UNITED INDIA INSURANCE COMPANY LIMITED

Class Wise Claims Outstanding Register Report

As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 1/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
32 0 2504003114C050258001 2504003113P104863113 1 SUBHASH KOHLI 250400 31/10/2013 30/10/2014 22/08/2013
23/08/2013 600000.00 13/03/2015 LiabilityOnly Paid Driver - Injury New Business 511310.00 15000.00 526310.00
32 0 2504003116C050212001 25040031990200035067 2 PARVEJ AND RASHID AHMAD 250400 04/06/2000
05/06/2000 21/11/2016 LiabilityOnly Third Party - Injury 56275.00 14000.00 70275.00
32 0 2504003116C050213001 25040031990200035067 3 PARVEJ AND RASHID AHMAD 250400 04/06/2000
05/06/2000 21/11/2016 LiabilityOnly Third Party - Injury 56275.00 0.00 56275.00
31 0 2504003118C050268001 2504003118P106256341 4 MRS. SHARDA GUPTA 250400 13/08/2018 12/08/2019 03/01/2019
04/01/2019 265000.00 16/01/2019 PackagePolicy Accident External Means Renewal Business 4000.00 1320.00 5320.00
31 0 2504003118C050297001 2504003118P104762711 5 JAGDISH 250400 14/07/2018 13/07/2019 19/01/2019
21/01/2019 450000.00 12/02/2019 PackagePolicy Accident External Means New Business 21000.00 1500.00 22500.00
31 0 2504003118C050307001 2504003118P108595749 6 SANDIP KUMAR 250400 03/10/2018 02/10/2019 10/02/2019
11/02/2019 630000.00 15/02/2019 PackagePolicy Accident External Means Renewal Business 55000.00 1500.00 56500.00
31 0 2504003118C050314001 2504003118P112719508 7 SHEETAL JUNEJA 250400 03/01/2019 02/01/2020 12/02/2019
16/02/2019 766672.97 25/02/2019 PackagePolicy Accident External Means Renewal Business 13493.00 1720.00 15213.00
31 0 2504003118C050322001 2504003118P115073021 8 MOHD. SALEEM 250400 20/02/2019 19/02/2020 27/02/2019
01/03/2019 663641.52 01/03/2019 PackagePolicy Accident External Means Renewal Business 18000.00 1500.00 19500.00
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 2/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
31 0 2504003118C050326001 2504003118P109319587 9 MANU MAKKAR 250400 22/10/2018 21/10/2019 04/03/2019
06/03/2019 380000.00 06/03/2019 PackagePolicy Accident External Means Renewal Business 10000.00 0.00 10000.00
31 0 2504003118C050328001 2504003118P115006903 10 SNEH LATA 250400 23/02/2019 22/02/2020 02/03/2019
04/03/2019 436989.70 06/03/2019 PackagePolicy Accident External Means New Business 9000.00 0.00 9000.00
31 0 2504003118C050330001 2504003118P111123817 11 SANJEEV KUMAR 250400 28/11/2018 27/11/2019 05/03/2019
06/03/2019 750000.00 07/03/2019 PackagePolicy Accident External Means Renewal Business 12000.00 0.00 12000.00
31 0 2504003118C050331001 2504003118P113130807 12 RAVINDER KUMAR GUPTA 250400 08/01/2019 07/01/2020 24/02/2019
27/02/2019 768030.34 07/03/2019 PackagePolicy Accident External Means Renewal Business 5500.00 0.00 5500.00
31 0 2504003118C050332001 2504003118P112468656 13 RAHUL KUMAR SINGH 250400 28/12/2018 27/12/2019 04/03/2019
07/03/2019 290000.00 07/03/2019 PackagePolicy Accident External Means Renewal Business 8000.00 0.00 8000.00
31 0 2504003118C050334001 2504003118P114272128 14 250400 07/03/2019
09/03/2019 16000.00 0.00 16000.00
31 0 2504003118C050335001 2504003118P110125775 15 250400 11/03/2019
12/03/2019 11600.00 0.00 11600.00
31 0 2504003118C050336001 2504003118P104831812 16 250400 07/03/2019
11/03/2019 22250.00 0.00 22250.00
31 0 2504003118C050337001 2504003118P113815548 17 250400 09/03/2019
11/03/2019 22000.00 0.00 22000.00
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 3/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
No Of Claims: 17
Class Total: 6000334.53 851703.00 36540.00 888243.00
32 35 2504003118C050134001 2504003117P105920309 18 SHUFIYAN 250400 21/07/2017 20/07/2018 21/02/2018
07/08/2018 500000.00 29/08/2018 PackagePolicy Third Party - Injury New Business 205945.00 0.00 205945.00
No Of Claims: 1
Class Total: 500000.00 205945.00 0.00 205945.00
32 37 2504003115C050109001 2504003109P133355426 19 MOHD. ARSHAD 250400 10/07/2009 09/07/2010 14/01/2010
20/02/2014 57000.00 30/07/2015 43320 PackagePolicy Third Party - Injury New Business 201106.00 0.00 201106.00
32 37 2504003116C050019001 2504003113P106829115 20 NITU URF AVNISH 250400 20/01/2014 19/01/2015 14/12/2014
18/04/2016 50815.00 18/04/2016 PackagePolicy Third Party - Injury New Business 11650.00 0.00 11650.00
32 37 2504003117C050163001 2504003116P109228250 21 RAJESH KUMAR 250400 16/10/2016 15/10/2017 18/09/2017
10/10/2017 47000.00 10/10/2017 PackagePolicy PA Owner - Driver - Death New Business 108599.00 1800.00 110399.00
32 37 2504003117C050291001 2504003116P108145894 22 VALI MOHD 250400 20/09/2016 19/09/2017 14/01/2017
27/03/2018 0.00 27/03/2018 LiabilityOnly Third Party - Injury New Business 214690.00 0.00 214690.00
31 37 2504003118C050191001 2504003117P118885139 23 SUSHMITA KASHYAP 250400 28/03/2018 27/03/2019 31/10/2018
01/11/2018 45716.49 05/11/2018 PackagePolicy Theft Renewal Business 45000.00 2000.00 47000.00
31 37 2504003118C050197001 2504003118P109542073 24 CHANDRA PAL SHARMA 250400 24/10/2018 23/10/2019 07/11/2018
12/11/2018 20250.00 13/11/2018 PackagePolicy Theft of entire vehicle Renewal Business 20250.00 2500.00 22750.00
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 4/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
31 37 2504003118C050308001 2504003118P114154098 25 AJAY S/O SH. RAJ KUMAR 250400 02/02/2019 01/02/2020 16/02/2019
18/02/2019 18000.00 20/02/2019 PackagePolicy Accident External Means Renewal Business 2010.00 1340.00 3350.00
31 37 2504003118C050329001 2504003118P111032781 26 VIKAS KUMAR 250400 28/11/2018 27/11/2019 02/03/2019
06/03/2019 41666.00 06/03/2019 PackagePolicy Accident External Means Renewal Business 6000.00 0.00 6000.00
No Of Claims: 8
Class Total: 280447.49 609305.00 7640.00 616945.00
31 45 0428003118C086684001 0428003117P108873492 27 GULSHAN KUMAR 250400 23/09/2017 22/09/2018 11/09/2018
18/09/2018 1099756.77 18/09/2018 PackagePolicy Accident External Means Roll Over 21274.00 0.00 21274.00
32 45 2504003115C050151001 2504003114P103349024 28 RAJENDRA 250400 08/08/2014 07/08/2015 11/02/2015
04/09/2015 200000.00 04/09/2015 LiabilityOnly Third Party - Death New Business 498038.00 10000.00 508038.00
32 45 2504003115C050151002 2504003114P103349024 29 RAJENDRA 250400 08/08/2014 07/08/2015 11/02/2015
04/09/2015 200000.00 04/09/2015 LiabilityOnly Third Party - Injury New Business 373529.00 10000.00 383529.00
32 45 2504003117C050096001 2504003116P108191965 30 ARPIT KUMAR 250400 21/09/2016 20/09/2017 23/01/2017
21/07/2017 866085.18 21/07/2017 PackagePolicy Third Party - Injury New Business 220751.00 5546.00 226297.00
32 45 2504003117C050124001 2504003116P108766147 31 RAVINDER MALIK 250400 03/10/2016 02/10/2017 05/05/2017
06/09/2017 911115.48 06/09/2017 PackagePolicy Third Party - Injury Renewal Business 437014.00 0.00 437014.00
32 45 2504003118C050041001 2504003117P106075105 32 SANJAY 250400 26/07/2017 25/07/2018 07/04/2018
01/05/2018 600000.00 17/05/2018 PackagePolicy Third Party - Death New Business 996641.00 25000.00 1021641.00
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 5/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
31 45 2504003118C050108001 2504003117P111285300 33 PARAM PAL SINGH 250400 08/11/2017 07/11/2018 03/07/2018
04/07/2018 700000.00 06/08/2018 PackagePolicy Accident External Means Renewal Business 100000.00 3000.00 103000.00
31 45 2504003118C050128001 2504003118P103435987 34 SANDEEP SINGHAL 250400 05/07/2018 04/07/2019 15/08/2018
20/08/2018 802733.98 20/08/2018 PackagePolicy Accident External Means Renewal Business 0.00 1310.00 1310.00
31 45 2504003118C050194001 2504003117P113860723 35 AVNEESH KUMAR 250400 29/12/2017 28/12/2018 10/10/2018
11/10/2018 500000.00 05/11/2018 PackagePolicy Accident External Means New Business 150000.00 2000.00 152000.00
31 45 2504003118C050195001 2504003118P102127469 36 RAVINDRA KUMAR 250400 16/05/2018 15/05/2019 31/10/2018
31/10/2018 638561.75 05/11/2018 PackagePolicy Accident External Means New Business 425000.00 3000.00 428000.00
31 45 2504003118C050206001 2504003117P118623742 37 SAGAR KAMBOJ S/O BINOD 250400 23/03/2018 22/03/2019 02/11/2018
KUMAR
26/11/2018 325000.00 28/11/2018 PackagePolicy Accident External Means New Business 10000.00 2500.00 12500.00
31 45 2504003118C050305001 2504003117P115844831 38 SONU 250400 14/02/2018 13/02/2019 02/02/2019
05/02/2019 1406974.23 13/02/2019 PackagePolicy Accident External Means Renewal Business 30000.00 1500.00 31500.00
31 45 2504003118C050309001 2504003118P101141574 39 SARIKA 250400 24/04/2018 23/04/2019 16/02/2019
18/02/2019 1004889.80 20/02/2019 PackagePolicy Accident External Means New Business 40000.00 2000.00 42000.00
31 45 2504003118C050313001 2504003117P116898949 40 GAURAV GAMBHIR 250400 24/02/2018 23/02/2019 19/02/2019
21/02/2019 561168.50 25/02/2019 PackagePolicy Accident External Means New Business 11654.00 1730.00 13384.00
31 45 2504003118C050317001 2504003118P100765140 41 RISHI GOPAL AHUJA 250400 13/04/2018 12/04/2019 24/02/2019
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 6/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
25/02/2019 871729.50 26/02/2019 PackagePolicy Accident External Means New Business 20000.00 1500.00 21500.00
31 45 2504003118C050318001 2504003118P108328797 42 YASH PAL SINGH S/O RATI RAM 250400 26/09/2018 25/09/2019 15/02/2019
18/02/2019 900000.00 26/02/2019 PackagePolicy Accident External Means New Business 22000.00 1500.00 23500.00
31 45 2504003118C050319001 2504003118P103553553 43 NARENDER KUMAR 250400 16/06/2018 15/06/2019 25/02/2019
28/02/2019 522242.96 28/02/2019 PackagePolicy Accident External Means New Business 19000.00 2100.00 21100.00
31 45 2504003118C050320001 2504003118P107797852 44 FAREED KHAN 250400 16/09/2018 15/09/2019 28/02/2019
28/02/2019 731433.65 01/03/2019 PackagePolicy Accident External Means Renewal Business 25000.00 1500.00 26500.00
31 45 2504003118C050321001 2504003117P118124676 45 MANISH BHATNAGAR S/O 250400 16/03/2018 15/03/2019 28/02/2019
SHANTI PRAKASH BHATNAGAR
01/03/2019 650000.00 01/03/2019 PackagePolicy Accident External Means New Business 3934.00 1360.00 5294.00
31 45 2504003118C050324001 2504003118P101388019 46 MUKUL KUMAR 250400 27/04/2018 26/04/2019 28/02/2019
05/03/2019 860000.00 06/03/2019 PackagePolicy Accident External Means Renewal Business 41000.00 0.00 41000.00
31 45 2504003118C050325001 2504003117P117565046 47 ASHOK KUMAR 250400 08/03/2018 07/03/2019 05/03/2019
06/03/2019 640000.00 06/03/2019 PackagePolicy Accident External Means Renewal Business 10000.00 0.00 10000.00
31 45 2504003118C050327001 2504003118P102338404 48 MANOJ KUMAR JAIN 250400 18/05/2018 17/05/2019 27/02/2019
01/03/2019 896436.99 06/03/2019 PackagePolicy Accident External Means Renewal Business 51000.00 0.00 51000.00
No Of Claims: 22
Class Total: 15888128.79 3505835.00 75546.00 3581381.00
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 7/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
39 62 2504003110C100142002 2504003109P133354215 49 PRADEEP KUMAR 250400 30/04/2009 29/04/2010 07/01/2010
05/05/2013 1360000.00 12/08/2014 24469 PackagePolicy Third Party - Death New Business 15579.00 15000.00 30579.00
39 62 2504003111C100123001 2504003109P133354821 50 ASHOK KUMAR 250400 08/06/2009 07/06/2010 20/11/2009
06/03/2012 220000.00 06/03/2012 PackagePolicy Third Party - Death Renewal Business 718668.00 15000.00 733668.00
32 62 2504003113C050281001 2504003113P103413453 51 SACHIN ARORA 250400 02/09/2013 01/09/2014 09/09/2013
24/01/2014 460800.00 05/03/2014 PackagePolicy Paid Driver - Death Roll Over 681.00 0.00 681.00
39 62 2504003114C050068001 2504003110P133354043 52 YADAVKRISHNATRANSPORTCO. 250400 23/04/2010 22/04/2011 06/12/2010
05/07/2014 760000.00 05/07/2014 24469 PackagePolicy Third Party - Death Renewal Business 575211.00 0.00 575211.00
32 62 2504003117C050066001 2504003115P107767867 53 NEETU RANI 250400 12/10/2015 11/10/2016 02/07/2016
15/02/2017 950000.00 08/06/2017 PackagePolicy Third Party - Death New Business 678937.00 15000.00 693937.00
32 62 2504003117C050123001 2504003116P105664601 54 VIKAS TYAGI 250400 29/07/2016 28/07/2017 16/06/2017
05/09/2017 1350000.00 05/09/2017 PackagePolicy Third Party - Death Renewal Business 0.00 5841.00 5841.00
32 62 2504003117C050138001 2504003116P106360687 55 MOHAMMAD MOHTRUM 250400 14/08/2016 13/08/2017 15/07/2017
15/09/2017 1950000.00 15/09/2017 PackagePolicy Third Party - Death Renewal Business 546795.00 14000.00 560795.00
32 62 2504003117C050186001 2504003116P116821453 56 NASREEN 250400 12/03/2017 11/03/2018 26/07/2017
10/11/2017 350000.00 10/11/2017 PackagePolicy Third Party - Injury Renewal Business 216685.00 12000.00 228685.00
32 62 2504003117C050188001 2504003116P105735923 57 ISRAR AHMED 250400 03/08/2016 02/08/2017 20/08/2016
20/08/2017 520000.00 14/11/2017 PackagePolicy Third Party - Death New Business 1455074.00 20000.00 1475074.00
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 8/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
32 62 2504003117C050276001 2504003117P104805155 58 UMESH CHAND 250400 29/06/2017 28/06/2018 09/10/2017
14/10/2017 200000.00 12/03/2018 LiabilityOnly Third Party/ Public Liability - Death New Business 1410836.00 15000.00 1425836.00
31 62 2504003118C050094001 2504003117P118639749 59 AMIT KUMAR S/O MADAN LAL 250400 23/03/2018 22/03/2019 30/07/2018
31/07/2018 664800.00 31/07/2018 PackagePolicy Accident External Means New Business 80000.00 0.00 80000.00
32 62 2504003118C050184001 2504003117P108583855 60 SH.YASHVEER KUMAR GUPTA 250400 20/09/2017 19/09/2018 03/05/2018
01/08/2018 900000.00 01/11/2018 PackagePolicy Third Party - Death Renewal Business 313003.00 0.00 313003.00
31 62 2504003118C050245001 2504003118P103302929 61 RAM KISHAN 250400 08/06/2018 07/06/2019 19/12/2018
20/12/2018 850000.00 21/12/2018 PackagePolicy Accident External Means New Business 650000.00 1500.00 651500.00
31 62 2504003118C050257001 2504003118P105453808 62 GAURAV RAJPUT 250400 25/07/2018 24/07/2019 26/12/2018
26/12/2018 3154000.00 08/01/2019 PackagePolicy Accident External Means New Business 30000.00 1500.00 31500.00
31 62 2504003118C050276001 2504003118P102155531 63 MANGE RAM KASHYAP 250400 14/05/2018 13/05/2019 03/01/2019
05/01/2019 3087500.00 18/01/2019 PackagePolicy Accident External Means New Business 80000.00 1500.00 81500.00
No Of Claims: 15
Class Total: 16777100.00 6771469.00 116341.00 6887810.00
32 65 2504003113C050261001 2504003113P102689300 64 M/S SPRING BELLS SCHOOL 250400 01/08/2013 31/07/2014 19/08/2013
19/10/2013 400000.00 11/02/2014 PackagePolicy Third Party/ Public Liability - Renewal Business 77606.00 0.00 77606.00
Personal Injury
32 65 2504003117C050141001 2504003116P110917334 65 ABAD HUSSAIN & M.ZEESHAN 250400 18/11/2016 17/11/2017 04/02/2017
 UNITED INDIA INSURANCE COMPANY LIMITED
Class Wise Claims Outstanding Register Report
As On :Mar 12, 2019
Report Run Date & Time : Mar 13, 2019 3:32 PM
(Amount in Rs)
Region: 250000-RO DEHRADUN Office: 250400-DO SAHARANPUR Page No : 9/ 9

Department Class Code Claim No Policy No Srl No Name of Insured Office Code Effect Date Expiry Date Loss Date
Intimation Sum Insured Amount O/s Start date Dev Off Code Policy Type Nature Of Loss B.T Loss Amount Exp.Amount Outstanding
Date Amt
13/07/2017 200000.00 18/09/2017 LiabilityOnly Third Party - Death Renewal Business 663403.00 0.00 663403.00
31 65 2504003118C050168001 2504003117P117904046 66 SONU KUMAR 250400 14/03/2018 13/03/2019 26/09/2018
12/10/2018 695000.00 12/10/2018 PackagePolicy Accident External Means New Business 40000.00 2500.00 42500.00
No Of Claims: 3
Class Total: 1295000.00 781009.00 2500.00 783509.00
No Of Claims: 66
Report 40741010.81 12725266.00 238567.00 12963833.00
Total: