AM
OU
S.NO
FORM NO
PRIMARY MEMBER NAME
FATHER/HUSBAND NAME
ADDERSS
1
5168402
NETRAM
SEDURAM
MADHOGARH
2
5168401
RAMGOPAL
MANGI LAL MAHAWAR
MADHOGARH
3
5168400
ANITA DEVI
BADRI KOLI
MADHOGARH
4
5168234
GAJANAND
GAYARSHI LAL
MADHOGARH
5
5168233
MADAN
BABU LAL
MADHOGARH
6
5168399
SUDESH KUMAR
PRABHATI LAL
MADHOGARH
7
5168292
SOHAN LAL
TIKA RAM
MADHOGARH
8
5168297
PRABHATI LAL
GAYARSI LAL
MADHOGARH
9
5168291
TIKA RAM
GYARSHI LAL
MADHOGARH
10
5168290
LEKHRAJ
MANGI LAL MAHAWAR
MADHOGARH
11
5168295
PRADEEP
RAJI LAL
MADHOGARH
12
5168289
SUSHIL
PRABHATI LAL
MADHOGARH
13
5168296
NAND KISHOR
RAMJI LAL
MADHOGARH
14
5168288
JAY NARAYAN
OKAR JI
MADHOGARH
15
5168285
LACHMA DEVI
GALLU RAM
MADHOGARH
16
5168293
VIJAY
KALURAM
MADHOGARH
17
5168287
HEMLATA
GHANSHYAM
MADHOGARH
18
5168284
RAMJI LAL
KANHA RAM
MADHOGARH
19
5168286
JAYTRI
DAYA CHAND
MADHOGARH
20
5168282
RAJU MAHAWAR
GALLU RAM
MADHOGARH
21
5168283
KALI DEVI
KALU RAM
MADHOGARH
22
5168277
MOOL CHAND
BHORI LAL
MADHOGARH
23
5168276
PREM CHAND
MOOLCHAND
MADHOGARH
24
5168278
NEHNU RAM
PRABHATI LAL
MADHOGARH
25
5168281
BABU LAL
GALLU RAM
MADHOGARH
26
5168280
BALU RAM
BASANTA RAM
MADHOGARH
27
5168213
MOHAN MAHAWAR
GALLU RAM
MADHOGARH
28
5168294
GIRAJ
KALURAM
MADHOGARH
29
5168224
VIDHYA DEVI
RAMJI LAL
DAMODARPURA
30
5168223
HANUMAN SHAY MAHAWAR
SHIV BAX MAHAWAR
DAMODARPURA
31
5168222
HEMLATA DEVI
BABULAL
DAMODARPURA
32
5168221
MEERA DEVI MAHAWATR
KESAR MAHAWAR
DAMODARPURA
NT
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
33
5168330
PUNI DEVI
LATE RAMESHWAR
DAMODARPURA
34
5168220
RAJU
CHITARMAL
DAMODARPURA
35
5168329
LADADEVI
JAGDISH
DAMODARPURA
36
4873538
CHAMALI
RAMNIWAS
DAMODARPURA
37
4873537
NAVARATAN
CHITAR MAL
DAMODARPURA
38
5168404
GIRRAJ PRASAD
PRABHATI LAL
DAMODARPURA
39
4873540
BEENA DEVI
ANANDI LAL
DAMODARPURA
40
5168328
BADAMI DEVI
LALCHAND
DAMODARPURA
41
5168403
SONI DEVI
CHITAR MAL
DAMODARPURA
42
4873541
SUGAMA DEVI
JAGDISH PRASAD
DAMODARPURA
43
5168219
KAVITA DEVI
NAVAL KISHOR
DAMODARPURA
44
5168218
GEETA DEVI MAHAWAR
LAXMI NARAYAN
DAMODARPURA
45
5168405
CHHAGAN LAL MAHAWAR
NANAG RAM MAHAWAR
DAMODARPURA
46
5168331
LAL CHAND
CHITTRMAL
DAMODARPURA
47
5168526
MAMTA EVI
SURAJ
BADAWA
48
5168527
KAILASH CHAND MAHAWAR
CHITAR MAL
BADAWA
49
5168525
LALITA DEVI
GIRIRAJ
BADAWA
50
5168225
RAJANI DEVI
CHAGAN LAL MAHAWAR
BADAWA
51
5168482
GULAB DEVI
PRABHU DAYAL
BADAWA
52
5168481
BHAGHA DEVI
BABU LAL
BADAWA
53
5168480
NARAYANA DEVI
KAJODMAL
BADAWA
54
4873527
MAMTA
KANA RAM
MOHANPURA BASSI
50
55
4873519
MEENA DEVI
MEGHRAJ
MOHANPURA BASSI
50
56
5168240
PUSHPA DEVI0
KISHAN LAL MAHAWAR
MOHANPURA BASSI
50
57
5168241
JANAKI DEVI
RAM KISHOR
MOHANPURA BASSI
50
58
5168242
PREM DEVI
NANAK RAM
MOHANPURA BASSI
50
59
5168326
SONAM DEVI
LAXMI NARAYAN MAHAWAR
MOHANPURA BASSI
50
60
5168238
PANNI DEVI
MANGI LAL MAHAWAR
MOHANPURA BASSI
50
61
5168230
BHORI DEVI
MOHAN LAL
MOHANPURA BASSI
50
62
5168229
INDRA
BABU LAL
MOHANPURA BASSI
50
63
5168228
GEETA DEVI
RAJESH
MOHANPURA BASSI
50
64
5168528
MOOLCHAND
MOHAN LAL
MOHANPURA BASSI
50
65
5168226
KALU RAM
MOHAN LAL
MOHANPURA BASSI
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
50
66
5168227
MEENA DEVI
GOKUL PRASAD GOTWAL
MOHANPURA BASSI
50
67
5168231
LEELA DEVI
DHANNA
MOHANPURA BASSI
50
68
5168232
MANPHOOLI DEVI
RAMESH CHANDRA REGAR
MOHANPURA BASSI
50
69
5168235
URMILA DEVI
DALU RAM MAHAWAR
MOHANPURA BASSI
50
70
5168236
CHANDRA KANTA
JAGDISH NARAYAN
MOHANPURA BASSI
50
71
5168237
JAGDISH NARAYAN
RAM LAL
MOHANPURA BASSI
50
72
5168217
ROOPA DEVI
RAM SHAY
MOHANPURA BASSI
50
73
5168239
KAMLESH DEVI
MAHESH MAHAWAR
MOHANPURA BASSI
50
74
5168344
ABDUL MAJID KHAN
ABDULSAKUR
BANSKHO
50
75
5168457
MAYA
KAMLESH
BANSKHO
50
76
5168456
PUSHPA
RAJESH
BANSKHO
50
77
5168455
SUMITRA
RAJU LAL
BANSKHO
50
78
5168424
ISWER LAL MALI
GHASI LAL MALI
BANSKHO
50
79
5168423
MOTI LAL SAINI
CHOTMAL SAINI
BANSKHO
50
80
5168422
GHANSHYAM BALAI
NATHU LAL BALAI
BANSKHO
50
81
5168416
RATAN LAL SAINI
GHASI LAL SAINI
BANSKHO
50
82
5168398
SHARDA DEVI
PURAN MAL
BANSKHO
50
83
5168299
GULAB DEVI
SITA RAM
BANSKHO
50
84
5168397
VIMLA DEVI
PADAM SINGH
BANSKHO
50
85
5168393
KAMLA DEVI
RADHEYSHYAM
BANSKHO
50
86
5168484
ANITA DEVI
RAMESH CHANDRA REGAR
BANSKHO
50
87
5168469
UGANTI EVI
RAMESHWAR LAL
BANSKHO
50
88
5168470
MANJU DEVI
HANUMAN SAHAY
BANSKHO
50
89
5168471
SUNITA DEVI
JAGDISH PRASAD
BANSKHO
50
90
5168472
RAMPATI DEVI
KAILASH CHAND
BANSKHO
50
91
5168473
SHANTI DEVI
RAMJI LAL
BANSKHO
50
92
5168474
KISTURI DEVI
BHAGAWAN SHAY
BANSKHO
50
93
5168475
SHANTI DEVI
KANARAM
BANSKHO
50
94
5168415
SUSHILA DEVI
HANUMAN SAHAY
BANSKHO
50
95
5168476
ASHA DEVI
BANWARI LAL
BANSKHO
50
96
5168477
KAILASH DEVI
CHIRANJI LAL
BANSKHO
50
97
5168479
RAMPYARI DEVI MAHAWAR
NARSI RAM
BANSKHO
50
98
5168478
GOPALI DEVI
KALU RAM
BANSKHO
50
99
5168463
KAJOD MAL MAHAWAR
MANGI LAL MAHAWAR
BANSKHO
50
100
5168464
SHANTI DEVI BAIRWA
KAJODMAL BAIRWA
BANSKHO
50
101
5168465
ANITA DEVI BAIRWA
RAMESH CHAND
BANSKHO
50
102
5168466
MEENA DEVI
ASHOK KUMAR
BANSKHO
50
103
5168467
KESAR DEVI
MUKESH DEVI
BANSKHO
50
104
5168468
SUNITA DEVI
MAHENDRA KUMAR
BANSKHO
50
105
5168245
BEENA DEVI
RAJENDRA PRASAD
BANSKHO
50
106
5168483
MANGAL RAM
LADHU RAM
BANSKHO
50
107
5168298
108
5168395
SUPYAR DEVI
RAMESHWAR LAL
BANSKHO
50
VIMLA DEVI
JAGDISH PRASAD MAHAWAR
BANSKHO
50
109
5168300
GYANI DEVI
OMPRAKASH
BANSKHO
50
110
5168394
BIDAM DEVI
GOPAL
BANSKHO
50
111
5168214
SONI DEVI
MANGI LAL
MADHOGARH
50
Scarica

ICICI Lombard Life Isurance Form