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AGRA

Page 1

समाजवादी किसान बीमा योजना े अंतर्ग�त भुर्गतान किए र्गए दावों ी सूचना

आमि�नी का ना� तहसील जि�ला

AGRApaid claims

1 Hari Prasad Reena Hasela Kirawali Agra 16/09/16 500000 28.11.16 Death 12 VIJAY SINGH SHASHI DEVI GURJA HARIBAKS BHARINAGLA,BAHAgra 15.09.2016 500000 21.12.16 Death 33 GUDDA RAM SUKHDEVI MAHUAR Kirawali Agra 03/10/16 500000 21.12.16 Death4 RAJVEER SINGH ANIL CHAHAR MANKENDA MALPURA Agra 17/10/2016 500000 06/01/17 Death5 KALICHARAN CHAMPI DANDNIYA PURA NAGARIYA Agra 15/11/2016 500000 06/01/17 Death 26 RAMPRAKASH MITHLESH 129, GUGAVAND TANATPUR, KHER Agra 13/10/2016 500000 06/01/17 Death7 VIRENDRA SINGH HEMLATA GAURARI FATEHABAD Agra 30.11.16 500000 21.01.17 Death8 SATISH KUMAR ARCHANA SINDKDARA KIRAwali Agra 21.11.2016 500000 21.01.17 Death9 MAN SINGH MACHLA GARHI SAKKAN PATTI SHEKHPUR Agra 08/10/16 500000 02/02/17 Death10 BAHADUR ALI RABEENA RAIPURA AHIR ARSAINA Agra 02/12/16 500000 02/02/17 Death11 BACHHU SINGH MAYA DEVI GARHI SAKKAN PATTI SHEKHUPU Agra 08/10/16 500000 02/02/17 Death12 AJAY SINGH ASHA BAGHA MAJRA WAHA KIRAwali Agra 09/11/16 500000 02/02/17 Death13 NATHHI LAL BITTAN DEVI NAGLA TANK MEWLI KHURD Agra 24.11.2016 500000 02/02/17 Death14 MAHAVEER SINGH RAJWATI VASMAHAWAT KUNDAUL Agra 16.10.16 500000 13.02.17 Death15 LAKHAN SINGH PREMA SINGH PAKHTI PURA BAH Agra 26.10.16 500000 13.02.17 Death16 RAM NIWAS MANORAMA TIKAITPUR BARAENDA AGRa 23.09.16 500000 13.02.17 Death17 GIRAJ SINGH BAIJANTI AULENDA AGRa 04/12/16 500000 13.02.17 Death18 EDEL SINGH RINKI AULENDA KIRAWALI AGRa 16.11.16 500000 23.02.17 Death19 PHOOL SINGH SEETA DEVI CHAUKDA ATMADPUR AGRa 24.10.2016 500000 13.02.17 Death20 NAND KISHORE VIMLESH PURAHARLAL BAMRAULI AGRa 13.11.16 500000 16.02.17 Death21 RAM VILAS BHAGWAN DEVI NAGLA BHIKI SHAMSABAD AGRa 29.11.2016 500000 23.02.17 Death22 HARVEER SINGH DEEPAK KUMAR &OTHUDAIPUR AHARAN AGRa 25.12.16 500000 23.02.17 Death23 HARESH KUMAR SHEELA DEVI SAUN CHEET AGRa 18.12.16 500000 23.02.17 Death24 NETRAPAL SUBHASH CHAND & O PURADHARM BADAUS AGRa 22.09.16 500000 28.02.17 Death25 SHRI NIWAS TRIVENI PURA DHARM SINGH BADAUS AGRa 22.09.16 500000 28.02.17 Death26 KEWAL SINGH MAYA NAGALA MANOHAR KHERAGARH AGRa 31/12/16 500000 20.03.17 Death27 ASHOK KUMAR SAROJ NAGALA BURJE KIRAWALI AGRa 15/01/17 500000 20.03.17 Death28 SAMUNDRA SINGH SANTA DEVI BARAULI KIRAWALI AGRa 18/01/17 500000 20.03.17 Death29 ROOP SINGH VIJAY PRAKASH ANAND NAGAR AGRa 08/12/16 500000 20.03.17 Death30 NATTHI GANGA DEVI JALALPUR KHERAGARH AGRa 25/09/16 500000 20.03.17 Death31 BABU LAL URF BABU SING SHANI BURG KATHER CHHAWLI Agra 31/10/2016 13/12/2016 500000 13.02.17 Death32 GOKUL SINGH MEENA DEVI URF BEE KANKREHTA SIKANDRA AGRa 13.11.16 08/02/17 500000 13.02.17 Death33 HARISHANKAR GUDDI TARASO KANERA AGRa 02/12/16 08/02/17 500000 13.02.17 Death

प्रारूप-१०

बीमा ंपनी ा नाम: दिद ओरि%यंटल इन्श्यो%ेंस ंपनी लिलमिमटेडदुर्घ�टनाग्रस्त व्यक्ति� का ना�

ग्रा� दुर्घ�टना की तितक्ति�

दावा प्राप्त होने की

भुगतान की राक्ति%

भुगतान होने की

�ृत्यु/तिवकलांगता/उपचार(कै%लेस/

AGRA

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34 HUKUM SINGH RAJKUMARI KHASPUR DAYALBAGH AGRa 23.11.2016 30.01.17 500000 23.02.17 Death35 LAL SINGH GUDDI DEVI NAUFRI AGRa 12/11/16 30.01.17 500000 13.02.17 Death36 MAHESH CHAND RATHOU NIRMALA RATHOUR KAMLA NAGAR Agra 05/11/16 25.01.17 500000 16.02.17 Death37 MOOLCHAND SANGEETA SINGH KATESHWAR AGRa 17.09.16 25.01.17 500000 23.02.17 Death38 NARESH AGARWAL SUNITA AGARWAL OM NAGAR JAGNESHWAR RO Agra 29.10.16 25.01.17 500000 23.02.17 Death39 PAPPU SUNITA SIKRI CHAR HISSA AGRa 02/11/16 08/02/17 500000 23.02.17 Death40 SAROJ DEVI RAJNI KUMARI DHAMOTA KUNDOL Agra 29.09.2016 12/01/17 500000 28.02.17 Death41 SHISHUPAL SINGH KALAWATI PITHOURA Agra 21.11.16 25.01.17 500000 28.02.17 Death42 THAN SINGH LAKSHMI DEVI GIJAULI HAJIPUR KHANDUAAGRa 29.10.16 30.01.17 500000 20.03.17 Death43 VIJAY SINGH RAMSAKHI & OTHERS VIDHAULI KHERAGARH AGRa 27.11.2016 08/02/17 500000 20.03.17 Death44 KOMAL SINGH MEERA DEVI CHAR VISA SHAMSABAD AGRa 11/10/16 30.01.17 500000 20.03.17 Death45 CHARAN SINGH BABY LUHARI BEEKAPUR AGRa 07.02,17 04/04/17 500000 20.03.17 Death46 HARIOM RANI DEVI SANTHA KIRAWALI AGRa 21.11.16 08/02/17 500000 20.03.17 Death47 PADAM SINGH BABY NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 500000 04/05/17 Death48 CHARAN SINGH MITHLESH NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 500000 04/05/17 Death49 SHAITAN SINGH SHAKUNTALA DEVI NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 500000 25.05.17 Death50 PARVENDRA SINGH HEMLATA NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 500000 25.05.17 Death51 PADAM SINGH KUSUMA DEVI NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 500000 25.05.17 Death52 RAJJO SAVITRI DEVI MAHUWAR KIRAWALI AGRa 30.03.17 10/04/17 500000 31.05.17 Death53 RAMESH URF RAMESHWA LAKSHMI DEVI KHADWAI KIRAWALI AGRa 31.03.17 10/04/17 500000 31.05.17 Death54 KITAB SINGH SHIV DEVI PATARIYAPURA SWARA AGRa 11/11/16 08/02/17 500000 31.05.17 Death55 RAJVEER KAMLESH SAURA SAINTHA AGRa 03/03/17 04/04/17 500000 31.05.17 Death56 PAPPU MALA DEVI ANGUTHI BICHPURI AGRa 15.03.17 04/04/17 500000 31.05.17 Death57 SHIV PRAKASH PUSHPA SHARMA SHIVKUNJ COLONY SIKANDARA AGRa 25.02.17 04/04/17 500000 31.05.17 Death58 BRIJESH SINGH MONA DEVI PURA BHADAURIYA BAAH AGRa 28.01.17 04/04/17 500000 21.06.17 Death59 RUSTOM SINGH LASHMI GURJA KAMLE RAJAURA AGRa 02/02/17 10/04/17 500000 21.06.17 Death60 MUKESH URF MUKESH ASHAN DEVI TUKRPURA RICHOHA AGRa 18.02.17 10/04/17 500000 21.06.17 Death61 RAM GOPAL ANAR DEVI NANDPURA RAIPUR AGRa 05/04/17 10/04/17 500000 21.06.17 Death62 BHAGWAN RANI DEVI MORE NIWAS AGRa 04/04/17 10/04/17 500000 21.06.17 Death63 SURESH CHANDRA URFINDRA DEVI BADAGAON KAMTARI AGRa 12/02/17 10/04/17 500000 21.06.17 Death64 DEV NARAYAN SUSHILA DEVI PAI WAAH Agra 05/03/17 10/04/17 500000 21.06.17 Death

NO CLAIM1 Amaan Singh Lata Devi Vijaygarhi Holipura Agra 13/08/16 15/11/16 18.11.16 before commencement of policy 13/08/20162 BRIJ MOHAN VIRMA DEVI PAISAI CHOKRA, KHANDOAgra 10/10/16 26.12.2016 29.12.16 Not being head of the family.3 GAJENDRA SINGH VANDANA AGRA AGRa 15.01.2017 20.01.2017 21.03.2017 NOT SUBMITTED ANY PROFF FOR ENTITLEMENT4 GOPAL PRASAD KRISHNA * OTHERS PATSAAL KIRAWAI Agra 13.11.2016 12/01/17 17.01.17 deceased was working with LIC5 GUDDI DEVI MOHAR SINGH N OTH BHADRAULI BAAH Agra 24/10/16 19/12/16 21.12.16 Not being head of the family.6 GYAN DEVI RADHEY SHYAM JAJAU KIRAwali Agra 02/10/16 20/12/16 22.12.16 not dependent on deceased7 LAXMAN CHANDRAWATI NAGALA HARBKSH KIRAWALI AGRa 04/01/17 21/03/17 25.03.17 not head of family8 MAHENDRA SINGH BHARAT SINGH SIKRAONDA KIRAWALI AGRa 11/02/17 21/03/17 25.03.17 not head of family9 MEMBER HARIMAYA & OTHERS VASAI KHAIRAGARH Agra 27.09.2016 12/01/16 15.01.17 age beyond 70 yrs10 MITHILESH BRIJ LAL & OTHERS bharatpur agra 15.11.2016 12/01/17 15.01.17 Not being head of the family.11 MOHAR SINGH KAMLESH DEVI MAJHARA KUTAKPUR AGRa 24.01.17 04/04/17 08/04/17 DEATH DUE to HEART ATTACK12 MUKESH KAMLESH BABRAUD Kirawali Agra 01/10/16 13/12/2016 14.12.16 before commencement of policy 11/06/1613 PAWAN KUMAR GOVIND SINGH KASAUTI KIRAWALI AGRa 31/12/16 21/03/17 25.03.17 not head of family

AGRA

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14 Ram Bhai Baby, Rishikesh,RahulMahua Malauni Vaah Agra 24/08/16 16/11/16 18.11.16 before commencement of policy 20/06/1615 RAVI KUMAR SHARMA MANJU SHARMA GOPAU KIRAwali Agra 09/10/16 12/01/16 15.01.17 SUICIDE16 SANJAY SINGH MANORMA NAGLA GURHA KIRAwali Agra 20.11.2016 26.12.2016 29.12.16 SUICIDE17 SAROJ DEVI KIRTI RAM SARAB BAAH Agra 15.10.16 27.12.2016 03/01/17 Not being head of the family.18 SAROJ DEVI RAJNI KUMARI & OTHEDHAMAUTA KUNDAUL Agra 29.09.16 25.01.17 29.01.17 time barred19 Shyam Singh Ram Beti Pura Patiram Post Bhadrauli Ba Agra 18/09/16 15/11/16 17.11.6 AboVE 7020 VED RAM PHOOLMALA RAURI KIRTHUA Agra 11/09/16 12/01/16 15.01.17 before commencement of policy 21 RAMJI LAL BACHU SINGH PIROTHA NAHRA AGRa 27.10.2016 30.01.17 22.01.17 clalimant is not dependant on deceased22 CHUNNI LAL BHAGWAN SINGH &DHAURA AGRa 17.12.16 08/02/17 22.06.17 CLAIMANTS WERE NOT DEPENDANT ON DECEASED23 GIRENDRA SINGH MATA PRASAD & OTNAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 22.06.17 AGE MORE THAN 70 YEARS24 VIJAY RAJANSHREE NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 22.06.17 NOT HEAD OF FAMILY FATHER ALIVE25 MUKESH KUMAR VIMLA DEVI NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 22.06.17 NOT HOF CLAIMANT NOT DEPENDANT ON DECEASED26 NETRAPAL ASHA DEVI NAGARIYAN FATEHABAD AGRa 05/05/17 10/04/17 22.06.17 DECEASED WAS NOT HAVING ANY PROOF OF ELIGIBILITY27 PRASHANT KUMAR RADHA DEVI NAGARIYAN FATEHABAD AGRa 05/04/17 10/04/17 22.06.17 NOT HEAD OF FAMILY FATHER ALIVE28 RAM BRAJ KALYAN SINGH AGRA 05.05.17 10/05/17 22.06.17 CLALIMANT IS NOT HEAD OF FAMILY29 OMVEER SINGH BABITA Agra 05.05.17 10/06/17 22.06.17 DECEASED HAVE NO PROOF OF ELIGIBILITY30 SUNNY BALVIR SINGH AGRA 05.05.17 10/07/17 22.06.17 NOT HEAD OF FAIMILY31 LAV KUSH SAUPI Agra 05.05.17 10/07/17 22.06.17 NO HEAD OF FAMILY

PENDING CLAIMS

1 ARJUN SINGH BHADIRI HANSELA, KIRA Agra 26/10/16 22.11.2016 Pending2 SATISH INDO DEVI NAGLA DALEL, PINAWAAH Agra 17/10/2016 13/12/2016 Pending3 JAL DEVI RAM PRAKASH & OT109, BASAI BHADORIYA Agra 12/10/16 13/12/2016 Pending4 DILEEP PAWAN & OTHERS KACHORA ACHHNERA Agra 11/11/16 26.12.2016 Pending5 GUDDU MUNDRA DEVI HAZI PUR KHEDA ALMATPUR Agra 28.10.16 27.12.2016 Pending6 ANOOP MISHRA PRIYANKA DEVI PURA GUMAN SINGH Agra 27.09.16 28.12.2016 Pending7 RAKESH URF MANMOHAN SHARMA BRAHMAN TOLA KHERAGARH Agra 07/10/16 05/01/17 Pending8 SAROJ DEVI RAJNI KUMARI DHAMOTA KUNDOL Agra 31.10.2016 25.01.17 Pending9 NEHNA SURJO DEVI SUTAHRI WAH AGRa 05/10/16 25.01.17 Pending10 KRIPA SHANKER RAM SIYA NAGLA IMLI PARNA AGRa 05/10/16 25.01.17 Pending11 BHURI SINGH ARTI MUDAIYA KHYALI AGRa 04/11/16 25.01.17 Pending12 TINKU DEHNI DEVI URF DECHAUSINGI AGRa 22.12.16 08/02/17 Pending13 DHARMENDRA SINGH VINITA BHOSAIN KHERAGARH AGRa 02/12/16 08/02/17 Pending14 ASHOK KUMAR SHARMABEENA DEVI CHIRHAULI MAHAWATPUR AGRa 30.11.16 08/02/17 Pending17 HARIOM MANJU KURRA CHITARPUR AGRa 29.11.2016 08/02/17 Pending18 TEJ SINGH OMWATI SIKRI CHAR KIRAWALI AGRa 29.09.16 02/03/17 Pending19 RAMVEER SINGH PRATAP SINGH MONONA PINAHAT AGRa 27.10.2016 11/03/17 Pending20 SHIVRAJ SINGH KANTI DEVI DEVKINAGAR AGRa 15/01/17 21/03/17 Pending21 GAJENDRA SINGH VANDANA NAGALA BURJE KIRAWALI AGRa 30/12/16 21/03/17 Pending22 YOGESH LALO DEVI PREM NAGAR DHAOFATEHABAD AGRa 14/10/16 21/03/17 Pending23 RAVI KUMAR KAMINI PATSAAL KIRAWALI AGRa 12/12/16 04/04/17 Pending24 GHANSHYAM SINGH SHEELA DEVI ACHELA KHERAGARH AGRa 14.02.17 04/04/17 Pending25 KESHAV VEERGATI VIRHARU KHERAGARH AGRa 24.10.16 04/04/17 Pending26 RAM PRATAP SIYAWATI EMANPUR BAAH AGRa 16.11.16 04/04/17 Pending27 AWDESH SINGH SUMAN DEVI GADIYA PARTAPPURBAAH AGRa 16.01.17 04/04/17 Pending28 BETAL SINGH BAKUNTI DEVI JHILRA FATEHABAD AGRa 19.01.17 19.01.2017 Pending29 SUJAN SINGH TULSA DEVI SIROJPURA KHERAGARH AGRa 23.01.17 04/04/17 Pending30 BANE SINGH SRIKANTA MOOSALPUR TATPUR AGRa 30.01.17 04/04/17 Pending31 JAI NARAYAN GUPTA URMILA DEVI BAAH ROAD FATEHABAD AGRa 02/01/17 04/04/17 Pending32 HARI OM VIMLA DEVI GADHI NAUHWAR KAKUWA AGRa 26.03.17 04/04/17 Pending33 DEVENDRA SINGH SHAHSI KUMARI MALIKPUR KIRAWALI AGRa 26..02.17 04/04/17 Pending34 KEHRI SINGH GUDDI NAGLA VIHARI ETMADPUR AGRa 07/01/17 04/04/17 Pending37 MAHESH CHAND NEELAM THAR DARSHI ETMADPUR AGRa 26.01.17 04/04/17 Pending

LOKESH.NITU,NIDHI,VINITA,VINOD, MANOJ

AGRA

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39 BHARAT SINGH ISHWARI BADRAULI KIRW AGRa 21.01.17 04/04/17 Pending45 DHANIRAM ANAR DEVI JATAVPURWA BAAH AGRa 05/05/17 10/04/17 Pending52 NIRANJAN SINGH SARVESH DEVI NANDPUR ETMADPUR AGRa 22.04.17 10/04/17 Pending53 CHOTELAL SHAKUNTALAL DEVIFARWANA DHADHUPUR AGRa 18.04.17 10/04/17 Pending54 MUNENDRA POOJA DEVI GUBRARI AGRa 05/03/17 10/04/17 Pending57 BHURA URF PURSHUTT KAILA DEVI UNTHGIR KHERAGARH AGRa 16.03.17 10/04/17 Pending58 HORILAL URF HORI SIN KAMLESH KACHPURA UNTHGEER AGRa 19.03.7 10/04/17 Pending59 PUSHPENDRA SINGH MAYA GARHI UDDA FATEHABAD AGRa 19.03.17 10/04/17 Pending60 SANJAY SAROJ RAIPURA AHEER ARSENA Agra 29.09.16 25.01.17 Pending

KRISHNA KANT JYOTI SHARMA VYARA KIRAWALI Agra 20.02.17 10/04/17SUBHASH CHANDRA KALA VIJAY NAGAR Agra 05/03/17 10/04/17HARVEER SINGH CHANDRAWATI RAVAR DAUKI Agra 17.02.17 10/04/17TARA CHAND BHOOP SINGH NIMAINA SARENDHI Agra 13.10.16 10/04/17TURSEN PAL UDAIVEER GARHI BHANDAR BARHAN Agra 20.02.17 10/04/17RANJEET SINGH RASHMI THAKUR NAGARIYAN DHARU MEWLI KALAN Agra 08/03/17 10/04/17JAI PAL SINGH POORAN DEVI KHADWAI RUNAKTA Agra 17.02.17 10/04/17VINOD KUMAR SUNITA DEVI KHEDI BARHAN Agra 09/03/17 10/04/17

ALIGARH

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आमिमनी ा नाम तहसील जिजला

ALIGARHPAID CLAIMS

1 Gulveer Mukesh Devi Prakashnagar Kabrai Aligarh 17/09/16 500000 21.11.16 Death2 Prem Pal Sharma Bhooda Palar Simrouthi Aligarh 17/09/16 500000 21.11.16 Death3 Yadveer Radhika Palar Kabrai Aligarh 17/09/16 500000 21.11.16 Death4 SORAN LAL RAJ RANI SHARMA JALLUPUR SEHAURI AKRABAD KOIL Aligarh 19.10.2016 500000 23.12.16 Death5 BABU LAL SAJ KUMARI DATAWALI ATRAULI ALIgarh 20.09.16 500000 24.01.17 Death6 SATYAPAL SINGH BEENA GABHANA ALIGARH ALIgarh 13.11.16 500000 21.01.17 Death7 CHANDRA BOSE SHAKUNTLA BISANPURI KHAIR ALIgarh 20.09.16 500000 24.01.17 Death8 SANJAY SINGH ASHA DEVI DAYA NAGAR TOCHIGARH ALIgarh 12/11/16 500000 21.01.17 Death9 JHAGDU PREMLATA CHUHARPUR TALSEHRA ALIgarh 08/10/16 500000 24.01.17 Death10 RAM KHILADI SHIVA NAGARIYA SOFA KHAIR ALIgarh 06/11/16 500000 02/02/17 Death11 DEVENDRA SINGH PINKI DEVI GAUMAT KHAIR ALIgarh 23.11.2016 500000 02/02/17 Death12 KALICHARAN URF ROOP KI GANGA DEVI NAGLA BODHA BAHADUR PUR ALIgarh 16.10.16 500000 02/02/17 Death13 TEJ SINGH LEELA WATI GARHI NAGLA SHYORAM MATHNA ALIgarh 01/10/16 500000 02/02/17 Death14 RAVINDRA PAL SINGH AYODHYA DEVI BABHNOI KOAL ALIgarh 14.11.2016 500000 02/02/17 Death15 RAJ KUMAR SHARMA NIRMALA DEVI SONGRA GABHANA ALIgarh 11/11/16 500000 02/02/17 Death16 KHARAG SINGH REKHA RANI BHOJPUR LOHGADH ALIgarh 01/01/17 500000 13.02.17 Death17 SURAJ PAL TIKENDRA KUMAR & TAMKAULI GHABHANA ALIgarh 17.10.2016 500000 13.02.17 Death18 PAWAN KUMAR RAJNI SARAUL ALIgarh 30.12.16 500000 23.02.17 Death19 PUSAMBAR SINGH PREMWATI KALYAN NAGAR TEBTHU ALIGarh 31.10.16 500000 28.02.17 Death20 HAR PRASAD MUNNI DEVI SAMASTPUR KEERAT ALIGArh 29.10.16 500000 01/03/17 Death21 RAVENDRA KUMAR RAJBALA SHARMA BADHAULA HAJI ALIGArh 18.11.2016 500000 01/03/17 Death22 KARAN SINGH SUMAN DEVI DEEVA HAMIDPUR KHAIR ALIGArh 11/03/17 500000 20.03.17 Death23 HARPRASAD MUNNI DEVI TARAORA KHAIR ALIGArh 22/10/17 500000 21.03.17 Death24 KALYAN SINGH SHASHI DEVI HAMIDPUR KHAIR ALIGArh 31/12/16 500000 21.03.17 Death25 NARESH KUMAR SUNITA DEVI SUMER NAGAR KOL ALIGArh 18.01.17 500000 15.03.17 Death26 RAM KUMAR KAVITA DEVI KARANPUR GABHANA ALIGArh 14.02.17 500000 18.03.17 Death27 Shiv Kumar Raj Kumari Palar Khair Aligarh 17/09/16 500000 21.11.16 Death28 RAMESHWAR NAIKSI DEVI KARNAWAL SUROORPUR ALIgarh 500000 04/05/17 Death29 CHANDRABHAN URF MANIKANGURI DEVI CHAECHAU IGLAS ALIgarh 18.10.16 30.01.17 500000 25.05.17 Death30 KUNWAR PAL KUSMA AJWAIN DHER ATRAULI ALIGArh 02/12/17 04/04/17 500000 28.05.17 Death31 RAMPAL SINGH BABLI KUAGAON AKBARABAD ALIgarh 23.11.2016 30.01.17 500000 31.05.17 Death32 SANTOSH KUMAR RUPESH NAGLA MAUNA DIGASI ALIGArh 05/01/17 04/04/17 500000 31.05.17 Death33 JASVEER SINGH REKHA DEVI GHARWARA ALIgarh 10/12/16 25.01.17 500000 31.05.17 Death34 RAVISHANKAR VIMLESH DEVI JOOLUPUR KOLI ALIgarh 20/09/2016 15/12/16 500000 706.17 Death35 KaLICHARAN SARDARI DEVI KHANDEHA TAPPAL ALIgarh 05/10/16 16/12/16 500000 18.12.16 Death36 RESHAM PAL OMWATI DEVI JARAUTH IGLASS ALIGArh 22.03.17 04/04/17 500000 06.06.17 Death37 RAJENDRA SINGH SHAKUNTALA DEVI GANGA GARHI IGLASS ALIGArh 20.03.17 04/04/17 500000 06.06.17 Death38 SANTRAM SINGH SARUTI DEVI KARTHALA IGLASS ALIGArh 08/03/17 04/04/17 500000 06.06.17 Death39 SABIR HUSAIN SAMSHURAJ BEGUM GODHA KOL ALIGArh 19.12.16 04/05/17 500000 06.06.17 Death40 RANVEER SINGH RAJVATI IGLASS ALIGArh 27.02.17 04/05/17 500000 06.06.17 Death41 GANGA RAM MANISH CHAJJU PUR KHAIR ALIgarh 29.09.16 27.12.2016 500000 21.06.17 Death42 CHOB SINGH SAVITRI DEVI BHOJPUR GADIYA NAGLA MAN SINGH ALIgarh 21.09.16 30.01.17 500000 21.06.17 Death

NO CLAIMS1 ANGAD SINGH RAMWATI TOCHIGARH IGLASS ALIGArh 08/02/17 04/04/17 11/04/17 not dependent on deceased2 ASFAK SHEELA BEGUM GONDA ROAD AHMEDNAGAR ALIGArh 13.09.17 03/03/17 08/03/17 before commencement of policy 13/09/163 DORILAL PAVITRA BAJHEDA KOL ALIGarh 06/10/16 08/02/17 11/02/17 income more than 70 thousand4 GANPAT SINGH ABHILASHA DEVI NAGLA WARIA GABHANA ALIgarh 13.10.16 27.12.2016 03/01/17 deceased was home guard5 GENDA LAL LONG SHRI DARIALAWALPUR RAM NAGAR ALIgarh 16/11/201620/12/16 22.12.16 HOME GUARD6 JITENDRA KUMAR RAJNI & OTHERS DARIAPUR AKBARABAD ALIgarh 22.09.16 24.01.2017 28.01.17 deceased age was below 188 RAKESH KUMAR MANJU DEVI SYARAUL KHER ALIgarh 18.12.201630.01.17 02/02/17 income more than 70 thousand9 SARVESH DEVI TIKENDRA KUMAR & TAMKAULI GHABHANA ALIgarh 23.10.201630.01.17 02/02/17 not BEing head of the family.10 SARVESH DEVI ROHIT SINGH AGRA AGRA ALIGArh 23.10.2016 NOT BEing head of the family.11 SATYADEV MAOHAR SRI ATRAULI ALIGArh 06/12/16 24/03/17 27.03.17 deceased not head of family12 SATYAPAL SINGH BEENA DEVI AGRA AGRA ALIGArh GOVT. EMPLOYEE13 SRI SATYAPAL USHA DEVI MALSAI ATRAULI ALIGArh 16/09/16 24/03/17 27.03.17 before commencement of policy 16/08/1614 SURESH CHAND MOHAN LAL SHEKHA IGLASS ALIGArh 06/12/16 04/04/17 11/04/17 not head of family15 UMA DEVI JAIVEER SINGH SIUKHARAN KHURD CHARA ALIGarh 24.11.16 27.02.17 29.02.17 not head of family16 VINOD KUMAR GEETA DEVI RAIPUR-DALPATPUR ATRAULI ALIgarh 20.10.16 27.12.2016 03/01/17 death due to illness17 RAMHARI MAHESH KISHORE & SHAHPUR THATHAI ALIgarh 12/11/16 30.01.17 08.05.17 claimant was not dependant on deceased18 KANTI PRASAD OMWATI NAGLA AHIBASI IGLA ALIgarh 28.10.16 30.01.17 31.05.17 AGE MORE THAN 7019 AJAB SINGH TILAK SINGH & OTHE KHANDUA BIJAULI ALIGArh 08/11/16 03/03/17 22.06.17 NOT HOF CLAIMANTS WERE NOT DEPENDANT ON DECEASED20 RAMVATI DEVI ASHOK KUMAR SHAR SHAHPUR BARAUTHA ALIGArh 10/03/17 10/04/17 27.06.17 NOT HEAD OF FAMILY CLAIMANT NOT DEPENDANT ON DECEASED

PENDING CLAIMSBundu Khan Savira Barha, ward no. 7 Kaudiyaganj, Koal Aligarh 30/10/16 17/11/16 PendingRAMESHWAR NAIKSI DEVI KANCHANPUR HARANPURKALA ALIgarh 12/10/16 20/12/16 PendingBABU RAM MALODA DEVI SURAJGARH ATRAULI alIgarh 09/10/16 28.12.2016 PendingTINKU URF SURAJ BHAN RAMWATI DEVI NAGLA BIRKHU IGLAS ALIgarh 15.09.2016 28.12.2016 PendingDURGESH KUMAR GAYATRI DEVI NAGALA BIGHA ATRAULI ALIgarh 16.10.16 28.12.2016 PendingAJAY GEETA SIYAROL KHAIR ALIgarh 10/11/16 28.12.2016 PendingKULDEEP SINGH REKHA KANSERA ALIgarh 16.12.2016 12/01/17 PendingCHANDRA PAL SINGH SON DEVI KHURRAMPUR KOAL ALIgarh 05/10/16 17.01.2017 PendingPREM WATI ROHITASH AGARWALBHATOI IGLAS ALIgarh 10/11/16 17.01.2017 PendingGANESHILAL LAXMI DEVI LADHAUA AKRABAD ALIgarh 21.12.16 30.01.17 PendingKAYAM SINGH SATYAWATI DEVI GANGRAUL ALIgarh 07/10/16 30.01.17 PendingAJAY KUMAR NEETU SHARMA CHUAWALI COL ALIgarh 24.10.16 30.01.17 PendingJAIVEER SINGH RANDHEER SINGH RUSTAMPUR PATEEL ALIgarh 23.12.16 30.01.17 PendingSAROJ DEVI AJIT KUMAR & OTHERREHMATPUR GADMAI ALIgarh 03/10/16 30.01.17 PendingMUNNA LAL ALKA SHARMA SUHAWALI COL ALIgarh 06/12/16 30.01.17 PendingHARI SINGH SUMAN VIDIRKA IGLAS ALIgarh 15.11.16 30.01.17 PendingRAVENDRA PAL SINGH KAMLESH DEVI MADHAULA GHABHANA ALIgarh 16.10.16 30.01.17 PendingHARI SINGH RANI DEVI DHAURAI COL ALIgarh 29.09.16 30.01.17 PendingSONEPAL SHAKUNTALA DEVI BHARTUA COL ALIgarh 26.11.16 30.01.17 PendingSANKIT KUMAR RAJBALA RANJEET GARHI KHERIYA BUZURG ALIgarh 23.11.2016 08/02/17 PendingPAWAN KUMAR GAUTAM KALICHARAN KASISO KHER ALIgarh 20.12.16 08/02/17 PendingRAVENDRA SINGH POONAM HEERAPUR GABHANA ALIGarh 17.11.16 08/02/17 PendingSONU KUMAR RAMWATI KAJIMABAD ALIGarh 08/12/16 02/03/17 PendingBHEJESH KUMAR JASHODA DEVI DABHA AKBARABAD ALIGArh 02/11/16 02/03/17 PendingSHARDA DEVI HEMPAL SINGH MADAK HETALPUR ALIGArh 17.11.16 03/03/17 PendingSANJAY KUMAR VIDHU KARTHALA IGLAS ALIGArh 05/01/17 03/03/17 PendingRAMWATI DEVI RADHEY SHYAM & OTKHEDIYA KHWAJA BUDHA ALIGArh 23.11.2016 03/03/17 PendingSHIV SINGH MEENA DEVI BAHADURPUR BESWA ALIGArh 22.10.16 03/03/17 PendingSHAHABUDDIN NOORJAHAN NAGLA MALLAH DODPUR ALIGArh 23.10.16 03/03/17 PendingGUNJAN SINGH RAJBALA KESHOPUR GADRANA ALIGArh 24.11.16 03/03/17 PendingRAMBHOOL SINGH NIRMALA DEVI JAHRANA BHAGATPUR ALIGArh 23.12.16 03/03/17 PendingBABLU SONI SHARMA NAGAL ASSU CHANDAUS ALIGArh 06/10/16 03/03/17 PendingPANNALAL KRISHAN MURARI JIRAULI ALIGArh 13.11.16 03/03/17 PendingVIJAYPAL SINGH INDRA DEVI NOGAON TOCHIGARH ALIGArh 23.10.16 03/03/17 PendingMADAN SINGH TARA DEVI WAJEETPUR NAH ALIGArh 27.12.16 11/03/17 PendingDINESH KUMAR SANJU DEVI KEERATPUR BAMAUTI ALIGArh 16.09.16 11/03/17 PendingBADAN SINGH SHASHI ITWARPUR JATTARI ALIGArh 04/02/17 11/03/17 PendingSUNIL KUMAR MANOJ KUMAR SHYAMGARHI IGLASS ALIGArh 05/02/17 22/03/17 PendingNARESH KUMAR LASHMI PAHAWATI GABHANA ALIGArh 07/11/16 04/04/17 PendingBENAMI LALITA DEVI HAKEEM GARHI KOL ALIGArh 19.01.17 04/04/17 PendingJITENDRA GANGA DEN POONAM SINGH NAGRIYA PATTI KOL ALIGArh 19.12.16 04/04/17 PendingRAMVEER SINGH KAMLESH DEVI NAGLA MAN SINGH KOL ALIGArh 21.12.16 04/04/17 PendingYASH PAL SINGH KRISHNA DEVI UKHLANA KOL ALIGArh 31.01.17 04/04/17 PendingCHETA URF CHANDRAVEERDROPADI DEVI KAIMAWALI IGLASS ALIGArh 15.01.17 04/04/17 PendingRUPENDRA SINGH MAMTA DEVI ASAWAR IGLASS ALIGArh 22.01.17 04/04/17 PendingRAJVEER URF RAJPAL JYOTI & OTHERS PURNA MAI IGLASS ALIGArh 03/01/17 04/04/17 PendingRAM KHILAUNI RAMEELA BHAURA GORWA IGLASS ALIGArh 21.02.17 04/04/17 PendingRAJU SARVESH DEVI PADIYAWALI ALIGARH ALIGArh 28.12.16 04/04/17 PendingRADHEY SHYAM SAVITRI DEVI MUKANDPUR KOL ALIGArh 11/11/16 04/04/17 PendingUMMED SINGH JAGVERI JARTAULI KHER ALIGArh 01/02/17 04/04/17 PendingDURGESH DOLLY HADDI GODAM KOL ALIGArh 04/12/16 04/04/17 PendingSATYA DEV RAHUL KUMAR SAJNA KASISO ALIGArh 20.01.17 04/04/17 PendingJAI PRAKASH GYAN DEVI KUNWARPUR PAALI ALIGArh 12/01/17 04/04/17 PendingNISHANT KUMAR URF LUCKRENU DEVI KISHANMARHI KOL ALIGArh 13.01.17 04/04/17 PendingSANTOSH KUMAR ANOKHI DEVI MALAW KHER ALIGArh 02/02/17 04/04/17 PendingHAR PRASAD NISHA DEVI UKARNA KOL ALIGArh 19.01.17 04/04/17 PendingHARENDRA SINGH POONAM SINGH NAGLA KALAR BUDH VIHAR ALIGArh 16.03.17 04/04/17 PendingPREMCHAND RAJNI DEVI AGORNA IGLASS ALIGArh 11/03/17 04/04/17 PendingRAMESH CHAND MAMTA DEVI TALEPUR DAHELI ALIGArh 25.01.17 04/04/17 PendingJAGPAL SINGH KAPIL RAWAT & OTH SIRYAL GABHANA ALIGArh 17.01.17 04/04/17 PendingMAHENDRA PAL SHARMA KUSUM SHARMA SABALPUR GABHANA ALIGArh 03/10/16 04/04/17 PendingDINESH KUMAR SHASHI DEVI NAGLA PADAM GABHANA ALIGArh 19.12.16 04/04/17 PendingOMVEER SINGH MANJU DEVI SARKORIYA ALIPURA IGLASS ALIGArh 25.01.17 04/04/17 PendingNAWAB SINGH URF VIPIN RITU DEVI SHYAM GARHI IGLASS ALIGArh 27.02.17 04/04/17 PendingSANTRAM JANKI PIPLI KHER ALIGArh 03/03/17 04/04/17 PendingCHOTELAL RAMSHREE KALAI KOL ALIGArh 17.12.16 04/04/17 PendingRAJAT KUMAR OMWATI DEVI PULSEDA KHAIR ALIGArh 09/01/17 04/04/17 PendingPRAMOD KUMAR RAMBETI VICHAULA IGLASS ALIGArh 12/03/17 04/04/17 PendingSHAILENDRA PAL SINGH REKHA SINGH BHAWGAN NAGAR PALA ALIGArh 11/11/16 10/04/17 PendingISRAR AHEMD NASREEN BEGUM GHASIPUR MUSEPUR ALIGArh 06/10/16 10/04/17 PendingKIRAN PAL SINGH PRAHLAD CHAUDHARCHENDUWA ATRAULI ALIGArh 20.09.16 10/04/17 PendingSATISH KUMAR VERMA MEENA DEVI PAALI MUKEEMPUR ALIGArh 01/03/17 10/04/17 PendingOM PRAKASH PARVATI DEVI DORI NAGAR KOL ALIGArh 07/01/17 10/04/17 PendingDEVENDRA SINGH SHAKUNTALA BEGVIPUR ATRAULI ALIGArh 21.01.17 10/04/17 PendingRAM AUTAR SINGH GUNJAN DEVI TAJPUR BHAGATPUR ALIGArh 16.03.17 10/04/17 PendingRAM SINGH LAKSHMI DEVI BEEDHA KHER ALIGArh 24.03.17 10/04/17 PendingOMVEER VEERO DURGAPUR KHER ALIGArh 06/02/17 10/04/17 PendingSATVEER KAMLESH DEVI GUAMAT KHER ALIGArh 06/01/17 10/04/17 PendingOM PRAKASH MANOJ KUMARI KUNWAPUR ATRAULI ALIGArh 12/01/17 10/04/17 PendingNARENDRA SINGH SUNITA DEVI RUSTOM KOL ALIGArh 04/03/17 10/04/17 PendingDALCHAND BHURIYA DEVI NIBHANA KOL ALIGArh 22.02.17 10/04/17 PendingVINAY KUMAR REENA YADAV AJADPUR PAHADIPUR ALIGArh 28.10.16 10/04/17 PendingNIWAS RAJKUMARI RUKHALA ATRAULI ALIGArh 01/01/17 10/04/17 PendingMAHARAJ SINGH PREMLATA RUKHALA ATRAULI ALIGArh 01/01/17 10/04/17 PendingDEV SINGH VIMLESH RUKHALA ATRAULI ALIGArh 01/01/17 10/04/17 PendingMANOJ KUMAR PRITI KUMARI HIMANCHAL BUDHAGAON ALIGArh 08/01/17 10/04/17 PendingMUKESH KUMAR SHAKUNATALA DEVI SIKANDARPUR ALIGArh 31.03.17 10/04/17 PendingBHUPENDRA PRATAP SING PUSHPA SINGH AUSAF ALI KOL ALIGArh 27.02.17 10/04/17 PendingBHOOP SINGH BRIJESH DEVI BIJAULI ALIGArh 22.03.17 10/04/17 PendingRAMVEER SINGH PRADEEP SINGH & O MAUR KHER ALIGArh 11/03/17 10/04/17 PendingKALICHARAN POORAN DEVI KASIMPUR SHAHGARH ALIGArh 01/02/17 10/04/17 PendingJAGDISH NIRANJAN LAL ISMAILPUR ALIGArh 11/12/16 10/04/17 PendingSHYORAJ SINGH JAGDISH RAMNAGAR ALIGArh 18.12.16 10/04/17 PendingAJEET RAJNI DEVI SAIYAD PADA IGLAS ALIGArh 26.12.16 10/04/17 PendingLALARAM SARVESH KUMAR ABHAYPUR ATRAULI ALIGArh 19.02.17 10/04/17 PendingMUNESH KUMAR PRAVESH KUMAR BARAUDH CHAJMAL ALIGArh 22.03.17 10/04/17 PendingRAJKUMAR KUSUM DEVI CHANDAULA ATRAULI ALIGArh 04/03/17 10/04/17 PendingRAKESH KUMAR VINITA DEVI KHEDIYA HEVAT KHAN ALIGArh 24.03.17 10/04/17 PendingVIKAS KUMAR PUNDER GUDIYA PUNDER CHANDPUR GOPI ALIGArh 11/04/17 10/04/17 PendingRAJAT KUMAR RENU DEVI DETA KHURD ALIGArh 26.01.17 10/04/17 PendingMEWA RAM JAI SINGH CHANDANPUR SHADIPUR ALIGArh 04/02/17 10/04/17 PendingVIVEK RAJWATI HIMANCHAL BUDHGAON ALIGArh 06/04/17 10/04/17 PendingPRAKASH DEVI RAJESH & OTHERS JADAUPUR ATRAULI ALIGArh 09/03/17 10/04/17 PendingNIVI CHAND MANJU DEVI BAHADURPUR SHAHGARH ALIGArh 24.03.17 10/04/17 PendingVIRENDRA SINGH URF VEE PREMWATI VADMANI KOL ALIGArh 28.03.17 10/04/17 PendingSUBHASH SINGH SHYAMWATI DINAWALI SUHAWALI ALIGArh 22.04.17 10/04/17 PendingSHEESHPAL SINGH SUNITA DEVI SHAHWAJPUR ALIGArh 12/04/17 10/04/17 PendingPINTU URF CHOTU VIDYA DEVI SUMARDHARI ALIGArh 03/01/17 10/04/17 PendingHARIPAL SINGH SHEELA DEVI NAYA WAS BESWA ALIGArh 23.03,17 10/04/17 PendingKUNDAN SINGH RAJMANTI VIJNA SHADIPUR ALIGArh 20.04.17 10/04/17 PendingSATYA DEV SATYA DEV GARAULA ALIGArh 06/03/17 10/04/17 Pending


बीमा ंपनी ा नाम: दिद ओरि%यंटल इन्श्यो%ेंस ंपनी लिलमिमटेडदुर्घ�टनाग्रस्त व्यलि7 ा नाम

ग्राम दुर्घ�टना ी कितलि8

दावा प्राप्त होने ी कितलि8

भरु्गतान ी %ाशि;

भुर्गतान होने ी कितलि8

मृत्यु/किवलांर्गता/उपचा%(ै;लेस/%ीम्बुस्मAट

AMROHA

Page 6



AMROHA

PAID CLAIMS1 RAKESH SANTOSH KAKADHER,HUSANGAJROLA AMROHA 24/10/2016 500000 24.04.17 Death

2 SUBHASH CHAND POONAM DEVI UMARPUR,OJHA MAHASAN PUR AMROHA 12/11/16 500000 25.04.17 Death

3 JAVAR SINGH URMILA DADIYAL GANGESHWARI AMROHA 20/09/16 500000 25.04.17 Death

4 MADAN PAL PREM WATI CHACHORA RAHRA AMROHA 12/10/16 500000 25.04.17 Death

5 CHANDRA BHAN SINGKIRAN WATI DEHRA ABBALPUR AMROHA 18.11.2016 500000 25.04.17 Death

6 INTAQAB ALI RUKHSANA KHATOON ATRASI AMROHA AMROHA 19.11.2016 500000 25.04.17 Death

7 SUNIL KUMAR ANITA DEVI DHANAURA AMROHA 27.09.2016 500000 25.04.17 Death

8 JAI PRAKASH KASHMIRI DHANAURA AMROHA AMROHA 15.10.16 500000 25.04.17 Death

9 INDRA PAL SINGH RAMVIRI POOTHI HASANPUR AMROHA 02/12/16 500000 27.04.17 Death

10 RAM PAL MURTI DEVI MACHRAI HASANPUR AMROHA 02/11/16 500000 27.04.17 Death

11 DUMBER RAJO GANGACHOLI HASANPUR AMROHA 25.11.2016 500000 01/05/17 Death

12 KAVENDRA SINGH VEERVATI BAKARPUR MAFI DHANAURA AMROHA 28.10.16 500000 02/05/17 Death

13 MAHENDRA SINGH NAVEETA KURAISHI AMROHA AMROHA 09/01/17 500000 03/05/17 Death

14 MAHIPAL SINGH ARCHANA UDAIPUR CHHIBRAMAU AMROHA 500000 03/05/17 Death

15 YASHPAL SINGH BIRI DEVI HIRNAKHEDA DHANAURA AMROHA 06/11/16 28.02.17 500000 04/05/17 death

16 AMAR SINGH DHANWATI PATAI KHADAR HASANPUR AMROHA 03/12/16 30.01.17 500000 25.05.17 Death

17 SHAUDAN SINGH KALAWATI THEKLA HASANPUR AMROHA 22.12.16 28.02.17 500000 25.05.17 Death

18 UMESH SINGH REKHA DEVI PELI TAGA DHANAURA AMROHA 22.12.16 28.02.17 500000 05.06.17 Death

19 JAGDISH SINGH POONAM KHATA PAPSARA AMROHA 13.01.17 11/03/17 500000 05.06.17 Death

20 SATPAL SINGH RINKI MUNIMNAGAR GAJSTHAL AMROHA 29.01.17 500000 05.06.18 Death

NO CLAIMS

1 DEV KARAN SINGH MAMTA PATHRA HASANPUR AMROHA 26.09.2016 19.01.2017 21.01.17 up govt employee2 HARPAL TARA SINGH SANTANPUR BHEEMA AMROHA 16.09.16 28.12.2016 30.12.16 not BEing head of the family.3 NARESH LEELA WATI LADANPUR DHANAURA AMROHA 13.10.2016 23.10.2016 26.10.16 post mortem not done4 PRADEEP KUMAR LOKENDRI DEVI DEHRA DHANAURA AMROHA 11/11/16 23.10.2016 26.10.16 up govt service5 PRAMOD MAHENDRI DEVI NAGALIA GAJRAULA AMROHA 27.08.2016 23.10.2016 26.10.16 before commencement of policy 27/08/20166 SANJEET KUMAR LEELAWATI SARKADI AJEEJ AMROHA AMROHA 20.01.17 04/04/17 07/04/17 Not being head of the family.7 SHASHI DEVI NEM PAL SINGH KAPASI PALAULA AMROHA 11/10/16 28.12.2016 30.12.16 not head of family8 SUDHA SINGH CHANCHAL KUMAR KAPASI PALAULA AMROHA 11/10/16 28.12.2016 30.12.16 not head of family9 VIJAY PAL SINGH CHANDRA WATI SHEESHU ALI DHANAURA AMROHA 29.11.2016 28.12.2016 30.12.16 income proof is not submitted10 NANAK JAGDEV SINGH AMROHA 06.02.17 22.06.17 AGE MORE THAN 70 YEARS11 MUKUND RAM RAMESHWARI DEVI AMROHA 13.04.17 22.06.17 AGE MORE THAN 70 YEARS

PENDING CLAIMSVEER SINGH BHAGESH DEVI BHANPUR KHALSA GAJROLA AMROHA 19/10/2016 08/12/16 PendingMANOJ KUMAR KANTI SAGARTHALI GAJRAULA Amroha 05/10/16 23.10.2016 PendingMAHIPAL SINGH ARCHANA PIPLI MEKCHAND AMROHA 01/11/16 23.10.2016 PendingSATISH CHANDRA REKHA VERMA BASANT VIHAR GAJRAULA AMROHA 07/11/16 23.10.2016 PendingISHWARI PRASAD HARISH GUPTA CHANDANPUR HASANPUR AMROHA 04/12/16 28.12.2016 PendingMAHAVEER SINGH CHANNO LISDIKHURD DHARAURA AMROHA 18.11.2016 28.12.2016 PendingANIL KUMAR SANGITA SIMTHALA RAHARAHASANPUR AMROHA 23.10.2016 16.01.2017 PendingHIRA SINGH VEER SINGH HAIWATPUR GHANORA AMROHA 03/12/16 16.01.2017 PendingSATYENDRA SINGH SARVATI FIROZPUR BAGAD DHANAURA AMROHA 09/11/16 30.01.17 PendingGAJENDRA SINGH POONAM DEVI MUNAWWARPUR AMROHA 07/12/16 27.02.17 PendingTEEKAM SINGH SARVESH DEVI DHAKIYA MOOD DHANAURA AMROHA 06/01/17 28.02.17 PendingHARPAL SINGH PRAKASHWATI PADLI HASANPUR AMROHA 19.10.16 28.02.17 PendingNARENDRA SINGH REKHA DEVI KUWI AMROHA 03/01/17 02/03/17 PendingSHEESHPAL RAJBALA DEVI KOKAPUR HASANPUR AMROHA 02/01/17 04/04/17 PendingNARENDRA SINGH SUDESHNA DEVI JATPURA KAUSAL AMROHA 05/12/16 04/04/17 PendingTEEKAM SWAELD GULAMPUR HASANPUR AMROHA 10/01/17 04/04/17 PendingSAHIL SHAHANA DHANAUARA AMROHA 01/01/17 04/04/17 PendingUMESH KUMAR SHAR SUMAN SHARMA BASTI DHANAURA AMROHA 16.02.17 04/04/17 PendingKAMAL KANT SHARMASUMAN DEVI MOHAMDI DHANAURA AMROHA 24.09.16 04/04/17 PendingAMICHAND MUNNI MEHDIPUR HASANPUR AMROHA 04/03/17 04/04/17 PendingARVIND KUMAR SUNITA DEVI JOYA AMROHA AMROHA 22.01.17 04/04/17 PendingTEEKAM SAVALDE GULAMPUR HASANPUR AMROHA 10/01/17 10/04/17 PendingAMIT KUMAR URF ANKSANGEETA GULADIYA AMROHA 17.01.17 10/04/17PINTU SINGH SAVITA CHAUWARA HASANPUR 29.03.17 10/04/17DHANI URF DHANVEE KALIYA URF KALAWATIREHRA MAJRA REHRA 02/02/17 10/04/17MUKUND RAM RAMESHWARI DEVI PREM NAGAR DHANAURA 13.04.17 10/04/17




दावा प्राप्त होने ी

भुर्गतान ी %ाशि;



AURAIYA

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समाजवादी किसान बीमा योजना े अंतर्ग�त भरु्गतान किए र्गए दावों ी सूचना


AURAIYAPAID CLAIMS

1 Anish Kumar Mohni Karore ka Purwa Kakor Buzurg Auraiya 02/10/16 500000 27.03.17 Death2 Jabbar Ali Sawra Begam Karahi Phaphund Auraiya 25/09/16/ 500000 27.03.17 Death3 Sitaram Prabha Devi Baruwa Mauja Babina, SukhchainpuAuraiya 22/09/16 500000 27.03.17 Death4 AUSAN SINGH SHEELA DEVI & OTHS. RURU KHURD TEH. BIDHUNA Auraiya 21.09.2016 500000 27.03.17 Death5 BRIJKISHORE RAJNI DEVI JAMALIPUR AURAIYA AURAiya 16/10/2016 500000 29.03.17 Death6 RAKESH KUMAR PREMA DEVI JAITPUR AURAIYA AURAiya 04/10/16 500000 29.03.17 Death7 SUKHBEER SINGH KAMLESH SINGH SACHDEVRA AJEETMAL AURAiya 24.09.2016 500000 12/04/17 Death8 PRAKASH SUSHMA DEVI RATANPUR MAUJA BANTHRA AURAiya 01/11/16 500000 12/04/17 Death9 BRAHM PAL SINGH OM LATA HARCHANDAPUR BARHIN AURAiya 24.09.2016 500000 13.04.17 Death10 RAJ KIHORE MEENA DEVI PURWA UMMED UDHAMPUR AURAIya 15.10.2016 500000 13.04.17 Death11 KAMLESH KUMAR MUNNI DEVI KHANPUR PHAPHUND AURAIya 28.10.2016 500000 13.04.17 Death12 RAM BABU KITKA DEVI BICHOLI NIHAULI AURAIya 16.11.2016 500000 13.04.17 Death13 SURESH CHAND SURESH CHAND JAMUNA CHANDPUR AURAIya 08/12/16 500000 16.04.17 Death14 RAJESH KUMAR MUNNI DEVI GOHANI KALA AJITMAL AURAIya 25.11.2016 500000 16.04.17 Death15 FAIYAJ MOHD BITI BEGUM ANANTRAM AJITMAL AURAIya 31.10.16 500000 16.04.17 Death16 AMLESH KUMAR GUDDI AGHARA BIDHUNA AURAIya 24.11.16 500000 16.04.17 Death17 BALVEER SINGH SWATANTRA BHULAHAR VIDHUNA AURAIya 27.11.2016 500000 20.04.17 Death18 CHOTEY SINGH MEERA DEVI PURWA NEK CHANDRA VIDHUNA AURAIya 12/01/17 500000 20.04.17 Death19 RAJESH KUMAR VIMLESH KUMARI PREMNAND ASHRAM TILAK NAGAR AURAIya 30.12.16 500000 20.04.17 Death20 KUNWAR SINGH TARUN KUMAR & OTHE TEHRAJPUR VIDHUNA AURAIya 28.11.2016 500000 20.04.17 Death21 PRADEEP KUMAR SITA DEVI BARHA DEVI VIDHUNA AURAIya 20.12.16 500000 21.04.17 Death22 SANJAY KUMAR NISHA DEVI RATWA PHAPHUND AURAIya 21.01.17 500000 21.04.17 Death23 SWADESH KUMAR SANGEETA SURAYDA FOOLPUR AURAIya 06/12/16 500000 21.04.17 Death24 ASHOK KUMAR RAM PYARI BIRUHUNA AJEETMAL AURAIya 15.12.16 500000 21.04.17 Death25 LALLU SINGH VIDYA DEVI JUHIKA AJEETMAL AURAIya 29.12.16 500000 21.04.17 Death26 ROHIT SINGH JAGRANI AMAWATA AJEETMAL AURAIya 04/02/17 500000 21.04.17 Death27 SUMET BABU SIYARANI BIRUHUNA AJEETMAL AURAIya 17.12.16 500000 21.04.17 Death28 NARESH CHANDRA MANJU GUPTA BABU DAYARAM NAGAR DIBIYAPUR AURAIya 23.01.17 500000 21.04.17 Death29 MAHIPAL SINGH PUSHPA DEVI BASAI BIDHUNA AURAIya 09/03/17 10/04/17 500000 31.05.17 Death30 BHAIYALAL SUMAN DEVI MAUNAKPUR AURAIya 11/02/17 10/04/17 500000 31.05.17 Death31 ANIL KUMAR MUNNI DEVI PAUNTHI SHIVGANJ AURAIya 10/03/17 10/04/17 500000 31.05.17 Death32 DINESH KUMAR GUDDI DEVI AMPUR FAFUND AURAIya 23.12.16 03/03/17 500000 05.06.17 Death33 PRAMOD KUMAR VIMLA DEVI AURAIYA 500000 05.06.18 Death34 RAM KISHORE SAVITRI DEVI AURAIYA 500000 05.06.19 Death35 KAMLESH KUMAR RADHA DEVI AURAIYA 500000 05.06.20 Death36 RAM BHAROSE PREMA DEVI AURAIYA 500000 05.06.21 Death








AURAIYA

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NO CLAIMAURAIA

1 JABBAR ALI SAVARA BEGUM KANPUR AURAIA 25/09/16 not dependent on deceased2 ANITA DEVI JEEVAN DOHARE HAFIPUR AJITMAL AURAIya 04/12/16 08/02/17 11/02/17 not head of family3 BHAGWATI RAJESH KUAMR & OT CHANDRAPURA BIDHUNI Auraiya 05/10/16 08/12/16 12/12/16 not dependent on deceased4 BHANU PAL SINGH Shyama Devi BARAULI Bidhuna Auraiya 15.09.201608/12/16 12/12/16 head constable up police5 BISHNU DAYAL KUSUMA DEVI JASA KA PURWA BHAGYA NAGAR AURAiya 05/10/16 09/01/17 11/01/17 sucide6 RAM NARAYAN SUNIL KUMAR & OTH VIDYA NAGAR BABARPUR AURAIya 08,.02.17 04/04/17 07/04/17 not dependent on deceased7 Ram Naresh Janak Dulari Raunha, Pusauli Bidhuna Auraiya 01/10/16 17/11/16 20.11.16 DUE TO SEPTISIMA8 Ravi Kumar Sanjay Kumar,Ajay Kr.Gamnamau Ata, Bhagyanagar Auraiya 16/09/16 17/11/16 20.11.16 Not being head of the family.9 DHARMENDRA KUMAR GUDDI GAJIPUR ISHWARI PRASAD AURAIya 09/10/16 04/04/17 25.05.16 Deceased was not a farmer . He is not head of family . No income proof of deceased. 10 RAM SHANKAR SULOCHNA DEVI RAMPUR BODHEPUR AURAIya 08/11/16 10/04/17 25.05.16 Not being head of the family.11 ARPIT KUSUMA DEVI JARUHAULIYA JAITAPUR AURAIya 31.10.201617.01.2017 25.05.16 Not being head of the family.12 PRAMOD KUMAR SHIV NARAIN AURAIYA 01.11.2016 14.06.17 SUCIDE

PENDINGVishun Das Shiv Das & Others Salaiya Bakhriya Auraiya 19/09/16 17/11/16 PendingSUNIL KUMAR SANGEETA DEVI PURVARAJA BIKUNA Auraiya 19/09/201608/12/16 PendingINDRAPAL LALI DEVI JAITPUR AURAIYA AURAiya 04/10/16 14/12/2016 PendingVINOD KUMAR KESH KALI GAPKAPUR LAKHNAPUR AURAiya 16/10/2016 20/12/16 PendingMEENA RAJESH & SHYAM JI GANDHI NAGAR AJEETMAL AURAiya 15.09.2016 27.12.2016 PendingSANT KUMAR JAMUNA DEVI KHANPUR JASKAPURWA AURAIya 13.10.2016 12/01/16 PendingADITYA KUMAR SITA DEVI DAMNA MAU AURAIYA AURAIya 30.11.2016 12/01/17 PendingSUKHVEER SARASWATI DEVI GADHWANA BIDHUNA AURAIya 10/10/16 17.01.2017 PendingFIROZ ALI SHAKINA BEGUM SAHAYAL BIDHUNA AURAIya 23.10.2016 17.01.2017 PendingSWADESH KUMAR SHASHI DEVI PAITUA BIDHUNA AURAIya 25.11.2016 17.01.2017 PendingRAMVEER SINGH SAHEB SINGH NARAHI SAHAYAL AURAIya 20.10.16 17.01.2017 PendingMAHENDRA KUMAR VINITA NARAHI SAHAYAL AURAIya 20.10.16 17.01.2017 PendingRAVI MOHNI GAPCHARIYAPUR SABHAD AURAIya 28.10.16 17.01.2017 PendingDEVENDRA KUMAR SAPNA LAHOKHER DIBIYAPUR AURAIya 24.11.16 17.01.2017 PendingBHOLA BENGALI PAPPI BEGUM KANSHI RAM BADANPUR AURAIya 16.10.16 17.01.2017 PendingMATENDRA KUMAR SADHANA DEVI SAHAYAL AURAIya 28.10.16 17.01.2017 PendingRAGHVENDRA SINGH T UMA DEVI BHRAMNAGAR AURAIya 08/12/16 17.01.2017 PendingDINESH CHAND RAM KUMARI JITAYAK PIPRAULI AURAIya 27.11.2016 08/02/17 PendingBALLU URF DILIP SINGH MAYA DEVI BHEROPUR BHANDARIPUR AURAIya 20.11.16 03/03/17 PendingRAMENDRA SINGH GEETA DEVI NIGDA AURAIya 05/12/16 03/03/17 PendingVISHAMBHAR SINGH RAJKUMARI PARTAPUR ASRARI AURAIya 23.12.16 03/03/17 PendingVINOD KUMAR ANJULI FATEHAPUR KARAM AURAIya 18.12.16 03/03/17 PendingSUMIT NARAYAN MEERA DEVI NAND NAGRI AURAIya 01/12/16 03/03/17 PendingBABU SINGH RAMA DEVI AMAWATA AJEETMAL AURAIya 16.11.16 03/03/17 PendingAWDESH KUMAR RUBY DEVI MADHWAPUR VIDHUNA AURAIya 09/12/16 03/04/17 PendingBRIJESH KUMAR MANJU SHUKLA DEEN DAYAL DIBIYAPUR AURAIya 31.12.16 03/04/17 PendingMAN SINGH SUMIT KUMAR GURU KHUNDA VIDHUNA AURAIya 02/11/16 03/04/17 PendingKARAN SINGH PREM LATA MAHARAJPUR AJEETMAL AURAIya 30.12.16 04/04/17 PendingDHARMENDRA KUMAR MALA SUMAN KHUKHUPUR FOOLPUR AURAIya 04/11/16 04/04/17 PendingMAHENDRA SRIVASTAV RAMA SRIVASTAV OM NAGAR BADANPUR AURAIya 10/11/16 04/04/17 PendingSHAILENDRA KUMAR SALONI KARAMPUR AURAIya 13.11.16 04/04/17 Pending

AURAIYA

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PANKAJ URF AMAN KUM RADHA DEVI JALOKHAR AURAIya 14.11.16 04/04/17 PendingAKBAR KHAN BANO SAHAYAL VIDHUNA AURAIya 11/12/16 04/04/17 PendingSUBHASH CHAND SHREE DEVI LOHIYA NAGAR VIDHUNA AURAIya 25.01.17 04/04/17 PendingSATYABHAN SINGH MUNNI DEVI PURVI BENI VIDHUNA AURAIya 06/01/17 04/04/17 PendingAMIT KUMAR RAJESHWARI HARRAJPUR AURAIya 03/03/17 04/04/17 PendingINDRAJEET RAM KANTI NASEERABAD VIDHUNA AURAIya 23.02.17 04/04/17 PendingRAM GOVIND VIMLA DEVI BHARSEN AURAIya 20.02.17 04/04/17 PendingKAPTAN SINGH JAI DEVI NANDPUR VIDHUNA AURAIya 07/12/16 04/04/17 PendingVINOD KUMAR URF GU RUBY DEVI PURWA KHUSHHAL VIDHUNA AURAIya 27.02.17 04/04/17 PendingGIRAND KUMAR BITTAN SHREE BASAULI AHALDA AURAIya 15.01.17 10/04/17 PendingSUKH DEI VINAY KUMAR NAGLA VAISHYA VIDHUNA AURAIya 02/01/17 10/04/17 PendingSATENDRA DWIVEDI SONIYA DWIVEDI KHOYALA AURAIya 29.12.16 10/04/17 PendingLALLI SINGH TARJAN PARTAPPUR USRARI AURAIya 29.12.16 10/04/17 PendingSHIV KUMAR MANJU DEVI FAKKADPUR PHAPHUND AURAIya 23.12.16 10/04/17 PendingAVNEESH KUMAR SONI MAKHANPUR AURAIya 30.11.16 10/04/17 PendingRAMANAND RAMANAND KARAHATA VIDHUNA AURAIya 27.11.2016 10/04/17 PendingRAVI KUMAR SHREE DEVI BAHADURPUR DANGUTHIYA AURAIya 24.01.17 10/04/17 PendingSUBODH KUMAR RANI TIWARY ATA AURAIya 10/03/17 10/04/17 PendingVINAY KUMAR NEETA MADHUPUR CHIRUHULI AURAIya 21.03.17 10/04/17 PendingDEEPAK KUMAR VIJAY LAKSHMI POUTHI BIDHUNA AURAIya 10/03/17 10/04/17 PendingJAG RAM ROOPKALI DEVARPUR AURAIya 04/03/17 10/04/17 PendingSUKHDEV SINGH RUDRA PRATAP SING PASHUA BIDHUNA AURAIya 22.01.17 10/04/17 PendingDHEERAJ SINGH SAVITRI DEVI AMAU THAR BIDHUNA AURAIya 10/02/17 10/04/17 PendingVINOD SINGH SUNITA DEVI BHARSEN AURAIya 22.02.17 10/04/17 PendingMUKESH KUMAR NANHI BITIYA & OTH PURWADALA MALKHAN AURAIya 21.11.16 10/04/17 PendingVIJAY SINGH MAMTA DEVI DEVARPUR AURAIya 04/03/17 10/04/17 PendingANUJ KUMAR JAI DEVI AARAMPUR BIDHUNA AURAIya 02/04/17 10/04/17 PendingBADSHAH MAYA DEVI NAGLA DAULAT BIDHUNA AURAIya 14.01.17 10/04/17 PendingAHIVARAN RAM NANDANI BHAISOL BIDHUNA AURAIya 25.02..17 10/04/17 PendingRANVEER SINGH SHASHI DEVI RANIPUR MAJRA BIDHUNA 04/03/17 10/04/17

BADAUN

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तहसील जिजला

BADAUN1 Bhoore Lal Neelam, Aditya,RosKhadak Sahaswan Badaun 19/10/16 500000 18.03.17 Death2 BHOORE AKHTARI DAHGAWAN Sahaswan BADAUN 16/09/16 500000 20.03.17 Death3 KARRU REKHA VILL. TAHGAON VILL.TAHGAON BADAUN 17/09/2016 500000 20.03.17 Death4 SAUDAN Prem Wati VILL. KHANUA NA POST RASULPURBADAUN 17/09/2016 500000 20.03.17 Death5 BHOOP SINGH RAJO SAHASWAN BADAUN BADAUN 20/10/2016 500000 17.03.17 Death6 RAM BHAJAN NANHEE DATAGANJ BADAUN BADAUN 17/09/2016 500000 15.03.17 Death7 VISHAL RATHORE KALPANA RATHORESHIVPURAM BADAUN BADAUN 09/10/16 500000 19.03.17 Death8 NITIN KUMAR MONIKA SAXENA JAWAHERPURI BUDAUN BADAUN 26/10/16 500000 19.03.17 Death9 HARI BHAN SINGH RAM KISHORI ABHGAON DALGANJ BADAUN 25.10.2016 500000 16.03.17 Death10 SARVESH KUMAR RAJVEER BADARNAGAR SAHWAL BADAUN 16.09.2016 500000 16.03.17 Death11 MAHIPAL SINGH VEER WATI SAADPUR SAHASWA BADAUN 16.11.2016 500000 19.03.17 Death12 SUNIL SHARMA MEENA KUMARI MALPUR SHARIFNAGAR BADAUN 15.11.16 500000 20.03.17 Death13 PRAMOD KUMAR SHGEETA DEVI HARDASPUR PINDAUL, BILSI BADAUN 09/11/16 500000 16.03.17 Death14 KAMLESH MEERA DEVI GILAUR DATAGANJ BADAUN 20.09.16 500000 20.03.17 Death15 GURDEEP SINGH PRAKASH KAUR DATA GANJ BADAUN BADAUN 16.10.2016 500000 20.03.17 Death16 CHHATRAPAL SINGHMUNNI DEVI GULARIA BADAUN 18.11.2016 500000 20.03.17 Death17 BHU SHANKAR RAM WATI UDHAITI GARVI BIRSI BADAUN 20.11.2016 500000 20.03.17 Death18 BADSHAH MOHANIYA DURGAPUR SARIFNAGAR BADAUN 05/12/16 500000 20.03.17 Death19 BHAGWANDAS VIJAYWAI KALAKUDA DATAGANJ BADAUN 13.11.16 500000 16.03.17 Death20 HAR PRASAD SUSHMA DHOKANPUR BEHTA BADAUN 02/11/16 500000 20.03.17 Death21 OMKAR SINGH VIDYA WATI JAIPAL DHANAURASALEMPUR BADAUN 31.10.2016 500000 20.03.17 Death22 SUMBHERI LAL POONAM DEVI PIPRI SURSENA BADAUN 21.11.16 500000 17.03.17 Death23 NIRANJAN GYAN DEVI GADIYA SHAHPURDATAGANJ BADAUN 07/12/16 500000 20.03.17 Death24 DHOOM SINGH ANITA DEVI IKRI BUSYANI ALAPUR BADAUN 08/11/16 500000 18.03.17 Death25 RAJVEER RINKI PUTHI SARAYAN BADAUN 01/01/17 500000 20.03.17 Death26 SUKH LAL SHEETAL PUTHI SARAYAN BADAUN 01/01/17 500000 18.03.17 Death27 RAM SINGH SHARDA DEVI GHARELI BATHAULI BADAUN 16.01.17 500000 18.03.17 Death28 JAIPAL GEETA KATINNA BASBAU UJHANI BADAUN 24.12.16 500000 18.03.17 Death29 BECHELAL LAUNG SRI SABDALPUR BADAUN BADAUN 15/01/17 500000 18.03.17 Death30 OM VEER SINGH SUMAN DEVI ALIGANG BADAUN BADAUN 30/01/17 500000 18.03.17 Death31 Mahesh SOMWATI Bhurjauniya Chandiya Hazar BADAUN 20.09.16 500000 04/05/17 Death32 AMIT KUMAR ARYA CHANDNI Holi Chowk Thakuran,BisauliBADAUN 20.09.16 500000 04/05/17 Death33 LALLEY KHAN SAMEEM PURVARAJA BIKUNA BADAUN 20.11.16 500000 04/05/17 Death34 HAR PRAHAD HAKIM SINGH KAKRALA BADAUN BADAUN 07.10.16 500000 04/05/17 Death35 SIYA RAM ASHA RAM HAZI PUR KHEDA ALMATPUR BADAUN 21.10.16 500000 04/05/17 Death36 PURAN LAL KHEMA DEVI NOORPUR BILTA BADAUN 07/12/16 18.01.2017 500000 20.03.17 Death37 SHYAMPAL SAPNA MAJRA DATAGANJ BADAUN 21.01.17 08/02/17 500000 18.03.17 Death38 BALVEER SINGH MAYA VASANT NAGAR MAJRA BADAUN 03/02/17 03/03/17 500000 18.03.17 Death39 JASWANT GUDDI DEVI SAHAWAR KHERA BADAUN BADAUN 04/01/17 20/03/17 500000 18.03.17 Death40 SHABBIR BAHIDEEN MUGRA BISAULI BADAUN 19.12.16 04/04/17 500000 18.03.17 Death41 OMKAR SINGH KRISHNA HARNATHPUR BISUALI BADAUN 24.03.17 04/04/17 500000 18.03.17 Death42 MUKESH PRITI BARI PRASAD CO BILSI BADAUN 06/02/17 04/04/17 500000 04/05/17 Death43 SARDAR MOHD SHEHJADI PARAULI BISUALI BADAUN 26.01.17 04/04/17 500000 04/05/17 Death44 JALIM CHAMELI DEVI BARATEGADAR SALARPUR BADAUN 12/02/17 04/04/17 500000 04/05/17 Death45 MOR DHWAJ SUNITA DEVI KAJIPUR ASEES BERIKHE BADAUN 07.02,17 04/04/17 500000 04/05/17 Death



आमिमनी ा नाम

ग्राम मोबाइल न0

दुर्घ�टना ी कितलि8





BADAUN

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46 BHUPENDRA SINGH NEERAJ DEVI NAVI GANJ DATAGANJ BADAUN 19.02.17 10/04/17 500000 04/05/17 Death47 BITTAN KHAN RESHMA KHANAM SAIDPUR BISAULI BADAUN 17.03.17 10/04/17 500000 25.05.17 Death48 ASHOK KUMAR GUDDI BADARPUR KARAU BADAUN 10/03/17 04/04/17 500000 28.05.17 Death49 SUBHASH CHANDRAMUNNI DEVI BAJARIYA BADAUN 19.04.17 500000 31.05.17 Death50 MOHD AHMED KHANSALMA BEGUM NOOPAR UJHANI BADAUN 17.04.17 500000 31.05.17 Death51 BRIJBHAN NARAYAN DEVI NANNAI GURIA DATAGANJ BADAUN 14/12/16 28/03/17 500000 31.05.17 Death52 RAJESHWAR KUTUMA BADAUN 13.11.16 500000 05.06.17 Death53 ABRAR ALI AKHTARI BEGUM BAKARPUR BADAUN BADAUN 17.10.2016 12/01/16 500000 05.06.17 Death54 ANIL KUMAR POONAM JARIF NAGAR BADAUN 06/11/16 28.12.2016 500000 05.06.17 Death55 NATHULAL RAM SANEHI KHESHTINAGAR BADAUN 12/10/16 25.01.17 500000 05.06.17 Death56 NIZAKAT ALI SHAHNAZ ISMAILPUR BADHI BADAUN 09/10/16 23.10.2016 500000 05.06.17 Death57 DHARAMVEER SING MUNNI DEVI NAGLA ASAFPUR BADAUN 20.10.2016 18.01.2017 500000 05.06.17 Death58 JASVEER PUJA HUSAINPUR UJHANI BADAUN 10/11/16 18.01.2017 500000 05.06.17 Death59 RAM SWAROOP KANTI DEVI ISLAM NAGAR BADAUN 21.10.2016 28.12.2016 500000 05.06.17 Death60 SUSHIL MISHRA NANDNI MISHRA LOCHINAGLA BADAUN 06/12/16 25.01.17 500000 05.06.17 Death61 KISHORI ANAND BATI PREETAM NAGAR SAHASWAN BADAUN 08/02/17 03/03/17 500000 05.06.17 Death62 BHAGIRATH BASANTI DEVI LOKINAGLA SARKI BADAUN 07/11/16 25.01.17 500000 15.06.17 Death63 NISHRAT ALI KISHWAR JAHAN CHANDANI CHAW ALLAPUR BADAUN 22/12/16 28/03/17 500000 21.06.17 Death64 NEMCHAND ASHA VASOLIA BADAUN BADAUN 15/02/17 28/03/17 500000 21.06.17 Death65 ALAMSHAH SABRA BEGUM SISAIYA BISAULI BADAUN 11/04/17 500000 21.06.17 Death66 PRABU DAYAL VIMLA DEVI BAMANPURA DATAGANJ BADAUN 14.04.17 500000 21.06.17 Death67 BUDHI SINGH SAROJA THANPUR BISAULI BADAUN 29.04.17 500000 21.06.17 Death68 MUNNA LAL RAM DEVI HUSSAINPUR KHEDA BADAUN 20.03.17 500000 21.06.17 Death69 VINOD KUMAR vinod kumar GANGOLI BISAULI BADAUN 24.03.17 500000 21.06.17 PTD70 SOMENDRA SINGH MEENA DEVI GAUTAM PATTI DATAGANJ BADAUN 30.04.17 500000 27.06.17 Death71 PUSHPENDRA SING GEETA DEVI KHUDAGANJ UCHAETI BADAUN 04.03.17 500000 27.06.17 Death72 PREM PAL GUDDI MOTI DHARMPUR CHITAURA BADAUN 29.04.17 500000 27.06.17 Death73 GUDDU SUMAN DEVI PATTI SAHASWAN BADAUN 08/01/17 03/03/17 500000 27.06.17 Death74 KRISHNA VIMLA DEVI AHMEDNAGAR ASAULI BADAUN 08/11/16 08/02/17 500000 08.07.17 Death75 MOHAN MOHAN HABIBPUR BAREILY 07.06.17 250000 PTD

NO CLAIM1 BHAWANI RAM PYARI TELIA NAGLA JHANI BADAUN 30.07.2016 12/01/17 15.01.17 before commencement of policy 2 HEERA LAL ATAR KALI RATANPUR BASELI BADAUN 04/10/16 18.01.2017 21.01.17 before commencement of policy 3 JAI KISHAN RAM KISHORE KAKRLA BADAUN 18.11.2016 28.12.2016 03/01/17 Not being head of the family.4 NIGHAT FATMA MOHD EZAZ ALAM GADDI TOLA UJHANI BADAUN 11/02/17 21/03/17 24.03.17 not head of family5 PAL MITHLESH ASIS BARKHIN KUNWARGAON BADAUN 13.11.16 25.01.17 28.01.17 not head of family6 PREM SHANKAR UMA DEVI WAZIRGANJ BHISAULI BADAUN 07/09/16 14/12/2016 17.12.16 date of death 17/09/20167 RAM SINGH PUNA DEVI CHATU NAGLA SAHWAHN BADAUN 01/10/16 08/12/16 12/12/16 AbOVE 708 SAHIL RAJESH KUMAR KODA JAIKARAN DATAGANJ BADAUN 23.12.16 08/02/17 12/02/17 not head of family9 Shishu Pal Rajeev Kumar Shekhupur Shekhupur Badaun 25/09/16/ 28/10/16 30.10.16 Not being head of the family.10 SRI KRISHAN MUNNI DEVI SARAI SAWAL BILSI BADAUN 02/02/17 28/03/17 31.03.17 death due to illness11 SUNIL CHAMELI Holi Chowk Thakuran,Bisauli BADAUN 20.09.2016 17/11/16 20.11.16 Not being head of the family.12 TEJ RAM RAM SINGH MIRZAPUR DATAGANJ BADAUN 10/11/16 12/01/16 15.01.17 Not being head of the family.13 VIPIN KUMAR SARVESH KUMAR JJULEHPURI KHURRAMPUR BADAUN 01/11/16 08/12/16 10/12/16 before commencement of policy 14 ANSUL KUMAR GUPTA GIRISH CHAND GUPTA HEWATPUR BILSI BADAUN 08/03/17 04/04/17 25.05.17 Deceased was not Head of family copy of khatauni and income proof were not submitted15 SACHIN PATHAK RAMBEER PATHAK HAUSHITPUR BILSI BADAUN 08/03/17 04/04/17 25.05.17 Deceased was not Head of family copy of khatauni and income proof were not submitted16 OM PRAKASH SOMVATI SARAORI BISAULI BADAUN 16/12/16 21/03/17 25.05.17 Deceased was died due to Heart attack not by accident . Death due to decease is not coverd17 OMWATI RAMCHAND PARSONA SAHASWAN BADAUN 23.03.17 04/04/17 25.05.17 Decease was not head of family18 AKHTAR KHAN GAUHAR ALI BAREILLY BADAUN 25.05.17 Deceased was not Head of family and he was not bread earner for his family.19 NISHANT NISHANT BELA DANDI DATA GANJ Badaun 08/11/16 20.04.17 25.05.17 BELOW 18 YRS,NO HOF,NO KHATAUNI20 PREM MAHADEVI DUDHAUNI BILSI BADAUN 15.02.17 04/04/17 25.05.17 AbOVE 7021 DINESH KUMAR REKHA RANI MUHADDINPUR SAHASWAN BADAUN 30.12.16 03/03/17 14.06.17 NO PMR,KHATAUNI, INCOME PROOF22 AMARPAL PAN DEVI GURAIYA BISAULI BADAUN 20.03.17 10/04/17 14.06.17 NOT HEAD OFFAMILY NO KHATAUNI AND INCOME PROOF23 MUKESH GUDDO DEVI ALLAPUR BHOOD BADAUN 06/03/17 10/04/17 14.06.17 SUCIDE24 CHANDRA PRAKASH SHAKUNTALA DEVI KHEDADAS SHANGAULI BADAUN 18.03.17 10/04/17 14.06.17 NOT HEAD OFFAMILY NO KHATAUNI AND INCOME PROOF25 VIVEK KUMAR MUNNI DEVI JAMALPUR DATAGANJ BADAUN 15.01.17 10/04/17 14.06.17 PRIOR TO POLICY PERIOD26 MUKESH SINGH GURUDUTTA SINGH BADAUN 22.02.17 14.06.17 NOT HEAD OFFAMILY NO KHATAUNI AND INCOME PROOF27 JAGDISH MAHESH KUMAR MOHAMMADGANJ ISMAILPUR 01.03.17 08.07.17 CLAIMED BY MARRIED SON NOT HOF28 KRISHNA PAL HARDEI PEPAL BISAULI BADAUN 22.12.16 08/02/17 08.07.17 NO PMR,29 ULFAT SINGH TEJNA FAREEDPUR DATAGANJ BADAUN 02/03/17 03/04/17 AGE ABOVE 70 YEARS30 KANCHAN LAL PARVAT RAM 20.03.17 08.07.17 NOT HOF CLAIMED BY MARRIED BROTHER31 UDAYVIR NEKRAM BADAUN 05.04.17 08.07.17 NOT HOF CLAIMED BY MARRIED BROTHER32 RAM CHARAN RAM CHARAN BADAUN 13.10.16 08.07.17 INCOME CERTIFICATE ISSUED AFTER 45 DAYS OF DEATH

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33 SAHGO DEVI KHUSHI RAM BADAUN 26.11.16 08.07.17 NOT HOF CLAIMED BY HUSBAND34 MANOHAR SINGH MEERA DEVI BADAUN 22.04.17 08.07.17 DECEASED WAS GOVT EMPLOYEE (POLICE CONS)

PENDING CLAIMSAMIT KUMAR ARYA CHANDNI Holi Chowk Thakuran,Bisauli BADAUN 20.09.2016 17/11/16 PendingVIRESH YADAV SUMAN KUDHAULI BISAULI BADAUN 10/10/16 22.11.2016 PendingRAHUL SINGH MUNNI DEVI KHERADAS GANAMGOLI, BISAULBADAUN 28/09/16 22.11.2016 PendingDINESH MAYA DEVI SAHASWAN BADAUN BADAUN 19/09/2016 08/12/16 PendingLAKHAN AJAY PAL GANGOLI BISAULI BADAUN 19/10/16 08/12/16 PendingHAR PRAHAD HAKIM SINGH KUWANWAR GAON BADAUN BADAUN 07/10/16 08/12/16 PendingLALA RAM SHARMA RACHNA SHARMA DAHGAWAN BADAUN BADAUN 17/09/2016 08/12/16 PendingUMESH YADAV USHa Devi SULHARA BUDAUN BADAUN 19/10/16 14/12/2016 PendingMUKESH BRAHMCHARI MAUNAI KALAUNI BADAUN 31.10.2016 23.10.2016 PendingCHAMPAT SUKH DEVI SHEKHUPUR BADAUN 06/10/16 27.12.2016 PendingSIYA RAM ASHA RAM BILSI BADAUN 21.10.2016. 28.12.2016 PendingMUNENDRA SUSHMA DEVI BISAULI BADAUN 01/11/16 28.12.2016 PendingAKHILESH JASODA DEVI LALAI BADAUN BADAUN 21.11.2016 12/01/16 PendingSHRIPAL PREETI RUDAYAN ISLAM NAGAR BADAUN 03/11/16 12/01/16 PendingPREM SHANKAR PREMSHANKAR RAMNAGAR SAIDPUR BADAUN 24.11.2016 18.01.2017 PendingSHIV KUMAR NEELAM SOLANKI BHUNA BILSI BADAUN 22.10.16 25.01.17 PendingANEK SINGH SUA DEVI RAMNAGAR SAHASWAN BADAUN 08/12/16 25.01.17 PendingPRAMOD KUMAR PRITI NEHDAULI BISAULI BADAUN 31.12.16 25.01.17 PendingSALIM FATMA DADUI BINAKHAR BADAUN 28.11.2016 25.01.17 PendingNEERAJ KUMAR NEERAJ KUMARI SAHANPUR BISAULI BADAUN 19.10.2016 25.01.17 PendingSAURABH GUPTA SHEETAL GUPTA CHATPURI BINAWAR BADAUN 05/12/16 25.01.17 PendingSUSHIL MISHRA NANDNI MISHRA LOCHINAGLA BADAUN 06/12/16 25.01.17 PendingYAMEEN SHABEENA KARKHEDI BISAULI BADAUN 18.12.2016 25.01.17 PendingDHARMVEER MAYA DEVI BHALKHANPUR MOHAKPUR BADAUN 23.10.2016 25.01.17 PendingSHREE PAL RAKESH JWALAPUR SAHASWAN BADAUN 06/12/16 25.01.17 PendingRAM SINGH PREM KUMARI NAUGETUA NOORPUR BADAUN 23.12.16 25.01.17 PendingMAHENDRA PAL VEERWATI PUSGAWAN WAJIRGANJ BADAUN 31.10.2016 25.01.17 PendingSHRIPAL GYANWATI MAHESH WAJIRGANJ BADAUN 25.10.16 08/02/17 PendingDEVSARAN KIRAN SOMMANPUR LAKHANPUR BADAUN 21.12.16 08/02/17 PendingSAURAJ SINGH GEETA NAWABGANJ DANPUR BADAUN 30.10.16 08/02/17 PendingMUKESH DOPADEVI KHANDUA BILSI BADAUN 19.11.16 08/02/17 PendingSURENDRA RAJESHWARI BADDAULI SIKRI BADAUN 19.11.16 08/02/17 PendingNEMPAL SINGH REENA AURAKCHI BISAULI BADAUN 22.11.2016 08/02/17 PendingISHWARI KANTA DEVI SURAJPUR SAHASWAN BADAUN 06/11/16 08/02/17 PendingANEKPAL LOGA DEVI SAIDSARAY VISAULI BADAUN 05/12/16 08/02/17 PendingSOMENDRA SABURA DEVI SULTANPUR SALEMPUR BADAUN 13.11.16 08/02/17 PendingMORDHWAJ SUMAN BHAGWATPUR PEHLI CHANDAUSI BADAUN 26.11.16 08/02/17 PendingLALA RAM REKHA NIZAMPUR KADARCHAUK BADAUN 16.11.16 08/02/17 PendingLAKHAN SIYADEVI URF SOMWAT SALEMPUR DATAGANJ BADAUN 23.12.16 08/02/17 PendingDINESH ARTI SAJARPUR DATAGANJ BADAUN 05/11/16 08/02/17 PendingMUKESH SINGH SUMAN PUTHI SARAYAN BADAUN 01/01/17 08/02/17 PendingVIRESH RAJU HAMPUR CHARMPUR BADAUN 19.11.16 08/02/17 PendingKALYAN SINGH CHUNNI DEVI PUTHI SARAYAN BADAUN 01/01/17 08/02/17 PendingRAM NARESH DUBEY BRAHMA DEVI MANSHA NAGLA DATAGANJ BADAUN 26.02.17 03/03/17 PendingRAM BEER RAM SANEHI ALIPUR ISLAMNAGAR BADAUN 06/01/17 03/03/17 PendingSATISH KUMAR SINGH CHETNA SINGH LALUWA KA NAGLA BISAULI BADAUN 28.12.16 03/03/17 PendingCHOBA SINGH MEERA DEVI MOHAMAD GANJ GOVRA BADAUN 22.11.2016 03/03/17 PendingAJIT KUMAR SNEHLATA SHAJADNAGAR BILSI BADAUN 23.11.2016 03/03/17 PendingSANJEEV SANJEEV ALLAPUR BANBESI BADAUN 07/11/16 03/03/17 PendingMEHANDI HUSAN SHAKINA SEHRA PUKHTA DATAGANJ BADAUN 13.01.17 20/03/17 PendingPREM LAL TRIVENI DEVI BANAI BADAUN BADAUN 10/02/17 20/03/17 PendingTULSIDAS SARVESH DEVI NAGALA BHIND SAHASWAN BADAUN 21/12/17 20/03/17 PendingKRISHNA DEVI ANIL KUMAR ASAFPUR BADAUN BADAUN 10/02/17 20/03/17 PendingRANGEEN BABU BHAGWAN DEVI NAGALA TARAO BADAUN BADAUN 01/01/17 20/03/17 PendingGYAN CHANDRA KANTI DEVI KUMBHI GOLA LAKHIMPUR KHERI BADAUN 21/01/17 21/03/17 PendingRAMKHILARI MAHADEVI DIEIORI SAHASWAN BADAUN 03/01/17 28/03/17 PendingAYANENDRA SINGH PREETI BAHURIA BADAUN BADAUN 11/02/17 27/03/17 PendingUSMAN USMAN HUSAINA BADAUN BADAUN 10/01/17 28/03/17 PendingMADAN LAL MADANLAL KADAR CHAWK NATH SAHASWAN BADAUN 09/12/16 16/12/16 PendingJAI PAL VITOLA IMLIYA BADAUN BADAUN 28/12/16 28/03/17 PendingJAICHAND PUSHPA DEVI KADAR CHAWK BADAUN BADAUN 11/01/17 28/03/17 PendingDALCHAND MANNO DEVI KAINI BADAUN BADAUN 18/01/17 28/03/17 PendingJUGENDRA SHARMA SHISHUPAL BHARATPUR LASHMI PUR BADAUN 27.12.16 03/04/17 PendingGULAB HUSSAIN MEHROON NISHA BANAI SOI BADAUN 31.03.17 03/04/17 PendingJAI SINGH SUSHILA DEVI NIJAMPUR BADAUN BADAUN 12/12/16 03/04/17 PendingASHARAM SIYA DEVI UDAIYA NAGALA DATAGANJ BADAUN 13.12.16 03/04/17 PendingRAM SEWAK VIMLA DUNDE NAGAR KURAU BADAUN 17.01.17 03/04/17 PendingMAHESH SINGH GURU DATT SINGH BABAT MOGAR BADAUN 22.02.17 04/04/17 PendingCHETI MEENA VILHAT VINAWAR BADAUN 22.01.17 04/04/17 PendingKUWAR PAL SONWATI MUGESH MAHANAGAR BADAUN 09/03/17 04/04/17 PendingMAHATAB MAHATAB LALUWA JALALPUR BADAUN 19.04.17 04/04/17 PendingKRIPAL SINGH RAM MURTHI GARUIYA SOI BADAUN 24.12.16 04/04/17 Pending

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JAI KISHAN BHAGWATI KAKRALA DATAGANJ BADAUN 18.11.2016 04/04/17 PendingRAJESH RAM LALLI JASMAH USAWAN BADAUN 08/03/17 04/04/17 PendingAMARVEER SINGH ANAMIKA DEVI KHAJURIYA BADAUN 02/01/17 04/04/17 PendingTHAKURDAS BHAGWANDEI SAHWAR SHAH BISAULI BADAUN 01/01/17 04/04/17 PendingSURAJPAL MUNNI PARAULI BISAULI BADAUN 22.01.17 04/04/17 PendingMUNNI DEVI BEERBAL ALAHPUR SAMASPUR BADAUN 23.11.2016 04/04/17 PendingDHEERPAL NANHI DUDHARI PAPAD BADAUN 17.02.17 04/04/17 PendingPOTHIRAM NATHO DEVI KHEDA DAS BISUALI BADAUN 08/03/17 04/04/17 PendingCHUNNILAL NANHELAL SALLANNAGAR ANUGUIYAN BADAUN 25.02.17 04/04/17 PendingRAVENDRA KUMAR HARSHIT HIMANSHU BAGREL BISAULI BADAUN 11/03/17 04/04/17 PendingPRAHLAD SINGH KAILASHCHAND & OTHEKAMALPUR JALLUNAGAR BADAUN 01/12/17 04/04/17 PendingMANOJ KUMAR SHARM GEETA DEVI KHELAKHEDA UBHANI BADAUN 17.02.17 04/04/17 PendingMAHAVEER MORSHREE KORIYAMAI VILSI BADAUN 08/03/17 04/04/17 PendingGOVARDHAN BALKISHAN PEPAL BISAULI BADAUN 17.03.17 04/04/17 PendingIRSHAD JAHANA HATHNI MOOD DATAGANJ BADAUN 08/01/17 04/04/17 PendingSHISHU PAL SINGH GUDIYA DEVI UDAITI GARVI KOT BADAUN 23.03.17 10/04/17 PendingHARISH CHAND BABLI PUDAULIYA MOOSAJHANG BADAUN 14.03.17 10/04/17 PendingSUBHASH SADHANA SALEMPUR DATAGANJ BADAUN 13.10.16 10/04/17 PendingSHASHI BALA SHASHI BALA PINDARA BISAULI BADAUN 30.11.16 10/04/17 PendingSHAN DEVI KRIPAL SINGH DUDENAGAR KURAU BADAUN 20.03.17 10/04/17 PendingHARIOM NISHA DEVI BHANUPUR BILSI BADAUN 17.03.17 10/04/17 PendingSACHIN PATHAK USHA DEVI HEWATPUR BILSI BADAUN 08/03/17 10/04/17 PendingVICHITRA PAL SHIV KUMARI TARUPUR DATA GANJ BADAUN 27/10/17 28/03/17 PendingRAMA SHANKAR RAMSHANKAR KALUPUR BISUALI BADAUN 03/03/17 03/03/17 Pending

BAGHPAT

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BAGHPATPAID CLAIMS

1 RAJENDRA SUDESH BADAGAON KHERA BAGHPAT 06/11/16 500000 25.04.172 VIJENDRA SINGH SUNITA PAKHIRAMPUR KHEKRA BAGHPAT 20/09/16 500000 25.04.173 VIRENDRA SUMAN DEVI DAHA BARAUT BAGHPAT 29.10.2016 500000 26.04.174 GAFFAR BALIYAN SISANA BAGHPAT BAGHPAT 27.10.2016 500000 26.04.175 LAL BAHADUR SAVITA TIKRI BADHAUT BAGHPAT 24.09.16 500000 28.04.176 NARESH PAL SINGH TOMARANITA DEVI BASAULI BADHAUT BAGHPAT 20.02.17 11/03/17 500000 25.04.177 RAJVEER SEEMA TILWADA BADHAUT BAGHPAT 27.12.16 11/03/17 500000 25.04.178 BHUPENDRA SINGH TOMARURMILA DEVI SIRSALI BARAUT BAGHPAT 27.09.2016 27.12.2016500000 26.04.179 MALA SATTO SHABGA BAGPAT 04/12/16 21/03/17 500000 26.04.1710 VEERPAL MITHLESH PATTI CHAUDRAA BARON BAGHPAT 22/01/17 30/03/17 500000 28.04.1711 RAJENDRA RAVITA DOGHAT BADHAUT BAGHPAT 09/05/17 10/04/17 500000 14.06.17

NO CLAIM1 MANGE RAM OMWATI 309 WAJID PUR BARAUT BAGHPAT 10/10/16 12/01/16 15.01.172 SAVITA PANKAJ GANGOLI BARAUT BAGHPAT 10/10/16 12/01/16 15.01.173 SONU SUMAN DEVI RAVAN URF BADAKHEKRA BAGHPAT 18/09/16 19/12/16 21.12.164 RAJA SINGH SONA CHAPRAULI BADAUT BAGHPAT 28.09.2016 17.01.2017 17.05.175 JAGAT SINGH BEENA DEVI BAKHARPUR BULABAGHPAT BAGHPAT 30.11.16 25.01.17 17.05.176 RATAN SANTOSH RAJPUR KHAMPURKHAMPUR BAGHPAT 26.12.16 25.01.17 14.06.17






भुर्गतान होने ी

BAGHPAT

Page 15

PENDING CLAIMSOM PRAKASH JOGENDRI BAANSI KHEKDA BAGHPAT 02/10/16 25.01.17AJAY KUMAR POOJA TOMAR KUNDEHRA BADHAUT BAGHPAT 27.11.2016 25.01.17SANJEEV KUMAR KRISHNA BARWALA BADAUT BAGHPAT 25.01.17 15/02/17BABLU RAMRATI LOOMB BADHAUT BAGHPAT 02/02/17 04/04/17RAMESH BRIJESH AMIPUR BALAUNI BAGHPAT 18.02.17 04/04/17PAWAN KUMAR SARITA RAMALA BADHAUT BAGHPAT 12/01/17 04/04/17FURKAN SEHROON ASARA BADHAUT BAGHPAT 29.12.16 04/04/17BABLU RAMRATI LOOMB BADHAUT BAGHPAT 02/02/17 04/04/17RAMESH BRIJESH AMIPUR BALAUNI BAGHPAT 18.02.17 04/04/17PAWAN KUMAR SARITA RAMALA BADHAUT BAGHPAT 12/01/17 04/04/17FURKAN SEHROON ASARA BADHAUT BAGHPAT 29.12.16 04/04/17DEEPAK KUMAR VED PAL SINGH BARWALA BADAHAUT BAGHPAT 07/04/17 10/04/17RAJPAL SUNITA LUHARI BADHAUT BAGHPAT 01/03/17 10/04/17CHASAMVEER SAVITA DHANAURA BAGHPAT BAGHPAT 07/03/17 10/04/17BRIJBHAN SINGH OMVIRI KANGARAN DAHA BAGHPAT 17.03.17 10/04/17

BAGHPAT

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BAGHPATPAID CLAIMS

DeathDeathDeathDeathDeathDeathDeathDeathDeathDeathDeath

NO CLAIMABOVE 70not BEing head of the family.murderPMR not done . GOVT JOB IN DELHIDEACEASED WAS IN INFULENCE OF ALCOHAL INTOXICATED


BAGHPAT

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PENDING CLAIMSPendingPendingPendingPendingPendingPendingPendingPendingPendingPendingPendingPendingPendingPendingPending

BANDA

Page 18



BANDAPAID CLAIM

1 BUDHRAJ RANEE HASTAM HASTAM ATTAR BANDA 25.10.16 500000 27.03.17 Death2 SHYAM BHAWAN 0 PANDHERA PAILANI BANDA 06/10/16 500000 29.03.17 Death3 SATYA NARAYAN SARMAN LOHRA BANDA BANDA 12/10/16 500000 29.03.17 Death4 MUNNA KULSUM BANO MATAUNDH BANDA BANDA 20/09/16 500000 29.03.17 Death5 RAM KHILAWAN SHATRUPA DEVI PARSAULI PARSAULI BANDA 18/09/16 500000 24.03.17 Death6 RAM CHARAN GUJRATIA DEVI BEERA BABERU BANDA 18/09/2016 500000 19.03.17 Death7 JAI PRAKASH SHANTI DEVI KAMASIN KAMASIN BANDA 19.10.2016 500000 13.04.17 Death8 DEVI DAYAL SUNERIYA BARUASYODH NRAINI BANDA 20.09.16 500000 13.04.17 Death9 WAFATI HAZRA BANO MAKARI ATRI BANDA 03/11/16 500000 13.04.17 Death10 RANJEET SUMANIYAN BENAMAU BABERU BANDA 30.09.16 500000 14.04.17 Death11 RAJU SINGH PRABHA JARI BANDA 01/12/16 500000 14.04.17 Death12 VISHAMBHARSINGH KAMLESH SINGH BANSHIPURWA DUREDI BANDA 14.11.16 500000 14.04.17 Death13 CHATRAPAL YADAV SIYAWATI PARSAUNDA BANDA 03/11/16 500000 13.04.17 Death14 JAGJEET PAN BAI JARI BANDA 09/10/16 500000 14.04.17 Death15 TAR BABU PREMA DEVI MAHOKHAR BANDA 21.09.16 500000 14.04.17 Death16 KAMLESH PREMA DEVI GADRIYA PAILANI BANDA 30.10.2016 500000 14.04.17 Death17 AKKI KHAN SHABNAM KHATOONBAGEHTA BABERU BANDA 11/11/16 500000 17.04.17 Death18 DURVIJAY SINGH PRARTHNA DEVI JARI AJADNAGAR BANDA 08/12/16 500000 16.04.17 Death19 KAMAL KUMAR PHOOLA DEVI PUNAHUR ATRI BANDA 31.10.16 500000 16.04.17 Death20 PREM PRAKASH TRIPATHRAM KANTI KHURHAND AVTARI BANDA 14.12.16 500000 16.04.17 Death21 RAJESH KUMAR GAUTAMGAYATRI DEVI DIKHITWARA ATRA BANDA 03/12/16 500000 16.04.17 Death22 RAJ NARAYAN SINGH GUDIYA SINGH KHURHAND ATRA BANDA 14.12.16 500000 17.04.17 Death23 HAFIJ FULA LAHURETA NARAINI BANDA 12/12/16 500000 17.04.17 Death24 MUNNILAL SHIVDULARI CHIBAB ATRI BANDA 04/12/16 500000 17.04.17 Death25 JITENDRA KUMAR PATELPOONAM DEVI KORI KHURD BABERU BANDA 09/02/17 500000 17.04.17 Death26 DULWA RAJULIYA CHAHITARA BANDA 28.12.16 500000 19.04.17 Death27 MITHAI LAL KESH KALI NAHRI NARAINI BANDA 12/01/01 04/04/17 500000 16.04.17 Death28 SEETARAM BHURI AKELWA NARAINI BANDA 18.01.17 04/04/17 500000 16.04.17 Death29 JAI SINGH URF CHAUKE GIRJA BADHA PURWA PUDAI BANDA 29/11/16 15/02/17 500000 16.04.17 Death30 RAM KESH SUNITA NAGNEDHI ATRI BANDA 29.12.16 04/04/17 500000 16.04.17 Death31 BRIJ MOHAN SINGH URMILA JASAIPUR TENDWARI BANDA 16.11.16 15/02/17 500000 17.04.17 Death32 BHAIYALAL CHEDDI KHERA BABERU BANDA 04/02/17 04/04/17 500000 17.04.17 Death33 RAM KHELAWAN TARA DEVI BISANDI BABERU BANDA 01/02/17 04/04/17 500000 17.04.17 Death34 JAGJEEVAN KAUSHALYA SHRINGAR THOK KASBA BABERU BANDA 04/11/16 08/02/17 500000 17.04.17 Death35 RAMBHAWAN SURIJKALI JAMREHI BABERU BANDA 08/12/16 08/02/17 500000 31.05.17 Death



आमिमनी ा नाम ग्राम दुर्घ�टना ी कितलि8



भरु्गतान होने ी


BANDA

Page 19

36 RAM AUTAR SUSHMA URF SHANTIKALU KUAN BANDA 24.12.16 03/04/17 500000 08.06.17 Death37 RAM NARESH RAJRANI ELA NARAINI BANDA 06/11/16 04/04/17 500000 08.06.17 Death38 RAM SIYA KAMLA SUMERA MAHOKHER BANDA 27.12.16 04/04/17 500000 21.06.17 Death39 CHANDRA PAL SHIV KANYA JASAIPUR BANDA 05.04.17 04/04/17 500000 21.06.17 Death40 RAMJAS URF RAMYASH MAYA DEVI BHUSASI ATRI BANDA 15.02.17 10/04/17 500000 21.06.17 Death41 VIVEK SINGH RANI BEDA KHERIHAR BANDA 06/04/17 10/04/17 500000 21.06.17 Death42 CHITARI RAJOLI MOKHA NARAINI BANDA 19.02.17 10/04/17 500000 21.06.17 Death43 SHIV KUMAR RAJKALI RYAN BABERU BANDA 19.09.2016 19/12/16 500000 21.06.17 Death44 SHAMBHU CHUNUWADI GADARIA GADARIA BANDA 01/10/16 20/12/16 500000 21.06.17 Death

NO CLAIM1 BHAIYALAL AMRITA DEVI MAHOKHAR BANDA 25.09.2016 17.01.2017 20.01.17 NOT DEPENDANT ON DECEASED2 BHAROSIYA RAM SAJEEVAN KHAMHAURA ATRI BANDA 15.11.16 03/03/17 05/03/17 NOT BEING HEAD OF FAMILY3 BHOLIA GAYA PRASHAD PIPRI KANWARA BANDA 28/09/16 09/12/16 11/12/16 DECEASED WAS NOT HEAD OF FAMILY4 GAYA PRASAD JAGRANI NARAINI BANDA 21.10.2016 19.01.2017 21.01.17 AGE ABOVE 705 HEMANT KUMAR MAYA DEVI MAMSI KHURD KAMSEEN BANDA 01/10/16 19/12/16 21.12.16 NO FIR NO PMR 6 KALLU SHANTI RANIPUR BABERU BANDA 10/01/17 03/03/17 05/03/17 DEATH DUE TO DECEASE NOT ACCIDENTAL7 KRISHNA PAL SHANTI KHAMAUHRA ATRA BANDA 13.10.16 25.01.17 27.01.17 SUICIDE 8 MOHD. NASEEM YASHEEN KHATOON HARDAULI BABERU BANDA 14/09/16 09/12/16 11/12/16 MURDER 9 RAJA RAM PRAJAPATI SARITA SHEKHUPUR PIPRODAR PAILABANDA 26.09.2016 27.12.2016 29.12.16 GOVT. SERVI CE 10 RAM AUTAR SURJIYA SUNHULA BABERU BANDA 31.12.16 03/03/17 05/03/17 NO PMR AND NO POLICE PANCHNAMA11 RANDHIR SINGH SANTOSH SINGH BADHOSHWAR KHUBANDA BANDA 21/09/16 14/12/2016 17.12.16 BEFORE COMMENCEMENT OF POLICY12 RANG BAHADUR SINGH GEETA SINGH BANDA 17.12.16 03/04/17 06/04/17 SUICIDE 13 SANTOSH KUMAR SHUKLJAGAT KUMAR BEBE THOK MATAUTH BANDA 12/01/17 03/04/17 06/04/17 NO PMR AND NO POLICE PANCHNAMA14 URMILA JAI PRAKASH DIKHETWARA ATRI BANDA 01/11/16 03/03/17 05/03/17 DECEASED WAS NOT HEAD OF FAMILI15 URMILA RAM NIWAS BAHERI NARAINI BANDA 25.12.16 03/04/17 06/04/17 DECEASED WAS NOT HEAD OF FAMILI16 VANSH GOPAL SHIV KUMARI KHAMHORA ATARRA BANDA 17.09.2016 12/01/16 15.01.17 COVERED UNDER OTHER SCHEME AND GOT PAYMENT FROM THEM17 SURESH KUMAR REKHA DADHWAMANPUR ATRI BANDA 07/10/16 04/04/17 25.05.17 HEART ATTACK18 Bhoopendra kumar Vidya Devi Dasua banda BANDA 01.02.17 04/04/17 25.05.17 SUICIDE 19 SATYAWATI MADAN MOHAN BARAULI BABERU BANDA 09/02/17 03/03/17 25.05.17 NOT HEAD OF FAMILY20 RAM BHAWAN SINGH POOJA THAKUR RAJJU SINGH KA PU KHAMHAURA BANDA 11/12/16 04/04/17 25.05.17 SUCIDE21 RAMFAL JANKI RAMPUR PAILANI BANDA 03/12/16 04/04/17 25.05.17 CAUSE OF DEATH WAS NOT ACCIDENT IT WAS DUE TO COLD22 CHANDRA SHEKHER MANJULA SINGH PIPHARI PAILANI BANDA 30.11.16 27.12.2016 28.06.17 VALID INCOME CERTIFICATE NOT PROVIDED

PENDING CLAIMHIRA MAN BHOLU BALLWAN ATTARA BANDA 30/09/16 09/12/16 PendingCHOTE LAL GAURA SUKHA MAKRA BILWAI BANDA 30/09/16 14/12/2016 PendingSUKHDEV BIHAN NARAYAT MAWAIGHAT PAIBANDA 06/10/16 27.12.2016 PendingSURAJPAL REENA SIMAUNI BABERU BANDA 02/10/16 12/01/17 PendingRAM BABU URMILA LOHARI BANDA 19.09.2016 17.01.2017 PendingSUNIL RAJ & OTHERS MARKA BABERU BANDA 08/12/16 17.01.2017 PendingSHIV KUMAR VIDYA JARI BADOKHER BANDA 21.10.2016 17.01.2017 PendingBUDHRAJ RANI HASTAM ATRI BANDA 24.10.2016 25.01.17 PendingPEERU REMUN USRAPURWA ATRI BANDA 08/10/16 25.01.17 PendingSUSHIL KUMAR GOMTI BARCHANB ATRI BANDA 27.10.2016 25.01.17 Pending

BANDA

Page 20

ASHOK KUMAR BETA SINGH URFRAJ UTARWAN ATRI BANDA 13.10.16 25.01.17 PendingMUNNA KALLI CHAKLA PURWA CHANDAUR BANDA 03/12/16 25.01.17 PendingBABA DEEN KAMLA DEVI BADHA ATRI BANDA 16.10.16 25.01.17 PendingRAMBHAWAN SURIJKALI JAMREHI BABERU BANDA 08/12/16 08/02/17 PendingBALWANT BABLI KHAIRADA BANDA 12/01/17 03/03/17 PendingRAM PRATAP SHANTI KOLAWAL RAIPUR NARAINI BANDA 23.09.16 03/03/17 PendingLEELAWATI SURESH SINGH & OTBIRAUNA NARAINI BANDA 19.12.16 03/03/17 PendingVIJAY KUMAR URF BABL RAM BILAS &OTHERSNIMNIPUR BANDA 21.11.16 03/03/17 PendingPRAMOD KUMAR YADAVSUNITA DEVI BANGALI PURA BANDA 24.12.16 03/04/17 PendingPUSHPA JAIPAL GAJIPURA PAILANI BANDA 18.09.2016 03/04/17 PendingARVIND KUMAR EKTA CHATAUNI NARAINI BANDA 03/12/16 03/04/17 PendingHEMRAJ SINGH PREM LATA SINGH KHAMHAURA ATRI BANDA 15.12.16 04/04/17 PendingPRAMOD SINGH RANJANA SINGH AMCHAULI PAILANI BANDA 23.11.2016 04/04/17 PendingGONDA URD GEDIYA SANTOSH KUMAR & DEVRAR NARAINI BANDA 09/10/16 04/04/17 PendingKERA SUHAMIA PACHAUHA BABERU BANDA 18.10.16 04/04/17 PendingSHARDA PRASAD KUSUMA KHAPTIHA PAILANI BANDA 06/01/17 04/04/17 PendingRAMFAL RAJKALI PIPARHARI PAILANI BANDA 22.01.17 04/04/17 PendingSONU SINGH MUNNI DEVI KANA KHEDA PAILANI BANDA 05/01/17 04/04/17 PendingLAKSHMI JAGESHWAR PATWAN BABERU BANDA 14.01.17 04/04/17 PendingRAM ASREY SARMAN BILHARKA NARAINI BANDA 10/01/17 04/04/17 PendingASHOK KUMAR RAJA BHAIYA & OTH JARAR NARAINI BANDA 30.09.16 04/04/17 PendingBABU ANSHU URF ASNHDHAAU ATRI BANDA 25.01.17 04/04/17 PendingSUNDER LAL SUNTA BIGAHANA ATRI BANDA 09/01/17 10/04/17 PendingSARVESH KUMAR YADAVNIRMALA DEVI BANIYAN PURWA ATRI BANDA 05/03/17 10/04/17 PendingSHASHI KUMARI SURESH PARSAUNDA BANDA 26.10.16 10/04/17 PendingRAMESHWAR SUNDI HARDAULI BABERU BANDA 08/11/16 10/04/17 PendingVISHNU PRASAD MITHLESH AWASTHI CHOTI BAZAR BANDA 03/02/17 10/04/17 PendingJAI NARAYAN SINGH JAINARAYAN SINGH JAUHARPUR BANDA 03/02/17 10/04/17 PendingBHALUWA JAHARI ANAUSA BABERU BANDA 22.10.16 03/03/17 PendingUMA KANT MUNNI DEVI MARKA SUMAUNI BANDA 10/10/16 VISERA PRESERVED LETTER ISSUED ON 15.02.17

BAREILLY

Page 21



BAREILLYPAID CLAIMS

1 SANJAY SINGH SANTOSH GALI NO.1,BEHIN SUBHASH NAGAR Bareilly 18.09.2016 500000 20.03.17 Death2 MOHD. AHMED SHAHNARA BI ISLAM NAGAR SHAHPURDANDI Bareilly 10/10/16 500000 20.03.17 Death3 VIJAY KUMAR SAHU MAMTA MATHURAPUR MANDIR WALI GALI Bareilly 03/10/16 500000 18.03.17 Death4 KARNAIL SINGH MANJIT KAUR DEVHARI BAHERI Bareilly 14/09/2016 500000 20.03.17 Death5 MAHBOOB AHMAD NANHI BEGUM GURUBOJH BAHERI Bareilly 18/09/2016 500000 20.03.17 Death6 MAHESH CHANDRA ASHA RANI RIYUNA KALA SHAHPUR BANIAN Bareilly 16/09/2016 500000 20.03.17 Death7 BHUPENDRA SINGH AMARTI DEVI JIGANIA BHAWAN ABHAIRAJPUR, NAWA Bareilly 27/09/2016 500000 20.03.17 Death8 FIROZ KHAN ZEENAT BEGUM RAHTUIAN ANWALA Bareilly 18/09/2016 500000 20.03.17 Death9 VIJAY KUMAR RENU SHARMA MUSHRAHA DEGOI Bareilly 19/09/2016 500000 20.03.17 Death10 MUSHTAQ AHMED NOOR BANO SIMRA VATHANA BAHERI Bareilly 26/10/2016 500000 20.03.17 Death11 INDRASEN HARPYARI UDRA BAHERI BAREilly 14.10.16 500000 16.03.17 Death12 PURAN LAL GOMTI DEVI RASULA KAMRULNISHA, BAREilly 23.09.16 500000 20.03.17 Death13 RAM BHAROSE LAL SOM WATI KHAMARIA PARSURAMPUR BAREilly 30.09.16 500000 20.03.17 Death14 SHYAM LAL SOM WATI GUNAHAT DEVRANIA BAHEDI BAREilly 24.09.16 500000 20.03.17 Death15 DEVI LAL DULARO KARIDPUR BAREilly 02/10/16 500000 20.03.17 Death16 MAHENDRA PAL SUSHILA NATHPURA MEERGANJ BAREilly 28.09.2016 500000 20.03.17 Death17 SATISH KUMR RAJESHWARI RAM NAGAR ANWALA BAREilly 09/10/16 500000 20.03.17 Death18 MAKHAN LAL NATHO DEVI TIKUNIYA BAREILLY 23.09.16 500000 20.03.17 Death19 PREM PAL PREMWATI KASIMPUR BAHERI BAREILLY 13.10.2016 500000 20.03.17 Death20 BALAK RAM NATHO DEVI KHANJANPUR NAWABGANJ BAREILLY 03/12/16 500000 20.03.17 Death21 ALI SHAH KHAIRULNISSA AMDANDA BAHERI BAREILLY 11/10/16 500000 20.03.17 Death22 POSHAKI LAL USHA BHEEKAMPUR BAHERI BAREILLY 09/10/16 500000 16.03.17 Death23 RAJENDRA PRASAD DRAUPADI DEVI HARELI ALIPUR BAREILLY 26.10.2016 500000 19.03.17 Death24 MAHIPAL LAXMI DEVI FARIDPUR BAREILLY 25.10.16 500000 18.03.17 Death25 NARESH PAL RADHA DEVI BHAUTA BAHEDI BAREILLY 11/10/16 500000 20.03.17 Death26 HRIYADESH BAHADUR GAYATRI DEVI MANKARA MIRGANJ BAREILLY 06/11/16 500000 19.03.17 Death27 KHUB KARAN SARASWATI DEVI KATHRA DHAL BAHEDI BAREILLY 21.10.2016 500000 16.03.17 Death28 AJAY KUMAR SANTOSH KUMARI ANUPAM NAGAR BADAUN ROAD BAREILLY 29.10.2016 500000 16.03.17 Death29 RAMADHAR GEETA DEVI KAMUA KESARPUR BAREILLY 19.10.2016 500000 16.03.17 Death30 DWARIKA PRASAD CHANDANA MAURYABIHARIPUR MEERGANJ BAREILLY 23.11.2016 500000 18.03.17 Death31 HARPAL NEERAJ FATEHGANJ MEERGANJ BAREILLY 23.10.2016 500000 17.03.17 Death32 KRISHNAPAL SINGH SUNITA & OTHERS FATEHGANJ MEERGANJ BAREILLY 16.10.16 500000 17.03.17 Death33 SUSHILA DEVI RAVI & OTHERS NASRATGANJ MAJ RAMNAGAR BAREILLY 05/11/16 500000 17.03.17 Death34 PRAVEEN KUMAR SONI GUPTA FARUKPUR FARIDPUR BAREILLY 16.12.16 500000 19.03.17 Death35 SEVARAM RANI DEVI SUTAIYA PARHI FATEHGANJ BAREILLY 12/12/16 500000 18.03.17 Death36 PREMPAL MEENA DEVI RICHOLA NAWABGANJ BAREILLY 04/01/17 500000 18.03.17 Death37 DILLIGHAR SUNITA DEVI TEHRA BAREILLY BAREILLY 16/12/16 500000 18.03.17 Death



नामिमनी ा नाम ग्राम दुर्घ�टना ी कितलि8





BAREILLY

Page 22

38 NATHU KHAN AFSARI KACHNARI NAWABGANJ BAREILLY 18.01.17 500000 18.03.17 Death39 HARPAL SINGH RAM LALI Holi Chowk Thakuran,Bisauli Bareilly 500000 04/05/17 Death40 ATUL KUMAR SINGH URMILA DEVI KANCHANPUR HARANPURKALA Bareilly 500000 04/05/17 Death41 RAJPAL SAJ KUMARI BUDHAULI FARIDPUR Bareilly 500000 04/05/17 Death42 PATIRAM KAMLA DEVI SHAHPUR DANDI GIRDHAR PUR BAREILLY 26.12.16 08/02/17 500000 17.03.17 Death43 DHANVEER CHAMPA POORANPUR MITHRI BAREILLY 22.01.17 04/04/17 500000 17.03.17 Death44 GAYA PRASAD LAJJAWATI JARPA MOHANPURNAWANGANJ BAREILLY 24.01.17 04/04/17 500000 19.03.17 Death45 SURENDRA PAL GEETA RANI INAYATPUR KACHNORA BAREILLY 23.01.17 04/04/17 500000 18.03.17 Death46 TARACHAND MUNNI DEVI GAURIKHEDA BAHEDI BAREILLY 10/02/17 04/04/17 500000 18.03.17 Death47 SABIR RAJA SUJITA BAIRAMNAGAR MEERGANJ BAREILLY 23.11.201 02/03/17 500000 18.03.17 Death48 JAKIR HUSSAIN MOBIN VAIRAMNAGAR MEERGANJ BAREILLY 23.11.201 02/03/17 500000 18.03.17 Death49 SAGEER KHAN NASREEN BAKARGANJ BAREILLY 11/12/16 02/03/17 500000 04/05/17 Death50 DORILAL KUSAM GUDWARA RICHA BAREILLY 23.01.17 11/03/17 500000 04/05/17 Death51 MOHAN SWAROOP SARLA DEVI KHAJUWA JAGIR DHAURA BAREILLY 04/03/17 10/04/17 500000 31.05.17 Death52 RAJVEER DEEPA NAGARIYAN KALYANPUR BAREILLY 13.03.17 10/04/17 500000 31.05.17 Death53 NATHULAL SARASWATI BHOJPUR AWALA BAREILLY 13.02.17 10/04/17 500000 31.05.17 Death54 GANGA RAM SANTOSH KUMARI BHUDA BHOJIPURA BAREILLY 22.05.17 10/04/17 500000 31.05.17 Death55 KUWAR SEN RAJNI KHUTIYA PACHPEDA BAREILLY 20.01.17 02/03/17 500000 31.05.18 Death56 JHANKARI LAL MEERA NARAWAL PAC BAREILLY 12/10/16 12/01/16 500000 31.05.18 Death57 NANHE MEENA BHAIRPURA BAREilly 10/10/16 28.12.2016 500000 31.05.18 Death58 DHARAMDAS YADAV PUSHPA DEVI DEVARNIA BAHERI BAREILLY 06/11/16 18.01.2017 500000 31.05.18 Death59 MOHAN LAL SOMWATI UMARASIYA BAREILLY 27.10.201 25.01.17 500000 31.05.18 Death60 MAHENDRA PAL GAYA DEVI PARDHAULI BAREILLY 30.11.16 25.01.17 500000 31.05.18 Death61 HARISH PATHAK ASHA PATHAK ITAUWA BENIRAM BAREILLY 09/11/16 12/01/17 500000 31.05.18 Death62 MUNSHILAL NEERAJ GHANGHAURA BHOJIPUR BAREILLY 17.10.201 18.01.2017 500000 31.05.18 Death63 TULARAM HEMWATI ARATI BUJRA BAREILLY 25.02.17 10/04/17 500000 31.05.18 Death64 NIZAM ALI SHAH RAVIYA WADA SHERGARH BAREILLY 20.02.17 10/04/17 500000 31.05.18 Death65 RAM SINGH MORSHREE CHAKARPUR AWALA BAREILLY 24.02.17 10/04/17 500000 14.06.17 Death67 HARI SHANKAR SHAKUNTALA SAIDAPUR FAREEDPUR BAREILLY 22.02.17 10/04/17 500000 14.06.17 Death68 SHYAM CHARAN RADHESH KHAJRI KHEDA BAHEDI BAREILLY 13.03.17 10/04/17 500000 14.06.17 Death

NO CLAIM1 ATUL KUMAR SINGH URMILA DEVI BAREILLY BAREILLY BAREILLY ACCIDENT BEFORE COMMENCEMNENT OF POLICYI.E. 10.09.20162 BEENA DEVI ANIL KUMAR MASEET BHOJIPURA BAREILLY 12/01/17 08/02/17 12/02/17 not head of family3 CHANDRAPAL ANIL KUMAR MASEET BHOJIPURA BAREILLY 12/01/17 08/02/17 12/02/17 not head of family4 DINESH KUMAR URF DIN LEELWATI DATHOK FARIDPUR BAREILLY 17.12.16 08/02/17 12/02/17 not head of family5 DURGA PRASAD PREM RAJ GULAH SIDHAULI BAREILLY 25.10.201 23.01.2017 25.01.17 no FIR6 GUDDU @ BRAHMESH RADHERAMAN SIHAUR MIRGANJ BAREILLY 07/10/16 18.01.2017 21.01.17 not head of family7 JAGTAAR SINGH JAYANTI DEVI NAUGAMA BAHERI BAREILLY 23.11.201 12/01/17 15.01.17 not head of family8 JAMIL AHMED JALIL AHMAD JAM SAWANT BAHEDI BAREILLY 16.09.201 18.01.2017 21.01.17 AbOVE 709 KESRI LAL KIITUKA DEVI SAWARKHEDA BAREILLY 21.10.16 25.01.17 28.01.17 AbOVE 7010 KHEMKARAN LAL CHAMPA DEVI DEEN NAGAR MAJRA CHURAULI Bareilly 05/10/16 02/12/16 04/12/16 murder11 KRISHNA SUNDER LAL YAMAN KUMAR BHEEKAMPUR AWALA BAREILLY 21.11.16 25.01.17 28.01.17 not head of family & bread earner12 KUNWAR SEN MAHENDRA KUMAR DHORHARA NAWABGANJ BAREilly 09/11/16 28.12.2016 03/01/17 not head of family13 MAHAVIR HARISH KUMAR FATEHGANJ, MAJRNAWABGANJ Bareilly 07/10/16 02/12/16 04/12/16 Not being head of the family.14 MUNEEM KHAN MUNNIDEVI ABHAYPUR BHANJIPURA BAREilly 01/10/16 28.12.2016 30.12.16 Not being head of the family.15 MUNNA LAL MAHADEVI KHERI BAREILLY DECEASED WAS NOT ENTITLED

BAREILLY

Page 23

16 PREETPAL SINGH SURENDRA KAUR BAHERI BAREilly 05/10/16 28.12.2016 03/01/17 not head of family17 RAMESH KATORI DEVI NAU NAGLA NAWABGANJ BAREilly 19.09.201 28.12.2016 03/01/17 not head of family18 SAJJAD WALI KHAN IRSHAD WALI KHAN JUNHAI MIRGANJ BAREILLY 04/10/16 18.01.2017 21.01.17 not head of family19 SAVITRI DEVI BEGRAJ NABDIYA MADPURA BAREILLY 18.12.16 08/02/17 12/02/17 not head of family20 PREETAM LAL MUNNI DEVI MEERGANJ BAREILLY 06/11/16 03/04/17 DIED DUE TO DISEASE21 AZAD KHAN AYUB KHAN PADARATHPUR FARIDPUR BAREILLY 11/11/16 27/03/17 NOT HOF NO KHATAUNI NO INCOME PROFF22 NIGEWAAN KHAN ROSHAN KHAN PADARATHPUR FARIDPUR BAREILLY 11/11/16 27/03/17 NOT HOF NO KHATAUNI NO INCOME PROFF

PENDING CLAIMSATUL KUMAR SINGH URMILA DEVI BUDHAULI FARIDPUR Bareilly 16.09.201 22.12.2016 PendingOM PRAKASH REENA DEVI GARGAIYA BEHARI Bareilly 25.10.201 23.10.2016 PendingRAJPAL SAJ KUMARI KASUMRA ANWALA Bareilly 03/10/16 23.10.2016 PendingMAHAVEER PAYAL CHITAULI FATEHGANJ Bareilly 18.02.16 23.10.2016 PendingDEV KUMAR POONAM BAHERI BAREilly 14.09.201 28.12.2016 PendingPRATAP SINGH SAPNA PINDARI ASHOK BEHARI BAREilly 25.10.201 28.12.2016 PendingTHAKUR DAS SUNDER DEVI BHAGWATIPUR KAISARPUR BAREilly 27.11.201 28.12.2016 PendingMOHD AHMAD SAHNARA SHAHPUR DANDI BAHERI BAREILLY 10/10/16 28.12.2016 PendingVIRENDRA SINGH SARWATI DEVI VISHALGANJ BAREILLY BAREILLY 05/11/16 12/01/17 PendingRAM AUTAR SUSHILA DEVI MEERAPUR MEERGANJ BAREILLY 10/10/16 12/01/17 PendingANURUDH SINGH ASHA DEVI KARAMPUR BHOJIPURA BAREILLY 16.09.16 25.01.17 PendingSHOBHA RAM MOHAN SINGH UGANPUR BAHEDI BAREILLY 23.11.201 30.01.17 PendingJHABBULAL VIDYA TISUA FARIDPUR BAREILLY 25.10.16 08/02/17 PendingTHAKURDAS YOGENDRA PAL KHANJANPUR NAWABGANJ BAREILLY 27.12.16 08/02/17 PendingRAM BAHADUR YADAV JAGATPAL RAMPUR BUJURG AWALA BAREILLY 09/11/16 08/02/17 PendingSURENDRA SAROJ DEVI KACHNARI BAHEDI BAREILLY 28.11.201 08/02/17 PendingKANT MANORAMA DEVI CHATHIYA SHERGARH BAREILLY 10/12/16 02/03/17 PendingRAM DAS SHANTI DEVI LAKHSMAN GAJRARAMNAGAR BAREILLY 14.12.16 02/03/17 PendingRAMDHUN ROHIT KUMAR & OT JALIM NAGLA MEERGANJ BAREILLY 07/11/16 02/03/17 PendingSARDAR AHMED HASEEN BANO VAIRAMNAGAR MEERGANJ BAREILLY 23.11.201 02/03/17 PendingSOHBARAN SINGH VIMLA DEVI SHIVPURI AWALA BAREILLY 24.10.16 02/03/17 PendingTASLEEM KHAN JAINAB VAIRAMNAGAR MEERGANJ BAREILLY 23.11.201 02/03/17 PendingMOHD IRFAN KHAN FIRASAT KHAN LAFEDA NAWABGANJ BAREILLY 06/10/16 11/03/17 PendingDEVENDRA KUMAR LEELAWATI UMARASHIYA BAREILLY 26.09.16 11/03/17 PendingMAHENDRA PAL SINGH USHA DEVI ALIGANJ AWALA BAREILLY 10/12/16 11/03/17 PendingCHAMPAT LALDAI C. B GANJ BAREIL BAREILLY BAREILLY 18/10/16 21/03/17 PendingHASMAT KHAN HASEEMAN PADARATHPUR FARIDPUR BAREILLY 11/11/16 27/03/17 PendingRAMPRAKASH SANTOSH GULLA MEERGANJ BAREILLY 26/09/16 27/03/17 PendingLAKHAN SINGH BHAGWAN DEVI SIMARIA MEERGANJ BAREILLY 19/10/16 27/03/17 PendingPAPPU MEENA PAHUCHA BUJURGMEERGANJ BAREILLY 26/09/16 27/03/17 PendingGAURAV AGARWAL KRISHAN CHAND GUB C BANK COLON BAREILLY BAREILLY 03/12/16 27/03/17 PendingSAHAB SINGH SUMAN RANI CHADANPUR FAREEDPUR BAREILLY 30.09.16 03/04/17 PendingNARENDRA SUNITA FIROJPUR MEERGANJ BAREILLY 20.10.16 03/04/17 PendingJHAMMAN LAL URMILA DEVI AURANGA BAD BEEJAMAU BAREILLY 24.12.16 03/04/17 PendingINDRA PAL KISHNA ASWAN AWALA BAREILLY 30.12.16 04/04/17 PendingRAMRAHEES URF NANHEBRIJLAL & OTHERS MASTIPUR FAREEDPUR BAREILLY 02/01/17 04/04/17 PendingHAR PRASAD NATHO DEVI DUNDA SHUGALI BAHEDI BAREILLY 06/02/17 04/04/17 Pending

BAREILLY

Page 24

RAJPAL JASODA DEVI LAKHIMPUR BAHEDI BAREILLY 17.02.17 04/04/17 PendingRAJ SINGH NANHI DEVI BHAGAUTIPUR RAJARAM BAREILLY 12/12/16 04/04/17 PendingANKUR RATHOUR ALKA RATHOUR KAJI HOUSE NAWABGANJ BAREILLY 22.01.17 04/04/17 PendingANIL KUMAR ANIL KUMAR BHAMAUA GANGAPUR BAREILLY 04/03/17 04/04/17 PendingYUDHISTIR ANARKALI JAGAT BAHEDI BAREILLY 02/04/17 10/04/17 PendingTEJPAL SAPNA KHALUWA DHAURA BAREILLY 22.03.7 10/04/17 PendingLAUGPAL GUDDU HINDOTAULIYA SADAR BAREILLY 27.04.17 10/04/17 PendingHARI SHANKAR SHAKUNTALA SAIDAPUR FAREEDPUR BAREILLY 22.02.17 10/04/17 PendingRAM SINGH MORSHREE CHAKARPUR AWALA BAREILLY 24.02.17 10/04/17 PendingSHYAM CHARAN RADHESH KHAJRI KHEDA BAHEDI BAREILLY 13.03.17 10/04/17 PendingKHAYALI RAM PREM SHANKAR & OPADRI BHOJIPURA BAREILLY 21.02.17 10/04/17 PendingHARDEI PREM SHANKAR & OPADRI BHOJIPURA BAREILLY 21.02.17 10/04/17 PendingYOGESH KUMAR SINGH KIRAN DEVI AUTA MEERGANJ BAREILLY 12/11/16 10/04/17 PendingRAGHUVEER SINGH USHA DEVI SASURGANJ KHAJUR BAREILLY 09/03/17 10/04/17 Pending

BIJNORE

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BIJNOREPAID CLAIMS

1 PAWAN KUMAR BALESH MIRZAPUR MAHESH BAGHPUR BIJNORE 29.09.2016 500000 24.04.17 Death2 SATISH KUMAR SARVESH DEVI SARFUDDINPUR BHUDPUR CHAN BIJNORE 10/11/16 500000 25.04.17 Death3 JOGENDRA KUMAR SARVESH DEVI NANGLI DARA NAGAR BIJNORE 25.10.2016 500000 24.04.17 Death4 JAGDISH SINGH NIRMALA DEVI ISSEPUR NAZIBABAD BIJNORE 07/10/16 500000 24.04.17 Death5 SUSHIL KUMAR KAVITA DEVI BELKHERA DHAMPUR BIJNORE 05/11/16 500000 24.04.17 Death6 OM PRAKASH GUDDI DEVI BELKHERA DHAMPUR BIJNORE 10/10/16 500000 24.04.17 Death7 AKRAM GULSHAN PAWRI CHANDPUR BIJNORE 22.10.2016 500000 26.04.17 Death8 BALRAM SINGH RANI CHANDPUR BIJNORE 22.10.2016 500000 27.04.17 Death9 SHEESHRAM HARNANDI NEKPUR AKBARABAD BIJNORE 04/10/16 500000 27.04.17 Death10 NAVNEET KUMAR PRITI REHMANPUR BIJNORE 11/10/16 500000 27.04.17 Death11 EHSAN AWIDA MURTAJA BULAKI BIJNORE 16.09.16 500000 27.04.17 Death12 MOHD NABI NAGMA KHATOON SHERPUR DHAMPUR BIJNORE 22.10.2016 500000 27.04.17 Death13 SUNIL KUMAR ANITA DEVI HAKIMPUR KAZI JALALABAD BIJNORE 21.10.2016 500000 27.04.17 Death14 ANISUDDIN JARINA MURTAJAPUR NAYA GAON BIJNORE 16.09.16 500000 27.04.17 Death15 MALKAN USHA BEGUMPUR CHAIMAL BIJNORE 17.11.16 500000 27.04.17 Death16 RAMDAS RANI DEVI SAHNPUR NAWADA DHAMPUR BIJNORE 14.10.16 500000 27.04.17 Death17 AMIT KUMAR PRATIKSHA JAMALPUR NAJIBABAD BIJNORE 08/10/16 500000 27.04.17 Death18 SUKHVEER SINGH GUDDI ATHAI CHANDPUR BIJNORE 29.10.16 500000 01/05/17 Death19 SHONATH SINGH KAMLA DEVI NANDPUR AKBARABAD BIJNORE 20.11.16 500000 01/05/17 Death20 VINISH KUMAR RAKHI PAL WASAWANPUR DHAMPUR BIJNORE 15.12.16 500000 01/05/17 Death21 KARAN PAL SINGH PUSHPA DEVI UMAR PUR KADAR DHAMPUR BIJNORE 20.12.16 500000 02/05/17 Death22 JAGESH KUMAR UDESH DEVI JHAL DARANAGAR BIJNORE 15.01.17 500000 03/05/17 Death23 KOMAL SINGH ANITA DEVI JHALU NAWADA BIJNORE 12/02/17 500000 03/05/17 Death24 ASLUF FATMA SHADIPUR KAJIWALA BIJNORE 06/12/16 500000 03/05/17 Death25 VIMLESH DEVI KALPANA BAHAMNASHORA CHANDPUR BIJNORE 15.11.16 500000 03/05/17 Death26 MOHAN AMLESH CHANDPUR CHANPUR BIJNORE 13.02.17 500000 03/05/17 Death27 RAKESH KUMAR RANI DEVI BHAGPUR NAJIBABAD BIJNORE 23.02.17 500000 03/05/17 Death28 SHOBHA DEVI SHOBHA devi MUNGERPUR NAJEEBABAD BIJNORE 23.01.17 500000 03/05/17 Death29 SHREE RAM JASWANTI DEVI MUKERPURI DHAMPUR BIJNORE 30.01.17 500000 03/05/17 Death30 ANIL KUMAR JAHEEM AHMED PAUTAMA DHAMPUR BIJNORE 08/12/16 500000 03/05/17 Death








BIJNORE

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31 RAJ KUMAR ALKA HASUPURA HARKISHANPUR BIJNORE 08/01/17 500000 03/05/17 Death32 TAWARIK MUNNI CHAMAUDEV BADHAPUR BIJNORE 28.12.16 500000 03/05/17 Death33 MUKHRAM SINGH CHUNIYA DEVI LAIDPUR BIJNORE 02/01/17 500000 03/05/17 Death34 RAJU FOOL MATI TAIYYABPUR BIJNORE 08/12/16 500000 03/05/17 Death35 KUSHAL PAL SHEELA DEVI ASGARPUR KEERATPUR BIJNORE 06/01/17 500000 03/05/17 Death36 OM PRAKASH SINGH OMWATI ATHAI CHANDPUR BIJNORE 15.11.16 25.01.17 500000 03/05/17 Death37 BHUPENDRA KUMARSEEMA BUDHPur CHANDPUR BIJNORE 15.10.16 23.01.2017500000 03/05/17 Death38 BHUPINDER SINGH PINKI AGRI KHAS BIJNORE 19.11.16 500000 03/05/17 Death39 SHARIF AHMED SHABRI KHATOON NAGAL JAAT BIJNORE 12/12/16 15/02/17 500000 03/05/17 Death40 GULBAKSH SINGH SUKHVINDER KAUR ARAJI AFZALGARH BIJNORE 10/02/17 500000 03/05/17 Death41 SHAMIM AHMED SHABANA PARVEEN AJAMGARH BUDHPUR BIJNORE 10/02/17 500000 03/05/17 Death42 BABU RAM ANTRESH KAJIWALA BIJNORE 23.03.17 500000 03/05/17 Death43 VEER SINGH KAMLA DEVI MIRATPUR NAJIBABAD BIJNORE 26..02.17 500000 03/05/17 Death44 KAYYUM SHAMSHEEDA BEGUM DHAMPUR BIJNORE 02/04/17 500000 03/05/17 Death45 VINOD KUMAR LAXMI DEVI DHARAMPUR DHAMPUR BIJNORE 29.10.16 15/02/17 500000 03/05/17 Death46 MAGAN SINGH SUMAN DEVI ROOPPUR DHAMPUR BIJNORE 23.10.2016 23.01.2017500000 03/05/17 Death47 TEJPAL SINGH SUMITRA DEVI ASGARIPUR CHANDPUR BIJNORE 15.01.17 500000 03/05/17 Death48 GAJENDRA SINGH DAYAWATI NAHARSINGH BIJNORE 26.10.16 23.01.2017500000 500000 50000049 PAPPU URF ABDUL HIMRANA DAYALWALA BIJNORE 17.12.16 25.01.17 500000 500000 500000

NO CLAIM1 ANIL KUMAR CHAMAN BIJNORE BIJNORE 26.12.16 03/04/17 06/04/17 Death not head of family2 ANOOP KUMAR SHOBHA CHAHAL NAJIBABAD BIJNORE BIJNORE 13.01.17 03/04/17 06/04/17 Death before commencement of policy 3 ARCHANA SANJEEV KUMAR RATANPUR BIJNORE BIJNORE 23.10.2016 25.01.17 27.01.17 Death not head of family4 ARJUN SINGH LAKSHMI TAIMURPUR BIJNORE 19.10.2016 17.01.201719.01.17 Death insured was driver in firm5 BHUPENDRA SINGH JAIWATI ISLAMPUR BIJNORE BIJNORE 25.12.16 03/04/17 06/04/17 Death post mortem not done6 CHOTELAL URF CHO BASANTI DEVI SAIDPUR BIJNORE BIJNORE 10/10/16 25.01.17 27.01.17 Death not head of family7 DHARMENDRA KUMAASHA HAKIKATPUR NAGINA BIJNORE 11/11/16 17.01.201719.01.17 Death time barred8 DHARMENDRA KUMAKARWA SINGH MEERUT MEERUT BIJNORE 11/11/16 NOT BEing head of the family.9 DUSHYANT SINGH OMWATI MATCHMAR DHAMPUR BIJNORE 21.11.2016 17.01.201719.01.17 Death SUICIDE10 GHANSHYAM SINGH ANAMIKA SALEMPUR BIJNORE 26.09.16 23.01.201726.01.17 Death before commencement of policy 11 JAIPAL SINGH VIMLA NAGLI BIJNORE BIJNORE 03/01/17 03/04/17 06/04/17 Death DUE TO ILLNESS12 JAISINGH NATHU SINGH GHURARA BIJNORE BIJNORE 01/11/16 15/02/17 10/02/17 Death Not being head of the family.13 JASBEER SINGH MAMTA DEVI SHIKOHAPUR KUMRI BIJNORE 25.09.2016 27.12.201629.12.16 Death not BEing head of the family.14 JYOTI SATYAPAL KAJI SHORA BIJNORE BIJNORE 26.01.17 04/04/17 07/04/17 Death Not being head of the family.15 KUMARTI DEVI OMPAL SINGH URF OM HARGANGPUR BIJNORE BIJNORE 04/11/16 15/02/17 17.02.17 Death nominee is not dependent on deceased16 RAJENDRA SINGH GUDDI DEVI SHADIPUR AKBARBAD BIJNORE 11/09/16 17.01.201719.01.17 Death before commencement of policy

BIJNORE

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17 REKHA DEVI ASHWANI RAMJI BALA BIJNORE BIJNORE 14.02.17 03/04/17 06/04/17 Death SUICIDE18 SURAJ SINGH KAMESH DEVI JALALPUR BIJNORE BIJNORE 13.02.17 03/04/17 06/04/17 Death pmr not done19 VIPIN KUMARGANGA RAM MEERUT MEERUT BIJNORE not head of the family20 SUKHRAM SINGH GUDDI DEVI HILALPUR BIJNORE 08/09/16 23.01.201716.05.17 Death before commencement of policy 21 SARFARAZ KHATOON GOKULPUR KASAM BIJNORE 16.09.16 17.01.201716.05.17 Death AGE LESS THAN 18 YEARS22 SUSHIL KUMAR BHATTU & OTHERS SARDHANI BANGAR BIJNORE 04/11/16 15/02/17 16.05.17 Death NOT BEing head of the family.23 KAPIL KUMAR ARYAVEER MRIJAPUR KHAS BIJNORE 21.01.17 03/04/17 16.05.17 Death NOT BEing head of the family.24 CHANDAN LAKHAN SINGH UMARPUR NAJIBABAD BIJNORE 04/10/16 17.01.201717.05.17 Death NOT BEing head of the family.25 BADLU PRAKASH SINGH SIKANDARPUR LALMAN BIJNORE 08/02/17 10/04/17 17.05.17 Death ABOVE 70 YRS26 RAM PAL SINGH BHRAHMA DEVI DHAMPUR BIJNORE 22.11.2016 17.01.201717.05.17 Death SUICIDE27 AMNA RAJJAK THATJAT DHAMPUR BIJNORE 28.02.17 10/04/17 17.05.17 Death NOT BEing head of the family.28 DEVRAJ SINGH URF ANEETA DEVI KUTUBPUR KEERATPUR BIJNORE 15.01.17 10/04/17 17.05.17 Death NOT BEing head of the family.29 VIJAYPAL SINGH GYANI DEVI RAMKHEDA DHAMPUR BIJNORE 20.06.16 10/04/17 17.05.17 Death before commencement of policy 30 KAPIL KUMAR RAJENDRA SINGH TADHERA BUDHPUR BIJNORE 25.02.17 10/04/17 17.05.17 Death NOT BEing head of the family.31 SANJEEV KUMAR SURESH MUKANDPUR NAGEENA BIJNORE 03/03/17 10/04/17 17.05.17 Death NOT BEing head of the family.32 ANUJ BHARDWAJ RAHUL SHARMA ISLAMPUR UMRI KALA BIJNORE 23.01.17 10/04/17 17.05.17 Death NOT BEing head of the family.33 SAGIR AHMED NOORJAHAN AFZALGARH DHAMPUR BIJNORE 02/04/17 10/04/17 17.05.17 Death NO PMR & KHATAUNI34 ANKIT KUMAR RISHIPAL SINGH MAUDIYA BIJNORE 26..02.17 10/04/17 17.05.17 Death NOT BEing head of the family.35 MOHIT PRAKASH ASHA RANI KHEDA BIJNORE 01/12/16 10/04/17 17.05.17 Death NOT BEing head of the family.36 SUMIT KUMAR SURENDRA SINGH DHAMPUR BIJNORE 26.11.16 25.01.17 17.05.17 Death NOT BEing head of the family.37 DILNAWAZ MUNNI DHARA NAGAR DHARA NAGAR BIJNORE 04/10/16 22.05.17 Death NOT BEing head of the family.38 VIMAL KUMAR KISHAN SINGH VILL. USUFPUR HAMI GAJROLA SHIV BIJNORE 11/10/16 22.05.17 Death NOT BEing head of the family.39 SHEESH PAL REETA RANI BAHADUR PUR SHADIPUR BIJNORE 21.09.2016 02/12/16 27.06.17 Death DECEASED HAS NO ELIGIBILITY PROOF40 DHARMENDRA KUMABABLI BANIRAMDAS NAGINA BIJNORE 24.11.16 15/02/17 27.06.18 Death DECEASED HAS NO ELIGIBILITY PROOF

PENDING CLAIMSRAM KISHAN RAJKUMARI MIRDGAN JHAALU BIJNORE 17.10.2016 02/12/16 PendingSANJAY ANJU KACHHPURA BIJNORE 30.10.2016 26.12.2016 PendingKAPIL KUMAR RAKHI PUARNI DHAMPUR BIJNORE 14.11.2016 26.12.2016 PendingRAM GOPAL KHALAUNI DEVI MAHARATPUR KALA, NAGINA BIJNORE 14.11.2016 27.12.2016 PendingVIPIN KUMAR GANGA RAM SHADMAPUR KHEMA SALMAB BIJNORE 22.10.2016 27.12.2016 PendingRAM KISHAN SAJ KUMARI MRIDGAN KASBA DARA NAGAR BIJNORE 17.10.2016 27.12.2016 PendingARUN KUMAR MANJU DEVI BERKHERA DHAMPUR BIJNORE 05/11/16 27.12.2016 PendingSANTOSH REKHA RASOOLPUR DHAKI CHANDPUR BIJNORE 21.11.2016 23.01.2017 PendingRAMGOPAL TYAGI SHANTI TYAGI BUDHPUR CHANDPUR BIJNORE 22.10.2016 23.01.2017 PendingGAJENDRA SINGH DAYAWATI NAHARSINGH BIJNORE 26.10.16 23.01.2017 PendingAVNEESH KUMAR GEETA RANI CHANDPUR BASTA BIJNORE 03/10/16 23.01.2017 PendingKRISHNA PAL KAMLESH DEVI DHAMPUR BIJNORE 05/11/16 23.01.2017 PendingNARENDRA MUNNI DEVI SHAHJIR NAGINA BIJNORE 08/11/16 17.01.2017 Pending

BIJNORE

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SANJEEV KAVITA DEVI TANDA DHAMPUR BIJNORE 10/10/16 17.01.2017 PendingSUNIL KUSUM DEVI RAMPUR CHADA NAJIBABAD BIJNORE 24.09.16 17.01.2017 PendingRAM PAL SINGH BHRAHMA DEVI DHAMPUR BIJNORE 22.11.2016 17.01.2017 PendingANIL SUNITA KIRANPUR NAJIBABAD BIJNORE 08/11/16 17.01.2017 PendingMAHIPAL SINGH NITIN KUMAR AFZALGARH DHAMPUR BIJNORE 10/10/16 17.01.2017 PendingMOHD RASHID SAJIYA SHARFUDDIN NAGAR NAGINA BIJNORE 21.09.16 17.01.2017 PendingRAGHUVEER SINGH ASHA DEVI PIPLI JAGIR CHANDPUR BIJNORE 25.09.2016 17.01.2017 PendingRAJVEER SINGH REKHA DEVI TIVDI BIJNORE 27.09.16 17.01.2017 PendingRAVI KUMAR NEERAJ KUMAR TADA BADAKHEDA BIJNORE 03/12/16 17.01.2017 PendingSUNIL KUMAR RUPARANI SIKAENDA BANKPUR BIJNORE 30.10.2016 25.01.17 PendingMAHENDRA SINGH NAJIBABAD VISOTARA KIRATPUR BIJNORE 24.10.2016 25.01.17 PendingMUSHTAQ AHMED SAIDA KHATOON SUAWALA DHAMPUR BIJNORE 17.10.2016 25.01.17 PendingJAIPAL SINGH GUDDI DEVI BAHADURPUR DHAMPUR BIJNORE 13.11.16 25.01.17 PendingKUNWAR PAL SINGH GHISIYA DEVI BAHADURPUR SYOHARA BIJNORE 13.11.16 25.01.17 PendingSAJID INDRISA MUBARAKPUR TALAN BIJNORE 05/01/17 15/02/17 PendingGAURANG RAI GEETA NAYAK FIROZEPUR DHASIWALA BIJNORE 26.12.16 15/02/17 PendingVIJAY PAL SINGH DUSHLA LADHANPUR MAHMUDABAD BIJNORE 25.11.2016 15/02/17 PendingBHUPINDER SINGH PINKI AGRI KHAS BIJNORE 19.11.16 15/02/17 PendingDURVESH SINGH BRIJESH DEVI JAMALPUR MAHIPAT DHAMPUR BIJNORE 24.12.16 15/02/17 PendingYASHPAL SINGH POOJA SAIDPURI MAHICHAND BIJNORE 01/11/16 15/02/17 PendingPRAVENDRA SINGH RUNA PAHADPUR KAMALPUR BIJNORE 19.12.16 15/02/17 PendingRAJESH SINGH DINESH KUMAR ASADGARH DHAMPUR BIJNORE 19.12.16 15/02/17 PendingHEMRAJ SINGH POONAM DEVI ALIPUR DHAMPUR BIJNORE 06/12/16 15/02/17 PendingKAMLA DEEP SAINI ARTI RANI RAISAN KHAS BIJNORE 26.02.17 03/04/17 PendingMANOJ SAINI VIPIN RANI KAJIPADA HEMRAJ ROAD BIJNORE 09/01/17 03/04/17 PendingCHINDO BAI PARAM JEET SINGH KUAKHEDA BADHAPUR BIJNORE 15.01.17 03/04/17 PendingSUNIL KUMAR LEELAWATI RASOOLPUR DHAMPUR BIJNORE 21.12.16 03/04/17 PendingPARVEEN SINGH DHOOM SINGH BHAGODA BASTA BIJNORE 11/10/16 03/04/17 PendingJAGDISH SANTOSH DEVI JAIKHEDA DHAMPUR BIJNORE 22.02.17 03/04/17 PendingFAREED AHMED NADIMA KHATOON MILAK MUKEEMPUR BIJNORE 02/01/17 03/04/17 PendingBHUPENDRA SINGH JAIWATI ASFABAD DHAMPUR BIJNORE 28.12.16 03/04/17 PendingPAWAN KUMAR NEERAJ DEVI MATHAURA DURGA DHAMPUR BIJNORE 20.12.16 03/04/17 PendingFURKAN NASEEMA BHATPURA DHAMPUR BIJNORE 07/01/17 04/04/17 PendingDHARMPAL SINGH DHARMPAL SINGH AJIMULLANAGAR AFZALGARH BIJNORE 16.02.17 10/04/17 PendingAMIT KUMAR CHAUDNIDHI JARAN GHERRAM BIJNORE 29.10.16 10/04/17 PendingRESHPAL SINGH MAMTA SHERPUR PUTTA BIJNORE 15.11.16 10/04/17 PendingNEERAJ GIRI MANJU DEVI RAJEEV NAGAR HALDAUR BIJNORE 18.03.17 10/04/17 Pending

BULANDSHAHAR

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जिजला

BULANDSHAHARPAID CLAIMS

1 SUBHASH KAMLESH AURONGA RAMGHARBULANDSAHAR 23/10/2016 500000 21.01.17 Death2 BHEEM SINGH SANTRA DEVI BIKANPUR SADAR BULANDSAHAR 26.09.2016 500000 06/01/17 Death3 NAIN SINGH KAVITA SIKANDRABAGH MAHTABNBULANDSAHAR 15/10/2016 500000 06/01/17 Death4 ISRAR KHAN MALKA KHATOON AHAR ANOOP S BULANDSAHAR 14.10.16 500000 21.01.17 Death5 SUBHASH GIRI RAJNI DEVI DEVRALA KHURJA BULANDSAHAR 16.11.16 500000 02/02/17 Death6 DEVENDRA PREETI SALEMPUR KHURJA BULANDSAHAR 04/10/16 500000 02/02/17 Death7 RAJESH KUMAR GEETA DEVI KHABRA KHURJA DBULANDSAHAR 30.11.2016 500000 02/02/17 Death8 SATYAPAL SINGH MITHILESH MAUKHERA BULANDSAHAR 20.11.2016 500000 02/02/17 Death9 HUKUM SINGH OMWATI MANAKRAURA NAVIN N BULANDSAHAR 18.09.2016 500000 21.01.17 Death10 SURENDRA KUMAR MUNNI DEVI BAKAURA BULANDSAHAR 02/11/16 500000 02/02/17 Death11 AJAY PAL NANNI DEVI PAVSARA AGAUTA BULANDSAHAR 05/11/16 500000 02/02/17 Death12 OM PRAKASH RAJNI DEVI SONDHA HABIBP KHURJA BULANDSAHAR 12/10/16 500000 13.02.17 Death13 RAMMU SINGH KESHWATI LUHARALI BULANDSAHAR 01/12/16 500000 13.02.17 Death14 RAJKUMAR PINKI DEVI CHANDPUR FATAK BULANDSAHAR 19.11.16 500000 13.02.17 Death15 MANOJ SAINI RADHA SAINI MURARINAGAR BULANDSAHAR 27.10.2016 500000 16.02.17 Death16 GULJARI RAJKUMARI JARIYA ALAMPUR KHANPURBULANDSAHAR 03/12/16 500000 23.02.17 Death1 GAJENDRA SINGH PUSHPA DEVI DHARAU VICHAUL BULANDSAHAR 01/12/16 500000 23.02.17 Death17 GAJENDRA SINGH ANITA DEVI ISHANPUR DASHEHRBULANDSAHAR 02/01/17 500000 28.02.17 Death18 MAMCHAND POONAM DEVI RATANPUR PARVANABULANDSAHAR 08/12/16 500000 28.02.17 Death19 OMVEER SINGH MANJU DEVI DASAULI MANCHA BULANDSAHAR 07/01/17 500000 01/03/17 Death20 BUDHSEN PUSHPA DEVI SHAHDAWA DHARAMPBULANDSAHAR 05/11/16 500000 01/03/17 Death21 DHARMPAL ANGOORI DEVI RASOOLPUR NARAYANBULANDSAHAR 24.11.16 500000 01/03/17 Death22 SUKHRAM POOJA KUMARI & OTRAMPUR RAMPUR BULANDSAHAR 28.10.16 500000 01/03/17 Death23 SURAJ PAL SINGH BEGWATI AULEDA AGAUTA BULANDSAHAR 20.12.16 500000 01/03/17 Death24 DAYARAM PREMWATI RADHA NAGAR BULANDSAHAR 25.12.16 500000 01/03/17 Death25 HARISH CHAND KAMLESH NAYA BANS RAJGHAT BULANDSAHAR 28.09.2016 500000 01/03/17 Death26 MAHENDRA SINGH SUNITA DEVI RASOOLPUR NARAYANBULANDSAHAR 20.10.16 500000 02/03/17 Death27 BHURA SINGH SOORJI RAMPUR DHAMRAWBULANDSAHAR 22.12.16 500000 21.03.17 Death28 JAGPAL BARFI DEVI MIRJAPUR AGARPURBULANDSAHAR 17.12.16 500000 02/03/17 Death29 HARSWAROOP SINGH DHARMWATI NAGLA MOOD DIBAI BULANDSAHAR 20.11.16 500000 02/03/17 Death30 DARIYAN SINGH PRIYANKA SUNANA ANOOP S BULANDSAHAR 10/12/16 500000 19.03.17 Death31 OMVEER SINGH NAWABKAUR SHEKHPURA RAURA BULANDSAHAR 14.11.16 500000 20.03.17 Death32 ASHOK SAROJ DEVI UMESHPURI NARORA BULANDSAHAR 06/12/16 500000 20.03.17 Death33 JUWED ALAM RUKSAR MAHOLI ASIFABADBULANDSAHAR 26.02.17 500000 21.03.17 Death34 INTYAJ SAMEENA BEGUM MAKDI SYANA BULANDSAHAR 26.01.17 04/04/17 500000 02/03/17 Death35 SATYAVEER SINGH KAMLESH DEVI FATEHABAD SHIKARP BULANDSAHAR 28.10.2016 17.01.2017 500000 02/03/17 Death36 RAJESH KUMAR KISHAN DEI PALA GANGAWABULANDSAHAR 30.11.16 08/02/17 500000 19.03.17 Death37 RAGHUVEER RAJWATI KURALA BHATWARBULANDSAHAR 28.01.17 04/04/17 500000 20.03.17 Death



आमिमनी ा नाम ग्राम तहसील






BULANDSHAHAR

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38 AJEET SINGH URF LAL S SUMAN BODHA ANOOP S BULANDSAHAR 31.01.17 04/04/17 500000 20.03.17 Death39 HORISH SIROHI SANJU RANI LOHARA SAIDPUR BULANDSAHAR 01/03/17 04/04/17 500000 25.05.17 Death40 NARENDRA AGARWAL MEEENU AGARWAL MAYUR VIHAR SATHA BULANDSAHAR 11/12/16 03/03/17 500000 28.05.17 Death41 RAMPAL SINGH GEETA DEVI MAU NAGLA NARORA BULANDSAHAR 16.11.16 03/03/17 500000 31.05.17 Death42 GYAN PRAKASH KAMLESH DEVI RAMPUR DIBAI BULANDSAHAR 08/01/17 23/03/17 500000 31.05.17 Death43 RAKESH KUMAR KUSUM DEVI DARAULI SYANA BULANDSAHAR 01/10/16 17.01.17 500000 31.05.17 Death44 RAM KUMAR BALA DEVI ATERNA KHURJA BULANDSAHAR 06/03/17 14.06.17 500000 05.06.17 Death45 MUKESH KUMAR VICHITRA DEVI SYLTANPUR DIBAI BULANDSAHAR 10/11/16 17/03/17 500000 05.06.17 Death46 KARANVEER URF KARMVBALA DEVI BHIRAWATI SAIDPUR BULANDSAHAR 14.11.16 03/03/17 500000 05.06.17 Death47 TEJPAL SINGH GAYATRI DEVI PARVANA KHAS BULANDSAHAR 26.12.16 27.02.17 500000 05.06.17 Death48 JAGDISH PINKI SHARMA ASGAR PAWSARABULANDSAHAR 26.02.17 500000 05.06.17 Death49 RAVINDRA SINGH BABITA DEVI HAJRATPUR SAHKARI BULANDSAHAR 28.11.2016 02/03/17 500000 05.06.17 Death50 ATAR SINGH DAYASAINI NAI BASTI AURANGABULANDSAHAR 13.12.2016 02/03/17 500000 21.06.17 Death51 HARVEER RAMBIRI SALAGAWA JAHANGI BULANDSAHAR 07/10/16 12/01/17 500000 27.06.17 Death52 NIWAS MEENA DROPA DEVI JEERAJPUR AHMADGABULANDSAHAR 11/10/16 25.01.17 500000 27.06.17 Death

NO CLAIM1 AMARWATI SHYAM SINGH LAUNGA SYANA BULANDSAHAR 16.11.16 27.02.17 29.02.17 not head of family2 ANIL KUMAR SHASHI LAKHAWATI KHAS BULANDSAHAR 16.09.16 27.02.17 29.02.17 before commencement of policy 06/09/163 DEVENDRA SINGH KIRAN ROODBAGAR ANOOP S BULANDSAHAR 16.10.16 28.12.2016 04/01/17 Death due to alcohal4 DEVRAJ SINGH BHARAT SINGH & O JASANAWALI KAL SARAY CHbuLANDSAHAR 03/11/16 08/02/17 11/02/17 not dependent on deceased5 DHARMENDRA SINGH RAJNI DEVI SALEMPUR RASEEDP BULANDSAHAR 31.10.2016 08/12/16 12/12/16 GOVT. EMPLOYEE6 HEERALAL URMILA DEVI NAYSAR JAWAL BULANDSAHAR 19.12.16 15/02/17 18.02.17 cause of death as accidental death not established in PMR7 HIMANSHU URF RAJ DEEPANSHU BV NAGAR SYANA BULANDSAHAR 02/12/16 03/03/17 08/03/17 deceased age was 13 year8 HUKUM SINGH OMWATI AGRA AGRA BULANDSAHAR 18.09.2016 DEATH DUE to HEART ATTACK9 JAI BHAGWAN SHARMA BEENA DEVI SEHRA SYANA BULANDSAHAR 07/11/16 08/02/17 11/02/17 govt. Service10 LUV KUMAR RAJWATI DEVI ACHHEJA KHURD GHATPACBULANDSAHAR 05/01/17 07/01/17 age beyond 70 yrs11 MAHAVEER SINGH BALJIT SINGH & MU ISMAILAPUR ISMAILAP BULANDSAHAR 15.09.2016 05/12/16 07/12/16 AGE ABOVE 7012 MITHAN SINGH SMT MURTI DEVI AJEEJABAD AURANGABULANDSAHAR 01/10/16 05/12/16 12/12/1613 SAHIB SINGH MAUNI DEVI AGRA BULANDSAHAR 09/11.01.2017 DUE TO ILLNESS14 SHANTI SWAROOP PANNALAL SURAJPUR TIKRI AURANGABULANDSAHAR 30.11.16 27.02.17 29.02.17 not dependent on deceased15 SHANTISWARUP SHARMREKHA SHARMA ISMAILAPUR CHABEEL BULANDSAHAR 29/10/2016 05/12/16 12/12/16 NOT COVERED16 SUSHIL SHARMA MEERA SHARMA 125 KRISHNA NA DEVIPUR BULANDSAHAR 20.10.2016 05/01/17 07/01/17 HOME GUARD17 VIJENDRI AMIT KUMAR & OTH BHATONA GULAWATBULANDSAHAR 28.09.2016 05/01/17 07/01/17 not being head of family18 YOGESH VIMLESH BHADAULI BHAGAUTBULANDSAHAR 22.09.2016 08/12/16 12/12/16 Not being head of the family.19 RAMU URF SHYAM SING SUNITA DEVI LOUNGA SYANA BULANDSAHAR 30.10.16 03/03/17 27.06.17 SUICILDE20 SHANTILAL URF SHANTI SUBHASH CHAND IBRAHIMPUR KHURJA BULANDSAHAR 21.12.16 04/04/17 27.06.17 AGE MORE THAN 70 YEARS CLAIMANT IS NOT DEPENDENT ON DECEASED

PENDING CLAIMSSAHAB SINGH MOUNI DEVI SHAHPUR PAHAS KHURJA BULANDSAHAR 04/11/16 27.12.2016 Death PendingOM PAL SINGH DULARI DEVI RAJAUR ANOOP S BULANDSAHAR 15.10.2016 27.12.2016 Death PendingVIJAY SINGH SOMWATI RAHMAPUR SHIKARP BULANDSAHAR 22.09.16 28.12.2016 Death PendingSHASHI BHUSHAN NISHA DEVI ASAWAR GULAWATBULANDSAHAR 25.10.2016 05/01/17 Death PendingPARSANDI DEVI MANISH & OTHERS NAGLA LUDHPUR SYANA BULANDSAHAR 06/11/16 17.01.2017 Death PendingSONU POOJA DARAULI VIVINAGABULANDSAHAR 30.09.16 17.01.2017 Death PendingRAVINDA SINGH NEELAM DEVI JAKHAITA BULANDSAHAR 18.10.16 25.01.17 Death PendingCHANDRA PRAKASH VIPIN KUMAR SHARMFATEHPUR BUJURG BULANDSAHAR 12/10/16 08/02/17 Death Pending

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MAHENDRA NIRDOSH KUMAR & BHAGWANPUR KHANI KABULANDSAHAR 23.10.2016 08/02/17 Death PendingSUNDARAM VADHATHWRAJESH DEVI DHAKAULI ANUPSHABULANDSAHAR 25.11.2016 08/02/17 Death PendingLAKHMI CHAND URMILA DEVI KARAINA SHIKARP BULANDSAHAR 07/11/16 08/02/17 Death PendingRUPLAL RAJU & OTHERS DHARARI VICHAUL BULANDSAHAR 15.11.16 08/02/17 Death PendingAJAY KUMAR SHASHI DEVI TEHGAURA SYANA BULANDSAHAR 27.09.16 08/02/17 Death PendingPREM SHANKAR SARVESH DEVI JARARA JARARA BULANDSAHAR 05/12/16 15/02/17 Death PendingNAVI MOHD CHAUHAN GUL AFHSA & OTHE GADHI THAKURA KAKOD BULANDSAHAR 13.11.16 15/02/17 Death PendingJITENDRA KUMAR SHAR DAISY SHARMA URF BHAWAN BAHADUR NAGARBULANDSAHAR 08/11/16 27.02.17 Death PendingSATYAVEER SINGH BRAHM DEVI ISMAILPUR BULANDSAHAR 27.11.2016 27.02.17 Death PendingDALCHAND SHARMA SEEMA SHARMA KHAD MOHAN NAKHAS KIL BULANDSAHAR 01/11/16 27.02.17 Death PendingOMVEER SINGH SARVESH DEVI PAVSARA BULANDSAHAR 30.10.16 27.02.17 Death PendingRAMVER SHARMA SATYAWATI SHARMAMANAPUR SURAJPU BULANDSAHAR 27.10.2016 02/03/17 Death PendingBHAGWAN SHARMA LUVKHUSH SHARMA NAITHLA HASANPKHAS BULANDSAHAR 21.11.16 02/03/17 Death PendingSANTOSH DEVI SONU JALALPUR SHIKARP BULANDSAHAR 23.09.16 02/03/17 Death PendingATAR SINGH DAYASAINI NAI BASTI AURANGABULANDSAHAR 13.12.2016 02/03/17 Death PendingKUNWAR PAL URF KUNWMEELA DEVI BHAISODA SYANA BULANDSAHAR 22.10.16 03/03/17 Death PendingSATVEER DHARMWATI DEVI MIRJAPUR SAHKARI BULANDSAHAR 17.12.16 03/03/17 Death PendingSHYAM LAL PRABHAKAR & OTHEMAU NARORA BULANDSAHAR 16.11.16 03/03/17 Death PendingSANJAY KUMAR NARAYANI DEVI BAGHTHARI CHAHLA BULANDSAHAR 30.09.16 03/03/17 Death PendingYADARAM SINGH RAMWATI DEVI JARGAWAN BULANDSAHAR 28.10.16 03/03/17 Death PendingSURESH CHAND AJAY & OTHERS RETAGARH NAIDAI B BULANDSAHAR 27.09.16 03/03/17 Death PendingLALTA PRASAD GEETA DEVI NAGLA SHEKHU MEERPURBULANDSAHAR 05/01/17 03/03/17 Death PendingRANPAL SINGH KUSUMA DEVI DOMLA HASANGAKALYANP BULANDSAHAR 25.01.17 03/03/17 Death PendingSHANKARLAL NIRANJAN LAL UNCHAGAON BANGAR BULANDSAHAR 21.09.16 03/03/17 Death PendingPHOOLMATI VIKRAM SUNANA ANOOP S BULANDSAHAR 04/11/16 03/03/17 Death PendingPRAVEEN KUMAR MALTI DEVI AURANGABAD CHANDAUBULANDSAHAR 27.11.2016 03/03/17 Death PendingDASHRATH KISHAN DEI PAHADPUR SHIKARP BULANDSAHAR 15.10.16 03/03/17 Death PendingPATRAM SINGH VIMLESH & OTHERS SHERPUR MAJRA CHOLA BULANDSAHAR 17.11.16 03/03/17 Death PendingSHREEPAL BASANTI DEVI MAHEPA JAGIR BULANDSAHAR 24.12.16 03/03/17 Death PendingAMIT SEEMA DEVI RAURA BIRAULI BULANDSAHAR 14.01.17 11/03/17 Death PendingBIRJU NEETU DEVI TILVEGAMPUR BULANDSAHAR 04/02/17 20/03/17 Death PendingYUDHISTER SAROJ YABAPUR DIORAU BULANDSAHAR 25/12/16 17/03/17 Death PendingPUSHPENDRA KUMAR BASANTI DEVI NAGALA BADARP DIBAI BULANDSAHAR 13/12/16 17/03/17 Death PendingSATISH SINGH SAVITRI DEVI KHURJA BULANDSAHAR 02/02/17 24/03/17 Death PendingMUKESH KUMAR SHARDA DEVI NAVADA SHIKARP BULANDSAHAR 11/01/17 24/03/17 Death PendingDEVENDRA RAMWATI AHAAR ANOOP S BULANDSAHAR 20/01/17 24/03/17 Death PendingUDAL SINGH NAIMVATI RAM BILAONI DIBAI BULANDSAHAR 14/02/17 23/03/17 Death PendingGYAN PRAKASH KAMLESH DEVI RAMPUR DIBAI BULANDSAHAR 08/01/17 23/03/17 31.05.17 DeathSAHAB SINGH SAHABSINGH CHAOTHERA SHIKARP BULANDSAHAR 30/11/16 23/03/17 Death PendingAJAB SINGH MUKHTARI KRIYAVALI SHIKARP BULANDSAHAR 04/12/16 23/03/17 Death PendingNAJIB KHAN KAUSHAR AHMADGARH SHIKARP BULANDSAHAR 28/11/16 23/03/17 Death PendingSATYAPAL SINGH SHEELA DEVI BAHODAWAS SIKANAD BULANDSAHAR 04/01/17 03/04/17 Death PendingKRISHNA KUMAR HEMLATA SHARMA ROOPWAS PACHGAI BULANDSAHAR 28.12.16 03/04/17 Death PendingVINOD KUMAR ASHARFI DEVI SHAHPANI ISMAILPU BULANDSAHAR 07.02,17 03/04/17 Death PendingSIRRAJ NAFEESA MALAKPUR ANOOP S BULANDSAHAR 21.10.16 03/04/17 Death PendingJAIVEER KAMLESH DEVI FATAHPUR SYANA BULANDSAHAR 22.01.17 04/04/17 Death PendingGANESH URF DINESH K MOHAN & OTHERS SIHALI CHAYA KHANPURBULANDSAHAR 07/01/17 04/04/17 Death Pending

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CHAMAN SINGH ARCHANA BADSHAHPUR SYANA BULANDSAHAR 03/02/17 04/04/17 Death PendingPUSHPENDRA SINGH MANJU RAJPUT SHEKHUPUR DIBAI BULANDSAHAR 25.01.17 04/04/17 Death PendingSATENDRA SINGH URF LOG SHREE CHAUTERA DIBAI BULANDSAHAR 23.01.17 04/04/17 Death PendingKISHAN SINGH REKHA RANI BAHLEEMPUR PANNI N BULANDSAHAR 09/12/16 04/04/17 Death PendingSURAJ PAL ANITA DEVI PADHA GANGAGABULANDSAHAR 21.02.17 04/04/17 Death PendingMOMRAJ SINGH SAVITRI DEVI JALALPUR SHIKARP BULANDSAHAR 14.02.17 04/04/17 Death PendingSATVEER SINGH BALA LADPUR SYANA BULANDSAHAR 02/02/17 04/04/17 Death PendingIRSAD SHABEELA KHANPUR SYANA BULANDSAHAR 15.02.17 04/04/17 Death PendingIRFAN RIJWANA PYANA KALA KAKRAL BULANDSAHAR 20.10.16 04/04/17 Death PendingSURAJ SINGH RAJESH DEVI PYANA KHURD SYANA BULANDSAHAR 22.11.2016 04/04/17 Death PendingJEETPAL URF JEETAN KUMARI GAURI CHACHOI SIKANDA BULANDSAHAR 20.01.17 04/04/17 Death PendingINDRAJEET KAMLESH BHARANA SIKANDA BULANDSAHAR 12/02/17 04/04/17 Death PendingDEVENDRA ANJU BHARANA SIKANDA BULANDSAHAR 12/02/17 04/04/17 Death PendingSURAJ SHEELA DEVI MUNI KHURJA BULANDSAHAR 05/03/17 04/04/17 Death PendingSACHIN SHIVANI DEVIDHAM KHURJA BULANDSAHAR 07.02,17 04/04/17 Death PendingOM PRAKASH OM PRAKASH KHURIYAWALI KHURJA BULANDSAHAR 26..02.17 04/04/17 PTD PendingGUDDI DEVI SUBHASH CHAND KUDHAINI DIBAI BULANDSAHAR 09/01/17 04/04/17 Death PendingMAHESH MUNNI PATTI MUSALMANSYANA BULANDSAHAR 23.12.16 04/04/17 Death PendingVIJEDNRA SINGH KAMLESH DEVI CHINGRAWATI SYANA BULANDSAHAR 06/03/17 04/04/17 Death PendingLOKESH FANTU SINGH PATTI RAJARAM SYANA BULANDSAHAR 23.12.16 04/04/17 Death PendingKARTAR SINGH LATESH CHAUDHARYBHALAI ANOOPSHBULANDSAHAR 28.02.17 04/04/17 Death PendingANIL KUMAR REKHA YAMUNAPURAM BULANDSAHAR 16.01.17 04/04/17 Death PendingDANISH AFROZ & OTHERS PAWSARA BULANDSAHAR 26..02.17 04/04/17 Death PendingAKIL SHAKEENA & OTHERPAWSARA BULANDSAHAR 26..02.17 04/04/17 Death PendingRAJESH MEENU DEVI SADARPUR SHIVALI BULANDSAHAR 22.02.17 04/04/17 Death PendingSUMRESH RAMWATI DEVI HAJIPUR SYANA BULANDSAHAR 18.11.16 04/04/17 Death PendingMANVEER SINGH SATYAWATI DEVI KHANPUR KHAWRA BULANDSAHAR 23.01.17 04/04/17 Death PendingNITIN URF ATIN POONAM SANAUTA SIKANDA BULANDSAHAR 05/02/17 04/04/17 Death PendingGURDEEP SINGH PUSHPA DEVI FIROZPUR BADAUDABULANDSAHAR 02/02/17 04/04/17 Death PendingARJUN SINGH SANTARA MANOWAS PITOWAS BULANDSAHAR 05/03/17 04/04/17 Death PendingMAHESH CHAND URF BARAJESH LATHAUR CHAYASABULANDSAHAR 05/03/17 04/04/17 Death PendingRAM SWAROOP KAMAL SINGH & OT KATIRI BUGRASI BULANDSAHAR 02/03/17 04/04/17 Death PendingMONU RUKHSAR BAER BADHSHABULANDSAHAR 02/04/17 10/04/17 Death PendingBHAGWAT PRASAD SHA MUNNI DEVI SHEKHPUR MAM BULANDSAHAR 04/10/16 10/04/17 Death PendingANIL KUMAR KAJAL CHACHOI PACHGAI BULANDSAHAR 09/03/12 10/04/17 Death PendingSURENDRA SINGH SANTOSH DEVI FATAHPUR SANAUTABULANDSAHAR 18.02.17 10/04/17 Death PendingDEVI SINGH SANTOSH DEVI JUGSANA KALA ANOOPSHBULANDSAHAR 13.03.17 10/04/17 Death PendingSANTU KUMAR URF SANKRISHNA DEVI RANAPUR SYANA BULANDSAHAR 26..02.17 10/04/17 Death PendingANIL KUMAR BABITA SABZI MANDI PATKASBA BULANDSAHAR 22.01.17 10/04/17 Death PendingJAGPAL SINGH RAJNI DEVI MAUHARSA BULANDSAHAR 04/04/17 10/04/17 Death PendingSHERPAL GAGAN DEVI SHIV COLONY MAUJAPU BULANDSAHAR 07/03/17 10/04/17 Death PendingANURAG KUMAR GARG POORNIMA SHARMA KARNVAS DIBAI BULANDSAHAR 12/10/16 03/03/17 PendingSUNHARI DEVI VIJAY KUMAR AMARPUR LALNER BULANDSAHAR 12/10/16 04/04/17 Pending

CHITRAKOOT

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जिजला

CHITRAKOOTPAID CLAIMS

1 GAYA PRASAD RANI BARIA MAU CHITRAKOOT 17.09.2016 500000 17.03.17 Death2 ROHIT KUMAR GAYTRI DSIRODHA MAU CHITRAKOOT 15.10.2016 500000 29.03.17 Death3 SUNIL KUMAR LALITA DEDHONEHAMAJRA S CHITRAKOOT 08/10/16 500000 07/04/17 Death4 RAM BHUSHAN RAMDHARRUPAHA MANIKPU CHITRAKOOT 16.10.2016 500000 07/04/17 Death5 CHHANGU PIYARIA DRAMPUR KALYANGCHITRAKOOT 16.09.2016 500000 12/04/17 Death6 MAIYA DEEN KHELTI D MARJATPUR CHITRAKOOT 26.10.2016 500000 12/04/17 Death7 SHIV AWTAR SAROJ KUMARJATP KIRSHI CHITRAKOOT 24.10.2016 500000 12/04/17 Death8 RAM DHEERAJ URMILA DBARIARI MAU CHITRAKOOT 18.09.2016 500000 12/04/17 Death9 KALLU PRASAD NIRMALA AHIRANP KHANDEHCHITRAKOOT 27.11.2016 500000 13.04.17 Death10 ALAKH NARAYAN ANKITA CHANDRAKARWI CHITRAKOOT 19.10.2016 500000 13.04.17 Death11 HARISH CHANDRA RANI DEVRUPAULI RAJAPUR CHITRAKOOT 17.10.2016 500000 13.04.17 Death12 LALLA RAM SAKHMEER KA KALWARACHITRAKOOT 13.10.16 500000 14.04.17 Death13 MATA BADAL GEETA DEGRAM DEVMANIKPU CHITRAKOOT 18.11.2016 500000 14.03.17 Death14 SHIV PRASAD URMILA DKARVI CHITRAKOOT 19.10.2016 500000 13.04.17 Death15 JAGPAL PARVATI SAKRAULIKARVI CHITRAKOOT 18.02.17 500000 21.04.17 Death16 ABHILASH BAL KUMATIKARA MAU CHITRAKUT 30/12/16 500000 25.05.17 Death17 MOOL CHAND SARASWATBHITARI MAU CHITRAKOOT 26.09.2016 500000 14.06.17 Death18 RAM AVTAR SAMPATIYKUNJAN KASHAI CHITRAKOOT 30.01.17 500000 21.06.17 Death19 VASUDEV GAURA GOPIPUR KATAUHACHITRAKOOT 17.02.17 500001 21.06.18 Death

NO CLAIM1 RAM RAJ MANJU DEHARRA RAJAPUR CHITRAKOOT 19.12.16 25.01.17 27.01.17 wrong information2 SUSHILA DEVI ACHHE LANARAINP KARVI CHITRAKOOT 19/11/16 16/03/17 18.03.17 not head of family3 UDAY BHAN BHAWAGNBHUI HARKARVI CHITRAKOOT 15.10.16 25.01.17 27.01.17 not head of the family4 RAJ NARAYAN LALIT NA TILAULI MAU CHITRAKOOT 14.11.16 28.02.17 25.05.17 CLAIMANT NOT DEPENDENT5 SUDAMA BENIMAD BASINDH MAU CHITRAKOOT 21.03.17 04/04/17 25.05.17 not being head of family6 RAMSIYA SANTOSHPARSAUNKARVI CHITRAKOOT 11/10/16 04/04/17 14.06.17 NO PMR POLICE PANCHNAME

PENDING CLAIMSRAM KARAN GEETA BADODA MARMANIKPU CHITRAKOOT 28.09.201626.12.2016 PendingDINESH KUMAR MAMTA TARAO KURSI CHITRAKOOT 14.09.201626.12.2016 PendingRANJEET LACHHI DREHUTA LODHWA CHITRAKOOT 18.09.201626.12.2016 PendingRAM ABHILASH GEETA DECHILLI R RAJAPUR CHITRAKOOT 20.11.201609/01/17 PendingLAVLESH RAJA THIKAPU MANIKPU CHITRAKOOT 30.10.201612/01/16 PendingARUN KUMAR PANDGEETA DESURSEN RAJAPUR CHITRAKOOT 23.10.201625.01.17 PendingSHYAM SUNDER HEERA MAASHOH KARVI CHITRAKOOT 13.10.16 25.01.17 PendingRAJ NARAYAN LALIT NA TILAULI MAU CHITRAKOOT 14.11.16 28.02.17 PendingRAM SEWAK CHANDRASEMARIA MANIKPU CHITRAKOOT 24/11/16 16/03/17 PendingOM PRAKASH RAJ KUMABIHARWARAJAPUR CHITRAKOOT 11/12/16 11/03/17 PendingRAJESH KUMAR MANJU DEBASIAPU KARVI CHITRAKOOT 29/11/16 27/03/17 PendingSUSHIL VISHWAKA MEERA DEDEVRA MAU CHITRAKOOT 27.11.201603/04/17 PendingUMA SHANKER SHOBHA RAMPUR RAJAPUR CHITRAKOOT 05/01/17 03/04/17 PendingASHOK KUMAR RAM BHASHEETAL MANIKPU CHITRAKOOT 02/01/17 04/04/17 PendingJIVDHIYA GOPAL & CHERIYA MANIKPU CHITRAKOOT 04/01/17 04/04/17 PendingBIHARI LAL KAYA DEVNAINI RAJAPUR CHITRAKOOT 15.02.17 04/04/17 PendingSURAJBALI URF SURBACHCHI CHIVLAH MAU CHITRAKOOT 08/10/16 04/04/17 PendingRAVI KARAN GENDA RAUHARI MAU CHITRAKOOT 17.01.17 04/04/17 PendingGIRJIA SHANKAR GIRIJA S DEVRA MAU CHITRAKOOT 04/02/17 04/04/17 PendingGUDDI DEVI GANGA P HANNA V MAU CHITRAKOOT 09/03/17 04/04/17 PendingRUKMANI OM PRAK BASINDH MAU CHITRAKOOT 21.03.17 04/04/17 PendingSHIV SEWAK ASHA DEVKHATWARRAJAPUR CHITRAKOOT 07/03/17 04/04/17 PendingMANORAMA SALIG RA KHER MAJKARVI CHITRAKOOT 05/03/17 04/04/17 PendingSHARDA PRASAD GAYATRI AKBARPUKARVI CHITRAKOOT 09/03/17 04/04/17 PendingLUVKHUSH RINKI SUNDINP KARVI CHITRAKOOT 08/10/16 04/04/17 PendingMAHESH NATHIYA KALWALI RAJAPUR CHITRAKOOT 12/02/17 04/04/17 PendingRAM BALAK MEERA KOTARAKMAU CHITRAKOOT 04/02/17 10/04/17 PendingCHOTTAN SHAKUNTMADAIYA MANIKPU CHITRAKOOT 02/01/17 10/04/17 PendingBALDEV PRASAD SHIVKUM MOHARWRAJAPUR CHITRAKOOT 17.01.17 10/04/17 PendingSHYAM SUNDER ASHA DEVSUDINPU KARVI CHITRAKOOT 08/10/16 04/04/17 Pending



आमिमनीी ा नाम

ग्राम तहसील





मृत्य/ुकिवलांर्गता/उपचा%(ै;लेस/%ीम्बुस्मAट

ETAH

Page 34


दुर्घ�टनाग्रस्त व्यलि7 ा नाम आमिमनी ा नाम तहसील जिजला

ETAHPAID CLAIMS

1 DILIP MANJU DEVI & OTHERSLALGADI MAJRA ETA ETA 18.09.2016 500000 21.01.17 Death2 MAHENDRA SINGH HARBHEJI SHILA MAI JALESAR ETA 12/11/16 500000 02/02/17 Death3 RAM GOPAL DHANDEVI RASEEDPUR JALESAR ETA 11/10/16 500000 02/02/17 Death4 RAMESH CHANRRA URMILA DEVI CHITTARPURA DASTAMPUR ETA 26.10.2016 500000 02/02/17 Death5 RAJESH KUMAR URF RAJU GEETA DEVI KARTALA ETA 28.09.2016 500000 02/02/17 Death6 MALIKHAN SINGH SORANGWATI BANDHA ANGRAIYA ETA 04/10/16 500000 08/02/17 Death7 DEUENDRA /RAJESH KUMAR MEENA KUMARI KUSAIT BADAWALI ETA 10/10/16 500000 13.02.17 Death8 RANBIR SINGH SAJ KUMARI PAINDAPUR ETA 21.10.16 500000 13.02.17 Death9 SAHAB SINGH HANSO DEVI NANGLA BALJEE UCHAGAON ETA 11/10/16 500000 13.02.17 Death10 SHYAM VEER SINGH ASHA DEVI KALANDER NAG ALIGANJ ETA 03/12/16 500000 28.02.17 Death11 BABU SINGH MAYA DEVI AGARAIYA JAMUNAI ETA 24.11.16 500000 28.02.17 Death12 YASEEN KHAN MUNNI BEGUM GOKULPUR BHAGRAULI ETA 21.12.16 500000 01/03/17 Death13 SEHDEV SINGH KAMLESH DEVI PILKHATRA ETA 15.10.16 500000 01/03/17 Death14 DHARMVEER SINGH SAROJBALA NAGWAI BERNI ETA 01/11/16 500000 01/03/17 Death15 SURAJPAL MARGSHREE KHERIYA AON ETA 03/12/16 500000 01/03/17 Death16 RINKU NEERAJ DEVI NAGLA GANGA AWAGARH ETA 18.10.16 500000 01/03/17 Death17 SURAJPAL NIRMALA DEVI KARANPUR ALIPUR ETA 03/11/16 500000 20.03.17 Death18 PREMVEER SINGH ANITA DEVI NAYAGAON KHARSULIYA ETA 27.12.16 500000 20.03.17 Death19 SHISHU PAL KUSUMLATA JITAULI ETA 09/10/16 500000 20.03.17 Death20 RAM BABU SAVITRI DEVI BIDARIKA BABASA ETA 15.01.17 500000 20.03.17 Death21 JUGENDRA PAL SAROJ DEVI JARANI KHURD JALESAR ETA 11/02/17 500000 21.03.17 Death22 SAURABH SUDHA NAGLA KANCHA DEHAT ETA 24.12.16 500000 21.03.17 Death23 GIRAN SINGH RAMLATA DEVI ANOOP PUR ASAMAITH ETA 500000 04/05/17 Death24 SHANKAR PAL OMWATI LOTHOLI BARSANA ETA 500000 04/05/17 Death25 RAM NIWAS SAROJNI SADIYAPUR ROOPDHANI ETA 04/01/17 04/04/17 500000 25.05.17 Death26 SUNIL KUMAR NEMSHREE BAHETA MAUJABARAI ETA 24.11.16 11/03/17 500000 28.05.17 Death27 GYASUDDIN PARVEEN BEGUM DHARAULI ETA 13.12.16 11/03/17 500000 31.05.17 Death28 RAVENDRA KUMAR URF RAVENDRRAMA DEVI KUTHILA LAYATPUR ETA 19.01.17 11/03/17 500000 31.05.17 Death29 SHYAM SINGH RUBY DEVI HARCHANDPUR KALAN ETA 18.03.17 10/04/17 500000 31.05.18 Death30 ANIL KUMAR MITHLESH KUMARI 500000 31.05.19 Death31 JOGRAJ SINGH REKHA RATHOUR SAHORI DHUMRI ETA 12/12/16 11/03/17 500000 31.05.20 Death32 RANVEER RAJNI DEVI MAU BARAULI ETA 31.12.16 04/04/17 500000 14.06.17 Death

NO CLAIM1 CHANDRA BHAN RAMSHREE KHUTIYANA MILAWALI ETA 29.11.201611/03/17 14.03.17 not head of family2 GANGA PRASAD PARVEENA DEVI KALYANPUR NAGLA FARID ETA 25.09.201628.12.2016 04/01/17 non submission of income proof3 HARDAYAL HARI DEVI NAGLA SEWA BAVSA ETA 06/10/16 05/11/16 10/11/16 working in army4 JALENDRA SINGH VIMLESH YADAV BIJAURI BHALAUL JEHRA ETA 17.09.16 28.12.2016 04/01/17 before commencement of policy 23/08/165 MAYA DEVI VED RAM DAHALIYA POOT ALIGANJ ETA 15.10.16 28.12.2016 04/01/17 not head of family6 OMWATI RAI SAHAB & OTHERS INAMNAGAR MARHARA ETA 08/12/16 04/04/17 08/04/17 claimant not depende3nt7 PHOOLWATI RAJNIKANT & VINIT KU JITAULI ETA 27.09.16 28.12.2016 04/01/17 Not being head of the family.8 RAHUL KUMAR CHANDRA PRABHA NAGALA GULAR BHADWAS ETA 30.09.16 28.12.2016 04/01/17 no income proof9 RAJAN SINGH SOMVATI JALESAR ETA 10/01/17 22/03/17 27.03.17 not head of family10 RAJENDRA SINGH MITHLESH SAMAN BABSA ETA 19.02.17 04/04/17 08/04/17 not head of family11 SONELAL SATYABHAN NOORPUR SAKEET ETA 07/11/16 08/02/17 11/02/17 AGE ABOVE 7012 SUKHVEER SINGH ASHA DEVI KUSWA PONDARI ETA 02/12/16 02/03/17 05/03/17 GOVT. EMPLOYEE13 SUNEEL KUMAR MAMTA DEVI KHERIYA JAMO ETA 08/11/16 02/03/17 05/03/17 income certificate issued after death14 SUNIL KUMAR RAJESH KARTHANI JALESAR ETA 25.01.17 04/04/17 08/04/17 GOVT. EMPLOYEE15 UMA SHANKAR NARENDRA SINGH NAWAR GAHI ETA 13.11.16 08/02/17 11/02/17 not head of the family16 USMAN KHAN SHAKEEN KHATOON JARANI KALA ETA 17.09.16 28.12.2016 04/01/17 before commencement of policy 23/08/1617 SANJU BABLI SAUNGARA ETA 18.09.16 10/04/17 04/02/17 DATE OF ACCIDENT 12.09.1718 RAJANSHREE RAM SEWAK & OTHERSNAGLA DURJAN MANAURA ETA 21.10.16 08/02/17 04/03/17 AGE ABOVE 7019 DHARMVIR SINGH SAROJ BALA ETAH 01.11.16 08.02.17 22.06.17 DECEASED WAS GOVT. SERVANT20 VINIT KUMAR BRIJESH KUMARI RAJPUR ETA ETA 25.12.16 04/04/17 27.06.17 not head of family , FATHER ALIVE

PENDING CLAIMSMAHESH PAL SINGH REKSHA DEVI RANI BHAGIPUR ETA 27.09.201627.12.2016 PendingGIRAN SINGH RAMLATA DEVI NAGLA MOHAN MOHAN ETA 05/10/16 27.12.2016 PendingRAJENDRA SINGH SHREE DEVI MAHMOODPUR MARHARA ETA 14.10.16 28.12.2016 PendingANAND RAMWATI LABHETA HASANPUR ETA 06/10/16 28.12.2016 PendingSHANKAR PAL OMWATI MUHIUDDINPUR ETA 05/10/16 28.12.2016 PendingVINAY KUMAR SHYAM LATA BADAMPUR SADAR ETA 11/10/16 28.12.2016 PendingVIRESH SINGH SHANTI DEVI HIMMAT NAGAR MAJHIRA ETA 19.10.201628.12.2016 PendingMAKHHAN LAL GEETA DEVI LACHHI NGLI BARAI ETA 23.09.201610/01/17 PendingNEM SHREE BAGEESH HANSPUR GAHETU ETA 16.10.201610/01/17 PendingVIPULENDRA SINGH SUMAN KUMARI BIJORI BIJORI ETA 06/11/16 12/01/17 PendingSANJAY SINGH SHASHI KUMARI GULABPUR SONGRA ETA 17.11.201612/01/17 PendingROSHAN LAL PREM WATI SARAI AHMAD K MARHARA ETA 24.09.201612/01/17 PendingRAM SWAROOP MAYA DEVI BABLI ANGADPUR ETA 16.10.201612/01/17 PendingSHASHIKANT ANITA DEVI BAGWALA BAGWALA ETA 20.11.201612/01/17 PendingKAPTAAN SINGH VIDYAWATI NAKATPUR MAJRVASUNDHARA ETA 26.10.201612/01/17 PendingALKA YADAV SATISH CHANDRA MUKHARNA JITAULI ETA 14.10.201612/01/17 PendingGYAN DEVI OM VEER & SHER SINGPILUA PILUA ETA 13.11.16 17.01.2017 PendingPRADEEP KUMAR PUJA DEVI HIMMAT NAGAR SARHARA ETA 05/11/16 17.01.2017 PendingMUKESH SURESH & NARESH NAGLA CHOORACHILMAPUR ETA 23.11.201617.01.2017 PendingSANJAY KUMAR SUDHA KUMARI AKBARPUR MALWAL ETA 23.10.201617.01.2017 PendingLATOORI SINGH KATORI DEVI SIAPUR JEESUKHPUR ETA 23.11.201617.01.2017 PendingKAMLESH KUMAR NEELAM DEVI SHYAMPUR DHAULESHWAR ETA 16.09.201617.01.2017 PendingRESHAM DEVI RAJNEESH KUMAR & O BHAGPUR BARAUON ETA 01/11/16 08/02/17 PendingPARATH SINGH SEEMA DEVI BADHAWALI ETA 18.12.16 02/03/17 PendingMAHESH CHAND RAJESH DEVI NAGALA RADHE BARENI ETA 04/01/17 02/03/17 PendingRAJAN SINGH LEELAWATI SADAT JALESAR ETA 15.09.201602/03/17 PendingPRASOON MISHRA VANDANA MISHRA LALPURA JAHAGIRABAD ETA 19.12.16 11/03/17 PendingPRAVEEN KUMAR PRAVEEN KUMAR KANCHANGARHI MUHIDDINPUR ETA 04/10/16 11/03/17 PendingVIJAYPAL SINGH MANJU DEVI SAHUSPUR SIRSA TAPPU ETA 08/11/16 11/03/17 PendingSANTOSH KUMAR GUDDI DEVI BADAMPUR GEHRANA ETA 21.12.16 11/03/17 PendingASHOK KUMAR SHAHSI DEVI CHILASNI SHEETALPUR ETA 13.12.16 11/03/17 PendingDATA RAM BABY DEVI SOORAJPUR ACHALPUR ETA 25.12.16 11/03/17 PendingDEV SWAROOP POOJA GAUTAM PAVARA JALESAR ETA 07/12/16 11/03/17 PendingSHIV KUMAR PREMWATI NAGALA DHEEMAR ETA 21.12.16 04/04/17 PendingDINESH CHAND REENA BADAMPUR MUIUDDINPUR ETA 08/12/16 04/04/17 PendingANIL KUMAR MITHLESH KUMARI SIRSA BADAN ETA 18.01.17 04/04/17 PendingSHANTI DEVI MUKESH KUMAR & OTHAHARMAI NIDHAULI ETA 24.12.16 04/04/17 PendingNAND KISHORE YASHODA PURAB ETA 18.10.16 04/04/17 PendingVINOD KUMAR SUSHILA DEVI NAGLA THAK SISRA TEEPU ETA 03/02/17 04/04/17 PendingPAWAN KUMAR SHIVANI BHOJPUR VIJUHA ETA 19.01.17 10/04/17 PendingSATISH CHAND RAM DEVI DARIGPUR KAKRAWALI ETA 25.02.17 10/04/17 PendingUPENDRA PRATAP SINGH RATNESH DASTAMPUR ETA 12/03/17 10/04/17 PendingSHYAM SINGH RUBY DEVI HARCHANDPUR KALAN ETA 18.03.17 10/04/17 PendingRAJEEV KUMAR NEELAM DEVI LAL GARHI ETA 28.03.17 10/04/17 PendingPRASHANT KUMAR NEETU YADAV BADAMPUR GEHRANA ETA 21.12.16 10/04/17 PendingJAI NARAYAN SATYA PRAKASH UJJAIPUR ETA 05/02/17 10/04/17 PendingRUKMESH KUMAR URF DURVESH REETA BAHADURGARH ETA 05/02/17 10/04/17 PendingPREMVEER SINGH ALKA DEVI GALU ETA 01/01/17 10/04/17 PendingATIVEER SINGH SARASWATI DEVI PARSAUN ETA 17.12.16 10/04/17 PendingCHOTE KHAN NOORAN GARHWALA BANTHAL ETA 09/03/17 10/04/17 PendingVINOD KUMAR SURMALA KESHAVPUR ALIGANJ ETA 14.03.17 10/04/17 PendingKAPTAN SINGH RAM AUTAR SINGH BANJARA JALESPUR ETA 07/03/17 10/04/17 PendingRAJPAL SINGH RAM DEVI WAJIDPUR BARAULIYA ETA 18.02.17 10/04/17 PendingANIL KUMAR ROLI MOHAMMADNAGALIGANJ ETA 15.09.201604/04/17 Pending


बीमा ंपनी ा नाम: दिद ओरि%यंटल इन्श्यो%ेंस ंपनी लिलमिमटेडग्राम दुर्घ�टना

ी कितलि8दावा प्राप्त होने ी



मृत्य/ुकिवलांर्गता/उपचा%(ै;लेस/%ीम्बसु्मAट

ETAWAH

Page 35



ETAWAHPAID CLAIMS

1 KAMLESH KUMAR SUNITA SIYAPUR ITGAO JASWANTNAGAR ETAWA 09/03/17 500000 21.03.17 Death2 MOONGALAL ANEETA DEVI BERIKHEDA LAKHANA ETAWA 07/01/17 500000 16.03.17 Death3 MUNEEM SINGH RAMA DEVI BHULU ETAWAH ETAWA 20.10.16 500000 16.03.17 Death4 Mohar Singh Sanju Devi 334/3, Nagla Ajit Majra Kamet Etawah 21/09/16 500000 21.12.16 Death5 JAIVEER SINGH Usha Devi Nagla Harnath Geenja, Saifai Etawah 06/10/16 500000 22.12.16 Death6 Ram Sajiwan Rekha Devi Harnarayanpur Baisolighat, Bharthana Etawah 20/09/16 500000 21.12.16 Death7 Rajendra Kumar Kalpana Devi Chadanpur Chgadanpur Etawah 18/10/16 500000 21.12.16 Death8 Jitendra Kumar Radha Ikdil Phuphai Etawah 19/09/16 500000 21.12.16 Death910 Ashok Kumar Sunita Devi Tirkarabach Saifai Etawah 21/09/16 500000 21.12.16 Death11 RAKESH SINGH MUNNI DEVI KHERA AJABSINGH ETAWAH Etawah 27/09/16 500000 21.12.16 Death12 Ashok Kumar BITTAN DEVI KARRI KARRI Etawah 22.09.2016 500000 23.12.16 Death13 RAM GOPAL RAMAN KUMARI GURAIYA BARHO MAUJA Etawah 20.10.2016 500000 23.12.16 Death14 SURESH CHANDRA URF HARI PRAKASH & OTHE KOKAWALI JASWANT NAGAR Etawah 02/10/16 500000 06/01/17 Death15 PRADEEP SINGH CHAUH ALKA 23, NEWCOLONY KARANPURA Etawah 05/11/16 500000 10/01/17 Death16 RAM SEWAK PUJA KUMAR PACHAWALI ETAWAH Etawah 04/11/16 500000 21.01.17 Death17 AVADH BIHARI BABITA DEVI KILLI SULTANPUR Etawah 21.09.16 500000 21.01.17 Death18 NIRPAT SINGH PANA DEVI MADIA SILAITA ETAWAh 29.11.2016 500000 02/02/17 Death19 RAM SWAROOP KANTA DEVI NAGLA RATA DHAKPURA ETAWAh 02/12/16 500000 13.02.17 Death20 BHAGWAN SINGH ASHA DEVI DURGA PURA DURGA PURA ETAWAh 15.11.16 500000 13.02.17 Death21 LAL SINGH CHANDRA SHREE DUGAIN SIRSA ETAWAh 29.10.16 500000 28.02.17 Death22 BALVEER SINGH PINKI DEVI KIDWAINAGAR BAKEWAR ETAWAh 12/12/16 500000 19.03.17 Death23 SUBHASH CHAND RAMAKANTI NASEERPUR BOJHA ETAWAh 15.01.17 500000 19.03.17 Death24 RAM CHANDRA SUKH DEVI NAGLA BHIKHAN MALAJANI ETAWAh 05/12/16 500000 19.03.17 Death25 VINOD SUKHDEVI NAGAL BHARE KAIST ETAWAh 23.10.16 500000 19.03.17 Death26 SATYABHAN SINGH ANJANA DEVI BAHADURPUR ETAWAh 12/10/16 500000 20.03.17 Death27 MAHENDRA SINGH GANGA DEVI BASTI MAHEWA BHARTANA ETAWAh 01/02/17 500000 21.03.17 Death28 SHYAM SINGH GUDDI DEVI DAULATPUR BHARTANA ETAWAh 16.02.17 500000 21.03.17 Death29 PRATAP SINGH SHILPI KAITHAWA Etawah 27.10.2016 500000 13.04.17 Death30 Pati Ram Kamla Devi BERAMPUR KANTH Etawah 500000 03/05/17 Death31 AMAR CHAND KIRAN DEVI PIPLI MEKCHAND Etawah 500000 04/05/17 Death32 DADRAM PHOOLWATI BADHPURA ETAWAh 31.12.16 08/02/17 500000 19.03.17 Death33 PAN SINGH CHOTI DEVI PREM KA PURA TITAWALI ETAWAh 13.11.16 08/02/17 500000 19.03.17 Death34 AJEET SINGH PRIYANKA BATAUWA SAFAI ETAWAh 23.10.201608/02/17 500000 19.03.17 Death35 JAIPAL SINGH SUMAN NAGLA KHEMI BAKAULI ETAWAh 15.09.201612/01/17 500000 20.03.17 Death36 RAMESHWAR MUKESH KUMAR & OTHGHASKATA TANTPUR ETAWAh 28.11.201608/02/17 500000 21.03.17 Death37 JAI PRAKASH GUPTA SARLA DEVI GOPIYAGANJ BHARTHANA ETAWAh 06/11/16 25.01.17 500000 21.03.17 Death38 RANVEER SINGH URF HOUMLESH KUMARI PARASANA ETAWAh 21.02.17 04/04/17 500000 13.04.17 Death






भरु्गतान होने ी कितलि8


ETAWAH

Page 36

39 HARPAL SINGH SUMAN DEVI KANDESI DHAR CHAKARNAGAR ETAWAh 19.01.17 04/04/17 500000 03/05/17 Death40 RAM SINGH SHRIMATI BHARATPUR TAKHA ETAWAh 13.12.16 04/04/17 500000 04/05/17 Death41 RAM LAL MUNNI DEVI SAKHAUWA JHABRAPURA ETAWAh 16.02.17 04/04/17 500000 25.05.17 Death42 RAM BAHADUR SINGH KARUNA DEVI UDI ETAWAh 04/12/16 30.01.17 500000 28.05.17 Death43 VINOD KUMAR SARASWATI DEVI NEEL DEVTA NANDGAON ETAWAh 04/12/16 25.01.17 500000 28.05.17 Death44 SURAJ SINGH ARUN KUMARI URF ANI DHARWAR JASWANTNAGAR ETAWAh 12/03/17 04/04/17 500000 31.05.17 Death45 SURENDRA SINGH SHANTI DEVI MALUPUR JASWANTNAGAR ETAWAh 08/03/17 04/04/17 500000 31.05.17 Death46 ASHOK KUMAR ABHILASHA DEVI LOHIA KHURD Etawah 22/09/201620/12/16 500000 31.05.17 Death47 RAJENDRA SINGH KRISHNA KUMARI KATELA TAKHA ETAWAh 15.03.17 10/04/17 500000 31.05.17 Death48 NATHU RAM GANGASHRI KURSENA ETAWAh 07.04.17 500000 31.05.17 Death49 DURVIJAY SINGH SAROJ KUMARI MEDINAGAR WAFAULI ETAWAh 22.02.17 10/04/17 500000 31.05.17 Death50 RAJVEER SINGH SANJU DEVI CHITRAPURA SAIFAI ETAWAh 24.03.17 10/04/17 500000 14.06.17 Death

NO CLAIMS1 DHARMENDRA KUMAR SUMAN SAXENA ETAWA ETAWA 11/02/17 28/03/17 31.03.17 no PMR2 GYANENDRA SINGH SATENDRA SINGH PALIKHURD BHARTHANA ETAWA 25/01/17 22/03/17 25.03.17 not head of family3 RUBY HARI RAM MURAITHA BHARTHNA Etawah 07/11/16 13/12/2016 14.12.16 Not being head of the family.4 BRIJESH KUMAR RINKI DEVI KUNJPUR JASWANT NAGAR Etawah 29/10/201620/12/16 22.12.16 neither khatauni nor income proof5 CHANDRA PRAKASH KUSUMA DEVI SARAI DAYANATH ETAWAH Etawah 23.09.16 28.12.2016 04/01/17 govt service6 DAFEDAR KUSUMA DEVI NAGALA RAJU SHAEKHPUR ETAWAh 20.11.16 08/02/17 11/02/17 GOVT. EMPLOYEE7 DULARE MADHAV TODARPUR BANI HARDU ETAWAh 22.11.201608/02/17 11/02/17 ABOVE 708 INDRA VEER URF INDRA hhe PURA BALDEV SINGH BPACHHAGAON Etawah 16/09/16 22.11.2016 25.11.16 deceased was less than 18 years9 JAGDISH CHAND SHANTI DEVI BHARTHANA BHARTHNA Etawah 18/09/16 09/12/16 15.12.16 DUE TO ILLNESS10 JAGDISH NARAYAN RAWAJITENDRA PRATAP SINGSHESH SHEET ASHOK NAGAR ETAWAh 08/11/16 25.01.17 29.01.17 not dependent on deceased11 MUNSHI LAL Ramesh Chandra BAUTH JASWANT NAGAR Etawah 31.10.201623.10.2016 27.10.16 AGE ABOVE 7012 NIRMAL SINGH MUNIM SINGH & OTHERSARA PACHAUDI BHARTHANA ETAWAh 14.12.16 08/02/17 11/02/17 DUE TO ILLNESS13 PRAMOD KUMAR NILAM TIWARI VIVOLI BHARTHANA ETAWAh 15.10.16 08/02/17 11/02/17 GOVT. EMPLOYEE14 RADHEY SHYAM LEELA WATI KUSHGAWA BADSHAHPUR Etawah 25.11.201610/01/17 13.01.17 AGE ABOVE 7015 RANI DEVI RAM SINGH LUHANNA BULAKIPUR ETAWAh 05/12/16 08/02/17 11/02/17 not head of family16 RANJIT SINGH SEEMA DEVI NAGODHAN DAMODARPUR Etawah 02/11/16 20/12/16 22.12.16 non submission of income proof17 ROHIT KUMAR KRISHNA DEVI SARANGPUR ETAWAh 03/11/16 30.01.17 02/02/17 not head of family18 Sanjesh Kumar Shyama Devi Sarawa, Gansara Bharthana Etawah 18/09/16 10/11/16 14.11.16 non submission of income proof19 SAURABH JAGDISH AND OTHERS INDRAPUR BHARTHANA Etawah 05/10/16 20/12/16 22.12.16 not head of family20 SHIV SHANKER RAM SHANKAR GANSARA SARWARA Etawah 09/10/16 28.11.2016 30.11.16 Not being head of the family.21 SUDHIR KUMAR SUSHMA KARPIYA BARTHANA Etawah 16.09.201628.11.2016 30.11.16 before commencement of policy 13/09/1622 SUDHIR KUMAR MEENA DEVI NAGLA SEMAR AGHIAPUR Etawah 30.11.201605/01/17 07/01/17 deceased was neither farmer nor having BPL card23 Surendra Babu Nek Ram & S.Chandra Dinarpur Bharthana Etawah 27/09/16 28/09/2016 30.09.16 Not being head of the family.24 YOGENDRA KUMAR JIVA RAM NAGLA BISHUN VOUTH ETAWAh 01/10/16 12/01/17 17.01.17 Not being head of the family.25 VIMLA DEVI GAURAV YADAV BADHUIYA UCHIYANI ETAWAh 04/11/16 08/02/17 Not being head of the family.26 SARVESH KUMAR LALARAM LALPURA IBRAHIMPUR ETAWAh 02/01/17 03/03/17 NO ELIGIBILTY DOCUMENTS27 RAM SEWAK DHUVENDRA DHAURKA BHARTHANA ETAWAh 06/11/16 30.01.17 31.05.17 CLAIMANT NOT DEPENDENT28 BHEEMSEN REKHA CHAK SALEMPUR JASWANTNAGAR ETAWA 24/01/17 10/03/17 31.05.17 SUICIDE29 RAMRAAKHI RAMVARAN & OTHERS PATHAKPUR JASWANTNAGAR ETAWA 10/12/16 20/03/17 22.06.17 AGE ABOVE 70 YEARS30 INDER ISMAIL ALISHER ITGAON ETAWA 25.02.17 20.03.17 27.06.17 AGE ABOVE 70 YEARS

ETAWAH

Page 37

PENDING CLAIMSPRAMOD SINGH NEELAM NAGLA NAYA JASWANTNAGAR ETAWA 29/11/16 08/03/17 PendingSANJEEV PRATAP SUNITA DEVI MOHI BHARTANA ETAWA 06/02/17 10/03/17 PendingRAGHUVEER SINGH RAJENDRA SINGH PURAO SAVAN SINGH ETAWA ETAWA 28/12/16 02/03/17 PendingLEKHRAJ SINGH KUSMA DEVI VIKAS NAGAR NAURANGABAD ETAWA 02/01/17 04/04/17 PendingSUDEEP KUMAR KRISHNA ASAI CHAKAR NAGAR Etawah 20/09/201620/12/16 PendingRAJVEER SINGH SHEETLA DEVI NAGLA LEKHI KHARDOORI, SAFAI Etawah 15/11/201620/12/16 PendingHARPAL SINGH VINESH DEVI MADAIYA Etawah 23.11.201623.10.2016 PendingAMAR CHAND KIRAN DEVI POORA DEKHLI Etawah 30.11.201627.12.2016 PendingRAMESH CHANDRA PRABHA DEVI JODHPURA PRITHIVIPUR Etawah 14.12.16 28.12.2016 PendingRAJVEER SINGH NEELAM SUNDRA THAKHA Etawah 08/11/16 28.12.2016 PendingPRADEEP SINGH BAIKUNTHHI DEVI KUNWARPUR KURCHHA ETAWAh 12/11/16 12/01/17 PendingRAKESH CHANDRA NAGLA BISHUN JASWANT NAGAR ETAWAh 03/10/16 12/01/17 PendingVIMAL KUMAR KANCHAN LATA NANDPURA VYATPUR ETAWAh 14.11.16 25.01.17 PendingSANTOSH KUMAR RAJKUMARI KOTHISHERPUR BHARTHANA ETAWAh 30.10.16 25.01.17 PendingRAM KUMAR SHYAMA DEVI KEERATPUR KURVA BUZURG ETAWAh 27.10.201625.01.17 PendingSUBHASH CHAND MAMTA KEERATPUR KURVA BUZURG ETAWAh 27.10.201625.01.17 PendingDESHRAJ ARTI DEVI KUNWARA BHARTHANA ETAWAh 12/10/16 25.01.17 PendingRAM CHAND RAM BIHARI & OTHERS KOKAWALI JASVANTNAGAR ETAWAh 24.11.16 25.01.17 PendingSWADESH KUMARI RAMAN YADAV PALI KALA BHARTHANA ETAWAh 22.10.16 30.01.17 PendingPREMWATI KARAN SINGH MEDHI DUDHI BHARTHANA ETAWAh 14.11.16 30.01.17 PendingSUBHASH CHAND TIWARISARITA DEVI SHEKHPUR SARAIYA BASREHAR ETAWAh 08/12/16 30.01.17 PendingINDRASEN KUSUMLATA KILLA SULTANPUR SIRSA VASOHAR ETAWAh 02/11/16 08/02/17 PendingROBIN URF BINTU TRIVENI DEVI ROOPPURA VARRA ETAWAh 19.11.16 08/02/17 PendingVIMLESH KUMARI UDRAJEET JUGRAMAU DATAWALI ETAWAh 06/11/16 08/02/17 PendingPRATAP SINGH ASHA DEVI BULAKIPUR LEHNA ETAWAh 14.12.16 08/02/17 PendingNARENDRA SINGH GUDDI DEVI SAKATPUR SINDAUS ETAWAh 16.12.201608/02/17 PendingRAMDAS DASHRATH PURAKHERA VIHAR BITHAULI ETAWAh 20.10.16 28.02.17 PendingRAM SAJEEVAN REKHA DEVI DAMODARPUR BHARTHANA ETAWAh 20.09.16 02/03/17 PendingRAJU BABITA DEVI PIPRIPUR PACHAR ETAWAh 19.01.17 03/03/17 PendingBHURI DEVI ANIL KUMAR & OTHERSMUDAIYAN KUNWARA ETAWAh 07/12/16 03/03/17 PendingJAVITRI MUKESH & OTHERS MAKHANPUR HELU ETAWAh 28.10.16 03/03/17 PendingDEVENDRA NIRMALA DEVI KOTHI KAIST ETAWAh 12/11/16 03/03/17 PendingTARA SINGH SEEMA DEVI JAUNAI ETAWAh 17.12.16 11/03/17 PendingBHAJVEER SINGH MARG SHREE JARPURA BHARTANA ETAWAh 20.02.17 04/04/17 PendingRADHEY SHYAM SUJANI URF PREMA DEVJARPURA BHARTANA ETAWAh 04/03/17 04/04/17 PendingARVIND KUMAR RENU NAGLA BHIKAN JASVANT NAGAR ETAWAh 10/02/17 04/04/17 PendingCHANDRABHAN SINGH CHAKARPUR CHAPRAULA RAJPUR ETAWAh 19.01.17 04/04/17 PendingRAM GOPAL USHA DEVI MADAIYA JHABRAPURA ETAWAh 30.11.16 04/04/17 PendingBRIJ BIHARI RAVI KHUSHWAHA ADDA TULSI ETAWAh 31.12.16 04/04/17 PendingPRABAL PRATAP GHASI RAM RAMAYAN BHARTANA ETAWAh 02/03/17 04/04/17 PendingPati Ram Kamla Devi Gulalpur Ratanpur ETAWAh 18/09/16 24/10/2016 PendingANIL KUMAR ANIL KUMAR BETIYAPUR BER ETAWAh 06/12/16 10/04/17 PendingSANJAY KUMAR MADHU KESHO GINJA ETAWAh 11/02/17 10/04/17 PendingSATENDRA KUMAR MAHAVEER SINGH & O VERMAJEET MALUPUR ETAWAh 30.11.16 10/04/17 PendingRAGHUVEER SINGH YAD MUNNI DEVI KURSENA JASVANTPUR ETAWAh 07/04/17 10/04/17 Pending

ETAWAH

Page 38

ANIKET SAGAR KANCHAN DEVI KUMHAWAR SAFAI ETAWAh 08,.02.17 10/04/17 PendingHARI OM SARLA DEVI SAFAI ETAWAh 27.02.17 10/04/17 PendingSHIVRAM SINGH PUSHPA DEVI CHATURI NARHAULI ETAWAh 29.10.16 10/04/17 PendingJAGDISH SINGH ROOP SHREE MEERAKHPUR JASVANTPUR ETAWAh 05/02/17 10/04/17 PendingAMARDEEP KISHUN SINGH ADDA KHALAK MANIKPUR ETAWAh 09/10/16 10/04/17 PendingANIL SINGH LEELA DEVI DHAKRA CHAKARNAGAR ETAWAh 21.02.17 10/04/17 PendingNATHURAM GANGA SHREE DEVI KURSENA ETAWAh 07/04/17 10/04/17 PendingKEHRI SINGH KEHRI SINGH VIKAS COLONY ETAWAh 13.12.16 10/04/17 PendingSHER SINGH AMLESH KUMARI VICHPURI ADHIYAPUR ETAWAh 21.03.17 10/04/17 PendingWASEEM KHAN RUKHSAR BANO THAKURAN LAKHANA ETAWAh 07/02/17 10/04/17 PendingMUNNI DEVI HARIYOGENDRA DADARPUR AHERIPUR ETAWAh 09/03/17 10/04/17 PendingDURVIJAY SINGH SAROJ KUMARI MEDINAGAR WAFAULI ETAWAh 22.02.17 10/04/17 Pending

JALAUN

Page 39



JALAUNPAID CLAIMS

1 AMAN KAMLA RANI LAHCHOORA JALAUN Jalaun 13/10/16 500000 29.03.17 Death2 SURESH SINGH SUDHA DEVI BICHAULI JALAUN Jalaun 01/10/16 500000 29.03.17 Death3 TARACHAND HEMLATA IMALIYA URAI Jalaun 07/10/16 500000 29.03.17 Death4 VIJAY RAM SIMKURA ATAREHATI MADHOGARH Jalaun 05/10/16 500000 29.03.17 Death5 RAM CHARAN KETKUNVAR PARTAPURA PRATAPURA Jalaun 19/09/16 500000 29.03.17 Death6 KRISHNA MURARREENA DEVI 1320,GANDHI NAG MADHAVGARH Jalaun 33/09/2016 500000 29.03.17 Death7 SUDHIR SINGH ASHA DEVI KUDARI MADHOGARH Jalaun 14.10.2016 500000 13.04.17 Death8 SHAHEED KHAN NAFESSA IGUIKALA KOCH JALaun 18.10.16 500000 14.04.17 Death9 RAJ KUMAR ROOPWATI KALPI JALaun 29.11.2016 500000 14.04.17 Death10 NAWAN KHAN PARBEEN KHATOO CHAURSI URAI JALaun 12/10/16 500000 13.04.17 Death11 BHUP SINGH RANI DEVI KALPI JALaun 31.10.2016 500000 13.04.17 Death12 JAGBHAN SUNITA URAI JALaun 24.11.16 500000 16.04.17 Death13 SARVESH KUMA NEELAM URAI JALaun 20.11.16 500000 16.04.17 Death14 RAM NARAYAN RAMSHREE DALLALANPURA JALAUn 03/01/17 500000 17.04.17 Death15 DEVIDAYAL GANESHI DEVI PIRAUNA KONCH JALAUn 15.10.16 500000 17.04.17 Death16 RAHUL KARMER WALI URFKHARKA URAI JALAUn 27.11.2016 500000 17.04.17 Death17 RAM LAKHAN SUNITA DEVI ITAURA KALPI JALAUn 23.12.16 500000 19.04.17 Death18 MANOJ KUMAR RAMAN SATOH KONCH JALAUn 02/01/17 500000 20.04.17 Death19 RAMESH CHANDSURJEET & OTHER BADANPURA MADHOGARH JALAUn 20.12.16 500000 21.04.17 Death20 BHIKARI KALAWATI MALVIYA NAGAR MADHOGARH JALAUn 31.01.17 04/04/17 500000 16.04.17 Death21 DINESH KUMAR MALTI DEVI KHARKA URAI JALAUn 22.02.17 04/04/17 500000 16.04.17 Death22 GIRENDRA KUMANEHA SHIVHARE SIRSA JALAUn 09/02/17 04/04/17 500000 17.04.17 Death23 NARESH KUMAR ARADHANA HEERAPUR JALAUn 19.12.16 03/04/17 500000 17.04.17 Death24 LAKHAN VIMLA DEVI SARSAI KALPI JALAUn 27.12.16 03/04/17 500000 17.04.17 Death25 GANGA CHARANPREM KUMARI BAWLI MADHOGARH JALAUn 10/01/17 04/04/17 500000 19.04.17 Death26 JAI RAM SANTOSH KUMARI RAYAD DIWARA KALPI JALAUn 25.11.201603/04/17 500000 20.04.17 Death27 LALA RAM CHIDDAN ALAMPUR KALPI JALAUn 31.12.16 04/04/17 500000 21.04.17 Death28 VIMAL KUMAR RADHA HARCHANDPUR KALPI JALAUn 28.02.17 10/04/17 500000 31.05.17 Death

NO CLAIMS1 AMAAN KAMLA RANI JALAUN KANPUR JALAUn ABOVE 70 YEARS2 AMBIKA PRASADRAKESH KUMAR & ECHO JALAUn 16.01.17 03/04/17 06/04/17 not dependent on deceased3 Balak Ram Vish Ranjana Vishwaka Sirsa Kalar Sirsa Kalar, Jalaun 05/10/16 17/11/16 20.11.16 SERVICE4 BRIJ BIHARI MAMTA SHADAB JALAUn 09/12/16 15/02/17 17.02.17 AGE ABOVE 705 JAI NARAYAN PA RAM & OTHERS KONCH JALAUn 16.11.16 15/02/17 17.02.17 not dependent on deceased6 JAI SINGH BHANU PRATAP SI AMRI MADHOGARH JALAUn 18.12.16 03/03/17 05/03/17 not dependent on deceased7 MOHTI KUMAR ROHIT KUMAR CHAUHAR HI KOCH JALaun 22.10.201612/01/17 15.01.17 not BEing head of the family.8 RADHEY SHYAM PAPPI NARAUL MADHOGARH JALAUn 13.01.17 04/04/17 07/04/17 not head of family9 RAM NARESH MANOJ KUMAR AKO AKO Jalaun 07/10/16 27.12.2016 29.12.16 not dependent on deceased10 RAVINDRA KUMAGUDDAN DEVI 183, RURA SIRSA MADHOGARH Jalaun 10/10/16 13/12/2016 15.12.16 not BEing head of the family.11 SHIV MOHAN ANITA DEVI JALAUn 03/09/16 03/04/17 06/04/17 before commencement of policy 12 SHYAM BABU BHANMATI JALAUn 05/03/16 03/04/17 06/04/17 before commencement of policy 13 SHYAM KUNWARRAM KISHORE BANGRA MADHAVGARH Jalaun 28.10.201627.12.2016 29.12.16 not head of family

PENDING CLAIMSRAM NARAYAN DHAMNI WALI URAI JALaun 20.09.16 08/02/17 PendingKRISHNA PAL SI SUDARSHAN SINGHURAI JALaun 28.09.201608/02/17 PendingSANJEEV KUMARLAKHAN LAL VYONA RAJA KONCH JALAUn 21.12.16 03/03/17 PendingJITENDRA SINGHLASHMI LAHARKANAR JALAUN JALAUn 30.12.16 03/04/17 PendingKUNDAN YADAV RAJENDRA SINGH DEVKALI KALPI JALAUn 17.12.16 03/04/17 PendingANGAD SINGH MONA DEVI SHEKHPUR GARHA KALPI JALAUn 25.10.16 04/04/17 PendingSARAL YADAV MAYA YADAV PATEL NAGAR URAI JALAUn 02/02/17 04/04/17 PendingLALA RAM MAJHLI GURHA KHURD URAI JALAUn 19.11.16 04/04/17 PendingDEVENDRA SINGREENA DEVI MANPUR MADHOGARH JALAUn 31.01.17 04/04/17 PendingSHYAM LAL SUMAN DEVI & OT PATHI THAKUR GAON JALAUn 28.09.16 04/04/17 PendingSURESH KUMAR MEERA DEVI VILAYA KONCH JALAUn 10/12/16 10/04/17 PendingHAMEER SINGH KAMLESHI VILAYA KONCH JALAUn 06/01/17 10/04/17 PendingJAGAT SINGH SHANTI DEVI AMGUAON URAI JALAUn 02/03/17 10/04/17 PendingBHAGWANDAS SHIVKALI JAMERIKALAN KONCH JALAUn 15.01.17 10/04/17 PendingUDAMVEER SINGASHA DEVI AITH JALAUn 02/02/17 10/04/17 Pending










LALITPUR

Page 40



LALITPURPAID CLAIMS

1 Natthu Kushwaha Sukhwati Talabpura Talabpura Lalitpur 02/10/16 500000 27.03.17 Death2 RIGVED SUKHRAM RAM NAGAR NAI COLONY Lalitpur 22.09.2016 500000 27.03.17 Death3 KISANPAL SUGHAR PATAOWA LALITPUR Lalitpur 15/10/16 500000 29.03.17 Death4 ATAL PAL KALAN BAI DHOURA PALI LALITPUR Lalitpur 19/09/16 500000 29.03.17 Death5 NARENDRA PRATAP SINGH BADI DULIYA BARODIA PALI LALITPUR Lalitpur 11/10/16 500000 29.03.17 Death6 VIREN TAMAY DAMRU LODHI SIRAWAN GANGAURA LALITPUR Lalitpur 10/10/16 500000 17.03.17 Death7 NATHHU RAM KUWAT SANWARA LALITPUR LALitpur 17.09.2016 500000 12/04/17 Death8 RAJENDRA SINGH RAM WATI KURARI LALITPUR Lalitpur 23.09.2016 500000 12/04/17 Death9 KALLU PAN KUNWAR GANGAURA LALITPUR LALItpur 18.09.2016 500000 10/04/17 Death10 RAM PRASAD AJAB KUMARI BHOPALPURA LALITPUR LALITpur 10/10/16 500000 10/04/17 Death11 RAM DAYAL REKHA VAGAURA LALITPUR LALITpur 23.10.2016 500000 10/04/17 Death12 JANUBA KALIA SHAHPUR KHADI LALITPUR LALITpur 18.09.2016 500000 16.03.17 Death13 GORELAL URF GULAB TANAY FOOLAN PAWA TAAL BEHAT LALITpur 24.09.16 500000 12/04/17 Death14 GUDDU SHARDA DHAURRA PAALI LALITpur 06/10/16 500000 13.04.17 Death15 HAKAIYAN ULCHARI DEVI KALRO PAALI LALITpur 21.09.16 500000 13.04.17 Death16 RAJU RAM SAKHI BHADAIYAPUR LALITpur 08/10/16 500000 13.04.17 Death17 DUSHRAT SMT RAM KUWAR SURAI TAAL BEHAT LALITpur 24.09.16 500000 13.04.17 Death18 JAI SINGH SONA SIRON KHURD JAKHORA LALITpur 10/10/16 500000 13.04.17 Death19 TULSI RAM RAM PYARI NIGHAR KHET LALITpur 02/10/16 500000 14.04.17 Death20 HARCHARAN LODHI PREM BAI DELWARA BHANPUR LALITpur 28/09/16 500000 14.04.17 Death21 KALYAN URF KALLU PARVATI BANDRA GUDHA LALITpur 14.10.16 500000 14.04.17 Death22 LAKHAN LAL GUNJA MAHRAUNI LALITpur 13.10.16 500000 13.04.17 Death23 SAHEB SINGH PRAVESH RAJA AJNAURA MAHRAUNI LALITpur 21.11.2016 500000 13.04.17 Death24 THAKUR DAS JANAK KANDARI MAHRAUNI LALITpur 23.10.2016 500000 13.04.17 Death25 KALYAN SINGH RAMDEVI TALBEHAT GADYANA LALITpur 04/11/16 500000 16.04.17 Death26 MOTI LAL TULSIYA PANDAWA MEHRAULI LALITpur 28.12.16 500000 21.04.17 Death27 BANKE BIHARI SUNITA GHAMNA VANPUR LALITpur 29.10.16 08/02/17 500000 25.05.17 Death28 RAJENDRA SINGH VAIJYANTI MAHRI JAKHAURA LALITpur 20.11.16 500000 28.05.17 Death29 ANEK SINGH SONA JAMORAMAFI TALBEHAT LALITpur 02/01/17 04/04/17 500000 28.05.17 Death30 TILAK SINGH PAWAN KUMARI TALBEHAT LALITpur 12/10/16 08/02/17 500000 31.05.17 Death31 ASHISH SHARMA PINKI RAM NAGAR LALITPUR Lalitpur 20/11/16 08/12/16 500000 01.06.17 Death

प्रारूप-१०बीमा ंपनी ा नाम: दिद ओरि%यंटल इन्श्यो%ेंस ंपनी लिलमिमटेड

दुर्घ�टनाग्रस्त व्यलि7 ा नाम







LALITPUR

Page 41

32 TEJPAL REETA MAHRI LALITpur 10/12/16 10/04/17 500000 01.06.17 Death33 GHANSHYAM RAJKUMARI BHAWANI BAAR LALITpur 30.01.17 10.04.17 500000 01.06.17 Death34 JAN MOHAMMAD TABASSUM LALITPUR 01.03.17 10.04.17 500000 01.06.17 Death35 MANOJ KUMAR SEEMA MASAURA LALITpur 02/11/16 10/04/17 500000 01.06.18 Death36 HUKUM PYARIBAI Lalitpur 500000 01.06.19 Death37 KAMTA PRASAD RAMA DEVI BASANTGUWA TALBEHAT LALITpur 09/01/17 04/04/17 500000 21.06.17 Death38 HANNU LASHMI BAI BUDHWAR LALITpur 11/02/17 04/04/17 500000 21.06.17 Death39 BALCHANDRA SAVITA ANAURA LALITpur 13.02.17 10/04/17 500000 21.06.17 Death40 MAGAN LAL LADLI BAI TARAWALI MADAWARA LALITpur 06/04/17 10/04/17 500000 21.06.17 Death41 pappu mallo bai Lalitpur 11.03.17 10.04.17 500000 21.06.17 Death42 RAM AVTAR KAMLESH NADANWARA Lalitpur 31.03.17 10.04.17 500000 21.06.17 Death

NO CLAIMS1 AMAR SINGH AKAL BAI PATAUA LALITPUR Lalitpur 20/10/16 08/12/16 12/12/16 cause of death not covered under scheme2 BHUWAN BAI MAHESH DAGRANA MAHRAUNI LALITpur 18.10.16 25.01.17 27.01.17 not head of family3 BHUWAN DEVI POORANDAS SIRSI JAKHAURA LALITpur 26.11.16 08/02/17 11/02/17 not head of family4 CHANDA RAJA GAJENDRA RAJA KHERIA CHHATAR LALITPUR LALitpur 29.09.2016 27.12.2016 29.12.16 not head of family5 GUDDI BEER SINGH & O UGARPUR VIRDHA LALITpur 24.09.2016 27.12.2016 29.12.16 not head of family6 KUNJI LAL HEERABAI URF SAKUADHOSI LALITpur 19.11.2016 25.01.17 27.01.17 due to alcohal7 MOTILAL RAJPUT GANGA SAGAR BAJARAWALI BANPUR LALITpur 03/11/16 17.01.2017 20.01.17 ABOVE 708 NIRPAL BHAGWATI MADAWARA LALITpur 06/10/16 08/02/17 11/02/17 time barred9 PITHORIYAVARI SANTOSH & OTHEDONGARIA BAHORI Lalitpur 17/10/16 08/12/16 12/12/16 cause of death not covered under scheme10 PUNIYA MUNNA MARWARI LALITpur 21.09.16 28.12.2016 30.12.16 not head of family11 RAM CHARAN JASRATH GANGAURA LALITPUR LALITpur 24.10.2016 27.12.2016 29.12.16 not dependent on deceased12 RAM SWAROOP JAGDISH DONGRA KALAN LALITPUR Lalitpur 25/09/16/ 08/12/16 12/12/16 Not being head of the family.13 GYASI DEVA MATHRADANG TALBEHAT LALITpur 12/11/16 04/04/17 14.06.17 DECEASED AGE ABOEVE 70 YEARS14 SARASWATI PERMA URF PARAMLAL Lalitpur 29.11.16 14.06.17 NOT HEAD OF FAMILY

PENDING CLAIMSBHAIYAN LAL SUSHEELA DEVI DONGRA KALAN PALI LALITPUR Lalitpur 26/09/16 08/12/16 PendingSHIV SHANKAR TIWARY POOJA TIWARY PAALI PAALI LALITpur 02/10/16 28.12.2016 PendingMULAYAM LAAD KUNWAR BALA BEHAT PAALI LALITpur 01/10/16 12/01/16 PendingDWARKA PRASAD BALRAM & OTHERDEVRI PAALI LALITpur 08/10/16 12/01/17 PendingHANNU BENI BAI NAGAI KALA LALITpur 04/10/16 12/01/17 PendingSAHABSINGH KANSHI RAM DIGWAR PAALI LALITpur 22.10.16 03/02/17 PendingDHARMENDRA KUMAR URF ANILASHMI DEVI GADIYA TALBEHAT LALITpur 20.10.16 08/02/17 PendingRAM PUSHPA MADAWARA LALITpur 26.09.16 08/02/17 PendingKARAN SINGH BHARTI RAMPUR TALBEHAT LALITpur 31.12.16 04/04/17 PendingNAND KISHORE GIRIJA SIMARDHA PAALI LALITpur 25.01.17 04/04/17 PendingSUHAGRANI URF SADARNI GANESH & OTHERGADAURA PAALI LALITpur 20.01.17 04/04/17 PendingGAJRA CHAND PRAKASH BHADRAU LALITpur 09/01/17 04/04/17 PendingRAJPAL SINGH SEWA PARAUNDA LALITpur 14.01.17 04/04/17 PendingSOHAN LAL RAM DEVI RAMPUR TALBEHAT LALITpur 24.01.17 04/04/17 PendingBAHADUR SINGH DIPTI YADAV MASAURA JAKHAURA LALITpur 08/11/16 04/04/17 PendingBHUPENDRA SINGH HINDUPAT SINGH CHAUBARO TALBEHAT LALITpur 12/01/17 04/04/17 PendingSHARAD KUMAR CHAUBEY RINKI CHAUBEY PATAURA KHURD LALITpur 25.12.16 04/04/17 Pending

LALITPUR

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SATISH CHAND BENI DEVI BAMHAURI KALA JAKHAURA LALITpur 26..02.17 04/04/17 PendingPARMANAND PRIYANKA KUSHWKURYANA WARD PAALI LALITpur 28.11.2016 04/04/17 PendingMANOHAR LAL SUSHMA DIXIT KUMHEDI MEHRAUNI LALITpur 24.11.16 04/04/17 PendingSUHAGRANI HARI SINGH YADABADANWARA JAKHAURA LALITpur 19.11.16 04/04/17 PendingMUKESH RAMA DEVI BHARATPURA JAKHAURA LALITpur 21.09.16 04/04/17 PendingJAGAT RAM FOOLWATI BHELONI TALBEHAT LALITpur 28.11.2016 04/04/17 PendingVIRENDRA KUMAR KAMLA SEN BANSI TALBEHAT LALITpur 11/11/16 04/04/17 PendingKALLU MANSUKH CHAURRI PAALI LALITpur 31.10.16 04/04/17 PendingRAMCHARAN ANEETA BEDHAURA RAJAWAN LALITpur 26.12.16 10/04/17 PendingBALRAM BHAGWATI DEVI DULAWAN TALBEHAT LALITpur 30.12.16 10/04/17 PendingRAJARAM PREMBAI BARKHERA JORON LALITpur 16.12.16 10/04/17 PendingTILAKRAM KUNWARBAI BARKHERA JORON LALITpur 06/12/16 10/04/17 PendingSACHIN RAVEENA JIJYAWAN LALITpur 29.11.16 10/04/17 PendingRAJESH SAHU SAROJ PIPRAI PAALI LALITpur 04/12/16 10/04/17 PendingLALA RAM PRABHA BADHAURA TALBEHAT LALITpur 16.11.16 10/04/17 PendingSHYAMA URF SHYAM LAL BALLA KHUSHWA PURAKALA TALBEHAT LALITpur 16.11.16 10/04/17 PendingSAURABH ALI MUSTAKEEMA BA GOVIND NAGAR RAWATYANA LALITpur 06/11/16 10/04/17 PendingPINTU YADAV RASHMI LAKHANPURA MAHRENI LALITpur 20.11.16 10/04/17 PendingLASHMI NARAYAN PREM BAI MASAURA KHURD JAKHAURA LALITpur 09/11/16 10/04/17 PendingLASHMAN SINGH MEERA KALAKH PAALI LALITpur 09/01/17 10/04/17 PendingRAMESHWAR PRASAD SUSHMA THAGARI HAAL PAALI LALITpur 22.01.17 10/04/17 PendingMANOJ KUMAR MAMTA CHEERAKODAR JAMUNIYA LALITpur 06/04/17 10/04/17 PendingMANOJ KUMAR SADHNA MAROLI BANPUR LALITpur 22.01.17 10/04/17 PendingSUMMA BHAGWATI BHELAUNI BAAR LALITpur 20.02.17 10/04/17 PendingCHUKHAR SINGH CHUKHAR SINGH PATAURA KHURD LALITpur 14.09.16 10/04/17 PendingMANISH SUKHWATI BAMHAURI DHAWRI LALITpur 18.01.17 10/04/17 PendingAWADH KISHORE RAM KISHORE SILAWAN MAHRAUNI LALITpur 14.12.16 10/04/17 PendingRAJESH KUMAR DROPADI KALYANPUR LALITpur 17.11.16 10/04/17 PendingGANGA RAM LAKSHMI DHANWARA LALITpur 16.01.17 10/04/17 PendingAJAYPAL URF ANANDPAL PUSHPA BHESAI GHATWAR LALITpur 31.10.16 10/04/17 PendingKHET SINGH LAAD KUNWAR BARAUDA SWAMI LALITpur 08/12/16 10/04/17 PendingSHREE RAM RAMKUMARI NANAURA LALITpur 26.10.16 10/04/17 PendingBANDU AMAR SINGH & O KHITWAS PARGANA LALITpur 07/02/17 10/04/17 PendingRAM CHARAN MAMTA BAI BAMHAURI PAALI LALITpur 24.03.17 10/04/17 PendingNATHUWA DEVRANBAI DHUBRA JAKHAURA LALITpur 10/02/17 10/04/17 PendingSATYABHAN URF PAPPU SUNDER SINGH BUDHEDI JAKHAURA LALITpur 18.02.17 10/04/17 PendingDHARMU KHUSHWAHA MADANPURWARI BAMHAURA PAALI LALITpur 08/03/17 10/04/17 PendingNIRPAL BHAGWATI MADAWARA LALITpur 06/10/16 08/02/17 Pending

MAHOBA

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MAHOBAPAID CLAIMS

1 ASHOK SINGH MADHU LATA MAKARBAI MAKARBAI MAHOBA 22.09.2016 500000 27.03.17 Death2 MANU RAJKUMARI SAURA KULPAHAD MAHOBA 19.09.2016 500000 29.03.17 Death3 SHARDA PRASAD RAM DEVI SATAURI KULPAHAD MAHOBA 03/11/16 500000 29.03.17 Death4 BHAGBALI SINKUR SIJAURAT RIVAI MAHOBA 14/10/16 500000 24.03.17 Death5 CHAND PAL POONAM SHAHPAHADI MAHOBA MAHOBA 22/10/2016 500000 24.03.17 Death6 PURUSHOTTAM RANI RATAULI MAHOBA 20.11.2016 500000 05/04/17 Death7 KAMLESH KUMAR KUSUM PARSAHA KAMRAI MAHOBA 22.09.2016 500000 13.04.17 Death8 BHOORA URF VINOD KUMSAKHI CHURBARA KABRAI MAHOBA 30.10.2016 500000 13.04.17 Death9 RAJESH KUMAR MUNNI DEVI AKAUNA JAITPUR MAHOBA 17.09.2016 500000 13.04.17 Death10 HARI SINGH USHA SINGH LAMAURA KULPAHAD MAHOBA 28.10.16 500000 14.04.17 Death11 HARSEWAK SEN REKHA NANAURA MAHOBA 22.12.16 500000 13.04.17 Death12 DEVKI NANDAN KASTURI SIRMAUR KULPAHAD MAHOBA 22.01.16 500000 13.04.17 Death13 SHIVPAL SHASHI SALARPUR SIJHARI MAHOBA 24.11.16 500000 13.04.17 Death14 BADRI PRASAD RAMKALI NANAURA CHARKHARI MAHOBA 24.12.16 15/02/17 500000 13.04.17 Death15 RAJENDRA KUMAR MAMTA DEVI KISHOREGANJ KULPAHAD MAHOBA 31.12.16 15/02/17 500000 13.04.17 Death16 PRABHU DAYAL GAYATRI KHAMA KULPAHAR MAHOBA 08,.02.17 03/04/17 500000 14.04.17 Death17 SARMAN CHAMPA MAMNA MAHOBA 01/11/16 15/02/17 500000 13.04.17 Death18 ANAND KUMAR SIYARANI BARHI HAAT SHAH PAHARI MAHOBA 28/12/16 27/03/17 500000 13.04.17 Death19 LALA BHAIYA SINGH CHANDNI SINGH BANNI KHANNA MAHOBA 24.01.17 03/04/17 500000 13.04.17 Death20 SANTOSH DEVKI KHANNA MAHOBA 20.03.17 04/04/17 500000 25.05.17 Death21 PRAN SINGH FUL KUNWAR LUHEDI MAHOBA 16.02.17 03/03/17 500000 08.06.14 Death22 GORE LAL SANTOSH RANI GAUDA KULPAHAD MAHOBA 17.02.17 21.06.17 500000 21.06.17 Death23 GOVINDAS URMILA DEVI AKAUNA KULPAHAD MAHOBA 15.02.17 21.06.17 500000 21.06.17 Death24 KULDEEP SINGH KAVITA SINGH MAWAIKHURD KHANNA MAHOBA 05.03.17 10.04.17 500000 21.06.17 Death25 BHAI LAL JASUDIYA KAETHORA KULPAHAD MAHOBA 23.03.17 23.03.1 500000 21.06.17 Death26 MAN PYARE RAMSHREE BAGRAUN CHARKHARI MAHOBA 02.12.16 03.03.17 500000 21.06.17 Death27 KAUSHLENDRA RANI RAJI CHUNGI GANDHI NAGAR MAHOBA 30.03.17 10.04.17 500000 27.06.17 DEATH28 RAMESH SUSHEELA DHARAUN MAHOBA 30.11..16 10.04.17 500000 27.06.17 DEATH

NO CLAIM1 BAIDNATH KALAWALI SHAH PAHADI MAHOBA 29.12.16 08/02/17 11/02/17 DUE TO ILLNESS2 DALDU MURLIDHAR BARA, SRINAGAR KABRAI MAHOBA 26.09.201 30/11/2016 02/12/16 claimant is not dependent on deceased3 DINESH KUMAR SHIV KUMARI AMBEDKAR NAGAPURAI MAHOBA 29.10.201 27.12.2016 29.12.16 illness heart attack









MAHOBA

Page 44

4 JAGDISH CHAND RAM KUNWAR BILWAI MAHOBA 03/02/17 04/04/17 07/04/17 no pmr death due to illness5 JAIPAL KUNJAN DEVI CHANDAULI CHANDAULI MAHOBA 27.10.201 23.10.2016 26.10.16 govt. Service6 POOJA AKHILESH MAHOBA 31.01.17 14.06.17 NOT HEAD OF FAMILY7 KISHORI LAL MOHAN LAL KATHWARIYA KULPAHAD MAHOBA 30.11.16 25.01.17 27.01.17 not dependent on deceased8 MAHESHWAR DEEN PREM JHALKARI BAI KABRAI MAHOBA 16.09.16 12/01/17 15.01.17 before commencement of policy 06/09/169 MUNNA PRITI NEPURA KOHANIYAN MAHOBA 28.12.16 25.01.17 27.01.17 income certificate not valid10 NATHU RAJABAI PITHARI PARSALA MAHOBA 11/11/16 19/12/16 21.12.16 sucide11 POONAM URF PUNIYA VINTA ANURAGI HAJMANPURA MAHOBA 27.01.17 02/03/17 05/03/17 claimant is not dependent on deceased12 RAM KARAN RAM ASREY BASAURA SIJHARI MAHOBA 09/12/16 12/01/17 15.01.17 not head of family13 RAM SWAROOP PREM GADAU KULPAHAD MAHOBA 15.11.16 08/02/17 11/02/17 AGE ABOVE 7014 RASIK LAL LEELA DEVI MAHORI LAADPUR Mahoba 14/09/201 20/12/16 22.12.16 before commencement of policy 12/09/1615 DEV SINGH VIDYA TIKARIYA UMRAI MAHOBA 28.12.16 03/02/17 25.05.17 death due to heart attach16 RAMESHWAR RAJA DEVI DIGURRAI CHARKHARI MAHOBA 08/03/17 04/04/17 25.05.17 death due to heart attach

PENDING CLAIMSRAJKUMAR SANJANA SINGH GYOHI MAHOBA MAHOBA 31.10.201 14/12/2016 PendingDAYARAM RAJ KUNWAR KOTRA PANWADI MAHOBA 21.11.201 12/01/17 PendingCHABI LAL RAM BABU PATHAK SUBHASH NAGARKABRAI MAHOBA 02/11/16 25.01.17 PendingMAHESH KHUSHWAHA HALPUTTI AJNER KULPAHAD MAHOBA 26.12.16 15/02/17 PendingRAMKUMARI RAMHETU & OTHERS KARPAHADIYA KULPAHAD MAHOBA 06/11/16 02/03/17 PendingMUNNA LAL GEETA DEVI SIJWAHA SHREE NAGAR MAHOBA 07/12/16 03/03/17 PendingRAKESH KAMLA LILWA TAPRAN KULPAHAR MAHOBA 20/10/16 21/03/17 PendingYOGENDRA KUMAR KIRTI GAURHARI CHARKHARI MAHOBA 05/02/17 27/03/17 PendingDEENDAYAL GUMNI DHAVRA KULPAHAR MAHOBA 08/11/16 27/03/17 PendingSUSHMA JAI PRAKASH DHAVRA KULPAHAR MAHOBA 05/12/16 27/03/17 PendingJAGBHAN GUDIYA GYODI KABRAI MAHOBA 19.01.17 04/04/17 PendingNRIPAT YADAV UMA KARHARA KABRAI MAHOBA 01/02/17 04/04/17 PendingBHAIYA DEEN SUMERA PRASAD MOCHIPURA KABRAI MAHOBA 30.01.17 04/04/17 PendingBABU GANSHI RAM NAGAR RAATH ROAD MAHOBA 09/03/17 04/04/17 PendingRAM SWAROOP SHANTI REVARA KABRAI MAHOBA 01/02/17 10/04/17 PendingNARENDRA KUMAR GUDIYA BARAY CHARKHARI MAHOBA 28.03.17 10/04/17 PendingGULABRANI CHAKKI LAL HATWARA KULPAHAD MAHOBA 19.03.17 10/04/17 PendingPRAMOD KUMAR PANDEY SUSHMA BADI HAAT MAHOBA 24.02.17 10/04/17 PendingKHUMAN RAM DEVI PIPRI KULPAHAR MAHOBA 31.10.16 04/04/17 Pending

MAINPURI

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MAINPURIPAID CLAIMS

1 Vishun Dayal Prem Wati Nagla Gandhu Nanamau Mainpuri 12/10/16 500000 21.01.17 Death2 Mahavir Singh Nanhi Devi Nagla Gandhu Nanamau Mainpuri 12/10/16 500000 20.12.16 Death3 Sunil Kumar Katheriya Ruma Nagla Gandhu Nanamau Mainpuri 12/10/16 500000 20.12.16 Death4 Shyam Singh MUNNI DEVI JASMAI ,POST -ODIY DATTAHAR Mainpuri 28.09.2016 500000 23.12.16 Death5 UJAGAR USHa Devi R/O-SATHNATH LALP DALEEPPUR MAINpuri 16.09.2016 500000 23.12.16 Death6 RATAN SINGH BIRPAL SINGH GADH KARAVLI MAINpuri 12/10/16 500000 23.12.16 Death7 AZHAR MOHD. SHAYRA BEGUM HARZAPUR MADHUPURI MAINpuri 04/10/16 500000 06/01/17 Death8 NARENDRA SINGH ANEK SHRI NAUGAON MAINPURI MAINpuri 25/10/2016 500000 06/01/17 Death9 MANI RAM Ram Beti NOOR PUR BHOGAON MAINpuri 33/09/2016 500000 06/01/17 Death

10 SANJIV KUMAR POONAMM KUMARI ASHOK PUR SUNAI MAINpuri 07/10/16 500000 06/01/17 Death11 SURENDRA SUMAN KUMARI CHEETAI GHIROR MAINPURI MAINpuri 18.10.2016 500000 10/01/17 Death12 ATAR SINGH USHa Devi BHAUGAON MAINPURI MAINpuri 01/10/16 500000 10/01/17 Death13 MOHAN LAL GEETA DEVI PARAM KUTA PARAUJ MAINpuri 24/09/16 500000 10/01/17 Death14 GRINDRA SINGH MANJU DEVI NAGLA MOHANPUR MAINpuri 20/09/2016 500000 10/01/17 Death15 RAGHUVIR SINGH SONA DEVI POST ADANI KARHAIL MAINpuri 30.10.2016 500000 21.01.17 Death16 GAGAN GEETA DEVI RAMAIHARPUR MAINPURI MAINpuri 08/10/16 500000 02/02/17 Death17 SUKHVEER SINGH REENA DEVI MIDHAWALI MAINpuri 30.09.2016 500000 02/02/17 Death18 RAMANAND SINGH UMA DEVI GHIROR MAINpuri 03/10/16 500000 02/02/17 Death19 SARVESH KUMAR PUSHPA DEVI KAILASHPUR KARHAL MAINpuri 19.11.2016 500000 02/02/17 Death20 SRINIWAS AVNEESH KUMARI MILIK KARHAL MAINpuri 08/12/16 500000 08/02/17 Death21 PRAG SINGH SHEELA DEVI KESHOPUR BANIGAON MAINpuri 07/11/16 500000 08/02/17 Death22 ANUPAM SINGH SHARDA DEVI KOSON KUSIYARI MAINpuri 04/11/16 500000 09/02/17 Death23 DHARMENDRA SINGH POOJA DEVI SHEHJAD PUR DEHLI MAINpuri 07/11/16 500000 16.02.17 Death24 PRAMOD SINGH SUNITA DEVI KAKAN MAINpuri 10/12/16 500000 13.02.17 Death25 SARVESH GUDDI DEVI JASI AUNG BHOGAON MAINpuri 17.10.2016 500000 13.02.17 Death26 KISHAN PAL SINGH SUSHILA DHAKPURA AUNG MAINpuri 17.10.2016 500000 13.02.17 Death27 VINOD KUMAR SANJU DEVI BADAGHAR PANCHA MAINpuri 19.10.16 500000 17.02.17 Death28 YOGENDRA SUSHILA DEVI DAHI PAGAR VELAHAR MAINpuri 23.11.2016 500000 23.02.17 Death29 VIJAY SINGH SUDAMA DEVI MANGAD KISHNI MAINpuri 06/01/17 500000 23.02.17 Death30 LAL SINGH BITTO DEVI KAICHIGARHI CHAURAIPUR MAINpuri 27/11/16 500000 23.02.17 Death31 LAKHAN SINGH ARUNA DEVI NAHILI GHIROR MAINpuri 23.11.2016 500000 23.02.17 Death32 NAND KISHORE SUJKI DUBEY DOSTPUR KARHAL MAINpuri 09/11/16 500000 28.02.17 Death33 BHURE SINGH VIMLESH KUMARI URDHAN KARHAL MAINpuri 07/12/16 500000 28.02.17 Death34 BALESHWAR RAMPOOTI LAKHANMAU MAINpuri 08/10/16 500000 28.02.17 Death35 SATYA PRAKASH SHARDA DEVI JYOTI KUDIYA MAINpuri 29.12.16 25.01.17 500000 20.05.17 Death36 KAMLESH PATHAK HEM LATA ACHALPUR GHIROR MAINpuri 29.11.2016 17.01.2017 500000 22.05.17 Death37 DESHRAJ RANNO DEVI KANSHIRAM AWAS NAGLA KEERAT MAINpuri 02/10/16 30.01.17 500000 28.05.17 Death38 RAM RATAN SINGH CHAMELI DEVI LALPUR KHARPARI MAINpuri 23.02.17 04/04/17 500000 28.05.17 Death39 RAM BHAROSE GANGA SHREE KUSHAL GANGSI MAINpuri 06/02/17 04/04/17 500000 28.05.17 Death40 JAI KUMAR SUNITA FAIJPUR GHIROR MAINpuri 01/01/17 04/04/17 500000 31.05.17 Death41 GYAN SINGH ANGOORI DEVI CHABILEPUR NAWIGANJ MAINpuri 19.11.2016 17.01.2017 500000 31.05.17 Death42 RAJENDRA SINGH LAKSHMI DEVI NAGALA PATI BHOGAON MAINpuri 28.03.17 10/04/17 500000 31.05.17 Death








MAINPURI

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43 ABHILAKSHYA GUDDI DEVI 500000 31.05.17 Death44 SHIVPAL SINGH MEERA DEVI RAJPUR KURD RATANPUR MAINpuri 25.03.17 10/04/17 500000 31.05.17 Death45 RAVINDRA SINGH PRITI YADAV 500000 31.05.17 Death46 RAJENDRA SINGH ANITA DEVI BHUPATIPUR JAGEER MAINpuri 01/02/17 04/04/17 500000 14.06.17 Death47 SULTAN SINGH RANI DEVI NAGLA BETA MAGHAN MAINpuri 27.02.17 04/04/17 500000 14.06.17 Death48 HARI SHANKAR VIPIN & OTHERS PATARA KARHAL MAINpuri 15.02.17 10/04/17 500000 14.06.17 Death49 RAM AUTAR RAM DEVI SINGHPUR KARHAL MAINpuri 23.12.16 03/03/17 500000 14.06.17 Death50 INDRA PAL SINGH RAMKANTI KAILASHPUR KARHAL MAINpuri 25.01.17 04/04/17 500000 14.06.17 Death51 VINOD KUMAR PREMWATI MOHANPUR LALLUPUR MAINpuri 07/01/17 04/04/17 500000 14.06.17 Death52 SHIVRAJ KAMLESH KUMARI GADERI PARAUKH MAINpuri 20.01.17 04/04/17 500000 14.06.17 Death53 SUNEEL KUMAR MANJU BEHRAMAU KISNI MAINpuri 16.01.17 04/04/17 500000 14.06.17 Death54 TULSI RAM MITHLESH LAKHAURI KUSWALI MAINpuri 06/02/17 04/04/17 500000 14.06.17 Death55 JAWAR SINGH SHEELA DEVI GIGAURA BHOGAON MAINpuri 04/01/17 04/04/17 500000 14.06.17 Death56 KESHAV SINGH ASHA DEVI NAGLA DEEPA BHOGAON MAINpuri 06/01/17 04/04/17 500000 14.06.17 Death57 POORAN MAL ANUPAM AKBARPUR GHIROR MAINpuri 07/02/17 10/04/17 500000 14.06.17 Death58 RAM NARESH URF NARESH C TARA RAM NAGAR KISHNI MAINpuri 01/04/17 10/04/17 500000 14.06.17 Death59 RAVI KUMAR VEENA AKBARPUR LAKHAURA MAINpuri 07/12/16 04/04/17 500000 14.06.17 Death60 MULAYAM SINGH MUNNI DEVI UDHANNA GANGSI MAINpuri 27.12.16 04/04/17 500000 14.06.17 Death61 SHANTI SHARAN ATARSHREE KILLI PAROKHA MAINpuri 26.12.16 04/04/17 500000 14.06.17 Death62 RAJ PAL SINGH SNEHLATA NAGLA DIKK KARHAL MAINpuri 29.11.16 04/04/17 500000 14.06.17 Death63 UPENDRA SINGH NEHA MAINpuri 04/04/17 500000 14.06.17 Death64 AMAR SINGH AMITA MAINpuri 04/04/17 500000 14.06.17 Death65 RAKESH MISHRA SARWESH DEVI MAINpuri 04/04/17 500000 14.06.17 Death

NO CLAIMS1 BHARAT SINGH JAIVEER SINGH MANSA GHIROR MAINpuri 16.11.16 08/02/17 11/02/17 claimant not dependent2 KARAN SINGH RAMA DEVI CHUNNI MAINpuri 07/12/16 08/02/17 11/02/17 illness3 KARANPAL GEETA JOGPUR RAJWANA MAINpuri 26.10.16 08/02/17 11/02/17 non submission of income proof4 LEELAWATI VASANT KUMAR UMMEDPUR ALUPURA MAINpuri 16.12.16 03/03/17 08/03/17 not head of family5 MAHESHWARI DEVI NAND KISHORE & OTH NAGLA BHOGAON MAINpuri 20.09.2016 23.10.2016 27.10.16 not dependent on deceased6 MALIK SINGH KAILASH MAHESH PUR KUNDI KISHNI MAINpuri 05/12/16 30.01.17 02/02/17 AGE ABOVE 707 MANOJ KUMAR RAMA DEVI VYOTI KHURD BHOGAON MAINpuri 29.10.16 08/02/17 11/02/17 cause of death as accident not proved8 MUNNI DEVI JAIPAL SINGH & OTHERS BRAJPURA MAINpuri 16.09.16 17.01.2017 21.01.17 not BEing head of the family.9 NATHULAL NIBHA KAMLANNER SAKRA MAINpuri 06/12/16 03/03/17 08/03/17 AGE ABOVE 70-74

10 OMVEER SURAJ SINGH NAGLA KEHRI TALIVPUR MAINpuri 03/12/16 17.01.2017 21.01.17 not head of family11 PRADEEP OMWATI HADDI GODAM TURKMAN GATE MAINpuri 04/12/16 08/02/17 11/02/17 not head of family12 RAMBEER SINGH KANTHSHREE KHIRIYAPUR LAKHAURA MAINpuri 19.11.16 08/02/17 11/02/17 illness13 RATAN SINGH BEERPAL SINGH AGRA AGRA MAINpuri 12/10/16 not head of family14 SARVESH URF KARU URF KALI RAMLALI ALUPURA MAINpuri 14.12.16 03/03/17 08/03/17 name differs in khatauni15 SHIVENDRA SINGH RUKHANI DEVI JAGATPUR MAUGAON MAINpuri 09/10/16 19/12/16 21.12.16 MURDER DT 09/10/201616 SUKH DEVI GUDDI DEVI NAGLA RAM SINGH JAWAPUR MAINpuri 14.11.16 03/03/17 08/03/17 not head of family17 URMILA DEVI VIJAY PAL AUCHCHA GHEEROR MAINpuri 17.10.2016 10/11/16 12/11/16 Not being head of the family.18 VIMLA DEVI AKHILESH KUMAR & OTHERPAKHALI KAREEMGANJ MAINpuri 20.01.17 04/04/17 10/04/17 not head of family19 LAJJAWATI KUSMESH SINGH JALALPUR MANPUR MAINpuri 26.10.16 30.01.17 claimant not dependent20 MAHARAJ SINGH GUDDI DEVI NAGLA KALLU KINHAWAR MAINpuri 13.11.16 30.01.17 NO PMR21 BRIJ MOHAN REKHA DAYAPUR KARAHIL MAINpuri 03/11/16 26.12.2016 DOF 03.08.1622 PRADEEP KUMAR PREM PAL SINGH RAMPURA KURAWALI MAINpuri 08/01/17 04/04/17 31.05.17 Not being head of the family.23 RAJ KUMARI NARENDRA KUMAR KAKRARA KUCHELA MAINpuri 20.02.17 04/04/17 NOT Head of family. HUSBAND ALIVE24 SAROJ DEVI RAM SHARAN HADEERA KUMHAULA MAINpuri 28.01.17 10/04/17 NOT Head of family. HUSBAND ALIVE25 MANOJ KUMAR MEENA DEVI BHAINSRAULI BHOGAON MAINpuri 17.02.17 04/04/17 NOT HEAD OF FAMILY FATHER ALIVE

PENDING CLAIMS

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NAND KISHORE ROOPWATI RAMPAUDA BHAAG KBHAUGAON MAINpuri 25.10.16 19/12/16 PendingRATAN SINGH VEERPAL SINGH NAGLA GARHU NANAMAU Mainpuri 12/10/16 26.12.2016 PendingVINDAVAN PREMA DEVI BHITHRA BHAG FARAIJI MAINpuri 26.10.2016 12/01/17 PendingRANDHEER SINGH NISHA DEVI PAHARPUR MAHIGAVAN MAINpuri 24.11.2016 12/01/17 PendingUMESH HEM LATA KEHRI CHANDRAPUR KAMAINpuri 02/11/16 17.01.2017 PendingKAILASH AMAN & SONAM NAGLA PADARIA MAINpuri 05/11/16 17.01.2017 PendingSUKHVIR SINGH ARCHANA DEVI SHAHJAHANPUR GHIROR MAINpuri 25.11.2016 17.01.2017 PendingBENI RAM DINESH AND OTHERS NADRELA KARHAL MAINpuri 09/10/16 17.01.2017 PendingSATYAPAL SINGH POONAM DEVI AURAND BHAOGAON MAINpuri 13.11.16 17.01.2017 PendingVIJAY PRATAP URF PAPPU RAMKALI GUNDA MOJAHA PAURAKHA MAINpuri 31.10.2016 17.01.2017 PendingKRISHNA ASHARAM & OTHERS VIKRAMPUR NAGLA KANCHANMAINpuri 16.10.16 25.01.17 PendingRINKU ANJU DEVI JASWANT PUR BHOGAON MAINpuri 27.09.16 25.01.17 PendingSATISH CHAND SUNITA DEVI NAGLA KINDER PUNDARI MAINpuri 26.09.16 25.01.17 PendingHARDEEP SINGH RUMA DEVI GHANSHYAM JYOTI MAINpuri 23.10.2016 25.01.17 PendingSAURABH SINGH ANAND KUMARI KUNVERPUR BISAULI MAINpuri 07/12/16 25.01.17 PendingGAMBHIR SINGH VIMLA DEVI NAWA TEDHA MAINPURI MAINpuri 07/11/16 25.01.17 PendingMUKESH YADAV POONAM DEVI NAGLA BHUD DHIROR MAINpuri 05/12/16 30.01.17 PendingSHYAM DEVI URF SHYAMA DEVHARPREET SINGH & OTHER RURIYA KAPURPUR MAINpuri 19.10.2016 30.01.17 PendingRAJWATI DEVI SONU & OTHERS GANGARWALA BAJHEDA MAINpuri 09/10/16 30.01.17 PendingSACHIN MUNNI DEVI GAETI SHAH ALAMPUR MAINpuri 22.10.2016 30.01.17 PendingPAPPU LAL PRITI MIRAWALI KALA KURAWALI MAINpuri 24.10.16 30.01.17 PendingMUNNA LAL SHOBHA DEVI FAKAITA SULTANGANJ MAINpuri 24.11.16 30.01.17 PendingBHURE AHMED NOORBANO SAHARA BHOGAON MAINpuri 04/10/16 30.01.17 PendingRAMVEER SINGH MITHLESH KUMARI DHEERPUR MAINpuri 27.10.2016 30.01.17 PendingSUNITA DEVI ARVIND KUMAR NAGLA VAKHTI KUSMARA MAINpuri 12/11/16 08/02/17 PendingSANDEEP SINGH SEEMA DEVI PARVATPUR JAGIR MAINpuri 26.11.16 08/02/17 PendingRAHUL NISHA DARVAH MAINpuri 25.09.2016 08/02/17 PendingPREM KUMAR MANMOHAN SINGH SHAHALAMPUR BHOGAON MAINpuri 13.12.2016 03/03/17 PendingRAM GRESH RAJNEESH KUMARI KHUSHALPUR TAKHRAU MAINpuri 08/12/16 03/03/17 PendingMOOL CHAND POOJA DEVI NAGLA PUNU PACHAWAR MAINpuri 09/11/16 03/03/17 PendingSADAWATI RAMPAL BICHWA MAINpuri 09/11/16 03/03/17 PendingRAHUL CHAUHAN ALPANA JHIJHAI PADRIYA MAINpuri 21.01.17 03/03/17 PendingANIL KUMAR SHASHI BADHA GAL MAIN GHIROR MAINpuri 21.11.16 03/03/17 PendingLALTA PRASAD URF LALU DURGA DEVI KUTUPUR KISHNI MAINpuri 22.11.2016 04/04/17 PendingMADAN SINGH CHAUHAN SUMAN CHAUHAN MAKRANDPUR DAULATPUR MAINpuri 01/01/17 04/04/17 PendingMULAYAM SINGH NARAYAN DEVI RAMBAGH DHARAU MAINpuri 23.01.17 04/04/17 PendingDURGESH KUMAR MAMTA GADIYA KARHAL MAINpuri 01/12/16 04/04/17 PendingSUDESH KUMAR MEENA DEVI TINDAULA MAINpuri 17.12.16 04/04/17 PendingKAMLESH KUMAR SUMAN DEVI AUNG BHOGAON MAINpuri 25.11.2016 04/04/17 PendingRAM SHARAN MANIK CHAND NANDPUR AONAHA MAINpuri 14.12.16 04/04/17 PendingASHOK KUMAR VIDYAWATI NAGLA MAHARAM BARNAHAL MAINpuri 09/01/17 04/04/17 PendingCHARKESH KUMAR RANI DEVI BARA SURAJPUR JAMAURA MAINpuri 10/01/17 04/04/17 PendingJALEEL KHAN RAFEENA REECHPUR KURAWALI MAINpuri 22.12.16 04/04/17 PendingINDRA PAL SUNITA DEVI VEERPUR KALA SUGAON MAINpuri 04/01/17 04/04/17 PendingRATAN KUMAR RAJNI DEVKALI SONAI MAINpuri 30.01.17 04/04/17 PendingSHAILESH KUMAR KRIPAL SINGH DEVKALI SONAI MAINpuri 30.01.17 04/04/17 PendingKRISHNA RAM KISHORE KARANPUR BHOGAON MAINpuri 28.01.17 04/04/17 PendingPREMWATI PREM SINGH & OTHERS TISAAH CHITAI MAINpuri 21.01.17 04/04/17 PendingBHUDEVI RAJESH KUMAR HARENA GHIROR MAINpuri 26.02.17 04/04/17 PendingGYAN SINGH RAJAN DEVI RAM NAGAR GHIROR MAINpuri 01/02/17 04/04/17 PendingGULFAN SINGH SUBHASH CHAND & OTHER ANANTPUR ACHALPUR MAINpuri 28.01.17 04/04/17 PendingRAVI SHARMA SANGEETA SHARMA KHARAGJEET NAGAR MAINpuri 04/12/16 04/04/17 Pending

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ANUJ SHARMA NEHA SHARMA KHARAGJEET NAGAR MAINpuri 05/12/16 04/04/17 PendingAKHILESH SUNITA DEVI NAGLA JULA PADURIYA MAINpuri 20.01.17 04/04/17 PendingRAMESH CHAND SURESH CHAND DEVAMAI AUDENYA MAINpuri 15.01.17 04/04/17 PendingNARENDRA SINGH SUNITA DEVI GOLABAAJ SHAHAR MAINpuri 26.12.16 04/04/17 PendingMANOJ KUMAR SAVITRI DEVI JAIL CHAURAHA MAINpuri 01/03/17 04/04/17 PendingBRIJESH SINGH OM SHREE NAGLA MUNSHI NARAINI MAINpuri 28.02.17 10/04/17 PendingATAR SINGH MUNNI DEVI GIRDHARI BHOGAON MAINpuri 19.02.17 10/04/17 PendingSATENDRA SINGH KIRAN DEVI MANGAD KISHNI MAINpuri 22.02.17 10/04/17 PendingNATHU SINGH DHUNNA DEVI NAGARIYA BADAGAON MAINpuri 14.01.17 10/04/17 PendingHARDESH KUMAR SACHIN KUMAR MAUJEPUR BHOGAON MAINpuri 22.02.17 10/04/17 PendingDINESH KUMAR SUNITA DEVI NAGLA KUTURUWA ASNEEDHA MAINpuri 16.01.17 10/04/17 PendingHIRDESH PUSHPA DEVI KATRA SAMAN MAINpuri 17.02.17 10/04/17 PendingSAHURWATI RAJVEER BHULE DHARAU MAINpuri 29.03.17 10/04/17 PendingRAVINDRA SINGH SUDAMA USAR NANAMAU MAINpuri 21.01.17 10/04/17 PendingBRIJESH KUMAR SUSHILA DEVI HEERAPUR KISHNI MAINpuri 19.02.17 10/04/17 PendingGANESH BABU KAMLA DEVI KHARAUWA KHARAUWA MAINpuri 25.01.17 10/04/17 PendingPRADEEP KUMAR SHAKUNTALA RASEMAR KURAWALI MAINpuri 02/02/17 10/04/17 PendingARUN KUMAR KALAWATI PARAHAR MAINpuri 24.01.17 10/04/17 PendingJAGDISH ARCHANA NANDE KURAWALI MAINpuri 28.02.17 10/04/17 PendingKAUSHLENDRA SINGH RUBY KUMARI KUBERPUR TISAULI MAINpuri 18.01.17 10/04/17 PendingSHIVPAL SINGH MEERA DEVI RAJPUR KURD RATANPUR MAINpuri 25.03.17 10/04/17 PendingRAVINDRA SINGH PRITI YADAV GAPCHARIYAPUR RATANPUR MAINpuri 07.02,17 10/04/17 PendingFALAUDDIN HASEENA BEGUM SUNUPUR KARHAL MAINpuri 19.01.17 10/04/17 PendingABHILAKH GUDDI DEVI NAGALA BHANT PAROKH MAINpuri 23.02.17 10/04/17 PendingMALTI DEVI SHIVANI VELAHAR GHIROR MAINpuri 09/04/17 10/04/17 PendingTARAWATI VIJENDRA PARSADPUR BHOGAON MAINpuri 10/03/17 10/04/17 PendingKULDEEP KUMAR SONI MAUJEPUR BHOGAON MAINpuri 06/03/17 10/04/17 PendingSAURABH KAMLA DEVI DAYANANT NAGAR BHOGAON MAINpuri 30.01.17 10/04/17 PendingPRAVEEN KUMAR URF PANCHI RAM LALLI BHAROHA KARHAL MAINpuri 01/02/17 10/04/17 PendingRANVEER SINGH URMILA DEVI KHARE BHOGAON MAINpuri 20.01.17 10/04/17 PendingRAHUL PRATAP SINGH RAM DEVI JAGATPUR BHOGAON MAINpuri 15.02.17 10/04/17 PendingRAJENDRA SINGH LAKSHMI DEVI NAGALA PATI BHOGAON MAINpuri 28.03.17 10/04/17 PendingYOGENDRA SINGH MANJU KODAR PARAUKH MAINpuri 22.03.17 10/04/17 PendingVIVEK URF BONI MEERA DEVI JAGATNAGAR BHOGAON MAINpuri 01/12/16 10/04/17 PendingSUDHIR KUMAR VIMLA KUMARI KHIRAUGI KARHAL MAINpuri 30.11.16 10/04/17 PendingNIRMALA DEVI URF MUNNI DEVRAM KUMAR DHARU KISHNI MAINpuri 02/11/16 10/04/17 PendingVINOD KUMAR REETU NAGALA SADAK KARHAL MAINpuri 12/02/17 10/04/17 PendingRAKESH SAWAN CHANAKPURI ASNEEDHA MAINpuri 01/04/17 10/04/17 PendingPRAMOD KUMAR URMILA RUDRAPUR JASMAI MAINpuri 06/02/17 10/04/17 PendingMANOJ KUMAR RAM SAKHI MAHESHPUR KISHNI MAINpuri 11/02/17 10/04/17 PendingMEHTAB SINGH BRIJESH KUMAR BOJHA KISHNI MAINpuri 29.12.16 10/04/17 PendingAMOD SINGH SUNITA HAVILIYA BHOGAON MAINpuri 18.11.16 10/04/17 PendingSUBHASH CHAND RANJANA CHIVKARIYA BHOGAON MAINpuri 31.10.6 10/04/17 Pending

MATHURA

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MATHURAPAID CLAIMS

1 GOPI LAL RAM KALI GIDOH CHATA MATHURA 06/11/16 500000 23.12.16 Death2 INDER SINGH BEERVATI PAEGAON MATHURA MATHURA 27.09/16 500000 21.03.17 Death3 NIRANJAN AKASH AND OTHER BARSANA GOVERDHAN MATHURA 02/10/16 500000 10/01/17 Death 3184 GHANSHYAM DAS BHAGWANI MALHOO GOVERDHAN MATHURA 26/10/2016 500000 10/01/17 Death5 BACCHU SINGH PARWATI RAIPUR BANGAR MATHURA MATHURA 10/10/16 500000 21.01.17 Death6 VEERPAL SINGH MUNESH DEVI NIGAUDA MATHURA 21.11.2016 500000 21.01.17 Death7 RAJENDRA SINGH REENA DEVI JIRAULI FARAH MATHURA 28.10.16 500000 21.01.17 Death8 RAM BABU SAJ KUMARI RASOOL PUR MATHURA MATHURA 08/10/16 500000 21.01.17 Death9 THAN SINGH BAIJANTI SINORA FAREH MATHURA 28.10.16 500000 21.01.17 Death10 BIHARI LAL MACHHLA DEVI SALEMPUR MAHOLI MATHURA 17.11.2016 500000 02/02/17 Death11 ANGAD DURGA KOTWAN CHHATA MATHURA 29.11.2016 500000 02/02/17 Death12 DATARAM HEMWATI HATANA CHATA MATHURA 27.11.2016 500000 08/02/17 Death13 OM PRAKASH MITHLESH DEVI SIHORA MAHAWAN MATHURA 11/10/16 500000 13.02.17 Death14 KRISHNAPAL SINGH RAMADEVI BHAGWATI ROAD KOSI KALA MATHURA 16.12.2016 500000 13.02.17 Death15 JASWANT SEEMA AKBARPUR MATHURA 15.11.16 500000 09/02/17 Death16 HUBBALAL SAVO DEVI SAIDPUR KASIMPUR MATHURA 22.11.2016 500000 09/02/17 Death17 NETRAPAL MANJU & OTHERS JAIT MATHURA 19.11.2016 500000 09/02/17 Death18 HARI SINGH RAMWATI SHERNAGAR ROOPPUR MATHURA 29.10.16 500000 09/02/17 Death19 DEVI SINGH SATI DHARMNAGAR CHATA MATHURA 01/01/17 500000 13.02.17 Death20 GULAB SINGH MEERA DEVI IBRAHIMPUR MAHAWAN MATHURA 25.12.16 500000 23.02.17 Death21 JAGDISH GEETA DEVI PIPARIA MATHURA 500000 22.05.17 Death22 SAHAB SINGH GUDDI DEVI BHURGARHI BARAUTH BANGAR MATHURA 21.02.17 11/03/17 500000 24.05.17 Death23 KEDAR LASHMI MEHRAULI GOVARDHAN MATHURA 12/03/17 04/04/17 500000 28.05.17 Death24 YOGENDRA SINGH URF BANTIRADHA BAHRAWATI UNCHA GAON MATHURA 24.02.17 04/04/17 500000 28.05.17 Death25 RAKESH VIRMA JANAKPUR MAAN MATHURA 18.11.2016 08/02/17 500000 31.05.17 Death26 KISHORI NAND KUMARI HASANPUR MAANT MATHURA 21.01.17 04/04/17 500000 31.05.17 Death27 CHARAN SINGH VIMLA DEVI NAGLA MIRJAPUR PIGRI MATHURA 09/02/17 04/04/17 500000 31.05.17 Death28 SUSHIL KUMAR SHARMA SEEMA DEVI PAIGAON CHATA MATHURA 11/11/16 17.01.2017 500000 31.05.17 Death

NO CLAIMS1 DEVKI NANDAN UDAL SINGH MANOHARPUR MAHAWAN MATHURA 29.11.201 24.01.2017 28.01.17 AGE ABOVE 702 GOPAL MANJU PALI DUNGRA SAUKH MATHURA 03/01/17 11/03/17 14.03.17 illness3 JAGDISH PRASAD SINGHDHEERAJ KUMAR MUSTAFABAD PALKHAN MATHURA 29.10.201 27.12.2016 03/01/17 not dependent on deceased4 KAMLA DEVI PREM CHAND GAUT SUJAWALI CHHATA MATHURA 21.10.201 26.12.2016 29.12.16 not head of family5 KANTI DEVI JASVEER SINGH & KARAB MAHAWAN MATHURA 22.12.16 08/02/17 11/02/17 not dependent on deceased6 LAL MOHAMMAD KASHIAN LOHWAN MAHAWAN MATHURA 07/10/16 20/12/16 22.12.16 no income proof7 MOHAN CHAND RAKESH & OTHERS SANAURA FARHA MATHURA 04/11/16 20/12/16 22.12.16 not dependent on deceased8 MOHAN LAL HEMA SHAHJADPUR CHHATA MATHURA 12/10/16 05/01/17 07/01/17 incom above 750009 SANTOSH ASHOK KUMAR PAT JAO CHATA MATHURA 01/10/16 28.12.2016 04/01/17 not head of family10 SANTOSH KUMAR NEERAJ DEVI NAGLA AMBU RAYA MATHURA 13.12.201 25.01.17 29.01.17 non submission of income proof11 SAVITRI DEVI VINOD KUMAR GULALPUR SHERGARH MATHURA 30.11.201 24.01.2017 28.01.17 Not being head of the family.12 SHIV DEVI SHARMA SHIV KUMAR & OTH BHALAI MAUT MATHURA 20.11.201 05/01/17 07/01/17 not dependent on deceased13 SMT KAVITA DINESH KUMAR PATKOSHI KALA CHATA MATHURA 01/10/16 28.12.2016 04/01/17 not head of family14 SANJAY RAMESH CHAND LORIHA PATTI SOKH MATHURA 26.11.16 08/02/17 Not being head of the family.15 MAHAVEER SINGH AJAY KUMAR SINGHAGRA AGRA MATHURA NON SUBMission of PMR NOT DEPENDANT ON DECEASED

PENDING CLAIMSNEMI CHAND CHOTI SARAI SALWAHAN MAHAVAN MATHURA 29/10/201608/12/16 PendingNAIMICHAND CHOTI DEVI SALAWAHAN MAGNA ,MAHAWA MATHURA 29.10.16 16/12/16 PendingVIKRAM MOHAN SINGH NAGLA CHHETA MADAUR MATHURA 24.09.2016 27.12.2016 PendingSHYAM SUNDER BHAGWATI NARI CHATA MATHURA 30.10.2016 28.12.2016 PendingGOPAL SINGH MACHLA PADRARI MATHURA MATHURA 15.10.16 28.12.2016 PendingROOPCHAND SUNITA CHADRAS CHATA MATHURA 25.09.2016 28.12.2016 PendingRAJEEV ASHA NAGLA MALLA MAHAWAN MATHURA 27.11.2016 28.12.2016 PendingKRISHNA MURARI OMWATI BARHALA BARSANA MATHURA 11/11/16 05/01/17 PendingLAXMAN SINGH MITHILESH AGARYALA AGARYALA MATHURA 24.11.2016 12/01/17 PendingPAWAN RESHMA SENGU THOK CHATA MATHURA 30.11.16 17.01.2017 PendingASHOK KUMAR RADHA DEVI GADI ASHA MAANT MATHURA 14.12.16 17.01.2017 PendingRAJPAL KIRAN DEVI VARSANA GOVARDHAN MATHURA 25.09.2016 17.01.2017 PendingPREMPAL USHA JANUVI CHATA MATHURA 06/11/16 25.01.17 PendingDEVI RAM LACHO DEVI SHAHPUR CHAINPUR MATHURA 08/10/16 30.01.17 PendingBENAMI MAMTA DEVI NAGLA HETA MAHAWAN MATHURA 24.09.16 08/02/17 PendingVISHNU KUMAR PURAN SINGH DHARAMPUR MATHURA 28.10.16 08/02/17 PendingHARIOM DHARMVEER GADHI ASHA MAANT MATHURA 11/11/16 08/02/17 PendingTOTARAM URF MUKESH CHEENU URF CHANDAN NAGLA BAHAUSH SATOHA MATHURA 30.11.16 28.02.17 PendingLEELADHAR PUSHPA DEVI PAVESARA GUDERA MATHURA 26.02.17 03/03/17 PendingGOPAL SINGH KRISHNA DEVI MUDSERSA MUDSERSA MATHURA 03/02/17 03/03/17 PendingBACHCHU SINGH RAM MURTHY JAIT MATHURA 06/02/17 03/03/17 PendingKESHAV DEV ASHA CHAUHARI SONAI MATHURA 07/02/17 03/03/17 PendingSANJAY SINGH SEEMA NAGLA LOKA PACHAWAR MATHURA 11/01/17 11/03/17 PendingMAHAVEER SINGH AJAY KUMAR DHARMLOK NAGAR MAHOLI MATHURA 09/02/17 11/03/17 PendingBEEGHARAM RAJ PRAKASH CHATA MATHURA 24/01/17 21/03/17 PendingRAMAN LAL SHAKUNTALA CHATA MATHURA 19/02/17 21/03/17 PendingGOPI SAVITRI NAGARIA DAS VISA CHATA MATHURA 03/02/17 21/03/17 PendingVIJAY SINGH MAYA DEVI ISHAPUR LASHMINAGAR MATHURA 26..02.17 04/04/17 PendingSHYAM VEEER SINGH POORAN SINGH NAGLA ABUWA KOSIKHURD MATHURA 18.02.17 04/04/17 PendingBHAGAT SINGH LASHMI VISHAMBRA CHATA MATHURA 03/10/16 04/04/17 PendingNARESH RAJU TOSH JIKHINGAON MATHURA 09/03/17 04/04/17 PendingKAILASH SHARDA CHARAURA MATHURA 11/12/16 04/04/17 PendingSUSHIL URF KARUWA SHARDA HABEEBPUR MAHAWAN MATHURA 19.02.17 04/04/17 PendingSARLA DEVI CHETAN SHARMA & OT RADHA KUND GOVARDHAN MATHURA 23.03,17 04/04/17 PendingAMAR SINGH MAYA DEVI GOPI KI NAGARIYA MAHAWAN MATHURA 10/11/16 04/04/17 PendingSUNDER LAL NIRMA TUMAULA CHATA MATHURA 19.01.17 04/04/17 PendingSHYAM SINGH MUNNI DEVI SUKHANGARH SARDARGARH MATHURA 15.02.17 04/04/17 PendingOMKAR SINGH BHAGWAN DEVI GARHI MANSUKH MAANT MATHURA 03/03/17 04/04/17 PendingVIJAY SINGH DAYARAM UMARI KOSI KHURD MATHURA 17.01.17 04/04/17 PendingNEERAJ MEENA DAULATPUR FARAH MATHURA 05/04/17 04/04/17 PendingRAM DHAKELI MAHAWAN CHAULI BALDEV MATHURA 24.02.17 04/04/17 PendingROOP SINGH GEETA DEVI NAGLA LOKA MAHAWAN MATHURA 08/04/17 04/04/17 PendingRAGHUNATH GUDDI NAGALA CHATI LATEEFPUR MATHURA 10/03/17 10/04/17 PendingRAMHARI VEERVATI UMRAYA CHATA MATHURA 11/04/17 10/04/17 PendingSARDAR SINGH KAPIL SINGH DHANNAPUR MEWATI MATHURA 30.03.17 10/04/17 PendingBANI SINGH MUNNI BHEEMNAGAR SALEMPUR MATHURA 23.01.17 10/04/17 PendingRAM PRASAD SINGH ANAUKHI THAENUWA MEERPUR MATHURA 10/10/16 10/04/17 PendingDHIRENDRA SINGH VIJAY DEVI BHADAAR GOVARDHAN MATHURA 27.01.16 10/04/17 PendingCHETAN SUKHVIRI BHURIYA GOVARDHAN MATHURA 25.09.16 10/04/17 PendingNETRAPAL SEEMA KHEDIYA SERSA MATHURA 12/03/17 10/04/17 PendingRAM CHANDRA MANJU DEVI PAATI MAANT MATHURA 17.09.16 10/04/17 Pending









MEERUT

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MEERUTPAID CLAIMS

1 Manoj Kumar Smt. Sunita Vill. Sarsawa Teh. Bharthana Meerut 22/09/16 500000 21.04.17 Death2 Dev Pal ChandraBose Sivaya jamaullahpuDaurala, Sardh Meerut 24/09/16 500000 21.04.17 Death3 PAPPU BABITA MULHETHA SARDHANA Meerut 16.10.2016 500000 21.04.17 Death4 PRAVEEN KUMAR BABITA DEVI VILL. TIMKIYA POST NEK Meerut 29.09.2016 500000 24.04.17 Death5 FARUKH ASHALOOPA 16 MADARPURA KULANJAN Meerut 18.09.2016 500000 24.04.17 Death6 BALWANT ARUN,JONI,MONTI RAMPUR SADHO MAWANA MEErut 11/10/16 500000 25.04.17 Death7 KRIPAL SINGH GAJAWATI SARDHANA MEERUT MEErut 05/10/16 500000 25.04.17 Death8 IJRAIL RESHMA NAGLA KUMBHA JAWANA KHURDMEErut 17.09.2016 500000 25.04.17 Death9 Shyam Singh USHa Devi GOTKA SRDHANA MEErut 08/11/16 500000 25.04.17 Death10 RAVINDRA KUMAR SEEMA DEVI NANGLA SALEMPURMEERUT MEErut 15/09/16 500000 25.04.17 Death11 NEETU BINA DEVI (MOTHER) PAKHARPUR KAKRA MEErut 16.09.2016 500000 26.04.17 Death12 MUKESH KUMAR REKHA KARNAWAL SARDHANA MEErut 13.11.16 500000 26.04.17 Death13 DEVI DAYALL SHARMA SUNIL DEVI GANESHPUR GANESHPUR MEErut 06/11/16 500000 26.04.17 Death14 DAYANAND ANITA MAITHNA INDRASINSARDHANA MEErut 20.11.16 500000 26.04.17 Death15 RAVINDRA SINGH ROOPA JATAULI SARDHANA MEErut 26.11.16 500000 26.04.17 Death16 SONU URF PRASHANT GAYATRI PATTI KHEDKI MEERUT SADARMEErut 14.11.16 500000 28.04.17 Death17 SURESH SEEMA DEVI RASOOLPUR ROHRA MEErut 22.09.16 500000 28.04.17 Death18 INAT ALI SABILA KHARDAUNI SHERPUR MEErut 10/11/16 500000 28.04.17 Death19 YAMEEN KHUSHNUMA KHWAJPUR MEErut 03/11/16 500000 28.04.17 Death20 HARISH KUMAR TARUNA RAGHUNATHPUR MEErut 11/12/16 500000 01/05/17 Death21 ALI ABBAS JISHAN FATMA RASOOLPUR MEErut 09/12/16 500000 01/05/17 Death22 PREMCHAND URF PRE BALA DEVI KHIWAI SARDHANA MEErut 25.11.2016 500000 01/05/17 Death23 RAJENDRA BEGWATI BHUNI SARADHNA MEErut 16.11.16 500000 01/05/17 Death24 SATYAWEER SUMAN GAZIPUR MAWANA MEErut 23.12.16 500000 01/05/17 Death25 CHARAN SINGH SANTOSH MAHADEV SARADHNA MEErut 17.12.16 500000 01/05/17 Death26 BRAHM SINGH KRISHNA PAALI MAWANA MEErut 24.11.16 500000 02/05/17 Death27 HIMMAT SINGH SUDESHNA DEVI MURADPUR MAWANA MEErut 27.10.2016 500000 02/05/17 Death28 JAIDHARM MAHABIRI PABARSA SARDHANA MEErut 05/02/17 500000 03/05/17 Death29 ILAM SINGH KESHWATI 109, BASAI BHADORIYA MEErut 500000 04/05/17 Death30 VIRENDRA SANTOSH SAIDIPUR DURVESHPUR, MEErut 500000 04/05/17 Death31 SOHANVEER SINGH SUNITA & OTHERS KHIWAI SARDHANA MEErut 25.11.2016 25.01.17 500000 28.05.17 Death32 DINESH KUMAR BRIJESH JHATKARI SARADHNA MEErut 01/01/17 15/02/17 500000 28.05.17 Death33 KUSUM RAHUL & OTEHRS KITHAULI MEErut 07/01/17 03/03/17 500000 28.05.17 Death34 MADAN LAL OMWATI MAHIUDDINPUR MEErut 18.10.16 17.01.2017500000 28.05.17 Death35 RAGHUVER MAYA DIKALA MEErut 16.12.16 03/03/17 500000 08.06.17 Death

NO CLAIMS1 DEENDAYAL SANTOSH MASRI MEErut MEErut 22.10.16 17.01.2017 19.01.17 murder on service2 DEVENDRA KUMAR MUKESH DEVI HASANPUR MEErut MEErut 28.08.16 03/03/17 06/03/17 not head of family3 FAROOQ AHMAD ASHLOOPA MEERUT MEERUT MEErut 06/01/17 murder4 JUNAID IKRAMUDDIN KHAKHAUDA MEErut MEErut 06/11/16 17.01.2017 19.01.17 SUICIDE5 KAMLESH DEVI MANJIT SINGH TIMKIYA NAKE,JANI Meerut 01/10/16 22.11.2016 24.11.16 not dependent on deceased6 LIYAKAT ALI MOBINA JANI BUJURG MEErut MEErut 28.10.16 03/03/17 06/03/17 not holding any land or labour7 MANOJ KUMAR SMT KRANTI MEERUT AMROHA MEErut LESS THAN 18 YEARS8 MUNNI FIROZ & OTHERS KHARKHAUDA MEErut MEErut 06/10/16 17.01.2017 19.01.17 claimant is not dependent on deceased9 NARENDRA KUMAR SH SUNITA SHARMA TEJ VIHAR MEErut MEErut 10/01/17 11/03/17 14.03.17 retired from armay10 PARVAT SINGH HANSMUKHI MANAUNA MEErut MEErut 06/12/16 27.02.17 29.02.17 DUE TO ILLNESS11 PUNEET SHARMA RENU SHARMA KHASPUR SADAR MEErut 14.09.16 17.01.2017 19.01.17 electric shock12 RAJESH GOYAL BABITA GOYAL NANDPURI MEErut MEErut 15.07.16 03/03/17 06/03/17 before commencement of policy 13 RAM KUMAR SUNITA GAJRAULI MEErut MEErut 17/11/16 15/02/17 10/02/17 Not being head of the family.14 SUKHE GIRI DHANWATI KHATKI MEErut MEErut 21.12.16 11/03/17 14.03.17 ABOVE 7015 JAVED SAAJIDA SARDHANA MEErut 19/01/17 27/03/17 Not being head of the family.16 SUNIL GIRI BEENA GOTIKA MEErut MEErut 22.11.2016 03/03/17 06/03/17 neither farmer nor BPL card holder17 SUSHIL KUMAR MEENU TYAGI GAJESHPUR MEErut MEErut 20.12.16 30.01.17 01/02/17 no PMR18 VIJAYVEER MANOJ KUMAR & OTHECHIRAUDI MEErut MEErut 03/11/16 08/02/17 10/02/17 Not being head of the family.19 VIRAJ KUMAR RISHI PAL (FATHER) KINAN NAGAR MEERUT MEErut 14.11.16 12/01/17 15.01.17 Not being head of the family.20 ARVIND ANITA DEVI VEDVYASPURI MEErut 22.01.17 10/04/17 25.05.17 GOVT EMPLOYEE CRPF21 JAIPAL SINGH RAJWATI GECHA MOHIUDDINPURMEErut 01/12/16 03/03/17 25.05.17 PMR NOT DONE22 DUSHYANT KUSUM YAANCHI MEErut 14.10.16 25.01.17 25.05.17 Not being head of the family.23 HARDAN SINGH SHANTI IKLA MEErut 27.11.2016 17.01.2017 25.05.17 ABOVE 7024 AMIR ALI ASLAM & OTHERS MAUSAMKHANI MAWANA MEErut 11/11/16 03/03/17 25.05.17 Not being head of the family.25 HIMANSHU ASHA POCHALI KHURD MEErut 01/01/17 03/03/17 25.05.17 Not being head of the family.26 IMRAN SAMIRUDDIN MAWANA MEErut 27.01.17 03/03/17 25.05.17 Not being head of the family.27 MONU KUMAR RAKHI MURKRABPUR SARDHANA MEErut 03/02/17 27/03/17 25.05.17 KHATAUNI TRANSFER AFTER DEATH28 RAHUL SOM PRATIGYA AURANGABAD SARDHANA MEErut 10/02/17 27/03/17 21.06.17 NOT FORMER NO INCOME CERTIFICATE NOR BPL29 SOHANVEER JAGGO DABDHUBA SARADHANA MEErut 25.10.16 10/04/17 27.06.17 AGE MORE THAN 70 YEARS DEATH DUE TO DECEASE30 GuRU PRATAP SINGH SUKHVINDER SINGH MEERPUR MAWANA MEErut 30.11.16 08/02/17 27.06.17 NO PMR

PENDING CLAIMSSUNDER SINGH SONI NARANGPUR MOWANA MEErut 14/09/16 14/12/2016 PendingILAM SINGH KESHWATI SAIDIPUR DURVESHPUR, MEErut 12/10/16 16/12/16 PendingVIRENDRA SANTOSH KARNAWAL SUROORPUR MEErut 08/10/16 19/12/16 PendingSUMIT KUMAR RUSI AICHI KHURD MAWANA MEErut 14.11.16 12/01/17 PendingARUN KUMAR RAJKUMARI CHARLA SARDHANA MEErut 08/12/16 18.01.2017 PendingMEHVEER SINGH VEDO CHABDIYA SARDHANA MEErut 08/12/16 17.01.2017 PendingSOHANPAL URF SONU OM & OTHERS RAMPUR MOTI SARURPUR MEErut 01/11/16 17.01.2017 PendingMANOJ KUMAR PRITI HASANPUR RAJAPUR MEErut 08/10/16 17.01.2017 PendingSHAHID SHAMA MANDI CHAMPARA SARADHNA MEErut 30.12.16 08/02/17 PendingCHANDRA PAL DAYAWATI JASWANT NAGAR MEErut 18.12.16 08/02/17 PendingRISHI PAL MEENU MATAUR SARADHNA MEErut 11/12/16 15/02/17 PendingPRAVEEN SUMAN KHWAJAHANPUR SARADHNA MEErut 28.10.16 15/02/17 PendingSUMIT RUSI EICHI KHURD MAWANA MEErut 14.11.16 15/02/17 PendingVIRENDRA SINGH SAROJ NILOHA MAWANA MEErut 16.12.16 15/02/17 PendingAJIT SINGH KUSUM MURADPUR MAWANA MEErut 16.12.16 15/02/17 PendingSONU REETA AKBARPUR MAWANA MEErut 29.10.16 15/02/17 PendingKISHAN PAL ANGURI KALIYAGARHI MEErut 16.02.17 03/03/17 PendingBABLU SEEMA ALMAGEERPUR SARADHNA MEErut 30.12.16 03/03/17 PendingGULSHAN KUMAR JAYASAVITA AMBEDPUR RITHANI MEErut 29.12.16 03/03/17 PendingHANSRAJ SUMITRA MAWANA MEErut 23.10.16 03/03/17 PendingSHAKEEL SHABANA JANI BUJURG MEErut 31.12.16 03/03/17 PendingSHARANVEER SINGH RAJNI KANCHANPUR GHOPALA MEErut 12/11/16 03/03/17 PendingMAHIPAL SINGH UMESH UPLEHDA MEErut 03/01/17 03/03/17 PendingGAJENDRA SANGEETA PACHGAON AMAR SINGH MEErut 27.11.2016 03/03/17 PendingSOHAN VEER MITHLESH KAJMA BAAD SADAR MEErut 10/01/17 11/03/17 PendingKAMAL KAVITA AJAMAPUR AMRAWALI MEErut 22.12.16 11/03/17 PendingSANJEEV KUMAR MANU CHINDORI KHAS MEERUT MEErut 20/10/16 20/03/17 PendingANKIT KUMAR RAKHI MAVI MAWANA MEErut 10/02/17 27/03/17 PendingGANGA CHARAN SURENDRA KUMAR GADINA MAWANA MEErut 26/11/16 22/03/17 PendingJAVED URF BHURA SHAJIDA ISLAMABAD SARADHNA MEErut 19.01.17 03/04/17 PendingDEEPAK RUBY POHLI SARADHNA MEErut 14.12.16 04/04/17 PendingSANGEETA SANJU BADKALI NEKPUR MEErut 19.01.17 10/04/17 PendingUDAL SINGH KAMLA DEVI GANGA NAGAR MEErut 22.11.2016 10/04/17 PendingPRADEEP KUMAR ASHA ANOOP NAGAR FAJALPUR MEErut 08/01/17 10/04/17 PendingROHIT KUMAR SANTOSH KURALI MEErut 12/01/17 10/04/17 PendingSHALU REKHA DEVI KURALI MEErut 10/02/17 10/04/17 PendingSUKHVEER SINGH BEENA SHAHPUR JAUNPUR MEErut 06/01/17 10/04/17 PendingSHIV KUMAR SOMWATI DEVI MANDAURA SARADHANA MEErut 09/02/17 10/04/17 PendingMINTU SAMEERA HASTINAPUR MAWANA MEErut 27.01.17 10/04/17 PendingLALIT KUMAR SHARMA REKHA SHARMA JASRATPUR SARADHANA MEErut 14.02.17 10/04/17 PendingKENDRA SINGH DURGA URF DURGAWATKAILIRAMPUR MAWANA MEErut 24.03.17 10/04/17 PendingRAVI KUMAR POONAM SHAHKALIPUR MAWANA MEErut 04/02/17 10/04/17 PendingSACHIN KUMAR GEETA ETMADNAGAR ALIPUR MEErut 27.03.17 10/04/17 PendingSONU URF VIKAS OMKAR TYAGI KAKKEPUR SAROORPUR MEErut 10/02/17 10/04/17 PendingBRIJ PAL SHARMA SAKUNTALA DEVI BHAKI SADAR MEErut 23.02.17 10/04/17 PendingRAJPAL SINGH BALA KAJMADGOON SADAR MEErut 18.02.17 10/04/17 PendingSATISH MUNESH SADHARANPUR SADAR MEErut 23.02.17 10/04/17 PendingMANOJ KUMAR SHARM MEENAKSHI SHARMA SADHARANPUR SADAR MEErut 23.02.17 10/04/17 PendingANEES MEENA BEGUM SHAULANA SADAR MEErut 02/03/17 10/04/17 PendingJAGVEER RAMKAUR NAMNAULI BADHAUT MEErut 23.02.17 10/04/17 PendingNEPAL SINGH SEEMA DHIKAULI MAWANA MEErut 20.01.17 10/04/17 PendingTEJVEER JAGVEERI AJAMPUR SADAR MEErut 09/03/17 10/04/17 PendingBHAGAT SINGH ANJU BADI CHAUPAL SHAHPUR MEErut 12/01/17 10/04/17 PendingHARENDRA SINGH SUMAN MEERPUR SADAR MEErut 25.02.17 10/04/17 PendingSANJAY BABLI ISLAMABAD CHILAURA MEErut 15.02.17 10/04/17 PendingGAURAV SHARMA URMILA DEVI KHASPUR SARAVA MEErut 15.04.17 10/04/17 PendingSHEKHAR SHIVANI KHURRAMNAGAR MODINAGAR MEErut 26.02.17 10/04/17 PendingSHUBHAM KESHAR WALEEDPUR SARADHANA MEErut 22.03.17 10/04/17 PendingANUJ KUMAR NEETU JATAULI SARADHANA MEErut 03/03/17 10/04/17 PendingSATVEER JAGVEERI KELI KHARKHAUDA MEErut 25.03.17 10/04/17 PendingMUNESH DEVI SATYAVEER SINGH BHADAL BADHAUT MEErut 09/03/17 10/04/17 PendingSAJID FIRDOSH ATORA ROAD MEErut MEErut 18.09.2016 03/03/17 PendingANIL KUMAR KAVITA HASTINAPUR MAWANA MEErut 30.09.16 15/02/17 PendingRAJENDRA KUMAR SUNITA KAMALPUR MEErut 20.09.16 25.01.17 PendingSHYAM SINGH PUSHPA KUDI MEErut 16.09.16 25.01.17 PendingMANGU RAM USHA KAITHWARI MEErut 13.10.16 11/03/17 Pending







मृत्यु/किवलांर्गता/उपचा%(ै;लेस/%ीम्बुस्मA

MORADABAD

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MORADABADPAID CLAIMS

1 SHYAM VEER SINGH PRATIBHA DEVI 10, KALYANPUR DEVAPUR MORADABAD 15/09/16 500000 21.04.17 Death2 HARGOVIND MAMTA Bakainiyha Mafi Pakbara MORADABAD 07/10/16 500000 21.04.17 Death3 JASWANT BOORIA MILAKH NAGALIA JAAT, BILARMORADABAD 15/09/16 500000 25.04.17 Death4 SATYA PAL SURJA DEVI SIHARI MALA BILARI MORADABAD 02/10/16 500000 25.04.17 Death5 MAHENDRA SINGH SAINI ROOPWATI DOUBLE FATAK SITAPURI MORADABAD 16/09/16 500000 25.04.17 Death6 RAJ PAL RAJWATI SAIFPUR GATAURA MORADABAD 23.10.2016 500000 25.04.17 Death7 BALWANT SINGH RENU SAHARIA SADAR MORADABAD 29.10.2016 500000 26.04.17 Death8 RAM KISHORE RADHA SIRSAWA HARCHANDPUR MORADABAD 23.11.2016 500000 26.04.17 Death9 JEETU SINGH MANJU SIDLAU THAKURDWARA MORADABAD 08/11/16 500000 26.04.17 Death10 RAMESH KUMAR SAVITRI DEHRI GAON SARASWATI VIHAR MORADABAD 20.12.16 500000 28.04.17 Death11 SATISH KUMAR REKHA RANI DEHRI GAON MORADABAD 21.10.16 500000 28.04.17 Death12 IQBAL ISRAT MAJHAULI KHAS BILARI MORADABAD 10/10/16 500000 28.04.17 Death13 NASEEM AHMED RAISA BANO MOHD GANJ THAKURDWARA MORADABAD 13.11.16 500000 01/05/17 Death14 OM VEER SINGH ASHA DEVI KALA JHANDA SADAR MORADABAD 02/12/16 500000 01/05/17 Death15 POORAN SINGH RAMWATI NIMRI BILARI MORADABAD 12/11/16 500000 02/05/17 Death16 BHEEM SINGH MURTI DEVI JALPUR DEVIPURA MORADABAD 08/02/17 500000 02/05/17 Death17 DEVENDRA SINGH KAVENDRI SAMADPUR BUNIYAPUR MORADABAD 27.10.2016 500000 03/05/17 Death18 RAJ KUMAR RAJBALA KODARI BILARI MORADABAD 19.01.17 500000 03/05/17 Death19 RAVINDRA SINGH SUDHA DEVI GULADIYA JAHAGIRABAD MORADABAD 23.02.17 500000 03/05/17 Death20 DEV RAJ SINGH VIPIN CHAUDARY MALIPUR UMERI MORADABAD 16.01.17 500000 03/05/17 Death21 TRIMOHAN SINGH VIMAL LAJWANTI MUNIMPUR THAKURDWARA MORADABAD 09/03/17 500000 03/05/17 Death22 BRAJPAL SINGH DARSHANI DEVI MALPURA LASHMIPUR MORADABAD 01/03/17 500000 03/05/17 Death23 MADAN PAL SINGH SUNITA DEVI MALHUPUR MANPUR CHAUKI MORADABAD 02/02/17 500000 03/05/17 Death24 MUKESH KUMAR KANTH EDALPUR SIHALI MORADABAD 24.01.17 500000 03/05/17 Death25 RAKESH KUMAR ANITA YADAV AKKA DILARI MORADABAD 22.02.17 500000 03/05/17 Death26 HUKUM SINGH URF JHANDLOKESH YADAV BERAMPUR KANTH MORADABAD 08/03/17 500000 03/05/17 Death27 RIJAUDDIN NAJREEN NIYAMATPUR MORADABAD 01/02/17 04/04/17 500000 28.05.17 Death28 BABU NASEEM JAHAN NIRMALPUR GOPIWALA MORADABAD 20.03.17 500000 31.05.17 Death29 SHYORAJ SINGH KIRAN DEVI BILARI MORADABAD 05/03/17 500000 31.05.17 Death30 PURAN MEENA MANGUPURA BILARI MORADABAD 15.01.17 500000 31.05.17 Death31 OMVRATT SINGH SHALU RANI FAIZULLAGANJ THAKURDWARA MORADABAD 02.03.17 500000 14.06.17 Death32 SAMAR PAL SINGH LOKESH BARIPUR MORADABAD 07/03/17 500000 14.06.17 Death33 NAUBAT SINGH MEENA GAJRAM SINGH NASEERPUR BILARI 27.01.16 500000 14.06.17 Death

NO CLAIM1 MALLU SINGH SHYAM KALI ROOPPUR RUNDAULA MORADABAD 13.10.2016 26.12.2016 28.12.16 pmr not done2 MITHLESH SHYONATH SINGH FAZALPUR THAKURDWARA MORADABAD 27.11.2016 17.01.2017 19.01.17 Not being head of the family.3 MOHD GUFRAN SHAIDA MEERUT MEERUT MORADABAD no PMR4 MUNNI DEVI BALWANT SINGH THAKURDWARA MORADABAD MORADABAD 20.10.16 28.12.2016 30.12.16 deceased not head of family5 OMPAL SINGH RAJWALA SHIV NAGAR THAKURDWARA MORADABAD 10/12/16 17.01.2017 19.01.17 no PMR6 PRITI DANVEER SINGH DHARMPUR KALA MORADABAD MORADABAD 02/10/16 02/03/17 05/03/17 Not being head of the family.7 RAJWATI RAM SINGH DARIYAPUR MORADABAD MORADABAD 18.11.2016 02/03/17 05/03/17 not head of family8 RIYASAT FATIMA MAHESHPUR KHEM MAANPUR MORADABAD 21.11.2016 17.01.2017 19.01.17 no PMR9 SANJAY ASHA LOGHI KHURD THAKURDWARA MORADABAD 01/11/16 16.01.2017 17.01.17 DUE TO ILLNESS10 SHIV LAL KAMLESH LALAPUR SHERPUR PATTI MORADABAD 09/10/16 17.01.2017 19.01.17 before commencement of policy 23/07/1611 SMT BHOORI ISRAT ALI MEERUT MEERUT MORADABAD DECEASED WAS RETIRED OFFICER INDIAN ARMY12 SURAJ SINGH RAJESH KUMARI MAU MILAN POST KAZIPURA,CIVIL LINEMORADABAD 17.09.2016 02/12/16 05/12/16 before commencement of policy 13 RAJEEV KUMAR URF RAJU BABITA KAJIPURA MUSTAKAM MORADABAD 14.01.17 04/04/17 NATURAL DEATH14 SHASHI DEVI SHIVANI DOHRI BILARI MORADABAD 24.01.17 04/04/17 Not being head of the family.15 RAJVIRIS DEVI PRAMOD KUMAR MORADABAD 24.01.17 14.06.17 NOT BEING HEAD OF FAMILY16 DHARAMPAL PREMPAL MORADABAD 16.12.16 14.06.17 NOT DEPENDENT ON DEACEASED

PENDING CLAIMSRAJPAL SINGH KUSUM LATA MILAK BHAMAWATI TAHAKUR DWAR MORADABAD 15/09/16 19/12/16 PendingNAWAB HUSAIN SHABANA BAI BILARI BILARI MORADABAD 11/10/16 26.12.2016 PendingIMRAN HUSSAIN GULZARE UZMA MAU FCI GODAM MORADABAD 24.09.2016 27.12.2016 PendingMOHD GUFRAN SAYYADA CHAK FAIZALPUR KUNDARKI MORADABAD 03/10/16 28.12.2016 PendingVIJAY SINGH PRATAP SINGH (bRO) HASANGANJ MORADABAD MORADABAD 29.10.2016 09/01/17 PendingMUNESH KAVITA DEVI BERKHEDA DHAMPUR MORADABAD 10/10/16 23.01.2017 PendingRAMKUNVAR KUSUM DEVI RATTUPURA THAKURDWARA MORADABAD 19.10.2016 17.01.2017 PendingBANWARI CHANDWATI BHUUD THAKURDWARA MORADABAD 04/12/16 25.01.17 PendingPADAM SINGH MEENA DEVI NAGLA GUJJAR BHUUD MORADABAD 08/11/16 25.01.17 PendingSHAKUNTALA DEVI KAUSHAL KUMAR CHABDA CHANDAUSI MORADABAD 09/11/16 30.01.17 PendingSUNIL SHEETAL CHABDA CHANDAUSI MORADABAD 09/11/16 30.01.17 PendingVISHAMBHAR SINGH KAUSHAL KUMAR CHABDA CHANDAUSI MORADABAD 09/11/16 30.01.17 PendingSHYAMVEER MOHARSHI AHMEDABAD KANAURA BILARI MORADABAD 22.12.16 08/02/17 PendingDILSHAD ALI NAJMA SARAY FARUKH MORADABAD 08/11/16 08/02/17 PendingCHETRAM RAMKALI KHABARIYA BHUD MORADABAD 30.11.16 08/02/17 PendingJAVED ALI SAMREEN BHAGWANPUR MORADABAD 21.01.17 08/02/17 PendingSUSHIL KAMLA SHIV NAGAR THAKURDWARA MORADABAD 23.12.16 27.02.17 PendingSOLANKI KESHKALI KONDARI BILARI MORADABAD 19.01.17 27.02.17 PendingSHYAMVEER MOHAR SHREE AHMEDABAD BILARI MORADABAD 22.12.16 11/03/17 PendingUMESH KUMAR ANSHU ALIYABAD DILARI MORADABAD 02/12/16 11/03/17 PendingSANJAY KUMAR SURESH TYAGI TADA AFZAL THAKURDWARA MORADABAD 10/12/16 11/03/17 PendingMOHAN SINGH HARWATI DEVI PANDITPUR GOPIWALA MORADABAD 14.09.16 11/03/17 PendingCHAND PRAKASH ATRO DEVI ALIPURA BUDHRENA MORADABAD 13.12.16 11/03/17 PendingANKIT BEENA DEVI DEHRIGAON SURAJNAGAR MORADABAD 26.01.17 11/03/17 PendingPRAMOD KUMAR RAVIT KUMAR KUDAMIPUR CHAJLAIT MORADABAD 16.12.16 04/04/17 PendingDANVEER SINGH SHIVANI DOHRI HAJRAT NAGAR MORADABAD 24.01.17 04/04/17 Pending








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MUZAFFARNAGARPAID CLAIMS1 Ram Pal Savitri Nithari Majara Kheda chaugavaa Muzaffarnagar 09/10/16 500000 21.04.17 Death2 SHAMSHAD FAIMIDA JAULI JANSHAT Muzaffarnagar 28/10/2016 500000 24.04.17 Death3 NOOR HASAN NASIMA NAGLA BUJURG JAULI, JANSHAT Muzaffarnagar 33/09/2016 500000 24.04.17 Death4 SHAMSHER SAKEENA KHEDI FIROZABAD JANSHAT Muzaffarnagar 15/09/16 500000 25.04.17 Death5 MOOL Chand RAJNI DINKARPUR KHATAULI Muzaffarnagar 21/09/2016 500000 25.04.17 Death6 SUMIT KUMAR RIYA DEVI ATHAI JANSHAT Muzaffarnagar 17.09.2016 500000 25.04.17 Death7 JASVEER SITO MAHMOODPUR LAKADSANGHA Muzaffarnagar 01/10/16 500000 25.04.17 Death8 MANGE RAM RAJ BALA MAURA KHURD SHIKARPUR Muzaffarnagar 05/11/16 500000 25.04.17 Death9 PARVINDRA BABITA BHAINSI KHATAULI Muzaffarnagar 16.11.2016 500000 25.04.17 Death10 PRATAP MEENU BUMMAR JANSATH Muzaffarnagar 17.10.2016 500000 25.04.17 Death11 ASHOK SHAKUNTLA MORNA KHATIKAN BHOPA Muzaffarnagar 29.09.16 500000 25.04.17 Death12 SATYENDRA BABITA JANSHAT MEERAPUR Muzaffarnagar 02/11/16 500000 25.04.17 Death13 YAMEEN SWADEKIN RASOOLPUR BUDHANA Muzaffarnagar 28.11.2016 500000 25.04.17 Death14 SATYA PAL OMWATI KARCHHERA JANSATHH Muzaffarnagar 11/11/16 500000 26.04.17 Death15 MANOJ KUMAR SUNITA SAINI SHYAMPURI KHATAULI Muzaffarnagar 17.11.16 500000 27.04.17 Death16 FAYAZ BANO CHATAULA BATHRA Muzaffarnagar 22.10.2016 500000 27.04.17 Death17 ISHWARCHAND KAUSHAL ROHANA KHURD SADAR Muzaffarnagar 24.11.16 500000 02/05/17 Death18 MAHIPAL SUNDARI TISANG JANSATH Muzaffarnagar 26..02.17 500000 04/05/17 Death19 DHARAM SINGH RAJKUMARI BALIPURA MIRANPURA Muzaffarnagar 06/01/17 500000 25.04.17 Death20 AKRAM AFSANA MIMLANA Muzaffarnagar 19.02.17 500000 25.04.17 Death21 YASHPAL SINGH INDRA MANSOORPUR KHATAULI Muzaffarnagar 25.01.17 500000 25.04.17 Death22 GULVEER ALIAS KULVE ANJU GOELA BUDHANA Muzaffarnagar 02/01/17 500000 25.04.17 Death23 SARTAJ KHAN ZOYA KHAN MAHALJANA KURTHAL Muzaffarnagar 23.12.16 500000 26.04.17 Death24 NAUSAD BEG SHAIN JAHA MAHALJANA KURTHAL Muzaffarnagar 15.01.17 500000 27.04.17 Death25 SANDEEP KUMAR RENU RANA GOELA SHAHPUR Muzaffarnagar 23.10.16 500000 27.04.17 Death26 MANGAT RUCHIKA KHAIKHERI Muzaffarnagar 01/02/17 500000 02/05/17 Death27 KUNWAR PAL HARSHVARDHANJAANSATH Muzaffarnagar 04/11/16 25.01.17 500000 04/05/17 Death28 SHAMIM MAHRUNA DULHERA BUDHANA Muzaffarnagar 08/12/16 27.02.17 500000 25.05.17 Death29 RAMESH KUMAR SESO KHADAWALI PURACHPUR Muzaffarnagar 27.11.2016 02/03/17 500000 28.05.17 Death









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30 RASHID FOOL MIZRA JAANSATH Muzaffarnagar 04/11/16 25.01.1731 ISHWAR DAYAL BALA Muzaffarnagar 27.11.2016 02/03/17 500000 28.05.17 Death32 CHAMAN LEELA DEVI Muzaffarnagar 27.11.2016 02/03/17 500000 28.05.17 Death33 SHOBHA RAM ARYA VIMLA Muzaffarnagar 27.11.2016 02/03/17 500000 28.05.17 Death34 NARESH KUMAR VIJENDRI Muzaffarnagar 27.11.2016 02/03/17 500000 28.05.17 Death

NO CLAIM1 ARVIND KUMAR SANJU BARWALA Muzaffarnagar Muzaffarnagar 12/01/17 27.02.17 29.02.17 govt. Servent2 JAHID AHMED AFSAR ALI ALIPURWA Muzaffarnagar Muzaffarnagar 04/10/16 25.01.17 27.01.17 post mortem not done3 JAI KARAN VINOD & OTHER JANSHAT JANSHAT Muzaffarnagar 06/11/16 28.12.2016 30.12.16 ABOVE 704 MINTU KUMAR ANAND PAL & O NAGLA MUBARAK JANSATHH Muzaffarnagar 18.11.2016 09/01/17 11/01/17 GOVT. EMPLOYEE5 Munni KARESH GADMALPUR BUDHANA Muzaffarnagar 17.09.2016 27.12.2016 29.12.16 Not being head of the family.6 RAVINDRA RAJESH DEVI DODA BUDHANA Muzaffarnagar 10/10/16 10/01/17 12/01/17 no income proof7 SATYAWATI SRIMANGA PACHENDA KALAN PACHENDA KALAN Muzaffarnagar 16.10.16 27.12.2016 29.12.16 Not being head of the family.8 SHEKHAR POONAM DEVI SISAULI Muzaffarnagar Muzaffarnagar 05/09/16 25.01.17 27.01.17 not head of family9 SUVENDRA SINGH MUKESH DEVI KUKDA SADAR Muzaffarnagar 17.10.2016 27.12.2016 29.12.16 no PMR10 ARVIND TYAGI SUSHILA DEVI BASI KHURD BUDHANA Muzaffarnagar 28.11.16 10/04/17 SUICIDE11 SALMAN RANA MAHMOODA KASSAVAN BUDHANA Muzaffarnagar 12/02/17 10/04/17 KIDNAPPING & NO INCOME PROOF12 BAL KISHAN NARENDRA SAINSALARPUR JANSATH Muzaffarnagar 18.12.16 10/04/17 NO DEPENDENCY13 PRAVEEN KUMAR BABITA KASAMPUR KHOLA Muzaffarnagar 26.12.16 25.01.17 Not being head of the family.14 NATHO DEVI RAJBEER KHAI KHEDA KAKRAULI Muzaffarnagar 18.01.17 10/04/17 Not being head of the family.

PENDING CLAIMSAMIT KUMAR BABLI RANI FALIDA PURKAZI Muzaffarnagar 29/10/2016 05/12/16 PendingTASEEN MOHD RUKSANA JANSHAT JANSHAT Muzaffarnagar 21.10.2016 14/12/2016 PendingCHINU /SATISH ALKA DEVI GADMALPUR BUDHANA Muzaffarnagar 17.09.2016 27.12.2016 PendingMOOL CHAND SUNITA KADI JANSHAT Muzaffarnagar 30.11.16 27.12.2016 PendingNAIM ZAMILA KAILAPUR KALAN KHATAULI Muzaffarnagar 08/12/16 28.12.2016 PendingVIJAY SINGH MURTI DEVI SATHHERI BUDHANA Muzaffarnagar 27.10.2016 09/01/17 PendingPREM PAL SUSHMA BHIDDA HEDI JANSATH Muzaffarnagar 30.09.2016 09/01/17 PendingJAHRU RAM PRASAD TIGRI SADAR Muzaffarnagar 19.11.16 25.01.17 PendingSUBHASH CHAND BABLI BHOKATHEDI JANSATH Muzaffarnagar 17.10.2016 25.01.17 PendingLALIT RAMWATI SHERNAGAR Muzaffarnagar 22.11.2016 25.01.17 PendingDEEPAK KUMAR SAVITA SHAHPUR Muzaffarnagar 16.11.16 25.01.17 PendingRICHAPAL GYANDEI SALARPUR JANSATH Muzaffarnagar 04/11/16 25.01.17 PendingPRAVEEN KUMAR ILAM SINGH SHAHPUR SHIKARPUR Muzaffarnagar 16.11.16 27.02.17 PendingDHANPAL MAHABIRI GOKULPUR SHAHPUR Muzaffarnagar 08/10/16 27.02.17 PendingBHOPAL SINGH UMESH RASOOLPUR Muzaffarnagar 04/10/16 10/04/17 Pending

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जिजला

PILIBHITPAID CLAIMS

1 MANOJ Kumas BhatNisha Bhatnagar 268, khakr sadar PILIbhit 29/09/2016 500000 16.03.17 Death2 BRIJMOHAN GUPT ALKA GUPTA KISHNI BEESALP PILIBhit 23.01.17 500000 18.03.17 Death3 Sukhwinder Singh Manpreet Kaur Daulatpur Thana MeePilibhit 500000 04/05/17 Death4 Amrit Pal Singh Kiran Deep Kaur JARI MAJ BHOGNIP Pilibhit 500000 04/05/17 Death5 HORI LAL SONIYA MANPUR PURIYA PILIBhit 30.11.16 500000 16.03.17 Death6 NANHE LAL MEENA DEVI KHERAUL DESHNAGA PILIBhit 04/12/16 500000 18.03.17 Death7 MADHU SUDAN MISTRPARVATI MISTRI RAJA COLO PILIBHIT PILIBhit 28.01.17 03/04/17 500000 04/05/17 Death8 ANIL SINGH SARITA DEVI MADHOTANDA PILIBhit 25.01.17 10/04/17 500000 04/05/17 Death9 TILAK RAM MAYA DEVI PRITHVIPUR PILIBhit 15.01.17 10/04/17 500000 28.05.17 Death10 NYARE LAL HEERA KALI DIPRI MARAURI PILIBhit 26.12.16 03/04/17 500000 28.05.17 Death11 BABU RAM SUDAMA DEVI PIPARIA POORANPPILIBhit 28/11/16 12/03/17 500000 28.06.17 Death12 DHARAMPAL PUSHPA DEVI KHAMARI PILIBHIT PILIBhit 14/11/16 12/03/17 500000 28.06.17 Death13 RAJESH KUMAR MAMTA DEVI DAULATPU BEESALPUR 28.11.17 500000 28.06.17 Death14 AMAAN ULLA KHANRAHISAN BEGUM JADOPURPOORANPPILIBhit 30/09/16 12/03/17 500000 28.06.17 Death





मोबाइल न0






PILIBHIT

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NO CLAIM

1 DHAKAN LAL BHAGWAN DAS RAM MUSNARAYANPILIbhit 22/23.09.117.01.2017 19.01.17 visra preserved no khatauni2 MUNGA DEVI CHANDANLAL MAURYAI NYURIA PILIBhit 05/08/16 28.02.17 30.02.17 not head of family3 NATHO DEVI MUNNA LAL SHIV NAGPOORANPPILIBhit 16.12.16 03/04/17 07/04/17 not head of family4 TIKOLI DEVI RAMBAHADUR BENIPUR BISALPURPILIBhit 18.11.201 28.02.17 30.02.17 not head of family5 CHANDRA KALI MAHESH PAL SING RAMPURARAMPUR RAMPUR 03/01/17 04/04/17 07/04/17 Not being head of the family.6 DILLIDHAR BUDHSEN & OTHE AHRO RAMPUR RAMPUR 10/09/16 25.01.17 27.01.17 not head of family7 RAM SHARAN KAMLESH DEVI BHEETARRAMPUR RAMPUR 07/12/16 08/02/17 10/02/17 head master in primary school8 DHANKA DEVI GHANSHYAM BAGWA PILIBHIT PILIBhit 23/10/16 12/03/17 08.07.17 not head of family9 SUNDER LAL GANGARAM RAMPURI PILIBHIT PILIBhit 14/10/16 16.03.17 08.07.17 NOT HOF NO KHATAUNI NO INCOME PROOF10 MANIRAM KHUSHALO DEVI PAHARGABEESALP PILIBhit 03/10/16 12/03/17 08.07.17 DEATH BEFOR COMMENCEMENT OF POLICY11 MUNNI B FIROZ KHAN RAJA GANPOORANPPILIBhit 14/09/16 16.03.17 08.07.17 AGE ABOVE 78 YEARS12 RAJPAL MANIRAM PILIbhit 26.12.16 08.07.16 NOT HEAD OF FAMILY

PENDING CLAIMSSukhwinder Singh Manpreet Kaur Bhurjauniy Chandiya H Pilibhit 17/09/16 11/11/16 PendingAmrit Pal Singh Kiran Deep Kaur Nehrosa Kabeer GanPilibhit 17/09/16 11/11/16 PendingNANHI DEVI JAGPAL & OTHERS KAINCHU T AMARIA PILIbhit 22/10/201620/12/16 PendingBENI RAM RAJ RANI MARAURI PILIBHIT PILIbhit 23.10.2016 12/01/16 PendingGUDDU KENDRAWATI GACHLUIYAN PILIBhit 24.11.16 17.01.2017 PendingDWARIKA PRASAD SOMWATI TAKIAY KESARPUR PILIBhit 08/11/16 03/03/17 PendingPREMWATI MANOJ KUMAR POORANPUR PILIBhit 10/12/16 03/03/17 PendingGANGA RAM GANGA DEI KALINAGARKALINAGARPILIBhit 11/02/17 03/04/17 PendingDHARMENDRA KUMARMAMTA DEVI CHIDIYA DEH PILIBhit 17.12.16 03/04/17 PendingGULABO DEVI DEVI SINGH MATHU HAAROOPPUR PILIBhit 24.12.16 03/04/17 PendingJITENDRA PAL SINGH BHEESHMA PAL BEESALPUR PILIBhit 17.01.17 03/04/17 PendingDHANI RAM RAMPA KUWARPURANANDPURPILIBhit 05/02/17 03/04/17 PendingSONU YADAV NEELAM DEVI MOHAN PUSABALPUR PILIBhit 22.12.16 03/04/17 PendingSATYAM GANGWAR ANENDRA KUMAR TIKRI MAFI BEEKALPURPILIBhit 23.02.17 03/04/17 Pending

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RAJU NEMCHAND SAIJANIYA NURIA PILIBhit - 03/04/17 PendingKALAWATI RAM LADAITE MEWAT PANDARI PILIBhit 16.02.17 03/04/17 PendingDWARIKA PRASAD SOMWATI DHAKIYA KESARPUR PILIBhit 08/11/16 03/04/17 PendingSAROJNI MISHRA URF AWDESH CHANDRA MITARWAN PILIBhit 20.10.16 04/04/17 PendingBHAJANLAL CHAMPA DEVI BITHAURA BITHAURA PILIBhit 30.10.16 04/04/17 PendingSHATEES BABY DEVI KHANKA UCBEESALPUR PILIBhit 16.09.16 04/04/17 PendingYUNUS KHAN BHURI BEGUM KITNAPUR PILIBhit 18.11.2016 04/04/17 PendingNARENDRA SINGH SEEMA DEVI BILANDPURPOORANPUPILIBhit 20.09.16 04/04/17 PendingHARDWARI LAL NANHI DEVI FUTA KUW BEESALPUR PILIBhit 23.11.2016 04/04/17 PendingNARESH SINGH TARAWATI UGANPUR LALAURI PILIBhit 13.11.16 04/04/17 PendingUDAL SINGH MAINA DEVI JAHANABA JAHANABA PILIBhit 02/02/17 04/04/17 PendingBALWANT SINGH JASWANT KAUR JHAJHASPU HARJHASPUPILIBhit 22.10.16 04/04/17 PendingJAIENDRA SINGH MUNNI DEVI MADHAOGAKALI NAGA PILIBhit 14.03.17 10/04/17 PendingSALIK RAM RAMBETI DUDHICHIHPOORANPUPILIBhit 31.12.16 10/04/17 PendingSHYAM SUNDER URF BABURAM KALYANPURBARAT BOJ PILIBhit 08/12/16 10/04/17 PendingAARIF HUSAIN FARZANA B RASYAKHBEESALP PILIBhit 18/09/16 06/03/17 PendingAMAAN ULLA KHANRAHISAN BEGUM JADOPURPOORANPPILIBhit 30/09/16 12/03/17 PendingANIL KUMAR MUNNI DEI KHARDAHBEESALP PILIBhit 16/10/16 12/03/17 PendingBABLU SINGH KUMKUM SHIVNAG POORANPPILIBhit 05/11/16 12/03/17 PendingBENIRAM RAJRANI MARAORI PILIBHIT PILIBhit 23/10/16 12/03/17 PendingCHAMPA DEVI CHETRAM SABEPURBEESALP PILIBhit 26/09/16 03/03/17 PendingDATARAM MAHESH KUMAR JAGRAOLIPILIBHIT PILIBhit 29/09/16 16.03.17 PendingDHARAMPAL KISHORI DEVI KISHANP PILIBHIT PILIBhit 26/09/16 06/03/17 PendingDHARMENDA MEERA DEVI VILGAVA PILIBHIT PILIBhit 15/09/16 12/03/17 PendingDHARMENDRA KU ASHA DEVI KALYANP PILIBHIT PILIBhit 27/10/16 16.03.17 PendingDORI LAL MUNNI DEVI ROOPPURPOORANPPILIBhit 18/11/16 03/03/17 PendingGURMAIL SINGH PREETAM KUR CHANDOI POORANPPILIBhit 04/10/16 03/03/17 PendingHEERALAL KALAWATI SIRSA PILIBHIT PILIBhit 18/09/16 06/03/17 PendingJAGANNATH RAJRANI DEVIPUR PILIBHIT PILIBhit 27/09/16 16.03.17 PendingJAGVEER SINGH SARVAJEET KAUR SIRSA PILIBHIT PILIBhit 05/10/16 16.03.17 Pending

PILIBHIT

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KOKILA DEVI RAM PRASAD PATABHOPOORANPPILIBhit 12/09/16 06/03/17 PendingMEGHNATH PARVATI NADHA MADHAV PILIBhit 03/10/16 03/03/17 PendingMEGHNATH CHANDRA DEVI LALPURA KALINAG PILIBhit 30/10/16 16.03.17 PendingNARESH KUMAR CHAMELI DEVI CHAPRAOBEESALP PILIBhit 24/10/16 03/03/17 PendingNARESH SINGH SUSHMA DEVI BHAISTA BEESALP PILIBhit 09/10/16 06/03/17 PendingRAJESH KUMAR DROPADI DEVI SUKHDASPOORANPPILIBhit 21/11/16 12/03/17 PendingRAJU SARKAR MANA SARKAR NAGARIA POORANPPILIBhit 21/10/16 16.03.17 PendingSEWA RAM BHEESHMA DEMI MUDAILA PILIBHIT PILIBhit 21/09/16 06/03/17 PendingSHYAM CHARAN SHEELA DEVI PHOOTA BEESALP PILIBhit 28/10/16 06/03/17 PendingSUNDER LAL RAMDEI PITHARA PILIBHIT PILIBhit 01/10/16 16.03.17 PendingSUNIL AWASTI VINOD KUMARI TANDOLAPOORANPPILIBhit 24/09/16 03/03/17 PendingSUVAAN SHAH JARISA BEGUM GAJRAOLAPILIBHIT PILIBhit 11/10/16 06/03/17 PendingTAOKEER ALI HUSAN AARA TURKUNI PILIBHIT PILIBhit 08/09/16 06/03/17 PendingTRIVENDRA SINGHKAMLESH KUMARI GANGOOPBEESALP PILIBhit 30/10/16 16.03.17 PendingVINOD KUMAR RAJESHWARI DEVI KADER C GAJRAOL PILIBhit 18/09/16 03/03/17 Pending

PILIBHIT

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visra preserved no khatauninot head of familynot head of familynot head of familyNot being head of the family.not head of familyhead master in primary schoolnot head of familyNOT HOF NO KHATAUNI NO INCOME PROOFDEATH BEFOR COMMENCEMENT OF POLICYAGE ABOVE 78 YEARSNOT HEAD OF FAMILY

PILIBHIT

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RAMPUR

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RAMPURPAID CLAIMS

1 HARPAL SRAJVINDER KAUR KHANA LALA BILASPUR RAMPUR 06/10/16 500000 28.04.17 Death2 SUBHASHRANI DEVI MAJHRA SARA TANDA RAMPUR 07/10/16 500000 28.04.17 Death3 RAJENDRAMALDEI KOTHI JAGIR BILASPUR RAMPUR 13.10.16 500000 28.04.17 Death4 LAIK AHM SHEHNAZ BI KEMRI BILASPUR RAMPUR 24.09.16 500000 28.04.17 Death5 GURPREEBALJEET KAUR & BHUKSAURA BILASPUR RAMPUR 21.11.16 500000 02/05/17 Death6 KAMRUDDANISHA & OTHERSBHEETARGAONSHAHBAD RAMPUR 03/01/17 500000 02/05/17 Death7 KRISHNA AMARWATI CHANDPURA SASAHABAD RAMPUR 09/11/16 500000 02/05/17 Death8 HARVIND S LAKHVINDER KAUR VISHWASAT NAG BILASPUR RAMPUR 22.10.2016 25.01.17 500000 25.05.17 Death9 SATISH KU KANTI DEVI TANDA SHABAD RAMPUR 30.09.16 25.01.17 500000 28.05.17 Death

NO CLAIMS

1 DAYAWATI MUNENDRA KUMAR &SAIDNAGAR MILAK RAMPUR 16.11.16 08/02/17 28.05.17 NOT BEING HOF 2 JAGDISH NANHI KHANPUR UTRI SWAR RAMPUR 10/09/16 25.01.17 14.06.17 BEFORE COMMENCEMENT OF POLICY PERIOD3 KEDAR SIN CHOTEY LAL RAMPUR 21.10.16 27.06.107 NOT BEING HEAD OF FAMILY4 MOOLCHANRAM DAYAL LALPUR PATWAI RAMPUR 18.12.16 04/04/17 08.07.17 AGE ABOVE 70 YEARS5 RAJENDRA RADHEY SHYAM ROURA KALA MILAK RAMPUR 16.11.16 08/02/17 08.07.17 NOT DEPENDENT ON DECEASED

PENDING CLAIMSSURESH SA RAJKUMAR DIVYA NAGLA SAHABAD RAMPUR 11/10/16 27.12.2016 PendingMOHD HANBHULLO SAHRIYA NARPAT TANDA RAMPUR 19.09.2016 17.01.2017 PendingSWARAJ SI SUMAN DEVI CHANDPURI TANDA RAMPUR 24.10.2016 25.01.17 PendingDALJIT SIN BANLJIT KAUR CHANDAYAN BILASPUR RAMPUR 19.09.2016 25.01.17 PendingTEJPAL KAILASHO BHATTPURA TANDA RAMPUR 23.11.2016 25.01.17 PendingFATEH SIN PHOOLWATI GOVINDPURA SWAR RAMPUR 11/10/16 25.01.17 PendingAJAI PAL S GUDIYA DEVI DHANPURA TANDA RAMPUR 22.11.2016 08/02/17 PendingNARAYAN BHAGWATI KANAKPUR BILASPUR RAMPUR 17.11.16 08/02/17 Pending










RAMPUR

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MOHAR SI CHANDRWATI KHAJURIYA SADAR RAMPUR 05/11/16 08/02/17 PendingDHARMENDANITA DHAMAURA SWAR RAMPUR 21.11.16 08/02/17 PendingPRAMOD SI VINOD KUMARI MAHEWA SAHABAD RAMPUR 03/11/16 08/02/17 PendingTEEKARAM CHANDWATI AHRO JADID BILASPUR RAMPUR 15.10.16 08/02/17 PendingNIHAL SINGLADAITIYA KHOOTAKHEDA NARKHEDA RAMPUR 02/12/16 11/03/17 PendingRATAN LAL MUNNI DEVI REHPURA MILAK RAMPUR 21.10.16 11/03/17 PendingNANIYA DEVSOHAN SINGH KASAMNAGLA SAGARPUR RAMPUR 30.10.16 11/03/17 PendingBRIJLAL VIMLA DEVI SHERA KALA MILAK RAMPUR 24.11.16 11/03/17 PendingMUKHTYAR JASVEER KAUR DHAKI MAISIYA JWALPURRAMPUR 17.12.16 11/03/17 PendingSHAMIM MUNNI HUSSAINGANJ SHAHBAD RAMPUR 23.11.2016 04/04/17 PendingMEHBOOB PYARI MADHUPURA SWAR RAMPUR 14.01.17 04/04/17 PendingKEDAR SIN CHOTELAL REHPURA MILAK RAMPUR 21.10.16 04/04/17 PendingISLAM HAKUMAT HUSSAINGARH SHAHBAD RAMPUR 28.11.2016 04/04/17 PendingMOHD RAFIMEHROON NISHA JUTHIYA SADAR RAMPUR 10/01/17 04/04/17 PendingJAHEER AH SHAHEEN BEGUM KHATA KALAN MILAK RAMPUR 25.01.17 04/04/17 PendingBUDHSEN NATHIYA CHIKTI RAMNAGASADAR RAMPUR 22.01.17 04/04/17 PendingSOMPAL SI BHURI PARCHAI MURSENA RAMPUR 08/03/17 04/04/17 PendingARBI HUSSABHURIYA HUSSAINGANJ SHAHBAD RAMPUR 28.11.2016 04/04/17 PendingPOORAN LAREESHU DEVI RAM NAGAR MILAK RAMPUR 17.02.17 10/04/17 PendingRADHEY LA BABITA MADHUPURI SHAHBAD RAMPUR 04/01/17 10/04/17 PendingBABU RAM HOMWATI NASRATNAGAR THAKIYA RAMPUR 14.11.16 04/04/17 Pending

SAHARANPUR

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SAHARANPURPAID CLAIMS

1 SOHAN LAL MUNESH LAUDI PUR BEHAT SAHARANPUR 15.10.2016 500000 24.04.17 Death2 RAM KUMAR RANI MAVI KHURD SAHARANPUR SAHARANPUR 27.09.16 500000 25.04.17 Death3 VIKRAM SINGH BABITA GOVIND GAR MAJRA SAHARANPUR 07/10/16 500000 26.04.17 Death4 SANDEEP KUMAR RUBI BATEDHI HARODA SAHARANPUR 24.09.16 500000 26.04.17 Death5 PINTU SARITA ATARGARH MAJRA SAHARANPUR 06/11/16 500000 26.04.17 Death6 SANWAR SINGH ANITA BASEDA DEOBAND SAHARANPUR 30.09.16 500000 26.04.17 Death7 ISAM SINGH RAJKALI KALSI NAKUD SAHARANPUR 06/11/16 500000 26.04.17 Death8 TASEEN ISTAKAN KUNDA KHUR NAKUD SAHARANPUR 12/11/16 500000 26.04.17 Death9 KANWAR PAL SUMAN JHADWAN NAKUD SAHARANPUR 03/12/16 500000 26.04.17 Death10 KATAR SINGH CHAMPA BAHADURPURNAKUD SAHARANPUR 10/10/16 500000 26.04.17 Death11 RAJESH KAVITA HARPAL NAKUD SAHARANPUR 16.11.16 500000 27.04.17 Death12 SULEKH CHAND KUSUM NAKUD SAHARANPUR 16.12.2016 500000 28.04.17 Death13 CHANDERPAL URF MALH KOMPA DADHLI RAJPUR SAHARANPUR 03/10/16 500000 01/05/17 Death14 SEWA REAM REKHA KARADIKHER BEHTA SAHARANPUR 24.09.16 500000 02/05/17 Death15 DHARMVEER SINGH USHA RANI PANSAR BEHAT SAHARANPUR 05/01/17 500000 02/05/17 Death16 GULAB SINGH MURTI JAIRAPUR KA BEHAT SAHARANPUR 01/01/17 500000 02/05/17 Death17 MANNU BEENA BHABHARI SAHARANPUR 24.11.16 500000 02/05/17 Death18 BABU RAM RAJKALI UNALI SAHARANPUR 17.12.16 500000 02/05/17 Death19 LEELA SINGH SURESHO JANGEDH NAKUD SAHARANPUR 21.01.17 500000 03/05/17 Death20 VED PAL URF VED PRAKABABLI SHEETAPLPU NAKUD SAHARANPUR 13.02.17 500000 03/05/17 Death21 AJAY KAVITA DEVI JUDDI NAKUD SAHARANPUR 22.02.17 500000 03/05/17 Death22 NAKLI RAM KAMLESH TAKIPUR SHERUR SAHARANPUR 20.02.17 500000 03/05/17 Death23 RANJAN KUMAR POONAM DEVI RAMPUR MANIHARAN SAHARANPUR 13.02.17 04/04/17 500000 25.05.17 Death24 SANDEEP SINGH MEENA DEVI GAJESHPUR SUNDERPUR SAHARANPUR 01/11/16 03/03/17 500000 28.05.17 Death25 RANJAN KUMAR POONAM DEVI RAMPUR MANIHARAN SAHARANPUR 13.02.17 04/04/17 500000 29.05.17 Death26 SOMPAL MUKESH BHOJPUR RAMPUR MANIHARASAHARANPUR 25.02.17 10/04/17 500000 29.05.17 Death27 BOBINDRA ANNU JADAUDA RAMPUR MANIHARASAHARANPUR 08/02/17 10/04/17 500000 29.05.17 Death

NO CLAIMS1 ASHOK KUMAR SARVISHTA KOLKI RADHASAHARANPUR SAHARANPUR 15.10.16 08/02/17 10/02/17 pmr not done2 KAMLESH DEVI SITAB SINGH DAIDNAUR SAHARANPUR SAHARANPUR 23.12.16 04/04/17 07/04/17 Not being head of the family.3 NAFISA AKRAM & OTHE FARAKHPUR SAHARANPUR SAHARANPUR 12/11/16 08/02/17 10/02/17 not head of family4 RAJBALA AMAR SINGH SAHAJWA SAHARANPUR SAHARANPUR 06/02/17 03/03/17 06/03/17 not being head of family and bread earner5 SUNNY OMWATI GANGOH NAKUR SAHARANPUR 19.11.201 23.01.2017 26.01.17 Not being head of the family.6 VIJAY SINGH POONAM RARKHANDI DEOBAND SAHARANPUR 17.09.201 12/01/16 15.01.17 DUE TO ILLNESS7 RAJENDRA ANARKALI BISHANPUR NAKUD SAHARANPUR 17.11.16 08/02/17 Not being head of the family.8 FAKRE ALAM SAISTA SHEKHPURA KADEEM SAHARANPUR 24.12.16 03/03/17 NO PMR

PENDING CLAIMSSHARAWAN AMARWATI HASANPUR MASLAWA SAHARANPUR 26.09.16 12/01/17 PendingYAMEEN SABIRI KUNDA KHURD NAKUD SAHARANPUR 12/11/16 12/01/17 PendingRAM BEER PREM LALA KARAUNDI BEHAT SAHARANPUR 06/10/16 12/01/17 PendingJAI SINGH AWINASH KUMAR KULHEDI NAKUD SAHARANPUR 21.12.16 23.01.2017 PendingSADA URF IRSHAD AKRAM & OTHERS FARAKHPUR BEHAT SAHARANPUR 12/11/16 08/02/17 PendingMANGE RAM ANJU TABAR NAKUD SAHARANPUR 19.10.16 28.02.17 PendingLAKHAN VEDWATI TABAR NAKUD SAHARANPUR 25.01.17 03/03/17 PendingRAJESH KAILASHO SARAG THALWA NAKUD SAHARANPUR 28.12.16 03/03/17 PendingJASVEER SINGH BIRJESH YADAV BHABHARI BABRI SAHARANPUR 21.12.16 03/03/17 PendingMOHD JAHID AKHTAR BANJARAN NAK NAKUD SAHARANPUR 12/09/16 03/03/17 PendingDESHRAJ DARSHAN SINGH RAMDASPUR NAGAL SAHARANPUR 01/02/17 11/03/17 PendingANKIT SAINI SUBLESH DHALA MAJRA CHAURADEV SAHARANPUR 24.11.16 11/03/17 PendingNOOR HASAN FARJANA SHAHPUR DAUD SAHARANPUR 15.01.17 11/03/17 PendingMULKI RAMESHO MORPUR JADPUR SAHARANPUR 01/01/17 04/04/17 PendingKUL BHUSHAN VIMLESH DHAPAL MANOHARPUR SAHARANPUR 14.01.17 04/04/17 PendingBRAHMPAL SINGH BRAHMPAL SINGH PAHASU RAMPUR SAHARANPUR 05/03/17 04/04/17 PendingSANDEEP MAYANK NANHEDA KALA BADAGAON SAHARANPUR 03/11/16 04/04/17 PendingNEERAJ KUMAR SHALU JADAUADA PAN RAMPUR SAHARANPUR 08,.02.17 04/04/17 PendingAMAR SINGH URF PAPPU RAMPUR JANGHEDA SAMASPUR SAHARANPUR 28.02.17 04/04/17 PendingKUNWARPAL VIKAS DAUDPUR BEHAT SAHARANPUR 16.09.16 04/04/17 PendingANOOP KUMAR MAHAKWATI BHAGWANPUR RAMPUR MANIHARASAHARANPUR 14.02.17 10/04/17 PendingARVIND KUMAR RAVITA KISHANPUR NAKUD SAHARANPUR 04/03/17 10/04/17 PendingPRAVEEN KUMAR NISHANT KUMAR GUDAMB RAMPUR MANIHARASAHARANPUR 19.01.17 10/04/17 PendingJAGPAL KANTU BHANKALA RAMPUR MANIHARASAHARANPUR 29.01.17 10/04/17 PendingFOOL KUMAR OMWATI KISHAN KHEDI RAMPUR MANIHARASAHARANPUR 28.12.16 10/04/17 PendingMANOJ KUMAR BABITA DEVI RAAGHKHADI DEVBAND SAHARANPUR 08/01/17 10/04/17 PendingRASHID SHAHIRA CHAU SAHASPU NAKUD SAHARANPUR 10/01/17 10/04/17 PendingLALA OMKALA KURDIKHEDA BEHAT SAHARANPUR 12/12/16 10/04/17 PendingBOBINDRA ANNU JADAUDA RAMPUR MANIHARASAHARANPUR 08/02/17 10/04/17 PendingPANKAJ KUMAR ANITA DEVI RANKHANDI DEVBAND SAHARANPUR 08/01/17 10/04/17 PendingMAHIPAL SONIYA SANSARPUR BEHAT SAHARANPUR 10/02/17 10/04/17 PendingANKIT KUMAR PINKI SADAULI BEHAT SAHARANPUR 14.10.16 10/04/17 PendingSOMPAL VARSHA & OTHERSSADHAULI FAIZABAD SAHARANPUR 13.10.16 10/04/17 PendingOM SINGH SUSHILA KAMALPUR BEHAT SAHARANPUR 22.09.16 10/04/17 PendingMITHUN SONIYA SANGTEDA MAHANGI SAHARANPUR 28.02.17 10/04/17 PendingJAVED ABDA TAULI KALSIYA SAHARANPUR 17.03.17 10/04/17 PendingBINDER URF RAVINDER KUSUM UMRIKALA RAMPUR MANIHARASAHARANPUR 23.03.17 10/04/17 PendingVIJAY SINGH TRISHALA MALLOPUR KAD NAGRAJPUR SAHARANPUR 31.03.17 10/04/17 PendingAMIT KUMAR RUMA JAIPURA MADHOPUR SAHARANPUR 31.12.16 10/04/17 PendingSUBEG SINGH RAJ KAUR PUNDEN PUNDEN SAHARANPUR 30.03.17 10/04/17 PendingVINOD SHIMLA BANHEDA RAMPUR MANIHARASAHARANPUR 24.02.17 10/04/17 PendingSHAHRUKH ISRAT CHARAUH RAMPUR MANIHARASAHARANPUR 06/10/16 10/04/17 PendingMANGERAM NAKUD BEERAKHEDI GANGOT SAHARANPUR 15.03.17 10/04/17 PendingMITHUN BALESH PITHAURI SANSARPUR SAHARANPUR 30.10.16 10/04/17 PendingSUBODH KUMAR SHIMLA PITHAURI SANSARPUR SAHARANPUR 05/11/16 10/04/17 PendingSUKHPAL POONAM DEVI ALIPURA BEHAT SAHARANPUR 29.03.17 10/04/17 PendingSUMIT KUMAR SUNITA BEGUMPURA CHAKDALA SAHARANPUR 05/05/17 10/04/17 PendingLILLU RUKMESH LUKADARI BADAGAON SAHARANPUR 27.11.2016 04/04/17 Pending










SAMBHAL

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SAMBHALPAID CLAIMS

1 MOHD.ARKAN MUHAMMADI BEGUM 17,MIYAN SARAISAMBHAL SAMBHAL 03/10/16 500000 24.04.17 Death2 MATLAB HUSSAIN MANAGRI BEGUM HARSINGHPUR ASMAULI SAMBHAL 29.09.2016 500000 25.04.17 Death3 PYARE LAL MAYA DEVI RAMPURA JAAT NAKASA SAMBHAL 02/10/16 500000 25.04.17 Death4 SADHU RAM PREM WATI PAUTIA CHAUDHARPUR SAMBHAL 08/11/16 500000 25.04.17 Death5 RAM VEER RAJENDRI HASANGARH SIKANDARPUIR SAMBHAL 09/11/16 500000 24.04.17 Death6 SATYA PRAKASH AMNA LODI SARAI NAI BASTI SAMBHAL 31.10.2016 500000 25.04.17 Death7 GAJENDRA SINGH SHASHI HAZI BEDA SATPURA SAMBHAL 29.09.16 500000 25.04.17 Death8 ASRAR HUSSAIN SAKINA GOVIND NAGAR SAMBHAL 07/11/16 500000 28.04.17 Death9 MEGHRAJ SINGH MEENA DEVI MOHAMMADPURTANDA SAMBHAL 23.10.2016 500000 28.04.17 Death10 BALAK RAM URF NA MAMTA ATA CHANDAUSI SAMBHAL 11/11/16 500000 28.04.17 Death11 CHAMAN SINGH RAMWATI NANDPUR BEETSAIDPUR GANGUSAMBHAL 09/01/17 500000 03/05/17 Death12 PANNA LAL JALEBI TUMARIYA GHAT HARFARI SAMBHAL 23.02.17 04/04/17 500000 22.05.17 Death13 SURESH CHAND SOMWATI KARIYAMAI GUNNAUR SAMBHAL 25.02.17 04/04/17 500000 24.05.17 Death14 RAM KHILADI PAN DEVI SARANGPUR AMAKTI SAMBHAL 30.01.17 04/04/17 500000 28.05.17 Death15 DEEN DAYAL REENA DEVI MALLPUR BHAWANCHANDAUSI SAMBHAL 08/11/16 27.02.17 500000 28.05.17 Death16 MEHBOOBA MEHRUL NISHA HAZRATNAGAR SAMBHAL 12/03/17 16.02.17 500000 06.06.17 Death18 ROHIT KUMAR CHITRA PURI DAGAWAR SAMBHAL 16.02.17 10.04.17 500000 06.06.17 Death19 CHARAN SINGH OMWATI MAHMOODPUR DILPUR SAMBHAL 22.03.17 10.04.17 500000 06.06.17 Death

NO CLAIMS1 ARTI SEORAJ SINGH GADIYA JAGAN SAMBHAL SAMBHAL 12/10/16 25.01.17 27.01.17 not head of family2 BHURE SARASWATI RIWADA SAMBHAL SAMBHAL 14.12.16 02/03/17 05/03/17 Illness-heart attack3 BISHAN LAL DEVENDRA KAILI PATRASI SAMBHAL 13.10.201 26.12.2016 28.12.16 no legal heir4 CHAMELI MUKESH ARJUNPUR JUN SAMBHAL SAMBHAL 01/12/16 02/03/17 05/03/17 not head of family5 KAITKIYA MANVEER MILAK SIRSI SAMBHAL SAMBHAL 17.12.16 02/03/17 05/03/17 OVER AGE6 KRESH KUMAR RAJWATI BASLA SAMBHAL SAMBHAL 26.01.17 02/03/17 05/03/17 labour not a farmer7 MUKESH SARVESH MALUWA SAMBHAL SAMBHAL 05/01/17 02/03/17 05/03/17 neither farmer nor BPL card holder8 ROBIN KUMAR VIJAY SINGH MEERUT MEERUT SAMBHAL 16.12.201 02/03/17 25.05.17 NOT BEing head of the family.9 BAL KESH VEERANIYA SUNWAR SARAY CHAPRA SAMBHAL 29.12.16 04/04/17 25.05.17 AGE LESS THAN 18 YRS10 RAJESH VIRENDRA SINGH GURSHARI BILARI SAMBHAL 18.02.17 04/04/17 25.05.17 no legal heir









SAMBHAL

Page 64

11 KALAWATI DEVI BEERBAL TUMARIYA GHAT GUNNAUR SAMBHAL 23.02.17 04/04/17 25.05.17 NOT BEing head of the family.12 MUNNI BHAGWAN SINGH CHAPRA GUNNAUR SAMBHAL 22.12.16 04/04/17 25.05.17 NOT BEing head of the family.13 SMT POONAM RAM NIWAS SAMBHAL 22.12.16 04/04/17 14.06.17 not head of family14 SAMPOL SINGH JITENDRA PAL SINGH SAMBHAL 22.11.16 04/04/17 14.06.17 NOT DEPENDENT ON DEACEASED15 VIMLESH OMKAR SINGH SAMBHAL 07.12.17 04/04/17 27.06.17 NOT BEING HEAD OF FAMILY

16 VIJENDRA SINGH REEMA DEVI SAMBHAL 15.03.17 04/04/17 27.06.17 DEATH DUE TO HEART ATTACK17 RAJESH MORE WATI SAMBHAL 19.02.17 04/04/17 27.06.17 NOT BEING HEAD OF FAMILY

PENDING CLAIMSSONU KUMAR SWATI SINGH SAIDPUR,JASKAULI ASMOLI SAMBHAL 01/10/16 30/11/2016 PendingRAJESH KUMAR REKHA UDRANPU KHAGI GUNNAUR SAMBHAL 14.09.16 19/12/16 PendingVIERENDRA NAIFEESIA KAILI PATRASI DAK KHANA SAMBHAL 08/10/16 26.12.2016 PendingSMT. KAMLESH DEVI DHAMENDRA KHERA KHAS CHANDAUSI SAMBHAL 13.11.16 16.01.2017 PendingGUFRAN AFSARI BEGUM SAIL KHAN SARAY SAMBHAL 07/11/16 25.01.17 PendingSHISHUPAL SINGH RAMPYARI GANGAHETA SAMBHAL 31.10.2016 30.01.17 PendingBABLU RAJNI MAUJAMPUR BISHANPUR SAMBHAL 05/12/16 08/02/17 PendingSHANTI DEVI MOHAR SINGH CHIMYAWALI SAMBHAL 04/10/16 08/02/17 PendingHEMENDRA RAJESHWARI DEVI BURRAI CHANDAUSI SAMBHAL 02/12/16 08/02/17 PendingSANJAY KUMAR VEERVATI VASLA SAMBHAL 15.10.16 27.02.17 PendingRAMVEER SINGH BHURI DEVI BHULAWAI CHANDAUSI SAMBHAL 17.01.17 02/03/17 PendingASHOK KUMAR SHARMAPINKI GURETHA MAJHRA GUNNAUR SAMBHAL 26.11.16 02/03/17 PendingDHARMPAL URMILA FATEHPUR GUNNAUR SAMBHAL 19.12.16 02/03/17 PendingVEER SINGH VIRMA DEVI SAKIN SHOBHA PUR SAMBHAL 16.12.16 02/03/17 PendingROBIN KUMAR VIJAY SINGH SAIDPUR JASKOLI SAMBHAL 16.12.16 11/03/17 PendingVIJAY PAL MEENA DEVI PANIWADA NYORA SAMBHAL 02/02/17 04/04/17 PendingPAPPU KULWANTI BAMNETA CHANDAUSI SAMBHAL 20.11.16 04/04/17 PendingRAM BABU CHANDRWATI CHIRBARA GUNNAUR SAMBHAL 31.12.16 04/04/17 PendingCHANDRA PAL SHEELA DEVI SAEDORA NYORA SAMBHAL 03/02/17 04/04/17 PendingDINESH MEENA KESARPUR RAJPURA SAMBHAL 05/03/17 04/04/17 PendingJAI PAL SINGH KEHLO NAGALIA BHUD BEHJOI SAMBHAL 29.10.16 04/04/17 Pending

SHAHJAHANPUR

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SHAHJAHANPURPAID CLAIMS

1 SHYAMPAL SINGH RAJKUMARI NABADA TILHAR SHAHjahanpur 11/11/16 500000 16.03.17 Death2 OMPAL PRIYANKA GOPALPUR TILHAR SHAHjahanpur 07/10/16 500000 19.03.17 Death3 SURESHCHAND RAM DEVI RAFIYABAD JALALABAD SHAHjahanpur 27.09.16 500000 19.03.17 Death4 DRONA SINGH RAM BETI PAHNA KHAS PAHNA SHAHjahanpur 18.10.16 500000 20.03.17 Death5 BHRAMAR PAL RAJ KANYA BAHARIA SHAHjahanpur 27.11.2016 500000 20.03.17 Death6 RAM NIWAS KATORI DEVI SARAIA BAAN GAON SHAHjahanpur 14.10.2016 500000 17.03.17 Death7 VINOD SINGH SUMAN DEVI KHANPUR SADAR SHAHjahanpur 31.10.2016 500000 17.03.17 Death8 INDRAPAL REENA GUDIYAKAL JALALABAD SHAHjahanpur 06/12/16 500000 17.03.17 Death9 PURAN LAL KAMLA MEH MODYAJALALABAD SHAHjahanpur 29.10.16 500000 21.03.17 Death10 SUNDER LAL GANGWAR MAHENDRAWATVEERAMPU TILHAR SHAHjahanpur 26.12.16 500000 21.03.17 Death11 SANTOSH KUMAR MISRA NISHA DEVI BANKA COL RAUJA SHAHjahanpur 23.10.2016 500000 17.03.17 Death12 RAMAI RAMA NIZAMPUR SHAHABAJ NA SHAHjahanpur 19.10.2016 500000 17.03.17 Death13 BUDHSEN SHAKUNTALA DAKBARI TILHAR SHAHjahanpur 11/10/16 500000 17.03.17 Death14 BASANT RAJRANI SEHRAMAU WEST SHAHjahanpur 18.10.16 500000 17.03.17 Death15 HARISH CHAND CHAMELI DEVI BEBAHA TILHAR SHAHjahanpur 06/11/16 500000 18.03.17 Death16 RAM CHAND CHAMELI DEVI HASAUVA TILHAR SHAHjahanpur 18.11.2016 500000 18.03.17 Death17 RAMNARESH NEERU VERMAGURDHIYA MURADPUR SHAHjahanpur 28.10.16 500000 18.03.17 Death18 JAI SINGH MAYAWATI KUA DADA SADAR SHAHjahanpur 26.12.16 500000 18.03.17 Death19 OM PRAKASH SINGH SUMAN DEVI FUNIYA SHAHjahanpur 12/01/17 500000 18.03.17 Death20 OM PAL SINGH SANTOSH KUMBAMIHANA SHAHjahanpur 21/01/17 500000 18.03.17 Death21 PREM PAL SINGH MANJU DEVI KHUTARIYA SADAR SHAHjahanpur 11/02/17 500000 18.03.17 Death22 BEERPAL ISHWARA DEVIMITEPUR SADAR SHAHjahanpur 06/01/17 500000 18.03.17 Death23 YADRAM SHEELA RAIPUR TILHAR SHAHjahanpur 17.01.17 03/04/17 500000 25.05.17 Death24 AJAD SUSHILA AMAIPUR TILHAR SHAHjahanpur 11/01/17 04/04/17 500000 25.05.17 Death25 SHRI KANT MISHRA VIMLA DEVI MISHRA SHAHjahanpur 13.10.2016 500000 25.05.17 Death 73126 RAM AWTAR SADA PYARI THIGRI JALALABAD SHAHjahanpur 29.011.2016 12/01/16 500000 28.05.17 Death27 VICHITRA SINGH RAJWANT KAUR DHEEMARPURPUWAYAN shAHjahanpur 02/11/16 30.01.17 500000 28.05.17 Death28 NATHHU GIRI RAM BETI KUNDARIYA JALALABAD SHAHjahanpur 14.09.16 04/04/17 500000 28.05.17 Death29 RAM CHARAN RAM WATI CHANDAPUR SADAR SHAHjahanpur 13.01.17 04/04/17 500000 28.05.17 Death30 RAJU SHARMA MEEERA SHARMAKONHANI DEV TILHAR SHAHjahanpur 28.03.17 10/04/17 500000 30.05.17 Death31 KANSHI NATH RAMBETI HABIBULLAH AMRITPUR SHAHjahanpur 10/11/16 08/02/17 500000 30.05.17 Death32 SHIV DAS DULARI RAHEEMPUR SHAHjahanpur 12/03/17 04/04/17 500000 30.05.17 Death33 SUBHASH SINGH SANTOSH SINGH SAJAINA JALALABAD SHAHjahanpur 17.02.17 04/04/17 500000 30.05.17 Death34 RATANPAL PAPPI CHAURAVKHE KALAN SHAHjahanpur 10/02/17 04/04/17 500000 30.05.17 Death35 RAMNARESH YAMLA NAUGAON SHAHjahanpur 21.02.17 04/04/17 500000 14.06.17 Death36 RAMGOPAL SUNITA NIKURRA KALAN SHAHjahanpur 10/02/17 04/04/17 500000 14.06.17 Death37 RATANPAL PAPPI CHAURAVKHKALAN SHAHjahanpur 10/02/17 04/04/17 500000 14.06.17Death38 RAM HARAKH KALAWATI HANSPUR CHANDPUR SHAHjahanpur 03/02/17 10/04/17 500000 27.06.17Death39 RAM NIWAS RAM NIWAS PASANKHAND GURGAON SHAHjahanpur 23.02.17 04/04/17 500000 27.06.17Death40 SHYAM SUNDER SHARMA KALAWATI KHASA BADAGAON SHAHjahanpur 24.02.17 04/04/17 500000 27.06.17Death41 DEVNARAYAN GANGWAR MAYA DEVI DEVKALI PUWAYAN SHAHjahanpur 11/10/16 30.01.17 500000 05.07.17Death










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42 RATERAM RAMBETI SAUDHA TILHAR SHAHjahanpur 16.02.17 10/04/17 500000 05.07.17Death43 KAMLESH SINGH SUNITA HARNAI HALU SHAHjahanpur 03/04/17 10/04/17 500000 05.07.17Death44 SATYAPAL SATYAWATI RAGHAV PUSADAR SHAHjahanpur 03/04/17 10/04/17 500000 05.07.17Death45 CHOTELAL SHANTI DEVI SISOYA SADAR SHAHjahanpur 04/03/17 10/04/17 500000 05.07.17Death46 BHURELAL URF RANVEER RAM KHILAUNA SAJAINA JALALABAD SHAHjahanpur 16.01.17 04/04/17 500000 05.07.17Death

NO CLAIMS1 AJAYVEER URF MITTU JAIPAL SINGH DADIURA SADAR SHAHjahanpur 14.10.16 08/02/17 12/02/17 Death not head of family2 ANURUJ KUMAR SUSHILA DEVI DEVKALI JALALABAD SHAHjahanpur 05/11/16 08/02/17 12/02/17 Death not head of family3 BHUPENDRA SINGH OM WATI CHANDAPU SADAR SHAHjahanpur 22.10.2016 12/01/16 15.01.17 Death Not being head of the family.4 GUDDI DEVI BITTA DEVI RAM NAUSASIMGANJ SHAHjahanpur 01/11/16 10/12/16 12/12/16 Death Not being head of the family.5 RAJVEER SANGEETA BANDHI CH TILHAR SHAHjahanpur 16.09.16 30.01.17 02/02/17 Death electric shock6 RAMLALI MUKESH & OT BASANTPURPUWAYAN SHAHjahanpur 15.09.2016 30.01.17 02/02/17 Death before commencement of policy 13/09/167 RAMPAL PAWAN KUMARBATLAIYA KATRA SHAHjahanpur 03/12/16 08/02/17 12/02/17 Death not head of family8 SHARAFAT ALI AASMA ISLAM NAG KATRA SHAHjahanpur 28.09.2016 23.01.2017 25.01.17 Death before commencement of policy 9 SORAN SHIVSARAN RAULI BORI JALALABAD SHAHjahanpur 27.01.17 03/04/17 07/04/17 Death not head of family10 SONU SETHPAL BARIKHAS RUDRAPUR SHAHjahanpur 29.12.16 04/04/17 14.06.17 Death Not being head of the family.11 GANGA PRASAD DEVESH KUMAR GHATIPURA PRITHVIPUR SHAHjahanpur 28.11.2016 08/02/17 14.06.17 Death Not being head of the family.12 SOHAN LAL SHER SINGH & OTNAGALA BHOJ SIDHAULI SHAHjahanpur 07/10/16 04/04/17 14.06.17 Death NOT HEAD OF FAMILY CLAIMED BY MARRIED SON13 HARISH CHAND MAYA DEVI NIKURRI DAUDPUR SHAHjahanpur 10/02/17 04/04/17 14.06.17 Death NOT HEAD OF FAMILY AND BREAD EARNER14 KALLU KESHAN DANEHA MANIIHAR SHAHjahanpur 02/02/17 04/04/17 14.06.17 Death NOT HEAD OF FAMILY AND BREAD EARNER NO KHATAUNI & INCOME PROOF15 KAMRAJ SINGH MITHLESH KUMARINDERPUR KATRA SHAHjahanpur 31.01.17 10/04/17 14.06.17 Death NOT HEAD OF FAMILY AND BREAD EARNER NO KHATAUNI & INCOME PROOF16 RAM CHAHETI PRITHVIRAJ SING SETHA KALAN SHAHjahanpur 18.01.17 10/04/17 08.07.17 Death NOT HOF NO KHATAUNI NO INCOME PROOF17 SHAILENDRA SINGH SEEMA JALALABAD DEHNA SHAHjahanpur 25.10.16 17.01.2017 08.07.17 Death NO PMR ,PUNCHNAMA, KHATAUNI, INCOME PROOF18 VIJENDRA SURENDRA SINGHRADHAVPUR KHUDAGANJ SHAHjahanpur 10/10/16 04/04/17 08.07.17 Death NOT HOF CLAIMED BY MARRIED BROTHER19 VIJAY KUMAR SRIVASTAVA KANTI DEVI DHAKIYA TIWANIGOHI SHAHjahanpur 26.03.17 10/04/17 08.07.17 Death NOT HOF DECEASED' FATHER ALIVE

PENDING CLAIMSParvati Devi Rameshwar Yada Mananpur Kalan Shahjahanpur 15/10/16 26/10/16 PendingMANISH KUMAR SARITA DEVI NAUGAWAN TILHAR SHAHjahanpur 01/01/16 12/01/16 PendingOMPRAKASH LAKSHMI DEVI BAUTHA PUWANYA SHAHjahanpur 14.11.16 18.01.2017 PendingKALYAN SINGH BEENA SHAHJAHANP SHAHJAHANPUR SHAHjahanpur 01/10/16 18.01.2017 PendingSUDHANSHU BHATNAGAR MOHNI BHATNAGKUWAR GANJ TILHAR SHAHjahanpur 12/12/16 18.01.2017 PendingRAM AWTAR GUDDI RAGHAV PUR TILHAR SHAHjahanpur 03/11/16 18.01.2017 PendingKULDEEP ROOPRANI MOTI NAGLA JALALABAD SHAHjahanpur 27.09.2016 17.01.2017 PendingAMAR SINGH KANYAWATI SIDHAULI PUWAYAN SHAHjahanpur 15.10.16 30.01.17 PendingOM PRAKASH ASHOK & OTHERSDIYARIYAN PUWAYAN SHAHjahanpur 08/10/16 30.01.17 PendingISHRAT KHAN ISRAT & OTHERS SAKRAPUR PUWAYAN SHAHjahanpur 03/02/16 30.01.17 PendingKALLU URF AMIT TIWARY ANITA DADRAUL SADAR SHAHjahanpur 01/12/16 30.01.17 PendingMANOJ KUMAR BABLI SINGH FANEG SADAR SHAHjahanpur 23.10.2016 08/02/17 PendingSANDEEP KUMAR RAGINI DEVI KAANTH PANDECHA SHAHjahanpur 21.11.16 08/02/17 PendingPARI MOHAMMED AISHA BANO THIGRI JALALABAD SHAHjahanpur 22.10.16 08/02/17 PendingRAMRAJ ANJALI RAMPUR CHAURASIA SHAHjahanpur 30.09.16 08/02/17 PendingSANJU SINGH SANTOSH KUMARRAGHUNATHPJALALABAD SHAHjahanpur 12/10/16 08/02/17 PendingHARIOM SOMWATI BABUPUR KATRA SHAHjahanpur 22.10.16 08/02/17 PendingPUSHPENDRA REKHA UJERA JALALABAD SHAHjahanpur 11/12/16 08/02/17 PendingRAMESHWAR NANHI DADAU SADAR SHAHjahanpur 25.10.16 28.02.17 PendingSANTOSH KUMAR NEETU DEVI GADIYA SARELSARELI SHAHjahanpur 21.11.16 28.02.17 PendingRAM BHAJAN AHIWARAN & OT VIKRAMPUR PUWAYAN SHAHjahanpur 25.10.16 28.02.17 PendingNASIR NANHI DEVI KANTH SADAR SHAHjahanpur 08/11/16 21/03/17 PendingDEVENDRA KAVITA MARENA AMAURA SHAHjahanpur 13.12.16 11/03/17 PendingMOHAR SINGH RAJVANT KAUR DAMDAUR SADAR SHAHjahanpur 03/02/17 11/03/17 PendingRAM GOPAL RAM LAL BAJPAI BAJRIYA KHUTAR SHAHjahanpur 25.12.16 03/04/17 PendingRAVI KUMAR PREM LATA KHUTAR KHAS PUWAYAN SHAHjahanpur 16.12.16 03/04/17 PendingSANJAY KUMAR SUKUN MOHADIPUR PUWAYAN SHAHjahanpur 28.12.16 03/04/17 Pending

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BRIJESH KUMAR GEETA BHUNASH JALALPUR SHAHjahanpur 16.10.16 03/04/17 PendingBRIJESH KUMAR MAMTA DEVI GAMEPARA TILHAR SHAHjahanpur 18.12.16 03/04/17 PendingDAYARAM MUNNI DEVI BHANPURA TILHAR SHAHjahanpur 15.01.17 03/04/17 PendingDHAKAN LAL GUDDI DEVI HAJIPURA TILHAR SHAHjahanpur 11/11/16 03/04/17 PendingSUBHASH ARCHANA DEVI BANGAON PUWAYAN SHAHjahanpur 03/01/17 04/04/17 PendingRAM PRASAD GUDDO DEVI CHANDPUR PUWAYAN SHAHjahanpur 29.11.2016 04/04/17 PendingRAJU SONAM DEVI HETAMPUR ROJA SHAHjahanpur 06/08/16 04/04/17 PendingCHOTE LAL RAMRATI PIPRAULA SADAR SHAHjahanpur 14.02.17 04/04/17 PendingRAJENDRA SINGH URMILA VIKRAMPUR KALAN SHAHjahanpur 21.01.17 04/04/17 PendingSONPAL GEETA SEHRAMAU SADAR SHAHjahanpur 11/11/16 04/04/17 PendingRAHUL KASHYAP BABLI SEHRAMAU SADAR SHAHjahanpur 11/11/16 04/04/17 PendingSHIV DAS DULARI RAHEEMPUR SHAHjahanpur 12/03/17 04/04/17 PendingSUBHASH SINGH SANTOSH SINGH SAJAINA JALALABAD SHAHjahanpur 17.02.17 04/04/17 PendingSHYAM BAHADUR RAULI RAFIYABAD KALAN SHAHjahanpur 03/01/17 04/04/17 PendingSHYAM SINGH SARLA SUNARA BUJU PUWAYAN SHAHjahanpur 28.02.17 04/04/17 PendingVISHANDAYAL RAMPOTHI BARNAI SADAR SHAHjahanpur 17.03.17 04/04/17 PendingDHARMENDRA KUMAR SHIV KUMARI KUNTAMBAPUSOHARAMAU SHAHjahanpur 19.01.17 10/04/17 PendingSATYAVEER SINGH RINKI SAKATIYA BAHADURPUR SHAHjahanpur 04/03/17 10/04/17 PendingJADUNATH JAGDEVI SAROVAR NAGTILHAR SHAHjahanpur 05/03/17 10/04/17 PendingSUWAPAL KUNTI DEVI SARSAULI SHAHjahanpur 22.03.17 10/04/17 PendingJASHWANT ANEETA DEVI JIGANIYA PUWAYAN SHAHjahanpur 19.01.17 10/04/17 PendingHARI RAM KALAWATI KUWARPUR PUWAYAN SHAHjahanpur 22.11.2016 10/04/17 PendingRAMESH CHANDRA NIRMALA DEVI NAGRIKH JALALABAD SHAHjahanpur 02/10/16 10/04/17 PendingPREMPAL MAYAWATI SHAHBAJNAG SADAR SHAHjahanpur 31.01.17 10/04/17 PendingNANDLAL NATHA DEVI BICHAULI TILHAR SHAHjahanpur 11/02/17 10/04/17 PendingSHAKEEL PARVEEN BIJLIPURA SADAR SHAHjahanpur 26.03.17 10/04/17 PendingMEHRAMSINGH URMILA DEVI KEWAL RAMP JALALABAD SHAHjahanpur 09/03/17 10/04/17 PendingRAJPAL URMILA ABHAYAN KAANTH SHAHjahanpur 18.04.17 10/04/17 PendingANAND KUMAR RAM DEVI AMRAULI KAANTH SHAHjahanpur 13.03.17 10/04/17 PendingJUBAID KHAN ASHMA JIGNERA MALUPUR SHAHjahanpur 18.02.17 10/04/17 PendingMOHD ALI MADEENA KOLA ALHADPUR SHAHjahanpur 26.03.17 10/04/17 PendingJAMUNA DEVI SHANTI DEVI BAMBIHAR TILHAR SHAHjahanpur 04/03/17 10/04/17 PendingASHARAM PHOOLMATI MOHANPURKHUTAR SHAHjahanpur 02/10/16 02/03/17 PendingDILIP MAMTA URF MASANDA KHA NIGOHI SHAHjahanpur 23.09.16 11/03/17 PendingLIYAKAT RUKSARI BEG KARNAPUR PUWAYAN SHAHjahanpur 24.09.16 30.01.17 PendingVIJAY SINGH ASHA DEVI SARTHAULI SADAR SHAHjahanpur 31/10/16 21/03/17 Pending

SHAMLI

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SHAMLIPAID CLAIMS

1 DHARMENDRA SAVITA BAHAWADI SHAMLI SHAMLI 17/09/16 500000 25.04.17 Death2 SURENDRA SINILA DEVI DUNGUR BUDHANA SHAMLI 01/10/16 500000 25.04.17 Death3 BALDEV SINGHSUKHVINDER KKHADE SABHA UUN SHAMLI 05/11/16 500000 27.04.17 Death4 GOYAL MALA VISHALIYAN MAJ MAHIMAPUR SHAMLI 22.10.16 500000 01/05/17 Death5 AJIR URF WAZI JAIYDA BEGUM GANGAUS KAIRANA SHAMLI 14.10.16 500000 01/05/17 Death6 DHANENDRA NISHU MAHAWATPUR SHAMLI 07/12/16 500000 31.05.17 Death7 RAJIV KUMAR SUSHMA DEVI JHINJHANA UNN SHAMLI 17.01.17 500000 28.05.17 Death8 KRISHNA PAL BABITA SHAMLI 24.01.17 500000 28.05.18 Death9 ASS MOHMAMMRAHIL SHAMLI 19.12.17 500000 28.05.19 Death10 CHANDRABHANSANTOSH DEVI SHAMLI 01.01.17 500000 28.05.20 Death11 NAVEEN KUMA PINKI SHAMLI 19.03.17 500000 28.05.21 Death12 SANJAY KUMARANITA KHANDARAWALI KHAIRANA SHAMLI 17.02.17 10/04/17 500000 28.05.21 Death

NO CLAIM1 JAI PRAKASH KAVITA DEVI PURMAFI SHAMLI SHAMLI 06/12/16 25.01.17 27.01.17 home guard in HC dept.2 KESHO DEVI ARUN KUMAR &SUNNA SHAMLI SHAMLI 31.12.16 03/03/17 06/03/17 not head of family3 MUNNI CHANDRA PAL VAIDKHEDI BEDKHERI SHAMLI 13/10/201619/12/16 21.12.16 Not being head of the family.4 NEERAJ KUMARURMILA HAATHI KURAUDA SHAMLI 26.09.16 18.01.2017 20.01.17 Not being head of the family.5 PAPPU OMWATI 178 JHAL 03 SHAMLI 18.09.201629.11.2016 30.11.16 Not being head of the family.6 PRAMOD KUMARAJESH DEVI BHAJU SHAMLI SHAMLI 27.08.201605/01/17 07/01/17 BEfore commencement of policy 27/08/167 SOHAN GIRI RAJPAL JHAAL SHAMLI SHAMLI 19/09/16 14/12/2016 17.12.16 Not being head of the family.8 AMRESH SUSHIL & OTH SAKAUTI UUN SHAMLI 03/10/16 25.01.17 31.05.17 NO PMR10 RAHUL SAINI OMKALI JAINPURI GARHI PUKHTSHAMLI 07/01/17 10/04/17 20.06.17 LESS THAN 18 YRS11 MITTAL SINGH GEETA KHERI KAMRU SHAMLI 04/10/16 10/04/17 22.06.17 time barred12 SOHANVEER MUKESH MALICKARAUTI SHAMLI 02.12.16 10.04.17 27.06.17 GOVT. EMPLOYEE

PENDING CLAIMSOM SINGH SANGEETA PAJEED KAIRANA SHAMLI 16.11.16 18.01.2017 PendingBHRAHMPAL URKAUSHAL ALINAGR MAJRA KAUSHAL SHAMLI 16.11.16 08/02/17 PendingSOHAN LAL GIRRAJPAL GIRI JHAAL SHAMLI 19.09.201608/02/17 PendingANUJ KUMAR YOGITA BADHEV KANNU KHEDSHAMLI 07/10/16 08/02/17 Pending









मृत्य/ुकिवलारं्गता/उपचा%(ै;लेस/%ीम्बुस्मAट

SHAMLI

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SHAKUNTALA PRAYAS MALIK CHUSNA CHUSNA SHAMLI 18.03.17 10/04/17 PendingSATPAL SINGH BABITA RETI BHAWAN SHAMLI 01/10/16 10/04/17 PendingSANDEEP KUM REKHA HIRANWADA SHAMLI 09/03/17 10/04/17 PendingSURENDRA SINHARBIRI YARPUR BHAWAN SHAMLI 27.11.2016 10/04/17 PendingJAIVEER SINGH SARITA DEVI LISAAD KANDHALA SHAMLI 21.01.17 10/04/17 PendingABHISHEK URF SANTOSH DEVIARYAPURI BANAT SHAMLI 19.02.17 10/04/17 PendingSATENDRA SIN SAROJ RANGANA UUN SHAMLI 03/04/17 10/04/17 …………… PendingRAJEEV DESHWSANGEETA KASERVA KHURD SHAMLI 31.12.16 10/04/17 PendingYOGESH KUMA MAMTA SARAOGYAN KAIRANA SHAMLI 19.02.17 10/04/17 PendingVINOD KUMAR KAMLESH KHERI KARMU SHAMLI SHAMLI 22.10.16 03/04/17 Pending

KANPUR NAGAR

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जिजला

KANPUR NAGARPAID CLAIMS

1 KAILASH VIMLA DAHELIA SUGHADEKANPUR NAGAR 12/10/16 500000 18.03.17 Death2 PRATAP NARAYA VETOL SAWALPUSHIVAJPUKANPUR NAGAR 27.10.2016 500000 18.03.17 Death3 RAM GOPAL GEETA MISRA SARAICH BILHAUR KANPUR NAGAR 10/10/16 500000 18.03.17 Death4 RAJENDRA PRAS SUSHMA BARAIGEEGHATAMPKANPUR NAGAR 05/12/16 500000 18.03.17 Death5 Rajan Smt. Patri Hirni,PatarGhatampu KANPUR 16/09/16 500000 18.03.17 Death6 Shiv Mohan Smt. Mamta Katra BahsSachendi, KANPUR 18.10.2016 500000 21.12.16 Death7 Ram Babu Smt. Sudha DevPratappur Narwal KANPUR 18.09.2016 500000 27.03.17 Death8 Ramesh Chandra Smt. Reeta Narwal Narwal KANPUR 27.09.2016 500000 27.03.17 Death9 Govind Ram Vidya Wati Karvigwan Karvigwan KANPUR 20/09/16 500000 27.03.17 Death10 Indra Prakash Sing Shailja Singh Tilsahri B Tilsahri KhKANPUR 11/10/16 500000 27.03.17 Death11 GHASEETE RAMBETI TILSAHRI TILsahri K KANPUR 11/10/16 500000 27.03.17 Death12 KRIPAL MEERA DEVI MANDILWSARSOL KANPUR 11/10/16 500000 27.03.17 Death13 INDRAPAL ANITA DEVI SAIDLIPU BHADASAKANPUR 22.09.2016 500000 29.03.17 Death14 SAMAN LAL SHEELU KATHARAKATHARAKANPUR 10/11/16 500000 29.03.17 Death15 MAHESH RAJ RAMKALI BADA GA KANPUR KANPUR 20.09.2016 500000 25.03.17 Death16 SATI PRASAD ASHISH HRIDAY PCHAUBEYKANPUR 20.11.2016 500000 19.03.17 Death17 MEWA LAL VIDHYAWATI RAGHUNAGhatampu KANPUR 05/11/16 500000 19.03.17 Death18 JAGDISH REETA BAGDHUAKACHCHAKANPUR 22/10/2016 500000 05/04/17 Death19 VIJAY MAYA DEVI SARSAUL KANPUR 27/09/2016 500000 12/04/17 Death20 AMIT TRIPATHI SHIKHA TRIPAT10/72 KHALASI LINE KANPUR 07/11/16 500000 13.04.17 Death21 INDRA KUMAR MITHILESH KU RADAULI Ghatampu KANPUR 02/11/16 500000 13.04.17 Death22 OM PRAKASH CHANDRA KUMNANAMAUBILLOHO KANPUR 30.10.2016 500000 13.04.17 Death23 RAM PRATAP SIN SMT. HIRA SIN MOHAMM SADAR KANPUR 20.11.2016 500000 13.04.17 Death24 RAM SHANKAR SUMAN DEVI KHERSA BIDHUNA KANPUR 15.10.16 500000 14.04.17 Death25 RAMENDRA SING SIYA DEVI RAJEPUR AMAUR KANPUR 09/11/16 500000 13.04.17 Death26 DINESH KUMAR USHA SINGH JIRAPUR KOSIYAN KANPUR 03/12/16 500000 13.04.17 Death27 BHUPKISHOR PAPPI DEVI JATIYAPUSIKANDA KANPUR 22.10.2016 500000 13.04.17 Death28 RAVINDRA SACHASUSHILA FARIDPU GHATAMPKANPUR 21.10.16 500000 16.04.17 Death29 KAILASH NARAYA PRIYANKA MIS SANIGAWSADAR KANPUR 25.12.16 500000 17.04.17 Death30 CHANDRA BHAN REKHA BAUSAR NARVAL KANPUR 31.10.2016 500000 17.04.17 Death31 NANKAU RAM DEVI DADARPUSAIKAR KANPUR 09/10/16 500000 17.04.17 Death











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32 BABU LAL SHYAM DULAIYJARAKHA RAATH KANPUR 13.01.17 500000 17.04.17 Death33 MAHENDRA SING AARTI DEVI JAMU KANPUR KANPUR 24/01/17 500000 18.04.17 Death34 RAJJAN LAL SHIVKUMARI DARIYAG BILLAHORKANPUR 19/11/16 500000 18.04.17 Death35 SHIV SINGH GUDDI SINGH KOHARA GHATAMPKANPUR 08/01/17 500000 18.04.17 Death36 BALWAN SINGH RAM SRI BAOSAR NARVAL KANPUR 18/01/17 500000 18.04.17 Death37 SARVESH KUMAR PRATIBHA TILSEHARI KANPUR 01/02/17 500000 19.04.17 Death38 MAHESH KUMAR MADHU LATA RAWATPUNARVAL KANPUR 07/11/16 500000 19.04.17 Death39 RAMESH YADAV MUNNI CHAKERI KANPUR 05/01/17 500000 19.04.17 Death40 MOOL CHAND GAYATRI GUJELA GHATAMPKANPUR 08/02/17 500000 20.04.17 Death41 VIJAY SHANKAR GEETA PANDE AMOUR NARVAL KANPUR 28.01.17 500000 21.04.17 Death42 PUTTAN LAL SHIVKANTI SARVANGNARVAL KANPUR 14.01.17 500000 21.04.17 Death43 SHIV SWAROOP NITIN KUSHWAARANJHA NARVAL KANPUR 01/02/17 500000 24.04.17 Death44 PRAMOD KUMAR RADHA MAHOLI SARSAUL KANPUR 13.01.17 500000 21.04.17 Death45 SHYAM NARAYAN KUSUMA BAKUNTNBAKUHPUKANPUR 23.02.17 500000 04/05/17 Death46 ABHILASH SINGH MANJU SINGH KATRA SACHENDKANPUR 19.02.17 500000 13.04.17 Death47 SRI RAM BHARTI BAI KURMI KHCHAUBEPKANPUR 08/03/17 500000 17.04.17 Death48 GOVIND SINGH AKANSHA SINGH POORAB PABIDHNU KANPUR NAGAR 03/11/16 03/02/17 500000 17.04.17 Death49 AMARPAL URMILA PAL BAHADURNPASCHIM P KANPUR 13.10.16 08/02/17 500000 13.04.17 Death50 RAM KARAN SUDAMA SAHU KANPUR 29/01/17 20/03/17 500000 17.04.17 Death51 VIVEK KUMAR MANJU LATA PATTEPUR GHATAMPUKANPUR 23.10.16 04/04/17 500000 17.04.17 Death52 DHARAMVEER SAROJ KUSIGAWA NARVAL KANPUR NAGAR 27.11.2016 03/02/17 500000 17.04.17 Death53 SURESH KUMAR SUNITA DEVI FATTEPUR SUNAUDA KANPUR NAGAR 03/12/16 03/02/17 500000 13.04.17 Death54 RADHEY LAL MUNNI DEVI DADIYA MABHERAMPUKANPUR 26..02.17 04/04/17 500000 17.04.17 Death55 KAUSHAL KISHORE MAYA DEVI FATEHPUR DHARAMPUKANPUR 28.12.16 04/04/17 500000 17.04.17 Death56 ARVIND KUMAR SARITA BHOGIPUR NARVAL KANPUR 19.01.17 04/04/17 500000 17.04.17 Death57 SWADESH KATIYAR MANJU DEVI NEWADA KAKOOPUR KANPUR NAGAR 15.03.17 10/04/17 500000 25.05.17 Death58 JALAJ SACHAN MADHU DEVI BEEHUPUR GHATAMPUKANPUR 18.01.17 03/04/17 500000 31.05.17 Death59 PREM PAL MAMTA KHARAGPRASOOLAKANPUR DEHAT 28/09/2016 500000 31.05.17 Death60 RAM VILAS SUSHILA DIBIYAPU DOMANPUKANPUR DEHAT 03/11/16 500000 31.05.17 Death61 INDRA KUMAR CHANDRAWATI HEMANT VIHAR KANPUR NAGAR 04/03/17 10/04/17 500000 21.06.17 Death62 JALALUDIN URF JAM JUBEDA ANEI BILHAUR KANPUR NAGAR 17.03.17 10/04/17 500000 21.06.17 Death63 RAMESH SITARA BILHAUR KANPUR NAGAR 18.01.17 10/04/17 500000 21.06.17 Death

NO CLAIMS1 ARIF AHMED FATIMA SIRSA KANPUR 01/07/16 25.01.17 27.01.17 before commencement of policy 2 ARUNA DEVI ALKA UMRAO AWAS VIKNAUBASTKANPUR 18.10.2016 23.10.2016 26.10.16 not BEing head of the family.3 AWADESH SOMWATI SACHENDSAChendi,KANPUR 28/10/2016 02/12/16 05/12/16 CAUSE OF DEATH NOT COVERED4 HITENDRA TRIVEDDILIP KUMAR TJAMU KANPUR 24/01/17 17/03/17 19.03.17 not head of family5 MAMTA RAMESH SING HARIPUR RAHIMPU KANPUR 19.12.16 08/02/17 11/02/17 not head of family6 MOHAN LAL MEERA DEVI RAJPURWAKHADESHKANPUR 01/11/16 13/12/2016 15.12.16 HOME GUARD7 RAJPAL RAM KUMARI NAVODAYSARSOL KANPUR 16.09.2016 23.11.2016 26.11.16 above age8 RAM KISHORE KISHAN KUMARMADOHA AKBARPUKANPUR 30.09.2016 27.12.2016 29.12.16 no PMR9 RAVENDRA PRATAKALPNA SINGHPACHKHUSUMERPUKANPUR 12/09/16 15.10.16 18.10.16 before commencement of policy 12/09/201610 RUDRA PRATAP SRENU SACHANJAWAHARGHATAMPKANPUR 14.03.17 03/04/17 06/04/17 DUE TO ILLNESS11 RUKMANI DEVI RAJENDRA PR THANWAPBHOGNIP KANPUR 21.09.16 08/02/17 11/02/17 not head of family12 VIKAS KUMAR HARI BABU 127/49, JUHI COLONKANPUR 23.10.2016 12/01/16 15.01.17 not head of family

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13 VIPIN KUMAR RANI NIWADA NARVAL KANPUR 06/12/16 17.01.2017 20.01.17 Not being head of the family.14 ARUNA DEVI JAGAT PAL KANPUR KANPUR KANPUR NAGAR NOT HEAd of family15 RAJKUMAR DEEPAK KUSHWA BADGAON NARVAL KANPUR 05/12/16 15/02/17 14.05.17 no PMR16 MUKESH SINGH REKHA DEVI BHAWANIP BIDHUNU KANPUR 09/11/16 04/04/17 22.06.17 No income proof of deceased is abaiable17 GHANSHYAM SINGH NEELAM BARNAO GHATAMPUKANPUR NAGAR 15.09.16 10/04/17 22.06.17 DATE OF ACCIDENT PRIOR TO COMMENCEMENT OF POLICY18 HIMANSHU KUMAR VIMLA DEVI KHUTAR MAHARAJP KANPUR NAGAR 22.02.17 10/04/17 22.06.17 NOT HEAD OF FAMILY DECEASED WAS UNDER INFLUENCE OF ALCOHAL19 DESHRAJ ANITA GANGAGANHATHIPUR KANPUR NAGAR 03/02/17 10/04/17 22.06.17 DEAD DUE TO HEART ATTACK

PENDING CLAIMSRavindra Kr. Sharma Smt. Nisha (Wife) Baradari Bausar KANPUR 17/09/16 03/11/16 PendingSHAKUNTALA ASHISH HRIDAY PU CHAUBEY P KANPUR 20.11.2016 09/12/16 PendingNEERAJ SAVITA RAKHI PARAGAHI BANGAR KANPUR 22/10/2016 16/12/16 PendingRAJ BAHADUR USHA VIJAY NAG MADALA KANPUR 04/11/16 27.12.2016 PendingMAHESH RUPA GAUR 44 BHURPUMACHARIYAKANPUR 07/10/16 27.12.2016 PendingRAJ KUMAR ANJU DEVI TENAMPURPATARA G KANPUR 22.10.2016 27.12.2016 PendingSAURABH URF LOKENMAGAN DEVI KUSMANDAGhatampur KANPUR 27.09.2016 05/01/17 PendingPRAKHAR MISHRA REKHA MISHRA 187, SWARNDUDA COLOKANPUR 26.10.2016 05/01/17 PendingRAJEEV KUMAR KAMLESH KUMARAMBEDKAR BILLAUR KANPUR 09/12/16 12/01/17 PendingKRISHNA PAL ANSUIYAN SINGH BARRA KANPUR 20.10.16 12/01/17 PendingARUNA DEVI JAGAT PAL AWAS VIKA HANSPURA KANPUR 18.10.2016 19.01.2017 PendingVINOD RAJPUT RUBI SUNDER NAPANKI KANPUR 17.09.16 17.01.2017 PendingGULAB VIBHA SHIV NAGA KACHCHI KANPUR 14.11.16 17.01.2017 PendingVIVEK KUMAR MANJULATA FATTEPUR NAURANGAKANPUR 23.10.2016 17.01.2017 PendingRAJ KUMAR SAVITA PRABHA SAVITA AWAS VIKA NAUBASTA KANPUR 21.10.16 17.01.2017 PendingMITHLEH NANHI BADAN NI BILHORE KANPUR 14.12.16 25.01.17 PendingVIDHI CHAND RAVENDRA & OTHBHADWARAGHATAMPUKANPUR 05/12/16 25.01.17 PendingMANOJ SHARMA DEVKI HERBASPURGHATAMPUKANPUR 30.10.2016 25.01.17 PendingRAMESH CHAND JAI SHREE ASDHARA GHATAMPUKANPUR 15.10.16 25.01.17 PendingAMIT GUPTA AKANSHA GUPTA TILAK NAGAR KANPUR 20.11.16 08/02/17 PendingRAJKUMAR VIJAY LASHMI GADIYANPUBARNAV KANPUR 03/12/16 08/02/17 PendingGAYA PRASAD VIMLESH KUMAR AMBARIHA BILHAPUR KANPUR 12/12/16 15/02/17 PendingKASIM NOOR BANO NAUBASTA GHATAMPUKANPUR 31.10.16 15/02/17 PendingPUTTAN LAL SHASHI DEVI NARVAL KANPUR 09/12/16 15/02/17 PendingRAHUL KUMAR JYOTI DEVI SHIV NAGARMASWANP KANPUR 26.11.16 15/02/17 PendingRAJKUMAR DEEPAK KUSHWA BADGAON NARVAL KANPUR 05/12/16 15/02/17 PendingPAPPU SANGEETA SIRMA KIDWAINA KANPUR 14.10.16 15/02/17 PendingLALIT KUMAR MAINA DEVI ORIYARA RAMAIPUR KANPUR 02/12/16 28.02.17 PendingJAI NARAYAN GUPTA ASHA GUPTA GOVIND NAGAR KANPUR 13.10.16 28.02.17 PendingUDAN SINGH SUNITA BHAAT MAJGHATAMPUKANPUR 30/12/16 16/03/17 PendingNASEERUDDIN SALAMA BEGUM PACHKHUR GHATAMPUKANPUR 21/12/16 16/03/17 PendingPRABHAT KUMAR PALREENA DEVI BILHORE KANPUR 30/01/17 20/03/17 PendingKRISHNA PAL SAMPAT KUMHARIA GHATAMPUKANPUR 16/10/16 20/03/17 PendingVIBHUNA DEVI PRAKASH SINGH DEVRA MAJGHATAMPUKANPUR 06/11/16 11/03/17 PendingABHISHEK PANDEY ANJU PANDEY YASHODA NAGAR KANPUR 16.11.16 11/03/17 PendingCHANDRAPAL SINGH BITOLA SENGER GAJNER GHATAMPUKANPUR 29.11.2016 11/03/17 PendingSARJEET VIJAY LAKSHMI TAINAPUR GHATAMPUKANPUR 21.12.16 11/03/17 Pending

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VINOD GEETA KAMALPUR PATARA KANPUR 18.12.16 11/03/17 PendingMITHLESH NANHI BADAN NA BILHAUR KANPUR 24.12.16 03/04/17 PendingINDRA KUMAR SUMAN LATA NAGAR NI SADAR KANPUR 15.10.16 04/04/17 PendingJAI NARAYAN TIWARI GUDDAN JAMREHI BIHANU KANPUR 10/02/17 04/04/17 PendingANIL KUMAR RAM PYARI JAMUNIYA PALIA KANPUR 16.09.16 04/04/17 PendingBACHCHU GUDDI DADIYA MABHERAMPUKANPUR 26.02.17 04/04/17 PendingMOOLCHAND BINDAWATI SAMBHALP BILHAUR KANPUR 05/11/16 04/04/17 PendingAJAY SINGH ANUJ SINGH PARGAHI B MADHNA KANPUR 04/01/17 04/04/17 PendingRATI RAM RAM DULARI RUSTOMPUSACHENDI KANPUR 26.12.16 04/04/17 PendingRAM CHAND SARJU DEVI GANESH NARAWATPURKANPUR 25.10.16 04/04/17 PendingRAJU REETA RAMPUR SACHENDI KANPUR 28.10.16 04/04/17 PendingSURENDRA KUMAR ANJU RAJPUT KAJIKHEDA CHAKERI KANPUR 04/03/17 04/04/17 PendingRAMKALI RAMKALI CHANDAPUGHATAMPUKANPUR 10/10/16 04/04/17 PendingCHANDRAPAL MANJU AMAUR KANPUR 08/01/17 04/04/17 PendingSHIVRAM SAVITA SHASHILATA KHADEPUR KANPUR 07/12/16 04/04/17 PendingANEETA DEVI ARUN KUMAR BEHTA BUJURG KANPUR 23.01.17 04/04/17 PendingJITENDRA URF CHOTERATIRAM CHATURIPUPATARA KANPUR 02/03/17 04/04/17 PendingRAMESH SHUKLA SHARDA DEVI MADHAVPUKALYANPURKANPUR 25.11.2016 04/04/17 PendingLAKHAN SINGH PRATIMA DEVI TIKWAPUR GHATAMPUKANPUR 23.12.16 04/04/17 PendingMANNALAL BALAK RAM & OT PARA CHANGHATAMPUKANPUR 08/10/16 04/04/17 PendingJITENDRA KUMAR KISHAN KUMARI PARAS GHATAMPUKANPUR 22.02.17 04/04/17 PendingSHASHI DEVI BEERBAL GHATAMPUKANPUR 27.02.17 04/04/17 PendingRANJEET SINGH MANTO DEVI HUSAINA GHATAMPUKANPUR 16.01.17 04/04/17 PendingAMIT GUPTA AKANSHA GUPTA TILAK NAGAR KANPUR 20.11.16 04/04/17 PendingRAM KUMAR RAMA TIWARY HANUMANTNAUBASTA KANPUR 15.12.16 04/04/17 PendingRAMCHANDRA KUREERAJA RANI PRATAPPURMARDHANAKANPUR 14.12.16 04/04/17 PendingDEVI PRASAD SUNEETA AKBARPUR GHATAMPUKANPUR 28.09.16 04/04/17 PendingRAM SEWAK KANTI GAURAIYA TIVSEHRI KANPUR 01/02/17 04/04/17 PendingSATISH CHAND SAVITA UTTAM MANOHARKSARSAULA KANPUR 13.03.17 04/04/17 PendingROHIT KUMAR RASHMI TIWARI JURAIYA GHATAMPUKANPUR NAGAR 05/11/16 03/02/17 PendingHARIOM REENA SHASTRI N GHATAMPUKANPUR NAGAR 15.10.16 03/02/17 PendingKULDEEP KUMAR ANITA DEVI HULSAPUR KUWAN KH KANPUR NAGAR 15.11.16 03/02/17 PendingALI HASAN NAFEESA BANO RAJEEV NA YASHODA KANPUR NAGAR 11/11/16 03/02/17 PendingAVINASH KUMAR MANJU DEVI GOONJEPU ARAUL KANPUR NAGAR 19.09.2016 03/02/17 PendingPRAVESH KUMAR JASOMATI ITRI GHATAMPUKANPUR NAGAR 07/12/16 03/02/17 PendingCHANDRAPAL MANJU AMAUR KANPUR NAGAR 08/01/17 04/04/17 PendingSHIVRAM SAVITA SHASHILATA KHADEPUR KANPUR NAGAR 07/12/16 04/04/17 PendingANEETA DEVI ARUN KUMAR BEHTA BUJURG KANPUR NAGAR 23.01.17 04/04/17 PendingJITENDRA URF CHOTERATIRAM CHATURIPUPATARA KANPUR NAGAR 02/03/17 04/04/17 PendingRAMESH SHUKLA SHARDA DEVI MADHAVPUKALYANPURKANPUR NAGAR 25.11.2016 04/04/17 PendingLAKHAN SINGH PRATIMA DEVI TIKWAPUR GHATAMPUKANPUR NAGAR 23.12.16 04/04/17 PendingMANNALAL BALAK RAM & OT PARA CHANGHATAMPUKANPUR NAGAR 08/10/16 04/04/17 PendingJITENDRA KUMAR KISHAN KUMARI PARAS GHATAMPUKANPUR NAGAR 22.02.17 04/04/17 PendingSHASHI DEVI BEERBAL GHATAMPUKANPUR NAGAR 27.02.17 04/04/17 PendingRANJEET SINGH MANTO DEVI HUSAINA GHATAMPUKANPUR NAGAR 16.01.17 04/04/17 PendingAMIT GUPTA AKANSHA GUPTA TILAK NAGAR KANPUR NAGAR 20.11.16 04/04/17 Pending

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VIVEK KUMAR MANJU LATA PATTEPUR GHATAMPUKANPUR NAGAR 23.10.16 04/04/17 PendingRAM KUMAR RAMA TIWARY HANUMANTNAUBASTA KANPUR NAGAR 15.12.16 04/04/17 PendingRAMCHANDRA KUREERAJA RANI PRATAPPURMARDHANAKANPUR NAGAR 14.12.16 04/04/17 PendingDEVI PRASAD SUNEETA AKBARPUR GHATAMPUKANPUR NAGAR 28.09.16 04/04/17 PendingRAM SEWAK KANTI GAURAIYA TIVSEHRI KANPUR NAGAR 01/02/17 04/04/17 PendingSATISH CHAND SAVITA UTTAM MANOHARKSARSAULA KANPUR NAGAR 13.03.17 04/04/17 PendingANEES AHMED KHATEEJA KHAT ACHI MOHAGHATAMPUKANPUR NAGAR 12/02/17 10/04/17 PendingKANHAIYA LAL RAM DULARI LALUPUR ITARA KANPUR NAGAR 11/03/17 10/04/17 PendingSUNIL KUMAR ARCHNA BARADAUL GHATAMPUKANPUR NAGAR 19.03.17 10/04/17 PendingSALAMAT HUSSAIN NUSRAT KHATOO JAWAHAR GHATAMPUKANPUR NAGAR 14.04.17 10/04/17 PendingKRISHNA NAND BAJPAJYOTI BAJPAI GREEN CITYKOYALA NA KANPUR NAGAR 16.01.17 10/04/17 PendingRAMESH KUMAR JAGDEVI BADAGAONNAWAL0 KANPUR NAGAR 21.01.17 10/04/17 PendingPRAYAG NARAYAN KALINDRI ADARSH NAKALYANPURKANPUR NAGAR 09/02/17 10/04/17 PendingRAM MOHAN KUSHMA SAKHREJ BILHAUR KANPUR NAGAR 29.03.17 10/04/17 PendingRAM PRAKASH MAMTA DADIKHA BILHAUR KANPUR NAGAR 07/03/17 10/04/17 PendingMANISH KUMAR SAH POOJA SHAH RAMPURA SHYAM NA KANPUR NAGAR 05/02/17 10/04/17 PendingPYARELAL RAMKALI CHANDAPUGHATAMPUKANPUR 10/10/16 04/04/17 PendingNAJEER AHMED SAHEB ALAM BABA NAGAMACHARIY KANPUR 23.11.2016 11/03/17 PendingSHATRUGHAN USHA BHURANE BABERU BANDA 02/01/17 04/04/17 PendingSABAL SINGH RANVIJAY SINGH ANWAN BABERU BANDA 06/02/17 04/04/17 Pending

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KANPUR DEHATPAID CLAIMS

1 PRATAP CHANDRA SUMAN DEVI TIGAIN THANA RURA, AK KANPUR DEHAT 03/11/16 500000 27.03.17 Death2 SHIVGOPAL POOJA SHARMAHMEDPUAKBARPUR kANPUR DEHAT 25.09.2016 500000 29.03.17 Death3 NAIN SINGH JYOTI SINGH CHARIAP RASOOLADABAD KANPUR DEHAT 27/09/2016 500000 24.03.17 Death4 ISHTAQ ALI SHAKEELA BE DURGESHJHINJHAK KANPUR DEHAT 26.09.2016 500000 17.03.17 Death5 RAMESH CHAND MEENA DEVI GAUPUR RASULABAD KANPUR DEHAT 24.10.2016 500000 12/04/17 Death KNPN6 RAM SHANKER RAM SHREE KASHIPU MAITHA KANPUR DEHAT 16.11.16 500000 13.04.17 Death7 SH BABU PREMA DEVI NONAPURBHOGNIPUR KANPUR DEHAT 10/10/16 500000 12/04/17 Death8 LAKHAN SINGH MAYA DEVI KASIPUR MAITHA KANPUR DEHAT 09/10/16 500000 12/04/17 Death9 SAYYED SAJJAR ABBAS AFZAL FATIMACHANDANBHOGNIPUR KANPUR DEHAT 01/10/16 500000 12/04/17 Death10 RAJU SUNITA NONAPURBHOGNIPUR KANPUR DEHAT 06/10/16 500000 12/04/17 Death11 UMA SHANKAR SUSHILA JARAILA AKBARPUR KANPUR DEHAT 09/10/16 500000 13.04.17 Death12 AMAR SINGH SUDAMA DEVI KAKOHLAR KANPUR DEHAT 27.09.16 500000 13.04.17 Death13 RAM SEWAK NEELAM DEVI JARAULI SIKANDRA KANPUR DEHAT 18.09.2016 500000 13.04.17 Death14 NISAR ALI JAYAN BEGUMPIDARTH SIKANDARA KANPUR DEHAT 20.11.2016 500000 13.04.17 Death15 SANTOSH KUMAR KRISHNA DEVI ANANTAPHARAMAU KANPUR DEHAT 05/10/16 500000 13.04.17 Death16 RAJENDRA SINGH RAJESHWARI DCHANDANUSRI RASULABAD KANPUR DEHAT 16.11.2016 500000 13.04.17 Death17 RAM AUTAR VIMLA MURALIP BHOGNIPUR KANPUR DEHAT 14.11.2016 500000 14.04.17 Death18 SANTOSH KUMAR MEERA DEVI GAURI MAITHA KANPUR DEHAT 20.10.16 500000 13.04.17 Death19 MOOLCHAND SHANTI DEVI MAHMODDBUJURG KANPUR DEHAT 17.09.16 500000 14.04.17 Death20 PRABAL PRATAP SINGH MEENA SINGH KASHI JASAPUR KANPUR DEHAT 19.09.2016 500000 14.04.17 Death21 PRAMOD KUMAR GUDDI DABAULI DERAPUR KANPUR DEHAT 06/11/16 500000 13.04.17 Death22 ATUL KUMAR SANGEETA DEBIROHI BHOGNIPUR KANPUR DEHAT 05/11/16 500000 13.04.17 Death23 RAM BABU SOMWATI PAHADIP RASOOLABAD KANPUR DEHAT 03/11/16 500000 13.04.17 Death24 KRIPA SHANKAR CHIDNA DEVI BHUTA MANGALPUR KANPUR DEHAT 09/01/17 500000 17.04.17 Death25 DAYA SHANKAR RAMBETI GURDAHI SIKANDRA KANPUR DEHAT 29.11.2016 500000 17.04.17 Death26 BALENDRA SINGH SUMAN DEVI TILAUNCHAKBARPUR KANPUR DEHAT 29.12.16 500000 17.04.17 Death27 BHAGWANDEEN SURYAMUKHI NANDPURDARAPUR KANPUR DEHAT 24.11.16 500000 17.04.17 Death28 ARVIND SINGH PREETU KACHGAOBHOGNIPUR KANPUR DEHAT 14.11.16 500000 16.04.17 Death29 SANT KUMAR KAMLESH KUMMAHILAP KHANPUR KANPUR DEHAT 07/12/16 500000 17.04.17 Death30 UMESH KUMAR RANJANA TENDUWAMAU KANPUR DEHAT 10/01/17 500000 20.04.17 Death31 MUKESH KUMAR MITHLESH KUMARDERAPUR KANPUR DEHAT 02/01/17 08/02/17 500000 13.04.17 Death32 PRADEEP KUMAR RANI JIGNEESH DERA PUR KANPUR DEHAT 25.10.16 28.12.2016 500000 13.04.17 Death33 KAILASH ASHA DEVI NANDANA SIKANDARA KANPUR DEHAT 24/01/17 21/03/17 500000 13.04.17 Death34 RAJENDRA SINGH KAMLA DEVI ASEWA BHOGNIPUR KANPUR DEHAT 10/12/16 18.01.2017 500000 17.04.17 Death35 KALLU SARLA DEVI DAYAPURV RASOOLABAD KANPUR DEHAT 15/02/17 27/03/17 500000 17.04.17 Death36 ASIF KHAN FAHMEEDA ASTIYA BHOGNIPUR KANPUR DEHAT 07/01/17 03/04/17 500000 17.04.17 Death37 SHIVRAM PUSHPA DEVI PANIYAMA BHOGNIPUR KANPUR DEHAT 24.12.16 03/04/17 500000 17.04.17 Death38 RAJENDRA SINGH KAMLA ASEWA BHOGNIPUR KANPUR DEHAT 10/12/16 16/03/17 500000 16.04.17 Death39 ARUN KUMAR SAVITA DEVI SEHUWA MRASOOLABAD KANPUR DEHAT 01/01/17 15/02/17 500000 17.04.17 Death40 RAJESH MAMTA RASDHAN SIKANDARA KANPUR DEHAT 31.12.16 03/04/17 500000 20.04.17 Death










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41 RAM KUMAR RAJ DULARI ADAURI SIKANDARA KANPUR DEHAT 16.03.17 04/04/17 500000 04/05/17 Death42 RAJ KUMAR REEMA DEVI RAJPUR KANPUR DEHAT 11/01/17 04/04/17 500000 04/05/17 Death43 ASHUTOSH SINGH NISHA SINGH RURA AKBARPUR KANPUR DEHAT 20.01.17 04/04/17 500000 25.05.17 death44 RAJENDRA SINGH MAMTA DEVI BALIHARA AKBARPUR KANPUR DEHAT 01/02/17 03/04/17 500000 31.05.17 Death45 RAJENDRA KUMAR MANJU DEVI JAITPUR MAITHA KANPUR DEHAT 03/12/16 03/04/17 500001 31.05.18 Death46 RAJ BAHADUR BABY YADAV BADAGAONDERAPUR KANPUR DEHAT 25.03.17 10/04/17 500000 31.05.17 Death47 RAJESH KUMAR JAGESHWARI SABALPUR DERAPUR KANPUR DEHAT 31.10.16 03/04/17 500000 31.05.17 Death48 SURENDRA KUMAR ARTI & OTHERS ASNIPURW KAROM KANPUR DEHAT 02/01/17 04/04/17 500000 31.05.17 Death49 ARUN KUMAR PUSHPA DEVI DOHRAPURBHOGNIPUR KANPUR DEHAT 11/11/16 25.01.17 500000 21.06.17 Death50 ASHOK KUMAR MITHLESH KARSA AKBARPUR KANPUR DEHAT 12/02/17 04/04/17 500000 21.06.17 Death51 DINESH KUMAR RAMSHREE MAHERA BHOGNIPUR KANPUR DEHAT 14.03.17 04/04/17 500000 21.06.17 Death52 JAGAT SINGH BHURI DEVI DARGAON LALPUR KANPUR DEHAT 19.04.17 05.05.17 500000 06.07.17 Death53 RAJ BAHADUR GUDDI DEVI NAHI JYUNIYAN KANPUR DEHAT 20.04.17 05.05.17 500000 06.07.17 Death54 RAM AUTAR SONAM DEVI SHEKHPUR BHOGNIPUR KANPUR DEHAT 23.04.17 05.05.17 500000 06.07.17 Death55 RAMCHANDRA RAM SHREE DULLAPUR AKODHI KANPUR DEHAT 27.03.17 05.05.17 500000 06.07.17 Death56 KAMAL KISHORE PREM WATI BANDARAHBAIRISAL KANPUR DEHAT 15.03.17 05.05.17 500000 06.07.17 Death57 VINAY KUMAR KIRAN DEVI HASEMAU BHOGNIPUR KANPUR DEHAT 22.03.17 05.05.17 500000 06.07.17 Death58 LALA RAM VIPIN KUMAR & DUBKI SIKANDARA KANPUR DEHAT 07/03/17 04/04/17 500000 06.07.17 Death

NO CLAIMS1 ABHISHEK SINGH SUNITA BERISAL RASOOLADABAD KANPUR DEHAT 31.10.201 12/01/16 15.01.17 not head of family2 BISHUN LAL KAMLESH MANAWA RASOOLADABAD KANPUR DEHAT 15.12.16 28.12.2016 30.12.16 ABOVE 703 CHANDRA BHAN SINGH RADHA SINGH BHAWANPRASOOLADABAD KANPUR DEHAT 19.09.201 28.12.2016 30.12.16 death not clear4 DIKSHA AVNEESH KUMRANIYA AKBARPUR KANPUR DEHAT 20.12.16 17.01.2017 20.01.17 not head of family5 INDEL SANJAY KUMA MADKULANASRATPUR KANPUR DEHAT 05/12/16 08/02/17 11/02/17 not dependent on deceased6 JAGANNATH CHANDWATI JALAPUR JAHAGIRPUR KANPUR DEHAT 12/11/16 25.01.17 27.01.17 AGE ABOVE 707 KAUSHILYA DEVI SARVESH KUMBAMEHNABHOGNIPUR KANPUR DEHAT 25.02.17 04/04/17 07/04/17 AGE ABOVE 708 KUNWAR SINGH NISHA DEVI ANOOPPUBAIN SAWAI KANPUR DEHAT 15/09/16 14/12/2016 17.12.16 before commencement of policy 12/09/169 MAHESH SURESH KUMAKHERA RASOOLADABAD KANPUR DEHAT 20.10.16 28.12.2016 30.12.16 no post mortom report10 MOHD SHAFI IZRA BEGUM BHOGNIPUR KANPUR DEHAT 30.12.201 28.12.2016 30.12.16 before commencement of policy 11 Parvati Devi LAL JI FATTEHP DERAPUR KANPUR DEHAT 20.09.201 23.11.2016 26.11.16 Not being head of the family.12 RAHUL CHANDRA MO BERISAL RASOOLADABAD KANPUR DEHAT 31.10.201 12/01/16 15.01.17 not dependent on deceased13 RAJ KUMAR RAMESH CHANRAJPUR KANPUR DEHAT 29.11.201 18.01.2017 20.01.17 not BEing head of the family.14 RAJ NARAIN RAMAKANTI BIHARI BHOGNIPUR KANPUR DEHAT 12/10/16 12/01/16 15.01.17 Illness-heart attack15 RAJARAM KAUSHAL KISONINHAURISIKANDRA KANPUR DEHAT 21.11.16 03/03/17 05/03/17 not head of family16 RAKESH KUMAR CHIDANI KHAJUS RURA KANPUR DEHAT 09/10/16 28.12.2016 30.12.16 SUICIDE17 RAKESH TIWARI URMILA TIWARSHASTRI RASOOLABAD KANPUR DEHAT 13.01.17 03/03/17 05/03/17 Illness-heart attack18 RAM BABU RAJESHWARI BHOGIPUR KANPUR DEHAT 11/10/16 18.01.2017 20.01.17 Illness-heart attack19 RAM KUMAR RAM DULARI JAGGAIRI RAJPUR SIKANDA KANPUR DEHAT 26.09.201 12/01/17 15.01.17 AGE ABOVE 7020 RAM SEWAK KAMLA DEVI HIMMAPUMOHANA KANPUR DEHAT 21.10.201 19.01.2017 21.01.17 AGE ABOVE 7021 RAM SHANKAR LASHMI KISHAUR DERAPUR KANPUR DEHAT 03/07/16 04/04/17 07/04/17 before commencement of policy 13/07/1622 RAM SINGH SIYA DULARI JAGJEEV AKBARPUR KANPUR DEHAT 22.10.201 28.12.2016 30.12.16 before commencement of policy 23 ROHIT KUMAR SAINI NARESH KUMABHOGNIP BHOGNIPUR KANPUR DEHAT 22.11.201 05/01/17 07/01/17 not head of family24 SANJAY SINGH LASHMI DEVI SHERPURDERAPUR KANPUR DEHAT 22.10.16 27.02.17 29.02.17 Not being head of the family.25 SHYAM BABU RAM WATI SAKETNA MAITHA KANPUR DEHAT 26.09.16 18.01.2017 20.01.17 not head of family and time barred26 SNEH LATA SANDEEP KUMLASHMANDERAPUR KANPUR DEHAT 13.11.16 04/04/17 07/04/17 not head of family27 SUMIT KUMAR RAM JANKI BERISAL RASOOLADABAD KANPUR DEHAT 31.10.201 12/01/16 15.01.17 not head of family28 SURAJ SINGH LAL SINGH BILAI PARSAULI KANPUR DEHAT 08/10/16 12/01/16 15.01.17 not dependent on deceased29 SWATI TIWARI RAHUL TIWARIKHAMHAUDERAPUR KANPUR DEHAT 21.09.16 04/04/17 07/04/17 not head of family30 VINOD KUMAR UMESH KUMARRAMPURASIKANDRA KANPUR DEHAT 16.09.16 08/02/17 11/02/17 before commencement of policy 31 VINOD KUMAR SHUKLA GEETA DEVI WARD NO.AKBARPUR KANPUR DEHAT 28.09.201 27.12.2016 29.12.16 govt service32 WASI AHMAD RUBY 8, GANDHAKBARPUR, RURAKANPUR DEHAT 13/11/201 05/12/16 08/12/16 murder33 AHMAD RZA ASFAQ AHMAD AKODHI BHOGNIPUR KANPUR DEHAT 26.10.2016 18.01.2017 25.5.17 Income proof of deceased is not available

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34 CHANDRA BHAN KUSUM DEVI GULAULI BHOGNIPUR KANPUR DEHAT 29.10.16 25.01.17 25.5.17 Income proof of deceased is not available 35 PAWAN KUMAR SHARDA DEVI SADHUWAPSIKANDRA KANPUR DEHAT 12/10/16 03/03/17 25.5.17 Not being head of the family.36 SHIVRANI RAMU & OTHERS NANDANA SIKANDARA KANPUR DEHAT 22.01.17 03/04/17 25.5.17 claimant was not dependant on deceased37 RAJAN SHARMA RADHA SHARMA PRASIDHPUAKBARPUR KANPUR DEHAT 07/01/17 16/03/17 25.5.17 Not being head of the family.38 USHA DEVI ASHOK KUMAR MUSANAGABHOGNIPUR KANPUR DEHAT 20.11.16 08/02/17 25.5.17 Not being head of the family.39 SUNIL CHOTTI BITTI BIRHUN RASULABAD KANPUR DEHAT 15/12/16 16/03/17 14.06.17 Not being head of the family.40 NANKHAU SHYAM SINGH KESRI NAW MAITHA KANPUR DEHAT 28.01.17 03/04/17 14.06.17 claimant was not dependant on deceased41 GYANENDRA SINGH UMA KANTI KHAMHAULDERAPUR KANPUR DEHAT 07/03/17 10/04/17 14.06.17 NOT HEAD OF FAMILY42 AKOK KUMAR RAJNI SACHAN KANPUR DEHAT 13.12.16 14.06.17 INCOME ABOVE RS 75000/-43 VIJAY LASHMI BANSH LAL SANJAY NA KESHIPUR KANPUR DEHAT 24.11.16 02/03/17 22.06.17 NOT HEAD OF FAMILY FATHER ALIVE44 RAM DULARI RAMVEER BHOLAPUR RASOOLABAD KANPUR DEHAT 23.02.17 04/04/17 22.06.17 THE DECASED HAS NO PROOF OF ELIGIBILITY45 DEEPU KUMAR SUSHMA DEVI SAHABAPU MOOSANAGAR KANPUR DEHAT 12/02/17 04/04/17 22.06.17 THE DECEASED WAS UNDER INFLUENCE OF ALCOHAL AT THE TIME OF ACCIDENT

PENDING CLAIMSJAN MOHAMMAD TABBASUM PATEYPUR AKBARPUR KANPUR DEHAT 02/10/16 05/12/16 PendingRAJESH KUMAR RAJESH KUMAR KHOOTA KANPUR DEHAT 26.10.2016 23.10.2016 PendingKUNWAR SINGH NISHA DEVI ANOOP PURMAITH KANPUR DEHAT 15.09.2016 27.12.2016 PendingMANOJ KUMAR SUSHILA DEVI MAKANIYA DERA PUR kanpur deHAT 08/10/16 28.12.2016 PendingRAM AUTAR SHV PRAKASH HARHARA BHUVNIPUR KANPUR DEHAT 30.09.2016 28.12.2016 PendingRAJJAN MAMTA JARI MAJRABHOGNIPUR KANPUR DEHAT 15.10.16 28.12.2016 PendingAVINASH KUMAR GEETA DEVI KALENAPURRAZDHAN, SIKANDAR KANPUR DEHAT 02/11/16 05/01/17 PendingSHAILENDRA PRABHA DEVI BERISAL RASOOLADABAD KANPUR DEHAT 31.10.2016 12/01/16 PendingKAMAL SINGH KANTI JAINPUR AKBARPUR KANPUR DEHAT 27.11.2016 12/01/16 PendingRAM PRAKASH RAM KALI JAINPUR AKBARPUR KANPUR DEHAT 17.11.2016 12/01/16 PendingMAHESH PRASAD MAHESH PRASADANANTAPU BHOGNIPUR KANPUR DEHAT 05/10/16 12/01/17 PendingDEVENDRA KUMAR DEEP MALA IMLIABAGHASALATGANJ RASULAKANPUR DEHAT 24.09.2016 12/01/17 PendingRAMESH SAJ KUMARI NARIHA AKBARPUR KANPUR DEHAT 29.09.2016 12/01/17 PendingRAJENDRA PRASAD RAMAKANTI SILHARA KANPUR DEHAT 16.11.16 12/01/17 PendingRAJESH KUMAR ANITA DEVI HITMAPUR BIWAIN KANPUR DEHAT 11/12/16 12/01/17 PendingSURESH SINGH SURESH SINGH KHANCHANBARA KANPUR DEHAT 08/11/16 12/01/17 PendingSHYAM BABU RAJESHWARI BAGHVAT MAITHA KANPUR DEHAT 24.10.2016 18.01.2017 PendingSANT KUMAR VINITA DEVI GAURI BHOGNIPUR KANPUR DEHAT 18.10.16 18.01.2017 PendingRAM PRASAD ANAND RAO & O DALELNAGABHOGNIPUR KANPUR DEHAT 01/10/16 18.01.2017 PendingPRATAP SINGH RAM SHANKAR SHERPUR MUSANAGAR KANPUR DEHAT 27.11.2016 18.01.2017 PendingMAMTA DEVI BALRAM KHASH NE ASALAT GANJ KANPUR DEHAT 03/11/16 18.01.2017 PendingAMIT KUMAR SANDHYA DEVI SONIAPUR BHOGNIPUR KANPUR DEHAT 25.10.16 18.01.2017 PendingMALKHAN SINGH SEEMA DEVI BEWAIN AKABARPUR KANPUR DEHAT 05/11/16 18.01.2017 PendingSANJAY KUMARI RAMESH CHANDRAMRAUDHABHOGNIPUR KANPUR DEHAT 23.11.2016 18.01.2017 PendingSONU RAM PRAKASH MAU KHAS BHOGNIPUR KANPUR DEHAT 25.11.2016 18.01.2017 PendingRAJESH BABU SANDHYA PAKKI MEH SIKANDRA KANPUR DEHAT 11/10/16 17.01.2017 PendingBALWAN SINGH RINKI BAKHRA PARSAULI KANPUR DEHAT 28.10.16 25.01.17 PendingMUNNI DEVI RAMPAL JUNAIDPURMAUJA MAWAR KANPUR DEHAT 21.10.16 25.01.17 PendingJAGDISH MANJU DEVI GURDAHARSIKANDARA KANPUR DEHAT 08/12/16 25.01.17 PendingVIKAS URF RAMJI TIWARI VINOD TIWARI AKBARPUR VIKASKHAND KANPUR DEHAT 04/10/16 03/02/17 PendingMANOJ KUMAR MOHNI DEVI ANGAD PU KAHIJARI KANPUR DEHAT 11/11/16 08/02/17 PendingSAHAB LAL DARSHANI GOPALPUR TIHI KANPUR DEHAT 12/01/17 08/02/17 PendingUSHA DEVI ASHOK KUMAR MUSANAGABHOGNIPUR KANPUR DEHAT 20.11.16 08/02/17 PendingBAUWAN SUKHDEI BAIRI BASTIMAITHA KANPUR DEHAT 26.11.16 08/02/17 PendingKALPANA JAIPRAKASH AHMEDPURAKBARPUR KANPUR DEHAT 24.11.16 08/02/17 PendingSHAVAB ALI NAUSHEEN ATBALPUR JUNEDAPUR KANPUR DEHAT 13.11.16 08/02/17 PendingAKHILESH KUMAR PREMA DEVI KHEREYEM MUSANAGAR KANPUR DEHAT 30.11.16 08/02/17 PendingATUL PARUL DASTAMPUAKBARPUR KANPUR DEHAT 12/12/16 08/02/17 Pending

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OM PRAKASH SHAKUNTALA DASTAMPUAKBARPUR KANPUR DEHAT 12/12/16 08/02/17 PendingRANJEET KUMAR KAMLESH KUMARMURTAJAN MAJRA KANPUR DEHAT 08/12/16 08/02/17 PendingARUN KUMAR SAVITA DEVI SEHUWA MRASOOLABAD KANPUR DEHAT 01/01/17 15/02/17 PendingSHAILENDRA KUMAR HEMLATA BIRMA BHOGNIPUR KANPUR DEHAT 09/12/16 15/02/17 PendingDINSH KUMAR BHANMATI ASLANAPU SIKANDRA KANPUR DEHAT 03/12/16 15/02/17 PendingLALLU PRASAD MEERA DEVI TEHUWA DERAPUR KANPUR DEHAT 20.11.16 15/02/17 PendingSUMIT PRAKASH UPMA DEVI JASWA PURAKBARPUR KANPUR DEHAT 16.11.16 15/02/17 PendingMOHD JAMIL GAMA RAIPALPUR MAITHA KANPUR DEHAT 21.10.16 15/02/17 PendingPARVATI SHANTI DEVI NAUBADAP SHEKHPUR KANPUR DEHAT 27.11.2016 02/03/17 PendingSAKET KUMAR CHAYA DEVI SUNDERPU JARSEN KANPUR DEHAT 13.11.16 02/03/17 PendingRAKESH KUMAR NANHI DEVI BADAGAONKAPRAHAT KANPUR DEHAT 27.09.16 02/03/17 PendingARPIT RATHOUR KAMLESH KUMARBARGAWANBHOGNIPUR KANPUR DEHAT 24.11.16 02/03/17 PendingDHEEREJ SINGH URMOD KUMAR KASHIPUR MAITHA KANPUR DEHAT 11/11/16 02/03/17 PendingBUDHLAL RAMBETI TIDHWA RERI KANPUR DEHAT 28.11.2016 02/03/17 PendingOM PRAKASH CHANDRAKALI JASVAPUR JITHRAULI KANPUR DEHAT 02/01/17 03/03/17 PendingGOVIND SUMAN RANIYA AKBARPUR KANPUR DEHAT 29.11.2016 03/03/17 PendingPINKU BITAN DEVI BEDAMAU BHOGNIPUR KANPUR DEHAT 06/01/17 16/03/17 PendingUMESH SINGH KAMLA DEVI BEDAMAU BHOGNIPUR KANPUR DEHAT 06/01/17 16/03/17 PendingSHIV SHANKAR ASHOK KUMAR JALLAPUR BHOGNIPUR KANPUR DEHAT 29/12/16 16/03/17 PendingRAJU SINGH CHANDRANI SHAHJAHA AKBARPUR KANPUR DEHAT 13/11/16 16/03/17 PendingHARINAM RAM SAJEEVAN ITARA GHATAMPUR KANPUR DEHAT 11/01/17 17/03/17 PendingNATHU SUKHRANI MURRA RASOOLABAD KANPUR DEHAT 16/12/16 17/03/17 PendingPRITI PAL DINESH KUMAR PREETAMP MAITHA KANPUR DEHAT 25/09/16 27/03/17 PendingMOHD NAFEES NASEEMA BHOGNIPU BHOGNIPUR KANPUR DEHAT 23/12/16 27/03/17 PendingPRAMOD KUMAR VINITA DEVI GAURI KAR BHOGNIPUR KANPUR DEHAT 15/12/16 27/03/17 PendingJAI SINGH SANDHAYA MOHAMMABHOGNIPUR KANPUR DEHAT 11/01/17 27/03/17 PendingRAMCHANDRA MANORAMA BIRMA BHOGNIPUR KANPUR DEHAT 17/01/17 23/03/17 PendingANIL PAL SAPANA PAL PANDEY NI MAIYA KANPUR DEHAT 27/12/16 21/03/17 PendingAJAY KUMAR RAJKUMARI SANIHAPURDERAPUR KANPUR DEHAT 22.12.16 03/04/17 PendingRANVEEER SINGH MAMTA DEVI CHIRAURA AKBARPUR KANPUR DEHAT 07.02,17 03/04/17 PendingMANISH KUMAR SHEELU DEVI JAGMANNPRASOOLABAD KANPUR DEHAT 17.11.16 03/04/17 PendingMODH NAFEES ABBASI MEHROON NISHARASDHAN SIKANDARA KANPUR DEHAT 09/02/17 03/04/17 PendingSURESH BABU RADHA JARAULI SIKANDARA KANPUR DEHAT 14.12.16 03/04/17 PendingBITAN MODH RAEES & GAJNER AKBARPUR KANPUR DEHAT 05/01/17 03/04/17 PendingDINESH SINGH SHYAMA DEVI PADAMPURDERAPUR KANPUR DEHAT 06/11/16 03/04/17 PendingNIJAMUDDIN URF MUNNA KHA SHEHNAJ BEGUMAMAULI DERAPUR KANPUR DEHAT 27.09.16 03/04/17 PendingISHTIYAK NOORJAHAN BE MANGALPUDERAPUR KANPUR DEHAT 21.09.16 03/04/17 PendingRAJESH KUMAR JAGESHWARI SABALPUR DERAPUR KANPUR DEHAT 31.10.16 03/04/17 PendingRAHEES MEHRU NISHA HARCHANDAKBARPUR KANPUR DEHAT 05/02/17 03/04/17 PendingPOOJA AKHILESH KHARKA KABRAI KANPUR DEHAT 31.01.17 03/04/17 PendingRAJENDRA SINGH MAMTA DEVI BALIHARA AKBARPUR KANPUR DEHAT 01/02/17 03/04/17 PendingREHAN KHAN TAYYAB BEGUM JALLAPUR SIKANDARA KANPUR DEHAT 06/01/17 04/04/17 PendingRADHEY LAL BHURI DEVI LALPURWA DERAPUR KANPUR DEHAT 06/01/17 04/04/17 PendingSARVAN KHUSHBU GAJNIVADABHEWAN KANPUR DEHAT 20.02.17 04/04/17 PendingSURENDRA KUMAR ARTI & OTHERS ASNIPURW KAROM KANPUR DEHAT 02/01/17 04/04/17 PendingARUN KUMAR PANDEY PRIYANKA URF PRHATHIKA MAITHA KANPUR DEHAT 01/02/17 04/04/17 PendingLALA RAM VIPIN KUMAR & DUBKI SIKANDARA KANPUR DEHAT 07/03/17 04/04/17 PendingJHALLU KATORI DEVI DHARAMPUSIKANDARA KANPUR DEHAT 13.12.16 04/04/17 PendingMUKESH KUMAR MONI DEVI KUNDRA MAITHA KANPUR DEHAT 10/01/17 04/04/17 PendingAJAY KATIYAR POONAM BHARTIRAMAU SIKANDARA KANPUR DEHAT 13.01.17 04/04/17 PendingBALWAN SINGH RAM SHREE FAREEDPURSIKANDARA KANPUR DEHAT 17.01.17 04/04/17 PendingBRIJENDRA SINGH NISHA YADAV GURIYPUR DERAPUR KANPUR DEHAT 03/03/17 04/04/17 Pending

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SHIV SINGH SHIV DEVI MURLIPUR RASOOLABAD KANPUR DEHAT 05/03/17 04/04/17 PendingRAM KUMAR RAJ DULARI ADAURI SIKANDARA KANPUR DEHAT 16.03.17 04/04/17 PendingSURESH SINGH MEERA DEVI DABHARI RASOOLABAD KANPUR DEHAT 20.12.16 04/04/17 PendingCHANDRA PRAKASH SUNDER KANTI NANTHU DERAPUR KANPUR DEHAT 04/02/17 04/04/17 PendingJABBAR KHAN URF JABBAR ALI RUBINA PATARI AKBARPUR KANPUR DEHAT 22.01.17 04/04/17 PendingHEMRAJ SINGH KAMLA DEVI BADANPUR PAILAWAR KANPUR DEHAT 27.01.17 04/04/17 PendingMAU LAL SURENDRA MANPUR RASOOLABAD KANPUR DEHAT 17.02.17 04/04/17 PendingRAM KESH KAMLA DEVI BANI PARA DERAPUR KANPUR DEHAT 22.03.17 04/04/17 PendingSATVEER SHIVPAL BHAGPURWMAITHA KANPUR DEHAT 14.12.16 04/04/17 PendingANIL KUMAR SINGH RAJESH KUMAR S MALTIPUR DERAPUR KANPUR DEHAT 09/01/17 04/04/17 PendingASLAM BHURI KORAUVA SIKANDARA KANPUR DEHAT 01/02/17 04/04/17 PendingAKHILESH KUMAR URF KUNNU BEENA DEVI GAHOBA ROORA KANPUR DEHAT 16.03.17 04/04/17 PendingBRIJENDRA SINGH RAM SAJEEVAN GOPALPUR BHOGNIPUR KANPUR DEHAT 28/01/17 04/04/17 PendingSURAJ DAYAL SAVITRI DEVI KALAI BHOGNIPUR KANPUR DEHAT 21.12.16 04/04/17 PendingFOOL SINGH MANJU DEVI RERI DERAPUR KANPUR DEHAT 18.11.16 10/04/17 PendingMAHEDNRA NATH KATHIYAR URMILA KATIYAR URSAN SIKANDARA KANPUR DEHAT 28.02.17 10/04/17 PendingRAJ BAHADUR BABY YADAV BADAGAONDERAPUR KANPUR DEHAT 25.03.17 10/04/17 PendingRAKESH SINGH GUDDI SINGH NARIHA AKBARPUR KANPUR DEHAT 04/02/17 10/04/17 PendingRAJA SINGH SHYAM KUMARI MUREEDPUKISHUNPUR KANPUR DEHAT 05/03/17 10/04/17 PendingRAM PAL KAMLA MALIKPUR DERAPUR KANPUR DEHAT 15.01.17 10/04/17 PendingCHATRAPAL SINGH MEERA DEVI JASAPUR SANDALPUR KANPUR DEHAT 10/12/16 10/04/17 PendingDINESH KUMAR MANORAMA FARHADPU SANDALPUR KANPUR DEHAT 06/02/17 10/04/17 PendingSHAILENDRA KUMAR RENU DEVI ANGADPURBHOGNIPUR KANPUR DEHAT 23.01.17 10/04/17 PendingRAM PRASAD SUSHILA DEVI KARI KALW AKBARPUR KANPUR DEHAT 18.02.17 10/04/17 PendingMANISH SINGH USHA DEVI KHANPUR DERAPUR KANPUR DEHAT 12/02/17 10/04/17 PendingRAMPAL MANJU DEVI MANPUR RASOOLABAD KANPUR DEHAT 28.03.17 10/04/17 PendingBRIJESH KUMAR MANORAMA PAL MUKHLISPUAKBARPUR KANPUR DEHAT 24.02.17 10/04/17 PendingRAM KRIPAL RAJOLI NOGAON MAITHA KANPUR DEHAT 09/04/17 10/04/17 PendingSHYAM BABU URF SHYAM BALAPREMA DEVI FATEHPUR AKBARPUR KANPUR DEHAT 17.02.17 10/04/17 PendingUDAI SINGH MEERA DEVI BADHAPUR AKBARPUR KANPUR DEHAT 23.01.17 10/04/17 PendingDEVENDRA SINGH KRISHANA DEVI NADHAUVASIKANDARA KANPUR DEHAT 12/02/17 10/04/17 PendingRAVINDRA KUMAR URF VINIT KRISHNA PRASADKHASBARA RAJPUR KANPUR DEHAT 15.02.17 10/04/17 PendingSUBODH PRITI DEVI AJANPUR K RASOOLABAD KANPUR DEHAT 05/04/17 10/04/17 PendingMANOJ KUMAR SALONI DEVI KARIYAPUR BHOGNIPUR KANPUR DEHAT 17.02.17 10/04/17 PendingRAM SINGH GUDDI DEVI GOPALPUR RASOOLABAD KANPUR DEHAT 17.02.17 10/04/17 PendingKAILASH CHANDRA PREMA DEVI SITHAUMA RASOOLABAD KANPUR DEHAT 06/02/17 10/04/17 PendingMAHENDRA PAL KAUSHALYA DEVI HAWASPURMANGALPUR KANPUR DEHAT 31.10.16 10/04/17 PendingSHIV KUMAR SHAKUNTALA DEVAMAULI KURMIYAN KANPUR DEHAT 31.01.17 10/04/17 PendingRAJ KISHORE MANJU DEVI RAJPUR SIKANDARA KANPUR DEHAT 23.03.17 10/04/17 PendingBASANT LAL NANHAKI TILYANI MANDA KANPUR DEHAT 12/03/17 10/04/17 PendingPYARE LAL HEERA LAL & OT AGWASI HATHUMA KANPUR DEHAT 26.12.16 10/04/17 PendingKUSUM LATA RAMESH CHANDRSANDALPU SIKANDARA KANPUR DEHAT 19.02.17 10/04/17 PendingKUSUMA PHOOL SINGH PADRIGA GHATAMPUR KANPUR DEHAT 19.09.201 25.01.17 PendingARUN KUMAR MANJU DEVI MAU KHAS BHOGNIPUR KANPUR DEHAT 25.10.2016 18.01.2017 PendingRAM KUMAR ANITA DEVI KOSHI KA BHOGNIPUR KANPUR DEHAT 16.11.16 25.01.17 PendingRAM BAHADUR SUDHA DEVI SARAY HAR AKBARPUR KANPUR DEHAT 11/02/17 04/04/17 Pending

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जिजला

KASGANJPAID CLAIMS

1 NARENDRA PAL SI SAVITRI DEVI NAGLA BHATTAKASGANJ KASGANJ 27.09.16 500000 28.02.17 Death2 KALICHARAN SHAKUNTALA DEVI TILSAI KALAN KASGANJ 05/10/16 500000 28.02.17 Death3 SORAN SINGH INGLESH DEVI RAMPUR URF NKATAUR KASGANJ 15.09.2016 500000 28.02.17 Death4 JASVEER MEGH SINGH NAGLA TAAL NADRAI KASGANJ 24.09.16 500000 01/03/17 Death5 NARESH RAMBETI BHITONA SAILAI KASGANJ 18.09.2016 500000 28.02.17 Death6 CHARAN SINGH MOHAR SHREE DARUAPUR SAILAI KASGANJ 23.10.16 500000 01/03/17 Death7 LATURI SINGH KITAB SHREE KARANPUR BHAINSRAKASGANJ 13.10.16 500000 01/03/17 Death8 RAJU SUSHILA DEVI BADAGAON SAHAWARKASGANJ 29.10.16 500000 01/03/17 Death9 DHARMVEER SING VIMLA DEVI DIHARI MAJRA BHIHARI KASGANJ 06/11/16 500000 01/03/17 Death10 BHARAT SINGH BHAGWAN DEVI RAMPUR AMIRSA kasGANJ 06/11/16 02/03/17

NO CLAIM1 ARVIND KUMAR SAVITA DEVI MANPUR NAGANYOULI KASGANJ 24.08.16 02/03/17 05/03/17 05/03/17 before commencement of policy 24/08/162 CHETRAPAL SINGHALOK KUMAR & OTHESIRAWALI KASGANJ 20.09.16 02/03/17 05/03/17 05/03/17 not dependent on deceased3 RAM SEWAK HARPYARI KILONI KYAMPURKASGANJ 28.09.201 02/03/17 05/03/17 05/03/17 not head of family4 RAMVEER SINGH JALDHARA ARJUNPUR NAUWABAKASGANJ 05/08/16 02/03/17 05/03/17 05/03/17 before commencement of policy 05/08/165 SALEEM SAHANA BEGUM SUJANPUR KATILA KASGANJ 11/11/16 02/03/17 05/03/17 05/03/17 age below 18

PENDING CLAIMSBHARAT SINGH BHAGWAN DEVI RAMPUR AMIRSA kasGANJ 06/11/16 02/03/17 PendingARJUN SINGH REENA HASANPUR GADHKA KASGANJ 29.11.2016 02/03/17 PendingDULAR SINGH BHURI TUMARIYA NYOLI KASGANJ 27.09.16 02/03/17 PendingIMRAN SHABNAM KAJI BILRAM BILRAM KASGANJ 03/11/16 02/03/17 PendingDAL KUMARI DORI LAL NANDE KASGANJ 09/11/16 10/04/17 PendingJASVANT SINGH MAMTA DEVI GULANI KASGANJ 02/11/16 10/04/17 PendingKEHRI SINGH MAYA DEVI GHINAUNA KASGANJ 09/12/16 10/04/17 PendingSURESH KUSUM RAM SINGH NYOLI KASGANJ 01/12/16 10/04/17 PendingPREM CHAND RAM WATI NAGARIYA MANP NYOLI KASGANJ 20.11.16 10/04/17 Pending



आमिमनी ा नाम ग्राम तहसील






मृत्यु/किवलारं्गता/उपचा%(ै;लेस/%ीम्बुस्मAट

KASGANJ

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RAJENDRA SINGH MANJU DEVI DEVPUR KASGANJ 09/02/17 10/04/17 PendingSUKHVEER SINGH BRIJESH KUMARI BHEMDI KASGANJ 30.10.16 10/04/17 PendingDEVKI MUNNI KALIYANPUR KASGANJ 09/11/16 10/04/17 PendingVIDHYA SHARAN PRATAP SINGH & OTHERS SUBHASHNAGAR PATIYALI KASGANJ 20.11.16 10/04/17 PendingRAJESHWAR URF RAJESKUSUMA DEVI BHHURI KASGANJ 06/11/16 10/04/17 PendingRUDRA PRATAP SINGH NEETA MOHANPURA KASGANJ 23.09.16 10/04/17 PendingPREM PAL SINGH MAHARANI DEVI SHIVPUR SAHAWAR KASGANJ 27.10.16 10/04/17 PendingLALIT PRATAP SINGH POONAM BHAWUTI KASGANJ 13.11.16 10/04/17 PendingAJAY KUMAR ANJALI MANPUR NAGARIYANKASGANJ 08,.02.17 10/04/17 PendingDEEPAK KUMAR KUSUMA DEVI MAHIPAL SINGH KINAWA KASGANJ 22.12.16 10/04/17 PendingANAR SINGH LADO DEVI NATHUPUR SAHAWAR KASGANJ 12/12/16 10/04/17 PendingMUNNA LAL MADHURI DEVI INDAJASHANPUR SADARGANJKASGANJ 09/11/16 10/04/17 PendingSATYABHAN GIRJA DEVI INDAJASHANPUR SADARGANJKASGANJ 09/11/16 10/04/17 PendingGULAB SINGH PREMWATI MAHAWAR KASGANJ 31.12.16 10/04/17 PendingBAHARUDDIN FARJANA BHITAUNA KASGANJ 22.12.16 10/04/17 PendingDHEERESH KUMARPREMLATA NAGLA KAASHISORO KASGANJ 09/10/16 02/03/17 Pending

LAKHIMPUR KHERI

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LAKHIMPUR KHERIPAID CLAIMS

1 Munesh Kumar Priyanka, Adesh Ku Pipriyam, Moora Khalsa Kumbhi LAKHIMPUR KHERI 04/10/16 500000 18.03.17 Death2 GANGA RAM SHANTI DEVI MUNJAPASI SIKANDRABAD LAKHIMPUR KHERI 23.09.2016 500000 18.03.17 Death3 Mool Chand Satana Devi Mainpur, Abgawan Mitauli LAKHIMPUR KHERI 05/10/16 500000 18.03.17 Death4 RAJESH KUMAR RAMESHWARI MURIYA PADARIATULA LAKHIMPUR KHERI 04/10/16 500000 20.03.17 Death5 AMBESH KUMAR GOLDI DEVI ARAI Mitauli LAKHIMPUR KHERI 04/10/16 500000 20.03.17 Death6 Munna Lal BAHDEHI ramuapur GOLA LAKHIMPUR KHERI 16/10/16 500000 15.03.17 Death7 PARMESHWAR DIN SUSHMA DEVI MAHESHPUR DHARMAPUR LAKHIMPUR KHERI 27/10/16 500000 16.03.17 Death8 ASHARAM ASHA DEVI MAJHRA BEHTA LAKHIMPUR LAKHIMPUR KHERI 16/09/16 500000 19.03.17 Death9 ACHCHAN BEG SHAMIM BANO LAUKAHI KHERI LAKHIMPUR KHERI 10/10/16 500000 19.03.17 Death10 PRITHIVI PAL MADHURI DEVI VEERPUR VEERPUR LAKHIMPUR KHERI 01/11/16 500000 19.03.17 Death11 RAMLOTAN GUPTA RAM KALI MAHTABPUR DHORHARA LAKHIMPUR KHERI 06/11/16 500000 20.03.17 Death12 RAKESH KUMAR MANJU DEVI MATHURA NAGAR LAKHIMPUR KHERI 15.11.2016 500000 20.03.17 Death13 BHIKHARI NIRMALA DEVI KHAIRAHNA PALIA LAKHIMPUR KHERI 16.09.2016 500000 16.03.17 Death14 INDRAJEET MEERA DEVI RAHTARI MATAULA LAKHIMPUR KHERI 14.09.2016 500000 16.03.17 Death15 RAKESH KUMAR MEENA DEVI MITHHAULI ERA STATE LAKHIMPUR KHERI 10/11/16 500000 16.03.17 Death16 SURESH RANGEELI SUNAUVA SUNAUVA LAKHIMPUR KHERI 15.10.2016 500000 16.03.17 Death17 MANOHAR LAL SAJ KUMARI MAHESHAPUR DHARMAPUR LAKHIMPUR KHERI 28.10.16 500000 20.03.17 Death18 GURMUKH SINGH AMARJIT KAUR GAGANIA PALIA LAKHIMPUR KHERI 04/10/16 500000 20.03.17 Death19 MANGAL RAM TRIVENI BOJUWA BIJORI LAKHIMPUR KHERI 04/11/16 500000 20.03.17 Death20 CHOTEY KHAN PARVEEN BANO GARDAHA AMIR NAGAR, GOLALAKHIMPUR KHERI 18.10.16 500000 20.03.17 Death21 RAM CHANDRA JAISHRI DEVI CHIKALIA PALIA KALA LAKHIMPUR KHERI 08/12/16 500000 20.03.17 Death22 CHET RAM MEERA DEVI BADHARIA MITAULI LAKHIMPUR KHERI 03/11/16 500000 15.03.17 Death23 HET RAM RAM BETI SIGAHIA PALLIA LAKHIMPUR KHERI 16.10.2016 500000 15.03.17 Death24 ROSHAN LAL ROSHNI GADARIANPURWA SHRI NAGAR LAKHIMPUR KHERI 01/10/16 500000 16.03.17 Death25 SWAMI DAYAL RAM SUKHI MOHMADI LAKHIMPUR LAKHIMPUR KHERI 22.11.2016 500000 22.03.17 Death26 KANHAIYA LAL RAM RATI PHOOL BEHAD DHANPAT LAKHIMPUR KHERI 14.12.16 500000 22.03.17 Death27 MAHESH SUNITA DEVI PHOOL BEHAD DHANPAT LAKHIMPUR KHERI 14.12.16 500000 16.03.17 Death28 FAKIRA SINGH ANURADHA DEVI PIPRACHOT KHERI LAKHIMPUR KHERI 30.11.16 500000 16.03.17 Death29 DESHRAJ SUVALALI RAMLAKI PIPRACHEET LAKHIMPUR KHERI 17.11.16 500000 16.03.17 Death30 KUNJAN KAMINI SUKHAN PURWA NIGHASAN LAKHIMPUR KHERI 24.10.16 500000 19.03.17 Death31 PRAMOD KUMAR PRITI SINGH MASTIPUR MOHAMMDI LAKHIMPUR KHERI 22.11.2016 500000 17.03.17 Death32 DARSHAN SINGH JOGINDER KAUR RANNAGAR NIGHASAN LAKHIMPUR KHERI 05/11/16 500000 17.03.17 Death33 SURAJ SINGH BHAJAN KAUR KASHYAPNAGAR KHERATIYA LAKHIMPUR KHERI 24.12.16 500000 18.03.17 Death34 RAM GOPAL MAYA DEVI DEVARIYA AMBERSOT LAKHIMPUR KHERI 30.01.17 500000 18.03.17 Death35 BALAKRAM KRISHNAWATI SINGAWAR LAKHIMPUR KHERI 14.12.16 500000 18.03.17 Death36 ANOOP KUMAR MADHURI PANDEY PAKARIYA KSIHANPUR NEEM GAON LAKHIMPUR KHERI 19.12.16 500000 18.03.17 Death37 TEEKA RAM TEEKAWATI MAHADDA LAKHIMPUR LAKHIMPUR KHERI 11/02/16 500000 18.03.17 Death38 ANJANI SINGH PAMMI SINGH OYAL LAKHIMPUR LAKHIMPUR KHERI 27/12/16 500000 18.03.17 Death39 RAJPAL MANISHA SINGH BHAWANI GANJ GOLA LAKHIMPUR KHERI 24/12/16 500000 18.03.17 Death40 RAM LAKHAN GUDDI DEVI LAL BOJHI NIGHASAN LAKHIMPUR KHERI 17.02.17 500000 18.03.17 Death41 VINOD KUMAR SHARMASUDHA KHORKHAE RAMPUR LAKHIMPUR KHERI 01/02/17 500000 18.03.17 Death42 NARESH SINGH JAMUNA DEVI RAJWAPUR THAKURAIN LAKHIMPUR KHERI 18.12.16 500000 18.03.17 Death








मृत्य/ुकिवलांर्गता/उपचा%(ै;ले

LAKHIMPUR KHERI

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43 SHREE RAM SHANTI DEVI VICHPURI MOHAMMDI LAKHIMPUR KHERI 24.12.16 500000 18.03.17 Death44 MOHD LATIF HASIMI BABENA MITAULI LAKHIMPUR KHERI 11/12/16 500000 18.03.17 Death45 OM PRAKASH KUSUMA SHARDANAGAR SADAR LAKHIMPUR KHERI 20.12.16 500000 18.03.17 Death46 PRAHLAD PYARI DEVI MAHRAJNAGAR SHREE NAGAR LAKHIMPUR KHERI 11/01/17 500000 18.03.17 Death47 SHIV RATAN RAJKUMARI DADERI NIGHASAN LAKHIMPUR KHERI 21.12.16 500000 18.03.17 Death48 FOOLCHAND RAMRATI PAKARIYA JALALPUR LAKHIMPUR KHERI 01/02/17 500000 18.03.17 Death49 Sumitra Devi Lal ji yadav Baradari Bausar LAKHIMPUR KHERI 16.10.16 500000 04/05/17 Death50 RAJESH KUMAR MANJU DEVI BILSI LAKHIMPUR KHERI 07.11.16 500000 04/05/17 Death51 BRIJLAL KANYAWATI BADAGAON LAKHIMPUR LAKHIMPUR KHERI 22.10.16 08/02/17 500000 18.03.17 Death52 INAM AHMAD SHAHID KHANAM PHOOLVEHAD LAKHIMPUR LAKHIMPUR KHERI 07/12/17 23/03/17 500000 18.03.17 Death53 SHARMA SUKANTI KHERIPURWA TENDUWA LAKHIMPUR KHERI 07.02,17 04/04/17 500000 18.03.17 Death54 RAMPAL MAYA DEVI SONIGAWAN MITAULI LAKHIMPUR KHERI 30.01.17 04/04/17 500000 18.03.17 Death55 ARVIND KUMAR KAMLA DEVI DEVRI NEEMGAON LAKHIMPUR KHERI 24.01.17 04/04/17 500000 18.03.17 Death56 HARIVANSH SHUKLA RAJKUMARI GUTHNA BUJURG KEMHARA LAKHIMPUR KHERI 21.02.17 04/04/17 500000 18.03.17 Death57 MANOJ KUMAR VERMA USHA DEVI PIPRA LAKESAR LAKHIMPUR KHERI 12/03/17 04/04/17 500000 18.03.17 Death58 THAKUR PRASAD PREM WATI SUNSI LAKHIMPUR KHERI 02/10/16 28.12.2016 500000 18.03.17 Death59 RAM KUMAR SOMWATI LALLAHAPUR GOLA LAKHIMPUR KHERI 14.04.17 04/04/17 500000 18.03.17 Death60 PINKESH KUMAR SAVITRI DEVI NARGARHA NAJRA LAKHIMPUR KHERI 06/04/17 10/04/17 500000 04/05/17 Death61 RAM CHANDER GEETA DEVI RAM PURWA DHAURAHRA LAKHIMPUR KHERI 19.01.17 10/04/17 500000 04/05/17 Death62 RAMESH KUMAR RESHMA DEVI DHOBI PURWA SIDHASAN LAKHIMPUR KHERI 04/04/17 10/04/17 500000 31.05.17 Death63 RAGHUVIR YADAV SHANTI DEVI PACHPEDA MAGRA DHARMAPUR LAKHIMPUR KHERI 21/09/2016 09/12/16 500000 31.05.17 Death64 MALTI PRASAD SUMAN DEVI RAHIMNAGAR GOLA LAKHIMPUR KHERI 27.10.2016 17.01.2017 500000 31.05.17 Death65 ANANT RAM SUDHA DEVI CHAMANPUR GOLA LAKHIMPUR KHERI 20.10.2016 23.10.2016 500000 31.05.17 Death66 SHYAM KISHORE RAM GUNI MAHAVIRI RAIPUR LAKHIMPUR KHERI 31.10.16 03/04/17 500000 31.05.17 Death67 SHARIF AHMAD Kismattun LALPUR NIGHASAN LAKHIMPUR KHERI 16.10.2016 23.12.2016 500000 31.05.17 Death68 DEVI DAYAL RAM DEVI UMRAPUR ABGAO LAKHIMPUR KHERI 24.02.17 10/04/17 500000 31.05.17 Death69 THAKUR PRASAD SHYAMKUMARI JALALPUR SERAMAU LAKHIMPUR KHERI 23.02.17 04/04/17 500000 31.05.17 Death70 DEVI DAYAL NEELAM DEVI LAKHIMPUR KHERI 16.03.17 500000 31.05.17 Death71 NAFES BANO AFROZ SHANAZ AFROZ SHANAZ LAKHIMPUR KHERI 16.02.17 500000 05.06.17 Death72 MAHESH RAMA DEVI KOEYALA MAMRI LAKHIMPUR KHERI 02/04/17 10/04/17 500000 05.06.17 Death43 BANKE RAMJAKI BASANTAPUR PALIA LAKHIMPUR KHERI 10/10/16 17.01.2017 500000 05.06.17 Death74 LALARAM BASANTI DEVI JHARA GOLA LAKHIMPUR KHERI 02/04/17 10/04/17 500000 05.06.17 Death75 PAUTHU CHAMPA DEVI NEEMGAON GOLA LAKHIMPUR KHERI 01/04/17 10/04/17 500000 05.06.17 Death76 RAMESH KUMAR sushila devi HASANAPUR LAKHIMPUR LAKHIMPUR KHERI 25.11.16 500000 08.06.16 Death77 parasuram PREMA RUDRAPUR ISANAGAR LAKHIMPUR KHERI 19.05.17 500000 27.06.17 Death78 RAMESH KUMAR NEELAM DEVI PIPARIYA RAJAPUR LAKHIMPUR KHERI 08.04.17 500000 27.06.17 Death79 RASHEED KHAN RUBIYAN SARKAR GARH GOLA LAKHIMPUR KHERI 07.04.17 500000 27.06.17 Death80 SANTOSH KUMAR EKTA GUPTA TEHRA PALIYA LAKHIMPUR KHERI 13.01.17 04/04/17 500000 27.06.17 Death81 SURESH KUMAR SUMANLATA MARKHAPUR MARKHAPUR LAKHIMPUR KHERI 28.02.17 500000 27.06.17 Death82 KAMLESH KUMAR USHA DEVI MITAULI KHERI LAKHIMPUR KHERI 26.10.2016 28.12.2016 500000 27.06.17 Death83 KRISHNA GOMTI DEVI GAJIYAPUR DEUAPUR LAKHIMPUR KHERI 13.11.16 08/02/17 500000 27.06.17 Death84 VINOD KUMAR AWASTHNEHA AWASTHI BIJUWA GOLA LAKHIMPUR KHERI 29.05.17 500000 04.07.17 Death85 SANE LAL SOMWATI MULUKAPUR GOLA LAKHIMPUR KHERI 21.03.17 500000 04.07.17 Death86 VIMLESH KUMAR SHUK MEENA SHUKLA SHANKARPURWA MOHAMDI LAKHIMPUR KHERI 28.11.16 10/04/17 500000 04.07.17 Death87 ram chandra bittu SHIVRAJPUR MITAULI LAKHIMPUR KHERI 12.02.17 500000 04.07.17 Death88 PRAKASH KR VERMA SEEMA VERMA ASHARFI LAL GARHI IBHRAHIMPUR LAKHIMPUR KHERI 07.04.17 500000 04.07.17 Death89 HUKUM BAHADUR PUSHPA DEVI LAKHIMPUR KHERI 08.04.17 500000 04.07.17 Death90 AWADESH KUMAR SUNITA CHAUDHARY LAKHIMPUR KHERI 25.03.17 500000 04.07.17 Death91 GHANENDRA KUMAR GHANENDRA KUMAR LAKHIMPUR KHERI 08.04.17 500000 04.07.17 Death92 HARISHANKAR DHARMENDRA LAKHIMPUR KHERI 17.01.17 500000 04.07.17 Death

NO CLAIMS

LAKHIMPUR KHERI

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1 ANIL KUMAR VERMA ANJU DEVI MAHMADPUR GOLA LAKHIMPUR KHERI 18/10/16 05/12/16 07/12/16 cause of death in pmr not known2 ARCHANA NEERAJ MAJHGAI LAKHIMPUR KHERI 17.11.16 17.01.2017 19.01.17 not head of family3 ARVIND KUMAR ASHOK KUMAR BELHARI LAKHIMPUR LAKHIMPUR KHERI 03/12/16 23/03/17 26.03.17 not head of family4 BALJEET SINGH KASHMIR SINGH GHISAURI MAHANGAPUR LAKHIMPUR KHERI 17.09.2016 12/01/17 15.01.17 Not being head of the family.5 BALRAM NANDRANI AMETHI DHAURHARA LAKHIMPUR KHERI 02/01/17 03/04/17 07/04/17 not head of family6 BASHIR AHMED SABIRA CHAURADIYA MAU LAKHIMPUR KHERI 08/01/17 03/04/17 07/04/17 ABOVE 707 BRIJ LAL SUSHILA DEVI AJNAPUR LAKHIMPUR KHERI 15.09.2016 28.12.2016 03/01/17 ABOVE 708 CHHEDA KHAN NIZAMUDDIN ATARIA PALIA LAKHIMPUR KHERI 23.09.2016 23.10.2016 26.12.16 not head of family9 GAYA DEEN KALWATTA VASANT PUR KHURD PALIA LAKHIMPUR KHERI 29.01.17 04/04/17 08/04/17 ABOVE 7010 GOMTI PRASAD DIXIT RAJESH, VINOD DIXRAKEHATI NIGHASAN LAKHIMPUR KHERI 07/10/16 23.10.2016 26.12.16 not head of family11 HARISH CHANDRA HARDEI SIGHASAN LAKHIMPUR LAKHIMPUR KHERI 21/12/16 24/03/17 27.03.17 deseased involved in criminal activity murder12 JASHODA DAYA SHANKER VICHPURI MOHAMMDI LAKHIMPUR KHERI 24.12.16 03/04/17 07/04/17 not head of family13 KAILASH NATH RAKESH KUMAR MUNNU GANJ GOLA LAKHIMPUR KHERI 04/12/16 04/04/17 08/04/17 not head of family14 KESHAV RAM MAURYA SURESH KUMAR BIHARI PURNA SIDHASAN LAKHIMPUR KHERI 01/10/16 04/04/17 08/04/17 not head of family15 KESHKALI MIMMA KARDHYAN PAILA LAKHIMPUR KHERI 02/02/17 04/04/17 08/04/17 not head of family16 MADAN LAL RAMBHA DEVI SEMRI PALIA LAKHIMPUR KHERI 19.09.2016 11/03/17 14.03.17 before commencement of policy 17 MULLU MEHDEI KHALSA NIGHASAN LAKHIMPUR KHERI 25.09.2016 11/03/17 14.03.17 AGE ABOVE 7018 NARAD BIRJA KAIMA BUZURG MITAULI LAKHIMPUR KHERI 19.09.2016 23.10.2016 26.12.16 before commencement of policy 01/06/201619 NIRMALA DEVI PURNESH KUMAR BEHATA LAKHIMPUR LAKHIMPUR KHERI 05/12/16 23/03/17 26.03.17 not head of family20 PARIKRAMA RAMPATI AUDHARA LAKHIMPUR KHERI 19.12.16 03/04/17 07/04/17 DUE TO ILLNESS21 PURSHOTTAM LAL VINODINI PANDEY LUDHAORI LAKHIMPUR LAKHIMPUR KHERI 17/01/17 23/03/17 26.03.17 pmr issued on unknown person22 RAM DEVI DAYA RAM VIBAHA ERA lAKHIMPUR KHERI 14.12.2016 12/01/17 15.01.17 Not being head of the family.23 RAM GUNI RAMJAS LUDHAURI NIGHASAN LAKHIMPUR KHERI 16.11.16 11/03/17 14.03.17 not head of family24 RAM WATI LALJI DAULATPUR KHERI LAKHIMPUR KHERI 15.10.16 28.12.2016 30.12.16 Not being head of the family.25 RAMKUMAR URMILA DEVI TEDWA BHALIA LAKHIMPUR KHERI 25.12.16 08/02/17 12/02/17 illness26 RAVINDER RAM SAGAR SHAWAL SINGH LAKHIMPUR LAKHIMPUR KHERI 31.12.16 08/02/17 12/02/17 not head of family27 RENU PANDEY RAJESH KUMAR JIMHORA SIKANDARA LAKHIMPUR KHERI 01/11/16 12/01/16 15.01.17 not head of family28 SABIRA ISLAMUDDIN DABELA KHERI LAKHIMPUR KHERI 28.10.2016 27.12.2016 29.12.16 not head of family29 SANTOSH KUMAR PANCHAM BIJORIA PALIA LAKHIMPUR KHERI 13.10.2016 23.10.2016 26.12.16 not head of family30 SHAILENDRA KUMAR PREMA DEVI KASTA MITAULI LAKHIMPUR KHERI 28/09/16 22/03/17 24.03.17 not head of family31 USHA DEVI RAMCHARAN KORARA LAKHIMPUR LAKHIMPUR KHERI 23/11/16 23/03/17 26.03.17 not head of family32 ROHIT GUPTA RAKESH KUMAR GURAUN TOLA LAKHIMPUR LAKHIMPUR KHERI 11/01/17 22/03/17 26.03.17 Not being head of the family.33 SHIVAM SINGH KUSUM LATA SINGHSAMADIYA KALA LAKHIMPUR KHERI 20.10.16 17.01.2017 26.03.17 AGE BELOW 18 YRS34 KARAN YADAV SOMWATI PATWARA SIDHASAN LAKHIMPUR KHERI 27.09.16 04/04/17 26.03.17 SUICIDE35 NAWAB ALI RASHEEDAN PASGAWAN MOHAMMDI LAKHIMPUR KHERI 13.02.17 04/04/17 26.03.17 Not being head of the family.36 RAM BHAROSE RAM VILAS MAJHAURA PALIA LAKHIMPUR KHERI 30.01.17 04/04/17 26.03.17 Not being head of the family.37 VIRENDRA KUMAR JASHODA ACHRAULA MITAULI LAKHIMPUR KHERI 28.01.17 04/04/17 26.03.17 Not being head of the family.38 KIRAN AGNIHOTRI ANOOP KUMAR & OBHONPUR PALIA LAKHIMPUR KHERI 01/02/17 04/04/17 14.06.17 NOT HOF, HUSBAND ALIVE , CLAIMED BY MARRIED SON39 THUNKU ARUN KUMAR SUNDERPUR LAKHIMPUR LAKHIMPUR KHERI 14/09/16 24/03/17 14.06.17 NOT HOF AND BREAD EARNER40 ISRAR KHAN KHATOON AGADPUR RAMPUR LAKHIMPUR KHERI 01/02/17 04/04/17 14.06.17 FIR , PMR NOT DONE NO KHATAUNI AND INCOME PROOF41 LUVKHUSH LAKSHMI DEVI BHARAKHPUR OYAL LAKHIMPUR KHERI 20.02.17 10/04/17 14.06.17 NOT HEAD OF FAMILY AND BREAD EARNER 42 ARTI DEVI GOMTI DEVI KATAHA RUKEHTI LAKHIMPUR KHERI 22.02.17 10/04/17 14.06.17 DECEASED AGE WAS 12 YEARS43 NATHU LAL SUMITRA DEVI JAMUNAHAPUR SAUKIYA LAKHIMPUR KHERI 08/02/17 10/04/17 14.06.17 DUE TO ILLNESS NOT ACCIDENT44 KARISHMA URF PARVE RASHID AGGAR KHURD LAKHIMPUR LAKHIMPUR KHERI 10/01/17 10/04/17 14.06.17 NOT HEAD OF FAMILY AND BREAD EARNER 45 SANTOSH KUMAR MANOJ KUMAR & O LAKHIMPUR LAKHIMPUR KHERI 15.09.2016 12/01/17 08.07.17 NOT HEAD OF FAMILY CLAIMED BY BROTHERS46 RAM PAL RAJESHWARI DEVI LAKHIMPUR LAKHIMPUR KHERI 07.06.17 08.07.17 NO PMR AND PUNCHNAMA47 AWADESH KUMAR MUNNI DEVI CHARMARTALA MITAULI LAKHIMPUR KHERI 04.01.17 08.07.17 NOT HEAD OF FAMILY DECEASED IS YOUGEST SON48 BHARAT PRASAD SHARDA DEVI PAKARIYAN KALAAAM LAKHIMPUR KHERI 16.11.16 08.07.17 INJURY CASE NOT HOF HUSBAND ALIVE49 NARAYAN PRIYANKA SINGH PIHANI MAHMOODPUR LAKHIMPUR KHERI 01/01/17 04/04/17 08.07.17 NOT HOF CLAIMED BY MARRIED DAUGHTER WIFE REMARRIED.

PENDING CLAIMSAsha Ram Asha Devi Lodhanpurwa Dhorhara(IshanagarLAKHIMPUR KHERI 16/09/16 02/11/16 Pending

LAKHIMPUR KHERI

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Sumitra Devi Lal ji yadav Daulatpur Thana Meera LAKHIMPUR KHERI 15/10/16 26/10/16 PendingBHAGOLA JAGDEV MURIYA PADARIATULA LAKHIMPUR KHERI 04/10/16 23.11.2016 PendingVIJAY KUMAR SEEMA DEVI MADARPUR Mitauli LAKHIMPUR KHERI 04/10/16 23.11.2016 PendingSHAKEEL RUKHSAR BINAURA NIGHASAN LAKHIMPUR KHERI 20/09/16 15/12/16 PendingPHOOLMATI VIKAS KUMAR DEVKALI GOTWARA, HAIDER LAKHIMPUR KHERI 14/09/2016 20/12/16 PendingMOHD. YASEEN MOHD. NAFEES VILL. MAJHGAIN TEL. PALIA LAKHIMPUR KHERI 24.09.2016 23.10.2016 PendingRAM MURTI RAJESHWARI DEVI KANNAPUR GOLA LAKHIMPUR KHERI 08/11/16 28.12.2016 PendingRAJESH KUMAR MANJU DEVI PIPARIA LAKHIMPUR KHERI 07/11/16 28.12.2016 PendingJITENDRA KUMAR PINKI DEVI TINOWA GOLA LAKHIMPUR KHERI 14.11.2016 12/01/16 PendingCHUNNU FATIMA BASAIGAPUR LAKHIMPUR LAKHIMPUR KHERI 14.12.2016 12/01/17 PendingRAMBETI RAM BETI & OTHERKANCHANPUR GOLA LAKHIMPUR KHERI 23.09.16 12/01/17 PendingBANWARI LAL MADHURI BINAURA LAKHIMPUR KHERI 23.09.16 12/01/17 PendingMUSAFIR PAL RAM WATI BASAIGAPUR LAKHIMPUR LAKHIMPUR KHERI 14.12.16 12/01/17 PendingRAM JEEVAN MAJIN PALAIA LAKHIMPUR LAKHIMPUR KHERI 23.11.2016 12/01/17 PendingSANJAY KUMARI LALIT VERMA & SHICHAKMADAN LAKHIMPUR LAKHIMPUR KHERI 29.02.2016 12/01/17 PendingRAM SAHAI RUBY DEVI BAJHERA GOLA LAKHIMPUR KHERI 25.11.2016 12/01/17 PendingRAGHUVEER SINGH MANDEEP KAUR GOLA LAKHIMPUR KHERI 13.10.16 12/01/17 PendingKRISHNA MOHAN VANSHGOPAL NAUSAR GULRIMA LAKHIMPUR KHERI 01/01/17 17.01.2017 PendingSANJEET KUMAR SEENU MOHAMMADPUR MEHTA LAKHIMPUR KHERI 07/12/16 17.01.2017 PendingBANKE RAMJAKI BASANTAPUR PALIA LAKHIMPUR KHERI 10/10/16 17.01.2017 PendingHARI SHANKAR ANUJ KUMAR VERM PENYORA KHERI LAKHIMPUR KHERI 09/12/16 17.01.2017 PendingRAMLAKHAN KAMLA DEVI PAHADIYA DHAURAHRA LAKHIMPUR KHERI 02/12/16 30.01.17 PendingRAMESH SUSHILA DEVI HASANAPUR LAKHIMPUR LAKHIMPUR KHERI 25.11.2016 30.01.17 PendingSATVEER SINGH SURENDRA KAUR DHAKA KUKRA LAKHIMPUR KHERI 16.11.16 08/02/17 PendingBADKAU SINGH JALIM SINGH AMBARA GOKARANATH LAKHIMPUR KHERI 11/12/16 08/02/17 PendingANIL KUMAR ANITA DEVI DHARMUNIYANPUR DHARAURHA LAKHIMPUR KHERI 16.12.2016 08/02/17 PendingAWDESH KUMAR RASTO PREMLATA RASTOGSANKATA DEVI KHERI LAKHIMPUR KHERI 16.12.16 08/02/17 PendingOMWATI MANOJ KUMAR BOIVA PALIA LAKHIMPUR KHERI 05/12/16 08/02/17 PendingSUNIL KUMAR SHIVLAL PATWAN MUBARAKPUR MOHAMMDI LAKHIMPUR KHERI 10/12/16 28.02.17 PendingAKILA ISRARA ISHAK HANIPIPRI KALA MITAULI LAKHIMPUR KHERI 16.11.16 28.02.17 PendingLACHIMAN NAIPALI & OTHERS DIHUA KHURD LAKHIMPUR KHERI 16.10.16 28.02.17 PendingARVIND KUMAR ASHOK KUMAR BELHARI BELHARI LAKHIMPUR KHERI 03/12/16 02/03/17 PendingDATARAM VERMA INDRA DEVI GOLA MUNNUGANJ LAKHIMPUR KHERI 20.01.17 02/03/17 PendingMAKHAN LAL SHANTI DEVI MURADPUR AURANGABAD LAKHIMPUR KHERI 17.12.16 02/03/17 PendingRAM CHANDRA PRAMOD KUMAR MIRJAPUR MITAULI LAKHIMPUR KHERI 09/12/16 02/03/17 PendingHAJARI LAL RAMBETI KARAHI MAJRA MAILANI LAKHIMPUR KHERI 30.11.16 11/03/17 PendingINDEL SANGEETA PATISHANAGAR MAILANI LAKHIMPUR KHERI 07/12/16 11/03/17 PendingJAI SINGH SAROJNI DEVI MAKHAN LAL CHAURAHA OKHARI LAKHIMPUR KHERI 07/12/16 11/03/17 PendingMUKESH TIWARI SARITA TIWARI RAOSA LAKHIMPUR LAKHIMPUR KHERI 19/01/17 24/03/17 PendingBABLU SINGH MAMTA JALALPUR LAKHIMPUR LAKHIMPUR KHERI 20/01/17 28/03/17 PendingVAKEEL AHMED FIROZE BANO BAUDI KALA MOHAMMDI LAKHIMPUR KHERI 16.01.17 03/04/17 PendingLEELAWATI SHOBHA DEVI BAUDI KALA SIDHASAN LAKHIMPUR KHERI 19.09.2016 03/04/17 PendingRAM NARESH RAJKUMARI RAJPUR DARERI SIDHASAN LAKHIMPUR KHERI 19.11.16 03/04/17 PendingNIKAS PINKI BEHJAM MITAULI LAKHIMPUR KHERI 02/02/17 04/04/17 PendingLUV KHUSH KUMAR CHABILA SAIDAPUR NIJAMPUR LAKHIMPUR KHERI 18.10.16 04/04/17 PendingRAJESH KUMAR MADHU DEVI KORIYA LOHRANA GOLA LAKHIMPUR KHERI 08,.02.17 04/04/17 PendingKABILA BEGUM ARSAD KHAN BADA GAON ATARIYA LAKHIMPUR KHERI 10/12/16 04/04/17 PendingPULKESH CHARO RAM RATI KAMLAPURI PALIA LAKHIMPUR KHERI 11/11/16 04/04/17 PendingVIJAY KUMAR TIWARI MADHU TIWARI MOOLANPUR BHULANPUR LAKHIMPUR KHERI 13.01.17 04/04/17 PendingSANJAY SAROJNI DEVI MAHRAJNAGAR SHREE NAGAR LAKHIMPUR KHERI 11/01/17 04/04/17 PendingKALICHARAN RAMNA DEVI NEMPUR SAURIYA LAKHIMPUR KHERI 06/02/17 04/04/17 Pending

LAKHIMPUR KHERI

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DEVI PRASAD KUSUMA DEVI PURWA WAKEGANJ LAKHIMPUR KHERI 06/02/17 04/04/17 PendingRANJEET RAJENDRA MILL SERIYA GOLA LAKHIMPUR KHERI 02/03/17 04/04/17 PendingCHOTE SUSHILA DEVI BASHI KOTWA LAKHIMPUR KHERI 21.12.16 04/04/17 PendingJAMUNA LAL URF JAMU RAM KUMARI CHAFANDI MAHEBAGANJ LAKHIMPUR KHERI 29.09.16 04/04/17 PendingAJMAT ALI AFROJ JAHAN SHEKHSAHAY LAKHIMPUR KHERI 12/01/17 04/04/17 PendingISRAIL SOFIYA HAJRATPUR FULEBAHED LAKHIMPUR KHERI 27.02.17 04/04/17 PendingNAWAB ALI RASHEEDAN PASGAWAN MOHAMMDI LAKHIMPUR KHERI 13.02.17 04/04/17 PendingNARAYAN PRIYANKA SINGH PIHANI MAHMOODPUR LAKHIMPUR KHERI 01/01/17 04/04/17 PendingJUGURTA RAMCHAND MALIGAON MITAULI LAKHIMPUR KHERI 20.01.17 04/04/17 PendingRAM SWAROOP RAMRATI BASARA LAKHIMPUR KHERI 12/01/17 04/04/17 PendingSANTOSH KUMAR EKTA GUPTA TEHRA PALIYA LAKHIMPUR KHERI 13.01.17 04/04/17 PendingPOORAN LAL POORAN LAL LOCHAN PURWA MITAULI LAKHIMPUR KHERI 24.04.17 04/04/17 PendingJEET KUMAR RATHOUR ARCHANA RATHOU HATHIPUR LAKHIMPUR LAKHIMPUR KHERI 30.01.17 04/04/17 PendingOM PRAKASH SUMAN LATA PARSIYA LAKHUN LAKHIMPUR KHERI 25.01.17 04/04/17 PendingMEWALAL HANSMUKHI RAJPUR BHANPUR LAKHIMPUR KHERI 07.02,17 04/04/17 PendingDEEPA BINUWA BHEERA PALIA LAKHIMPUR KHERI 17.02.17 04/04/17 PendingSHAMBHU PARANA DUDKI GAURA LAKHIMPUR KHERI 12/12/16 04/04/17 PendingRANTIRAM USHA DEVI VAUDHIYA BEHMANPUR LAKHIMPUR KHERI 26..02.17 04/04/17 PendingRAM SINGH PUSHPA DEVI KASIMPUR PAELA LAKHIMPUR KHERI 09/12/16 04/04/17 PendingMISHRI LAL BIRLAWATI LAKSHMAN JATI GOLA LAKHIMPUR KHERI 18.02.17 04/04/17 PendingBABURAM RAMAWATI DEVARIYA GOLA LAKHIMPUR KHERI 30.12.16 04/04/17 PendingRAVI ALI SHAHEED ALI MOHAMMADPUR AMEER NAGAR LAKHIMPUR KHERI 18.03.17 10/04/17 PendingRIYASAT DULARI BARAI PAELA LAKHIMPUR KHERI 03/03/17 10/04/17 PendingSANJAY SINGH URF RAJ MADHU SINGH SARAIYA ALLIPUR LAKHIMPUR KHERI 20.02.17 10/04/17 PendingSANDEEP KUMAR USHA DEVI AMANLALA LAKESHWAR LAKHIMPUR KHERI 14.02.17 10/04/17 PendingRAM PAL SHARMA DEVI GAJIYAPUR SUHELA LAKHIMPUR KHERI 03/02/17 10/04/17 PendingAJAD ALI NAJMA BANO PIPRI KALA MITAULI LAKHIMPUR KHERI 14.01.17 10/04/17 PendingJASKARANLAL MADHURI DEVI SAURAYYA HYDERABAD LAKHIMPUR KHERI 09/02/17 10/04/17 PendingRAJENDRA KUMAR KAMLA DEVI CHURAIPURWA MITAULI LAKHIMPUR KHERI 25.03.17 10/04/17 PendingNEERAJ KUMAR RAM SAHAY HERAMKHEDA MITAULI LAKHIMPUR KHERI 18.02.17 10/04/17 PendingSHIVKANTI SOHANLAL JASVANTNAGAR DHAURAHARA LAKHIMPUR KHERI 16.02.17 10/04/17 PendingRAMCHANDRA BITTU SHIVRAJPUR MITAULI LAKHIMPUR KHERI 12/02/17 10/04/17 PendingRAMNARESH KAMLA SHARMA SHANKAR CHAWANI MOHAMDI LAKHIMPUR KHERI 14.09.16 10/04/17 PendingCHAILBIHARI CHABEELA UDAIPUR LAKHIMPUR LAKHIMPUR KHERI 11/03/17 10/04/17 PendingPOORAN LAL POOJA KHAJAJI MANIKPUR LAKHIMPUR KHERI 23.02.17 10/04/17 PendingMANJEET KUMAR RAMRATI DHAKANPUR BHARIMAWA LAKHIMPUR KHERI 11/03/17 10/04/17 PendingRAVINDRA KUMAR RAMSATI LAKSHMAN PUR BEERAMPUR LAKHIMPUR KHERI 13.03.17 10/04/17 PendingLALURAM KALINDI BADARPUR MOHAMMDI LAKHIMPUR KHERI 27.02.17 10/04/17 PendingAMBUJ KUMAR ROLI DEVI BADKHAR MOHAMDI LAKHIMPUR KHERI 27.02.17 10/04/17 PendingMADHAV RAM SURJANA BHAGATPUR GOLA LAKHIMPUR KHERI 17.02.17 10/04/17 PendingPUTTI LAL SUNITA DEVI NIRMALNAGAR KOTWALI LAKHIMPUR KHERI 02/03/17 10/04/17 PendingSHYAM SUNDER SEEMA DEVI KAMTANAGAR PIPARIYA LAKHIMPUR KHERI 03/04/17 10/04/17 PendingNEELAM DEVI SUNDERLAL HASNAPUR LAKHIMPUR LAKHIMPUR KHERI 15/11/16 24/03/17 PendingRAM PAL NIRMALA DEVI BEHDA LAL FATEHPUR LAKHIMPUR KHERI 30.11.16 11/03/17 PendingSITARAM RAGHUVARA DEVI KASTA MITAULI LAKHIMPUR KHERI 26.09.16 30.01.17 Pending

JHANSI

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JHANSIPAID CLAIMS

1 Ram Sakhi Sant Ram, GaurVill. Badora Post Ghisauli Jhansi 21/09/16 500000 18.03.17 Death2 Ravi Prakash Prashann KumaSijari Bujurug Mauranipur Jhansi 16/09/16 500000 18.03.17 Death3 Har Govind Kusma Badaura, Babi Gishaula, Rular Jhansi 21/09/16 500000 20.12.16 Death4 KUNJ BIHARI RANI DEVI BARI BUJURG Baghaira, TahraJhansi 21/09/16 500000 27.03.17 Death5 PURAN SINGH KUSHWA KUSUM BACHAWALI B BARA GAON Jhansi 11/10/16 500000 27.03.17 Death6 HARISHANKER VINEETA 218, CHHANIY JHANSHI Jhansi 08/10/16 500000 29.03.17 Death7 MAHIPAT SINGH SOMWATI BARAUL TEHRAULI Jhansi 04/11/16 500000 05/04/17 Death8 HEERA LAL SHAGUN DHAWARI TAHRAULI Jhansi 18.11.2016 500000 17.03.17 Death9 DAL CHANDA LAXMI DEVI LUHARI MAURANIPUR Jhansi 29.09.16 500000 12/04/17 Death10 ARVIND KUMAR BANI GANDHI NAGA BURASARI Jhansi 03/10/16 500000 13.04.17 Death11 MAHAVEER SARAN REKHA KAUSHIKATRA GURSARAI Jhansi 23.10.2016 500000 13.04.17 Death12 KALYAN SINGH BHOORI DEVI CHIRAUNA MOTH Jhansi 07/10/16 500000 13.04.17 Death13 JAGDISH PRASAD SUMITRA DEVI BARTHARI SAMTHAR JHAnsi 08/10/16 500000 13.04.17 Death14 PRAHLAD SINGH SUMAN BUNDEISAI TOLA JHAnsi 10/10/16 500000 13.04.17 Death15 BRIJBIHARI PARVATI BARAL MONTH JHANsi 11/10/16 500000 14.04.17 Death16 MADHO SINGH SIYARANI BELMAKLA MONTH JHANsi 12/10/16 500000 14.04.17 Death17 POORAN SINGH SAGUN DUALIYBHANDARA MAURANIPUR JHANsi 03/12/16 500000 13.04.17 Death18 KISHORI LAL ANUPA NADI PAR BAGA JHAnsi 06/10/16 500000 13.04.17 Death19 HERBAL BHAGWATI JAAWAN SAKRAR JHAnsi 11/12/16 500000 13.04.17 Death20 MAHENDRA SINGH RAM SIYA AKHADPUR MOTH JHANsi 07/12/16 500000 18.04.17 Death21 DAL CHAND NIRMALA DEVI TALAUDH MOTH JHANsi 28.11.2016 500000 19.04.17 Death22 ARVIND KUMAR MEERA DEVI MATWANA BARUWASAGARJHANsi 12/01/17 500000 19.04.17 Death23 KAMLESH KUMAR RAMPUTRI BILATI GARAUTH JHANsi 10/02/17 03/04/17 500000 25.05.17 Death24 SATISH CHAND VERMA CHANDA DEVLAL AKHADA JHANsi 06/02/17 04/04/17 500000 28.05.17 Death25 SUNDER RAMA DEVI BADAGAON JHANSI JHANSI 09.02.2017 500000 28.05.17 Death26 MAHADEV KUSUMA KOLWA BADAGAON JHANsi 05.01.17 500000 10.04.17 Death27 RAMADHAR MUNIYA LANKARA BHOJALA JHANSI 16.02.17 500000 10.04.17 Death28 SANJAY SINGH REKHA TORIYA ITI JHANSI 09.12.17 500000 10.04.17 Death29 HARI SINGH VIDYA DEVI BARAL MONTH JHANsi 19.02.17 10/04/17 500000 21.06.17 Death

NO CLAIMS1 BADRI PRASAD BRIJESH & OTHRAMGARH POST RAKSHA Jhansi 30/10/201620/12/16 22.12.16 not dependent on deceased2 CHANRA SHEKHAR PARDEEP KUM SAMTHAR MOTH JHANsi 12/01/17 03/04/17 06/04/17 not dependent on deceased3 JAHAR SINGH RAJEEV SINGH BACHERA MAU RANIPUR JHANsi 16.01.17 03/04/17 06/04/17 not head of family4 MAAN SINGH YADAV ARTI YADAV GUDA JHANSI JHAnsi 18.12.201619.01.2017 21.01.17 SUICIDE5 MANJU NARENDRA SA PATHORIYA DATIYA JHANsi 16.10.16 03/04/17 06/04/17 not head of family6 NARAYAN SINGH KUSUM DEVI RORA Mauranipur Jhansi 17/10/201608/12/16 12/12/16 ABOVE 707 NARENDRA KUMAR NEELAM DEVI RAWATPURA BAGHAURA Jhansi 27/10/201620/12/16 22.12.16 absance of FIR and PMR8 NEEMA KISHUN LAL & JAWAN MAURANIPUR JHANsi 24.12.16 03/04/17 06/04/17 not head of family9 RAGHUVEER HARKUNWAR BADHERA TEHRAULI JHANsi 12/12/16 17.01.2017 20.01.17 DUE TO ILLNESS10 RAM LAL KAMLA VIRGUA Mauranipur Jhansi 16/09/16 08/12/16 12/12/16 excess consumption of alcohal11 RAM WATI SUKKI SAMTHAR MOTH JHANsi 19.11.16 03/04/17 06/04/17 not head of family12 RAMCHARAN KUSHWAHKAUSHA KUSH DHIKAULI PUNAWALI Jhansi 13/08/16 13/12/2016 15.12.16 before commencement of policy 13/08/201613 Sirovan Yadav Manju 217, Khodan, LSipri Bazar, Jhansi 29/09/16 18/11/16 19.11.16 MURDER DT 29/09/1614 VANMALI JAI KUNWAR BIJNA TAHRAULI JHAnsi 17.05.201605/01/17 07/01/17 before commencement of policy 15 RADHA DIXIT PURAN CHAND NEW PAL COL SMIRDHA JHAnsi 13.12.201609/01/17 22.06.17 Not being head of family and bread bearer16 ASHA RAM MAMTA DEVI NIPAN GARAUTHA JHANsi 19.03.17 10/04/17 22.06.17 DEATH DUE TO HEART ATTACK

PENDING CLAIMSLAKHANLAL SUKHRANI JARVAU BARUASAGAR Jhansi 22.09.201628.11.2016 PendingBABU LAL YADAV RAM DEVI & GI DIGARA BADAGAON Jhansi 26/09/16 08/12/16 PendingDESHRAJ RAM KUMARI ADPAI BENGRAMAURANIPUR Jhansi 12/11/16 27.12.2016 PendingRAM SWAROOP MEERA DEVI LARAUNI MAURANIPUR Jhansi 16.09.16 27.12.2016 PendingJAIHIND JUGAL KISHOR JARBI JARBO TDUDH JHAnsi 21.09.201609/01/17 PendingRADHA SHARAN SMT. RAMSHREPATTI KUMHARMOTHH JHAnsi 07/10/16 09/01/17 PendingKALICHARAN RAMKUMARI ATPAI CHIRGAON JHAnsi 12/11/16 12/01/17 PendingNAND KISHORE VIMLA KARARI SIPRI BAZAR JHANsi 12/10/16 17.01.2017 PendingTULSI PUKHAN DEVI PATHAKRKA MAURANIPUR JHANsi 10/10/16 17.01.2017 PendingRAJENDRA RAM DEVI BHANDARA MAURANIPUR JHANsi 03/12/16 17.01.2017 PendingSANTRAM SONA BAKAYAN TEHRAULI JHANsi 30.09.16 25.01.17 PendingAMAR SINGH UMA DEVI KALYAN PURA MOTH JHANsi 11/11/16 03/04/17 PendingRAJENDRA RAJENDRA RAMGANJ ERACH JHANsi 10/10/16 03/04/17 PendingKESHAV AMAR SINGH &CHIRGAON JHANsi 11/10/16 03/04/17 PendingGIRDHARI RAM SHREE BUDHAWALI MOTH JHANsi 04/12/16 03/04/17 PendingKUNDAN SINGH MATHI DEVI BIHATI GARAUTHA JHANsi 06/01/17 03/04/17 PendingBHAGWAT PARVATI BAGRAUNI FATEHPUR JHANsi 03/01/17 03/04/17 PendingRAM SWAROOP GAURI DULAUNSATAURA RANIPUR JHANsi 05/12/16 03/04/17 PendingRAGHUNANDAN ASHA DEVI KADURA CHIRGAON JHANsi 29.12.16 03/04/17 PendingRAM KUMAR RAM SAKHI NAGRA GURSARAYAN JHANsi 16.12.16 03/04/17 PendingSONPAL SINGH HALKI LARAUN MAU RANIPUR JHANsi 28.09.201603/04/17 PendingANKIT VISHWAKARMA VED PRAKASH NAI BASTI GARAUTH JHANsi 10/10/16 03/04/17 PendingDILIP KUMAR URF DEE POOJA AHIRWALIDHAURA BHANDER JHANsi 23.12.16 10/04/17 PendingWATI DEVI BUDH SINGH SENA MONTH JHANsi 09/02/17 10/04/17 PendingSUMAN DEVI MOHAN SINGH SENA MONTH JHANsi 09/02/17 10/04/17 PendingARCHANA DEVI SHISHUPAL SENA MONTH JHANsi 09/02/17 10/04/17 PendingVINITA DEVI RADHA CHARASENA MONTH JHANsi 09/02/17 10/04/17 PendingGOVIND DAS HARKISHAN & AMMARGARH MONTH JHANsi 14.02.17 10/04/17 PendingMURLIDHAR PHOOLWATI KARGUWA GARAUTHA JHANsi 03/12/16 10/04/17 PendingRAM KISHAN SHIVKANTI CHIRAUNA MONTH JHANsi 24.03.17 10/04/17 PendingRAJPAL AKHILESHI MAHEBA MONTH JHANsi 09/03/17 10/04/17 PendingUMA SHANKAR SAMADHDEEPAK SAMADBAMAUR GARAUTHA JHANsi 27.03.17 10/04/17 PendingAWADHRAJ SINGH SANDEEPA JAWAN SAKRA SAKRAR JHANsi 25.03.17 10/04/17 Pending









KANNAUJ

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KANNAUJPAID CLAIMS

1 Akeeluddin Shabeena Parveen Gandhi Nagar Tirwa Kannauj 17/09/16 500000 18.03.17 Death2 Mukesh Babu Rekha Devi Udaipur Nauli SikandarpurKannauj 26/09/16 500000 17.11.16 Death3 RAMBRAJ RITA DEVI PURABHOJ VIVIAJALALPUR Kannauj 14.10.2016 500000 27.03.17 Death4 SURENDRA GUDDI & OTHERS LAKSHMAN NAGLA RAMPUR HARDAY Kannauj 03/10/16 500000 27.03.17 Death5 LAL BAHADUR USHa Devi SILUAPUR ROHALI,CHIBRAM Kannauj 19.10.2016 500000 27.03.17 Death6 DEEP CHAND RAMWATI BHANTPURWA,SINGRTHATHIYA Kannauj 06/10/16 500000 29.03.17 Death7 PREM CHAND MADHURI DEVI NANDE PURWA CHHIBRAMAU Kannauj 05/10/16 500000 21.03.17 Death8 CHANDRA PAL SINGH MARGSHREE LOKPUR CHHIBRAMAU Kannauj 28.09.2016 500000 05/04/17 Death9 NATHU VIDYAWATI DEENPUR CHIBRAMAU KANNauj 29.10.16 500000 13.04.17 Death10 VIRENDRA SUMAN DEVI CHAUDHARIYAPUR MAKRAND NAGARKANNauj 06/10/16 500000 13.04.17 Death11 SACHIN SINGH PREETI DEVI NADSIA MATAULI KANNauj 05/10/16 500000 13.04.17 Death12 SHIV KUMAR MALTI DEVI MALLPURWA GUGRAPUR KANNauj 24.10.2016 500000 13.04.17 Death13 PRABHAKANT SADHNA TRIVEDI SAUREEKH DEHAT TIRWA KANNauj 30.10.2016 500000 13.04.17 Death14 AWADESH KUMAR MISHRA MADHURI MISHRA YUSUFNAGAR MAKRAND NAGARKANNauj 16.11.16 500000 14.04.17 Death15 SHAREEF KHAN SITARA BEGUM INDIRA NAGAR SAUREEKH KANNauj 16.12.2016 500000 14.04.17 Death16 GAJJU KAMLA DEVI PAINDA BAD KANNauj 06/10/16 500000 14.04.17 Death17 RAM SHARAN SARLA DEVI SADIYAPUR BANGER KANNauj 20.12.16 500000 13.04.17 Death18 BRIJPAL RENU SADARPUR CHIBRAMAU KANNauj 09/12/16 500000 17.04.17 Death19 GUDDAN RADHA DEVI HUSEPUR ISHAMPUR KANNauj 10/01/17 500000 17.04.17 Death20 SANTOSH KUMAR ARTI DEVI NAGAL HANSE GYASPUR KANNauj 16.01.17 500000 17.04.17 Death21 RAJA SINGH SUNITA RAMPUR BAJRE JALALPUR KANNauj 29.01.17 500000 17.04.17 Death22 RAM NARAIN RAM NARAIN KASUMRA ANWALA Kannauj 500000 04/05/17 PTD23 AHIBARAN SINGH BITTO DEVI SULTANPUR PREMPUR KANNauj 24.11.16 08/02/17 500000 23.05.17 Death24 RAGHUVEER DEVKI SANT NAGAR CHHIBRAMAU KANNauj 29.11.201605/01/17 500000 25.05.17 Death25 RAM KISHORE SAROJA DEVI TARANPURWA TIRVA KANNauj 15.12.16 17.01.2017500000 28.05.17 Death26 GHANSHYAM SINGH SOMWATI FAGUHA TIRVA KANNauj 11/11/16 08/02/17 500000 28.05.17 Death27 UDAI VEER SINGH ACHLA DEVI NAGALA BHAUSE KHUBARIYAPUR KANNauj 13.04.17 500000 08.06.17 Death28 NEERAJ KUMAR DUBEY SANDHAYA DUBEY MADHO NAGAR CHIBRAMAU KANNauj 13.01.17 03/04/17 500000 22.06.17 Death29 PRADEEP KUMAR MITHLESH DEVI KAVIRAPUR CHIBRAMAU KANNauj 02/03/17 03/04/17 500000 28.06.17 Death

NO CLAIMS1 PRAG SINGH RAJJO DEVI HATHIN CHIBRAMAU Kannauj 09/09/16 19/12/16 21.12.16 before commencement of policy 09/09/162 RAMJEET DINESH CHAND RAMPUR BAIJU CHIBRAMAU kaNNauj 30.10.201628.12.2016 30.12.16 ABOVE 703 VIVEK SUMAN LATA AUNTI MALIKPUR KANNauj 12/10/16 28.12.2016 30.12.16 not head of family4 GYANENDRA URF RAKESH SUMAN DEVI KANNAUJ Kannauj 24.10.16 28.12.2016 28.05.17 Death due to Heart attack5 Brijnath mohan Lal knnauj Kannauj 27.09.16 28.12.2016 28.05.17 claimant is not dependant on deceased6 BRAJNATH KRISHNA PAL SINGH & O WANPURWA TIRVI KANNauj 27.09.16 10/04/17 28.05.17 not head of family7 GYANENDRA KUMAR URF R SUMAN DEVI HAREIPUR TIRVI KANNauj 24.10.16 10/04/17 28.05.17 HEART ATTACK8 BAIJNATH YADAV SHIVANKI DEVI KANNauj 12.02.17 10/04/17 22.06.17 GOVT SERVANT9 KASHI RAM SUDHA DEVI KANNauj 15.03.17 10/04/17 22.06.17

PENDING CLAIMSADITYA KUMAR ANURADHA CHIBRAMAU KANNAUJ Kannauj 21/09/16 02/12/16 PendingRAM SWAROOP QRAMOD KUMAR BISAULI CHHIBRAMAU Kannauj 17/10/201620/12/16 PendingRAM NARAIN RAM NARAIN UDAIPUR CHHIBRAMAU Kannauj 25.09.201623.10.2016 PendingKRISHNA MURARI SHUKLA ANAMIKA SHUKLA VINAYAKPUR Kannauj 05/11/16 23.10.2016 PendingKASHMEER SINGH BIMLA NAGLADALI CHHIBRAMAU Kannauj 29.09.201623.10.2016 PendingPREM CHAND PRIYANKA DEVI URF LAJJAMAJRA JASAULI SADAR KANNauj 03/11/16 28.12.2016 PendingDURVESH KUMAR RINKI MISHRAWAD CHHIBRAMAU KANNauj 20.10.201609/01/17 PendingKULDEEP RUCHI RAMPUR GANGADHARPUR KANNauj 22.10.201609/01/17 PendingSUBHASH CHAND SNEHLATA ROOPPUR CHANDRAPUR KANNauj 10/11/16 12/01/17 PendingRAMPAL SHYAMU RAJAPUVI IBRAHIMPUR KANNauj 14.10.16 12/01/17 PendingDEVESH KUMAR ARTI KANPATIYAPUR MAKRAND NAGARKANNauj 20.10.16 12/01/17 PendingISHWAR DAYAL RAMKUMARI ALAUNDDINPUR MAKRAND NAGARKANNauj 29.10.16 12/01/17 PendingMOHD IKHLAKH MADINA KHATOON JERKILA TALGRAM KANNauj 15.10.16 12/01/17 PendingRIYAJ JAMEEVA IBRAHIMPUR KANNauj 20.09.16 12/01/17 PendingSURENDRA NANHI DEVI GUKHRU MIYAGANJ KANNauj 26.09.16 12/01/17 PendingBHUPENDRA SINGH RUCHI RAMPURA MAUJA KHOJIPUR KANNauj 24.11.16 12/01/17 PendingRAMLAKHAN MAMTA GAISPUR GATTI KANNauj 10/10/16 17.01.2017 PendingASHOK KUMAR REENA FAGUHA TIRVI KANNauj 07/12/16 17.01.2017 PendingMUSHIR ANJUM DHAMAIMAU JALALPUR KANNauj 04/12/16 25.01.17 PendingBATTIRAM RAMWATI PREMPUR CHIBRAMAU KANNauj 28.10.16 25.01.17 PendingDILIP LAKSHMI KUTLUPUR SADAR KANNauj 27.09.16 25.01.17 PendingSHAMBHU DAYAL URMILA ASIFPUR PATTI TALGRAM kANNauj 28.11.201603/02/17 PendingRAGHUVEER ROOPRANI DHILOI CHIBRAMAU KANNauj 25.12.16 03/02/17 PendingRAJ KISHORE SUDHA HARKANPUR CHIBRAMAU KANNauj 08/01/17 08/02/17 PendingVINOD KUMAR NEELAM PATTI PAVORA TIRVA KANNauj 03/12/16 08/02/17 PendingRAM ASRE DESHRAJ & OTHERS MAUSAMPUR KANNauj 09/11/16 08/02/17 PendingSACHIN KUMAR PRAJAPATI RAMWATI SAROTOP GODHNI KANNauj 31.10.201608/02/17 PendingSARNAM SINGH PULKESH KUMAR NAGLA KOTHI MURRA KANNauj 22.11.201608/02/17 PendingRAVINDRA KUMAR SAVITA DEVI VISHUNGARH CHIBRAMAU KANNauj 01/12/16 03/03/17 PendingVIJAY BAHADUR SINGH DEV NARAYAN MUNDALA CHIBRAMAU KANNauj 24.12.16 03/03/17 PendingDHARMENDRA SUDHA HARIHAPUR TIRVA KANNauj 09/01/17 03/03/17 PendingRAJNESH REENA ATRAULI CHIBRAMAU KANNauj 14.12.16 03/03/17 PendingSUBHASH CHAND SHEELA DEVI SURAITHA SAUREEKH KANNauj 31.12.16 03/03/17 PendingVINOD KUMAR SACHIN BITHNIPURWA KANNAUJ KANNauj 24/12/16 17/03/17 PendingVISHAMBHAR MUNNI DEVI SURSI TIRVI KANNauj 31.01.17 03/04/17 PendingSHADAB SHABNAM MIYAGANJ TIRVA KANNauj 31.12.16 03/04/17 PendingNEERAJ KUMAR DUBEY SANDHAYA DUBEY MADHO NAGAR CHIBRAMAU KANNauj 13.01.17 03/04/17 PendingRESHMA DEVI TRIMOHAN SINGH & OTH TISAULI TALGRAM KANNauj 27.01.17 03/04/17 PendingMUKESH KAVITA RAM NAGAR KHANPUR KANNauj 11/01/17 03/04/17 PendingJAI VEER PAL SUNITA DEVI SAFIPUR MEERGAON KANNauj 13.12.16 03/04/17 PendingBADAM SINGH SUNITA DEVI SAGRA FATEHPUR KANNauj 23.02.17 04/04/17 PendingPATI RAM VERMA RAM KUMARI VERMA NIJAMPUR TIRVA KANNauj 20.11.16 04/04/17 PendingALOK SINGH ALOK SINGH BHAWANIPUR ANAUGI KANNauj 01/01/17 10/04/17 PendingVEERU MUNNI DEVI SULTANPUR KANNauj 11/02/17 10/04/17 PendingMAHENDRA PAL SANDHYA DEVI TAREEND SAKATPUR KANNauj 03/03/17 10/04/17 PendingAJAY KUMAR SEETA DEVI UDAITAPUR MIYAGANJ KANNauj 11/03/17 10/04/17 PendingABHIMANYU SINGH POONAM UMGARA THATHIYA KANNauj 30.12.16 10/04/17 PendingPANKAJ PINKI SARHATI KHAMA KANNauj 26.10.16 10/04/17 PendingSHYAM LAL RAMKALI PATTI TIRVI KANNauj 02/10/16 10/04/17 PendingRAM GOPAL KUSUMA DEVI BAURAPUR TIRVI KANNauj 09/12/16 10/04/17 PendingBALAK RAM RAM JANKI BALNAPUR PATTI KANNauj 23.10.16 10/04/17 PendingSONE LAL MUNNI RAMPUR TIRVI KANNauj 10/10/16 10/04/17 PendingRAM SEWAK JAGWATI MIRUAN TIRVI KANNauj 23.09.16 10/04/17 Pending








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FARRUKHABADPAID CLAIMS

1 Pravesh Singh Rahul,Saurav,Gaurav Madnapur Pipergaon Farrukhabad 500000 18.03.17 Death2 Dhruv Singh Smt. Kamlesh Devi Maudha Mohamdabad Farrukhabad 500000 21.03.17 Death3 Ram Prakash Smt.Shanti Devi Tera sakwai Mohamdabad Sadar Farrukhabad 500000 18.03.17 Death4 AKHILESH KUMAR SOMWATI ATROIYA KAYAMGANJ Farrukhabad 500000 15.03.17 Death5 VERMA DEEN RAM POTHI KUTUB PUR SADAR Farrukhabad 500000 15.03.17 Death6 KALYAN SINGH SHASHI DEVI NIVIA AMRITPUR Farrukhabad 500000 15.03.17 Death7 RAM LADAITHE LEELAWATI PRALADPUR SANTKAYAMGANJ Farrukhabad 500000 15.03.17 Death8 RAMESHWAR DAYAL MUNNI DEVI GHUMAIYA RASULMANJHANA KAYAMGANJ FARRukhabad 500000 19.03.17 Death9 AJAY KUMAR USHADEVI KHINMINI KAYAMGANJ FARRukhabad 500000 20.03.17 Death10 SALMAN SHAMA GALAPUR AMRITPUR FARRukhabad 500000 20.03.17 Death11 PRADEEP KUMAR YADAREETA BANKHARIA FATEHGARH FARRukhabad 500000 16.03.17 Death12 AJAY KUMAR AJAY KUMARI BUDHNAMAU SADAR FARRukhabad 500000 16.03.17 Death13 VERMA DEEN RAMBETI FATEHGARH SADAR FARRukhabad 500000 17.03.17 Death14 BAIJNATH PUSHPA DEVI GAJIPUR AMRITPUR FARRukhabad 500000 20.03.17 Death15 SHIVRAM RAMKALI GUJURPUR AMRITPUR FARRukhabad 500000 17.03.17 Death16 BRAJESH SHANDEVI MAHRUPPUR SADAR FARRukhabad 500000 17.03.17 Death17 SUDAMA SARAN SAVITRI DEVI AMNABAD SADAR FARRukhabad 500000 17.03.17 Death18 KARAN SINGH PUSHPA DEVI HARSINGHPUR KAYAMGANJ FARRukhabad 500000 18.03.17 Death19 BRIJBHAN RAMSATI NAGALA HUSA AMRITPUR FARRukhabad 08/02/17 500000 28.05.17 Death20 LAL SINGH RENU BILALPUR AMRITPUR FARRukhabad 08/02/17 500000 28.05.17 Death21 RAM BAHADUR MALTI DEVI KADUWAPUR BHOJPUR FARRukhabad 04/04/17 500000 28.05.17 Death22 ANAND PRAKASH URF SAVITRI DEVI NAGLA BAGH BHOJPUR FARRukhabad 03/04/17 500000 28.05.17 Death23 VIRENDRA SINGH MEENA DEVI LAGUNAVERI PIPARGAON FARRukhabad 04/04/17 500000 28.05.17 Death24 SHYAM MOHAN MANJU DEVI GUNAI SINGH GUDERA AMRITPUR 19.09.16 500000 28.05.17 Death25 SURAJ PRASAD RAMBETI KHINMANI KAYAMGANJ FARRukhabad 25.01.17 500000 28.05.17 Death26 RAFIZ NAGEENA FARRukhabad 500000 27.06.17 Death27 CHOTE BABY URF DEVI DAHILIYA AMRITPUR FARRukhabad 10/04/17 500000 08.07.17 Death28 MUKESH BAJPAI VIBHA BAJPAI AMRITPUR FARRukhabad 10/04/17 500000 08.07.17 Death

NO CLAIM1 AJAY KUMAR RUPRANI NAGLA BHAWANISMUDGAON GASINPUR Farrukhabad 30/11/2016 02/12/16 Not being head of the family.2 MAHESH CHANDRA KUNTA DEVI NATWARA KAYAMGANJ Farrukhabad 28.11.2016 30.11.16 before commencement of policy 12/09/2016








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3 RAMESH PAN PYARI PAWAR KHIRIYA SADAR Farrukhabad 08/12/16 12/12/16 current by high voltage wire4 RAMKUMAR ANUJKUMAR & OTHER ATAIPUR JADID KAYAMGANJ FARRukhabad 25.01.17 28.01.17 not head of family5 SUMIT KUMAR GUDDI DEVI PALIPUR KAYAMGANJ FARRukhabad 25.01.17 28.01.17 not head of family6 SUSHILA DEVI ANUJ KUMAR PAMMINAGLA KAYAMGANJ FARRukhabad 25.01.17 28.01.17 not head of family7 PRAVEEN KUMAR KAMLA DEVI PRAHLADPUR KAYAMGANJ FARRukhabad 28.02.17 09/05/17 Not being head of the family.8 MUNNI DEVI RAJ BAHADUR SALEEMPUR NAGLA BAGH FARRukhabad 03/04/17 14.06.17 NOT HEAD OF FAMILY9 BHURE SINGH MEENA DEVI RAJEPUR AMRITPUR FARRukhabad 20/12/16 08.07.17 DEATH NOT DUE TO ACCIDENT DEATH DUE TO DISEASE CARDIAC ATTACK

PENDING CLAIMSLAYAK SINGH KRIPANTI & OTHERS ANARPUR SADAR FARRukhabad 25.01.17 PendingRINKU RENU & OTHERS BUDHNAMAU SADAR FARRukhabad 25.01.17 PendingVEERPAL SINGH SHANTI DEVI NAGLA MAHILA SADAR FARRukhabad 25.01.17 PendingSURAJ PRASAD RAMBETI KHINMANI KAYAMGANJ FARRukhabad 25.01.17 PendingDATARAM MEGHNATH VIRAHIMPUR JAGI KAYAMGANJ FARRukhabad 28.02.17 PendingHARVEER SINGH MADHU KARANPUR JYOTA FARRukhabad 02/03/17 PendingKULDEEP KUMAR KIRAN DEVI NAGLA PAL SADAR FARRukhabad 02/03/17 PendingANIK PAL REKHA DEVI RAVIDAS MOHAMDABAD FARRukhabad 02/03/17 PendingARTI DEVI ARTI DEVI KUTUBPUR SADAR FARRukhabad 02/03/17 PendingRAJU RUBI MAHMUDPUR KAYAMGANJ FARRukhabad 11/03/17 PendingSATENDRA RANI DEVI SADIKPUR KAYAMGANJ FARRukhabad 11/03/17 PendingKAMLESH KUMAR MAMTA DEVI HUSAINPUR SADAR FARRukhabad 28/0317 PendingSATISHCHANDRA MAMTA JATPURA KAYAMGANJ FARRukhabad 28/03/17 PendingRAM BABU BHU DEVI PACHPURWA PAHADA FARRukhabad 03/04/17 PendingPAKKE URF PAKKE LAL BITTAN DEVI MEHMADPUR SADAR FARRukhabad 04/04/17 PendingRAM BAHADUR MALTI DEVI KADUWAPUR BHOJPUR FARRukhabad 04/04/17 PendingVIJAY KUMAR SUNITA KANTALA SADAR FARRukhabad 04/04/17 PendingAMAR SINGH PREMWATI AMILPUR SADAR FARRukhabad 04/04/17 PendingBHUPENDRA SINGH NIRMALA DEVI BHATPURI RORA FARRukhabad 04/04/17 PendingRAM NARESH KUSUMA RAJEPUR BHOJPUR FARRukhabad 04/04/17 PendingRAKESH POONAM MAHMADPUR AMRITPUR FARRukhabad 04/04/17 PendingSHIVRATAN SINGH RAM DEVI PIPARGAON SADAR FARRukhabad 04/04/17 PendingMANOJ KUMAR RAMMURTHY HASANBAGH NARAYANPUR FARRukhabad 10/04/17 PendingVINAY KUMAR PRITI GANPATPUR BADHANPUR FARRukhabad 10/04/17 PendingRAM SHARAN MOHIT KUMAR SAREDA BHOJPUR FARRukhabad 10/04/17 PendingAJAY KUMAR MAMTA LUDHEPA KAYAMGANJ FARRukhabad 10/04/17 PendingMUKESH KUMAR URF VPRITI FATEHULLAHGANJKAMALGANJ FARRukhabad 10/04/17 PendingRAM VILAS ROOPA DEVI LIDHAULI SADAR FARRukhabad 10/04/17 PendingAWDEESH KUMAR RADHA NOORPUR PAHADA FARRukhabad 10/04/17 PendingRAKESH GUDDI NAGLA JAILAL SADAR FARRukhabad 10/04/17 PendingANUJ KUMAR KIRAN KAYAMGANJ FARRukhabad 03/03/17 05/03/17 time barredDHARMENDRA KUMAR MITHLESH DUBEY MADANPUR SHAMSABAD FARRukhabad 02/03/17 05/03/17 time barred

FIROZABAD

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FIROZABADPAID CLAIMS

1 ARJUN SINGH RADHA DEVI NIKAU SHIKOHABAD FIROZABAD 28/09/16 500000 06/01/17 Death2 SHRI NIWAS SAROJ KUMARI MODHA FIROZABAD FIROZABAD 22/09/16 500000 06/01/17 Death3 KALICHARAN AMARWATI ABBASPUR FIROZABAD FIROZABAD 04/10/16 500000 06/01/17 Death4 USRMILA DEVI KISHORE N OTH MALVIYENAGAR PARMESHWAR GATE FIROZABAD 30/10/16 500000 06/01/17 Death5 SHYAM PAL SINGHSANJU DEVI NAGLA BALUA SHIKHOHABAD FIROZABAD 12/10/16 500000 10/01/17 Death6 SHREE CHAND RAMSEWAK N O BASAI MOHDPUR FIROZABAD 19/09/2016 500000 10/01/17 Death7 RANVEER SINGH ANITA DEVI MALAWALI JARKHI FIROZABAD 01/10/16 500000 21.01.17 Death8 SANTOSH KUMAR LATA DEVI RAHCHATI SHIKOHABAD FIROZABAD 01/10/16 500000 21.01.17 Death9 KOMAL SINGH VIMLA DEVI OWATI SHIKOHABAD FIROZABAD 14/10/2016 500000 21.01.17 Death10 KOMAL SINGH KANTHO DEVI AEDALNAGAR ASHARFABAD FIROZABAD 16.09.16 500000 02/02/17 Death11 UDAY SINGH USHA DEVI NEEDERPUR JASWANT NAGAR FIROZABAD 23.11.2016 500000 24.01.17 Death12 PURAN SINGH PRABHA DEVI MORCHA KAILAI FIROZABAD 24.10.2016 500000 02/02/17 Death13 SHILENDRA KUMA MEERA DEVI KHANGRAI HUSAINPUR FIROZABAD 02/10/16 500000 02/02/17 Death14 SATYA PRAKASH ASHOK KUMARI NAGLA ANURUDHH BHANG SANDALPUR FIROZABAD 01/11/16 500000 02/02/17 Death15 ANSHUL MANJU DEVI JALALPUR MARGHATISHIKOHABAD FIROZABAD 19.10.2016 500000 02/02/17 Death16 SHASHI KAPOOR GAYTRI DEVI NAGLA KOOM JAKHAI FIROZABAD 15.11.2016 500000 02/02/17 Death17 KISHAN PAL KUNTA DEVI DHADHAK KHURD PATTI, JASRANA FIROZABAD 12/10/16 500000 02/02/17 Death18 NAIMI CHAND SHITLA DEVI GARHI HARRAI KHERA LANGAR FIROZABAD 23.11.2016 500000 02/02/17 Death19 DHANPAL SINGH CHOKA DEVI NAGLA HARISHCHANJARAULI KALAN FIROZABAD 07/10/16 500000 02/02/17 Death20 SURVEER SINGH SHANTI DEVI NAGLA HARISHCHANJARAULI KALAN FIROZABAD 07/10/16 500000 02/02/17 Death21 PREMVEER SINGH ANARKALI NAGLA SHADI BANVARA FIROZABAD 18.10.2016 500000 02/02/17 Death22 ARVIND KUMAR BANDANA DEVI KESRI SIRSAGANJ FIROZABAD 07/10/16 500000 08/02/17 Death23 SANJAY SINGH MANOJ KUMARI BHITRI DORSA FIROZABAD 26.12.16 500000 13.02.17 Death24 FAURAN SINGH SHANTI DEVI KURIKUPA FIROZABAD 05/12/16 500000 20.03.17 Death25 RAJAN SINGH AMRITI DEVI JASRANA FIROZABAD 12/01/17 500000 21.03.17 Death26 LALIT KUMAR PUS KIRAN PUSHKAR TUNDALA FIROZABAD 13/01/17 500000 21.03.17 Death27 OM VEER MAMTA ATURRA AKBARPUR FIROZABAD 25.01.17 500000 21.03.17 Death28 SHER SINGH SAVITRI DEVI SHIKOHABAD FIROZABAD 26.01.17 500000 17.03.17 Death29 DHEERENDRA SIN VEENESH GUDAU FIROZABAD 26.02.17 500000 16.03.17 Death30 RAM SEWAK SAWAN SHREE MAN SINGH SHIKOHABAD FIROZABAD 30.10.201612/01/17 500000 25.05.17 Death31 DHEERAJ SINGH DHARMENDRA SCHATURA MADANPUR FIROZABAD 26.10.16 25.01.17 500000 25.05.17 Death32 MAHARAJ SINGH RAMBETI GARHI GOPAL CHULHAWALI FIROZABAD 24.12.16 11/03/17 500000 28.05.17 Death33 POORAN SINGH SAVITRI DEVI BANIPURA SHIKOHABAD FIROZABAD 13/03/17 23/03/17 500000 28.05.17 Death34 JASVEER SINGH SARITA SINGH BHARSENA FIROZABAD 29.11.201611/03/17 500000 28.05.17 Death35 MILAP SINGH CHANDRAWATI DKESHO WAJDAR FIROZABAD 15.12.16 11/03/17 500000 28.05.17 Death36 JAI PRAKASH PRAKASH DEVI GADHSEN SIRSAGANJ FIROZABAD 22.11.201608/02/17 500000 31.05.17 Death37 YASHVEER SINGH PINKI JADAUN GUVRELE DULI FIROZABAD 17.12.16 08/02/17 500000 31.05.17 Death38 OMKAR SINGH SEETA DEVI URAVAR HASTARF FIROZABAD 02/11/16 28.02.17 500000 31.05.17 Death39 CHAND PRAKASH KAMLA DEVI KOTHI AROJ SHIKOHABAD FIROZABAD 08/12/16 15/02/17 500000 31.05.17 Death40 BHOLA ASHIKI BACHEMAI JAEMAI FIROZABAD 28.01.17 04/04/17 500000 31.05.17 Death









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41 KAMLESH KUMAR SANJU KUMARI RAJMAL TUNDLA FIROZABAD 21.01.17 04/04/17 500000 31.05.17 Death42 RAHUL KUMAR RUBI DEVI CHIKAU JARKHI FIROZABAD 21.01.17 11/03/17 500000 31.05.17 Death43 BOVI URF VIREND ANITA DEVI TAPA KALA SATYANAGAR FIROZABAD 12/12/16 11/03/17 500000 31.05.17 Death44 WARANT SINGH KAMLA DEVI NASEERPUR FIROZABAD 16.01.17 11/03/17 500000 31.05.17 Death45 DEENA NATH SADHANA SING NAGLA SADASUKH FIROZABAD FIROZABAD 09/02/17 23/03/17 500000 31.05.17 Death46 NEERAJ LAADO DEVI LALAI SHIKOHABAD FIROZABAD 13/03/17 23/03/17 500000 31.05.17 Death47 SHYAM SINGH ARVIND& OTHE GOKUL JASRANA FIROZABAD 11/12/16 08/02/17 500000 31.05.17 Death48 BHEEMSEN RAMBETI KHANDARI SHADIPUR FIROZABAD 18.11.201611/03/17 500000 31.05.17 Death

NO CLAIM1 ANIL PACHAURI PRIYANKA NAGLA SINDHI TUNDLA FIROZABAD 15.11.16 08/02/17 11/02/17 Income more than 750002 BHAGIRATH GUDDI DEVI INDU MAI MAKHANPUR FIROZABAD 25.01.17 04/04/17 08/04/17 before commencement of policy 19/05/163 DARA SINGH REKHA DEVI TUNDLI FIROZABAD 06/11/16 11/03/17 14.03.17 illness4 KALICHARAN SHARDA DEVI NAGLA SINDHI TUNDALA FIROZABAD 07/11/16 16.01.2017 19.01.17 not head of family5 MAHESH CHAND SHEELA DEVI BASAI MOHAMMADPUR FIROZABAD 13.01.17 04/04/17 10/04/17 cause of death as accident not proved6 NIRMALA DEVI RAM NIWAS NATHUA SALEMPUR JASRANA FIROZABAD 18.11.201616.01.2017 19.01.17 not dependent on deceased7 RABI MAHIPAL SUMERPUR DHATRI FIROZABAD 10/12/16 04/04/17 07/04/17 not head of family8 SHRICHAND RAMSEWAK AGRA AGRA FIROZABAD 19.09.2016 ABOVE 70 YEARS9 SHYAM VEER SINGSAROJ DEVI LAKHI JANGAL JASRANA FIROZABAD 26.10.201610/01/17 13.01.17 Illness-heart attack10 YOGESH KUMAR ANNAR DEVI NAGALA JORI JASRANA FIROZABAD 18/12/16 23/03/17 27.03.17 NOT COVERED11 RAJENDRA SINGH KAMLESH DEVI FIROZABAD 05.05.17 10.04.17 22.06.17 ALL THREE CLAIMANTS ARE MARRIED AND NOT DEPENDANT ON DEACEASED

PENDING CLAIMSKEDAR SINGH VIRESH, JITEND KUDHI KATAINA HARSHA FIROZABAD 11/11/16 12/01/17 PendingDHARAM PAL SINGSUMAN DEVI KUTUBPUR JARKHI TUNDALA FIROZABAD 15.11.201616.01.2017 PendingSHIV RAM SANJANA DEVI NAI TOR VILHANA FIROZABAD 05/10/16 17.01.2017 PendingRAJENDRA SINGH SUNIL KUMAR MATSAINA FIROZABAD 30.11.16 25.01.17 PendingPAWAN KUMAR MITHLESH KUMADADIYAMAI FIROZABAD 05/11/16 08/02/17 PendingAVNEESH KUMAR GEETANJALI SIN NAGLA BUDH SEN SHIKOHABAD FIROZABAD 28.10.16 08/02/17 PendingANIL KUMAR KRISHNA KANT BHAUDELA TUNDLA FIROZABAD 27.10.201608/02/17 PendingNEPAL SINGH NEERAJ DEVI RUDHAU NASEERPUR FIROZABAD 12/11/16 08/02/17 PendingPRAHLAD SINGH ISHWARI DEVI DUTAUJI KHURD FIROZABAD 30.10.16 08/02/17 PendingJUGESH KUMAR PRATIMA DEVI RAMNAGAR EKA FIROZABAD 09/11/16 08/02/17 PendingOMVEER SINGH VINITA DEVI MADHIPUR BAIDHAT FIROZABAD 10/10/16 08/02/17 PendingCHAND PRAKASH KAMLA DEVI KOTHI AROJ SHIKOHABAD FIROZABAD 08/12/16 15/02/17 PendingJALALUDDIN YASMEEN SARAYNOOR MAHAL JARKHI FIROZABAD 18.11.201627.02.17 PendingMANOJ KUMAR MULA DEVI URF NAGLA KHUSHALI KARHARA FIROZABAD 08/10/16 28.02.17 PendingREKHA DEVI RAJESH KUMAR NAGLA KANHI NAGLA DHEER FIROZABAD 29.11.201602/03/17 PendingSUBEDAR SINGH URMILA DEVI PARIHAR MAU JAMAI FIROZABAD 01/01/17 04/04/17 PendingSHAILESH YADAV SAROJ SINGH ALAMPUR DHOLPUR FIROZABAD 23.12.16 04/04/17 PendingVIPIN KUMAR RADHA DEVI SINDHI TUNDLA FIROZABAD 19.02.17 04/04/17 PendingRAM NARESH ANAMIKA DEVI TARA NAGAR TUNDLA FIROZABAD 02/03/17 04/04/17 PendingDEVENDRA SINGH SUDHA DEVI CHATURPURA TUNDLA FIROZABAD 21.02.17 04/04/17 PendingVIJAY SINGH SAROJ DEVI BARI BEDEHLA FIROZABAD 21.01.17 04/04/17 PendingSHISHUPAL SINGHSNEHLATA MASTPUR AKBARPUR FIROZABAD 04/02/17 04/04/17 PendingMUKESH KUMAR GEETA DEVI JAIRAM SIRSAGANJ FIROZABAD 15.12.16 04/04/17 PendingCHANDRAPAL GAYATRI DEVI KAMALPUR JASRANA FIROZABAD 08,.02.17 04/04/17 PendingSHIV KUMAR URF BABLI DEVI MACHAN JASRANA FIROZABAD 24.02.17 04/04/17 PendingSHIV DUTT UPDESH YADAV SHAMBHU NAGAR SHIKOHABAD FIROZABAD 19.01.17 04/04/17 PendingVINOD KUMAR ANOOPA DEVI TULA SHERPUR FIROZABAD 20.02.17 04/04/17 Pending

FIROZABAD

Page 93

RANVEER SINGH KAMLESH DEVI SONAWALI PAEGU FIROZABAD 03/01/17 04/04/17 PendingASHA RAM LAKSHMI DEVI SURAJPUR BHARTHAR FIROZABAD 16.01.17 04/04/17 PendingBHOLA ASHIKI BACHEMAI JAEMAI FIROZABAD 28.01.17 04/04/17 PendingVIRENDRA SINGH RAMSHREE DEVITHANMAI SHIKOHABAD FIROZABAD 29.01.17 04/04/17 PendingMANOJ KUMAR RAJKUMARI JAAT PAMARI FIROZABAD 10/03/17 04/04/17 PendingDEEN DAYAL SHREE DEVI SALEMAU TUNDALA FIROZABAD 17.03.17 04/04/17 PendingSUSHIL KUMAR RUBY SHARMA NAI BASTI TUNDALA FIROZABAD 22.02.17 04/04/17 PendingVINOD KUMAR NEETESH DEVI MUSTAFABAD JASRANA FIROZABAD 01/10/16 04/04/17 Pending

GAUTAMBUDDH NAGAR

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GAUTAMBUDHA NAGARPAID CLAIMS

1 PRAVEEN KUMAR GEETA DEVI AKALPUR JEVAR GAUTAMBUDH NAGAR 29.10.16 500000 28.04.17 Death2 OMPAL SINGH SUMAN DEVI GOTKA SARDHANA GAUTAMBUDH NAGAR 17.01.17 500000 03/05/17 Death3 DARA SINGH SUMAN DEVI TATARPUR DADRI GAUTAMBUDH NAGAR 04/03/17 04/04/17 500000 28.05.17 Death4 CHANDER SINGH SEEMA BEERAMPUR JEVAR GAUTAMBUDH NAGAR 22.11.201611/03/17 500000 31.05.17 Death

NO CLAIMS1 DEVENDRA PUSHPA CHAPRAULA DADRI GAUTAMBUDH NAGAR 11/01/17 03/04/17 INCOME ABOVE 75000/-

PENDING CLAIMSNEERAJ KUMAR JEWAR AKALPUR KHUPURA GAUTAMBUDH NAGAR 29.10.16 03/03/17 PendingCHIDDA DEEPAK ACHEJA DADRI GAUTAMBUDH NAGAR 22.09.16 04/04/17 PendingSATYA PRAKASH SHAR SAROJ BANWARI BANS KISHORE PUR GAUTAMBUDH NAGAR 30.03.17 10/04/17 Pending









GHAZIABAD

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GHAZIABADPAID CLAIMS

1 MOOLCHAND MAHENDRI DEVI SAIDAPUR MODINAGAR GHAZIABAD 07/03/17 500000 16.03.17 Death2 RAJEEV SEEMA SAIDPUR MODINAGAR GHAZIABAD 28.11.2016 500000 01/05/17 Death3 PREMPAL SUMAN GARH MUKTESHWAR GHAZIABAD 25.09.2016 500000 01/05/17 Death4 PRASAD VERMA NISHA VERMA GHAZIABAD GHAZIABAD 19.01.17 500000 03/05/17 Death5 DARSHAN SINGH SANTOSH 5000006 HARI OM TYAGI KUSUM TALHETA MODINAGAR GHAZIABAD 16.01.17 500000 03/05/17 Death7 OM PD SINGH SUMAN DEVI 500000

NO CLAIMS

1 ANKIT DINESH KUMAR VIKAS KUNJ GHAZIABAD GHAZIABAD 16.11.16 04/04/17 07/04/17 07/04/17 UNDERAGE2 FOOLWATI VIKRAM PARAMHARAN GHAZIABAD GHAZIABAD 03/11/16 04/04/17 07/04/17 07/04/17 Not being head of the family.3 KAPIL BALA SAIDAPUR GHAZIABAD GHAZIABAD 18.02.17 04/04/17 07/04/17 07/04/17 Not being head of the family.4 RAJENDRA PREMWATI KUMHARAN GHAZIABAD GHAZIABAD 30.10.16 04/04/17 07/04/17 07/04/17 income more than one lac and deceased was not farmer5 RAJWATI TYAGI RAVI DUTT TYAGI NAGLA AKKU GHAZIABAD GHAZIABAD 16.11.16 04/04/17 07/04/17 07/04/17 milkman -incom more then 1 lakh6 RITU MANOJ BALRAJ NAGAR GHAZIABAD GHAZIABAD 13.11.16 04/04/17 07/04/17 07/04/17 SUICIDE7 SANTOSH KUMAR RUBY DEVI NAVNEET VIHAR GHAZIABAD GHAZIABAD 31.12.16 04/04/17 07/04/17 07/04/17 SUICIDE8 SEEMA MONIKA KAMAL VIHAR GHAZIABAD GHAZIABAD 17.09.16 04/04/17 07/04/17 07/04/17 outside up, delhi, ghaziabad9 SONIYA REKHA DEVI INDRAPURI GHAZIABAD GHAZIABAD 26.10.16 04/04/17 07/04/17 07/04/17 not head of family-murder10 VIKAS SUREKHA SAIDPUR GHAZIABAD GHAZIABAD 16.10.16 08/02/17 10/02/17 10/02/17 age below 1811 DARSHAN SINGH RAJENDRA NAGAR SAHIBABAD GHAZIABAD 09/02/17 10/04/17 15.05.17 Not being head of the family.12 OM KIRAN RAGNI GHAZIABAD 10.03.17 10.04.17 16.04.17 14.06.17 GOVT SERVICE13 SUMIT RATHORE MAHESHWARI RATHORE GHAZIABAD 16.10.16 14.06.17 AGE OF DECEASED LESS THAN 18 YEARS 14 GOPAL SINGH RAJ DULARIL 16.02.17 08.07.17 SUICIDE

PENDING CLAIMSGAJPAL SINGH MITHLESH FRIENDS COLONY KIET ENGG OPP GHAZIABAD 26.10.16 08/02/17 PendingASHISH PAL BALA DEVI SANJAY NAGAR GHAZIABAD 17.01.17 04/04/17 PendingRAJENDRA REKHA NITHAURA LONI GHAZIABAD 19.02.17 10/04/17 PendingBHUPENDRA KUMAR KUSUM BHATI SHAREEFABAD LONI GHAZIABAD 29.11.16 10/04/17 Pending








HAMIRPUR

Page 96



HAMIRPURPAID CLAIMS

1 BHAGWAN DEEN DEVRATI VILL.DHUNDPUR POST. ATRAIYA Hamirpur 03/10/16 500000 27.03.17 Death2 RAMSAJEEVAN RANI DEVI LALLA KUNDAUR ,KURARAR HAMIRPur 10/10/16 500000 29.03.17 Death3 OM PRAKASH SAVITRI MODAHA HAMIRPUR HAMIRPur 30/09/16 500000 29.03.17 Death4 BHAWNIA RAJJI INGOHRA SUMERPUR HAMIRPur 33/09/2016 500000 05/04/17 Death5 JAGESHWAR SUDHAR KALI CHANGULI TEER Hamirpur 22.10.2016 500000 17.03.17 Death6 ANURAG SONKAR KIRAN SONKAR RAMERI TARAUS HAMIRPur 05/11/16 500000 10/04/17 Death7 ARUN KUMAR KALAWATI ATRAR CHHANI BUZURG HAMIRPur 24.11.2016 500000 13.04.17 Death8 RAM ASREY DAYAWATI BANDAVA MUSKARA HAMIRPur 09/11/16 500000 13.04.17 Death9 ZAHIR KHAN KHUD KISMAT WARD NO.9, CHO GURUGUNJ HAMIRPur 25.10.2016 500000 13.04.17 Death10 GOPI CHAND SOMWATI LARAUNT VIGAHNA HAMIRPur 16.11.2016 500000 13.04.17 Death11 RAM SWAROOP NISHA BADA GAON SUMERPUR HAMIRPur 28.09.2016 500000 14.04.17 Death12 BHAGWATI PRASAD JAMUNI DEVI AKAUNA RAATH HAMIRPur 27.11.2016 500000 14.04.17 Death13 BABU LAL URMILA AKAUNA RAATH HAMIRPur 27.11.2016 500000 14.04.17 Death14 GOVIND DAS RAM BABU & OTHER MUSKURA BHAMGAON HAMIRPur 08/12/16 500000 13.04.17 Death15 UMASHANKAR NEELAM BADI JULEHATI RAATH HAMIRPur 04/12/16 500000 17.04.17 Death16 BHANU PRATAP PUSHPA RANI KUMHARIYA RAATH HAMIRPur 26.01.17 500000 17.04.17 Death17 RAJMOHAN MADHU KUPRA SARILA HAMIRPur 09/12/16 500000 17.04.17 Death18 VISHAL SHIVAKTI REEVAN MOUDAHA HAMIRPur 16.12.16 500000 17.04.17 Death19 MUNNA RAJULIYA GHALOKHAR HAMIRPUR HAMIRPur 13/01/17 500000 18.04.17 Death20 GAURI SHANKAR REKHA RANI PAHADI VEER RAATH HAMIRPur 14.01.17 08/02/17 500000 22.05.17 Death21 SHYAM LAL KISHNA DEVI DAMUPUR MUSKURA HAMIRPur 12/12/16 17.01.2017500000 22.05.17 Death22 DEVI PRASAD RANNO MERAPUR HAMIRPur 05/02/17 04/04/17 500000 25.05.17 Death23 DEVKI NANDAN KALAWATI TIKARIYA RAATH HAMIRPur 12/03/17 04/04/17 500000 28.05.17 Death24 OM PRAKASH VIMLESH SINGH BHULSI SISOLPUR HAMIRPur 18.12.16 500000 28.05.17 Death25 RAM RAJ SINGH DHARMI BHARUWA SUMERPUR HAMIRPur 19.03.17 500000 28.05.17 Death26 VIPIN KUMAR SARASWATI SAUKHPUR KUNDERA HAMIRPur 12/03/17 04/04/17 500000 21.06.17 Death

NO CLAIMS1 BABU RAM BHAJNA CHHAITHOK MUSKARA HAMIRPur 26.11.201612/01/17 15.01.17 not dependent on deceased2 CHAND KHAN KUNJAN KURI RAATH HAMIRPur 23.10.201625.01.17 27.01.17 ABOVE 703 DINESH KUMAR KALPANA MODAHA HAMIRPUR HAMIRPur 28.09.201614/12/2016 17.12.16 Death due to alcohal4 HEMWATI NANDAN SANDHYA MAEHAR ATTRAIYA HAMIRPur 20/10/201605/12/16 08/12/16 sucide5 NATHU SURAJ KALI MOHAR ATRAIYA HAMIRPur 25/09/16 15.10.16 18.10.16 SUICIDE6 RAM AUTAR JAGBHAN BRAHAMA KA DERHAMIRPUR HAMIRPur 16/01/17 27/03/17 29.03.17 not dependent on deceased7 RAM RATI DURGA BATHUR KHURD MODAHA Hamirpur 26.08.201629.11.2016 31.11.16 before commencement of policy 20/08/168 SANJAY KUMAR VIMLA DEVI AMAN SHAHEED HAMIRPur 14.12.16 25.01.17 27.01.17 not head of family



आमिमनी ा नाम ग्राम दुर्घ�टना ी कितलि8




मृत्यु/किवलारं्गता/उपचा%(ै;लेस/%ीम्बसु्मAट

HAMIRPUR

Page 97

9 KALIDEEN RAJNI BHULSI MAUDAHA HAMIRPur 14.01.17 04/04/17 27.6.17 NO INCOME PROOFPENDING CLAIMS

Uma Shanker Fula Devi Mundera Pauthia Buzurg, Hamirpur 17/09/16 18/11/16 PendingRAMBALAK SINGH RAM DEVI KAPSA BHAMBHAI HAMIRPur 19.09.201602/12/16 PendingSUNIL KUMAR SHIV BARAN PAILANI ROAD CHAND THOK,SUMERPUHAMIRPur 14.11.201612/01/16 PendingSURJENDRA KUMAR URVASHI GHANORI RAATH HAMIRPur 23.10.201616.01.2017 PendingDHANI RAM MANNU AKINA RAATH HAMIRPur 27.11.201616.01.2017 PendingRAM PRAKASH KALLO DEVI SUMERPUR HAMIRPur 26.11.16 16.01.2017 PendingDHARMENDRA KUMAR URMILA RAMEDI TARAUS HAMIRPur 05/11/16 17.01.2017 PendingJAGAT SINGH KHEMA RITHARI KURARA HAMIRPur 29.10.16 08/02/17 PendingRAHUL YADAV RICHA YADAV BANDA HAMIRPUR HAMIRPur 30/12/16 27/03/17 PendingKRISHNAKANT PAVAN KUMAR &ONEBERI HAMIRPUR HAMIRPur 14/02/17 27/03/17 PendingUDAY NARAYAN SAMPAT DEVI KHARAUNJ KARAURA HAMIRPur 26.11.16 04/04/17 PendingSHIVBARAN TULSIRAM & OTHERSKUCHECHA HAMIRPur 29.01.17 04/04/17 PendingLAKSHMI NARAYAN URF BABBUKRISHNA KUMAR NAYAKPURWA MODAHA HAMIRPur 14.12.16 10/04/17 PendingJAGAT SINGH KAMLA KARAUNDI SAREELA HAMIRPur 29.04.17 10/04/17 PendingINDRA BAHADUR MISHRA GYAN KUMARI KAITHI RAATH HAMIRPur 28.02.17 10/04/17 PendingGENDA LAL GAYA SHREE MAJRA KUNDAURA HAMIRPur 28.02.17 10/04/17 PendingMANOJ SINGH MENKA SINGH MAMGAON RAATH HAMIRPur 17.03.17 10/04/17 PendingTEEKARAM KUSUMLATA KANDHAULI MAUDAHA HAMIRPur 29.10.16 08/02/17 Pending

HAPUR

Page 98



HAPURPAID CLAIMS

1 TEGU SINGH SUMAN RASOOLBAD HAPUR ### 500000 ### Death2 PAVESH URF LALURUBY DEVSEHAL GARH MUKHTESHAPUR 19.02.17 500000 31.05.17 Death

3 GURU DEV SINGH GURDEEPAKSHWAPAKJAPUR HAPUR 21.02.17 500000 31.05.17Death4 CHANDRAPAL SIN PREM LATSADULLA GARH MUKHTESHAPUR ### 500000 31.05.17Death5 BABA KHAN SHAYRA BAJHEDA DHAULANA HAPUR 14.03.17 500000 31.05.17Death

NO CLAIM1 MANOJ KUMAR TY SOMARITASHYAMNAGAR HAPUR 15.02.17 ### HEART ATTACK2 OM KUMAR ANAMIKA NAWADA HAPUR HAPUR 28.10.16 25.01.17 27.01.17 SUICIDE

PENDING CLAIMSPREMPAL SINGH SUMAN DAUTAI GARKMUKTESH HAPUR ### 25.01.17 PendingTEG SING URF TE JAIPALI RASOOLAGARKMUKTESH HAPUR ### 25.01.17 Pending



आमिमनीी ा नाम






HAPUR

Page 99

QRAMOD KUMAR CHARAN RAJEEV N GARKMUKTESH HAPUR 13.11.16 25.01.17 PendingAVTAR SINGH SURESH DLUKHRADSHEKHPUR HAPUR ### ### PendingRAJESHWAR URF RRAJESH MOHAMMGAR MUKTESHWHAPUR ### ### PendingASLAM FARHA DAUTAI GAR MUKTESHWHAPUR 25.11.20 ### PendingRAKESH SEEMA SIKNADE GAR MUKTESHWHAPUR 18.10.16 ### PendingVINIT SOLANKI GOMTI RAMPUR NYAMATPUR HAPUR ### ### PendingMUNKAD ALI SHAMEEMSIKHEDA GAR MUKTESHWHAPUR 30.08.16 ### PendingRAJU SARKAR REENA ATHSAINIGAR MUKTESHWHAPUR 15.10.16 ### PendingSATYENDRA ANJU SAPNAWADHAULANA HAPUR ### ### PendingDINESH KUMAR KUSUM DEALAMPURDHAULANA HAPUR 29.10.16 ### PendingRAGHUVEER SINGSHANTI SHAREEF GAR MUKTESHWHAPUR ### ### PendingKUSHAL KHUSHBUDANA GAR MUKTESHWHAPUR 23.11.20 ### PendingGAURAV SINGH SAROJ DEDANA GAR MUKTESHWHAPUR 23.11.20 ### PendingASHISH SAVITA ALAMPURGAR MUKTESHWHAPUR 18.01.17 ### PendingNARESH KUMAR GUDDI DEHRA R GAR MUKTESHWHAPUR 15.09.20 ### PendingARJUN SINGH UR ALKA DANA GAR MUKTESHWHAPUR 23.11.20 ### PendingSHEESH PAL SINGCHAYA U MANAK C NANPUR HAPUR ### ### PendingPRADEEP PINKI ALAMNAGGAR MUKTESHWHAPUR 08,.02.17### PendingYOGESH KUMAR GOMTI INAYATPUGAR MUKTESHWHAPUR 18.01.17 ### PendingHARI PAL AMREESHSADARPUGAR MUKTESHWHAPUR 15.11.16 ### PendingGANESH RAMMO DMOHAMA GARH MUKHTESHAPUR 22.11.16 ### PendingVICKY GUDIYA SEEHAIL BAHADURGARH HAPUR 19.02.17 ### PendingRAHUL PRIYANKASHYAMPUJATT HAPUR ### ### PendingBRIJENDRA SINGHKIRANWATMUKTESHWARA HAPUR ### ### Pending

HATHRAS

Page 100



HATHRASPAID CLAIMS

1 SUKH RAM MEWA DEVI KHERA BARAMAI HATHRAS Hathras 30.09.2016 500000 21.01.17 Death2 HARSWAROOP GUDDI DEVI BAMNAI HATHRAS Hathras 04/10/16 500000 21.01.17 Death3 SANJEEV KUMAR SHASHI DEVI RANGPURA HATHRAS Hathras 09/10/16 500000 21.01.17 Death4 SHAKEEL ASMA BEGUM NAGLA KANCH KALPURA HATHras 23.10.2016 500000 13.02.17 Death5 MUKESH KUMAR USHA DEVI MATHU ASROLI HATHras 10/10/16 500000 13.02.17 Death6 SHIV NARAYAN PREMLATA DEVI NAUPURA SASNI HATHras 09/02/17 04/04/17 500000 31.05.17Death7 KARANPAL MEENA DEVI RAMCHELA KAJRAURI HATHras 21.02.17 04/04/17 500000 31.05.17Death8 GOPAL SINGH MOHAR SHREE DEVFIROZPUR SASNI HATHras 19.02.17 04/04/17 500000 31.05.17 Death9 CHANDRA PAL SINGH INDIRA DEVI DAUDA HATHras 13.02.17 04/04/17 500000 31.05.17 Death10 SACHIN KUMAR BHAWNA KAUSHIK DAYANATPUR SASNI HATHras 09/02/17 04/04/17 500000 31.05.17 Death11 NIRANJAN SINGH AJAY KUMAR & OTHNAGLA PATWARI SIKANDARAMAU HATHras 18.01.17 04/04/17 500000 22.06.17 Death12 ARUN KUMAR PUSHPA DEVI ARAUTHA SADABAD HATHras 12/03/17 10/04/17 500000 22.07.17 Death13 SANTOSH KUMAR RAGHA REKHA JYOTINAGAR COL SIKADARAMAU HATHras 30.12.16 04/04/17 500000 27.06.17 Death14 HARISHANKAR PREMWATI SAKAT SIKADARAMAU HATHras 12/12/16 04/04/17 500000 27.06.17 Death15 VIJENDRA SINGH PUSHPA DEVI KAMALPUR SIKADARAMAU HATHras 11/02/17 04/04/17 500000 27.06.17 Death16 SHREE PAL SUMAN VIRRA SASNI HATHras 07/01/17 04/04/17 500000 27.06.17 Death17 HARI SINGH DEVI SHANKARPUR SASNI HATHras 04/12/16 04/04/17 500000 27.06.17 Death

NO CLAIMS1 KAUSHAL PAL SINGH KAUSHAL PAL SINGH HATHRAS 29.12.2015 DATE OF ACCIDENT PRIOR TO COMMENCEMENT OF POLICY2 DHARMESHG SINGH RAJYOTI SINGH HATHRAS PMR NOT DONE

PENDING CLAIMSGHURELAL SUNITA DEVI SUSAWALI KOTA HATHras 07/11/16 30.01.17 PendingMANOHAR LAL MOHAR SHREE RATI SIKANDARARAU HATHras 13.11.16 04/04/17 PendingMAHAVEER SINGH KIRAN DEVI GOLPURA SADABAD HATHras 05/10/16 04/04/17 PendingWAKEEL KHAN NOORJAHAN BEGU KATAI SIKANDARAMAU HATHras 12/10/16 04/04/17 PendingSANJAY KUMAR URF SANJ MANJU DEVI KHEDIYA SIATAHARI HATHras 28.10.16 04/04/17 PendingMUKHIYA KHAN URF MUK SHABANA BEGUM0 WAJEEDPUR SIKANDARAMAU HATHras 14.10.16 04/04/17 PendingSATENDRA KUMAR MAMTA KUMARI LODHIPUR DEVRI HATHras 28.10.16 04/04/17 PendingSONU URF RAGHVENDRA BABLI DEVI JALALPUR HATHras 29.11.16 04/04/17 PendingBHUDA DEVI SUNIL KUMAR &OT HADELA WADHIWARI HATHras 04/10/16 04/04/17 PendingHARPAL SINGH SANGHMISHRA GA WAHANPUR KELAURA HATHras 04/11/16 04/04/17 PendingMANOJ KUMAR LALTESH DEVI PARTAP HATHras 27.10.16 04/04/17 PendingITWARI KHAN NOORBANO JALAL SIKADARAMAU HATHras 02/11/16 04/04/17 PendingJITENDRA VIDHYA DEVI NAGLA MOTI HATHras 29.10.16 04/04/17 PendingBHAGWAN SINGH SHAKUNTALA DEVI SAKAT SIKADARAMAU HATHras 12/12/16 04/04/17 PendingRAJPAL SHREEMATI NAWABPUR SIKANDARAMAU HATHras 10/10/16 04/04/17 PendingMOHAR SINGH SUNEETA DEVI KUNDAN SIKANDARAMAU HATHras 30.10.16 04/04/17 PendingSUBHASH CHAND RAJWATI GARHI NANDRAM SASNI HATHras 28.11.16 04/04/17 PendingKALLU SINGH KRISHNA KUMARI BARTARKHAS SIKANDARAMAU HATHras 07/10/16 04/04/17 PendingSANTOSH KUMAR ROOPWATI BARAH SAINI SASNI HATHras 14.09.16 04/04/17 PendingVEDRAM SINGH USHA DEVI NAGLA DEVI BEDAI HATHras 04/11/16 04/04/17 Pending



नामिमनी ा नाम





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GAYA PRASAD OMWATI JARAU SADABAD HATHras 30.09.16 04/04/17 PendingOM PRAKASH INDRA GAUTAM WAASDUTTA JAITAI HATHras 05/11/16 04/04/17 PendingDHARMVEER SINGH BHURI VISHI SADABAD HATHras 08/11/16 04/04/17 PendingPRAVEEN KUMAR RENU MAHRARA SADABAD HATHras 12/10/16 04/04/17 PendingHAJI MOHD FARAHEEM MUNNI SARAY UMDA BE SIKANDARA HATHras 02/01/17 04/04/17 PendingCHOTELAL URF CHOTU RAJKUMARI MATHURAPUR SIKADARAMAU HATHras 11/01/17 04/04/17 PendingVINAY KUMAR PINKI VEDAI SADABAD HATHras 07/01/17 10/04/17 PendingSUGADPAL SINGH RAVINDRA SINGH MIRJAPUR HATHras 08/02/17 10/04/17 PendingMUNNI DEVI VIRESH KUMAR & HEERAPUR MIRJAPUR HATHras 12/01/17 10/04/17 PendingKAMLESH KUMARI HARISH KUMAR & BAGHRAYA HATHras 21.02.17 10/04/17 Pending


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