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Sr.No. Application No Sr.No. Application No. Policy No. Name of Insured State Name Pincode Reason 1 30012006 19688 Bharti Chandan Kumar Bihar 854311 Annuity 2 30186475 24560 Venugopal S. Tamilnadu 620010 Annuity 3 30153134 36096 Choudhary Kanhaiyalal Madhya Pradesh 454111 Annuity 4 30237624 53209 Patel Hirabhai Bhailalbhai Gujarat 391110 Annuity 5 30260840 69913 Bhardwaj Ravinder Kumar Punjab 140126 Annuity 6 30180288 71389 Nagulal Shantabai Madhya Pradesh 401605 Annuity 7 30296332 82727 Ray Asim Kumar Jharkand 828306 Annuity 8 30252449 90531 Mehta Pareshkumar Girishch Gujarat 390011 Annuity 9 30650246 97538 Singh Vikram Madhya Pradesh 465667 Annuity 10 30234638 209656 Kumar Dinesh Uttar Pradesh 222202 Annuity 11 30639843 210198 Kedar Tanaji Karn Maharashtra 413411 Annuity 12 30416807 218165 Choudhary Mohanlal Madhya Pradesh 456550 Annuity 13 30156848 224226 Mishra Laxmi Narayan Uttar Pradesh 231302 Annuity 14 30399463 277770 Lodhi Narayan Singh Madhya Pradesh 401605 Annuity 15 10610108 279069 Ahmad Md Faiyaz Bihar 801002 Annuity 16 90100172 369311 Dahil Karnail Singh Punjab 144417 Annuity 17 31215496 383911 Patil Shailaja Umakant Maharashtra 425001 Annuity 18 31530481 413897 Lamba Rajesh Kumar Rajasthan 333001 Annuity 19 90100507 491142 Pereira Minguel Jose Lazaro Goa 403102 Annuity 20 90108392 492088 Mathews Leelamma Kerala 695017 Annuity 21 90100754 494929 Toprani Usha Shantibhai Gujarat 388540 Annuity 22 31264071 350060 Om Prakash Uttar Pradesh 226002 Death Claim 23 130125995 GT/UBI/00000008 K Hemalatha Tamilnadu 636008 Death Claim 24 Membership no.65 GT/00000041 Rekhaben P Pathak Gujarat 370001 Death Claim 25 130094790 GT/UBI/00000008 Akhlesh Kumar Pundhir Uttar Pradesh 207401 Death Claim 26 170751742 GT/UBI/00000003 M. N. Jalal Kerala 686671 Death Claim 27 111197435 GT/00000115 Pardesi Apati Uttar Pradesh 221240 Death Claim 28 130056631 Shakti Shankar Nath Orissa 751003 Group Excess Premium 29 130056625 Monalisa Mishra Orissa Group Excess Premium 30 130016182 Surekha Suhas Kulkarni Maharashtra 413305 Group Excess Premium 31 130043346 Meghana R Pillay Maharashtra 400706 Group Excess Premium 32 130188016 Vikash Shamrao Yadav Maharashtra 415417 Group Excess Premium 33 130084503 Kavstubh Sunil Divekar Maharashtra 411007 Group Excess Premium 34 100116070 Rajendra Suthar Rajasthan 342005 Group Excess Premium 35 100152227 P Anandaraj Tamilnadu 626130 Group Excess Premium 36 130006639 Shwet Nisha Bihar 800023 Group Excess Premium 37 130025857 Neetu Arora Uttar Pradesh 221002 Group Excess Premium 38 130076511 RAJENDRA KRISHNA KUDTARKAR Maharashtra 416507 Group Excess Premium 39 130149512 Ashish Dilip Sonawane Maharashtra 422009 Group Excess Premium 40 130076953 Sayali Sanjeev Patki Maharashtra 416008 Group Excess Premium 41 130044913 Vivek Ramchandra Patil Maharashtra Group Excess Premium 42 130044910 Gokulnath P Tamilnadu 639001 Group Excess Premium 43 100210348 Pappu Bhullan Uttar Pradesh Group Excess Premium 44 130146098 Shiv Prakash Dubey Uttar Pradesh 223102 Group Excess Premium 45 130063493 Dinesh Mondal West Bengal 711315 Group Excess Premium 46 130015786 Kamal Kishore Garimella Andhra Pradesh 530026 Group Excess Premium 47 130110144 Swenzy Mariya Mathews Kerala Group Excess Premium 48 130205088 Nakenthiran S Tamilnadu 639102 Group Excess Premium 49 130205090 Divakaran V Tamilnadu 689102 Group Excess Premium 50 130076944 Sagar Anand Dharamle Maharashtra Group Excess Premium 51 130076262 Nilam Ramesh Majagaokar Maharashtra Group Excess Premium 52 130107184 S Prabhu Tamilnadu 642001 Group Excess Premium 53 130003329 Virvikram Vishnubhai Patel Gujarat 382721 Group Excess Premium 54 130070658 Joseph Thomas Kerala Group Excess Premium 55 130016854 Yogeshkumar Raydhanbhai Prajapati Gujarat 388001 Group Excess Premium 56 130025819 Niraj Kumar Sharma Uttar Pradesh 221113 Group Excess Premium 57 130029435 Thariq Muhammed A T Kerala 683512 Group Excess Premium 58 130088984 Shreya Bhattacharya Jharkand 834002 Group Excess Premium 59 130109957 Gopal Tiwari Uttar Pradesh Group Excess Premium 60 130000488 Ankit Chandrahas Karkera Maharashtra 400103 Group Excess Premium 61 130006635 Sachin Bihar 801105 Group Excess Premium 62 130130471 Nikita Anirudh Shah Maharashtra 400075 Group Excess Premium 63 130006798 Roma Singh Jharkand 826001 Group Excess Premium 64 130165321 Ashwini Tukaram Shende Maharashtra 442001 Group Excess Premium 65 130000631 Shashikant Roshan Ramteke Maharashtra 441406 Group Excess Premium 66 130050470 Karnan T Tamilnadu Group Excess Premium 67 130004743 Rohit Gome Madhya Pradesh 456010 Group Excess Premium 68 130008893 Mansuri Mohammed Ubaid Mohammed Mustaq Gujarat 395002 Group Excess Premium 69 130049771 Arihant Virulkar Chhattisgarh 490020 Group Excess Premium 70 100145086 Pravin Vishnu Parasavani Maharashtra 425001 Group Excess Premium 71 130076942 Pratik Prakash Kulkarni Maharashtra 416012 Group Excess Premium 72 100075650 Prakash Jain Chhattisgarh 492001 Group Excess Premium 73 130007809 V G Remanan Kerala 686686 Group Excess Premium 74 130025854 Mayank Dubey Uttar Pradesh Group Excess Premium 75 130044909 Saroj Sisodiya Madhya Pradesh 456010 Group Excess Premium 76 130959205 Khushboo Kausar Jharkand 825301 Group Excess Premium 77 130038406 Sharawan Kumar Bihar 848132 Group Excess Premium 78 130026085 Dhruv Kumar Uttar Pradesh 221302 Group Excess Premium 79 130063501 Syed Aftab Ali West Bengal 712701 Group Excess Premium 80 130109787 Ved Prakash Dubey Uttar Pradesh 275205 Group Excess Premium 81 130028617 Aiswarya Nandakumar Kerala 683572 Group Excess Premium 82 130017190 Ashish Kumar Vishwakarma Jharkand 835102 Group Excess Premium 83 130155889 Susheel Kumar Gautam Uttar Pradesh 221104 Group Excess Premium 84 130181964 Yogesh Kumar Haryana Group Excess Premium 85 130003062 Sumant Kumar Viz Jharkand 828301 Group Excess Premium 86 130069013 Vinod Kumar Vijayan Karnataka 560092 Group Excess Premium 87 130017616 Nayana P Kerala 682301 Group Excess Premium 88 130101388 Santosh Vishnu Jagatap Maharashtra 416205 Group Excess Premium 89 130009743 Tabish Jamil Bihar 854105 Group Excess Premium 90 130000932 Vikas Kumar Bihar 847211 Group Excess Premium 91 130205155 Vivek V Tamilnadu 613007 Group Excess Premium 92 130205156 Rajesh S Tamilnadu 613001 Group Excess Premium 93 130205158 S. Vijay Tamilnadu 613007 Group Excess Premium 94 130006659 Sunny Kumar Bihar 823003 Group Excess Premium 95 130104451 Gaurav Kumar Bihar Group Excess Premium 96 130104002 Nirbhay Shankar Bihar 823001 Group Excess Premium 97 130093146 Vivek Banshilal Katare Maharashtra 413305 Group Excess Premium 98 130020769 Shashi Yadav Madhya Pradesh 462003 Group Excess Premium 99 130188389 Vikramsinh Prabhakar Bhosale Maharashtra 415124 Group Excess Premium 100 130098278 Anil Kumar Punjab Group Excess Premium 1/107 Sr.No. Application No. Policy No. Name of Insured State Name Pincode Reason 101 130055918 Sangam Haryana 135003 Group Excess Premium 102 130105072 Ashish Kumar Uttar Pradesh 276001 Group Excess Premium 103 130037421 Amarendrer Reddy Jagini Andhra Pradesh 508114 Group Excess Premium 104 130118300 Anuj Sharma Uttar Pradesh Group Excess Premium 105 100075624 Navseen Khan Chhattisgarh 491001 Group Excess Premium 106 130118344 Ayush Uttar Pradesh 246726 Group Excess Premium 107 130028751 Kanjirakuzhy Varghese Anish Kerala 683557 Group Excess Premium 108 130000508 Kiran Mohan Surve Maharashtra 400068 Group Excess Premium 109 130004703 Gopal Singh Chandrawat Madhya Pradesh Group Excess Premium 110 130124409 Jasbir Singh Punjab 151001 Group Excess Premium 111 130063431 Samuel Nayek West Bengal 721101 Group Excess Premium 112 130188748 Shrishail Sadanand Parit Maharashtra 416113 Group Excess Premium 113 130017615 Sumitha Celin T J Kerala 682001 Group Excess Premium 114 130194094 Keerthi Suresh Kerala 682308 Group Excess Premium 115 130027846 Poonam Maruti Kharpare Maharashtra 415606 Group Excess Premium 116 100194292 Ravindersingh Gurbu Singh Marhas Maharashtra 440004 Group Excess Premium 117 130101340 Nikhil Dhanaji Patil Maharashtra Group Excess Premium 118 100122380 Hari Shanker Uttar Pradesh Group Excess Premium 119 130101343 Ajit Namadev Mole Maharashtra Group Excess Premium 120 130137475 Indra M Tamilnadu 600060 Group Excess Premium 121 130153078 Gopal Kumar Sinha Bihar 800008 Group Excess Premium 122 100131153 Ajay Raman Rayapati Andhra Pradesh 500039 Group Excess Premium 123 130037817 Madan Bhojle West Bengal 504103 Group Excess Premium 124 130183423 Magesh Kumar S Tamilnadu 606601 Group Excess Premium 125 130076229 Nandkishor Babasaheb Desai Maharashtra 416503 Group Excess Premium 126 130157760 S S B B Abhishek Shombatla Andhra Pradesh Group Excess Premium 127 100135323 Mohan Madhyani Maharashtra 400074 Group Excess Premium 128 130199222 Nishant Kumar Uttar Pradesh 247001 Group Excess Premium 129 100182848 Suman Lawat Haryana 125001 Group Excess Premium 130 130058104 Ajit Kumar Srivastava Jharkand 828111 Group Excess Premium 131 130199223 Rashi Jain Uttar Pradesh 247001 Group Excess Premium 132 100108702 Sumedh Vinayak Anathpindika Karnataka 411001 Group Excess Premium 133 130037193 Pavan Kumar Manikonda Andhra Pradesh 500020 Group Excess Premium 134 130205118 Mssenthilkumar Tamilnadu 639102 Group Excess Premium 135 100131900 Sunitha Manchenapally Andhra Pradesh 500030 Group Excess Premium 136 100031330 Nadeem Jaffar Khan Maharashtra 401107 Group Excess Premium 137 100152220 M Abdulasikeen Tamilnadu Group Excess Premium 138 100248063 Sebastian V D Kerala 678684 Group Excess Premium 139 130118146 Swati Verma Uttar Pradesh Group Excess Premium 140 130025713 Salil
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