Available at the Details of Employees and Workers Are Annexed to This Tender Document

KFD/ADM-2/MI/2019/260 27-05-2020

KERALA KERA KARSHAKA SAHAKARANA FEDERATION LTD No.4370 (KERAFED)

TENDER NOTICE

Sealed Competitive Tenders are invited for the renewal of Group Medical Insurance Policy of the Employees, Workers and Contract employees and their families of KERAFED (111 Employees & 351 dependants - TOTAL- 462). The Tender Form and other details are available at www.kerafed.com. The details of employees and workers are annexed to this tender document. The sum insured is Rs.5 Lakhs per family. The envelops containing the tender should bear the superscription” Tender for renewal of Group Medical Insurance Policy”. The last date for receipts of Tenders will be 08/06/2020 at 2.30 PM. Late tenders will not be accepted. The tenders will be opened at Kerafed Head Office on the same day at 3.00 PM in the presence of such of the tenderers or their authorized representatives who may be present at that time. The rate and other terms and conditions may be clearly indicated in the Tender. Tenders may be forwarded to the Managing Director, Kerafed, Kera Tower, Water Works Compound, Vellayambalam, Vikas Bhavan.P.O, Thiruvananthapuram-33 .

Kerafed reserves the right to reject any tender without assigning any reason whatsoever.

Sd/- Managing Director KERAFED

KERALA KERAKARSHAKA SAHAKARANA FEDERATION LIMITED KERA TOWER, WATER WORKS COMPOUND, VELLAYAMBALAM, THIRUVANANTHAPURAM-33.

NON TRANSFERABLE

TENDER FORM FOR MEDICAL INSURANCE CLAIM OF KERAFED EMPLOYEES AND THEIR FAMILIES (TO BE RETURNED DULY SIGNED ON ALL PAGES)

Phones: 2321660, 2320504 2326209, 2322736 Fax: 91-0471-2326298 E-mail: [email protected] Website : www.kerafed.com TENDER FORM NO : Ref. No: 260/KFD/ADM-2/MI/ 2020 ISSUE DATE :

Invitation to Tender and instructions to Tenderer To This document contains ...... 9 - pages

......

Dear Sir(s),

Sub:- KERAFED – Renewing the Group Medical Insurance Policy.

We, Kerala Kerakarshaka Sahakarana Federation Ltd; (KERAFED) intend to invite competitive tenders for the renewal of Medical Insurance Policy of Kerafed Employees.

GENERAL TERMS AND CONDITIONS

1. Form : The intending bidders shall submit their tenders in the prescribed form downloaded from the Kerafed website by paying Tender Fee of Rs.224/- (200+GST 12%) and EMD of Rs.5,000/- in the manner prescribed. The Tender Fee can be paid in the form of Demand Draft drawn in favour of Managing Director, Kerafed or by remitting cash at Kerafed Head Office, Thiruvananthapuram.

2. Due date and time:- The tenders should be received at our office on or before 08/06/2020 at 2.30 PM. The tenders will be opened on the same day at 3 PM. Late Tenders will be summarily rejected and returned to the tenderer at his cost.

3. Earnest Money Deposit:- Each tender whether from an S.S.I. unit / Government undertaking / Co-operative society / Co-operative Federation or any other special category organisation must be accompanied by an Earnest Money Deposit of Rs.5000/- in the form of a Demand Draft issued by any Nationalised Bank / Scheduled Bank / Co-operative Bank in favour of the Managing Director, Kerala Kerakarshaka Sahakarana Federation Ltd, and should be payable at Thiruvananthapuram. Tenders not accompanied by the Earnest Money Deposit shall not be considered for Technical evaluation. Tender without the prescribed Tender Fee and EMD will be summarily rejected.

The Earnest Money Deposit shall be liable for forfeiture, if the tenderers after submitting the tender, resiles from his offer or modifies the terms and conditions thereof in any manner. In the case of the successful tenderer (s) the Earnest Money Deposit shall be converted as a part of the Security Deposit. The Earnest Money Deposit shall be liable for forfeiture in the event of not furnishing full details called for in the tender.

4. Security Deposit:- The successful tenderer should furnish a Security Deposit equivalent to two percent of the value of the contract/orders placed, within 7 days of issue of acceptance letter/purchase order by KERAFED. The Security Deposit will be refunded after satisfactory performance of the contract. NO EXEMPTION FROM FURNISHING EARNEST MONEY DEPOSIT AND SECURITY DEPOSIT WILL BE GIVEN TO ANY CATEGORY OF TENDERERS.

6. Signing of Tender:- Person or persons signing the tender shall state in what capacity he is or they are signing the tender i.e.; whether (a) Proprietor of a Firm (b) Secretary / Manager / Director etc. of a limited company (c) Managing Partner / Partner of a Partnership firm (d) Others. In the case of PROPRIETARY CONCERN a certificate from a "Notary Public" should be attached with the tender to the effect that the signature is of the proprietor of the firm. In the case of the LIMITED COMPANY the names of the Directors shall be mentioned and it shall be certified that the person signing the tender is empowered to do so on behalf of the company. A copy of the Memorandum and Articles of Association of the Company shall be attached to the tender. In the case of a PARTNERSHIP firm, the name of all partners should be disclosed and the tender shall be signed by all partners or their duly constituted attorney having authority to bin all the partners in all matters pertaining to the contract. The original deed with an attested copy of the Partnership Deed should be furnished alongwith the tender. In the case of the HINDU UNDIVIDED FAMILY, the names of the family members should be disclosed and the Kartha who bind the firm should sign the form and indicate his status below his signature.

The person signing the tender form or any documents forming part of the tender on behalf of others or on behalf of a Firm should produce a POWER OF ATTORNEY duly executed in his favour stating that he has the authority to bind such other persons or the firm, as the case may be, in all matters pertaining to the contract. If the person signing the tender fails to produce the said POWER OF ATTORNEY, his tender shall be liable for summarily rejection without prejudice to the other rights of KERAFED under the law. The POWER OF ATTORNEY should be signed by all the partners in the case of Partnership firms, by the Proprietor in the case of the Proprietary concern and by the person who by his signature can bind the Company in the case of Limited concern. In the case of a Hindu Undivided family, the POWER OF ATTORNEY should be signed by the "Kartha" who by his Signature can bind the firm.

7. Rates :- The rates shall be quoted in Annexure 1 attached herewith.The rates quoted should be inclusive of all taxes. Nothing will be paid extra on any account other than amount payable as per the quoted rate.

Terms and conditions:

1. Procedure for submission:

Sealed envelopes to be placed and super scribed as “Tender for Group Medical Insurance Policy for KERAFED employees and their dependent family members”. The sealed envelope should be reached in the in the office before the due date and time. Those who send the tender documents by post, have to ensure that the documents should reach before the prescribed time & date. The Institute will not take any responsibility under any circumstances for courier/ postal delays.

2. The envelope should contain the following:

1) Duly completed covering letter as per Annexure-I on official letter head. 2) The terms and conditions duly signed as Annexure-II. 3) Relevant supporting documents. 4) The financial bid as per Annexure-III. 5) The list of Government organization/ major corporate clients handled during the last three years for group medical insurance coverage must be submitted with documentary proof.

3. During the tender opening one authorized representative of the bidder may be present.

4. The bid shall be opened at 3.00 PM on the date mentioned above. If the said date is declared as holiday tender will be opened on the next working day at 12.00 noon.

5. The rate/commercial/technical offer of the firm should remain valid for 90 days from the date of tender opening.

6. The tenderer should sign on each page of the tender documents.

7. Bid which are late/vague/conditional/incomplete/not confirming to the laid down procedure in any respect will be rejected.

8. Tenders sent by fax & email will not be accepted.

9. In case of differences arising in the terms and conditions of the tender documents with the firms, the decision of KERAFED shall prevail.

10. KERAFED reserves the right to modify/change/delete/add any further terms and conditions prior to issue of agreement.

11. Arbitration- All dispute and differences which may arise between the KERAFED and the Insurance Company shall be referred to Managing Director, KERAFED whose decision shall be binding on all concerned.

12. KERAFED reserves the right to accept or reject any or all offers without assigning any reason(s) thereof.

13. The enquiry number and last date should be super scribed on the envelope and offer (duly sealed offer) should reach us on or before as above mentioned date & time. Tenders shall be opened on 08/06/2020 at 3.00 pm.

Jurisdiction: Any disputes, legal matters, court matters, if any arises in this agreement will be governed by Kerala Co-operative Socities Act. The Competent jurisdiction of court shall be at Trivandrum only.

Acceptance of Tender : - The successful tenderer(s) will be advised of the acceptance by a formal acceptance letter. By issue of a formal acceptance letter, a binding contract will come into force and the tenderer has to act immediately for execution of the contract. Acceptance of the tender by the Managing Director or an Officer authorized by him shall constitute an agreement between the tenderer and the KERAFED. The agency should execute and agreement on a Stamp Paper worth Rs.200/-.

The Managing Director, KERAFED reserves the right to accept or reject any tender in full or in part, without any reason thereof. The rates once accepted will be valid for One year and the successful tenderer should provide the services as per the acceptance letter and the agreement.

Delivery of Tender :- The Tender should be submitted in sealed cover Superscribing “ Tender for the renewal Medical Insurance Policy of KERAFED Employees and their families” and shall be addressed to the Managing Director, Kerala Kerakarshaka Sahakarana Federation Ltd No.4370, Kera Tower, Water Works Compound, Vellayambalam, Vikas Bhavan .P.O, Thiruvananthapuram – 695 033.

“Corrigenda/Addendum/Clarification (if any) in the tender will be published only on our website www.kerafed.com. at least 7 days before the tender closing date”

All tenderers should forward a declaration in the enclosed format, which should form a part of tender documents. Tenders received without this declaration will not be considered

Sd/- Managing Director KERAFED

ANNEXURE-I

To, The Managing Director, KERAFED,Kera Tower, Water Works Compound, Vellayambalam.

Dear Sir,

Sub: - Tender for Group Medical Insurance Policy for KERAFED Employees & their Dependent Family Members

Ref: Notice inviting Tender No. ……………………………..

With reference to the above, I am/ we are offering our competitive prices for Group Medical Insurance Policy for KERAFED..

I/We hereby reconfirm and declare that I/ We have carefully read and understood the above referred tender document including instructions, terms & conditions, specifications, schedule and all the contents stated therein and all subsequent corrigendum published on website.

I/We hereby declare that my/our firm has not been blacklisted/suspended by any department/unit/Autonomous Body/PSU of Central/State Government.

Thanking you, Yours faithfully, (Signature of the Tenderer)

Name : ______

Mobile No.______

ANNEXURE-II

TENDER OF GROUP MEDICAL INSURANCE POLICY FOR KERAFED EMPLOYEES AND THEIR DEPENDENT FAMILY MEMBERS

Technical details Remarks

KERAFED

Commencement Date 19.06..2020 Period One Year Insured Group details Employee strength as on 18.06.2020

Detail attached in Annexure-III

ANNEXURE – III

TENDER OF GROUP MEDICAL INSURANCE POLICY FOR KERAFED EMPLOYEES AND THEIR DEPENDENT FAMILY MEMBERS

Technical Details Remarks Group Name Kerala Kera Karshaka Sahakarana Federation Ltd. No.4370 (KERAFED) Commencement Date 19/06/2020 Period One Year Insured Group details Details attached Employee strength as on 18/06/2020 No.of Employees 111 No.of Dependents 351 Total No.of Lives 462 Maximum Age Not applicable Floater/Individual Floater Sum Insured bands `. 5,00,000/- Coverage and Benefits details Family Definition Employee, Spouse, Children, Parents. Domiciliary Hospitalization Covered Pre-existing diseases Covered Pre-Health Check Up Waived 1st Year 2nd Year exclusions Waived Cashless facility Applicable 30 days waiting period Waived 30 days Pre and 60 days post Covered hospitalization expenses covered Maternity Benefit `. 30,000/- for Normal delivery and `. 40,000/- for caesarean cases. System of medicine covered Ayurveda ,Modern medicine and Homoeo

New Born Baby Baby Covered Under policy from the Date of Birth. Co-Payment Not Applicable Sub Limit for Room Rent 1. Room Rent – 1% of the Capping sum insured or `.4,000/- 2. ICU – 3% of the sum insured. 3. Ambulance Expense - ……………….

Other conditions New Employee shall be included in policy from the date of joining and resigned/terminated employee shall be deleted from the date of resignation/termination Pro-rata Premium to be charged/Refunded in case of Addition and Deletion TPA TPA Service involved (if any) List of Network of and Name to be submitted at Authorized hospitals to be the time of Final Placement provided Any service charges on Should not be deducted from Medical Bills the Claim

ANNEXURE – IV

KERAFED Trivandrum.

Financial Bid Name of Work: Tender of Group Medical Insurance Policy for Kerafed Employees & Their Dependent Family Members. Insurance Companies Tender Ref No.: Name of agency: ______Address: ______(Amount in Rs.) Item No. Description No. of lives Unit cost (Premium) Total Amount (Premium) 1. Insurance Policy for KERAFED employees and their family members for the period of one year 2. Taxes (if any)

3. Total Premium Payable Total amount of Premium (in words): …………...…….……………………………………………………………………….

Date: ____/____/______Signature of Authorized Signatory Place:______Seal

Details of Dependants / Family Members of KERAFED Employees

Sl. Name and Designation Age and Details of Spouse / Age & Date No. of Rem No Date of Dependent of Birth Depen arks Birth dants 1 Sri. R.B.Renjith kumar, 38, 20/05/82 Indu I.P (W) 38, 24/10/82 3 Driver. Rithu Ranjan (S) 7, 18/05/13 Sabari Ranjan(S) 4 ,17/11/15 2 Smt. Sobhana.M.V, 55, 21/04/65 B. Rajendran Pillai (H) 57, 08/04/63 5 Junior Manager Angith .R.Pillai (S) 18, 08/06/00 Reshma.R.Pillai(D) 24, 21/06/95 Ponnamma (M) 78, 01//01/41 Vasudevan Nair (F) 88, 01/01/31 3 Sri. Manoj. K.K, 55, 31/05/64 Mini.C.P (W) 53, 01/04/66 4 Asst.Manager Minnu Manoj (D) 24, 07/06/95 K.S.Kunjunni (F) 84, 10/05/35 C.L.Vijayakumari (M) 4 Sri. V. Padmakumar, 55, 10/05/65 Dhanya T.G. (W) 41, 24/05/77 3 Asst.Manager Hrisheekesh. P (S) 15, 02/03/05 Harikesh. P. Pillai (S) 8, 13/02/12 5 Sri. Madhukumar. C, 55, 29/05/64 Lekha B. Nair (W) 51, 22/03/68 4 Junior Manager Abhiram. M (S) 19, 17/09/97 Arundhathy. M (D) 13, 27/06/04 Radhamma.P (M) 74, 01/01/46 6 Sri. George P.J, 56, 30/03/64 Mini George (W) 52, 24/02/68 3 Asst.Manager Senthil George (S) 26, 19/06/93 Aliyamma Joseph (M) 72, 01/01/48 7 Smt. Geedha. R, 46, 25/05/73 Arunkumar V.K. (S) 25, 05/03/95 3 Attender. Sinchu. G (D) 22, 08/05/98 Chandran Piilai (F) 69, 01/01/51 8 Sri.Sivadasan.N.C. 55,10/05/65 Dila.K.K(W) 44,25/03/75 2 Junior Manager Anushka Das.N.C.(D) 6,05/01/13 9 Smt. Maya R. Nair, 57, 17/04/63 Surendran M.K. (H) 59, 05/04/61 3 Junior Manager Sruthy S. Nair (D) 24, 07/06/95 T.K.Vijayamma (M) 76, 01/01/44 10 Smt. Lathika. V, 45, 24/05/74 Joshy. V (H) 50, 07/05/67 4 Attender (HG). Amal. J (S) 17, 03/09/99 Aruni. L (D) 14, 18/04/03 Vasanthi (M) 70, 01/01/50

11 Smt.Jalajakumari 56, 31/05/63 Johnson P.V. (H) 54, 20/05/63 5 Vengathanam Jerilitz Johnson (S) 29, 08/09/90 Junior Manager Jeslinz Johnson (S) 26, 13/04/94 Thomas (F) 85, 26/06/34 Soosamma (M) 67, 27/09/52 12 Sri. Chechamma 55, 04/02/65 John George (H) 57, 04/06/62 2 P.Mathew, Nithin John George (S) 26, 09/02/94 Junior Manager 13 Sri. Eldhose M.Y, 53, 22/05/66 Shiby Eldhose (W) 49, 25/05/70 4 Asst. Manager(Mktg) Sandra Eldhose (D) 22, 16/02/98 Basil Eldhose (S) 16, 24/03/04 Aliyamma Yacob (M) 77, 23/09/42 14 Sri. K. Moideen, 53, 07/12/66 Ayisha Kurikkal (W) 46, 14/09/73 3 Driver(HG). Mufitha (D) 16, 04/05/02 Fathimakutty (M) 82, 01/01/38 15 Sri. V. Jayalal, 57, 14/03/63 Mini M.S. (W) 50, 09/12/69 3 Assistant Manager Ujwal. J.M. (S) 26, 06/09/93 D.Ambujakshiamma(M) 87, 01/01/33 16 Sri.Hamza V.V, 56, 05/04/64 Nafeesa. T (W) 46, 20/05/73 4 Assistant Manager Sana Hamza N.H. (D) 26, 18/03/94 Hiba Hamza N.H. (D) 20, 06/07/99 Ithyoma (M) 81, 01/07/38 17 Smt. Indira K.M, 54, 10/05/66 Vijayan. A (H) 61, 09/06/58 4 Junior Manager Vijindh. A (S) 18, 17/04/02 Visandh. A (S) 16, 14/09/03 Janakiamma (M) 82, 01/01/38 18 Smt. Jency Michael, 52, 06/02/68 John. A (H) 58, 28/10/61 5 Junior Manager Augustine John (S) 27, 16/06/93 Akhil M. John (S) 20, 18/11/99 Nikhil J. John (S) 20, 18/11/99 Alice.K.V (M) 74, 01/10/45 19 Sri. Krishnakumar M.R, 52, 01/06/67 Rejitha A. Nair (W) 39, 11/10/80 3 Assistant Madhav.K.Menon(S) 8, 14/08/08 Meenakshi K. Menon (D) 4, 28/09/13 20 Smt. Jasmine. K.A, 53, 08/05/67 Sadik Ali P.H. (H) 59, 13/05/61 4 Personal Assistant Shahna.P.Sadik (D) 28, 27/08/91 Shahabaz Ali P.S. (S) 23, 17/07/96 Fathima Ali.K (M) 85, 13/07/34 21 Sri. A.P. Krishnakumar, 47, 15/05/73 Sindhu T.C.V. (W) 44, 16/04/76 3 Attender. Chandana Krishna (D) 17,18/04/03 A.P.Thampayiamma (M) 67, 18/05/53 22 Sri. B.S. Premkumar, 54, 30/05/66 Kumari Vidya. S (W) 49, 31/05/71 2 Senior Grade Driver Vipin P.V. (S) 23, 06/03/97 23 Sri. Ravi. K, 55, 01/01/65 Kavya T.R (D) 25, 27/11/94 2 Senior Grade Driver Divya T.R. (D) 19, 09/01/01 24 Sri. B. Sureshkumar, 56, 20/05/64 Jayalekshmi. R (W) 46, 31/05/74 2 Senior Grade Driver Gopika J.S (D) 25, 20/02/95 25 Sri. K. Shanavas, 55, 09/03/65 Sindhu. S (W) 46, 30/05/74 3 Junior Manager Abhirami. S (D) 20, 12/10/99 Amritha. S (D) 17, 08/04/03

26 Sri.Ajithkumar.V, 56, 29/06/63 Mini.A (W) 51, 22/03/69 2 Junior Manager Athira.A (D) 23, 07/05/97 27 Sri.T.Suresh, 51, 30/05/69 Ambili.J (W) 41, 05/07/79 5 Attender(HG). Ajith.S (S) 23, 02/09/96 Anandu.S (S) 16, 07/07/03 Thankappan (F) 78, 01/01/42 Sumathi (M) 28 Smt. VIjayakumari.N, 53, 01/02/67 Chaithra (D) 25, 23/09/94 2 Attender. Jwala (D) 22, 27/02/98 29 Smt.S.S.Sreeja, 46, 22/01/74 S.R.Sreekanta Menon(H) 55, 01/01/65 2 Recep-cum-Tel. S.Sruthy (D) 23, 18/10/96 Operator. 30 Sri. Ashokan Kovval, 56, 18/01/64 Jeeja M.V (W) 45, 13/08/74 3 Junior Manager Amal Ashok (S) 20, 20/10/99 K.Sreedevi (M) 78, 31/03/42 31 Sri. S. Shaji kumar, 54, 30/05/66 S. Lekha (W) 51,17/02/69 3 Attender(HG). Genesh.S(S) 5, 10/01/15 N.Sreenivasan (F) 90, 30/05/30 32 Sri. Anil kumar.B, 56, 27/05/64 Smitha.V (W) 47, 19/02/73 4 Junior Manager Aiswarya. A (D) 23, 20/12/96 Arjun.A (S) 18, 08/10/01 Devaki Amma.P (M) 79, 15/01/41 33 Sr.Sunil kumar .N, 53, 15/05/67 Sajitha.S (W) 42, 04/03/78 4 Driver (HG). Aiswariya.S.Kumar (D) 21, 19/11/98 Archana S..Kumar (D) 18, 03/11/01 BabyAmma(M) 01/01/43 34 Smt. K.K. Bhanumathy, 68, 21/05/52 Biju K.B.(S) 44, 13/02/76 2 Part-time Sweeper. Vinod K.B.(S) 42, 23/05/78 35 Smt. Ajithakumary N.N, 55, 25/05/65 T.K. Bahuleyan (H) 61, 05/05/59 2 Junior Manager Arun Babu (S) 22, 30/04/98 36 Sri. Syamkumar. C, 56, 03/04/64 K. Sreelatha (W) 55, 28/03/65 1 Senior Grade Driver 37 Sri. Subramanian T.V, 56, 24/02/64 Kala. V (W) 43, 25/04/77 4 Personal Assistant Swetha. S (D) 22, 18/02/98 Saranya. S (D) 20, 18/12/99 Lekshmi 80, 21/01/40 Venkittaraman(M) 38 Sri.Shaju.K 57,26/07/62 Geetha.S(W) 53,30/03/66 3 Attender Arun.S (S) 26,25/12/92 Lekshmikutty(M) 01/01.34 39 Sri. Joseph Cherian, 56, 05/06/63 Leena Mary John (W) 51 12/07/68 3 Assistant Deputy Joe Joseph Cherian (S) 27, 19/10/92 Manager (Projects). Kevin John Cherian (S) 22. 27/10/97 K.M.Joseph (F) 85, 17/03/35 Aleyamma Joseph (M) 83, 10/08/36 40 Sri. V. Surendran, 57, 15/07/62 A.S. Geedha Bai(W) 52,05/01/68 3 Regional Manager Vishnu. S (S) 26, 09/09/93 Govind. S (S) 17, 10/06/02 41 Smt. Devi. C, 67, 24/08/52 0 Part-time Sweeper.

42 Smt. Radhamony. V 46, 12/05/74 Greetha. R(D) 16, 04/05/04 2 Sweeper Vilasini (M) 79, 01/01/44 43 Sri. G. Suresh, 56, 27/05/64 Smt. Shyji Suresh(W) 51, 25/05/69 4 Deputy Manager Suchin Suresh (S) 24, 15/07/95 Sudhin Suresh(S) 19, 21/02/01 Chandramathi.K.G (M) 76, 01/01/44 44 Sri. K.Krishnakumar 57, 26/01/63 B.H.Sreela(W) 56, 29/09/64 2 Senior Accountant Anjana Krishna.S.(D) 25, 21/01/95 45 Smt. V. Sreelatha, 54, 20/05/66 Madhusudanan 62, 29/11/57 4 Analyst. Pillai.C(H) Mukhil.M.S 28, 05/06/91 Mridul.M.S 23, 19/05/97 Vasanthiamma.G 71, 01/01/49 46 Sri. Babu John, 56, 18/10/63 Annie John(W) 53,.31/05/67 2 Asst. Manager (Mech). Sandeep John Abraham(S) 24, 10/10/94 47 Sri. Abdul Rasheed N.K. 54, 01/01/66 Bushra (W) 46, 10/03/74 3 Driver Shifana Fathima (D) 22, 18/03/98 Shahana (D) 17, 28/10/02 48 Smt. Nisha K.S. 51, 11/04/69 Asokan. M(H) 62, 11/06/57 3 Analyst Abijith M.A.(S) 22, 01/09/97 Kamala.K (M) 84, 01/01/36

49 Sri.Rahulnath .R.J. 28, 04/02/92 Jyothikumari (M) 46, 31/07/74 2 Driver Thara.S.M (W) 26, 27/01/94 50 Sri.Retnarajan.A 48,05/02/71 Sandhya(W) 36,10/05/82 2 Typist Dheerav.A.V.(S) 3,01/09/18

KCCN - HEAD LOAD WORKERS DETAILS FOR INSURANCE

Name of Father/Mother Sl.No. NAME DOB/AGE Spouce Child 1 Child 2 and DOB Safiya (F) Ramshad (M) 1 ABU KM 11.04.1969 Rafkhana (F) 01.01.1976 26.05.1996 26.06.2000 Koyakutty Ramla KM (F) Fasila (F) Fadalunisa (F) 2 LATHEEF K.M 07.03.1970 (Father) 01.01.1975 18.10.1993 05.03.1996 01.01.1915

Ammukutty Bavitha (F) Almika (F) Amma 3 SHIBU A.V 04.04.1978 29.07.1984 26.10.2017 (Mother) 05.10.45 Semeer KM Nafeesa (F) Seheer KM (M) Kunhiaysha 4 ALI K M 07.08.1960 (M) 1969 08.02.1987 (Mother) 1939 13.02.1990 Nihal Mohammad Rabiya (F) 5 BASHEER T 05.08.1970 Muhammad Sinan (M) 02.12.1979 (M) 26.09.2001 23.02.2005 MOIDEENKOYA Sainaba PP (F) Shahina A (F) Rishana A (F) Kunhikalanthan 6 11.05.1969 K 08.05.1975 21.02.1994 13.10.2000 (Father) 1940

CONTRACT STAFF

Name of Father/Mot Sl Name Desi. Date of Spouse Child 1 Child 2 her &DOB No Birth

CV Vijayan (Father) 1 Akshaykumar CV GE Mechanical 12.12.1990 06.04.1960 Mahija CV (Mother) 20.05.1969

Bincy Narayanan Kannankan F (Father) 2 Unni MP GE Electrical 17.11.1990 dy F Nila Unni 11.11.1952 16.02.201

26.12.1990 6

VC Mani F (Mother) 3 Anoopkumar PP Tech.Consultant 07.01.1988 Anju A F Avani A 01.01.1948 03.07.201

11.07.1991 8 Bharathi K Sarang.V. Santhra (Mother) 4 Harishkumar K Smitha V.M M M V.M F 16.06.1942 A claas Boiler 19.03.200 26.10.20 Operator 01.05.1973 02.01.1979 7 12 Rajendran KP

(Father) 5 Ajith PR 10.09.1956 Pushpaja B Class Boiler P (Mother) Operator 20.04.1994 14.05.1966 Balan Anupama Mahadeva Sreebha (Father) Shift In C n dra 08.10.1945 Shiju VK 24-5-1978 F M F Sreemathi 15-9- (Mother) 6 Charge 15-9-1982 20-7-2010 2017 01.06.1955

KCCN - DETAILS OF WORKERS FOR INSURANCE Designa Name of Name DOB Spouce Child 1 Child 2 Sl tion Father/Mothe No. r &DOB

Sabeen Muhammad Alikutty

Elect. a Shadil M Aminaziya F (Father) 1948 Assistan 18-04- 25-05- 1 Asib. PP t 1979 1984 F 07-09-2007 28-01-2012

Abdul Aysha 2 Rasheed 20-05- Muhammad (Mother) PK Fireman 1972 Aysha P F Riswan Niya Fathima 11.08.1945 20-05-

1982 01-10-2002 M 10-04-2007 F

Kunhayi. 08-04- 3 C Fireman 1964 Mariyam Hairunnisa Naufal Ummachu 06-03- (Mother) 1971 F 25-05-1995 F 27-05-1990 M 1937

Nafeesa. 10-03- Moidy 4 K. M Prod. 1972 NP Shahid Munah Assistan 10-03- Moidi

t 1966 M 07-08-1989 M 09-05-1996 F (Father) 05.02.1946 Fathima (Mother) 06.03.1953

Amina 5 Raseena 19-04- Fadiya (Mother) KK Prod. 1977 Saleem Nazrin Aysha Ferin 15.10.1954 Assistan 18-05-

t 1968 M 24-03-1998 F 06-05-2007 F

Kunhayisha 6 Shakeela 10-05- (Mother) T Prod. 1973 Kunhayi Fahad Fidana 01.01.1950 Assistan 21-05-

t 1967 M 25-09-1993 M 09-10-1999 F

23-05- Basheer 7 Sahira A K Prod. 1967 PK Bazil Bazem Assistan 17-08-

t 1962 M 20-11-1998 M 15-9-2006 M

27-12- Subair Muhammad 8 Safiya M Prod. 1977 PK Adil Aysha Ferin Ammad Assistan 25-05- (Father) t 1976 M 01-08-2005 M 27-02-2008 F 25.03.1950 Amina (Mother) 01.01.1962

Abdul Hameed.K.V( 9 Azah Father) Jasla.K.V Prod. Jaleel.A Fathima Alzanal 01.12.1952 Assistan 08.05.1 06.04.1

t 982 968 M 27-10-2006 F 21-06-2008 M Ayisha (Mother) 03.05.1964 10 Abdul 01-03- Sabeeb Muhammad Salam TK Prod. 1973 a N Shadiya Shamil Assistan 13-05-

t 1980 F 08-05-2002 F 11-11-2004 M

Ammad 06-01- Shereen 11 Kutty VP Prod. 1966 a Anfad Assistan 20-04-

t 1975 F 28-11-1996 M

Asokan K 16-04- Akshai 12 Koyiloth Prod. 1969 Mini AC Krishna Alakananda Kunhikrishna n Nair

Assistan 20-05- (Father) t 1974 F 13-01-1997 M 04-03-2001 F 01.01.1946 Devi Amma (Mother) 01.01.1955 08-03- Hilna 13 Basheer P Prod. 1975 Seenath Sherin Assistan 08-05- Abdulla P

t 1986 F 03-11-2006 F (Father) 1939 Amina (Mother) 1947 Kunhimoid 08-05- Sainaba Muhammad 14 y. K Prod. 1969 NK Ashiq Fahad Fathima Assistan 08-03- (Mother) t 1975 F 01-09-1995 M 30-01-2002 M 01.01.1952

15 Muhamma Operato 13-05- Haseen Ashique dali P r 1978 a M Muhammad Danish Aysha 05-04- (Mother) 1989 F 18-03-2008 M 03-08-2012 M 17.12.1958

Kalyani 16 Rajan C. 30-05- (Mother) M Prod. 1973 Sanooja Ajun S Raj Arya Raj 1950 Assistan 24-12-

t 1979 F 30-04-2005 M 24-04-2007 F

Kunhanantha n Nair 17 Ramakrish 21-04- (Father) nan K Fireman 1965 Reeja Anju Vishnu 1933 15-05- F 21-04-1990 F 14-03-1995 M Karthiyani

1969 (Mother) 1950

Rasheed 30-05- Rabeeh Thruvayikutty 18 T Prod. 1980 ath TK Aysha Rifa Athif Rayan (Father) Assistan 15-04- Aleema

t 1987 F 11-04-2008 F 11-10-2012 M (Mother) 01.01.1959

Driver 19 Sameer cum 27-02- Shebin Kunhayi.KK KK sales 1980 Safeena Shan Shiyahamdhan (Father) 01.05.1952 Assistan 01-01- Nafeesa

t 1992 F 04-08-2010 M 26-06-2013 M (Mother) 25.05.1961

04-05- Shyma 20 Sudhan P Fireman 1966 K Aswin Ram Adithyan 04-03-

1978 F 28-04-1999 M 10-11-2005 M

Operato

Surendran r Nherakuni 15-03- 21 yil 1972 Padmini Jinsha Jithin 16-05-

1972 F 17-12-1995 F 18-10-1999 M

Ummer 02-04- Shahida Shamil 22 Koya CK Prod. 1965 PM Navar Adil Hafi Assistan 04-03-

t 1978 F 01-05-1997 M 03-02-2001 M

Vidya 23 Vijayan 05-05- Rathna PM Prod. 1971 m Dyan Vijay Deva Rudra Assistan 13-01-

t 1983 F 25-11-2005 M 26-03-2011 F

Ammedkut 12-03- 24 ty Prod. 1964 Nafeesa Assistan 15-03-

Kadavath t 1965 F

Aassan 16-04- Avaru KK 25 Koya C Prod. 1971 Shahina Jamshad Junaid (Father) 1951 Assistan 15-12-

t 1977 F 05-05-1998 M 01-05-2002 M

Senior

Surendran 17-05- Karthiya Nimisha 26 AM Prod. 1964 ni AM Neethu AM Assistan 31-05-

t 1969 F 21-07-1999 F 20-4-2001 F

KERAFED OIL COMPLEX,K.S.PURAM P.O.,KARUNAGAPPALLY, KOLLAM DIST. Sl. Name of Post Home Address Date of Age No. Details of Relation Date of Ag N Employee held Birth (as on of dependent with Birth/ Year e o. 01.06.2 depe s - Name Employee of Birth of 020) n- de dents pe nd ent (as on 01. 06. 20 20) 1 ARUN.R GRAD 25.11.1988 32 3 (1) Mother 20.06.196 56 UATE THANKAM Wife 3 27 ENGI ANIAMMA Daughter 06.05.199 3 NEER SREEKRISHN T (2) 3 Mo (ELEC A SADANAM LAKSHMI. 06.01.202 nth TRIC KOTTAVTTOM R 0 s AL) (PO) (3) KOTTAVATTO DAKSHA M ARUN KOTTARAKAR A, KOLLAM DIST PIN 691322 2 ANANDAKR GRAD 03.02.1993 26 2 (1) Father 30.05.196 55 ISHNAN UATE ASHOKAN Mother 4 48 .A.A ENGI V 25.05.197 NEER AVITTAM, (2) 1 (MEC SIVANMUKKU, ANITHAKU HANI MADATHARA MARI CAL) KOLLAM DIST PIN 691541

ELEC (1) ANEESHKU TRICI POCHAYIL SUNITHA. 27.05.198 3 MAR.P.U AN VEEDU 15.05.1980 40 3 K.S Wife 9 31 MARAVOOR (2) 20.02.201 MURI AARON.A. Son 6 4 EAST (3) KALLADA.P.O UDAYABH 01.01.194 - KOLLAM ANU.P.R Father 5 75

ELEC (1) VIPINKUMA TRICI SEEMA..G. 30.05.198 4 R..S. AN TC23/561 (2) 25.05.1977 43 4 S. Wife 0 40 (2) ARDRA.V. 23.05.200 SAROVARAM S. Daughter 9 11 (3) POOMUTTAM ADEENAN. 26.07.201 NAGAR V.S. Daughter 2 8 VALIYASALA, (4) Mother 01.10.195 CHALA.P.O AMBIKA.S. 5 65 THIRUVANAT HAPURAM- 695036

ELEC SHINU TRICI BAHAVAN (1) 05.01.199 5 SHINU.N AN MADATHIL 10.05.1987 33 4 ARYA.U. Wife 6 24 PIRAYIL, (2) SIRIL 30.08.201 PEYAD.P.O, SHINU Son 8 1 THIRUVANAT (3) 01.08.195 HAPURAM NELSON.P Father 7 63 (4) Mother PUSHPAL 05.04.196 EELA.B 4 56

Sl. Name of Post Home Address Date of Age No. Details of Relation Date of Ag N Employee held Birth (as on of dependent with Birth/ Year e o. 01.06.2 depe s - Name Employee of Birth of 020) n- de dents pe nd ent (as on 01. 06. 20 20) ABDUL Super 03.03.198 1 RAZAK.A visor RIZA VILLA, 30.05.1969 51 4 (1) ASHA.A Wife 1 39 (2) RIZA (Electr S.V.MARKET FATHIMA. 04.08.200 ical) P.O., A Daughter 2 17 (3) MUHAMM KARUNAGAPP ED 06.08.201 ALLY, SINAN.A Son 4 5 (4) SULEKHA KOLLAM DIST. BEEVI Mother 1945 75 (1) Super SNEHALE 20.05.197 2 MADHU.V visor ABHI VILLA, 30.05.1970 50 3 THA.K Wife 5 45 PUNNAKKULA (Boiler M,K.S.PURAM (2) 11.03.200 ) P.O., ABHIN.M Son 1 19 KARUNAGAPP (3) 13.01.200 ALLY, ABHIJA.S Daughter 4 16 KOLLAM DIST.Pin- 690544 HARIKUMA Super (1) 20.05.197 3 R.K visor M.K.NIVAS, 03.05.1968 52 3 JYOTHI.P Wife 5 45 (Boiler ADINADU (2) 13.02.199 ) SOUTH, KIRAN.H Son 8 22 KATTILKADAV (3) 28.03.200 U P.O., KAVYA.J Daughter 2 18

KARUNAGAPP ALLY, KOLLAM DIST.,PIN- 690542 Super PUTHENPURA (1) 11.05.196 4 GOPI.C visor YIL, 27.05.1963 57 2 LATHIKA.S Wife 7 53 (2) (Mech PARAYAKADA BILAHARI. 15.10.199 anical) VU, P.G Son 3 26 AMRUTHAPU RI P.O., KARUNAGAPP ALLY,KOLLAM DIST. Senior (1) GOPALAKR Opera THENGUMVIL SARADAM 01.05.196 5 ISHNAN.T tor AYIL, 01.06.1964 56 4 MAL.R Wife 7 53 (Non Trade sman SOUTH - Oil MYNAGAPPAL (2) AKHIL 27.05.199 Mill) LY, KRISHNAN Son 7 23 MYNAGAPPAL (3) ATHUL 01.06.200 LY P.O., KRISHNAN Son 1 19 KARUNAGAPP ALLY,KOLLAM (4)RAJAM DIST. MA Mother 1935 85 Senior (1) Opera PANANCHIKK SAJITHA 10.02.197 6 JAYAN.P.K. tor AL, 16.02.1966 54 4 JAYAN Wife 6 44 (Non Trade sman (2) - Oil AKSHAY 18.01.200 Mill) POOLANY, JAYAN Son 0 20 (3) ARJUN 23.07.200 MELOOR P.O., JAYAN Son 3 16 (4) THRISSUR THANKAM DIST.,PIN- ANIAMMM 10 680311 A Mother 1920 0 (1) Senior RAHIYANA NAUSHAD. Opera THU 29.05.196 7 A tor NISHA NIVAS, 31.05.1967 53 3 BEEVI.B Wife 9 51 (Non Trade sman (2) - Oil NAVAS.N. Son(marrie 20.05.198 Mill) MANAKKARA, R. d) 8 32 (3) SASTHAMCOT SHANAVA Son(marrie 21.11.199 TA, S.N.R. d) 0 29 SASTHAMCOT TA P.O.,KOLLAM DIST. RADHAKRI Super PUTHEN (1) 18.05.197 8 SHNAN.P visor THARAYIL, 24.05.1964 56 4 BEENA.S Wife 0 50

(2) (Mech CHANGANKUL RAHUL.R. 23.02.199 anical) ANGARA, KRISHNAN Son 6 24 (3) BINEESH. VAVVAKKAVU. R.KRISHN 12.03.200 P.O, AN Son 2 18 KARUNAGAPP (4) ALLY,KOLLAM SARASAM DIST. MA Mother 1936 84 Senior (1) SAJEEV. Opera KUMBALATHU OMANA.V. 11.05.197 9 K.S tor PARAMBIL, 17.02.1971 49 4 P Wife 2 48 (Non Trade sman (2) - Oil SETHULE 08.06.200 Mill) POOLANI, KSHMI.K.S Daughter 0 19 (3) SAI 14.06.200 MELOOR P.O., SOMAN Son 8 11 THRISSUR (4) DIST.,PIN- THANKAM 680311 MMA Mother 1945 75 Super (1) 25.05.197 10 SHAJI.L visor KARTHIKA, 10.05.1968 52 2 DEEPA.S Wife 5 45 (2) (Mech JIDI.S.KRI 28.04.199 anical) P.V.NORTH, SHNAN Daughter 8 22 THAZHAVA P.O., KARUNAGAPP ALLY, KOLLAM DIST. VIJAYAKUM Super KUMARAPUR (1) 10.05.196 11 AR.P visor ATH, 18.04.1966 54 3 GIRIJA.B Wife 7 53 (Mech (2) 29.06.200 anical) KUZHITHURA, VISHNU.V Son 0 19 KUZHITHURA (3) 09.11.200 P.O., VIVEK.V Son 5 14 KARUNAGAPP ALLY KOLLAM DT.P,PIN- 690542

Sl. Name of Post Home Address Date of Age No. Details of Relation Date of Ag N Employee held Birth (as on of dependent with Birth/ Year e o. 01.06.2 depe s - Name Employee of Birth of 020) n- de dents pe nd ent (as on 01. 06. 20 20) KOCHAYYATH Head KIZHAKKATHI 01.01.197 1 SALAM.M Load L, 20.04.1961 59 3 (1) LAILA Wife 5 45 (2) Worke ADINAD NADARSH 14.04.199 r SOUTH, AN.A Son 7 23 (3) KATTILKADAV ANSILSHA 28.10.199 U P.O, .A Son 8 21 KOLLAM Dist. CHENKARA (1) Head LEKSHAMVEE SARASWA 2 SASI.K Load DU 05.06.1962 57 2 THI Wife 1967 52 (2) Worke ADINAD SAJIMOL. Daughter r SOUTH, S (married) 1989 31 KATTILKADAV U P.O, KOLLAM Dist. (1) RAVIKURU Head PUTHENPURA SATHIYAM 20.05.196 3 P.K Load YIL, 31.05.1961 59 2 MA.B Wife 4 56 (2) Worke SUBADRA r PADA-NORTH, MMA Mother 1940 80 KAUNAGAPPA LLY P.O., KOLLAM Dist. MATATHIL (1) SIVARAMA Head KANNIMELET SARASAM 01.01.197 4 N.V Load HARA 01.01.1961 59 2 MA Wife 3 47 Worke K.S.PURAM (2) Grand 26.08.201 r P.O., ARCHANA Daughter 0 9 KARUNAGAPP (Sri.Sivara ALLY, man's KOLLAM Dist. daughter expired and grand daughter is under his care)

KALEECKAL (1) MUHAMMA Head VADAKKATHIL NUSAIBA 5 D KUNJU.K Load , 30.03.1962 58 1 BEEVI Wife 1976 44 Worke ADINAD r SOUTH,

KATTILKADAV U P.O, KOLLAM Dist. METHARANG U POOKUNJU Head KIZHAKKETHA 01.01.197 6 .K Load RA, 12.05.1962 58 3 (1) RASYA Wife 0 50 (2) Worke MUHAMM Son 18.08.199 r PADA-NORTH, ED SHAFI (married) 2 27 (3) KAUNAGAPPA SAINABAK 01.01.193 LLY P.O., UNJU Mother 6 84 KOLLAM Dist. 7 ARUN Worke KOCHUVEETI 06.08.1998 22 1 (1) Mother BABU r L JAYASRE VADAKKATHIL E , MAVELI, PANMANA PO PANMANA KOLLAM DT. MAVELI, PANMANA PO PANMANA. KOLLAM DT