HDFC ERGO General Insurance Company Limited

Annexure attached to and forming a part of the Policy No: 2999203492531800000

3 VIKRAM TECHNOLOGIES
Sr.
No. EMP ID HEGIC Card No. Name of the Insured Date of Birth Gender

1 1 EC2004303363-01E Pavankumar Kampli 01/07/1972 Male

2 10 EC2004303366-01E Mruthyunjaya T 01/06/1975 Male
3 10 EC2004303366-02U Shivageetha T 01/08/1983 Female
4 10 EC2004303366-04S Diganth Mruthyunjaya 15/12/2008 Male
5 10 EC2004303366-03D Disha Mruthyunjaya 15/11/2005 Female
6 11 EC2004303367-01E Sangeetha N 04/04/1979 Female
7 11 EC2004303367-02U Prabhuraj N 05/06/1972 Male
8 11 EC2004303367-03S Nikhil N 13/08/2005 Male
9 11 EC2004303367-04D Vanshika N 26/10/2010 Female
10 2 EC2004303372-01E Raghavendra Rao H S 24/03/1969 Male
11 2 EC2004303372-03D Sanjana H R 04/06/2010 Female
12 2 EC2004303372-02D Soujanya H R 08/07/2004 Female
13 3 EC2004303364-01E Poornima Kampli 27/07/1973 Female
14 4 EC2004303373-01E Nagaraj 04/06/1991 Male
15 5 EC2004303369-01E Naveen Kumar B 22/05/1996 Male
16 5 EC2004303369-02U Nalini Nr 14/05/1996 Female
17 5 EC2004303369-03D Thanushri N 06/03/2018 Female
18 6 EC2004303365-01E Ramyashree N 17/12/1993 Female
19 7 EC2004303370-01E Gnanesh Y 01/05/1998 Male
20 8 EC2004303368-01E Sagar Hs 03/04/1996 Male
21 9 EC2004303371-01E Harisha S 08/05/1984 Male
22 9 EC2004303371-02U Shubhangi P 14/03/1993 Female
23 9 EC2004303371-04S Prabhanjana S 02/07/2014 Male
24 9 EC2004303371-03S Sudharshana S 10/05/2012 Male
25 12 EC2005413888-01E Swetha.B 4/11/1984 Female
26 12 EC2005413888-03D Vindhya Sudershan 5/12/2013 Female
27 12 EC2005413888-02D Vrinda Sudershan 5/12/2013 Female
1800000

Relation Sum Insured

ship (Rs)

Self 500000
Self 300000
Spouse
Son
Daughter
Self 300000
Spouse
Son
Daughter
Self 500000
Daughter
Daughter
Self 500000
Self 300000
Self 300000
Spouse
Daughter
Self 300000
Self 300000
Self 300000
Self 300000
Spouse
Son
Son
self 3000000
Daughter
Daughter
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