M 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1204 102489 RAVICHANDRAN S 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1205 102513 ANEESH M V 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1206 102516 SUDESH KUMAR 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1207 102521 NITESH KUMAR 45 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1208 102522 ANUP KUMAR 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1209 102523 JITENDRA KUMAR 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1210 102525 PRANEET KUMAR 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1211 102527 AMOL A BHARNE 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1212 102540 POONAM SHARMA 33 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1213 102543 NIDHI MEHROTRA 33 F Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
1214 102552 MOHD IQBAL SAIFI 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 80 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1214 10,00,000
1215 102555 G DASARATH 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1216 102560 P GOBU 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1217 102561 DHARAMVEER 36 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 6,00,000
10,00,000
1218 102617 RAJU BALAKRISHNA 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1219 102625 SACHIN SHRIRAMJI 36 M Table of benefits III 4,00,000 NIL
TIPRE Table of benefits II 6,00,000
10,00,000
1220 102649 RAJESH KUMAR 36 M Table of benefits III 4,00,000 NIL
SAMAL Table of benefits II 6,00,000
10,00,000
1221 102653 SOMYA SASWATI 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1222 102654 SAMIR SAHOO 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1223 11128 C A KHARIM 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1224 11135 M V SATISH 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1225 11137 APURBA LAL PANJA 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1226 11139 LINGAM BHIMA 47 M Table of benefits II 12,00,000 NIL
SHEKARA BABU Table of benefits III 8,00,000
20,00,000
1227 11143 VIJAY KUMAR 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1228 11147 MANVIYA SINGH MS 32 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1229 11148 SHWETA MEENA 33 F Table of benefits II 12,00,000 NIL
MRS Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 81 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1230 11150 PANKAJ GUPTA 38 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1231 11151 MD NOMAN 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1232 12804 ANSHUMAN 24 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1233 12807 RAVI CHANDRAM 31 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1234 12808 V KUMARAVEL 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1235 12810 NAVNEET SAINI 34 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1236 12811 MARUTI NANDAN 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1237 12812 ASAD KHAN 24 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1238 12814 SAURABH SINGH 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1239 12815 S K MISHRA 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1240 12816 KRISHANA KUMAR 24 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1241 12817 LAKHAN SINGH 45 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
1242 12818 AJEET ASTHANA 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1243 12821 ANOOP KUMAR 25 M Table of benefits II 12,00,000 NIL
YADAV Table of benefits III 8,00,000
20,00,000
1244 12822 ABHISHEK KUMAR 27 M Table of benefits II 12,00,000 NIL
ADARSH Table of benefits III 8,00,000
20,00,000
1245 12824 ANURAG MITTAL 28 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 82 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1245 Table of benefits III 8,00,000


20,00,000
1246 12825 SHIVAM 26 M Table of benefits II 12,00,000 NIL
KRISHNATRAY Table of benefits III 8,00,000
20,00,000
1247 12826 PARVEEN KUMAR 29 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1248 12827 LOKESH KUMAR 24 M Table of benefits II 12,00,000 NIL
KUMAWAT Table of benefits III 8,00,000
20,00,000
1249 12829 RAKESH KUMAR 40 M Table of benefits II 12,00,000 NIL
VERMA Table of benefits III 8,00,000
20,00,000
1250 12830 K GNANA SAGAR 42 M Table of benefits II 12,00,000 NIL
GUPTA Table of benefits III 8,00,000
20,00,000
1251 12831 RAJEEV KUMAR 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1252 12832 MANASRANJAN 33 M Table of benefits II 12,00,000 NIL
SAHOO Table of benefits III 8,00,000
20,00,000
1253 12833 GAURAV SHARMA 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1254 12834 CHANDRAKANT 36 M Table of benefits II 12,00,000 NIL
KUMAR Table of benefits III 8,00,000
20,00,000
1255 12835 SUNIL KUMAR 24 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
1256 12836 MURARI KUMAR DAS 24 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1257 12838 AMIT KUMAR 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1258 12839 KAMARI PRASAD 41 M Table of benefits II 12,00,000 NIL
SONI Table of benefits III 8,00,000
20,00,000
1259 12840 K V S S NARAYANA 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1260 12841 SHARAD 36 M Table of benefits II 12,00,000 NIL
WASUDEORAO Table of benefits III 8,00,000
RAUT

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 83 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1260 20,00,000
1261 12842 RAMKARAN 54 M Table of benefits II 20,00,000 NIL
MOTIRAM PASI Table of benefits III 10,00,000
30,00,000
1262 12843 ANIL KUMAR 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1263 12844 ANKIT KITAHA 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1264 12845 AVINASH YADAV 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1265 12847 HARSH VARDHAN 26 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1266 12848 JITENDRA SINGH 24 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
1267 12849 MAHENDRA KUMAR 28 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
1268 12850 RISHIRAJ 26 M Table of benefits II 12,00,000 NIL
BASUMATARY Table of benefits III 8,00,000
20,00,000
1269 12852 TEJRAM MEENA 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1270 12854 VIVEK RAI 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1271 12855 SWAPNIL GUPTA 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1272 12856 HARVINDER SINGH 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1273 12857 ANNAYYAPPA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1274 12858 AMAN RIVI 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1275 103353 TUSHAR KUMAR 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 84 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1276 200179 AMITA JAIN 33 F Table of benefits II 6,00,000 NIL


Table of benefits III 4,00,000
10,00,000
1277 200180 GOUTAM SINGH 27 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1278 200181 SAIKAT DUTTA 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1279 200182 SUBHASH CHANDER 53 M Table of benefits II 6,00,000 NIL
YADAV Table of benefits III 4,00,000
10,00,000
1280 200183 I MANUEL DASS 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1281 12111 ASHOK SAHEBLAL 31 M Table of benefits II 8,00,000 NIL
VISHWAKARMA Table of benefits III 4,00,000
12,00,000
1282 12112 RINKU RAJAK 39 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1283 12113 TRIBHUWAN SINGH 29 M Table of benefits II 8,00,000 NIL
NEGI Table of benefits III 4,00,000
12,00,000
1284 12114 CHANDAN KUMAR 33 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1285 12115 MUKESH PRASAD 48 M Table of benefits II 12,00,000 NIL
GUPTA Table of benefits III 8,00,000
20,00,000
1286 12116 CHANDAN SINGH 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1287 12117 AMRENDRA KUMAR 46 M Table of benefits II 12,00,000 NIL
SINHA Table of benefits III 8,00,000
20,00,000
1288 12118 AMIT BASU 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1289 12958 H SHARFUDEEN 46 M Table of benefits III 8,00,000 NIL
AHMED Table of benefits II 12,00,000
20,00,000
1290 12959 ASHUTOSH GAUTAM 34 M Table of benefits III 8,00,000 NIL
GAUTAM Table of benefits II 12,00,000
20,00,000
1291 12960 BSC ADITYA SINGH 31 M Table of benefits III 8,00,000 NIL
DINKAR

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 85 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1291 Table of benefits II 12,00,000


20,00,000
1292 12962 HIRDESH 30 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1293 12963 PRAKASH KUMAR 34 M Table of benefits III 8,00,000 NIL
GUPTA Table of benefits II 12,00,000
20,00,000
1294 12964 OM PRAKASH 35 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1295 12966 SUNIL CHAND 35 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1296 12967 RAJAT SHARMA 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1297 12968 VISMAY VINOD 30 M Table of benefits III 8,00,000 NIL
KUMAR SINGH Table of benefits II 12,00,000
20,00,000
1298 12969 GAUTAM KUMAR 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1299 12970 SADHANALA 26 M Table of benefits III 8,00,000 NIL
SREENIVASA RAO Table of benefits II 12,00,000
20,00,000
1300 12971 VAIBHAV SHRIRAM 24 M Table of benefits III 8,00,000 NIL
KHANTE Table of benefits II 12,00,000
20,00,000
1301 12972 KULDEEP 26 M Table of benefits III 8,00,000 NIL
DEWANGAN Table of benefits II 12,00,000
20,00,000
1302 12973 GAURAV LOHIYA 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1303 12974 HARSHVARDHAN 31 M Table of benefits III 8,00,000 NIL
KULKARNI Table of benefits II 12,00,000
20,00,000
1304 12975 PRADEEP KUMAR 28 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
1305 12976 ANIRUDH DINKAR 29 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1306 12977 RAKESH ROSHAN 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 86 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1306 20,00,000
1307 12978 PARMOD 29 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1308 12979 LAXMAN MORE 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1309 12980 K ROSHAN 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1310 12981 BALAKRISHNA S 29 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1311 12983 MIHIR DHALI 33 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1312 12984 HARIHAR NARAYAN 29 M Table of benefits III 8,00,000 NIL
SHARMA Table of benefits II 12,00,000
20,00,000
1313 12985 ROSHAN 31 M Table of benefits III 8,00,000 NIL
HARISHCHANDRA Table of benefits II 12,00,000
GHODMARE
20,00,000
1314 12986 ASHISH SACHDEVA 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1315 12987 JAI SINGH 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1316 12988 SANDEEP MOITRA 30 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1317 12989 RAMACHANDRA 33 M Table of benefits II 12,00,000 NIL
REDDY NEELAPU Table of benefits III 8,00,000
20,00,000
1318 12990 SUDHEERKUMAR 30 M Table of benefits II 12,00,000 NIL
BELLAMKONDA Table of benefits III 8,00,000
20,00,000
1319 12991 BHUBANJIT DAS 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1320 12992 SAFI ALI 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1321 10620 SUMEET MAHAJAN 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 87 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1322 10638 RINKU BANERJEE 42 F Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1323 6585 P J RAO 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1324 6586 TANUJA SENGUPTA 55 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1325 6587 BINAY THAKUR 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1326 6589 ANADI NANDAN DAS 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1327 6590 S RAVI 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1328 6591 BHUDEB CHANDRA 53 M Table of benefits II 8,00,000 NIL
PARAMANIK Table of benefits III 4,00,000
12,00,000
1329 6592 S K NAIK 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1330 6593 BASANT PRADHAN 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1331 6594 P C NAIK 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1332 6596 BISHNU MANDAL 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1333 6598 M K SINGHA 58 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1334 6604 J GOPIKRISHNAN 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1335 6605 RADHESHYAM 54 M Table of benefits II 12,00,000 NIL
DIKSHIT Table of benefits III 8,00,000
20,00,000
1336 6608 MD S IZHAR 57 M Table of benefits II 12,00,000 NIL
HUSSAIN Table of benefits III 8,00,000
20,00,000
1337 6609 SC SOREN 56 M Table of benefits II 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 88 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1337 Table of benefits III 4,00,000


12,00,000
1338 6610 MD AKRAM ALI 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1339 6613 RAM BAHADUR 59 M Table of benefits II 8,00,000 NIL
CHAND Table of benefits III 4,00,000
12,00,000
1340 6616 D C PRADHAN 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1341 6621 K RAMAKRISHNA 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1342 6635 P M K NAIR 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1343 6636 GOPAL SHARMA 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1344 6638 RITA SHARMA 54 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1345 6667 ANU DATTA 54 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1346 6671 SABYASACHI PANJA 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1347 6702 RAVINDER DEWAN 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1348 6703 AVDESH KUMAR 58 M Table of benefits II 20,00,000 NIL
SHARMA Table of benefits III 10,00,000
30,00,000
1349 6704 KISHORI LAL 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1350 102656 SUBHRAJIT BEHERA 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1351 102658 JITENDRIYA NAYAK 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1352 102660 SURYA KANTA 38 M Table of benefits III 4,00,000 NIL
CHHOTARAY Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 89 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1352 10,00,000
1353 102679 S ASIT RAJAN 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1354 102687 SHALANK KANDPAL 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1355 102698 SATISH 30 M Table of benefits III 4,00,000 NIL
KADAJARAPU Table of benefits II 6,00,000
10,00,000
1356 102718 TRIDIB BARTHAKUR 42 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1357 102719 DIGANTA KUMAR 52 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1358 102726 SHAILESH N 33 M Table of benefits III 4,00,000 NIL
KAPGATE Table of benefits II 6,00,000
10,00,000
1359 102732 YOGESH KUMAR 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1360 102738 BHOJ RAM KURREY 42 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1361 102743 SUSHIL KUMAR 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1362 102746 AMITKUMAR SINGH 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1363 102750 SANJAYKUMAR 36 M Table of benefits III 4,00,000 NIL
PRAJAPATI Table of benefits II 6,00,000
10,00,000
1364 102759 MAHENDRA NATH 32 M Table of benefits III 4,00,000 NIL
SOREN Table of benefits II 6,00,000
10,00,000
1365 102772 R RAJASIMHAN 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1366 102780 GOPAL JI TIWARI 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1367 102782 AJAY SINGH YADAV 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 90 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1368 2556 NARENDER KUMAR 57 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1369 2557 R N SHUKLA 56 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1370 2558 SURINDER SINGH 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1371 2559 RAM ADHIN SHAHI 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1372 2560 RAJEEV NANDA 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1373 2561 NARENDRA KUMAR 58 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1374 2581 S SRIDHAR 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1375 2584 S K GUPTA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1376 2588 YOGESH KUMAR 59 M Table of benefits II 20,00,000 NIL
SHARMA Table of benefits III 10,00,000
30,00,000
1377 10011 NAVEEN CHIKKAYA 47 M Table of benefits II 8,00,000 NIL
POOJARI Table of benefits III 4,00,000
12,00,000
1378 10022 SHIVA KANT 53 M Table of benefits II 12,00,000 NIL
YADAVA Table of benefits III 8,00,000
20,00,000
1379 10080 PARAMJIT SINGH 44 M Table of benefits II 12,00,000 NIL
DUGGAL Table of benefits III 8,00,000
20,00,000
1380 10085 RAJIB 48 M Table of benefits II 12,00,000 NIL
BHATTACHARYA Table of benefits III 8,00,000
20,00,000
1381 10087 MONIKA TYAGI 37 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1382 10121 BAIJAYANTI MALA 42 F Table of benefits II 12,00,000 NIL
LENKA Table of benefits III 8,00,000
20,00,000
1383 10122 SUBHRANSU 46 M Table of benefits II 12,00,000 NIL
SEKHAR PUSTY

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 91 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1383 Table of benefits III 8,00,000


20,00,000
1384 10123 NAVAKISHORE 42 M Table of benefits II 12,00,000 NIL
SAHOO Table of benefits III 8,00,000
20,00,000
1385 10124 ANJANI UPADHYAY 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1386 10131 PRAMOD KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1387 10137 ANIL KUMAR JAIN 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1388 10142 RAJEEV KUMAR 43 M Table of benefits II 12,00,000 NIL
TIWARI Table of benefits III 8,00,000
20,00,000
1389 10159 SK K MUSTAFFA 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1390 10170 SHAKUNTALA DEVI 54 F Table of benefits II 8,00,000 NIL
SMT Table of benefits III 4,00,000
12,00,000
1391 10171 CHHAYA MAHAJAN 46 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1392 10172 SHAKUNTALA SMT 53 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1393 10178 VINEET KUMAR 54 M Table of benefits II 8,00,000 NIL
TYAGI Table of benefits III 4,00,000
12,00,000
1394 10179 RAJ KUMAR 46 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1395 10196 ASHOK KUMAR 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1396 10211 GOPAL SINGH 59 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1397 10217 H L CHAUDHARY 59 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1398 10218 ABHAY NEGI 44 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 92 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1398 20,00,000
1399 10222 BOJJA BUJJI BABU 55 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1400 10224 V K TRIPATHI 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1401 10227 SUDHIR HARI 53 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1402 10229 K RAMACHANDRA 56 M Table of benefits III 8,00,000 NIL
RAO Table of benefits II 12,00,000
20,00,000
1403 10244 TARASANKAR ADAK 47 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1404 10245 PINAKI MAJUMDAR 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1405 10246 VINOD KUMAR 47 M Table of benefits III 8,00,000 NIL
DWIVEDI Table of benefits II 12,00,000
20,00,000
1406 10247 MALINI SAHA MRS 42 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1407 10280 P KAMARAJ 46 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1408 10289 SYED HUSSAIN 49 M Table of benefits III 8,00,000 NIL
MUSTAFA ZAIDI Table of benefits II 12,00,000
20,00,000
1409 10298 SANJEET KUMAR 44 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
1410 10312 R SIVARAJAN 51 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1411 449 AMITA DHALL 55 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1412 450 A S BHASKAR RAO 59 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1413 101587 RAVI PRAKASH 32 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 93 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1414 101588 SUMIT AGGARWAL 37 M Table of benefits II 6,00,000 NIL


Table of benefits III 4,00,000
10,00,000
1415 101601 GHAN SHYAM 38 M Table of benefits II 6,00,000 NIL
RATHAUR Table of benefits III 4,00,000
10,00,000
1416 101608 GOVINDBHAI G 57 M Table of benefits II 6,00,000 NIL
VASAIYA Table of benefits III 4,00,000
10,00,000
1417 101635 SUMAN 41 M Table of benefits II 6,00,000 NIL
CHAKRABORTY Table of benefits III 4,00,000
10,00,000
1418 101659 SANTOSH KUMAR 41 M Table of benefits II 6,00,000 NIL
GAUTAM Table of benefits III 4,00,000
10,00,000
1419 101709 TAPANKUMAR SETHI 35 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1420 101733 MUKESH KUMAR 42 M Table of benefits II 6,00,000 NIL
SINGH Table of benefits III 4,00,000
10,00,000
1421 101744 SATISHKUMAR PAL 36 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1422 101760 RAJEEVRANJAN 37 M Table of benefits II 6,00,000 NIL
SINHA Table of benefits III 4,00,000
10,00,000
1423 101772 SAMIR KUMAR 49 M Table of benefits II 6,00,000 NIL
GHOSH Table of benefits III 4,00,000
10,00,000
1424 12349 SANJAY PANDEY 46 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1425 12350 MUKESH KUMAR 32 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1426 12351 ASHA JYOTHI 34 F Table of benefits III 8,00,000 NIL
CHARAKANA Table of benefits II 12,00,000
20,00,000
1427 12352 NAMIT KUMAR 31 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1428 12353 ARPIT JAIN 29 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1429 12354 SHUBHAM 27 M Table of benefits III 8,00,000 NIL
AGRAWAL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 94 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1429 Table of benefits II 12,00,000


20,00,000
1430 12361 VENNAPUSA 27 M Table of benefits III 8,00,000 NIL
KOTESWARA REDDY Table of benefits II 12,00,000
20,00,000
1431 12362 GURRALA SRINIVAS 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1432 500535 BASANT RAJ DEYALI 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1433 500536 AVINASH KUMAR 62 M Table of benefits II 6,00,000 NIL
GAREKAR Table of benefits III 4,00,000
10,00,000
1434 500548 M SUDHAKAR 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1435 500551 MT 67 M Table of benefits II 6,00,000 NIL
VARGHESEKUTTY Table of benefits III 4,00,000
10,00,000
1436 500558 DEVA NAND 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1437 500559 ASHOK KUMAR 61 M Table of benefits II 6,00,000 NIL
KHANDELWAL Table of benefits III 4,00,000
10,00,000
1438 500562 RAJARAM 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1439 500564 PRADEEP 67 M Table of benefits II 6,00,000 NIL
BHATNAGAR Table of benefits III 4,00,000
10,00,000
1440 500567 JAI SINGH GAHLOT 59 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1441 500570 A N RAJAGOPLAN 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1442 500576 K P GANGADHARAN 66 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1443 500577 PANCHU GOPAL 63 M Table of benefits II 6,00,000 NIL
DAS Table of benefits III 4,00,000
10,00,000
1444 500578 R KUPPAN 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 95 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1444 10,00,000
1445 11152 V K BEHRA 40 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1446 11153 NITIN SRIVASTAVA 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1447 11155 PUSHPENDRA 35 M Table of benefits II 12,00,000 NIL
KUMAR SINGH Table of benefits III 8,00,000
20,00,000
1448 11156 MANISH KUMAR 37 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1449 11157 ROHIT KUMAR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1450 11161 DEEPAK KUMAR 35 M Table of benefits II 12,00,000 NIL
JAIN Table of benefits III 8,00,000
20,00,000
1451 11163 SHIVANSHU 36 M Table of benefits II 12,00,000 NIL
SHEKHAR SHUKLA Table of benefits III 8,00,000
20,00,000
1452 11164 NEERAJ KUMAR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1453 11166 RAVI GAUTAM 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1454 600306 ALI ASGHAR 66 M Table of benefits II 6,00,000 NIL
HUSSAIN Table of benefits III 4,00,000
10,00,000
1455 600322 SURENDRA DUBEY 65 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1456 600330 DINESH KUMAR 64 M Table of benefits II 6,00,000 NIL
TIWARI Table of benefits III 4,00,000
10,00,000
1457 600334 B KESAVAN 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1458 600360 MAHENDRA PRASAD 65 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1459 600363 M MURUGESAN 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 96 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1460 600365 R SRINIVASAN 63 M Table of benefits II 6,00,000 NIL


Table of benefits III 4,00,000
10,00,000
1461 600376 AMARJIT SINGH 65 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1462 600377 DARWARI LAL 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1463 600380 S KONDALA RAO 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1464 600385 SUBOL KUMAR PAUL 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1465 600388 MAHADEB NATH 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1466 600389 ASHOK KUMAR 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1467 600391 BHAGIRATH GODIA 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1468 600393 R SIVARAJAN 57 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1469 600394 A PANEER SELVAM 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1470 600395 Y SURYANARAYANA 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1471 600396 M KRISHNAMURTHY 57 M Table of benefits II 6,00,000 NIL
NAIK Table of benefits III 4,00,000
10,00,000
1472 600397 T KONDANA 65 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1473 600398 G RAMAIAH 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1474 600399 B OBANNA 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1475 600400 D PARAMESHWARA 62 M Table of benefits II 6,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 97 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1475 Table of benefits III 4,00,000


10,00,000
1476 600401 KHIZAR KHAN 66 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1477 600402 B SREERAMULU 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1478 600403 B ADINARAYANHA 59 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1479 600404 D BABU 59 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1480 600405 V OBULESU 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1481 12497 MAHESHWAR SINGH 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1482 12501 SANDEEP MEHRA 54 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1483 12508 ARUN KUMAR 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1484 12511 SUNDER LAL MEENA 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1485 12515 TANMAY BISWAS 29 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1486 12516 PRASUN SAU 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1487 12517 SHEFALI 26 F Table of benefits III 8,00,000 NIL
CHAUDHARY Table of benefits II 12,00,000
20,00,000
1488 12518 LALIT KISHOR 25 M Table of benefits III 4,00,000 NIL
KATARAWAT Table of benefits II 8,00,000
12,00,000
1489 12521 DESETTI VARA 25 M Table of benefits III 4,00,000 NIL
PRASAD Table of benefits II 8,00,000
12,00,000
1490 103357 N MOHAN RAM 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 98 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1490 10,00,000
1491 103360 AKRITI RASTOGI 28 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1492 103362 SHRIKANT 30 M Table of benefits III 4,00,000 NIL
YAWALKAR Table of benefits II 6,00,000
10,00,000
1493 103363 SAKSHAR 35 M Table of benefits III 4,00,000 NIL
MUKHERJEE Table of benefits II 6,00,000
10,00,000
1494 103364 LALIT KUMAR 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1495 103366 SRINIVAS BARIGELA 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1496 103367 Rashikh khan 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1497 103368 MUKESH KUMAR 30 M Table of benefits III 4,00,000 NIL
TRIPATHI Table of benefits II 6,00,000
10,00,000
1498 103369 KRISHNA NAND GIRI 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1499 103374 VARUN KUMAR 28 M Table of benefits III 4,00,000 NIL
PANDEY Table of benefits II 6,00,000
10,00,000
1500 103377 AMIT KUMAR 30 M Table of benefits III 4,00,000 NIL
PRAJAPATI Table of benefits II 6,00,000
10,00,000
1501 103378 HARISH CHANDER 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1502 103380 SUHAS RANJAN 27 M Table of benefits III 4,00,000 NIL
KARAN Table of benefits II 6,00,000
10,00,000
1503 103382 RANJEET VERMA 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1504 103387 MAHIPAL SINGH 29 M Table of benefits III 4,00,000 NIL
SHEKHAWAT Table of benefits II 6,00,000
10,00,000
1505 103390 LINGARAJ 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 99 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1506 103395 BATTULA ROJA 26 M Table of benefits III 4,00,000 NIL


RAMANARAO Table of benefits II 6,00,000
10,00,000
1507 103396 AJIT KUMAR YADAV 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1508 103400 SUSANTA BARICK 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1509 103404 UMIT KUMAR 29 M Table of benefits III 4,00,000 NIL
DANDELIYA Table of benefits II 6,00,000
10,00,000
1510 103407 DEBRAJ SAHA 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1511 103408 SALAUDDIN SAIKH 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1512 103409 SOUMIK DAS 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1513 103410 PRASENJIT 35 M Table of benefits III 4,00,000 NIL
SAMANTA Table of benefits II 6,00,000
10,00,000
1514 103415 T SARAVANAN 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1515 103419 PIYUSH KUMAR 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1516 103421 TUHIN MAJHI 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1517 103426 SOUBHAGINI 27 F Table of benefits III 4,00,000 NIL
CHOUDHURY Table of benefits II 6,00,000
10,00,000
1518 103427 SAGARIKA SAHOO 26 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1519 103430 SAROJA KUMAR 27 M Table of benefits III 4,00,000 NIL
SAMAL Table of benefits II 6,00,000
10,00,000
1520 103431 AMIT KUMAR 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1521 103438 K MUNUSAMY 37 M Table of benefits III 4,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 100 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1521 Table of benefits II 6,00,000


10,00,000
1522 103445 VARUN BHATT 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1523 103446 ROHAN ARORA 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1524 103448 ABHISHEK ROY 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1525 103451 T CHAITANYA 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1526 103452 ANKIT DAHARWAL 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1527 103457 PRITIREKHA 29 F Table of benefits III 4,00,000 NIL
BEHERA Table of benefits II 6,00,000
10,00,000
1528 103461 BASKARAN K 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1529 103464 SANJAY KUMAR 34 M Table of benefits III 4,00,000 NIL
SWAIN Table of benefits II 6,00,000
10,00,000
1530 103468 DINESH KUMAR 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1531 103470 VIVEK PRATAP 33 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 6,00,000
10,00,000
1532 103473 ATHAR JAWED 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1533 103474 TIRTHANKAR 31 M Table of benefits III 4,00,000 NIL
MAITRA Table of benefits II 6,00,000
10,00,000
1534 103475 ARVIND KUMAR 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1535 12993 ARAVIND M S 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1536 12994 AKASH GUPTA 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 101 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1536 20,00,000
1537 12995 GHALI BHARDWAJ 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1538 12996 KRISHNA RAO GADI 26 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1539 12997 DEEPAK KUMAR 26 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1540 12998 GOPALAKRISHNA 30 M Table of benefits II 12,00,000 NIL
DHARAVATH Table of benefits III 8,00,000
20,00,000
1541 12999 RAHUL KUMAR 31 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1542 13000 SATHYANARAYANA 33 M Table of benefits II 12,00,000 NIL
N Table of benefits III 8,00,000
20,00,000
1543 13001 PATHAN AKRAM ALI 27 M Table of benefits II 12,00,000 NIL
KHAN Table of benefits III 8,00,000
20,00,000
1544 13002 NAVNEET KUMAR 29 M Table of benefits II 12,00,000 NIL
JHA Table of benefits III 8,00,000
20,00,000
1545 13003 YOGRAJ THAKUR 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1546 13004 RAM LAKHAN 28 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
1547 13005 DHAN KUMAR 25 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
1548 13006 ABHISHEK YADAV 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1549 13008 SUROJIT 40 M Table of benefits II 12,00,000 NIL
BHATTTACHARJEE Table of benefits III 8,00,000
20,00,000
1550 13009 PRAVIN KUMAR 40 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1551 13011 NADAF MAJUMDAR 40 M Table of benefits II 12,00,000 NIL
IQBAL Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 102 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1552 13012 AJAY KUMAR 50 M Table of benefits II 12,00,000 NIL


TRIPATHI Table of benefits III 8,00,000
20,00,000
1553 13013 VINAY KUMAR 48 M Table of benefits II 12,00,000 NIL
BHAMA Table of benefits III 8,00,000
20,00,000
1554 13014 MANOJ KUMAR 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1555 13015 VARUN KUMAR 25 M Table of benefits II 12,00,000 NIL
CHOUDHARY Table of benefits III 8,00,000
20,00,000
1556 13017 MANOJ KUMAR 51 M Table of benefits II 20,00,000 NIL
RAJPAL Table of benefits III 10,00,000
30,00,000
1557 13018 RUPESH KUMAR 45 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1558 13019 GAURAV PURI 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1559 13020 R M KARTHIKEYAN 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1560 13021 GOURAB DASGUPTA 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1561 13023 ARUN KUMAR 48 M Table of benefits II 20,00,000 NIL
CHATURVEDI Table of benefits III 10,00,000
30,00,000
1562 13024 VUNNAM HARI BABU 49 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1563 13025 M RANADHEER 52 M Table of benefits II 20,00,000 NIL
REDDY Table of benefits III 10,00,000
30,00,000
1564 13026 G B NARAYANA 51 M Table of benefits II 12,00,000 NIL
BABU Table of benefits III 8,00,000
20,00,000
1565 13027 BRIJESH KUMAR 52 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
1566 13028 ARJUN 27 M Table of benefits II 12,00,000 NIL
VISHWAKARMA Table of benefits III 8,00,000
20,00,000
1567 13029 RAJEEV BHARDWAJ 44 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 103 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1567 Table of benefits III 8,00,000


20,00,000
1568 13030 DILKESH MEENA 24 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1569 13031 SHAMSHER S KALSI 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1570 13032 AMIT KUMAR 44 M Table of benefits II 12,00,000 NIL
KESARIA Table of benefits III 8,00,000
20,00,000
1571 13033 VIVEK KUMAR M 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1572 13034 C R CHANNDRARAJ 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1573 12119 VIJAYANAD 46 M Table of benefits II 12,00,000 NIL
GHOTEKAR Table of benefits III 8,00,000
20,00,000
1574 12120 OM PRAKASH 31 M Table of benefits II 8,00,000 NIL
ORAON Table of benefits III 4,00,000
12,00,000
1575 12121 ASHVINI KUMAR 47 M Table of benefits II 12,00,000 NIL
SRIVASTAVA Table of benefits III 8,00,000
20,00,000
1576 12122 SANTOSH KUMAR 28 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1577 12124 DIPAK GABHANE 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1578 12125 MILIND 44 M Table of benefits II 12,00,000 NIL
NAMDEORAO Table of benefits III 8,00,000
NANOTKAR
20,00,000
1579 12128 GAURAV MAHAN 33 M Table of benefits II 8,00,000 NIL
JAUHARI Table of benefits III 4,00,000
12,00,000
1580 10641 PAWAN KUMAR 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1581 10642 SHAILENDRA 48 M Table of benefits II 12,00,000 NIL
KUMAR Table of benefits III 8,00,000
20,00,000
1582 10652 KUMAR RAJIV 46 M Table of benefits II 12,00,000 NIL
RANJAN Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 104 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1582 20,00,000
1583 10653 RAJ KUMAR 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1584 10657 ANIL VIJ 56 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1585 10660 PANKAJ AGRAWAL 59 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1586 10671 RAJESH KUMAR 49 M Table of benefits II 12,00,000 NIL
AGGARWAL Table of benefits III 8,00,000
20,00,000
1587 10672 SANTANU KUMAR 46 M Table of benefits II 12,00,000 NIL
GAURATRA Table of benefits III 8,00,000
20,00,000
1588 10681 PRADEEP KUMAR 47 M Table of benefits II 12,00,000 NIL
MADHUP Table of benefits III 8,00,000
20,00,000
1589 10686 RAMESH KUMAR 49 M Table of benefits II 12,00,000 NIL
SAIN Table of benefits III 8,00,000
20,00,000
1590 10687 R PADMA MALA 46 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1591 10694 KAPIL PRASAD 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1592 10695 S N SHARAN 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1593 10696 GAURI SHANKAR 47 M Table of benefits II 12,00,000 NIL
PRASAD Table of benefits III 8,00,000
20,00,000
1594 10697 ARUN ROY 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1595 102783 ATUL KUMAR 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1596 102784 NISHANT KUMAR 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1597 102785 RAVI KANT YADAV 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 105 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1598 102790 S RAGAVENDRAN 43 M Table of benefits III 4,00,000 NIL


Table of benefits II 6,00,000
10,00,000
1599 102791 ARJUN KUSHAWAHA 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1600 102801 AVASHESH KUMAR 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1601 102802 RATIKANTA 39 M Table of benefits III 4,00,000 NIL
MOHANTY Table of benefits II 6,00,000
10,00,000
1602 102803 JAY JAPE 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1603 102807 PARMINDER SINGH 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1604 102811 AKHILESH TOMAR 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1605 102812 TAPAS TALUKDER 57 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1606 102819 HARI KRISHNA 40 M Table of benefits III 4,00,000 NIL
GAUTAM Table of benefits II 6,00,000
10,00,000
1607 102822 ANIL KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1608 102823 NIRANJAN KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1609 102825 RAJESH RANJAN 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1610 102827 BISWADIP BASURAY 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1611 102847 SUDHANSHU 33 M Table of benefits III 4,00,000 NIL
CHATURVEDI Table of benefits II 6,00,000
10,00,000
1612 102852 PARTHA SARTHI JHA 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1613 102858 VARUN SAHU 35 M Table of benefits II 6,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 106 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1613 Table of benefits III 4,00,000


10,00,000
1614 102870 VIKRANT 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1615 102871 RAVIRAMDASJI 40 M Table of benefits III 4,00,000 NIL
BHAGWATKAR Table of benefits II 6,00,000
10,00,000
1616 102878 PRAVASH KUMAR 45 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1617 102879 VINAY KUMAR 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1618 102880 POOJA MISHRA 33 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1619 102884 VIVEK NAITHANI 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1620 102886 VINAY KUMAR 53 M Table of benefits III 4,00,000 NIL
AHIRWAR Table of benefits II 6,00,000
10,00,000
1621 102890 NIKESH S RAUT 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1622 102896 PRAVESH YADAV 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1623 102897 RAMAN DEEP 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1624 102898 VIRENDRA KUMAR 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1625 102899 ARNAB ROY 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1626 102900 JEENA S PILLAI 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1627 102913 PRIYADARSHI 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1628 102922 NEM CHANDRA 35 M Table of benefits III 4,00,000 NIL
VISHWAKARMA Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 107 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1628 10,00,000
1629 102927 AMIT KUMAR 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1630 102931 SUVRA ROY 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1631 102942 MAHENDRA M 30 M Table of benefits III 4,00,000 NIL
ZANZMERA Table of benefits II 6,00,000
10,00,000
1632 102964 S JYOTISHA 34 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1633 102966 MUTTABATTULA 44 M Table of benefits III 4,00,000 NIL
RAMBABU Table of benefits II 6,00,000
10,00,000
1634 102970 CH THIRUPATHI 43 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1635 102971 PRIYANK MOHAN 46 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1636 102972 ARUN KUMAR 48 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1637 102998 THATI HARISH 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1638 102999 RAMESHA C J 40 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1639 103004 GOVIND SAHU 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1640 454 ASHOK KUMAR 59 M Table of benefits II 20,00,000 NIL
MATHUR Table of benefits III 10,00,000
30,00,000
1641 458 INDRA KUMAR 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1642 462 NARESH KUMAR 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1643 463 DINESH KUMAR 55 M Table of benefits II 12,00,000 NIL
GUPTA Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 108 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1644 465 N N JHA 59 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1645 466 VIJAY KUMAR 54 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1646 467 P R NARESH KUMAR 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1647 469 RAJ KUMAR 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1648 470 MD MANIRUL ISLAM 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1649 471 SUDERSHAN KR 57 M Table of benefits II 12,00,000 NIL
POPLI Table of benefits III 8,00,000
20,00,000
1650 472 ISHWAR SINGH 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1651 485 SURENDER ROY 57 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1652 486 SOM NATH 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1653 487 BACHAN SINGH 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1654 489 PHOOL CHANDRA 53 M Table of benefits II 8,00,000 NIL
YADAV Table of benefits III 4,00,000
12,00,000
1655 492 RAVI DHAR 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1656 498 PAWAN SHARMA 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1657 499 RADHAY SHYAM 55 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1658 501 MAHENDRA KUMAR 56 M Table of benefits II 8,00,000 NIL
YADAV Table of benefits III 4,00,000
12,00,000
1659 502 SOHAN SINGH 52 M Table of benefits II 8,00,000 NIL
CHAUHAN

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 109 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1659 Table of benefits III 4,00,000


12,00,000
1660 504 HEMANT KUMAR 58 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1661 509 PANKAJ KUMAR 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1662 520 ASHWANI KUMAR 58 M Table of benefits II 12,00,000 NIL
KOHLI Table of benefits III 8,00,000
20,00,000
1663 522 SHIW PRAKASH LAL 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1664 525 S VISHU KUMAR 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1665 527 CHAKARDHER 53 M Table of benefits II 8,00,000 NIL
SEMWAL Table of benefits III 4,00,000
12,00,000
1666 529 ASHOK KUMAR 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1667 530 MRIDULA GANGULY 58 F Table of benefits II 12,00,000 NIL
KHANNA Table of benefits III 8,00,000
20,00,000
1668 533 PRAKASH CHANDER 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1669 534 RAMESH SHAHI 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1670 536 RAMESH CHANDER 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1671 537 DEVANAN MEHTO 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1672 538 MAHESH SINGH 54 M Table of benefits II 8,00,000 NIL
RANA Table of benefits III 4,00,000
12,00,000
1673 540 AJAY BAHRI 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1674 541 GULAB CHANDRA 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 110 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1674 12,00,000
1675 547 YOUVRAJ SINGH 53 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1676 548 RAJESH KUMAR 57 M Table of benefits II 8,00,000 NIL
SRIVASTAVA Table of benefits III 4,00,000
12,00,000
1677 564 PRABHU DAYAL 54 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1678 566 K VIJAYAN 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1679 569 BIBHUTI KUMAR DAS 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1680 572 ANIL KUMAR 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1681 573 ASHOK KUMAR 54 M Table of benefits II 8,00,000 NIL
PRASAD Table of benefits III 4,00,000
12,00,000
1682 574 VIRESH PRAKASH 54 M Table of benefits II 12,00,000 NIL
GOEL Table of benefits III 8,00,000
20,00,000
1683 579 S JYOTHIRMAYEE 52 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1684 581 SOOL CHAND 55 M Table of benefits II 8,00,000 NIL
YADAV Table of benefits III 4,00,000
12,00,000
1685 587 A SUBBANAIDU 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1686 500579 BADRI PRASAD 62 M Table of benefits II 6,00,000 NIL
JAISWAL Table of benefits III 4,00,000
10,00,000
1687 500580 GOPARAJU KUMAR 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1688 500581 ANIL HANDA 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1689 500582 LAJ KUMAR 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 111 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1690 500583 RAJESH KUMAR 65 M Table of benefits II 6,00,000 NIL


PRASHAR Table of benefits III 4,00,000
10,00,000
1691 500584 KRISHNA KUMAR 61 M Table of benefits II 6,00,000 NIL
DWIVEDI Table of benefits III 4,00,000
10,00,000
1692 500586 ANIL MITTAL 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1693 500588 ANIL KUMAR 61 M Table of benefits II 6,00,000 NIL
SHARMA Table of benefits III 4,00,000
10,00,000
1694 500589 RAM GOPAL 62 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1695 500591 DEBASISH ROY 61 M Table of benefits II 6,00,000 NIL
CHOUDHURY Table of benefits III 4,00,000
10,00,000
1696 500593 MAHI PAL SINGH 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1697 500596 ANUP KUMAR 65 M Table of benefits II 6,00,000 NIL
RAMPAL Table of benefits III 4,00,000
10,00,000
1698 500597 NAVIN CHANDRA 61 M Table of benefits II 6,00,000 NIL
SHARDA Table of benefits III 4,00,000
10,00,000
1699 500598 KALANDI CHARAN 61 M Table of benefits II 6,00,000 NIL
MALLICK Table of benefits III 4,00,000
10,00,000
1700 500599 SHEO MOHAN 63 M Table of benefits II 6,00,000 NIL
PRASAD Table of benefits III 4,00,000
10,00,000
1701 500600 GIRISH CHANDRA 60 M Table of benefits II 6,00,000 NIL
BUDHALAKOTI Table of benefits III 4,00,000
10,00,000
1702 500601 RAJINDER SINGH 64 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1703 500603 ASHOK KUMAR 63 M Table of benefits II 6,00,000 NIL
MACKAL Table of benefits III 4,00,000
10,00,000
1704 500605 V K AGGARWAL 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1705 500608 MANGOBINDA ROY 61 M Table of benefits II 6,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 112 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1705 Table of benefits III 4,00,000


10,00,000
1706 500609 P T MITTAL 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1707 500611 ANGNU PRADHAN 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1708 500612 ANIL KUMAR DEWAN 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1709 500613 SWARN SINGH 63 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1710 500614 PURAN CHAND 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1711 500615 MADHUSUDHAN G 61 M Table of benefits II 6,00,000 NIL
DHAMANGAONKAR Table of benefits III 4,00,000
10,00,000
1712 500616 PAWAN KUMAR 60 M Table of benefits II 6,00,000 NIL
ARORA Table of benefits III 4,00,000
10,00,000
1713 500617 J S KATARIA 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1714 500618 DILIP KUMAR 61 M Table of benefits II 6,00,000 NIL
AGARWAL Table of benefits III 4,00,000
10,00,000
1715 500619 VINOD KUMAR 62 M Table of benefits II 6,00,000 NIL
KHARE Table of benefits III 4,00,000
10,00,000
1716 500620 DEVI CHAND 60 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1717 500623 PARMJEET SINGH 64 M Table of benefits II 6,00,000 NIL
CHOPRA Table of benefits III 4,00,000
10,00,000
1718 500624 NAUNIHAL SINGH 61 M Table of benefits II 6,00,000 NIL
KHANDWAL Table of benefits III 4,00,000
10,00,000
1719 500625 SUSHIL SAHA 61 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1720 12522 SUSANTA KUMAR 25 M Table of benefits III 4,00,000 NIL
SAHU Table of benefits II 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 113 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1720 12,00,000
1721 12523 GOUTAM SARKAR 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1722 12525 PREM RANJAN 48 M Table of benefits III 10,00,000 NIL
KUMAR Table of benefits II 20,00,000
30,00,000
1723 12528 HV 44 M Table of benefits III 8,00,000 NIL
RAMAKRISHNAMUR Table of benefits II 12,00,000
THY
20,00,000
1724 12529 PURAN SINGH 54 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1725 12532 JAI KISHAN 26 M Table of benefits III 4,00,000 NIL
JAYSWAL Table of benefits II 8,00,000
12,00,000
1726 12533 RAMJI KUMAR 23 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1727 12540 DHARMENDRA ROY 28 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1728 12541 KRUNAL 26 M Table of benefits III 8,00,000 NIL
MUKESHBHAI Table of benefits II 12,00,000
PRAJAPATI
20,00,000
1729 12542 RAJ KUMAR 31 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1730 12543 RAM B NANGAS 26 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1731 12544 SURYA PRATAP 30 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
1732 12545 VISHAL SAINI 26 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1733 12548 CHANDRA BHAN 28 M Table of benefits III 8,00,000 NIL
MEENA Table of benefits II 12,00,000
20,00,000
1734 12549 SANDEEP S MEENA 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1735 12550 PIYUSH KUMAR 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 114 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1736 12552 SUMAN ADHIKARY 29 M Table of benefits III 4,00,000 NIL


Table of benefits II 8,00,000
12,00,000
1737 12555 DINESH KUMAR 53 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1738 12557 AMIT MAHAWAR 27 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1739 12558 APOORV GUPTA 30 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1740 12563 GAURAV KUMAR 26 M Table of benefits III 8,00,000 NIL
MANGAL Table of benefits II 12,00,000
20,00,000
1741 12567 AMIT GUPTA 51 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1742 12573 VIMAL KUMAR 45 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1743 12574 SUDHAKAR 46 M Table of benefits III 8,00,000 NIL
MESHRAM Table of benefits II 12,00,000
20,00,000
1744 12575 MOHD MANSOOR 34 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1745 12576 RANJANA SHARMA 49 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1746 12577 UDAYPRATAP 34 M Table of benefits III 8,00,000 NIL
SINGH Table of benefits II 12,00,000
20,00,000
1747 12578 JITENDRA 41 M Table of benefits III 8,00,000 NIL
RAMESHRAO Table of benefits II 12,00,000
20,00,000
1748 12580 SOMNATH 47 M Table of benefits III 8,00,000 NIL
MUKHERJEE Table of benefits II 12,00,000
20,00,000
1749 12581 RAJEEV KUMAR 46 M Table of benefits II 12,00,000 NIL
RANJAN Table of benefits III 8,00,000
20,00,000
1750 12582 SATISH KUMAR 45 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1751 12583 G SHANKAR MOHAN 50 M Table of benefits III 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 115 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1751 Table of benefits II 12,00,000


20,00,000
1752 12584 MADHURA K S 36 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1753 12585 SANJAY SAHANY 36 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1754 11167 PRASHANT KUMAR 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1755 11168 RITA KUMARI 35 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1756 11169 VISHAL PRAKASH 36 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1757 11170 RAJEEV RANJAN 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1758 11174 SHAILESH KUMAR 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1759 11175 BRIJENDRA KUMAR 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1760 11176 RUPESH BURIULY 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1761 11178 RAJ KISHORE 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1762 11179 DEVENDRA KUMAR 55 M Table of benefits II 12,00,000 NIL
PARASHAR Table of benefits III 8,00,000
20,00,000
1763 11180 RAJESH KUMAR 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1764 11181 SANJAY AGRAWAL 54 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1765 103476 JAILAL DHANKAR 38 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1766 103477 SUDEEPTA KUMAR 36 M Table of benefits III 4,00,000 NIL
MONDAL Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 116 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1766 10,00,000
1767 103478 ARUN KUMAR 27 M Table of benefits III 4,00,000 NIL
MALLICK Table of benefits II 6,00,000
10,00,000
1768 103479 SANDEEP PANDA 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1769 103480 ASHOK D 39 M Table of benefits III 4,00,000 NIL
CHOUDHARI Table of benefits II 6,00,000
10,00,000
1770 103484 SUDHANYA 38 F Table of benefits III 4,00,000 NIL
MUKHERJEE Table of benefits II 6,00,000
10,00,000
1771 103486 NISHU JAIN 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1772 103487 PRIYAJIT KUMAR 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1773 103488 K S SANIL 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1774 103491 KAUSTAV 26 M Table of benefits III 4,00,000 NIL
CHATTERJEE Table of benefits II 6,00,000
10,00,000
1775 103494 SUBHAJIT SARADAR 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1776 103498 NITASHA NAYAK 27 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1777 103499 PRIYA SHARMA 26 F Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1778 103500 ASHWANI KUMAR 32 M Table of benefits III 4,00,000 NIL
SAHU Table of benefits II 6,00,000
10,00,000
1779 103501 CHANDRAKANT 31 M Table of benefits III 4,00,000 NIL
SAHU Table of benefits II 6,00,000
10,00,000
1780 103502 PREMJEET KUMAR 33 M Table of benefits III 4,00,000 NIL
SINGH Table of benefits II 6,00,000
10,00,000
1781 103503 PRASHANT GUNJAN 33 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 117 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1782 103507 M MANOVA 39 M Table of benefits III 4,00,000 NIL


Table of benefits II 6,00,000
10,00,000
1783 103514 BHASKAR VERMA 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1784 103516 MUKESH PAL 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1785 103519 SOURAV 29 M Table of benefits III 4,00,000 NIL
BHATTACHARYYA Table of benefits II 6,00,000
10,00,000
1786 103520 SOUVIK DUTTA 26 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1787 103521 MD TAUHID 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1788 103523 SAIKAT AHAMMAD 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1789 103524 HARSH DUWASHA 39 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1790 103529 SWAGATA 26 F Table of benefits III 4,00,000 NIL
SWETALEENA Table of benefits II 6,00,000
MOHANTA
10,00,000
1791 103533 M BALAKRISHNAN 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1792 103541 RITESH KUMAR 29 M Table of benefits II 6,00,000 NIL
Table of benefits III 4,00,000
10,00,000
1793 103542 SURYAKANTA SAHU 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1794 103543 JOYDEV PAL 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1795 103544 KRISHN JHA 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1796 103549 RAVINDRA VERMA 31 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1797 12859 RAHNUMA AHAMAD 25 M Table of benefits II 12,00,000 NIL
ANSARI

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 118 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1797 Table of benefits III 8,00,000


20,00,000
1798 12860 SANJAY KUMAR 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1799 12861 ANURAG GAUR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1800 12862 PRASHANT SINGH 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1801 12864 VINEET PRAKASH 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1802 12865 MANU KACHHAL 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1803 12867 K IMAYARAJ 42 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1804 12868 JITENDRA 43 M Table of benefits II 12,00,000 NIL
LAWANIYA Table of benefits III 8,00,000
20,00,000
1805 12869 ASHWANI KUMAR 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1806 12870 NAIB SINGH MEHTA 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1807 12871 SANDEEP 32 M Table of benefits II 12,00,000 NIL
SARANGAL Table of benefits III 8,00,000
20,00,000
1808 12873 RAKESH BAHL 55 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1809 12874 JOGINDER KUMAR 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1810 12130 ANUP KUMAR 36 M Table of benefits II 12,00,000 NIL
MANDAL Table of benefits III 8,00,000
20,00,000
1811 12133 MAHESH 47 M Table of benefits II 20,00,000 NIL
SREENIVASAN Table of benefits III 10,00,000
30,00,000
1812 12134 ANAND SHEKHAR 33 M Table of benefits II 8,00,000 NIL
SINGH Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 119 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1812 12,00,000
1813 12135 RAHUL KUMAR 33 M Table of benefits II 8,00,000 NIL
NILESH Table of benefits III 4,00,000
12,00,000
1814 12138 ANAND KUMAR R 31 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1815 12139 ASHMAJIT MANDAL 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1816 12140 ARVIND KUMAR 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1817 12142 NISHANT JINDAL 29 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1818 12143 ARCHANA KUMARI 29 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1819 12144 ABHISHEK SINGH 30 M Table of benefits II 12,00,000 NIL
SONI Table of benefits III 8,00,000
20,00,000
1820 12145 AMANJEET KUMAR 29 M Table of benefits II 12,00,000 NIL
JHA Table of benefits III 8,00,000
20,00,000
1821 12147 MOHIT SHARMA 30 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1822 12149 AKASH VERMA 30 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1823 12150 LOKENDRA SINGH 28 M Table of benefits II 12,00,000 NIL
DANGI Table of benefits III 8,00,000
20,00,000
1824 12151 RASHMI KUMARI 31 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1825 12154 PRADEEP KUMAR 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1826 12158 SANTOSH KUMAR 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1827 12159 ANIL DUBEY 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 120 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1828 12160 G SRINIVASAN 50 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1829 12162 JOGINATH SADANGI 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1830 12163 S BAHUGUNA 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1831 12169 VIKASH VERMA 29 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1832 12170 CHANDAN KUMAR 29 M Table of benefits II 12,00,000 NIL
PRASAD Table of benefits III 8,00,000
20,00,000
1833 12171 SANTOSH KUMAR 29 M Table of benefits II 12,00,000 NIL
CHAKRAWAL Table of benefits III 8,00,000
20,00,000
1834 12172 ABDESH SINGH 29 M Table of benefits II 12,00,000 NIL
YADAV Table of benefits III 8,00,000
20,00,000
1835 12173 NEHA GAMBHIR 28 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1836 12174 BRAJESH 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1837 12175 ASHWANI KUMAR 30 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1838 12176 Md ASHRAF JAWED 30 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1839 12178 SWEATANK YADAV 35 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1840 12179 AMIT KUMAR 30 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1841 12180 AMARJEET YADAV 29 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1842 12181 AVADESH MEENA 29 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1843 12183 SUBHADIP BANIK 28 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 121 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1843 Table of benefits III 8,00,000


20,00,000
1844 12184 G SUVAASINI 31 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1845 12185 KRITI RAJVANSHI 32 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1846 12186 SWAPNALI SANJAY 32 F Table of benefits II 12,00,000 NIL
BARAI Table of benefits III 8,00,000
20,00,000
1847 12187 AKASH GOEL 28 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1848 12188 SRUTHI K 27 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1849 12189 TANUJ SUKHIJA 29 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1850 12190 SOM DEV 27 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1851 12191 NITIN RAJPUT 30 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1852 12192 ISHA APURWA 29 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1853 12193 VIKASH KUMAR 32 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1854 12205 PUSHPENDER 40 M Table of benefits II 12,00,000 NIL
YADAV Table of benefits III 8,00,000
20,00,000
1855 103005 MUKESH KUMAR 39 M Table of benefits III 4,00,000 NIL
KHICHI Table of benefits II 6,00,000
10,00,000
1856 103011 PANKAJ 34 M Table of benefits III 4,00,000 NIL
PRABHAKAR Table of benefits II 6,00,000
10,00,000
1857 103012 PRAVIN TULARAM 36 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1858 103019 MANISH 37 M Table of benefits III 4,00,000 NIL
CHAKRABORTY Table of benefits II 6,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 122 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1858 10,00,000
1859 103021 SHAILENDRA 39 M Table of benefits III 4,00,000 NIL
PANDEY Table of benefits II 6,00,000
10,00,000
1860 103037 ANSHUMAN 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1861 103038 PARAS SWAIN 29 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1862 103041 SUNIL KUMAR 32 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1863 103045 PRANAB PAUL 35 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1864 103059 R ANBUSELVAN 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1865 103069 DEVADEV ATHOTA 34 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1866 103071 SOMBIR SINGH 42 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1867 103072 RAVI BHUSHAN 37 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1868 103076 KAUSHAL PRASAD 35 M Table of benefits III 4,00,000 NIL
SHARMA Table of benefits II 6,00,000
10,00,000
1869 103078 AVIK MIDDYE 30 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
1870 11382 DR YOGESH KUMAR 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1871 11384 ANIL KUMAR ARORA 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1872 11385 VIKAS KUMAR 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1873 11386 YOG RAJ 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 123 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1874 11387 MANJIT BORKATAKI 36 M Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1875 11391 SATVINDER SINGH 41 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1876 6209 M EDWIN RAJ 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1877 6221 D LAKSHMI SUDHA 54 F Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1878 6227 S KRISHNAN 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1879 6228 S P VENKAT 57 M Table of benefits II 12,00,000 NIL
MAHESH Table of benefits III 8,00,000
20,00,000
1880 6234 M SWAMAIAH 51 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1881 6299 RUDRA KISHORE 58 M Table of benefits II 12,00,000 NIL
ROY Table of benefits III 8,00,000
20,00,000
1882 6306 P GUHA NEOGI 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1883 6311 DIPAKKUMAR PAUL 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1884 6312 MD QUESH ALI 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1885 7073 RAVINDRA DUTTA 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1886 7075 SHIV KUMAR 53 M Table of benefits II 12,00,000 NIL
SINGHAL Table of benefits III 8,00,000
20,00,000
1887 7076 MD VAZIHUDDIN 55 M Table of benefits II 12,00,000 NIL
YUSUF Table of benefits III 8,00,000
20,00,000
1888 7081 K RANGANATHAN 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1889 7092 K C BEHARA 52 M Table of benefits II 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 124 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1889 Table of benefits III 4,00,000


12,00,000
1890 7094 SURENDRA SINGH 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1891 7098 V SRIVIDHYA 49 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1892 8000 JOHN K JACOB 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1893 8001 MIHIR KUMAR JHA 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1894 8004 SYED SHAHID IQBAL 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1895 8005 RAJESH KUMAR 53 M Table of benefits II 12,00,000 NIL
JINDAL Table of benefits III 8,00,000
20,00,000
1896 8006 ANIL KUMAR JOHARI 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1897 8012 MD MOIN AKBARI 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1898 8014 NEERAJ AGRAWAL 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1899 8016 DEVENDRA SINGH 51 M Table of benefits II 12,00,000 NIL
NEGI Table of benefits III 8,00,000
20,00,000
1900 591 RAJ KUMAR 52 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1901 598 RAKESH KUMAR 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1902 602 BISHNU PADA MAITY 53 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1903 603 HARI PRASAD 55 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1904 604 KAMAL SINGH 54 M Table of benefits II 8,00,000 NIL
CHAUHAN Table of benefits III 4,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 125 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1904 12,00,000
1905 614 TAPAS MUKHERJEE 56 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1906 615 SUJATA SAVANT 55 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1907 622 CHANDAN KUMAR 53 M Table of benefits II 8,00,000 NIL
SINGH Table of benefits III 4,00,000
12,00,000
1908 635 PANKAJ KUMAR 53 M Table of benefits II 12,00,000 NIL
SHARMA Table of benefits III 8,00,000
20,00,000
1909 636 MAHA NAND 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1910 639 AWADESH 50 M Table of benefits II 8,00,000 NIL
VISHWAKARMA Table of benefits III 4,00,000
12,00,000
1911 641 NEERU VIG 54 F Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1912 642 DEVI DUTT JOSHI 50 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1913 643 V PRABHAKARAN 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1914 645 RAJESH SEHRA 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1915 648 RISHI RAJ 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1916 2024 B N PANDEY 59 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1917 2041 Y B V S DHARMA 56 M Table of benefits III 8,00,000 NIL
RAO Table of benefits II 12,00,000
20,00,000
1918 2042 M S N MURTHY 57 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1919 2046 HARI NARAIN BAJPAI 58 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 126 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1920 2066 RAM NARESH 56 M Table of benefits III 4,00,000 NIL


KAHAR Table of benefits II 8,00,000
12,00,000
1921 2083 B S SEHRAWAT 56 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1922 2091 JITENDRA SINGH 58 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1923 2096 DALIP JEASUAR 57 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1924 2097 M D JOSHI 57 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1925 2098 ALOK GARG 58 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1926 2105 SHIVRAJ SINGH 57 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1927 2109 SHAMBHU NATH 58 M Table of benefits III 4,00,000 NIL
PATHAK Table of benefits II 8,00,000
12,00,000
1928 2115 JAGAN NATH 59 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1929 2118 R USHA 56 F Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1930 2121 DESH RAJ 53 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1931 2122 RAMU KALIAPPAN 54 M Table of benefits III 4,00,000 NIL
Table of benefits II 8,00,000
12,00,000
1932 2132 R K MARWAH 58 M Table of benefits III 10,00,000 NIL
Table of benefits II 20,00,000
30,00,000
1933 2138 MD ABDUL 58 M Table of benefits III 8,00,000 NIL
KHALIQUE Table of benefits II 12,00,000
20,00,000
1934 2142 MD REJAUL HOQUE 57 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1935 2144 ANIL KUMAR GUPTA 58 M Table of benefits III 8,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 127 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1935 Table of benefits II 12,00,000


20,00,000
1936 2148 JAI PRAKASH 57 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1937 2150 JATINDER KUMAR 55 M Table of benefits III 8,00,000 NIL
VIG Table of benefits II 12,00,000
20,00,000
1938 2159 MD ABDUL GAFFAR 59 M Table of benefits III 8,00,000 NIL
KHAN Table of benefits II 12,00,000
20,00,000
1939 2161 TAPAN GHOSH 59 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1940 2163 SAMBHU NATH 59 M Table of benefits III 8,00,000 NIL
DATTA Table of benefits II 12,00,000
20,00,000
1941 2164 TAPAN KUMAR 59 M Table of benefits III 8,00,000 NIL
KUNDU Table of benefits II 12,00,000
20,00,000
1942 2170 MD EKRAMUL 59 M Table of benefits III 8,00,000 NIL
HAQUE Table of benefits II 12,00,000
20,00,000
1943 2172 MD SAZED ALI 58 M Table of benefits III 4,00,000 NIL
BISWAS Table of benefits II 8,00,000
12,00,000
1944 2186 TAPAS BISWAS 59 M Table of benefits III 8,00,000 NIL
Table of benefits II 12,00,000
20,00,000
1945 11196 AJAY KUMAR 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1946 11198 NEERAJ KUMAR 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1947 11201 RAJIV GUPTA 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1948 11212 RAJEEV MEHROTRA 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000
30,00,000
1949 11213 VISHAL BARJO 34 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1950 11222 P P NARDEKAR 57 M Table of benefits II 20,00,000 NIL
Table of benefits III 10,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 128 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1950 30,00,000
1951 11224 GOPI M 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1952 11225 SURESH SHETTY 52 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1953 11231 PARAMJIT SINGH 50 M Table of benefits II 12,00,000 NIL
MONGA Table of benefits III 8,00,000
20,00,000
1954 11238 SANJEEV KUMAR 42 M Table of benefits II 12,00,000 NIL
RAM NAIK Table of benefits III 8,00,000
20,00,000
1955 11240 PREM CHANDRA 55 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1956 11243 MUKESH KUMAR 49 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1957 11249 DINESH KUMAR 49 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
1958 11251 VIMAL KUMAR 51 M Table of benefits II 12,00,000 NIL
YADAV Table of benefits III 8,00,000
20,00,000
1959 11252 D SENGUPTA 57 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1960 11263 K K GIRI 59 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1961 11265 MOHD ASHRAF 56 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1962 11266 RAGHVENDRA 49 M Table of benefits II 12,00,000 NIL
SHUKLA Table of benefits III 8,00,000
20,00,000
1963 11267 ANIL KUMAR YADAV 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1964 11268 VIKAS WALIA 50 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1965 11269 ANIL KUMAR 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 129 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1966 11270 LATA BAWEJA MRS 41 F Table of benefits II 12,00,000 NIL


Table of benefits III 8,00,000
20,00,000
1967 11275 DINESH KUMAR 50 M Table of benefits II 12,00,000 NIL
AWASTHI Table of benefits III 8,00,000
20,00,000
1968 11276 ATUL PRAKASH 44 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1969 11277 RAM KUMAR REJA 58 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1970 11278 SUNIL KUMAR 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1971 11280 SHASHI KANT RAI 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1972 11281 C VANISREE 46 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1973 11282 AJAY SINGH 46 M Table of benefits II 12,00,000 NIL
RATHORE Table of benefits III 8,00,000
20,00,000
1974 11284 SANJEEV KUMAR 45 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1975 11285 AJAY KUMAR 45 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1976 11286 SUDHIR KUMAR 47 M Table of benefits II 12,00,000 NIL
SUMAN Table of benefits III 8,00,000
20,00,000
1977 11288 FARHAN AHMAD 47 M Table of benefits II 12,00,000 NIL
FAROOQUI Table of benefits III 8,00,000
20,00,000
1978 11289 PANKAJ KUMAR 54 M Table of benefits II 12,00,000 NIL
PATHAK Table of benefits III 8,00,000
20,00,000
1979 11291 SHISHOPAL SINGH 48 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1980 11292 VIPUL KUMAR 49 M Table of benefits II 12,00,000 NIL
DUTTA Table of benefits III 8,00,000
20,00,000
1981 11313 PRASHANT DEO 52 M Table of benefits II 12,00,000 NIL

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 130 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1981 Table of benefits III 8,00,000


20,00,000
1982 11326 ASHUTOSH SHUKLA 53 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1983 11341 PANKAJ KUMAR 46 M Table of benefits II 12,00,000 NIL
BHAGAT Table of benefits III 8,00,000
20,00,000
1984 11345 HEMENDRA GUPTA 38 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1985 11346 M N ANURADHA 56 F Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1986 11356 G SRINATH 33 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1987 11357 BHANU PRAKASH 34 M Table of benefits II 12,00,000 NIL
JOSHI Table of benefits III 8,00,000
20,00,000
1988 11358 P V PRATHYUSHA 33 F Table of benefits II 12,00,000 NIL
MS Table of benefits III 8,00,000
20,00,000
1989 11368 JAGDISH PRASAD 38 M Table of benefits II 12,00,000 NIL
MEENA Table of benefits III 8,00,000
20,00,000
1990 12875 T MUTHUKRISHNAN 39 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1991 12876 BEER SINGH 47 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1992 12877 SIVAKOLUNDU B 49 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1993 12879 VIJAY SINGH YADAV 51 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1994 12880 GOPAL JI KESHARI 25 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1995 12881 SANJAY KUMAR 46 M Table of benefits II 12,00,000 NIL
SINGH Table of benefits III 8,00,000
20,00,000
1996 12882 RAMESHWAR 50 M Table of benefits II 12,00,000 NIL
YADAV Table of benefits III 8,00,000

Place : GURGAON For and on behalf of


Date : 01/05/2019 The Oriental Insurance Company Limited

This is an electronically generated document (Policy Schedule).The


Policy document duly stamped will be sent by post.
Atul Sahai
In case of any query regarding the Policy please call Toll General Manager
Free No. 1800 11 8485 and 011 33208485. Authorised Signatory
CIN: U66010DL1947GOI007158 All the Amounts mentioned in this policy are in Indian Rupee Page 131 of 366

IRDA Regn. No. 556 - Now you can buy and renew selected policies online at www.orientalinsurance.org.in
This Document is Digitally Signed

Signer: ATUL JERATH


Attached to and forming part of policy number 215300/48/2020/356 Date: Thu, May 16, 2019 11:01:40 IST
Location: NOIDA
Reason: Signing Policy for OICL

1996 20,00,000
1997 12883 KALESWAR BHAGAT 49 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1998 12884 V RAVI 54 M Table of benefits II 12,00,000 NIL
Table of benefits III 8,00,000
20,00,000
1999 12885 NIRMAL KUMAR 59 M Table of benefits II 12,00,000 NIL
MONDAL Table of benefits III 8,00,000
20,00,000
2000 12886 A SUBASH 48 M Table of benefits II 8,00,000 NIL
Table of benefits III 4,00,000
12,00,000
2001 12887 DEEPAK KUMAR 46 M Table of benefits II 12,00,000 NIL
MISHRA Table of benefits III 8,00,000
20,00,000
2002 103960 AKASH 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
2003 103961 VAKIL SHAFI 22 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
2004 103962 ANKUR SONI 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
2005 103963 MANAN SEHAJPAL 27 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
2006 103964 AAKASH VERMA 25 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
2007 103965 DANISH ALI 28 M Table of benefits III 4,00,000 NIL
Table of benefits II 6,00,000
10,00,000
2008 103966 NARAYANRAO 25 M Table of benefits III 4,00,000 NIL
BANDARU Table of benefits II 6,00,000
10,00,000
2009 103967 ABHINAY SONKAR 28 M Table of benefits III 4,00,000 NIL