Details required for Insurance Policy

Sl Additional Information
Employees Id Name of Employee Gender Details of Parents
No. (If required)

Father: Vinay Kumar

(DOB: 10/03/1972)
1. 5A01701C Amit Priyadarshan Male Sister: Alok Priyadarshini
(DOB: 04/06/1996) Mother: Premlata Kumari (DOB: 05/12/1997)
(DOB: 16/11/1972)

Father: Mathew V V
(DOB: 17/04/1962)
2. 4A01703OOC Anandh Mathew Male Brother: Abhijith Mathew
(DOB: 06/08/1994) Mother: Sonia Mathew (DOB: 24/09/1997)
(DOB: 19/07/1968)

Father: Dhananjay Sharma

(DOB: 15/10/1968)
3. 3A01702PRC Ankit Kumar Male Sister: Neetu Kumari
(DOB: 13/01/1996) Mother: Shobha Sharma (DOB:20/09/1994)
(DOB: 01/01/1970)

Mother: Satyawati Kalita

4. 3A01805RDC Dr. Debajit Kalita Male
(DOB: 01/01/1957) -
(DOB: 01/01/1985)

Father: Santosh Kumar

Singh
Vishal Kumar (DOB: 23/07/1968)
5. 2A01804SAC Male Brother: Sourabh Kumar
(DOB: 13/01/1997)
(DOB: 29/09/2002)
Mother: Nootan Rao
(DOB: 12/05/1977)

Father: Sudhakar Shukla

(DOB: 11/081959)
Aditya Kirti Brother: Aashish Kumar
6. 2A01806AMC Male
(DOB: 07/02/1995) Shukla
Mother: Meera Devi
(DOB: 27/12/2002)
(DOB: 11/09/1964)