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Employee Insurance Details

This document provides an addition and deletion list for an insurance policy. 6 employees were added to the policy including their personal details and coverage dates. No employees were deleted from the policy. The document also includes sections for dependent additions, corrections to be made, and remarks but these sections are blank.

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Badal Bhattacharya
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323 views11 pages

Employee Insurance Details

This document provides an addition and deletion list for an insurance policy. 6 employees were added to the policy including their personal details and coverage dates. No employees were deleted from the policy. The document also includes sections for dependent additions, corrections to be made, and remarks but these sections are blank.

Uploaded by

Badal Bhattacharya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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Eureka Forbes Pvt Ltd

Policy No:
Premium Consumed for Addition 0
Premium Refunded for Deletion 0
Premium 0
Addition List

Policy No:

3-Jul-19
Sum Coverage
Sr. No Employee NO. Name Relation DOB Age Gender Location Designation Date of joining
Insured date
9110052 Keyur Bhavsar Self 11-Jan-90 29 MALE 150000 Vadodara Territory Head 10/Jun/19 10/Jun/19
Roma keyur Bhavsar Spouse 1/6/1993 26 Female Territory Head 10/6/2019
9110132 Vatsal Chotaliya Self 22-Oct-94 25 MALE 150000 Ahmedabad Territory Head 21/Jun/19 21/Jun/19
MAHESH M CHOTALIYA FATHER 8/1/1961 58 MALE 150000 Ahmedabad 21/Jun/19
CHETANA CHOTALIYA MOTHER 11/12/1969 50 FEMALE 150000 Ahmedabad 21/Jun/19

9110278 Ashish Mansinghka Self 4-Dec-86 33 MALE 150000 Gwalior Key Account Manager 02/Jul/19 02/Jul/19
9110309 Arjun Meghpara Self 7-Jan-90 30 MALE 150000 Rajkot Key Account Manager 08/Jul/19 08/Jul/19
9110369 Satya Prakash Singh Self 8-Jun-86 33 MALE 150000 Satna Territory Head 18/Jul/19 18/Jul/19
9110351 Arvind Kumar Self 30-Oct-92 27 MALE 150000 Goa Territory Head 16/Jul/19 16/Jul/19
Addition List
Deletion List

Sr. No Employee No Name Relation DOB Age


Policy No:

Designatio
Sum Insured Location Premium LWD
n
s
Dependent Addition List

Sr. No Emp ID Name Relation DOB Age Location Gender


Remark
Correction List
ECN Location Correct Name Incorrect Name DOB Age
on List
Relation Correct Gender InCorrect Gender REMARKS

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