individual agents

166
FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED License No. Insurer Agent code DP ID Agent Name Date Of Birth Address Town/City District State Pin code Branch to which the agent is Is Comp osite If Composite Name of other Insurer License issued on Licensed valid from Expiry Date 8252637 60000148 FGG PALLAVI SHAH 01/03/1983 B-106 Hastagiri Ashok Chakravarty Road Kandivli East Mumbai Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 ANDHERI YES BIRLA SUN LIFE 10/07/2013 10/07/2013 27/08/2016 5688638 60000357 FGG ASMA SUBOOHI ARSHAD 22/05/1960 W-68, IIND FLOOR ABUL FAZAL ENCLAVE SHAHEEN BAGH Delhi Delhi 110025 Delhi Delhi Delhi 110025 NOIDA YES LIFE INSURANCE CORPORATION 05/03/2013 05/03/2013 23/08/2015 428421 60001405 FGG PRAMOD KUMAR RAI 27/09/1976 19, JAGIRDAR KI CHAL CHANDBARH BHOPAL Satna Madhya Pradesh 485001 Bhopal Satana Madhya Pradesh 462010 BHOPAL NO - 21/03/2011 21/03/2011 12/02/2014 4206345 60001409 FGG YOGESH CHUGH 04/09/1984 h no 774/2 B, Ward no. 16, Quilla Mohalla, Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES FUTURE GENERALI LIFE INSURANCE CO.LTD 26/03/2014 26/03/2014 29/04/2017 4204412 60001426 FGG BIR SAIN 30/04/1960 38, laxmi model school mittraon Delhi Delhi 110043 New Delhi Delhi Delhi 110043 CONNAUGHT PLACE YES FUTURE GENERALI LIFE INSURANCE CO.LTD 17/06/2014 17/06/2014 29/04/2017 1895772 60001672 FGG SRINIVAS DESAI 30/05/1949 22-23 SHRIKRISHNA NILAYA 1ST CROSS 2ND MAIN SAMRAT LAYOUT AQAKERE BG ROAD BANGALORE Bangalore Karnataka 560076 Banglore Banglore Karnataka 560076 BANGALORE YES FUTURE GENERALI LIFE INSURANCE CO.LTD 13/02/2014 13/02/2014 16/02/2017 3232115 60001673 FGG SONIA SIKKA 27/09/1982 H. NO-L10, SEC-11B, DLF, Faridabad Haryana 121006 Faridabad Faridabad Haryana 121006 FARIDABAD NO - 01/04/2013 01/04/2013 09/04/2016 556210 60001891 FGG NANDKISHORE JETHI 28/07/1955 BLDG. NO.3, ROOM NO.134 GTB NAGAR SION [E] Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI YES FUTURE GENERALI LIFE INSURANCE CO.LTD 06/10/2014 06/10/2014 17/06/2017 4243883 60002072 FGG JAGADEESWARA RAO BALINA 29/06/1973 2-30-40, Mindi, Near BHPV, Visakhapatnam Andhra Pradesh 530012 Vishakhapatnam Vishakhapatnam Andhra Pradesh 530012 VIZAG YES FUTURE GENERALI LIFE INSURANCE CO.LTD 10/06/2014 10/06/2014 21/05/2017 4255893 60003097 FGG ANJU 14/05/1979 H NO 559 Sector - 1, Rohtak Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES FUTURE GENERALI LIFE INSURANCE CO.LTD 24/09/2014 24/09/2014 27/05/2017 4369149 60003938 FGG VAISHALI HITESH BHAYANI 17/07/1974 Flat No 78, Krishna Kunj Society, Opp Poolgate Camp, Pune, Pune Maharashtra 411001 Pune Pune Maharashtra 411001 PUNE YES FUTURE GENERALI LIFE INSURANCE CO.LTD 03/10/2011 03/10/2011 08/07/2014 4377773 60004728 FGG SARITA SANJEEV BRAR 23/11/1960 29, Gulistan Uday Baug, Pune, Hadapsar, Pune Maharashtra 411013 Pune Pune Maharashtra 411013 PUNE YES FUTURE GENERALI LIFE INSURANCE CO.LTD 30/09/2014 30/09/2014 13/07/2017 5042136 60008415 FGG GEETABEN GADHIYA 07/04/1975 2 ABHISHEK APP THAKKAR BAPANAGAR AHMEDABAD Ahmadabad Gujarat 382350 Ahmedabad Ahmedabad Gujarat 382350 AHMEDABAD YES FUTURE GENERALI LIFE INSURANCE CO.LTD 03/01/2015 03/01/2015 13/01/2018 717406 60009122 FGG SANJEEV JAIN 28/04/1973 12/55, JAIN MANDIR GALI, VIDIHSA Vidisha Madhya Pradesh 464221 Bhopal Bhopal Madhya Pradesh 464221 BHOPAL NO - 08/09/2014 08/09/2014 14/09/2017 4935307 60009340 FGG KULDIP SINGH 23/03/1963 16-A 02 GOPAL NAGAR MAJITHA ROAD AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES FUTURE GENERALI LIFE INSURANCE CO.LTD 16/12/2014 16/12/2014 19/12/2017 5057485 60009670 FGG RAMESH GUNDU RAO 07/05/1971 14/10, I FLOOR, IV CROSS 7TH MAIN,SYNDICATE BANK COLONY, BSK 3 STG, BANGALORE Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 MALLESHWARAM YES FUTURE GENERALI LIFE INSURANCE CO.LTD 17/01/2015 17/01/2015 18/01/2018 5336289 60010440 FGG ASHA ABA WANI 11/11/1977 N42 CD2/1/1 UNTWADI 4TH SCHEME SHIVSHAKTI CHOWK CIDCO NASHIK Nashik Maharashtra 422009 Nasik Nasik Maharashtra 422009 NASHIK YES FUTURE GENERALI LIFE INSURANCE CO.LTD 17/07/2012 17/07/2012 16/04/2015 5333061 60010505 FGG NIMI JOHN 22/03/1970 PLOT NO 205 NEHRU NAGAR KURIACHIRA Ernakulam Kerala 680006 Thrissur Thrissur Kerala 680006 THRISSUR YES FUTURE GENERALI LIFE INSURANCE CO.LTD 13/08/2013 13/08/2013 15/04/2015 5079032 60010700 FGG DEBASHIS SAHA 24/10/1966 TANKITALA RAILPAR PANAGARH BAZAR BURDWAN Burdwan West Bengal 713148 Burdwan Burdwan West Bengal 713148 DURGAPUR YES FUTURE GENERALI LIFE INSURANCE CO.LTD 12/02/2015 12/02/2015 26/01/2018 5078191 60010702 FGG SURESH PRASAD BHAGAT 14/03/1964 PANAGARH RAIL COLONY PANAGARH BAZAR BURDWAN Burdwan West Bengal 713148 Panagarh Panagarh West Bengal 713148 DURGAPUR YES FUTURE GENERALI LIFE INSURANCE CO.LTD 12/02/2015 12/02/2015 26/01/2018 5452547 60010737 FGG VARINDER KOHLI 28/09/1981 3421/5 NETAJI NAGAR JALL BYEPASS LUDHIANA Ludhiana Punjab 141001 Ludhiana Ludhiana Punjab 141008 LUDHIANA YES FUTURE GENERALI LIFE INSURANCE CO.LTD 08/08/2012 08/08/2012 12/06/2015 4487304 60010779 FGG S. SABITHA 02/03/1971 273-3 P & T COLONY MG ROAD NEW FAIRLANDS Salem Tamil Nadu 636016 Salem Salem Tamil Nadu 636016 SALEM YES TATA AIA LIFE INSURANCE COMPANY LTD 27/11/2014 27/11/2014 11/08/2017 4835591 60010806 FGG SAMUNDER 01/01/1980 H no 426 CHMARIA AGALI ROHTAK Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES FUTURE GENERALI LIFE INSURANCE CO.LTD 08/12/2014 08/12/2014 17/11/2017 Details of Individual Agents of the Company as on 31st March 2015

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FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

8252637 60000148 FGG PALLAVI SHAH 01/03/1983

B-106 Hastagiri Ashok Chakravarty Road Kandivli East Mumbai

Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 ANDHERI YES BIRLA SUN LIFE 10/07/2013 10/07/2013 27/08/2016

5688638 60000357 FGG ASMA SUBOOHI ARSHAD 22/05/1960

W-68, IIND FLOOR ABUL FAZAL ENCLAVE SHAHEEN BAGH Delhi

Delhi 110025 Delhi Delhi Delhi 110025 NOIDA YES

LIFE INSURANCE

CORPORATION 05/03/2013 05/03/2013 23/08/2015

428421 60001405 FGG PRAMOD KUMAR RAI 27/09/1976

19, JAGIRDAR KI CHAL CHANDBARH BHOPAL Satna Madhya

Pradesh 485001 Bhopal Satana Madhya Pradesh 462010 BHOPAL NO - 21/03/2011 21/03/2011 12/02/2014

4206345 60001409 FGG YOGESH CHUGH 04/09/1984

h no 774/2 B, Ward no. 16, Quilla Mohalla, Rohtak

Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/03/2014 26/03/2014 29/04/2017

4204412 60001426 FGG BIR SAIN 30/04/1960 38, laxmi model school mittraon Delhi Delhi 110043 New Delhi Delhi Delhi 110043 CONNAUGHT PLACEYES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/06/2014 17/06/2014 29/04/2017

1895772 60001672 FGG SRINIVAS DESAI 30/05/1949

22-23 SHRIKRISHNA NILAYA 1ST CROSS 2ND MAIN SAMRAT

LAYOUT AQAKERE BG ROAD BANGALORE Bangalore

Karnataka 560076 Banglore Banglore Karnataka 560076 BANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/02/2014 13/02/2014 16/02/2017

3232115 60001673 FGG SONIA SIKKA 27/09/1982 H. NO-L10, SEC-11B, DLF, Faridabad Haryana 121006 Faridabad Faridabad Haryana 121006 FARIDABAD NO - 01/04/2013 01/04/2013 09/04/2016

556210 60001891 FGG NANDKISHORE JETHI 28/07/1955

BLDG. NO.3, ROOM NO.134 GTB NAGAR SION [E] Mumbai

Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 06/10/2014 06/10/2014 17/06/2017

4243883 60002072 FGG JAGADEESWARA RAO BALINA 29/06/1973

2-30-40, Mindi, Near BHPV, Visakhapatnam Andhra Pradesh

530012 Vishakhapatnam Vishakhapatnam Andhra Pradesh 530012 VIZAG YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/06/2014 10/06/2014 21/05/2017

4255893 60003097 FGG ANJU 14/05/1979 H NO 559 Sector - 1, Rohtak Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 24/09/2014 24/09/2014 27/05/2017

4369149 60003938 FGG VAISHALI HITESH BHAYANI 17/07/1974

Flat No 78, Krishna Kunj Society, Opp Poolgate Camp, Pune,

Pune Maharashtra 411001 Pune Pune Maharashtra 411001 PUNE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/10/2011 03/10/2011 08/07/2014

4377773 60004728 FGG SARITA SANJEEV BRAR 23/11/1960

29, Gulistan Uday Baug, Pune, Hadapsar, Pune

Maharashtra 411013 Pune Pune Maharashtra 411013 PUNE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/09/2014 30/09/2014 13/07/2017

5042136 60008415 FGG GEETABEN GADHIYA 07/04/1975

2 ABHISHEK APP THAKKAR BAPANAGAR AHMEDABAD

Ahmadabad Gujarat 382350 Ahmedabad Ahmedabad Gujarat 382350 AHMEDABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/01/2015 03/01/2015 13/01/2018

717406 60009122 FGG SANJEEV JAIN 28/04/1973

12/55, JAIN MANDIR GALI, VIDIHSA Vidisha Madhya

Pradesh 464221 Bhopal Bhopal Madhya Pradesh 464221 BHOPAL NO - 08/09/2014 08/09/2014 14/09/2017

4935307 60009340 FGG KULDIP SINGH 23/03/1963

16-A 02 GOPAL NAGAR MAJITHA ROAD AMRITSAR Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/12/2014 16/12/2014 19/12/2017

5057485 60009670 FGG RAMESH GUNDU RAO 07/05/1971

14/10, I FLOOR, IV CROSS 7TH MAIN,SYNDICATE BANK COLONY,

BSK 3 STG, BANGALORE Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 MALLESHWARAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/01/2015 17/01/2015 18/01/2018

5336289 60010440 FGG ASHA ABA WANI 11/11/1977

N42 CD2/1/1 UNTWADI 4TH SCHEME SHIVSHAKTI CHOWK CIDCO

NASHIK Nashik Maharashtra 422009 Nasik Nasik Maharashtra 422009 NASHIK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/07/2012 17/07/2012 16/04/2015

5333061 60010505 FGG NIMI JOHN 22/03/1970

PLOT NO 205 NEHRU NAGAR KURIACHIRA Ernakulam Kerala

680006 Thrissur Thrissur Kerala 680006 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/08/2013 13/08/2013 15/04/2015

5079032 60010700 FGG DEBASHIS SAHA 24/10/1966

TANKITALA RAILPAR PANAGARH BAZAR BURDWAN Burdwan

West Bengal 713148 Burdwan Burdwan West Bengal 713148 DURGAPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/02/2015 12/02/2015 26/01/2018

5078191 60010702 FGG SURESH PRASAD BHAGAT 14/03/1964

PANAGARH RAIL COLONY PANAGARH BAZAR BURDWAN

Burdwan West Bengal 713148 Panagarh Panagarh West Bengal 713148 DURGAPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/02/2015 12/02/2015 26/01/2018

5452547 60010737 FGG VARINDER KOHLI 28/09/1981

3421/5 NETAJI NAGAR JALL BYEPASS LUDHIANA Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141008 LUDHIANA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/08/2012 08/08/2012 12/06/2015

4487304 60010779 FGG S. SABITHA 02/03/1971

273-3 P & T COLONY MG ROAD NEW FAIRLANDS Salem Tamil

Nadu 636016 Salem Salem Tamil Nadu 636016 SALEM YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 27/11/2014 27/11/2014 11/08/2017

4835591 60010806 FGG SAMUNDER 01/01/1980

H no 426 CHMARIA AGALI ROHTAK Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/12/2014 08/12/2014 17/11/2017

Details of Individual Agents of the Company as on 31st March 2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3206230 60010808 FGG ARUN TANAJI MORE 14/10/1973

13 ROHINI BHUVAN C H S L KOPARIGAON ROAD KOPARIGAON

THANE Thane Maharashtra 400603 Thane Thane Maharashtra 400603 THANE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 25/03/2013 25/03/2013 28/03/2016

5262321 60010971 FGG SUKUMARAN 15/07/1939

172 HILLS GARDEN OLLUR KUTTENELLOR THRISSUR Thrissur Kerala

680014 Thrissur Thrissur Kerala 680014 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 15/03/2012 15/03/2012 18/03/2015

4936653 60011028 FGG MONIKA JANGRA 18/03/1983

4, SANTRO ENCLAVE OPP, VIDYUT NAGAR HISAR, Hisar Haryana

125005 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/12/2014 16/12/2014 19/12/2017

5034257 60011115 FGG RAVAL REENA K 01/07/1982

BLOCK NO 70 RAILNAGAR SAMARPAN NR POPATPARA Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/02/2015 05/02/2015 12/01/2018

4313271 60011278 FGG YOGESHBHAI KANTIBHAI SARVAIYA 29/11/1970

D 28 Gopal Baug Society, B/H Raneshwar Temple, Vasna Road,

Vadodara Gujarat 390020 Baroda Baroda Gujarat 390007 BARODA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/01/2015 13/01/2015 18/06/2017

5528003 60011348 FGG DOULAT RAM DHIMAN 18/07/1948

H No 105 St No Dashmesh Ave Mithapur Cantt Road Jalandhar

Punjab 144001 Ferozpur Cantt Ferozpur Cantt Punjab 152123 JALANDHAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 04/09/2012 04/09/2012 01/07/2015

4146946 60011400 FGG HEMA LATHA K 27/11/1980

22/1 VENGEESWARAR NAGAR I MAIN ROAD,VADAPALANI

CHENNAI Chennai Tamil Nadu 600026 Chennai Chennai Tamil Nadu 600026 CHENNAI YES

LIFE INSURANCE

CORPORATION 27/03/2014 27/03/2014 26/03/2017

5511586 60011417 FGG SANJAY KUMAR RASTOGI 02/05/1969 1105/1, MADHAV PURAM MEERUT Meerut Uttar Pradesh 250001 Meerut Meerut Uttar Pradesh 250001 MEERUT YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 21/08/2012 21/08/2012 28/06/2015

5572762 60011444 FGG SOHAN LAL KATYAL 20/07/1949

42 Anand Vihar Nanhera Po Kuldeep Nagar, Ambala cantt Ambala

Haryana 133001 Ambala cantt Ambala cantt Haryana 133001 AMBALA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 22/03/2013 22/03/2013 15/07/2015

5423885 60011488 FGG ROBERT P J 28/11/1962

2/780 PULIKAN HOUSE CHRISTOPHER NAGAR Thrissur Kerala

680306 Thrissur Thrissur Kerala 680306 COCHIN YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/04/2012 10/04/2012 29/05/2015

999179 60011504 FGG NIKKHIL GUPTAA 21/01/1982

B/803, Redwood Bldg., Evershine Greens, New Link Road,

Oshiwara, Andheri(W), Mumbai Maharashtra 400053 Mumbai Mumbai Maharashtra 400102 PRABHADEVI NO - 29/01/2015 29/01/2015 29/03/2018

5344072 60011526 FGG MANOHAR SINGH 27/02/1972 377 VPO DAYA HISAR Hisar Haryana 125001 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/06/2012 27/06/2012 21/04/2015

5333156 60011541 FGG SURENDER KUMAR 05/04/1960

HOUSE NO 262 WARD 5 VPO POTA MAHENDERGARH

Mahendragarh Haryana 123027 Mahendergarh Mahendergarh Haryana 123027 GURGAON YES FUTURE GENERALI LIFE 03/08/2012 03/08/2012 15/04/2015

4882846 60011614 FGG ARVIND DINKARRAO DEO 22/07/1945

SATYASAI, APPT 11F/2 NR SOMAL, WAR HIGH SCHOOL KHAMLA,

Nagpur Maharashtra 440025 Nagpur Nagpur Maharashtra 440025 NAGPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/12/2014 12/12/2014 29/11/2017

1397700 60011621 FGG RADHIKA HEMAL MODI 10/11/1983

202 Eros 1 Vinayak Society Opp Stdt College Akota VADODARA

Vadodara Gujarat 388710 Baroda Baroda Gujarat 388710 BARODA YES BIRLA SUN LIFE 26/09/2012 26/09/2012 16/09/2015

5371000 60011656 FGG DURAIMURUGAN 23/05/1984

3/6 WARD NO 3, TEACHERS COLONY, MASINAICKENPATTY, Salem

Tamil Nadu 6361-3 Salem Salem Tamil Nadu 636103 SALEM NO - 07/03/2013 07/03/2013 06/05/2015

5269629 60011683 FGG SUMITRA B PATIL 23/05/1970

No 147 Sai Empire Cariappa Colony Nanawadi Belgaum Flat No

103 CHS No 5798 Belgaum Belgaum Karnataka 590006 Belgaum Belgaum Karnataka 590004 HUBLI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/03/2012 27/03/2012 19/03/2015

5414217 60011703 FGG MANISH KUMAR MISHRA 25/10/1982

50/69 JAI NARAIN ROAD HUSSAINGANJ Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/07/2012 20/07/2012 27/05/2015

5539692 60011779 FGG PAWAN KUMAR JHA 24/04/1971 D-1031/22 GN 8 KHAJURI KHAS DELHI Delhi Delhi 110094 Delhi Delhi Delhi 110094 CONNAUGHT PLACEYES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 24/09/2012 24/09/2012 06/07/2015

4880940 60011809 FGG KAMALAPRASAD DHANIRAM YADAV 01/07/1951 9, CROSS ROAD, MALAD, Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/12/2014 08/12/2014 28/11/2017

4966448 60011812 FGG B. SATHYAKALA 27/02/1982

4, BAZATH BAVAN ROAD METUPALAYAM COIMBATORE

Coimbatore Tamil Nadu 641301 Salem Salem Tamil Nadu 636007 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/12/2014 26/12/2014 26/12/2017

5510115 60011832 FGG TAPAS KANTI MANDAL 13/10/1971

C/O DILIP BARUA KEWATA SHYAMSUNDAR PORE SAHAGUNJ Hugli

West Bengal 712104 Hooghly Hooghly West Bengal 712104 KOLKATA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/03/2013 12/03/2013 28/06/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

5637257 60011915 FGG SUMIT TOMAR 06/05/1988

B 42 AMBEDKAR MARG SOUTH GANESH NAGAR LAXMI NAGAR

Delhi Delhi 110092 Delhi Delhi Delhi 110092 CONNAUGHT PLACEYES

FUTURE GENERALI LIFE

INSURANCE 01/08/2012 01/08/2012 04/08/2015

4884991 60011917 FGG USHA KUMARI 10/05/1990

Opp Satsang Ghar, Lakhowal Road, VPO Kohara, Ludhiana

Punjab 141010 Ludhiana Ludhiana Punjab 141010 LUDHIANA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 24/12/2014 24/12/2014 30/11/2017

5506564 60011976 FGG SUNIL VIJAYSHANKER GUPTA 26/01/1976 8-10/2/2-3 SECTOR 15 VASHI Mumbai Maharashtra 400703 Navi Mumbai Navi Mumbai Maharashtra 400703 VASHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/02/2013 20/02/2013 28/06/2015

5488693 60012006 FGG SONIA NANDAL 02/04/1985 69 RANHOULLA NANGLOI Delhi Delhi 110041 Delhi Delhi Delhi 110041 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/06/2012 08/06/2012 22/06/2015

4258687 60012150 FGG UTTAM GANPAT BADE 05/06/1962

Ground Floor, Room No.5, Shivraj Bhavan, 1-B, Madurkar Marg,

Mumbai Maharashtra 400013 Mumbai Mumbai Maharashtra 400025 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/06/2014 26/06/2014 28/05/2017

5527549 60012175 FGG JOSEPH T D 30/07/1947

THEKKUMPEEDIKA HOUSE KONIKKARA PO OLLUR VIA Thrissur

Kerala 680306 Thrissur Thrissur Kerala 680306 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/08/2012 13/08/2012 01/07/2015

4025222 60012199 FGG ANIL KUMAR AWASTHI 02/06/1972

ROOM NO-7,KAMRUDDIN CHAWL RAJIV KHADI NO-3,LINK RD,SAKI

NAKA mumbai Mumbai Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 25/05/2011 25/05/2011 13/02/2014

4316563 60012230 FGG SHANKER LAL MEENA 01/09/1968

hH NO 122, Hiran Magri Sector 13, Udaipur, Udaipur

Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/09/2014 17/09/2014 20/06/2017

5550671 60012390 FGG SUNIL KUMAR 08/08/1985 211 WARD NO 12 LAXMI BIHAR BARWALA Hisar Haryana 125121 Barwala Barwala Haryana 125121 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/11/2012 17/11/2012 10/07/2015

5499608 60012415 FGG CHARLY M. 22/05/1953

30/1547-B, MANGALATH HOUSE, NH-47, PONNURUNNI, VYTTILA,

ERNAKULAM Ernakulam Kerala 682019 Kochin Kochin Kerala 682019 COCHIN YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/06/2012 27/06/2012 25/06/2015

5724205 60012589 FGG ABHIJEET M GIRHE 22/05/1976

B NO 1 SATYA SAI APPT NR SOMALWAR HIGH SCHOOL KHAMLA

Nagpur Maharashtra 440025 Nagpur Nagpur Maharashtra 440025 NAGPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/10/2012 23/10/2012 30/08/2015

5687277 60012596 FGG A. SURESH 07/05/1989

WARD NO 2 KUDITHERU KULALAR ST KAAMALAPURAM SALEM

Salem Tamil Nadu 636309 Salem Salem Tamil Nadu 636309 SALEM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 15/01/2013 15/01/2013 21/08/2015

5668565 60012619 FGG KHYATI SHAH 13/09/1978

71 KASTURI NAGAR SOC B/H SHREYAS SCHOOL MANJALPUR

Vadodara Gujarat 390011 Baroda Baroda Gujarat 390011 BARODA NO - 26/09/2012 26/09/2012 13/08/2015

5665653 60012641 FGG SHIRLEY ABRAHAM 13/08/1963

FIA KALPAKA FORT PALACE RAGHAVAN PILLAI ROAD Ernakulam

Kerala 682-24 Cochin Cochin Kerala 682024 COCHIN NO - 05/06/2013 05/06/2013 12/08/2015

5340200 60012672 FGG JAYARAMDAS 23/01/1964

KALPAKA CHONKUIANGARA HOUSE KOZHUKULLY P O THRISSUR

Thrissur Kerala 650751 Thrissur Thrissur Kerala 680751 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/03/2012 13/03/2012 19/04/2015

5623117 60012720 FGG ANIL BHARTIYA 11/07/1980 539-107 A, PREET NAGAR, LUDHIANA Ludhiana Punjab 141001 LUDHIANA LUDHIANA Punjab 141008 LUDHIANA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/12/2012 12/12/2012 29/07/2015

5585708 60012723 FGG A R AWEED 09/09/1971

NO 12 AMRUTHA NILAYA OPP S K MEDICALS 2ND CROSS K G HALLI

Bangalore Karnataka 560045 Banglore Banglore Karnataka 560087 MALLESHWARAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 24/09/2012 24/09/2012 20/07/2015

5333104 60012791 FGG LALIT KUMAR SONI 23/11/1953 1-GHA -13 VIGYAN NAGAR KOTA Kota Rajasthan 324005 Kota Kota Rajasthan 324005 JAIPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/11/2012 17/11/2012 15/04/2015

5677779 60012840 FGG DEEPIKA SINGLA 12/09/1984 289 SECT-8 FARIDABAD Faridabad Haryana 121006 Faridabad Faridabad Haryana 121006 FARIDABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/05/2012 30/05/2012 18/08/2015

5301915 60012849 FGG DARSHANA KUMARI 02/03/1981 80 VPO JUGLAN HISAR Hisar Haryana 125001 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/05/2013 28/05/2013 26/03/20155352391 60012957 FGG RATHOD HITESH SOMABHAI 26/11/1977 6-PARSANA NAGAR RAJKOT RAJKOT Rajkot Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES FUTURE GENERALI LIFE 26/03/2014 26/03/2014 26/04/2015

5358364 60013081 FGG JASWANT NANDAL 15/11/1974 227 VILL GARHI PO ASTHAL BOHAR Rohtak Haryana 124021 Rohtak Rohtak Haryana 124021 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 06/06/2012 06/06/2012 28/04/2015

5487968 60013082 FGG RAVINDER RATHEE 03/12/1987 V P O Lakhan Majra Teh. Meham Rohtak Rohtak Haryana 124001 Rohtak Rohtak Haryana 124514 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/06/2012 08/06/2012 22/06/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

5763445 60013085 FGG SUMITHA JOTHISH 29/03/1985

PAREKKATTIL HOUSE CAICO ROAD KURIACHIRA P O Thrissur Kerala

680006 Trichur Trichur Kerala 680006 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/03/2013 07/03/2013 15/09/2015

5634444 60013247 FGG ANAND KUMAR H 25/07/1983

C/O PARAMESHWARAPPA H-253, LAKSHMIDEVI NAGAR

BANGALORE Bangalore Karnataka 560096 Bangalore Bangalore Karnataka 560096 MALLESHWARAM YES

FUTURE GENERALI LIFE

INSURANCE 01/08/2012 01/08/2012 03/08/2015

5591605 60013296 FGG SANT RAM VERMA 04/04/1986

WARD NO 17 JAWAHAR NAGAR JAGADHRI WORKSHOP

Yamunanagar Haryana 123104 Yamunanagar Yamunanagar Haryana 123104 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 18/07/2013 18/07/2013 23/07/2015

5586601 60013297 FGG DAYANAND 25/07/1975 VPO MIRJAPUR HISAR HISAR Hisar Haryana 125001 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/07/2012 03/07/2012 21/07/2015

5665910 60013298 FGG MUKESH KUMAR SINGH 10/09/1984 314/5 MUJJESAR FARIDABAD Faridabad Haryana 121004 Faridabad Faridabad Haryana 121004 FARIDABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/10/2012 26/10/2012 13/08/2015

5339517 60013466 FGG MALAY BHARATKUMAR DAVE 09/05/1976

``Labh Somnath Society 150ft Ring Road, Rajkot Rajkot Gujarat

360007 Rajkot Rajkot Gujarat 360007 RAJKOT YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 18/07/2012 18/07/2012 19/04/2015

5305344 60013478 FGG R. M. JAYAKUMAR 01/08/1973

32/17, KRISHNA PURAM, 3RD CROSS, MADURAI, Madurai Tamil

Nadu 625009 Madurai Madurai Tamil Nadu 625009 MADURAI YES FUTURE GENERALI LIFE 31/07/2012 31/07/2012 27/03/2015

5358544 60013490 FGG BISWESWAR MOHANTY 19/07/1968

Flat No C 5 2 5th Floor Block C Chandrama Housing Complex Unit

3 Kharvel Nagar BHUBANESHWAR Odisha 751001 Bhubaneswar Bhubaneswar Orissa 751001 BHUBANESWAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/06/2012 16/06/2012 28/04/2015

5345566 60013492 FGG SANJAY BABURAO PATKAR 20/10/1970

A3 SATNAM APT LOKMANYA TILAK ROAD MULUND EAST Mumbai

Maharashtra 400081 Mumbai Mumbai Maharashtra 400081 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/03/2012 10/03/2012 22/04/2015

5347821 60013693 FGG S. NAGALAKSHMI 02/05/1980

# 678 New 28 Kempaiiah Layout 2nd Cross C N Halli R T Ngr

Bangalore Karnataka 560032 Bangalore Bangalore Karnataka 560032 R.T.NAGAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/04/2012 28/04/2012 23/04/2015

5718818 60013832 FGG NUPUR BIRLA 14/09/1977 D-11 BLOCK S KRISHNA NAGAR Delhi Delhi 110031 Delhi Delhi Delhi 110031 CONNAUGHT PLACEYES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/02/2013 23/02/2013 28/08/2015

5426943 60013873 FGG B. CHITRA 05/05/1968

PARSN APPARTMENTS OMKAR 9 GF OPPOSITE FATIMA COLLEGE

MADURAI Madurai Tamil Nadu 625018 Madurai Madurai Tamil Nadu 625018 MADURAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/05/2012 26/05/2012 31/05/2015

5839424 60013879 FGG MALTIBEN PRAKASH THAKKAR 26/07/1963

C 33 SHREEJI FLATS BH SAMTA FLATS SUBHANPURA BARODA

Vadodara Gujarat 39--23 Vadodara Vadodara Gujarat 390023 BARODA NO - 16/01/2013 16/01/2013 15/10/2015

5271006 60013894 FGG BHAVESHA ALPESH SHAH 14/12/1974

29 KESHAVJI NAIK ROAD MASJID MUMBAI Mumbai Maharashtra

400009 Mumbai Mumbai Maharashtra 400009 PRABHADEVI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/04/2012 19/04/2012 19/03/2015

957206 60013937 FGG KISHOR RASIKLAL MODI 03/03/1958

11-B VIKAS NAGAR SOCIETY VADODARA GUJARAT Gandhinagar

Gujarat 390020 Baroda Baroda Gujarat 390020 BARODA YES

HDFC STD LIFE

INSURANCE CO. LTD. 09/02/2015 09/02/2015 08/01/2018

8004416 60014105 FGG ANKIT MANOHAR PHATEPEKAR 04/03/1987

B 306, 3rd Floor, Denzil, 3rd Cross Lane, Lokhandwala Complex,

Andheri West, Mumbai Mumbai Maharashtra 400053 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 19/04/2013 19/04/2013 17/02/2016

752310 60014173 FGG SURENDRAKUMAR VARIYA 05/08/1974

C/34/2, UMA SOCIETY, KANJARI ROAD, AT.PO.TA.HALOL, DT.PMS

Panch Mahals Gujarat 389330 Panchmahal Panchmahal Gujarat 389350 BARODA YES

LIFE INSURANCE

CORPORATION 25/08/2014 25/08/2014 29/10/2017

6057000 60014176 FGG RAM SARAN MAURYA 01/10/1969

7035, Sector 56, Chandigarh Chandigarh Chandigarh

160055 Chandigarh Chandigarh Punjab 160055 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 27/02/2013 27/02/2013 23/02/2016

38481 60014178 FGG RAJIV VERMA 08/04/1976

HNo-HL109 Phase-1,SASnagar(Mohali) Dt Rupnagar

Rupnagar Punjab 0 Mohali Mohali Punjab 160055 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 03/01/2013 03/01/2013 04/01/2016

5531474 60014186 FGG NAMDEO RAJARAM LOLAGE 01/06/1950

A/P Shiroli Pulachi Tal hatkanangale Kolhapur, Kolhapur

Maharashtra 416122 Kolhapur Kolhapur Maharashtra 416122 KOLHAPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/08/2012 17/08/2012 02/07/2015

5854227 60014190 FGG SUNDAR JEYASEELAN 26/10/1942

9/4 D S P NAGAR BYE PASS ROAD MADURAI Madurai Tamil Nadu

625010 Madurai Madurai Tamil Nadu 625010 MADURAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/10/2012 26/10/2012 26/10/2015

5886064 60014217 FGG AMOL DATTATRAY NIPHADE 13/12/1976

KIRAN BNGL VISE MALA COLLAGE RD BH BIG BAZAR NASHIK Nashik

Maharashtra 422005 Nashik Nashik Maharashtra 422005 NASHIK YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 10/09/2014 10/09/2014 12/11/2015

8009944 60014218 FGG YELKOTE POOJA SIDRAM 21/11/1990

Plot No 44, Vidya Nagar, Solapur Solapur Maharashtra

413001 Aurangabad Aurangabad Maharashtra 423701 AURANGABAD NO - 28/02/2013 28/02/2013 25/02/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8015256 60014274 FGG DEELIP KUMAR JHA 22/03/1984 S 170 School Block Shakarpur Delhi Delhi Delhi 110092 Delhi Delhi Delhi 110092 CONNAUGHT PLACENO - 15/02/2013 15/02/2013 04/03/2016

8019773 60014318 FGG DHAVAL D SAMEL 12/05/1982

11 B GANEWH MARKET CHAWL PANDURANG WADI RASTA

GOREGAON EAST MUMBAI Mumbai Maharashtra

400063 Mumbai Mumbai Maharashtra 400063 GHATKOPAR YES BIRLA SUN LIFE 08/04/2014 08/04/2014 08/03/2016

8020506 60014335 FGG DIPAK GULAB BHUKAN 25/05/1972

S.NO 164/2-B SMRUTIGANDH NEAR GURUDWARA LOHAGAON

PUNE Pune Maharashtra 411047 Pune Pune Maharashtra 411047 PUNE NO - 15/03/2013 15/03/2013 09/03/2016

8020493 60014338 FGG NAINESH S FARIA 25/09/1990

701, Prince Palace, Prashant Corner, Panchpakhadi Thane West

Thane Maharashtra 400601 Thane Thane Maharashtra 400601 THANE NO - 01/04/2013 01/04/2013 09/03/2016

8027423 60014419 FGG HARISH RAJ 07/01/1979

LIG-196, Kailash Nagar, Govindpura Bhopal Bhopal Madhya

Pradesh 462023 Bhopal Bhopal Madhya Pradesh 462023 BHOPAL NO - 26/03/2013 26/03/2013 16/03/2016

8027418 60014420 FGG ABDUL FAHIM KHAN 01/06/1973

H No 84, New Colony, B/h Church, Jhinsi, Jhangirabad, Bhopal

Bhopal Madhya Pradesh 460001 Bhopal Bhopal Madhya Pradesh 462017 BHOPAL NO - 28/02/2013 28/02/2013 16/03/2016

8015284 60014422 FGG SONU SINGH 03/09/1986

A-20 Ground Floor Gupta Chamber Veer Savarkar Block Shakarpur

Delhi Delhi Delhi 110092 Delhi Delhi Delhi 110076 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 15/03/2013 15/03/2013 04/03/2016

4986081 60014458 FGG GULNAZ PARVEEN 12/06/1980

BLDG 1/503 GREEN AVENUE MIRA RD Mumbai

Maharashtra 401107 Mira Road Thane Mira Road Thane Maharashtra 401107 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 24/12/2014 24/12/2014 29/12/2017

5773314 60014505 FGG DHEERAJ CHHAJED 25/08/1976

438 WARD NO 41 J ROAD BHUPALPURA GIRWA Udaipur Rajasthan

313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/09/2012 26/09/2012 17/09/2015

3854784 60014538 FGG DHARMINDER KUMAR 16/10/1969 B-6/146 sector 11 Rohini Delhi Delhi 110085 Delhi Delhi Delhi 110085 WEST DELHI YES

RELIANCE LIFE

INSURANCE 23/11/2013 23/11/2013 18/12/2016

8039122 60014539 FGG DEVI ASHA 23/12/1970 C-9/84 Block- C-9 Rohini, Sector- 7 Delhi Delhi 110085 New Delhi New Delhi Delhi 110085 WEST DELHI YES

MAX LIFE INSURANCE CO

LTD 15/03/2013 15/03/2013 24/03/2016

8040038 60014541 FGG RAKESH KUMAR GARG 24/09/1965

1723 PHASE-7, MOHALI Sahibzada Ajit Singh Nagar Punjab

160055 Rupnagar Rupnagar Punjab 140103 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 12/09/2013 12/09/2013 24/03/2016

8040827 60014555 FGG SHAH SHREEJA R. 17/12/1985

Vihardham Appt., Opp. Ghosha Soc. Thaltej Road Ahmedabad

Ahmadabad Gujarat 380054 Ahmedabad Ahmedabad Gujarat 380054 AHMEDABAD YES

RELIANCE LIFE

INSURANCE 16/09/2013 16/09/2013 25/03/2016

8045655 60014649 FGG KUNAL GAURAV 01/05/1983

10, 8th Main, Kalappa Block Srinagar Bangalore Bangalore

Karnataka 560050 Bangalore Bangalore Karnataka 560050 INDIRA NAGAR NO - 28/02/2013 28/02/2013 28/03/2016

5790801 60014652 FGG GAWAS NARAYAN 13/06/1974

946 1 HEAVAN PARK MOHAMMADWADI HADAPSAR PUNE Pune

Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/10/2013 28/10/2013 25/09/2015

8047613 60014656 FGG MAHETA VIJALKUMAR A. 09/06/1986

Pushpakunj Soc, Jawanpura, At Idar, Tal Idar Sabarkantha Sabar

Kantha Gujarat 383430 Sabarkantha Sabarkantha Gujarat 383430 BARODA NO - 15/03/2013 15/03/2013 29/03/2016

8051308 60014677 FGG NARENDRA KUMAR TIWARI 11/04/1982

Near Gupteshwar Mandir, Vidisha Vidisha Vidisha Madhya

Pradesh 464001 Vidisha Vidisha Madhya Pradesh 464001 BHOPAL NO - 28/02/2013 28/02/2013 30/03/2016

8052416 60014678 FGG ASHISH .. 09/05/1988

1331/1 PHASE-XI MOHALI Chandigarh Chandigarh

160055 Chandigarh Chandigarh Chandigarh 160017 CHANDIGARH NO - 02/09/2013 02/09/2013 31/03/2016

8059359 60014793 FGG PATEL DEEPAK JETHALAL 10/04/1975

Wadi Hathiyakhad road opp Harihar prasad building wadi

Vadodara Vadodara Gujarat 390001 Vadodara Vadodara Gujarat 390017 BARODA NO - 15/02/2013 15/02/2013 13/04/2016

1800017 60014794 FGG S NAVEEN BABU 05/01/1981

NO.76, 5TH CROSS, NEELASANDRA, BANGALORE Bangalore

Karnataka 560047 Bangalore Bangalore Karnataka 560047 BANGALORE YES

LIFE INSURANCE

CORPORATION 16/09/2013 16/09/2013 26/09/2016

5818777 60014934 FGG AZIZ KHAN QURESHI 01/10/1939

MANNAT APT FLAT NO. 302 CHOUDHARY LAYOUT ANANTNAGAR

Nagpur Maharashtra 440013 Nagpur Nagpur Maharashtra 440013 NAGPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/04/2013 13/04/2013 06/10/2015

8041709 60014940 FGG HARPINDER SINGH 23/08/1991

H.NO. 58 VPO MUNDHON SANGTIAN THE KHARAR Sahibzada Ajit

Singh Nagar Punjab 140103 Mohali Mohali Punjab 140103 CHANDIGARH NO - 30/08/2013 30/08/2013 26/03/2016

8070925 60015017 FGG MILAN K GUPTA 04/02/1980

E-15, Mandakini Colony, Kolhar Road, Bhopal Bhopal

Madhya Pradesh 462023 Bhopal Bhopal Madhya Pradesh 462023 BHOPAL NO - 01/04/2013 01/04/2013 27/04/2016

5778314 60015018 FGG MANSI SOHIL RAMBHIA 30/09/1986 R NO G-5, SAGAR KRUPA, DOMBIVALI, Thane Maharashtra 421202 Dombivali West Dombivali West Maharashtra 421202 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/09/2012 27/09/2012 21/09/2015

8075498 60015075 FGG PRASHANT ARJUNRAO NIMSE 30/06/1980

RAMBHAJI KOTKAR NAGAR BHUSHAN NAGAR,KRDGAON

Ahmednagar Ahmadnagar Maharashtra 414005 Ahmednagar Ahmednagar Maharashtra 414005 AHMEDNAGAR NO - 12/06/2013 12/06/2013 02/05/2016

5740363 60015098 FGG NISHANT SARAF 23/03/1981

145 M G Road Dhanmadndi Badnagr Ujjain Madhya Pradesh

456771 Ujjain Ujjain Madhya Pradesh 456771 INDORE YES BIRLA SUN LIFE 12/10/2012 12/10/2012 08/09/2015

5269112 60015352 FGG SHALINI SUDHIR AGRE 14/02/1981

605, BLDG. NO.-7, BABA RAMDEVJI CHS PRATIKSHA NAGAR, SION

KOLIWADA, MUMBAI Mumbai Maharashtra 400022 Mumbai Mumbai Maharashtra 400022 BORIVALI YES

LIFE INSURANCE

CORPORATION 27/04/2012 27/04/2012 19/03/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8089582 60015370 FGG RANA SAMIR BALVANTSINH 30/01/1985

B/7 SNEHKUNJ SOCSNEHKUNJ SOC NR SHANTI NAGAR, GORWA

BARODA Vadodara Gujarat 390016 Vadodara Vadodara Gujarat 390016 BARODA NO - 01/04/2013 01/04/2013 17/05/2016

8099260 60015505 FGG PRASHANT SHARMA 18/05/1971 141, Dharm Kunj Apt., Rohini, Sector-9, Delhi Delhi Delhi 110085 Delhi Delhi Delhi 110085 GURGAON NO - 30/04/2013 30/04/2013 25/05/2016

1257663 60015567 FGG ANIL CHHATWAL 13/10/1961

28/217 GROUND FLOOR EAST PATEL NAGAR DELHI Delhi Delhi

110008 New Delhi New Delhi Delhi 110008 WEST DELHI YES

LIFE INSURANCE

CORPORATION 01/05/2012 01/05/2012 22/06/2015

8106777 60015580 FGG MAHIDA HARISINH FATESINH 27/03/1987

Ganesh Road, At Rahur, Ta Thasra Thasra Vadodara Gujarat

388710 Vadodara Vadodara Gujarat 388710 BARODA NO - 15/03/2013 15/03/2013 30/05/2016

8106831 60015581 FGG ANKIT VINODCHANDRA PATEL 28/06/1989

AT Po Dabhasha, Ta Padra Vadodara Vadodara Gujarat

388710 Vadodara Vadodara Gujarat 391440 BARODA NO - 17/07/2013 17/07/2013 30/05/2016

8106845 60015582 FGG GHANCHI SABBIRBHAI I. 05/05/1985

At Po Vadu, Ta Padra Vadodara Vadodara Gujarat

388710 Vadodara Vadodara Gujarat 391460 BARODA NO - 16/09/2013 16/09/2013 30/05/2016

5811367 60015701 FGG PAVAN P KASHYAP 23/09/1987

FL NO 11 MATOSHREE HGHTS MAHARANA PRATAP CHOWK

BHAIRAV NAGAR DHANORI Pune Maharashtra 411015 Pune Pune Maharashtra 411015 PUNE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/03/2013 12/03/2013 02/10/2015

5496836 60015703 FGG VIJAY MAHADEO KULKARNI 18/04/1953 302 SWAGAT-OM WAKDEWADI Pune Maharashtra 411003 Pune Pune Maharashtra 411003 PUNE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/10/2012 17/10/2012 24/06/2015

8120030 60015765 FGG PATEL PRIYANK HASMUKHBHAI 02/08/1989

B-30 Sardar Patel Mall, B/H Bank Of Baroda, T.B. Nagar

Ahmedabad Ahmadabad Gujarat 382350 Ahmedabad Ahmedabad Gujarat 382350 AHMEDABAD NO - 18/06/2013 18/06/2013 09/06/2016

8120021 60015767 FGG URVASHI MEHTA 16/08/1971

A-11 Anupam Soc.-2, Nr. Vivekanand Flats, Jodhpur Char Rasta,

Satellite Ahmedabad Ahmadabad Gujarat 380015 Ahmedabad Ahmedabad Gujarat 380015 AHMEDABAD NO - 05/06/2013 05/06/2013 09/06/2016

8120014 60015769 FGG GENA TARIQUE USMANGANI 27/01/1979

38 Aman Park Soc., Nr. College Hostel Ahmedabad Ahmadabad

Gujarat 383315 Ahmedabad Ahmedabad Gujarat 383315 AHMEDABAD NO - 29/05/2013 29/05/2013 09/06/2016

5943502 60015811 FGG JOHN ANTONY GOMES 20/08/1937 Q-6 RH-11 SECTORE 9 CBD BELAPUR Mumbai Maharashtra 400614 Navi Mumbai Navi Mumbai Maharashtra 400614 VASHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 11/01/2013 11/01/2013 11/12/2015

8124065 60015815 FGG BANSHRI SUDHIRBHAI PATEL 13/02/1989

C/7 Balaji Avenue, Opp. Swaminarayan Temple, Vastrapur

Ahmedabad Ahmadabad Gujarat 380015 Ahmedabad Ahmedabad Gujarat 380015 AHMEDABAD NO - 29/05/2013 29/05/2013 13/06/2016

8139741 60015936 FGG NIKHIL TANDON 11/05/1990

29, SECTOR-27A, 29, SECTOR-27A, CHANDIGARH Chandigarh

Chandigarh 160055 Chandigarh Chandigarh Chandigarh 160017 CHANDIGARH NO - 02/09/2013 02/09/2013 21/06/2016

8139746 60015937 FGG VINOD KUMAR NANCHAHAL 09/04/1952

4088/C, SECTOR-37C, Mohali Sahibzada Ajit Singh Nagar Punjab

160055 Chandigarh Chandigarh Chandigarh 160036 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 24/07/2013 24/07/2013 21/06/2016

8144800 60016004 FGG SNEH SHARMA 16/12/1969 M 7D GULMOHAR APPARTMENT VIKASPURI Delhi Delhi 110018 Delhi Delhi Delhi 110018 CONNAUGHT PLACENO - 05/06/2013 05/06/2013 24/06/2016

8159465 60016098 FGG MANMOHAN SINGH 24/06/1978

3071 SECTOR-71, MOHALI Sahibzada Ajit Singh Nagar Punjab

160055 Chandigarh Chandigarh Chandigarh 160017 CHANDIGARH NO - 03/09/2013 03/09/2013 30/06/2016

1006091 60016119 FGG MILAN C SHAH 05/07/1981

5 AYODHYA SOCIETY, NEAR BHADARWA CHOKDI, AT SAVLI,

VADODARA Vadodara Gujarat 391770 Vadodara Vadodara Gujarat 390022 BARODA YES

LIFE INSURANCE

CORPORATION 27/01/2015 27/01/2015 29/01/2018

5770426 60016160 FGG ARPIT JOSHI 01/01/1986 166 Manawata Nagar Indore Indore Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE YES BIRLA SUN LIFE 06/11/2012 06/11/2012 17/09/2015

8166698 60016192 FGG RAJESH KUMAR SHARMA 20/05/1971

House No 284, Subhash Nagar, Sagar Road, Vidisha Vidisha

Madhya Pradesh 464001 Vidisha Vidisha Madhya Pradesh 430171 BHOPAL YES

LIFE INSURANCE

CORPORATION 17/07/2013 17/07/2013 08/07/2016

8002479 60016337 FGG AMANDEEP SINGH 09/03/1986

H NO 119/570 G-3 GURU ASTHA APPARTMENT GUMTI NO 5

Kanpur Nagar Uttar Pradesh 208012 Kanpur Kanpur Uttar Pradesh 208012 KANPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 15/05/2014 15/05/2014 15/02/2016

8181256 60016358 FGG REKHA GUPTA 08/10/1982

210 GOYAL BHAWAN NAHARGHAR ROAD CHAND POLE BAZAR

Jaipur Rajasthan 302001 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 10/09/2013 10/09/2013 18/07/2016

8181259 60016359 FGG BRIJ MOHAN SHARMA 04/06/1938

D-171 JAG RAJ MARG BAPU NAGAR Jaipur Rajasthan

302012 Jaipur Jaipur Rajasthan 302015 JAIPUR NO - 07/10/2013 07/10/2013 18/07/2016

8181260 60016361 FGG BANWARI LAL SUNDA 01/07/1982

502 NINDAR SUNDA KI DHANI THE AMER Jaipur Rajasthan

302022 Jaipur Jaipur Rajasthan 302022 JAIPUR YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 03/09/2013 03/09/2013 18/07/2016

8187414 60016412 FGG VINAYAK KOTHARI 03/01/1992

445, M G Road, Opp Police Station, Barnagar, Ujjain Ujjain

Madhya Pradesh 456771 Ujjain Ujjain Madhya Pradesh 456771 INDORE NO - 22/08/2013 22/08/2013 21/07/2016

1856313 60016452 FGG AMBRISH JETHALAL BRAHMBHATT 21/05/1963

66/67, JAYLAXMI SOC O P ROAD BARODA Vadodara Gujarat

398020 Vadodara Vadodara Gujarat 390007 BARODA YES

RELIANCE LIFE

INSURANCE 23/01/2014 23/01/2014 16/12/2016

8192022 60016454 FGG KINNARI AMITKUMAR PARIKH 19/04/1980

B/47, Omnagar Soc., Atwa Road, B/h Watertank, Vadodara

Vadodara Gujarat 388710 Vadodara Vadodara Gujarat 390019 BARODA NO - 05/06/2013 05/06/2013 25/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8193213 60016472 FGG PEDDI VANAJA 18/09/1970

Plot No 11 B, Nalsabgadda, Sanga Reddy, Medak Medak

Telangana 502291 Medak Medak Andhra Pradesh 502291 DILSUKHNAGAR NO - 19/08/2013 19/08/2013 26/07/2016

8193326 60016477 FGG SANDHYA MOHAN TANGUTOORI 13/10/1959

1-10-15/C, CHINTAL CHERUVU SANGA REDDY Medak Telangana

502291 Hyderabad Hyderabad Andhra Pradesh 502001 HYDERABAD NO - 10/09/2013 10/09/2013 26/07/2016

8193360 60016480 FGG KAWALJIT SINGH JAGGI 15/09/1961

1-10-13/B, Bank Street, Near SBI, Sanga Reddy, Medak Medak

Telangana 502291 Banjarahills, HyderabadBanjarahills, HyderabadTelangana 500034 HYDERABAD NO - 20/08/2013 20/08/2013 26/07/2016

8157451 60016524 FGG RAMU RENUKUNTLA 26/02/1968

H No 8-1-354 Behind Govt Hospital Nalgonda Nalgonda

Telangana 508001 Hyderabad Hyderabad Andhra Pradesh 500074 HYDERABAD YES BIRLA SUN LIFE 15/07/2013 15/07/2013 29/06/2016

8202248 60016550 FGG ABHIJIT KALVIT 27/11/1991

107/2, BHAWANIPUR COLONY ANNAPURNA ROAD Indore Indore

Madhya Pradesh 452009 Indore Indore Madhya Pradesh 452009 INDORE NO - 13/11/2013 13/11/2013 29/07/2016

329276 60016645 FGG PADMA MOHAN RAO 04/03/1969

B-55,Konark Apt.CHS Link Road, MULUND (W) MUMBAI Mumbai

Maharashtra 400080 Mumbai Mumbai Maharashtra 400080 GHATKOPAR NO - 12/12/2013 12/12/2013 09/01/2017

5590815 60016655 FGG PALLAVI BALASAHEB YAVATKAR 09/10/1989

PUSHPANJALI NIWAS S NO-93 TARAWADE VASTI

MOHAMMADVADI HADAPSAR Pune Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 21/01/2013 21/01/2013 22/07/2015

8236087 60016737 FGG MANASI UDAY BHAGWAT 14/05/1967

D/2,303 Ritu Park Chs, Near Vrindavan Bus stop Thane Thane

Maharashtra 400604 Thane Thane Maharashtra 400607 THANE NO - 22/08/2013 22/08/2013 18/08/2016

8259841 60016841 FGG DEEKU KISHORE SHAH 11/05/1980

D/11 MADHAV NAGAR RAFI AHMED KIDWAI RAOD WADALA

MUMBAI Mumbai Maharashtra 400003 Mumbai Mumbai Maharashtra 400031 PRABHADEVI NO - 24/07/2013 24/07/2013 30/08/2016

1815653 60016861 FGG DEEPAK KHANNA 16/06/1955

16 AASHIT JUHU KOLIWADA MUMBAI Mumbai

Maharashtra 400001 Mumbai Mumbai Maharashtra 400049 FORT YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 11/09/2013 11/09/2013 14/10/2016

8262708 60016864 FGG GINNY .. 06/08/1985

Ward No 10, Guru Nanak Nagar, Garhshankar Hoshiarpur

Punjab 144527 Chamba Chamba Himachal Pradesh176303 JALANDHAR YES

LIFE INSURANCE

CORPORATION 30/08/2013 30/08/2013 01/09/2016

8262709 60016865 FGG DAULAT RAM PATEL 14/07/1974

318 MUKHYA GAON CHHOTA GUDA CHHOTA GUDA BHALO KA

GUDA Udaipur Rajasthan 313003 Udaipur Udaipur Rajasthan 313003 UDAIPUR NO - 23/09/2013 23/09/2013 01/09/2016

8268063 60016903 FGG SURAJ TIWARI 22/07/1980

Plot No 217, Subash Colony, Mantoor Road, Hubli Dharwad

Karnataka 580020 Hubli Hubli Karnataka 580020 HUBLI NO - 22/08/2013 22/08/2013 05/09/2016

8269411 60016910 FGG BASAVARAJ S PATIL 10/05/1965

C/o S S Patil, Kulageri, H No 10-2/34, Sangameshwar Colony,

Gulbarga Gulbarga Karnataka 585103 Gulbarga Gulbarga Karnataka 585103 HUBLI YES BIRLA SUN LIFE 01/11/2013 01/11/2013 06/09/2016

8274240 60016930 FGG HENA DEEPAK MEHTA 16/09/1990

Chandra Vihar, South Pond Road, Ville Parle W Mumbai Mumbai

Maharashtra 400056 Mumbai Mumbai Maharashtra 400056 FORT NO - 21/10/2013 21/10/2013 08/09/2016

8280195 60016960 FGG GOURAV JAIN 25/09/1990

C1/19-20, Sanjay Enclave, Rajapuri Road, Uttam Nagar, Delhi

Delhi Delhi 110059 Delhi Delhi Delhi 110059 GURGAON NO - 30/08/2013 30/08/2013 13/09/2016

2415796 60016964 FGG PUE CHATTERJEE 02/01/1974

HOUSE OGF SRI RAM DUBEY HOUSING COLONY,NEAR SAMRAT

HOTEL DHANBAD Dhanbad Jharkhand 826001 Bankura Bankura West Bengal 722171 KOLKATA YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 21/05/2012 21/05/2012 15/05/2015

8281097 60016966 FGG PRAFULLA KUMAR DEKA 01/03/1970

QTR - 1023 TYPE C, BRPL COLONY BONGAIGAON BONGAIGAON

Bongaigaon Assam 783384 Guwahati Guwahati Assam 783384 GUWAHATI NO - 03/09/2013 03/09/2013 13/09/2016

8281104 60016967 FGG MUNTI BORAH 03/01/1985

H/No 12, ANANDA NAGAR BONGAIGAON BONGAIGAON

Bongaigaon Assam 783384 Guwahati Guwahati Assam 783384 GUWAHATI NO - 23/09/2013 23/09/2013 13/09/2016

8281109 60016969 FGG ROHAN ARORA 12/06/1989

10, Uttam Sudista Bhawan Opp Ashram Road Santipur, Guwahati

Kamrup Assam 781009 Guwahati Guwahati Assam 783384 GUWAHATI YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 17/02/2014 17/02/2014 13/09/2016

8284639 60016998 FGG RANGANATH GOPALAIAH 29/07/1974

NO 35, 3RD MAIN AREKEMPANAHALLI 10TH CROSS ,WILSON

GARDEN BANGALORE Bangalore Karnataka 560027 Bangalore Bangalore Karnataka 560027 R.T.NAGAR NO - 26/11/2013 26/11/2013 15/09/2016

8284641 60016999 FGG VIKRAM SHARAD KHANDELWAL 02/01/1982

Flat No 4, Behind Saiseva Gas Agency Ranpasie Nagar Akola

Akola Maharashtra 444001 Akola Akola Maharashtra 444001 ANDHERI NO - 28/10/2013 28/10/2013 15/09/2016

8291778 60017049 FGG BHAVINI AMISH DEDHIA 03/12/1978

Flat no 78, Shivprasad Bldg, Ramchandra Road, Malad W,

Mumbai Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 ANDHERI NO - 01/10/2013 01/10/2013 20/09/2016

8291780 60017050 FGG SANDEEP RAMESCHANDRA SHETH 10/03/1962

Flat no A-602, 6 th Floor New Gurukrupa Chs Ltd, Plot no

80,Veera Desai Road Andheri West, Mumbai Mumbai

Maharashtra 400058 Mumbai Mumbai Maharashtra 400058 ANDHERI NO - 02/08/2013 02/08/2013 20/09/2016

8292625 60017053 FGG ZAMEERULLA KHAN 18/12/1979

#18, KHAN MANZIL , K CROSS, 8TH MAIN ROAD, NEW

GURUAPPAN PALYA, BTM 1ST STAGE, BANGALORE Bangalore

Karnataka 560029 Bangalore Bangalore Karnataka 560029 INDIRA NAGAR NO - 14/08/2013 14/08/2013 20/09/2016

8298703 60017090 FGG VARSHA TALREJA 20/04/1988

3, Veer Savarkar Nagar, Near City Gymkhana, Indore Indore

Madhya Pradesh 452014 Indore Indore Madhya Pradesh 452014 INDORE NO - 14/08/2013 14/08/2013 23/09/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8299339 60017096 FGG VIJAY PAL SINGH 01/01/1944

F-1303, Mapple Heights Appt. Shushant Lok Gurgaon Gurgaon

Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 16/09/2013 16/09/2013 23/09/2016

8299349 60017097 FGG DEEPAK SHARMA 24/09/1976 RZ-75 Gali No-3 Raghu Nagar Delhi Delhi 110045 Delhi Delhi Delhi 110045 GURGAON NO - 18/02/2014 18/02/2014 23/09/2016

8299433 60017101 FGG SUDHEESH P. 16/02/1980

Nikunjam House Thiruvannur (PO) Kozhikode Kozhikode

Kerala 673029 Calicut Calicut Kerala 673029 CALICUT NO - 02/12/2013 02/12/2013 23/09/2016

8305439 60017141 FGG DINESH KUMAR SONI 13/05/1964

HIRBANDH P.O-HIRBANDH, VILL:GAJAN BANKURA Bankura

West Bengal 722171 Bankura Bankura West Bengal 722171 KOLKATA NO - 02/12/2013 02/12/2013 27/09/2016

8306282 60017154 FGG RAJEEV P MAGAR 15/12/1983

115 , Urit Nagar , Warje Urit nagar Pune Pune Maharashtra

411052 Pune Pune Maharashtra 411052 PUNE NO - 17/07/2013 17/07/2013 27/09/2016

2020604 60017196 FGG PANKAJ KUMAR JINDAL 07/01/1977

WARD NO 3 AGRAWAL COLONY BALOTRA Barmer

Rajasthan 344022 Barmer Barmer Rajasthan 344022 JODHPUR NO - 17/06/2014 17/06/2014 03/07/2017

5817160 60017210 FGG MANISHA KETAN SHAH 08/01/1977

422, VAIDYA BHUVAN, SHRADHANAND ROAD, MATUNGA (CR),

MUMBAI Mumbai Maharashtra 400019 Mumbai Mumbai Maharashtra 400019 FORT YES

LIFE INSURANCE

CORPORATION 03/11/2012 03/11/2012 06/10/2015

8311331 60017211 FGG NILAM ASHOK DESHMUKH 09/01/1990

3, ATMARAM BHOIR CHAWL, DEVIPADA, GAONDEVI ROAD,

BHANDUP, MUMBAI Mumbai Maharashtra 400086 Mumbai Mumbai Maharashtra 480001 ANDHERI NO - 17/07/2013 17/07/2013 29/09/2016

8311334 60017213 FGG ARUNKUMAR RANCHHODDAS THAKKAR 15/12/1945

ROOM NO.12, 3RD FLOOR, HARSHA STY, 7 TH ROAD, VIDYAVIHAR

EAST MUMBAI Mumbai Maharashtra 400083 Mumbai Mumbai Maharashtra 400083 FORT NO - 30/08/2013 30/08/2013 29/09/2016

8305432 60017217 FGG PRADIPTA SINGHAROY 28/04/1980

HIRBANDH P.O-HIRBANDH, VILL:JAMALPUR BANKURA Bankura

West Bengal 722171 Bankura Bankura West Bengal 722171 KOLKATA YES

LIFE INSURANCE

CORPORATION 14/08/2013 14/08/2013 27/09/2016

8315907 60017238 FGG RANSITHLAL I.R. 01/04/1980

Ramapuri House Naduvathur (PO) Koyilandy Kozhikode

Kerala 673029 Calicut Calicut Kerala 673330 CALICUT NO - 09/12/2013 09/12/2013 03/10/2016

8315908 60017239 FGG MANISH K PATEL 17/02/1976

10, Galaxy Apartment, Kareliabaug, Baroda Vadodara

Gujarat 390018 Baroda Baroda Gujarat 390018 BARODA NO - 16/10/2013 16/10/2013 03/10/2016

3763761 60017291 FGG SHIRWADKAR NILESH 16/07/1974

Room No. 2, Ahmad Abdul Chawl Op. Vijay Nagar Society, Sahar

Road Andheri (W), Mumbai, Mumbai Maharashtra

400069 Mumbai Mumbai Maharashtra 400069 BORIVALI NO - 02/12/2013 02/12/2013 26/11/2016

1996394 60017331 FGG SURESH .. 03/09/1957

4, DWARAKHA FLAT C 7TH STREET THILLAIGANGA NAGAR

CHENNAI Chennai Tamil Nadu 600061 Chennai Chennai Tamil Nadu 600061 CHENNAI YES EXIDE LIFE INSURANCE 19/05/2014 19/05/2014 07/06/2017

8323193 60017335 FGG T.P. THIMMAPPA 02/03/1981

#15 5TH MAIN ROAD 10TH CROSS GIDDAPPA BLOCK

GANGANAGAR BANGALORE Bangalore Karnataka

560032 Bangalore Bangalore Karnataka 560032 R.T.NAGAR NO - 01/11/2013 01/11/2013 07/10/2016

8325330 60017338 FGG JYOTI KHURANA 19/07/1984 826 DHANIPURA ROHTAK Rohtak Haryana 124001 Rohtak Rohtak Haryana 125033 ROHTAK NO - 06/05/2014 06/05/2014 10/10/2016

8330895 60017391 FGG BHUPINDER JIT KAUR SODHI 02/07/1973

87, SECTOR-15, PANCHKULA Panchkula Haryana

134109 Panchkula Panchkula Haryana 134109 CHANDIGARH NO - 24/09/2013 24/09/2013 12/10/2016

2261753 60017442 FGG RASHMI AGARWAL 08/10/1974

291-D, RB II RAILWAY COLONY NEAR PNB, NEW YARD, ITARSI

Hoshangabad Madhya Pradesh 0 Bhopal Bhopal Madhya Pradesh 462023 BHOPAL YES

LIFE INSURANCE

CORPORATION 13/01/2015 13/01/2015 17/01/2018

8335452 60017444 FGG MOHAMMED ABDURAHIMAN 30/07/1961

Thruvara House Koottukara P.O Kondotty Malappuram

Kerala 673638 Malappuram Malappuram Kerala 673638 CALICUT NO - 02/12/2013 02/12/2013 17/10/2016

8336804 60017465 FGG ASHISH RAMESHCHANDRA GUPTA 03/11/1977

Flat No. 12 Liberty Garden Bldg - 1 Malad Jaydeep

Mamlatdarwadi Road Extn. Near Liberty Garden Malad West

Mumbai Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 ANDHERI NO - 16/09/2013 16/09/2013 18/10/2016

8337374 60017472 FGG SAMSHER SINGH 04/04/1970

Aman Motors Near Sukhpura Chowk Rohtak Rohtak

Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK NO - 26/09/2014 26/09/2014 18/10/2016

8342183 60017535 FGG PATEL BHAVESH I. 12/04/1985

C-59,HIRABAUG SOCIETY SUSSEN TARSALI RING ROAD,

VADODARA Vadodara Gujarat 390009 Vadodara Vadodara Gujarat 390009 BARODA NO - 23/12/2013 23/12/2013 21/10/2016

8342224 60017537 FGG KAUSHALKUMAR P BAGADIA 30/09/1980

10/404-405 - B Rajgruhi, Near Jain temple , J.B Nagar , Andheri E

Mumbai Maharashtra 400059 Mumbai Mumbai Maharashtra 400059 ANDHERI NO - 18/11/2013 18/11/2013 21/10/2016

8342525 60017538 FGG V. A. PRASAD 03/09/1978

#8 !st cross 1st main 2nd stage kamalanagar Bangalore

Bangalore Karnataka 560079 Bangalore Bangalore Karnataka 560079 BANGALORE NO - 21/10/2013 21/10/2013 21/10/2016

8149461 60017539 FGG KALINDIKA GUPTA 29/10/1988 67 KAMDHENU APPT ROHINI SEC-9 DELHI Delhi Delhi 110085 Delhi Delhi Delhi 110085 WEST DELHI YES

SBI LIFE INSURANCE

COMPANY LIMITED 18/06/2013 18/06/2013 27/06/2016

8346252 60017594 FGG KHATIK SHAILESH KAILASHBHAI 28/03/1991

A/77 SHREELAL DUPLEX B/H SHANTI PARK,VASANA

ROAD,BARODA Vadodara Gujarat 388710 Baroda Baroda Gujarat 388710 BARODA NO - 01/11/2013 01/11/2013 25/10/2016

8346234 60017595 FGG VARUN C JAIN 03/05/1987

LADURAM GOLA, GUNJ NO.2, AT & POST:BETTIAH Pashchim

Champaran Bihar 845438 West Champaran West Champaran Bihar 845438 BARODA NO - 01/11/2013 01/11/2013 25/10/2016

8349820 60017597 FGG KHATRI MANSI KAMLESHBHAI 12/06/1984

7,JAY SHREE PARK SOCIETY NR.SUKHAMANI SOCIETY VADODARA

Vadodara Gujarat 390001 Baroda Baroda Gujarat 390001 BARODA NO - 21/10/2013 21/10/2013 26/10/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8354369 60017641 FGG RINA SEN 22/06/1973

37 GOURI BARI LANE KOLKATA Kolkata West Bengal

700004 Kolkata Kolkata West Bengal 700004 KOLKATA NO - 31/03/2014 31/03/2014 28/10/2016

8354382 60017644 FGG KAKOLI SARKAR 01/01/1975

VILL & PO SHIBPURTALA MALDA Maldah West Bengal

732103 Malda Malda West Bengal 732103 KOLKATA NO - 01/10/2013 01/10/2013 28/10/2016

8354383 60017645 FGG INDU GIRI 20/12/1977

VILL- NEW MAHESHPUR, VILL- NEW MAHESHPUR, P.S- ENGLISH

BAZAR P.O- MOKDUMPUR Maldah West Bengal 732103 Kolkata Kolkata West Bengal 732103 KOLKATA NO - 23/09/2013 23/09/2013 28/10/2016

8354388 60017648 FGG UJJAVAL KUMAR DAGA 13/01/1984

40/C B.G.Road, Post: Mokdumpur Maldah West Bengal

732103 Kolkata Kolkata West Bengal 732103 KOLKATA NO - 21/10/2013 21/10/2013 28/10/2016

8358794 60017665 FGG NARENDRA SUNIL KULKARNI 21/04/1990

H 503 , Vrindavan Housing complex Sector D, Opp Guru Ganesh

Nagar, Kothrud, Pune Pune Maharashtra 411038 Pune Pune Maharashtra 411038 PUNE NO - 14/11/2013 14/11/2013 31/10/2016

531048 60017699 FGG MALTI MAHENDRA JHAVERI 14/02/1942

706 25 ANAND VATIKA, BELOW SARDAR BRIDG ADAJAN ROAD,

SURAT. Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

LIFE INSURANCE

CORPORATION 16/04/2014 16/04/2014 06/06/2017

2002832 60017717 FGG PARAG PRABHAKAR SAWANT 27/11/1966

A-29 SATYA-VIJAY C.H.S.L. SARVODAY NAGAR BHANDUP (W)

Mumbai Maharashtra 400078 Thane Thane Maharashtra 400601 THANE YES

LIFE INSURANCE

CORPORATION 18/06/2014 18/06/2014 14/06/2017

8363459 60017719 FGG YOGITA JAYANT CHANDAN 23/11/1975

102, Kokanputra CHS, Vasant Kunj, Near Pawar Nagar Thane

West Thane Maharashtra 400610 Thane Thane Maharashtra 400610 THANE NO - 07/11/2013 07/11/2013 03/11/2016

8363440 60017720 FGG ELIT PATHROSE 01/05/1991

H 12 Shinde Gardens Ayodhyanagari, Bhau Patil Road Pune Pune

Maharashtra 411020 Pune Pune Maharashtra 411020 PUNE NO - 21/10/2013 21/10/2013 03/11/2016

8365607 60017723 FGG DIPIKA SHARMA 08/08/1986

42, MAYUR COMPLEX HIRAN MAGRI SEC-4 UDAIPUR Udaipur

Rajasthan 313002 Udaipur Udaipur Rajasthan 313002 UDAIPUR YES

STAR UNION DAI ICHI

LIFE INSURANCE CO. LTD

21/10/2013 21/10/2013 07/11/2016

8365974 60017724 FGG P SATHISH KUMAR 26/03/1983

No 1/A, Thangavel Garden, 3rd Street, Korukkupet Chennai

Tamil Nadu 600021 Chennai Chennai Tamil Nadu 600021 CHENNAI NO - 01/11/2013 01/11/2013 07/11/2016

8377694 60017843 FGG DINESH KUMAR 27/01/1981

NEAR SHIV MANDIR VPO KHATIWAS JHAJJAR Jhajjar

Haryana 124103 Jhajjar Jhajjar Haryana 124103 ROHTAK NO - 03/03/2014 03/03/2014 16/11/2016

8371969 60017904 FGG VARUN VIJAYKUMAR SHAH 14/08/1982

A-401, 4th floor, Twinkle tower, Near Highland Residency Kolshet

road, Dhokali Thane Maharashtra 400607 Thane Thane Maharashtra 400607 THANE YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 11/02/2014 11/02/2014 11/11/2016

8384579 60017905 FGG M. SATHISHKUMAR 08/09/1985

Ols No:8, New No:11, Pushpa Nagar, , 1st Street Nungambakkam

Chennai Chennai Tamil Nadu 600034 Chennai Chennai Tamil Nadu 600034 CHENNAI NO - 01/11/2013 01/11/2013 21/11/2016

5678113 60017906 FGG HARINARAYANAN MANAZHIYIL NARAY 04/05/1966

AVM APARTMENTS, 1ST FLOOR WEST HILL PO Kozhikode Kerala

673005 Kozhikode Kozhikode Kerala 673016 CALICUT YES

LIFE INSURANCE

CORPORATION 18/08/2012 18/08/2012 18/08/2015

8384620 60017911 FGG ANSHU SAINI 07/11/1983

LAXMI NARAYAN PURA JAIPUR Jaipur Rajasthan

302013 Jaipur Jaipur Rajasthan 302013 JAIPUR NO - 01/11/2013 01/11/2013 21/11/2016

8384520 60017912 FGG NIRAJ NAGINA SINGH 11/05/1987

M- Ward-3, R. No - 2 , Santosh Ngr, Goregaon East Mumbai

Mumbai Maharashtra 400065 Mumbai Mumbai Maharashtra 400065 ANDHERI NO - 22/11/2013 22/11/2013 21/11/2016

8384527 60017913 FGG PADMAJA VANI ATYAM 04/05/1961

402 MENAKA NEXT TO RBI 5TH ROAD, CHEMBUR MUMBAI

Mumbai Maharashtra 400072 Mumbai Mumbai Maharashtra 400071 ANDHERI NO - 23/12/2013 23/12/2013 21/11/2016

8384487 60017914 FGG SAPNA RAHUL CHAVAN 25/04/1985

Atmasmit Bunglow, Plot No 4, Mhada Colony, Near C E Highway

Mulund East, Mumbai Mumbai Maharashtra 400081 Mumbai Mumbai Maharashtra 400081 ANDHERI NO - 07/01/2014 07/01/2014 21/11/2016

8390056 60017957 FGG ROHIT CHHAGAN GINOYA 14/11/1982

94,SARDAR PATEL DABHOLI ROAD SURAT Surat Gujarat

395001 Surat Surat Gujarat 395450 SURAT NO - 01/11/2013 01/11/2013 24/11/2016

5791694 60017958 FGG SHUKLA VIKRANT SANJAY 08/01/1982

FLAT NO 1,RADHA APTS NEARGAIKWAD PETROL PUMP GAIKWAD

NAGAR Pune Maharashtra 411007 Pune Pune Maharashtra 411007 PUNE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 15/02/2013 15/02/2013 25/09/2015

2796546 60017962 FGG S. KALAIVANI 05/01/1981

NO 5 GEETHAS APT 28 JANAKIRAMAN COLONY ARUNBAKKAM

Chennai Tamil Nadu 600106 Chennai Chennai Tamil Nadu 600106 CHENNAI YES

ING VYSYA LIFE

INSURANCE 06/02/2013 06/02/2013 04/12/2015

8390267 60017964 FGG ZAID IBRAHIM 30/04/1985

#5,L NO 10TH STREET JUMMA MASJID ROAD CROSS,

SHIVAJINAGAR , BANGALORE Bangalore Karnataka

560001 Bangalore Bangalore Karnataka 560001 INDIRA NAGAR NO - 26/11/2013 26/11/2013 24/11/2016

8145733 60017970 FGG KABIR SIDANA 01/10/1987 G 20/111-1 Block G Pocket 20 Rohini Sector7 Delhi Delhi 110085 Delhi Delhi Delhi 110085 WEST DELHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/06/2013 29/06/2013 24/06/2016

8390203 60017971 FGG KIRAN GOVIND BATHAM 16/09/1979

4/13, Chotti Gwaltoli, Indore Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 24/02/2014 24/02/2014 24/11/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8390193 60017973 FGG AASHIMA CHOUDHARY 18/11/1975

685, Frontier Colony, Adarsh Nagar, Jaipur Jaipur

Rajasthan 301001 Jaipur Jaipur Rajasthan 301001 JAIPUR NO - 26/11/2013 26/11/2013 24/11/2016

1425338 60017974 FGG RAHUL JAIN 06/03/1984

4 KALPAKA APP 406 SAKET NAGAR Indore Madhya Pradesh

458880 Indore Indore Madhya Pradesh 452001 INDORE YES

HDFC STD LIFE

INSURANCE CO. LTD. 05/11/2012 05/11/2012 12/10/2015

8389960 60017977 FGG MANISH NANDKISHORE DARAK 08/08/1974

511/1-C INDRAPRASTHA BLDG. JITENDRA ROAD MALAD EAST

Mumbai Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 BORIVALI NO - 23/12/2013 23/12/2013 24/11/2016

8390164 60017979 FGG RAGINI INDRADEV MISHRA 28/05/1983

Flat no 703 bldg no 13 Shree shaswat complex nr pleasent park

mira rd Thane Maharashtra 401107 MUMBAI Mumbai Maharashtra 400092 ANDHERI NO - 11/12/2013 11/12/2013 24/11/2016

8395961 60018006 FGG ANINDYA ROY 14/01/1975

Near Hanuman Mandir, Ananda Para Dhubri Dhubri Dhubri

Assam 783324 Dhubri Dhubri Assam 783301 GUWAHATI NO - 14/11/2013 14/11/2013 28/11/2016

8395969 60018007 FGG NAZMA SULTANA 09/02/1985

Chanukia Ali, Samastipur, Near Masjid Dhubri Dhubri Dhubri

Assam 783324 Dhubri Dhubri Assam 783301 GUWAHATI NO - 02/12/2013 02/12/2013 28/11/2016

8395984 60018010 FGG UTPAL DUTTA 09/01/1982

Near Laxmi Nursery, Jyotinagar Dhubri Dhubri Dhubri

Assam 783324 Dhubri Dhubri Assam 783301 GUWAHATI NO - 14/11/2013 14/11/2013 28/11/2016

8395989 60018012 FGG INDRANIL THAKUR 16/12/1982 H/N 11 Byelane 2 Jail Road Dhubri Dhubri Assam 783324 Dhubri Dhubri Assam 783301 GUWAHATI NO - 02/12/2013 02/12/2013 28/11/2016

8390144 60018020 FGG NILESH KANTILAL PANDYA 29/11/1970

4 - C - 12 Majithia Nagar S V Road, Malad West Mumbai Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 13/12/2013 13/12/2013 24/11/2016

8397163 60018029 FGG BHAKTILATA K PATEL 08/08/1985

1-57-9,SWAMINARAYAN MANDIR FALIYU, NR.SWAMINARAYAN

MANDIR UTRAJ Vadodara Gujarat 391250 Baroda Baroda Gujarat 391250 BARODA NO - 01/10/2013 01/10/2013 29/11/2016

8398826 60018058 FGG HARMEET SINGH CHADHA 13/01/1986

1247 NAPIER TOWN Jabalpur Jabalpur Madhya Pradesh

482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 14/11/2013 14/11/2013 29/11/2016

8401508 60018101 FGG DHARSANDIA RITESH JAYANTI 27/03/1978

B-101 DEEPDHA COMPLEX RAJKOT RAJKOT Rajkot Gujarat

360001 Rajkot Rajkot Rajasthan 360005 RAJKOT YES BIRLA SUN LIFE 01/11/2013 01/11/2013 01/12/2016

8401513 60018104 FGG GIRISH MUKUNDRAY SHRIMANKAR 01/07/1972

402, SHANTINIKETAN FLAT RAJKOT RAJKOT Rajkot Gujarat

360004 Rajkot Rajkot Gujarat 360002 RAJKOT NO - 16/12/2013 16/12/2013 01/12/2016

8401506 60018106 FGG M. J. MAHESH 10/06/1980

#24/15 1st main 7th cross deepanjali nagar Bangalore Bangalore

Karnataka 560026 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 05/12/2013 05/12/2013 01/12/2016

8403323 60018107 FGG KUL BHUSHAN NARANG 10/12/1962

958 HARI BAGH COLONY ASSANDH ROAD Panipat Haryana

132103 Panipat Panipat Haryana 132103 ROHTAK NO - 11/08/2014 11/08/2014 02/12/2016

8404095 60018118 FGG KAVITA .. 26/07/1984

C/O SRI AMANULLA KHAN, #10, 19TH CROSS, 20TH MAIN ROAD,

SMS LAYOUT, JP NAGAR 5TH PHASE BANGALORE Bangalore

Karnataka 560078 Bangalore Bangalore Karnataka 560078 INDIRA NAGAR NO - 26/11/2013 26/11/2013 02/12/2016

8404097 60018119 FGG ANKUR BHATNAGAR 05/08/1990

C/19, Kamal New Mandala, Anushakti Nagar, BARC Colony,

Mumbai Mumbai Maharashtra 400094 Mumbai Mumbai Maharashtra 400094 VASHI NO - 21/10/2013 21/10/2013 02/12/2016

8401614 60018149 FGG RUMA DEY 15/09/1973

S.C.ROAD, DIST.:UTTAR DINAJPUR, RAIGANJ, RAIGUNJ UTTAR

DINAJPUR West Dinajpur West Bengal 733123 Malda Malda West Bengal 733123 KOLKATA NO - 02/12/2013 02/12/2013 01/12/2016

8401619 60018153 FGG PRAVEEN KUMAR BHARTIA 20/11/1965

VILL/PO GUNJARIA BAZAR DIST. UTTAR DINAJPUR, RAIGUNJ

UTTAR DINAJPUR West Dinajpur West Bengal 733123 Malda Malda West Bengal 733123 KOLKATA NO - 07/11/2013 07/11/2013 01/12/2016

8401632 60018156 FGG UTPAL CHANDRA ROY 27/07/1973

42 PARANPUR BAZAR ROAD, P.O: PARANPUR Maldah West

Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 02/12/2013 02/12/2013 01/12/2016

8401637 60018157 FGG RUPALI PYNE 07/01/1983

NARNDRANAGAR P.O MOKDUMPUR MALDA Maldah West

Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 02/12/2013 02/12/2013 01/12/2016

8401649 60018161 FGG ANIRBAN MODAK 16/03/1984

PARANPUR BAZAR ROAD, P.O: PARANPUR MALDA MALDA

Maldah West Bengal 732103 Malda Malda West Bengal 732103 SILIGURI NO - 23/12/2013 23/12/2013 01/12/2016

8401655 60018164 FGG ANSHUL HIMATSINGKA 30/06/1985

LENIN SARANI, DUNLOP MORE P.O. BALURGHAT DIST U DINAJPUR,

RAIGUNJ UTTAR DINAJPUR West Dinajpur West Bengal

733123 Raigunj Raigunj West Bengal 733123 KOLKATA NO - 02/12/2013 02/12/2013 01/12/2016

8401657 60018165 FGG MRINAL KANTI NANDI 09/02/1970

PO-DEBINAGAR, RAJGANJ, DIST-UTTAR DINAJPUR, RAIGUNJ

UTTAR DINAJPUR West Dinajpur West Bengal 733123 Raiganj Raiganj West Bengal 733123 KOLKATA NO - 04/03/2014 04/03/2014 01/12/2016

8401667 60018166 FGG DIVYA KEDIA 25/09/1983

VILL- NEW MAHESHPUR, P.O- MOKDUMPUR. P.S- ENGLISH BAZAR

MALDA MALDA Maldah West Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 02/12/2013 02/12/2013 01/12/2016

8405994 60018180 FGG ANIL KUMAR AGARWAL 11/10/1973

4 MADHAB NAGAR, P.O: MOKDUMPUR, MALDA Maldah

West Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 02/12/2013 02/12/2013 05/12/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8406033 60018189 FGG RAJ KUMAR PAUL 13/02/1960

14 B.G.Road, Ward no. 7, Opp. To K.G.School, Post: Mokdumpur

MALDA Maldah West Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 03/03/2014 03/03/2014 05/12/2016

8406040 60018190 FGG ASHISH LADIA 22/11/1969

NARAYANPUR, NH-34 MALDA MALDA Maldah West Bengal

732103 Malda Malda West Bengal 732103 KOLKATA NO - 02/12/2013 02/12/2013 05/12/2016

8406048 60018194 FGG MOHAMMED NASIRUDDIN 09/09/1977

171/42 Gour Road (Beside Petrol Pump) P.O. Mokdumpur

MALDA Maldah West Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 18/11/2013 18/11/2013 05/12/2016

8406080 60018198 FGG KEKA SARKAR 20/10/1966

NEW BANSBARI, P.O : JHALJHALIA MALDA MALDA Maldah

West Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 01/11/2013 01/11/2013 05/12/2016

8405962 60018201 FGG WAKCHAURE CHITRA DADABHAU 31/05/1988

SEC. NO. 1, PLOT NO.49 FLAT NO. 3 INDRAYANI NAGAR BHOSARI

PUNE Pune Maharashtra 411026 Pune Pune Maharashtra 411026 CHINCHWAD NO - 18/03/2014 18/03/2014 05/12/2016

8407564 60018210 FGG SAHIL GANDHI 27/01/1988

H.NO 636 Sector - 21B Sector - 21B Faridabad Haryana

121002 Faridabad Faridabad Haryana 121002 FARIDABAD YES

LIFE INSURANCE

CORPORATION 01/04/2014 01/04/2014 06/12/2016

8408954 60018222 FGG CHAUDHARI RAJESH BHAGWAN 28/12/1979

PANDIT DINDAYAL CHAWL NEXT TO MOUNT MARY STEP ST

JOHNBAPTISTA ROAD NR. ASHIYANA BLDG BANDRA WEST

Mumbai Maharashtra 400050 Mumbai Mumbai Maharashtra 400050 BORIVALI NO - 02/01/2014 02/01/2014 07/12/2016

8410549 60018233 FGG RATNA CHAKRAVARTY 10/01/1975

HIRBANDH P.O-HIRBANDH, VILL:NOAPARA BANKURA Bankura

West Bengal 722171 Bankura Bankura West Bengal 722171 KOLKATA NO - 07/11/2013 07/11/2013 08/12/2016

8410544 60018241 FGG SONIA GOYAL 03/12/1974

52 B.G.Road, Post: Mokdumpur MALDA Maldah West

Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 26/11/2013 26/11/2013 08/12/2016

8408277 60018257 FGG PRADIP PADMANABH JOSHI 29/11/1972

18/2, Sanmitra Mandal, Bhatwadi, At:RIS, P.O. Mohopada, P.O.

Mohopada, Raigarh Maharashtra 410222 Raigad Raigad Maharashtra 410222 VASHI NO - 21/10/2013 21/10/2013 06/12/2016

8412413 60018283 FGG RAKESH DAYALDAS LAHORI 14/10/1974

NO 8 & 9 DINNUR MAIN ROAD CROSS, RT NAGAR BANGALORE

Bangalore Karnataka 560032 Bangalore Bangalore Karnataka 560032 R.T.NAGAR NO - 26/11/2013 26/11/2013 09/12/2016

8412419 60018284 FGG SHIVAKUMAR ANJANAPPA 25/09/1984

FLAT NO B2, ABHIMANI APARTMENTS, # 38, BANGALORE 79 6TH

CROSS, A.D.HALLI, MAGADI MAIN ROAD, BANGALORE Bangalore

Karnataka 560079 Bangalore Bangalore Karnataka 560079 INDIRA NAGAR NO - 26/11/2013 26/11/2013 09/12/2016

8416640 60018312 FGG DEBASISH PAUL 05/01/1975

MAA ANANDAMAYEE HOUSING CO OP SOC LTD NATUN KALIPUR

BHATJANGLA, KRISHNAGAR Nadia West Bengal 741101 Malda Malda West Bengal 732103 KOLKATA NO - 10/12/2013 10/12/2013 13/12/2016

8416642 60018314 FGG AMIT KUMAR SHARMA 24/03/1980

NEW BANSBARI, P.O : JHALJHALIA MALDA MALDA Maldah

West Bengal 732103 Malda Malda West Bengal 732103 KOLKATA NO - 21/10/2013 21/10/2013 13/12/2016

8416674 60018315 FGG DEVESH PRASAD SINGH 15/08/1973

Ward No 6 Boda Bag Rewa Rewa Madhya Pradesh

486006 Rewa Rewa Madhya Pradesh 486001 JABALPUR NO - 14/11/2013 14/11/2013 13/12/2016

8421604 60018350 FGG VAISHALI BHOJIA 09/01/1972

72, SECTOR-6, PANCHKULA Panchkula Haryana

134113 Panchkula Panchkula Haryana 134113 CHANDIGARH YES

SBI LIFE INSURANCE

COMPANY LIMITED 19/08/2014 19/08/2014 15/12/2016

8421572 60018361 FGG SUMAN MAHESHWARY 15/07/1977

4098, MUKERI MOHALLA, WARD NO-17 NASIRABAD Ajmer

Rajasthan 305001 Ajmer Ajmer Rajasthan 305601 AJMER NO - 16/01/2014 16/01/2014 15/12/2016

8421584 60018364 FGG KAMAL CHATURVEDI 01/08/1978

2218 SHELO KI GALI GANGORI BAZAR JAIPUR Jaipur

Rajasthan 302001 Jaipur Jaipur Rajasthan 302003 JAIPUR NO - 09/06/2014 09/06/2014 15/12/2016

8422933 60018367 FGG DEEPALI ARORA 25/12/1978 182/3 GOVINDPURI, KALKA JI NEW DELHI Delhi Delhi 110019 Delhi Delhi Delhi 110019 CONNAUGHT PLACENO - 02/12/2013 02/12/2013 16/12/2016

8422954 60018368 FGG SUNIL KUMAR 05/09/1960

A-201 Mahesh Nagar 80 Feet Road Jaipur Jaipur Rajasthan

302001 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 18/11/2013 18/11/2013 16/12/2016

8422966 60018370 FGG KALYANI VEERAMANIKANDAN 05/04/1965

1/108 KUDI STREET KUTHUR VILLAGE MANNACHANALLUR

Tiruchirapalli Tamil Nadu 621216 Tiruchirappalli Tiruchirappalli Tamil Nadu 621216 TRICHY NO - 31/03/2014 31/03/2014 16/12/2016

8421576 60018371 FGG TEEKAM CHAND MAHAWAR 12/11/1973

37, Gandhi Colony Brahmpuri Jaipur Jaipur Rajasthan

302002 Jaipur Jaipur Rajasthan 302002 JAIPUR NO - 26/11/2013 26/11/2013 15/12/2016

8422964 60018374 FGG S. NAKKEERAN 30/05/1973

28/26 GADY GANA LANE CHINNAKADAI ST TRICHY Tiruchirapalli

Tamil Nadu 620002 Tiruchirapalli Tiruchirapalli Tamil Nadu 620002 TRICHY NO - 03/03/2014 03/03/2014 16/12/2016

1374322 60018425 FGG VAIRAMANI .. 14/06/1964

74-D, THAIR ITTERY ROAD COIMBATORE Coimbatore Tamil Nadu

641027 Coimbatore Coimbatore Tamil Nadu 641027 COIMBATORE YES Coimbatore 06/08/2012 06/08/2012 02/09/2015

8429432 60018426 FGG RAMANARASU VENKATESAN 10/01/1970

G-6, NEW TOWN THERKKUPALAYAM POST COIMBATORE

Coimbatore Tamil Nadu 641020 Coimbatore Coimbatore Tamil Nadu 641020 COIMBATORE NO - 07/01/2014 07/01/2014 21/12/2016

8429483 60018428 FGG BIRJU SALODIYA 17/01/1990

4385, Top Khane Ka Rasta, C P Bazar, Jaipur Jaipur

Rajasthan 302001 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 02/01/2014 02/01/2014 21/12/2016

8429591 60018432 FGG SWATI KUMARI 10/02/1990 H NO-766 Village Bakhtawarpur Delhi Delhi Delhi 110036 Delhi Delhi Delhi 110036 WEST DELHI NO - 13/12/2013 13/12/2013 21/12/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8429637 60018434 FGG USHA R PATEL 20/02/1977

207, RAMESHWAR BHAVAN APPARTMENT, PANDESARA, SURAT

SURAT Surat Gujarat 395007 Surat Surat Gujarat 395001 SURAT NO - 30/01/2014 30/01/2014 21/12/2016

8431509 60018436 FGG MUKESH KUMAR SAINI 07/05/1975

78 JEVA LAL KOTHI WARD NO 7- TEHSIL CHOMU JAIPUR Jaipur

Rajasthan 303702 Jaipur Jaipur Rajasthan 303702 JAIPUR NO - 10/12/2013 10/12/2013 22/12/2016

8434703 60018454 FGG MANJU PANCHAL 14/01/1968

28-B, MAHESH PARK, OPP.JALARAM TEMPLE,KARELIBAUG,

Vadodara Gujarat 390018 Baroda Baroda Gujarat 390018 BARODA YES

Edelweiss Tokio Life

Insurance 16/10/2013 16/10/2013 23/12/2016

8437190 60018455 FGG KARMINDER KAUR 15/06/1979

E-25 INDL AREA, PHASE-7 MOHALI Sahibzada Ajit Singh Nagar

Punjab 160055 Chandigarh Chandigarh Punjab 160055 CHANDIGARH NO - 23/12/2013 23/12/2013 26/12/2016

8442297 60018489 FGG NITU ARVIND MISHRA 21/01/1976

9A-9B/42 Opp Allahabad Bank Manorama Nagarkar marg Shivaji

Park Mumbai Maharashtra 400016 Mumbai Mumbai Maharashtra 400016 VASHI NO - 30/01/2014 30/01/2014 28/12/2016

8444624 60018492 FGG THAKKAR CHIRAG 06/12/1981

A-12, MANGALYA PARK SOCIETY HARNI ROAD, Vadodara

Gujarat 390022 Vadodara Vadodara Gujarat 390022 BARODA NO - 01/11/2013 01/11/2013 29/12/2016

8444621 60018494 FGG ANUJA GOPAN 08/08/1985

Machinchery House, Kundoor, Nannambra via Theyyala

Malappuram Kerala 676306 Trivandrum Trivandrum Kerala 695007 CALICUT NO - 02/12/2013 02/12/2013 29/12/2016

8446674 60018517 FGG PANKAJ KAMALAKAR KHANDAGALE 06/10/1981

104 Mina mantion Manisha Nagar, Kalwa Thane Thane

Maharashtra 400601 Thane Thane Maharashtra 400601 GHATKOPAR NO - 02/12/2013 02/12/2013 30/12/2016

8446680 60018518 FGG SUPRIYA NISHANT SAWANT 24/06/1981

Room no 8, Parag society pioneer society panvekl near saraswat

bank, pioneer society Panvel Thane Maharashtra 400601 Panvel Panvel Maharashtra 410206 GHATKOPAR NO - 02/12/2013 02/12/2013 30/12/2016

3722481 60018522 FGG DAVINDER KUMAR MEHTA 01/04/1969

394, Sector No. 3 Mohalla Pathana Wala Teh Naraingarh Ambala,

Ambala Haryana 133001 Ambala Ambala Haryana 133001 CHANDIGARH NO - 23/12/2013 23/12/2013 14/11/2016

8444560 60018526 FGG MEGHA MODY 03/11/1988 45, GREEN PARK, PALI Jodhpur Rajasthan 306001 Jodhpur Jodhpur Rajasthan 306001 JODHPUR NO - 02/12/2013 02/12/2013 29/12/2016

8444608 60018529 FGG VANADHI .. 02/05/1987

NO.4/144 SEERAPALAYAM COIMBATORE Coimbatore Tamil

Nadu 641105 Coimbatore Coimbatore Tamil Nadu 641105 COIMBATORE NO - 17/02/2014 17/02/2014 29/12/2016

8131540 60018530 FGG T.K. SRENEVASAN 05/08/1969

F-B BLOCK ROHINI APT COLONY ROAD Tiruchirapalli Tamil

Nadu 620012 Coimbatore Coimbatore Tamil Nadu 641602 TRICHY YES BIRLA SUN LIFE 06/06/2013 06/06/2013 16/06/2016

8444556 60018532 FGG SENTHILNATHAN .. 14/01/1973

DOOR.NO.29,ANNUPARPALAYAM VELAMPALAYAM TIRUPUR

Coimbatore Tamil Nadu 641652 Coimbatore Coimbatore Tamil Nadu 641652 COIMBATORE NO - 10/12/2013 10/12/2013 29/12/2016

8444567 60018533 FGG M. MURUGAN 06/09/1962

13/4A VILLAGE STREET SATHUMA NAGAR KALADIPET Chennai

Tamil Nadu 600019 Chennai Chennai Tamil Nadu 600019 CHENNAI NO - 02/12/2013 02/12/2013 29/12/2016

8444552 60018547 FGG SURAJ MADHUKAR SAWANT 25/11/1984

Parshuram Nagar, "E" Ward R No 22 G.D.Ambekar Marg, Near

Kingston Tower,KalaChoki Mumbai Mumbai Maharashtra

400033 Mumbai Mumbai Maharashtra 400033 GHATKOPAR NO - 02/12/2013 02/12/2013 29/12/2016

8451891 60018554 FGG PIYUSH BANSILAL KANSARA 19/07/1980

VRUNDAVAN KANSARA ESTATE AMBAJI ROAD, PALGHAR, Thane

Maharashtra 401404 Thane Thane Maharashtra 401404 ANDHERI NO - 03/02/2014 03/02/2014 03/01/2017

8451900 60018555 FGG LALITABEN HARESHBHAI LADANI 31/07/1974

1,chilucknanda society,bhdakodra-8, GIDC Nofified Area,

Ankleshwar, Bharuch Gujarat 393002 Bharoch Bharoch Gujarat 393002 ANKLESHWAR YES

KOTAK MAHINDRA OLD

MUTUAL 27/01/2014 27/01/2014 03/01/2017

8169339 60018617 FGG RAJESH PRABHAKAR WARRIER 20/09/1970

Flat No B -20 Om Shanti Comm Hsg Sector 01 Airoli Navi Mumbai

Thane Maharashtra 400708 Thane Thane Maharashtra 400708 THANE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 18/11/2013 18/11/2013 11/07/2016

2843995 60018620 FGG RAKSHA SURESH VISARIA 28/08/1976

204,GAUTAM SAGAR CHS EDULJI RD CHARAI

THANE(W),MAHARASHTRA Mumbai Maharashtra 400602 Thane West Thane West Maharashtra 400602 THANE YES BIRLA SUN LIFE 12/11/2012 12/11/2012 19/12/2015

5639081 60018621 FGG MAHARSHEE MADHUKARBHAI MUNSHAW18/05/1975

C-1002, KAUSHAMBI C G ROAD PALDI AHMEDABAD Ahmadabad

Gujarat 380007 Ahmedabad Ahmedabad Gujarat 380007 AHMEDABAD YES

BAJAJ ALLIANZ LIFE

INSURANCE 21/08/2012 21/08/2012 05/08/2015

8151377 60018645 FGG RAMESH S. 16/04/1977

4/280 Annanagar Pettavaithalaisi Rugamani Trichy Trichy

Tiruchirapalli Tamil Nadu 620013 Trichy Trichy Tamil Nadu 639112 TRICHY YES EXIDE LIFE INSURANCE 16/12/2013 16/12/2013 27/06/2016

8454929 60018650 FGG BHARAT BHUSHAN SOOD 05/10/1947

41 New Punjab Mata Nagar,Pakhowal Road Ludhiana Ludhiana

Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 23/12/2013 23/12/2013 05/01/2017

1608058 60018651 FGG RAJAT SINGAL 26/09/1966

42 MODEL TOWN WEST 1ST FLOOR GHAZIABAD, UTTAR PRADESH

Ghaziabad Uttar Pradesh 201009 Ghaziabad Ghaziabad Uttar Pradesh 201003 NOIDA YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 27/05/2013 27/05/2013 26/02/2016

8454898 60018653 FGG SYED MASHKOOR AHMED 20/08/1975

HOUSE N0 57, BIJLI NAGAR GOVIND PURA BHOPAL Bhopal

Madhya Pradesh 462023 Bhopal Bhopal Madhya Pradesh 462023 BHOPAL NO - 02/01/2014 02/01/2014 05/01/2017

8454876 60018655 FGG BHISE SANTOSH MALHARI 01/06/1980

3962/5, Dhamalwadi Post Fursungi , tal haveli Pune Pune

Maharashtra 412207 Pune Pune Maharashtra 412207 CHINCHWAD NO - 06/10/2014 06/10/2014 05/01/2017

2250830 60018667 FGG SHABNAM JAIN 07/03/1957

434/3, Ward No. 9 Jicowal Road, Banga, Nawanshahr,

Nawanshahr Punjab 144024 Nawanshahr Nawanshahr Punjab 144505 JALANDHAR NO - 02/02/2015 02/02/2015 08/01/2018

1047938 60018668 FGG K.M. SRINIVASAN 12/07/1966

NEW No.14 L H NAGAR FIRST St., ADAMBAKKAM, CHENNAI

Chennai Tamil Nadu 600088 Chennai Chennai Tamil Nadu 600088 CHENNAI YES

LIFE INSURANCE

CORPORATION 18/12/2014 18/12/2014 02/05/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8461163 60018669 FGG VAGHELA KANTI D. 10/11/1981

"MATRUCHHAYA" UDAYNAGAR-1, STREET NO 17, MAVDI RD

RAJKOT Rajkot Gujarat 360004 Rajkot Rajkot Gujarat 360004 RAJKOT NO - 23/12/2013 23/12/2013 10/01/2017

8461165 60018670 FGG KAREN D MICHAEL 12/03/1975

502, Hari Complex, Plot no-20, Sector 7, Ghansoli, Navi Mumbai

Thane Maharashtra 400701 Navi Mumbai Navi Mumbai Maharashtra 400701 VASHI NO - 02/12/2013 02/12/2013 10/01/2017

8463314 60018710 FGG VIRBHADRA KAWACHE 01/06/1969

S No 40, Keshav Nagar, Mundhwa, Pune Maharashtra

411036 Pune Pune Maharashtra 411036 PUNE NO - 16/05/2014 16/05/2014 11/01/2017

8463313 60018711 FGG DIPAK JAYANTILAL DOSHI 22/07/1954

E/11 Satyavihar no.1 Co-op Housing Society Wanawadi, Pune

Pune Maharashtra 411040 Pune Pune Maharashtra 411028 PUNE NO - 02/01/2014 02/01/2014 11/01/2017

8463309 60018718 FGG MEENAKSHI TANDON 20/05/1982

B-41; VISHNU HILL TOWN BEHIND SARASWATI SCHOOL AJMER

Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 16/12/2013 16/12/2013 11/01/2017

8463307 60018720 FGG SHRADHDHA R MEHTA 24/03/1990

ASHADEEP APPARTMENT FLAT NO 1 GURUPRASAD CHOWK

RAJKOT Rajkot Gujarat 360002 Rajkot Rajkot Gujarat 360004 RAJKOT NO - 23/12/2013 23/12/2013 11/01/2017

8463305 60018722 FGG KIRAN PRAKASH KADAM 01/04/1992

LONDHE CHAWL TANAJI NAGAR CHINCHWAD GAON PUNE Pune

Maharashtra 411033 Pune Pune Maharashtra 411017 CHINCHWAD NO - 05/02/2014 05/02/2014 11/01/2017

8463303 60018724 FGG PREM HASSANAND LULLA 25/02/1961

Singh Sadan, Deolali Camp Nasik Road Nashik Maharashtra

422401 Nasik Nasik Maharashtra 422401 NASHIK NO - 05/02/2014 05/02/2014 11/01/2017

8463296 60018725 FGG NATWARLAL DWARKADAS DAGA 27/05/1963

Survay No 93, Behind bus stand Lasalgaon Tal- Niphad Lasalgaon

Nashik Maharashtra 422306 Nasik Nasik Maharashtra 422306 NASHIK NO - 05/02/2014 05/02/2014 11/01/2017

8463285 60018726 FGG MANGESH KHOBRAGADE 08/09/1980

Flat No 8 Mahalaxmi Hsg Co Society Near Vasco Hotel Nasik Road

Nashik Maharashtra 422101 Nasik Nasik Maharashtra 422401 NASHIK NO - 05/02/2014 05/02/2014 11/01/2017

8463268 60018729 FGG POONAM VINOD KARDILE 26/06/1980

Punam appt, Pumping st Road Gangapur Road Nasik Nasik

Nashik Maharashtra 422001 Nasik Nasik Maharashtra 422001 NASHIK NO - 05/02/2014 05/02/2014 11/01/2017

2929218 60018731 FGG PUROHIT GOVINDSINGH B. 28/07/1970

GOODLUCK CHS PLOT NO.355, R.N.C-9,SECTOR-3,CHARKOP,

KANDIVALI - WEST, Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BORIVALI YES

LIFE INSURANCE

CORPORATION 15/01/2013 15/01/2013 16/01/2016

8467616 60018735 FGG NEETU BHIMOCHAN BHARDWAJ 19/03/1978

204, Malhaar Palace -3, Manpada Road, Opp Kasturi Plaza,

Dombivli E, Thane Maharashtra 421201 Thane Thane Maharashtra 421201 VASHI NO - 18/11/2013 18/11/2013 16/01/2017

8471876 60018781 FGG TUSHAR KATDARE 30/06/1969

Lok Milan, B4, 101, Chandivali Farms Road Chandivali Mumbai

Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 ANDHERI NO - 10/03/2014 10/03/2014 18/01/2017

8471882 60018783 FGG G. SIVASANKARI 28/10/1975

AF3,SARAVANALAYA FLAT, NO-4, MURUGAPPA REDDY ST,

VENKADAPURAM AMBATTUR Chennai Tamil Nadu

600053 Chennai Chennai Tamil Nadu 600053 CHENNAI YES

SBI LIFE INSURANCE

COMPANY LIMITED 14/02/2014 14/02/2014 18/01/2017

5887788 60018797 FGG PARAMESHWAR VENKATRAMAN BHAT 19/02/1954

26 FIRST MAIN BALAJI LAYOUT VIDYARANYAPURA Bangalore

Karnataka 560097 Bangalore Bangalore Karnataka 560097 BANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/02/2013 23/02/2013 12/11/2015

5282848 60018802 FGG N.J. BHARADHWAJ 11/11/1988

NO.17, B.K.S.S HOSTEL, SESHADRI ROAD, BANGALORE Bangalore

Karnataka 560009 Bangalore Bangalore Karnataka 560013 INDIRA NAGAR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 13/04/2013 13/04/2013 23/03/2015

8471961 60018803 FGG RUPALI LAXKAR 20/12/1984

44, SUKHDEV NAGAR BEDLA UDAIPUR Udaipur Rajasthan

313001 Udaipur Udaipur Rajasthan 313001 AJMER NO - 16/01/2014 16/01/2014 18/01/2017

8471962 60018804 FGG SAVITA JOON 08/04/1968

856/3 Gali no. 1, Mata Road Rajiv Nagar Gurgaon Haryana

122001 Gurgaon Gurgaon Haryana 122101 GURGAON NO - 21/03/2014 21/03/2014 18/01/2017

8478391 60018845 FGG S.J. GAJJAR 07/07/1982

A-1 RESHMA ROW HOUSE, NEAR NEHAR PUNAGAM ROAD,

MAGOB SURAT Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 30/01/2014 30/01/2014 23/01/2017

3411922 60018846 FGG MODI P.B. 27/11/1975

29 ND PARK ROW HOUSE TYPE OPP SUJATA SOCIETY TADWADI

RANDER ROAD Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 04/07/2013 04/07/2013 04/07/2016

8478388 60018847 FGG AMIT PREM PRAKASH BATRA 05/08/1978

602, KRISHNA COMPLEX OPP MADHULIKA APPARTMENT, BHATAR

ROAD SURAT Surat Gujarat 395007 Surat Surat Gujarat 395001 SURAT NO - 30/01/2014 30/01/2014 23/01/2017

8478384 60018848 FGG RAKESH KUMAR BEOHAR 06/12/1966

house no 6 putri shala sihora Jabalpur Madhya Pradesh

483225 Jabalpur Jabalpur Madhya Pradesh 483225 JABALPUR NO - 16/01/2014 16/01/2014 23/01/2017

8478394 60018860 FGG DHANASHREE PITALE 14/12/1971

Plot No 13, Samarpit, Dandige Layout Shankar Nagar Nagpur

Nagpur Maharashtra 440010 Nagpur Nagpur Maharashtra 440010 NAGPUR NO - 26/03/2014 26/03/2014 23/01/2017

8478399 60018861 FGG CHETAN GOPAL RANGARI 04/10/1977

PLOT NO 17,RAMAKANT SHATABADI NAGAR, RAMESHWARI RING

ROAD,NEXT TO ASHTAVINAYAK RESIDENCY, NAGPUR Nagpur

Nagpur Maharashtra 440027 Nagpur Nagpur Maharashtra 440027 NAGPUR NO - 26/03/2014 26/03/2014 23/01/2017

8479169 60018863 FGG MANMOHAN KUMAR 05/08/1981

Idgah mohalla Dehri-onson Dist-Rohtas Rohtas Bihar

821307 PATNA PATNA Bihar 800024 PATNA NO - 16/12/2013 16/12/2013 24/01/2017

8484733 60018918 FGG HETAL JITESH DOSHI 22/12/1975

101/102, AARAMBH BLDG, DADABHAI CROSS ROAD NO-2, VILE-

PARLE WEST, MUMBAI Mumbai Maharashtra 400056 Mumbai Mumbai Maharashtra 400056 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/01/2014 30/01/2014 27/01/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8484719 60018919 FGG DILBAUG BHATTI 17/09/1975

Raw House, Plot No T 237, Sector 4, Airoli, Thane Maharashtra

400708 Thane Thane Maharashtra 400708 VASHI NO - 10/12/2013 10/12/2013 27/01/2017

8484716 60018920 FGG NAKUL SHAKTI VAID 08/05/1974

Zaveri Building No - 136 Shri Parmar Guruji Marg Parel Mumbai

Mumbai Maharashtra 400012 Mumbai Mumbai Maharashtra 400012 ANDHERI NO - 16/01/2014 16/01/2014 27/01/2017

8484693 60018923 FGG BHAVISHA HASMUKHRAI VASA 18/06/1981

1/6, VARDHMAN NAGAR PALACE ROAD RAJKOT Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

Edelweiss Tokio Life

Insurance 12/03/2014 12/03/2014 27/01/2017

8488320 60018927 FGG SANGEETHA PATIL A. 04/09/1975

No.619 Sampada 9th main 4th cross SIT Extenssion Tumkur

Tumkur Karnataka 572102 Tumkur Tumkur Karnataka 572103 HUBLI NO - 07/01/2014 07/01/2014 30/01/2017

8488306 60018928 FGG P.R. JANSIRANI 21/07/1984

Door No.F, 2nd FLR 4th block Shanthi Sagar Apts No.2, Dr.Radha

Krishnan Salai Dr.Radha Krishnan Salai Alwarthiru Nagar

Alwarthiru Nagar Chennai Chennai Tamil Nadu 600087 Thiruvallur Thiruvallur Tamil Nadu 600087 CHENNAI NO - 04/03/2014 04/03/2014 30/01/2017

8489790 60018939 FGG ASHWINI SURENDRA MHATRE 10/09/1975

203,Ganga-A,Ratnasagar Co-op Hsg Soc,Boisar TAPS colony

Boisar Thane Maharashtra 401503 Thane Thane Maharashtra 401504 BORIVALI NO - 02/01/2014 02/01/2014 30/01/2017

8492707 60018952 FGG JOSEPH JOSE 05/04/1972

E-3,KAMALESH ENCLAVE, 101A, BERACKA ROAD KILPAUK

KILPAUK Chennai Tamil Nadu 600010 Chennai Chennai Tamil Nadu 600010 CHENNAI NO - 19/02/2014 19/02/2014 01/02/2017

8492651 60018954 FGG KALPANA BHARAT MODI 12/07/1961

8/2, Balasinor society S.V Road Kandivali west MUMBAI Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BORIVALI NO - 11/02/2014 11/02/2014 01/02/2017

8492647 60018955 FGG P.VEERAJANANDA REDDY 30/07/1974 1-648/A Shanthi Nagar Sangareddy Medak Telangana 502001 Medak Medak Andhra Pradesh 502001 HYDERABAD NO - 03/03/2014 03/03/2014 01/02/2017

8492955 60018958 FGG N. KALAIMANI 17/05/1975

DOOR.NO.193B, ANDIPALAYAM TIRUPUR Coimbatore Tamil

Nadu 641652 Erode Erode Tamil Nadu 641652 COIMBATORE NO - 05/02/2014 05/02/2014 01/02/2017

8337185 60019013 FGG S. PUSHPALATHA 22/08/1974

I II Shanthi Sadan Kochadai Madurai Madurai Tamil Nadu

625001 Madurai Madurai Tamil Nadu 625010 MADURAI YES

IDBI Federal Life

Insurance 27/12/2013 27/12/2013 18/10/2016

8496560 60019015 FGG S. SELVARAJ 06/07/1954

3/1/45D1 Lakshmi Nagar, PC Patty Theni Theni Tamil Nadu

625531 Theni Theni Tamil Nadu 625531 MADURAI YES

LIFE INSURANCE

CORPORATION 10/03/2014 10/03/2014 03/02/2017

8496551 60019017 FGG MUKESH KUMAR 28/02/1979

215/210 V.P.O SHERIA JHAJJAR Jhajjar Haryana

124103 Jhajjar Jhajjar Haryana 124103 ROHTAK NO - 22/04/2014 22/04/2014 03/02/2017

919731 60019019 FGG SHASHI KALA LAHOTI 07/05/1968

C-699,OPP ST STEPHEN SCHOOL PANCHEEL,MAKARWALI ROAD

AJMER Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

LIFE INSURANCE

CORPORATION 17/12/2014 17/12/2014 22/02/2018

8500611 60019021 FGG RUP SINGH THAKUR 06/06/1969

V.P.O. Majri V.P.O. Majri Old Pannchkula Sahibzada Ajit Singh

Nagar Punjab 140103 Rupnagar Rupnagar Punjab 140103 PANCHKULA NO - 05/02/2014 05/02/2014 07/02/2017

8500605 60019022 FGG RAMESH CHAND 23/11/1954

392 WARD- 17 BADIYAN MOHALLA JIND Jind Haryana

126102 Jind Jind Haryana 126102 ROHTAK NO - 11/08/2014 11/08/2014 07/02/2017

1362475 60019023 FGG SUNIL KUMAR GARG 10/02/1970 2277 GOBIND NAGAR LUDHIANA Ludhiana Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA YES

LIFE INSURANCE

CORPORATION 07/08/2012 07/08/2012 25/08/2015

8500583 60019025 FGG SHIVANGI KOHLI 12/03/1971

ML 41, MANAV LOK SOCIETY JABALPUR Jabalpur Madhya

Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 11/02/2014 11/02/2014 07/02/2017

1211382 60019042 FGG JAIRAJ JAMNADAS POPAT 27/03/1957

3-6 TRISHUL GANGA SINDHI SOCIETY ROAD NO 8 CHEMBUR

Mumbai Maharashtra 4---71 Mumbai Mumbai Maharashtra 400071 ANDHERI NO - 21/04/2012 21/04/2012 28/06/2015

8419312 60019048 FGG SANDEEP SINGH 04/12/1984

33, Sec-11 Nearby Vipli ward Naraingarh Ambala Haryana

133001 Ambala Ambala Haryana 134203 CHANDIGARH NO - 09/06/2014 09/06/2014 14/12/2016

8502948 60019051 FGG NILESH C HARMALKAR 11/03/1981

Room No 403, B Wing, Sai Kutir, Yashodha Nagar, Thane Thane

Maharashtra 400607 Thane Thane Maharashtra 400607 THANE NO - 10/02/2011 10/02/2011 09/02/2014

8502953 60019052 FGG SHAZIYA NAZNEEN IMRAN ALI 26/10/1985

24,ROSE COLONY,PUSHKAR SOCIETY BEHIND PANDEY GARDEN,

JAFAR NAGAR Nagpur Nagpur Maharashtra 440013 Nagpur Nagpur Maharashtra 440013 NAGPUR NO - 11/08/2014 11/08/2014 09/02/2017

8503000 60019053 FGG ARUNACHALAM THENMOZHI 04/05/1983

6-A ARUNAGIRINATHER STREET, BARATHIPURAM COIMBATORE

Coimbatore Tamil Nadu 641103 Coimbatore Coimbatore Tamil Nadu 641103 COIMBATORE NO - 05/02/2014 05/02/2014 09/02/2017

8471447 60019056 FGG AVROSH RAJPUT 29/11/1991

HOUSE NO 84 DESHMESH NAGAR BISHANPURA AMBALA ROAD

Sahibzada Ajit Singh Nagar Punjab 140603 Rupnagar Rupnagar Punjab 160055 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 13/05/2014 13/05/2014 18/01/2017

8033531 60019071 FGG JYOTI PRASANNA ROUT 07/05/1979

AT-PURUSHOTTAMPUR PO-SHYAMSUNDARPUR PS-KENDRAPARA

Kendrapara Odisha 754211 Ganjam Ganjam Orissa 760002 CUTTACK NO - 16/02/2015 16/02/2015 19/03/2016

256562 60019072 FGG KIRIT KUMAR JAIN 18/09/1976

15-2-409, SHOP NO. 567 LAND MARK COMPLEX, GROUND FLOOR

SIDDIAMBER BAZAR Hyderabad Telangana 500012 Hyderabad Hyderabad Andhra Pradesh 500027 HYDERABAD YES

LIFE INSURANCE

CORPORATION 25/06/2013 25/06/2013 16/08/2016

8510549 60019074 FGG MAHESH .. 11/04/1983

Vill- Jarou Sunder Pur P.O- Siwari Tehsil- Farukh Nagar Gurgaon

Haryana 122001 Gurgaon Gurgaon Haryana 122506 GURGAON NO - 26/05/2014 26/05/2014 14/02/2017

8510525 60019075 FGG RAMESH M. 02/05/1981

58/3 BDG LANE RANASINGH PET BANGALORE Bangalore

Karnataka 560053 Bangalore Bangalore Karnataka 560053 R.T.NAGAR NO - 24/02/2014 24/02/2014 14/02/2017

140032 60019076 FGG BHARAT BHUSHAN SHARMA 01/05/1958

C/O KAPOOR KARKARE OLD JAIL ROAD,AMRITSAR AMRITSAR

Amritsar Punjab 143005 Amritsar Amritsar Punjab 143005 AMRITSAR YES

LIFE INSURANCE

CORPORATION 26/03/2013 26/03/2013 05/06/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3044097 60019077 FGG RIJU JAIN 14/08/1967 271 PKT-D-15, Sector-3 Rohini, New Delhi Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI YES

KOTAK MAHINDRA OLD

MUTUAL 29/03/2013 29/03/2013 20/02/2016

8518035 60019099 FGG ROOPJITH NARIKUNI 26/04/1969

5/1383, Remya, Kottaram Road, Kozhikode, Kozhikode

Kerala 673006 Kozhikode Kozhikode Kerala 673006 CALICUT NO - 03/03/2014 03/03/2014 20/02/2017

8518010 60019100 FGG SATISH SHRIKRISHNA KIRTANE 26/08/1948

D-4 Madhavnagar CHSL BHAVANI SHANKAR RD, DADAR WEST

Mumbai Maharashtra 400028 Mumbai Mumbai Maharashtra 400028 ANDHERI NO - 05/02/2014 05/02/2014 20/02/2017

8518000 60019101 FGG VINEESH E. 21/12/1983

Avitton House, Kopparanbu Eroor North Po Thripunithura

Ernakulam Kerala 682306 Ernakulam Ernakulam Kerala 682306 COCHIN NO - 28/03/2014 28/03/2014 20/02/2017

8517979 60019102 FGG NISHEETH KUMAR SINGH 02/04/1974

Mangalapur. Balipadar, Ganjam Ganjam Ganjam Odisha

761117 Koraput Koraput Orissa 765028 BHUBANESWAR NO - 13/02/2014 13/02/2014 20/02/2017

8517973 60019103 FGG BIJAYA KUMAR SENAPATI 23/02/1968

At-Kumudhi Pantha,Po-Aska Aska Ganjam Ganjam Odisha

761120 Ganjam Ganjam Orissa 761021 BHUBANESWAR NO - 13/02/2014 13/02/2014 20/02/2017

5771939 60019107 FGG SUNITA SINGH 15/01/1973

VPO MILKPUR II VPO MILKPUR II TEHSIL BAWANI KHERA Bhiwani

Haryana 127-32 Sonipat Sonipat Haryana 131001 ROHTAK NO - 28/07/2014 28/07/2014 17/09/2015

8517881 60019111 FGG UZMA KHATOON 03/03/1976

C-165, Sector - C Mahanagar Lucknow Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 22/04/2014 22/04/2014 20/02/2017

8517824 60019114 FGG NEHRUKUMAR C. 16/04/1966

H-84-G3 TNHB Flats 1st Sea ward road Thiruvanmiyur Chennai

Tamil Nadu 600041 Kancheepuram Kancheepuram Tamil Nadu 600041 CHENNAI NO - 12/03/2014 12/03/2014 20/02/2017

8519661 60019121 FGG PUNIT T DAVE 24/12/1978

C-1/15, Om Shree, Geetanjali Nagar CHS, Nr Sai Baba Mandir,

Borivali West Mumbai Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 18/03/2014 18/03/2014 21/02/2017

8524174 60019139 FGG RADHIKA MANCHIKANTI 14/11/1966

P No 21, A4, Sadhasiva Residency, Kaka Guda, Secunderabad

Hyderabad Telangana 500003 Medak Medak Andhra Pradesh 502001 HYDERABAD NO - 10/03/2014 10/03/2014 24/02/2017

8524171 60019141 FGG RAVI KASULA 25/12/1977

16-11-16/V/16 Prashanth Nagar Moosaram Bagh Rangareddy

Telangana 500036 Rangareddi Rangareddi Telangana 500036 DILSUKHNAGAR NO - 25/02/2014 25/02/2014 24/02/2017

8524062 60019142 FGG A.S. RAJU 28/04/1978

H.NO:29/15, 89TH STREET, ASHOK NAGAR ASHOKNAGAR

Chennai Tamil Nadu 600083 Chennai Chennai Tamil Nadu 600083 CHENNAI NO - 24/02/2014 24/02/2014 23/02/2017

8524059 60019148 FGG SELVARAJ CHANDRASEKARAN 05/03/1973

NO:4 2nd Street, Perambur High Road Chennai Chennai

Tamil Nadu 600012 Chennai Chennai Tamil Nadu 600012 CHENNAI NO - 10/03/2014 10/03/2014 23/02/2017

8524057 60019149 FGG MARY VARKEY 23/02/1963

25-F-3, WARD NO:73 VELAN APPARTMENT AMINJIKARAI

CHENNAI Chennai Tamil Nadu 600029 Chennai Chennai Tamil Nadu 600029 CHENNAI NO - 04/03/2014 04/03/2014 23/02/2017

8524055 60019151 FGG MONIKA MAKKAR 08/03/1978

# 4014/1 Sector-46 D Chandigarh Chandigarh Chandigarh

160047 Chandigarh Chandigarh Chandigarh 160047 CHANDIGARH NO - 05/02/2014 05/02/2014 23/02/2017

8510412 60019158 FGG PAVANA V.P. 30/03/1991

#892 Chenaraya Swamy temple street varthur BANGALORE

Bangalore Karnataka 560087 Bangalore Bangalore Karnataka 560087 INDIRA NAGAR NO - 10/02/2014 10/02/2014 14/02/2017

8523927 60019160 FGG MAHENDRA G CHAVAN 01/06/1983

Room No 37, Budha Colony, Anna Nagar, Nehru Chawl, M D

Road, Kandivali East Mumbai Maharashtra 400101 Thane Thane Maharashtra 401107 PRABHADEVI NO - 04/03/2014 04/03/2014 23/02/2017

8523917 60019162 FGG RAJVI NITIN SHAH 04/12/1988

604/6th Floor, DEEPALAYA CAMA LANE GHATKOPAR Mumbai

Maharashtra 400086 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 16/01/2014 16/01/2014 23/02/2017

4356081 60019165 FGG DHAVAL KANKIWALA 16/01/1980

6/475, KHARADI SHERI, MANCHHARPURA, SURAT Surat Gujarat

395003 Surat Surat Gujarat 395003 SURAT YES

LIFE INSURANCE

CORPORATION 13/05/2014 13/05/2014 01/07/2017

8526206 60019167 FGG VINAY KUMAR DWIVEDI 01/02/1979

M-154 Sector -M Kila Mohammadi Nagar Lucknow Lucknow

Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 07/03/2014 07/03/2014 24/02/2017

8528061 60019170 FGG DEEPIKA JAIN V. 09/06/1988

Old No15, New No.18 phycraft 2nd cross street Cheepakkam

Chennai Tamil Nadu 600014 Chennai Chennai Tamil Nadu 600014 CHENNAI NO - 03/03/2014 03/03/2014 27/02/2017

8528071 60019171 FGG JAVED HUSSAIN 09/11/1990

H.No- a-mcf-691 gali no 3, subhash colony ballabgarg Faridabad

Faridabad Haryana 121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 30/01/2014 30/01/2014 27/02/2017

8528114 60019172 FGG NEETU SINGH 04/06/1983

9-C, 2nd Floor Mohd. Pur Village, Near Bhikaji Cama Place Delhi

Delhi Delhi 110066 South West South West Delhi 110066 NOIDA NO - 17/04/2014 17/04/2014 27/02/2017

8533495 60019199 FGG MITHLESH VIJAYVARGIA 12/04/1968

171 Raghukul School Lane, Ward No-40 Ajmer Ajmer Rajasthan

305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 16/12/2013 16/12/2013 02/03/2017

8533474 60019202 FGG JIGNESH RAJNIKANT SONPAL 02/02/1975

D/501 Parshwa Kunj Mathuradas Road, Kandivali West Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BORIVALI NO - 21/03/2014 21/03/2014 02/03/2017

8533449 60019203 FGG MAHESH KUMAR TODAWAT 18/06/1980

Vill Sukhiya Pokalyanpura Sanganer Jaipur Rajasthan

302001 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 05/02/2014 05/02/2014 02/03/2017

9451640 60019204 FGG K.T. PRINCE 23/09/1987

33 I/J Sankarappa thottam Saravanampatti Coimbatore

Tamil Nadu 641006 Coimbatore Coimbatore Tamil Nadu 641035 COIMBATORE NO - 07/06/2013 07/06/2013 06/06/2016

8534639 60019221 FGG BHALCHANDRA S GAIKWAD 27/07/1975

123/10 D-SECTOR SHIVAJI NAGAR AURANGABAD Aurangabad

Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD YES

LIFE INSURANCE

CORPORATION 15/01/2015 15/01/2015 02/03/2017

5844026 60019222 FGG DAUD JYOTI TRIMBAKRAO 25/12/1983

H NO E 13/3 SAMBHAJI COLONY NO CIDCO NEAR E SCETOR

SHOPPING CENTRE Aurangabad Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD YES

SBI LIFE INSURANCE

COMPANY LIMITED 11/03/2013 11/03/2013 19/10/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8534633 60019224 FGG PRAMOD PANDITRAO BHOSLE 22/05/1984

A-25 AKASHWANI JALNA ROAD AURANGABAD Aurangabad

Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD NO - 16/06/2014 16/06/2014 02/03/2017

8534611 60019229 FGG TAPAN RISHI 13/02/1974

1281-82 Gali Krishna Mandir Village Najafgarh Delhi Delhi

110043 South West South West Delhi 110043 GURGAON YES

LIFE INSURANCE

CORPORATION 21/03/2014 21/03/2014 02/03/2017

5956277 60019230 FGG MRIDUL KATARIA 08/09/1988 1256 SECTOR-17 FARIDABAD Faridabad Haryana 121006 Faridabad Faridabad Haryana 121007 FARIDABAD YES

LIFE INSURANCE

CORPORATION OF INDIA 29/01/2014 29/01/2014 17/12/2015

8537119 60019243 FGG NARANDER KALRA 25/12/1983

H.No.213, Vishkarma Chowk Narain Garh Ambala Haryana

133001 Sonipat Sonipat Haryana 131001 CHANDIGARH NO - 18/03/2014 18/03/2014 04/03/2017

8537147 60019248 FGG RAVISH KHANNA 15/05/1973

3, RUTUMBARA CHS PLOT NO 75, SEC-5 KOPERKHAIRNE Thane

Maharashtra 400709 Thane Thane Maharashtra 400709 VASHI NO - 05/02/2014 05/02/2014 04/03/2017

8537110 60019250 FGG M. CHITHRA 04/05/1985

Door No:53 Sigamani Street, ST.Thomas Mount Chennai Chennai

Tamil Nadu 600044 Kancheepuram Kancheepuram Tamil Nadu 600044 CHENNAI NO - 03/03/2014 03/03/2014 04/03/2017

8537106 60019252 FGG ANIL GOVIND KASHID 14/01/1963

Flat No 10 Yugum Height Behind Usha Kiran Hospital Malwadi

Road Hadapsar Pune Pune Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE NO - 04/03/2014 04/03/2014 04/03/2017

5365769 60019269 FGG GOBI B.V. 16/09/1967

W/6-1, Muthturamalingam 3rd Street, Meenakshi Nagar,

Villapuram Madurai Tamil Nadu 625012 Madurai Madurai Tamil Nadu 625012 MADURAI YES BIRLA SUN LIFE 15/03/2012 15/03/2012 04/05/2015

8541479 60019271 FGG HITESH ASHOK SHOBHANI 02/12/1985

BK no. 1084, Room no.5, OT Section, Ulhasnagar - 3 Thane

Maharashtra 421001 Thane Thane Maharashtra 421003 VASHI NO - 05/02/2014 05/02/2014 08/03/2017

8541443 60019272 FGG MALA S. 18/05/1975

11 East St,Ahuppanady Madurai Madurai Tamil Nadu

625009 Madurai Madurai Tamil Nadu 625009 MADURAI NO - 29/04/2014 29/04/2014 08/03/2017

8159058 60019276 FGG SUKHVINDER KAUR 09/10/1971 94 Rani Garden Shastri Nagar New Delhi Delhi Delhi 110031 East East Delhi 110031 NOIDA YES

LIFE INSURANCE

CORPORATION 29/05/2013 29/05/2013 29/06/2016

5940947 60019279 FGG RAMKUMAR CHANDPURIYA 15/11/1953

B-19/5 SEC-71 NEAR SAI TEMPLE NOIDA Gautam Buddha Nagar

Uttar Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 NOIDA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/09/2013 16/09/2013 09/12/2015

5465728 60019281 FGG DINESH BALKRUSHNA PAKHALE 01/06/1984

FLAT NO-4 UJJWAL HEIGHTS BANDAWANE NGR ,KAMATWADE

NASHIK Nashik Maharashtra 422009 Nashik Nashik Maharashtra 422008 NASHIK YES

LIFE INSURANCE

CORPORATION 22/04/2013 22/04/2013 16/06/2015

2723193 60019282 FGG UJJWALA D MULAY 18/07/1971

17, SHIVANGI APPT., PATEL COLONY TRIMBAK ROAD, NASIK Nashik

Maharashtra 422001 Nashik Nashik Maharashtra 422005 NASHIK YES

LIFE INSURANCE

CORPORATION 01/11/2012 01/11/2012 05/11/2015

8540939 60019285 FGG RAMAMURTHY S.M. 29/05/1963

No 738, 14th main, 1st stage Kumarswamy layout Bangalore

Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 16/04/2014 16/04/2014 08/03/2017

4394995 60019287 FGG JASPREET SINGH BHATIA 26/09/1988

16, Vishnupuri Main A B Road, Indore, Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 28/05/2014 28/05/2014 18/07/2017

1786980 60019288 FGG DHARM NATH SINGH 15/12/1985 FLAT NO 171 POCKET 16 SECTPR 3 DWARKA Delhi Delhi 110045 West West Delhi 110075 WEST DELHI NO - 22/10/2013 22/10/2013 14/09/2016

8540909 60019289 FGG MANJEET BAGGA 02/01/1964

2331 Extn Basant Avenue Ludhiana Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141003 LUDHIANA NO - 10/03/2014 10/03/2014 08/03/2017

8540889 60019290 FGG DEEPAK ARORA 06/07/1977

House No 110 Jupitar society Vikar Puri New Delhi Delhi Delhi

110018 West West Delhi 110018 WEST DELHI NO - 20/05/2014 20/05/2014 08/03/2017

8117516 60019307 FGG ATHIRA MOL ASHOKKUMAR 07/06/1989

Midhila House Kanjirappalam Ayyanthole Po Thrissur Kerala

680003 Thrissur Thrissur Kerala 680003 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/07/2013 27/07/2013 07/06/2016

8546133 60019314 FGG RAKESH MAHENDRA PRATAP SINGH 04/12/1980

Sop N. B-1, Siv Kupa At Od Ngardas Rad Andheri East Mumbai

Maharashtra 400069 Mumbai Mumbai Maharashtra 400069 ANDHERI NO - 16/04/2014 16/04/2014 11/03/2017

8546126 60019317 FGG SANJAY VIRMANI 31/10/1971 H No 7/97, Ramesh Nagar, New Delhi Delhi Delhi Delhi 110015 West West Delhi 110015 FARIDABAD NO - 11/02/2014 11/02/2014 11/03/2017

8546121 60019318 FGG SONIK JULKA 02/02/1972

A-118D Sec-35, G.B. Nagar Noida Gautam Buddha Nagar Uttar

Pradesh 201301 New Delhi New Delhi Delhi 110003 NOIDA NO - 29/04/2014 29/04/2014 11/03/2017

8546094 60019320 FGG DHIRAJLAL BHAGVANJI WAGHELA 21/07/1953

B/27, Mahavir Apt, Ratan Nagar Dahisar E Mumbai

Maharashtra 400068 Mumbai Mumbai Maharashtra 400068 BORIVALI NO - 11/02/2014 11/02/2014 11/03/2017

3933680 60019321 FGG MEHTA JIGNA VISHAL 10/09/1973

174/7, VINCENT VIEW DR. AMBEDKAR RD., DADAR E Mumbai

Maharashtra 400014 Mumbai Mumbai Maharashtra 400014 GHATKOPAR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 16/01/2014 16/01/2014 10/01/2017

8552850 60019340 FGG REEMA MAURYA 07/06/1983 G 655 Paisar 1 Barabanki Bara Banki Uttar Pradesh 225001 Ghaziabad Ghaziabad Uttar Pradesh 201001 LUCKNOW NO - 31/03/2014 31/03/2014 16/03/2017

8552825 60019341 FGG MUKESH KUMAR MAURYA 04/06/1982

Mohalla-Mahmoodpur Village-Zaidpur Barabanki Bara Banki

Uttar Pradesh 225414 Aligarh Aligarh Uttar Pradesh 202001 LUCKNOW NO - 31/03/2014 31/03/2014 16/03/2017

8552761 60019343 FGG BHARATBHAI RANCHHODBHAI KAKADI 09/11/1971

11, SORATHIYAWADI KOTHARIYA ROAD RAJKOT Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

IDBI Federal Life

Insurance 11/02/2014 11/02/2014 16/03/2017

8553681 60019346 FGG CHINTAN Y KHER 17/02/1991

144, NARAYANMUNI NAGAR, VED ROAD SURAT Surat Gujarat

395004 Surat Surat Gujarat 395004 SURAT NO - 22/04/2014 22/04/2014 16/03/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

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Agent code DP ID Agent Name

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Birth Address Town/City District State Pin code

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Is

Comp

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License

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Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8553663 60019347 FGG HIREN P BHAGATWALA 08/09/1988

SY NO: 152/2, BLOCK NO: 24/D, NEAR OLD JAGAT NAKA, BHATAR

ROAD SURAT Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 01/10/2014 01/10/2014 16/03/2017

8553647 60019348 FGG KRISHNA ANKUR KARAK 20/10/1984

88, GANDHI KUTIR SOCIETY UDHNA MAGDALLA ROAD SURAT

Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 18/03/2014 18/03/2014 16/03/2017

1733082 60019349 FGG PRATIBHA NARESHCHANDRA JARIWAL 01/09/1962

1394/10, PLOT NO: 15/B VIJAYA NAGAR SOC., MAJURA GATE

Surat Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT YES

MAX LIFE INSURANCE CO

LTD 28/06/2013 28/06/2013 07/07/2016

8556785 60019359 FGG SANTOSH KUMAR MOTLANI 24/06/1961

236, Gumashta Nagar INDORE INDORE Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452007 INDORE NO - 03/03/2014 03/03/2014 20/03/2017

5714342 60019360 FGG DEEPIKA GOYAL 19/11/1988 4/1 Malmarganj Indore Indore Madhya Pradesh 452005 Indore Indore Madhya Pradesh 452001 INDORE YES BIRLA SUN LIFE 06/07/2012 06/07/2012 27/08/2015

8259696 60019363 FGG MEGHNA BHEDA 15/08/1988

A/101, RAVIRAJ APTS., MAMLEDHAR WADI MUMBAI Mumbai

Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 ANDHERI NO - 03/03/2014 03/03/2014 30/08/2016

1362957 60019368 FGG VIMLADEVI S SHROFF 15/07/1952

SHROFF BROS,PROSPECT HOUSE, 3rd FLR,29 RAGHUNATH DADAJI

STREET, FORT,MUMBAI Mumbai Maharashtra 400001 Mumbai Mumbai Maharashtra 400001 ANDHERI YES

LIFE INSURANCE

CORPORATION 20/12/2012 20/12/2012 21/08/2015

8558189 60019369 FGG JIGNESH SURESH SANGHVI 09/09/1973

701, Soni Villa Eksar Road, Borivali W Mumbai Mumbai

Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 19/02/2014 19/02/2014 20/03/2017

8558219 60019371 FGG DESMOND EUSTACE DSOUZA 20/09/1975

Flat No. 3 Carnation Co Op Hsg Soc Plot No. 4 Khadeshwar Mandir

Marg Bandra West Mumbai Maharashtra 400050 Mumbai Mumbai Maharashtra 400050 ANDHERI NO - 04/03/2014 04/03/2014 20/03/2017

8100721 60019372 FGG SHYAM JEE 11/07/1990

RAJENDRA NAGAR SIKANDRA KANPUR DEHAT Kanpur Dehat

Uttar Pradesh 209206 Kanpur Dehat Kanpur Dehat Uttar Pradesh 209125 KANPUR YES

SBI LIFE INSURANCE

COMPANY LIMITED 05/03/2014 05/03/2014 26/05/2016

8560805 60019375 FGG SAINATH M GAIKWAD 04/07/1991

12/5, R No 13, Someshwar Wadi, Pune Pune Maharashtra

410301 Pune Pune Maharashtra 411030 PUNE NO - 05/02/2014 05/02/2014 21/03/2017

8560804 60019376 FGG DESHMUKH JAYSHREE GANESH 11/07/1978

Flat No-1002, Westend river view, Building C Sn 169/1, New Dp

Road, Aunh Pune Pune Maharashtra 411007 Pune Pune Maharashtra 411007 PUNE NO - 16/05/2014 16/05/2014 21/03/2017

8560802 60019377 FGG BHASKAR ANAND VARAL 01/06/1965

plot 45 , sn 52/2/B, parashar Soc Pune Pune Maharashtra

411014 Pune Pune Maharashtra 411014 PUNE NO - 16/04/2014 16/04/2014 21/03/2017

8561587 60019383 FGG POONAM YADAV 10/09/1985

H. No.-947 Sec-21, Vill-Dundahera Gurgaon Gurgaon

Haryana 122001 Gurgaon Gurgaon Haryana 122001 CONNAUGHT PLACENO - 24/07/2014 24/07/2014 22/03/2017

1589029 60019397 FGG RAJNI SAWA 01/01/1983

NAYA BAZAAR JUGSALAI JAMSHEDPUR Purbi Singhbhum

Jharkhand 831006 Purbi Singhbhum Purbi Singhbhum Jharkhand 831006 JAMSHEDPUR NO - 15/02/2013 15/02/2013 10/02/2016

8565186 60019402 FGG S. SETHURAMAN 30/05/1975

9/23, 1st Cross, SHANMUGHAPUNITHALLAM Kurinji Nagar, K K

Nagar, Trichy Tiruchirapalli Tamil Nadu 620021 Tiruchirappalli Tiruchirappalli Tamil Nadu 620021 TRICHY NO - 15/12/2014 15/12/2014 24/03/2017

8095675 60019404 FGG RAVIKUMAR .. 03/06/1988

Old No 2 New No 5 Velumuthali Santhu Mannachanallur, Trichi

Tiruchirapalli Tamil Nadu 621005 Tiruchirappalli Tiruchirappalli Tamil Nadu 621005 TRICHY YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/12/2013 05/12/2013 23/05/2016

8565042 60019408 FGG ANIL GROVER 26/09/1978

HNO 49 Beant Nagar Jalandhar Jalandhar Punjab

144211 Jalandhar Jalandhar Punjab 144006 JALANDHAR NO - 20/05/2014 20/05/2014 24/03/2017

8565034 60019409 FGG DHIRENDRA JAMNADAS POPAT 12/05/1955

Flat No-63,Crystal-1,Co Hsg Soc-357 Sindhi Society Chembur

Mumbai Maharashtra 400007 Mumbai Mumbai Maharashtra 400071 FORT NO - 30/01/2014 30/01/2014 24/03/2017

8565032 60019410 FGG VENKATESWARAN KASTHURIRENGAN 15/08/1955

39/32, P.G. MANSION MATHU TRADERS MANINDAGARAM MAIN

ROAD MADURAI Madurai Tamil Nadu 625001 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 10/02/2014 10/02/2014 24/03/2017

8570713 60019426 FGG MEENA B SHINDE 18/07/1979

L/G - 16, 3/3, Room no. 3, Indira Nagar, Sunderbaug, Kamani,

Kurla W , Mumbai, Mumbai Maharashtra 400070 Mumbai Mumbai Maharashtra 400070 VASHI YES

LIFE INSURANCE

CORPORATION 25/03/2014 25/03/2014 27/03/2017

1788265 60019427 FGG AKHIL A AHLUWALIA 17/02/1981

102 ECO TOWER, EXCEL COMPOUND,S.V.RD., GOREGAON

WEST,MUMBAI Mumbai Maharashtra 400041 Mumbai Mumbai Maharashtra 400062 ANDHERI YES

LIFE INSURANCE

CORPORATION 12/08/2013 12/08/2013 14/09/2016

8570699 60019428 FGG SAYEESH KUMAR M.K. 30/05/1988

Meethalekupperi House Naderi P.O Koyilandi Kozhikode

Kerala 673620 Kozhikode Kozhikode Kerala 673620 CALICUT NO - 22/04/2014 22/04/2014 27/03/2017

8240704 60019430 FGG NITIKA JAIN 23/06/1984

1199, WARD NO 1 RALI GALI, SONEPAT Sonipat Haryana

131001 Sonipat Sonipat Haryana 131001 ROHTAK NO - 22/09/2014 22/09/2014 22/08/2016

8570413 60019436 FGG ANURAG GUPTA 07/10/1972

B 1/28 Sector K Daktara Colony Lucknow Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 31/03/2014 31/03/2014 27/03/2017

8572895 60019438 FGG SUNITA SINGH 26/07/1976

C-35 sector - A Aliganj Lucknow Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 20/05/2014 20/05/2014 28/03/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

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Is

Comp

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License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8572817 60019439 FGG RUCHIKA CHHABRA 29/10/1979

C-473/E Indira Nagar Lucknow Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 07/01/2014 07/01/2014 28/03/2017

8572298 60019441 FGG NIRPAL SINGH 27/01/1968 240 V P O Rachhin Ludhiana Ludhiana Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 21/03/2014 21/03/2014 28/03/2017

8572287 60019442 FGG SUNITA SONI 01/01/1962

8048 St no 9/9,Durga Puri,Haibowal kalan Ludhiana Ludhiana

Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 19/02/2014 19/02/2014 28/03/2017

8570539 60019445 FGG SONU CHOUDHURY 28/03/1968

Choudhury Securities Near IOC Petrol Pump Dhubri Dhubri

Assam 783324 Golaghat Golaghat Assam 785612 GUWAHATI NO - 23/06/2014 23/06/2014 27/03/2017

8570656 60019446 FGG CHHATRIWALA MAYURKUMAR B. 11/07/1986

39 APNAGHAR SOCIETY NANDELAW ROAD, Bharuch Gujarat

392001 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 04/03/2014 04/03/2014 27/03/2017

8572187 60019448 FGG PRACHI RAKESH SHRIVASTAV 09/11/1986

Srivastava Villa Plot No 1, Rashewar Chs, Sec 15, Opp CKT School,

New Panvel East Thane Maharashtra 410206 Raigarh Raigarh Maharashtra 410206 VASHI NO - 05/02/2014 05/02/2014 28/03/2017

8572189 60019450 FGG MUSAAD ABOOBAKAR BAWAZIR 08/03/1974

Flat - 11, Plot No. 25, Sector - 15 Koparkhairne Thane

Maharashtra 400703 Thane Thane Maharashtra 400703 VASHI NO - 17/02/2014 17/02/2014 28/03/2017

8572201 60019451 FGG CHETNA HEMENDRA RAIKWAR 21/09/1986

161/5 Gupta Chawl Swadeshi mill Road, Opp Shivaji Ground, Sion

- Chunabatti Mumbai Maharashtra 400022 Mumbai Mumbai Maharashtra 400022 VASHI NO - 30/01/2014 30/01/2014 28/03/2017

8572213 60019452 FGG YOGITA UMATE 26/08/1982

AT HANUMAN GADH, POLICE SANKUL COLONY VASANT BUILDING

NO 08, QTR NO G/1, ARVI ROAD, WARDHA WARDHA Wardha

Maharashtra 442001 Wardha Wardha Maharashtra 442001 NAGPUR NO - 22/04/2014 22/04/2014 28/03/2017

8572228 60019453 FGG MANDAR SUHAS SONALKAR 23/04/1975

FLAT NO 2 ANNAPURNA APPT , VISHALGADKAR COMPOUND

NAGALA PARK KOLHAPUR Kolhapur Maharashtra 416003 Kolhapur Kolhapur Maharashtra 416003 KOLHAPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 21/03/2014 21/03/2014 28/03/2017

3133700 60019454 FGG LALIT KUMAR 10/08/1974

MAI BAZAR DERA BASSI DISTT MOHALI Sahibzada Ajit Singh

Nagar Punjab 140507 Patiala Patiala Punjab 140507 CHANDIGARH YES

BaJAJ ALLIANZ LIFE

INSURANCE 14/05/2013 14/05/2013 13/03/2016

853696 60019456 FGG GANESAN SIVAN 12/06/1976

9 SATHIYA MURTHI STREET SENTHANNEERPURAM Tiruchirapalli

Tamil Nadu 620004 Tiruchirappalli Tiruchirappalli Tamil Nadu 620004 TRICHY YES

LIFE INSURANCE

CORPORATION 04/12/2014 04/12/2014 08/12/2017

8575126 60019457 FGG KRISHNAKUMAR S MISHRA 01/06/1972

Chand Badsha Chawl, Shivaji Nagar, Tagore Nagar, GRP 5A,

Vikhroli East Mumbai Maharashtra 400083 Mumbai Mumbai Maharashtra 400083 GHATKOPAR NO - 24/03/2014 24/03/2014 29/03/2017

8576692 60019459 FGG MOHD ARIF KHAN 08/06/1974

R No. 3, Shivraj Pal Chawl, Daragh Road, Bhandup, Mumbai

Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400078 VASHI NO - 04/03/2014 04/03/2014 30/03/2017

8576689 60019460 FGG SANDESH BIPIN PENDURKAR 24/11/1991

2A, Ashirwad Flat No 14 Asha Nagar Near thakur Complex,

Kandivli (E) Mumbai Mumbai Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 ANDHERI YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 05/02/2014 05/02/2014 30/03/2017

8576678 60019461 FGG SAMEER SIKANDAR NADAF 29/11/1969

2053 D WARD SHUKRAWAR PETH, DHANAWADE GALLI

KOLHAPUR Kolhapur Maharashtra 416102 Kolhapur Kolhapur Maharashtra 416102 KOLHAPUR NO - 04/03/2014 04/03/2014 30/03/2017

8576669 60019462 FGG RAMESH S. 25/09/1988

B-4, Housing Unit, S H Colony, South Ukkadam, Coimbatore

Coimbatore Tamil Nadu 641001 Coimbatore Coimbatore Tamil Nadu 641001 COIMBATORE NO - 10/02/2014 10/02/2014 30/03/2017

8576659 60019463 FGG D. KRISHNAPRIYA 19/03/1991

N No 57/83, Voc Nagar, Nallampalayam Road,

Kavundampalayam, Coimbatore Coimbatore Tamil Nadu

641030 Coimbatore Coimbatore Tamil Nadu 641030 COIMBATORE NO - 10/02/2014 10/02/2014 30/03/2017

8578684 60019466 FGG NARASIMHA REDDY CHANALA 10/12/1946

2-2-23/17/1 SBH Colony Bagh Amberpet Hyderabad

Telangana 500013 Hyderabad Hyderabad Andhra Pradesh 500013 KUKKATPALLY NO - 05/05/2014 05/05/2014 30/03/2017

8578679 60019467 FGG HEMA DILIP NICHANI 31/12/1965

P.No-232, rd No-36, Jubileehills Jubileehills Hyderabad

Telangana 500033 Hyderabad Hyderabad Andhra Pradesh 500033 HYDERABAD NO - 17/02/2014 17/02/2014 30/03/2017

8581278 60019493 FGG NARESH B. 21/06/1986

#139,sahana Nilaya,Thodana narayanappa layout

Garudacharapalya Bangalore Bangalore Karnataka

560048 Bangalore Bangalore Karnataka 560048 BANGALORE NO - 11/02/2014 11/02/2014 05/04/2017

8581271 60019494 FGG SUNIL DEVI 02/10/1987

846-C/29 Kamal Colony Behind Weljiest School Rohtak

Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK NO - 26/03/2014 26/03/2014 05/04/2017

8581270 60019495 FGG MANSI GUPTA 13/10/1986 178 AGCR ENCLAVE vikas marg vikas marg Delhi Delhi 110092 East East Delhi 110092 NOIDA NO - 21/03/2014 21/03/2014 05/04/2017

4464715 60019496 FGG DILIP KESHAVLAL SHAH 10/04/1952

1452 TIMBER AREA LALE PLT SANGLI Sangli Maharashtra

416416 Sangli Sangli Maharashtra 416416 KOLHAPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 05/07/2014 05/07/2014 05/08/2017

8581235 60019498 FGG PRITI AJAY HAVELIA 02/06/1970

C-8, Devara Buidling, Niveta Road, Near bank of India, Mumbai

Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 GHATKOPAR NO - 31/03/2014 31/03/2014 05/04/2017

8581228 60019499 FGG AMIT SINGH RAJPUT 28/07/1975

28 Niranjan Ward Kareli Narsimhapur Madhya Pradesh

487221 Narsimhapur Narsimhapur Madhya Pradesh 487221 JABALPUR NO - 18/03/2014 18/03/2014 05/04/2017

8581219 60019501 FGG MANISHA HASMUKH MEHTA 21/12/1974

802/C, Blue Bell Tower, Royal Complex, Eksar Road, Near Kala

Niketan, Borivali West Mumbai Maharashtra 400092 MUMBAI Mumbai Maharashtra 400092 BORIVALI NO - 18/03/2014 18/03/2014 05/04/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

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agent is

Is

Comp

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Insurer

License

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Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8581207 60019503 FGG BRIJESH PANDEY 15/09/1980

55 A Wing Chheda Complex CHS Ltd Charkop Village, Opp MG

Road Kandivali West Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BORIVALI YES

METLIFE INDIA

INSURANCE 11/06/2014 11/06/2014 05/04/2017

3436791 60019504 FGG GANESH BABU B.K.M. 02/05/1961

16A MAHAL 4TH STREET MADURAI Madurai Tamil Nadu

625001 Madurai Madurai Tamil Nadu 625001 MADURAI YES BIRLA SUN LIFE 13/09/2013 13/09/2013 13/07/2016

8479965 60019528 FGG MITAL PARAS DOSHI 29/04/1985

402, PRASHANT APT, ASHOK NAGAR, KANDIVALI(E) MUMBAI

Mumbai Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 28/01/2014 28/01/2014 24/01/2017

3049839 60019529 FGG PRADEEP BISWARI 29/04/1980

362, SOUTHSECTOR, SHASTRINAGAR, NAGPUR RD JABALPUR

Jabalpur Madhya Pradesh 482003 Jabalpur Jabalpur Madhya Pradesh 482003 JABALPUR YES

LIFE INSURANCE

CORPORATION 25/03/2013 25/03/2013 21/02/2016

8582401 60019551 FGG C. BHARANITHARAN 07/04/1981

18/72 Gnanaolivupuram municipal colony Madurai Madurai

Tamil Nadu 625016 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 29/04/2014 29/04/2014 07/04/2017

4241537 60019554 FGG PRANAY THAPA 28/02/1975

M-456, Pkt-4, Salvayu Vihar Society Builder, Greater Noida,

Gautam Buddha Nagar Uttar Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 NOIDA NO - 17/04/2014 17/04/2014 20/05/2017

8583050 60019555 FGG KOMAL MUKESH JAIN 18/08/1979

301, DERANI JEHATNI APPT, SAGRAMPURA SURAT Surat Gujarat

395002 Surat Surat Gujarat 395002 SURAT NO - 04/02/2015 04/02/2015 07/04/2017

8583048 60019556 FGG GNANA SELVARAJ DANIEL 21/01/1973

R No 2, Chandgi Niwas, Plot No 36/B, Pushpa Park, Road No 3,

Daftary Road, Malad East Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 BORIVALI NO - 22/04/2014 22/04/2014 07/04/2017

8527910 60019571 FGG VISHAL SAINI 02/06/1991

ward no. 25 Dhani Piplawali, Nr. Poladas Mandir Shrimadhopur

Sikar Rajasthan 332715 Sikar Sikar Rajasthan 332715 JAIPUR NO - 10/02/2014 10/02/2014 27/02/2017

8584693 60019588 FGG ANAND BESAIN 17/07/1969 173 Sec-45 Gurgaon Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON YES

DLF PRAMERICA LIFE

INSURANCE 30/07/2014 30/07/2014 11/04/2017

8584687 60019590 FGG SACHIN JAIN 15/12/1990

384 VPO-Kasan Nr. IMT Manesar Gurgaon Haryana

122051 Gurgaon Gurgaon Haryana 122050 GURGAON NO - 05/05/2014 05/05/2014 11/04/2017

8584632 60019596 FGG M. MANIKANDAN 16/12/1981

216, MIDDLE ST,THONDANKUCHI KAZHODUR,THITHAGUDI

Cuddalore Tamil Nadu 606106 Tiruchirappalli Tiruchirappalli Tamil Nadu 621216 TRICHY NO - 31/03/2014 31/03/2014 11/04/2017

8584527 60019599 FGG SHEEL MODY 05/01/1987

FLAT NO-2202,MAHINDRA HEIGHTS,22ND FLOOR TARDEO RAOD

MUMBAI Mumbai Maharashtra 400003 Mumbai Mumbai Maharashtra 400034 FORT NO - 31/03/2014 31/03/2014 11/04/2017

8584497 60019600 FGG PRIYA KAPOOR 01/01/1979 L 63 block L Mohan garden Delhi Delhi Delhi 110059 West West Delhi 110059 NOIDA NO - 18/03/2014 18/03/2014 11/04/2017

8584483 60019601 FGG ANURAG CHOPRA 28/02/1991

RZ-444 South extn-1, uttam nagar uttam nagar Delhi Delhi

110059 West West Delhi 110059 NOIDA NO - 21/03/2014 21/03/2014 11/04/2017

8584463 60019602 FGG NITIN KUMAR AGRAWAL 22/01/1978

BUS STAND BARELA BARELA JABALPUR Jabalpur Madhya

Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 10/03/2014 10/03/2014 11/04/2017

8442300 60019619 FGG MISTRY VIMALKUMAR R. 04/05/1984

AT AND POST : VADOLI TAL : BARDOLI BARDOLI Surat Gujarat

394350 Surat Surat Gujarat 394350 SURAT NO - 04/07/2014 04/07/2014 28/12/2016

2046319 60019620 FGG ABHAY M CHAVDA 01/05/1976 TQ : SIHOR 0 AT : VADIA Bhavnagar Gujarat 364240 Bhavnagar Bhavnagar Gujarat 364240 BHAVNAGAR YES

LIFE INSURANCE

CORPORATION 17/07/2014 17/07/2014 26/07/2017

8451895 60019621 FGG RAVAL SANDIPBHAI V. 10/10/1973

121, HUDCO QTR, ANANDNAGAR NR. BUSSTAND BHAVNAGAR

Bhavnagar Gujarat 364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 10/12/2013 10/12/2013 03/01/2017

8534621 60019622 FGG PARULBEN U PANDYA 22/09/1979

PLOT NO 104 NATURAL PARK BHAVNAGAR Bhavnagar

Gujarat 364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR YES

LIFE INSURANCE

CORPORATION 10/03/2014 10/03/2014 02/03/2017

331421 60019665 FGG R.S. PRASHANTH 24/03/1973

NO.1455, 4TH CROSS, 7TH `A` MAIN ROAD, VIJAYANAGAR II

STAGE, BANGALORE Bangalore Karnataka 560040 Bangalore Bangalore Karnataka 560040 VIJAYNAGAR NO - 21/01/2014 21/01/2014 09/02/2017

8589847 60019668 FGG SANJIB BARAL 03/07/1980

Plot No-197,Unit-4,Sastri Nagar, Bhubaneswar Khurda Khordha

Odisha 752018 Khordha Khordha Odisha 751004 BHUBANESWAR YES

LIFE INSURANCE

CORPORATION 16/05/2014 16/05/2014 19/04/2017

8589838 60019670 FGG RITESH KUMAR RATHOR 20/03/1980

Gujuratipada,Gandhimarg,Angul Angul Angul Anugul Odisha

759122 Anugul Anugul Orissa 759122 BHUBANESWAR NO - 13/02/2014 13/02/2014 19/04/2017

8589797 60019671 FGG M. SEETHA LAKSHMI 18/06/1978

#31, 1ST FLOOR,4TH A CROSS VIJAYANAGAR 2ND SG BANGALROE

Bangalore Karnataka 560082 Bangalore Bangalore Karnataka 560040 VIJAYNAGAR NO - 09/05/2014 09/05/2014 19/04/2017

8589774 60019672 FGG JATINDER SURINDERLAL MANGHI 07/03/1972

123/350 SARDAR NAGAR NO. 4 SION Mumbai Maharashtra

400022 Mumbai Mumbai Maharashtra 400022 GHATKOPAR NO - 20/05/2014 20/05/2014 19/04/2017

5740261 60019676 FGG GURPREET SINGH 15/01/1988

192 SARDAR AVENUE MAJITHA ROAD AMRITSAR Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/11/2012 08/11/2012 08/09/2015

5909088 60019677 FGG RADHIKA NIRANJAN SUVARNA 03/12/1985

A 502 Mayuresh Srishti Opp Asian Paints L B S Marg Bhandup W

Mumbai Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400078 GHATKOPAR YES BIRLA SUN LIFE 29/11/2012 29/11/2012 23/11/2015

8589756 60019678 FGG JIGNESH K PATEL 01/10/1979

c-13 mahavir nagar ankleshwar Bharuch Gujarat

393001 Bharuch Bharuch Gujarat 393001 BHARUCH NO - 10/03/2014 10/03/2014 19/04/2017

8514109 60019680 FGG RENU BALA 05/06/1967

Back Side Nanaksas Gurudwara Verka Amritsar Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 28/01/2015 28/01/2015 17/02/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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Agent code DP ID Agent Name

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1652748 60019694 FGG KANHAIYA LAL 01/01/1964

PUNJAB SPUN PIPE VILL-BALONGI TEH-MOHALI DT-ROPAR

Rupnagar Punjab 14 Rupnagar Rupnagar Punjab 160055 PANCHKULA YES

LIFE INSURANCE

CORPORATION 20/05/2013 20/05/2013 28/03/2016

8591388 60019695 FGG ARPANA GHAI 08/10/1973

H.No.210 Upper Laxmi Nagar New Plot Jammu Jammu &

Kashmir 180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 01/09/2014 01/09/2014 20/04/2017

8591385 60019696 FGG DIDAR SINGH 24/04/1965

V.P.O Bhau Khour Deonian R.S.Pura Jammu Jammu Jammu &

Kashmir 180001 Jammu Jammu Jammu and Kashmir181114 JAMMU NO - 12/05/2014 12/05/2014 20/04/2017

8591387 60019697 FGG ASHISH SHARMA 18/10/1988

H.No.259 St No. 7 Talab Tillo Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 09/05/2014 09/05/2014 20/04/2017

8591377 60019700 FGG RAGHAVENDRA N PAWAR 28/11/1981

H No 133 Manjunath Nagar, Gokul Road Hubli Dharwad

Karnataka 580030 Dharwad Dharwad Karnataka 580030 HUBLI NO - 29/09/2014 29/09/2014 20/04/2017

8591360 60019703 FGG SANJAY KUMAR 17/12/1980 J-200, Iind floor Jahangirpuri Delhi Delhi 110033 North North Delhi 110033 CONNAUGHT PLACENO - 27/10/2014 27/10/2014 20/04/2017

8591358 60019705 FGG ARUN KUMAR 12/01/1983 364 d block west Vinod nagaR VINOD NAGAR Delhi Delhi 110092 East East Delhi 110092 CONNAUGHT PLACENO - 27/05/2014 27/05/2014 20/04/2017

8591329 60019707 FGG RAVINDER SINGH 26/07/1982

Village Lattwala Tehsil Sultanpur Lodhi Kapurthala Kapurthala

Punjab 144626 Kapurthala Kapurthala Punjab 144626 JALANDHAR NO - 24/02/2014 24/02/2014 20/04/2017

8591324 60019708 FGG MANINDER KAUR 08/05/1986

97-Sucha singh Vill-lohar Jalandhar Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 24/02/2014 24/02/2014 20/04/2017

8591314 60019709 FGG PUSHPINDER MOHAN 17/02/1975

vpo lambra Jalandhar Jalandhar Jalandhar Punjab

144026 Hoshiarpur Hoshiarpur Punjab 144026 JALANDHAR NO - 17/04/2014 17/04/2014 20/04/2017

8591294 60019712 FGG MANISH CHAWLA 20/03/1979

2090 Sec 32A,Chandigarh Road Ludhiana Ludhiana Punjab

141008 Ludhiana Ludhiana Punjab 141008 LUDHIANA NO - 20/01/2015 20/01/2015 20/04/2017

1141507 60019713 FGG DEEPAK SUDARSHANALAL MALHOTRA 03/05/1963

PLOT NO 11 FLAT NO 12 JAGDISH KUNJ 2 ND FLR RAKIDWAI RD

WADALA Mumbai Maharashtra 400031 Mumbai Mumbai Maharashtra 400030 FORT YES

LIFE INSURANCE

CORPORATION 23/01/2015 23/01/2015 10/05/2018

3548656 60019715 FGG PAWAR PRAVIN JALINDAR 25/10/1981

8/22 KAMGAR NAGAR NO 1 NEW PRABHADEVI ROAD

PRABHADEVI Mumbai Maharashtra 400025 Mumbai Mumbai Maharashtra 400025 ANDHERI YES

LIFE INSURANCE

CORPORATION 28/08/2013 28/08/2013 03/09/2016

8591274 60019717 FGG R. NARMADA DEVI 09/07/1987

NO:19 JAGADEESH NAGAR CIVIL AERODROME POST Coimbatore

Tamil Nadu 641014 Coimbatore Coimbatore Tamil Nadu 641014 COIMBATORE NO - 10/02/2014 10/02/2014 20/04/2017

8591261 60019718 FGG INDRANI V. 05/01/1952

NO:10 GKS CO-OPERATIVE NAGAR SARAVANAMPATTI

COIMBATORE Coimbatore Tamil Nadu 641012 Coimbatore Coimbatore Tamil Nadu 641035 COIMBATORE NO - 17/02/2014 17/02/2014 20/04/2017

8591232 60019722 FGG SANDEEPKUMAR DILIPKUMAR JHA 26/09/1987

Aries Co-operative housing society Sector - 2, Evershine City Vasai

(E) Thane Maharashtra 401202 Thane Thane Maharashtra 401202 ANDHERI NO - 11/08/2014 11/08/2014 20/04/2017

8591220 60019723 FGG MADHUSHRI V BHALERAO 12/05/1984

D/201, Ashok Nagar B, Bldg No.1, Vazira Naka, L.T.Road Borivali

(W) Mumbai Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 ANDHERI NO - 05/05/2014 05/05/2014 20/04/2017

8591203 60019725 FGG SRINIVASA GOPALAN 12/05/1965

No 37, Jagadambal Street, Vijayalakshmipuram, Ambattur

Chennai Chennai Tamil Nadu 600053 Thiruvallur Thiruvallur Tamil Nadu 600053 CHENNAI NO - 11/06/2014 11/06/2014 20/04/2017

8591194 60019728 FGG A.S. THUKARAM 15/09/1952

No 21/12, Second Street, Nandandam Colony, Chennai Chennai

Tamil Nadu 600035 Chennai Chennai Tamil Nadu 600035 CHENNAI NO - 11/06/2014 11/06/2014 20/04/2017

8594864 60019733 FGG P. SHASHIDHAR 12/10/1981

199/B 1st Floor S MIG B Block, 2nd phase Yelahanka New Town

Bangalore Bangalore Karnataka 560064 Bangalore Bangalore Karnataka 560064 R.T.NAGAR NO - 13/06/2014 13/06/2014 25/04/2017

8594859 60019734 FGG ASHRAF SULTAN SELIA 05/02/1983

705, sharma chawl(vaidy chawl) Jogeshwary West Mumbai

Mumbai Maharashtra 400102 Mumbai Mumbai Maharashtra 400102 GHATKOPAR NO - 21/03/2014 21/03/2014 25/04/2017

8286537 60019736 FGG IMMANUEL RAJAIAH 05/09/1962

33 2ND ST P&T Colony Kavundampalayam Coimbatore Tamil

Nadu 641030 Coimbatore Coimbatore Tamil Nadu 641030 COIMBATORE YES

BaJAJ ALLIANZ LIFE

INSURANCE 17/09/2013 17/09/2013 16/09/2016

8594850 60019737 FGG PALANIYANDI KARNAN 27/05/1979

3-18, V.Perumalpatti,Pothampatti Usilampatti Madurai

Tamil Nadu 625532 Madurai Madurai Tamil Nadu 625532 MADURAI NO - 17/04/2014 17/04/2014 25/04/2017

230372 60019745 FGG MAHENDRA KUMAR GUPTA 13/07/1961

A - 421, WORLD BANK COLONEY, BARRA, KANPUR Kanpur Nagar

Uttar Pradesh 208001 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208001 KANPUR YES

LIFE INSURANCE

CORPORATION 18/10/2013 18/10/2013 02/11/2016

8596828 60019748 FGG HARI PRASAD MISHRA 03/01/1968

Village Raida Azamgarh Azamgarh Azamgarh Uttar Pradesh

121705 Azamgarh Azamgarh Uttar Pradesh 276225 LUCKNOW NO - 01/08/2014 01/08/2014 27/04/2017

8596821 60019750 FGG M.V. GIRISH 20/10/1988

RV COLLEGE OF ENGINEERING RV VIDYAKETAN POST MYSORE

ROAD Bangalore Karnataka 560059 Bangalore Bangalore Karnataka 560085 MYSORE NO - 12/05/2014 12/05/2014 27/04/2017

8596809 60019751 FGG MUNILAKSHMAIAH VENKATESH KUMAR 12/08/1974

#6, INFANTS VILLA, 1ST A MAIN, 2ND CROSS, KUPPASWAMY

GARDEN,R T NAGAR BANGALROE Bangalore Karnataka

560032 Bangalore Bangalore Karnataka 560032 VIJAYNAGAR NO - 06/05/2014 06/05/2014 27/04/2017

8596798 60019753 FGG ATUL AGGARWAL 09/07/1981

Sec. 32 Chandigarh Road Ludhiana Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 29/04/2014 29/04/2014 27/04/2017

8598022 60019761 FGG SAJEEV K. 10/12/1986

Korlattil House. Perumanal Tanalur PO. Malappuram Kerala

676307 Malappuram Malappuram Kerala 676307 CALICUT NO - 13/06/2014 13/06/2014 28/04/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

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Is

Comp

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Details of Individual Agents of the Company as on 31st March 2015

8597137 60019771 FGG THAKKER MEGHA NIKHIL 02/01/1984

Manek, Punit Bunglows, B/h Welcome Plaza, NR Ganesh Crossing,

Anand Anand Gujarat 388001 Anand Anand Gujarat 388001 ANAND NO - 03/03/2014 03/03/2014 28/04/2017

8597713 60019774 FGG SUDHA RAJESH KHASIYA 13/08/1969

97/98/99 GHLKAR WADI GURUDATTA KRIDA MANDA M N ROAD

KURLA Mumbai Maharashtra 400070 Mumbai Mumbai Maharashtra 400070 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 15/12/2014 15/12/2014 28/04/2017

8597708 60019776 FGG UMESH NAROTTAM UDESHI 10/03/1973 I-13 TARDEO MUMBAI Mumbai Maharashtra 400034 Mumbai Mumbai Maharashtra 400026 FORT NO - 28/05/2014 28/05/2014 28/04/2017

8597702 60019778 FGG AKASH KAUSAL 05/10/1978

1247 GUPTESHWAR WARD MADAN MAHAL Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 18/03/2014 18/03/2014 28/04/2017

8597690 60019780 FGG SOUMYA B.M. 03/06/1981

#12/13. 1ST STAGE1ST BLOCK 20TH MAIN , BTM LAYOUT

BANGALORE Bangalore Karnataka 560029 Bangalore Bangalore Karnataka 560029 INDIRA NAGAR NO - 17/04/2014 17/04/2014 28/04/2017

8597554 60019782 FGG DEEPAK KANAIYALAL UDHWANI 12/04/1973

3-4, 25 Clerk Road, Sant Ghadge Chowk, Mumbai Mumbai

Maharashtra 400011 Mumbai Mumbai Maharashtra 400011 VASHI NO - 16/01/2014 16/01/2014 28/04/2017

8600644 60019790 FGG UPADHYAY TEJAS RAMACHANDRA 27/12/1986

294 BRAHMAN VADA, SANTRAMPUR, Panch Mahals Gujarat

389260 Panch Mahals Panch Mahals Gujarat 389260 GODHRA NO - 12/06/2014 12/06/2014 01/05/2017

8601129 60019794 FGG SUJEESH K. 03/02/1982

Koyoli House Vadakkan chira vayal West Hill Kozhikode

Kerala 673005 Kozhikode Kozhikode Kerala 673005 CALICUT NO - 22/04/2014 22/04/2014 02/05/2017

8601114 60019795 FGG PRADEEP KUMARANNAIR 21/02/1973 Gopika, P.O Kallai, Calicut Kozhikode Kerala 673003 Kozhikode Kozhikode Kerala 673003 CALICUT NO - 22/04/2014 22/04/2014 02/05/2017

8601099 60019796 FGG RAJESH EDATHIL 15/05/1972 141 Eduvattu Naduvannur Kozhikode Kerala 673614 Kozhikode Kozhikode Kerala 673614 CALICUT NO - 02/06/2014 02/06/2014 02/05/2017

5994833 60019800 FGG RAJESH KRISHNA ACHARYA 30/05/1972

HOUSE NO-D/26,BHUVANAGIRI CHS LTD ASHOKVAN SHIV

VALLABH ROAD DAHISAR MUMBAI Mumbai Maharashtra

400068 Mumbai Mumbai Maharashtra 400068 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 13/02/2013 13/02/2013 07/01/2016

8600768 60019801 FGG PRITI D KURVE 15/07/1983

PLOT NO 482, CHITNAVIS NAGAR UMRER ROAD NAGPUR Nagpur

Maharashtra 440009 Nagpur Nagpur Maharashtra 440009 NAGPUR NO - 07/07/2014 07/07/2014 02/05/2017

8601053 60019802 FGG PAYAL DUA 29/07/1982 A400/2 Block A Shastri Nagar Delhi Delhi 110052 North North Delhi 110052 NOIDA YES

LIFE INSURANCE

CORPORATION 09/06/2014 09/06/2014 02/05/2017

8605501 60019849 FGG RAJEEV SHARMA 19/07/1979

H.No.215/3 Vill. Pungh P.O. Lalit Nagar Sundernagar Mandi

Himachal Pradesh 175002 Mandi Mandi Himachal Pradesh174401 PANCHKULA NO - 23/06/2014 23/06/2014 08/05/2017

8605500 60019850 FGG BABU LAL 01/05/1950 2675 GALI NO - 17 DELHI Delhi Delhi 110031 East East Delhi 110031 CONNAUGHT PLACENO - 03/06/2014 03/06/2014 08/05/2017

8605483 60019854 FGG NADIR HAMID MAPARI 30/04/1966

New Blue Diamond, A/1, Tank Colony, Orlem, Malad West

Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 VASHI NO - 29/04/2014 29/04/2014 08/05/2017

8605481 60019855 FGG NITIKA .. 21/06/1983 G 124 AYA NAGAR PH V1 DELHI Delhi Delhi 110047 South South Delhi 110047 CONNAUGHT PLACENO - 27/05/2014 27/05/2014 08/05/2017

8605464 60019856 FGG PALLAVI N BHONGALE 22/08/1982

127/4, Pandav Nagar, Sus Road, Pashan, Pune

Maharashtra 411021 Pune Pune Maharashtra 411021 PUNE NO - 12/05/2014 12/05/2014 08/05/2017

8605439 60019858 FGG SHAILENDER SINGH 06/01/1985

D-54 lajpat nager shabibabad Ghaziabad Ghaziabad Uttar

Pradesh 201005 Hyderabad Hyderabad Andhra Pradesh 500031 NOIDA NO - 17/04/2014 17/04/2014 08/05/2017

8605432 60019859 FGG J.C. YADAV 10/03/1963 679 sec-19 pocket 2 dwarka Dwarka Delhi Delhi Delhi 110075 West West Delhi 110075 NOIDA NO - 17/04/2014 17/04/2014 08/05/2017

8605429 60019860 FGG YUVRAJ DATTARAM BHEGDE 22/12/1978

Jaon Ahmad Chawl_ Chawl No 9_ Gaondevi Road_ Ghatkopar

West Mumbai Mumbai Maharashtra 400072 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 12/05/2014 12/05/2014 08/05/2017

8605426 60019861 FGG PRITI AMISH SOMESHWAR 04/08/1981

A/703, Blue bell, devidayal Complex Devidayal road MUMBAI

Mumbai Maharashtra 400080 Mumbai Mumbai Maharashtra 400080 FORT NO - 21/03/2014 21/03/2014 08/05/2017

8605423 60019862 FGG RILESH ARAPOYIL 30/01/1977

Sreepadmanabham Poorathara Road Puthiyangadi PO Kozhikode

Kerala 673021 Kozhikode Kozhikode Kerala 673021 CALICUT NO - 22/04/2014 22/04/2014 08/05/2017

8605412 60019865 FGG TRUPTI RAGHUVEER JHAVERI 11/10/1980

B/504, Shrenik Apt Khule compound, nearKrishna Dham Society

Panchpakhadi Thane Maharashtra 400601 Mumbai Mumbai Maharashtra 400099 THANE NO - 30/05/2014 30/05/2014 08/05/2017

8605411 60019866 FGG PRATIBHA PANKAJ HALGEKAR 12/03/1970

102, 41 F 68, Manali CHS, Opp rationing office, Kalwa Thane

Maharashtra 400607 Thane Thane Maharashtra 400605 THANE NO - 30/05/2014 30/05/2014 08/05/2017

8606103 60019879 FGG PARESHBHAI D GANATRA 25/06/1985

"GHANSHYAM-KRUPA" MEGHANINAGAR NR.MANAV UTHAN

SEVA SAMITI, KOTHARIYA ROAD. RAJKOT Rajkot Gujarat

360002 Rajkot Rajkot Gujarat 360002 RAJKOT YES

LIFE INSURANCE

CORPORATION 07/05/2014 07/05/2014 09/05/2017

8606326 60019881 FGG PRAMOD C JAGTAP 03/09/1989

20/2, Siddarth Complex,Flat No. 15, Kashinath Patil Nagar.

Dhankawadi Pune Pune Maharashtra 411043 Pune Pune Maharashtra 411043 PUNE NO - 18/03/2014 18/03/2014 09/05/2017

8606329 60019882 FGG MEENA JAIN 08/01/1979

OLD 1169 NEW 674 RANJHI BASTI JABALPUR Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482005 JABALPUR NO - 18/03/2014 18/03/2014 09/05/2017

8606331 60019883 FGG LINCY W PARAMANGALAM 25/10/1979

R - 7, GOKULDHAM APPT NR. VEJALPUR POLICE CHOWKY

VEJALPUR Ahmadabad Gujarat 380051 Ahmadabad Ahmadabad Gujarat 380051 AHMEDABAD NO - 17/04/2014 17/04/2014 09/05/2017

5731151 60019885 FGG VIMAL P DAVE 25/02/1969

E 10 Keshavbaug Appt Nr Shreyas Found Ambawadi Ahmadabad

Gujarat 380006 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD YES

KOTAK MAHINDRA OLD

MUTUAL 05/10/2012 05/10/2012 02/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

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Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8606350 60019889 FGG VIVEK H PARIKH 24/10/1983

102, Savita Enclave Nr. Judges Bunglow Opp. SBI, Bodakdev

Ahmadabad Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380054 AHMEDABAD NO - 31/03/2014 31/03/2014 09/05/2017

2600940 60019890 FGG ALPA S PATEL 17/02/1981

H-101 AGRAWAL APPARTMENT ANANDNAGAR 4 RASTA SATELLITE

A BAD AHMEDABAD Ahmadabad Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD YES

RELIANCE LIFE

INSURANCE 17/01/2013 17/01/2013 17/09/2015

8609325 60019910 FGG BABITA .. 20/04/1981

291Safiyabad Pana paposhiyan Safiyabad Pana paposhiyan

Sonipat Sonipat Haryana 131001 Sonipat Sonipat Haryana 131001 WEST DELHI NO - 23/06/2014 23/06/2014 12/05/2017

8609324 60019911 FGG PUNEET MUNJAL 04/11/1971 64-Tagore Park Model Town-1 New Delhi Delhi Delhi 110009 North West North West Delhi 110009 WEST DELHI NO - 14/10/2014 14/10/2014 12/05/2017

6034289 60019914 FGG MANISH NIGAM 15/03/1971 12K 85-A KRISHAN NAGAR Delhi Delhi 110051 East East Delhi 110092 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 14/01/2013 14/01/2013 29/01/2016

2927093 60019934 FGG VINOD KUMAR KHANNA 28/03/1951

102/126 NIRMAN IND ESTATE MALAD (W) LINK ROAD BEHIND

CHINCHOLI FIRE STN Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI YES BIRLA SUN LIFE 15/05/2013 15/05/2013 16/01/2016

8612126 60019936 FGG VIGITHRA T.G. 12/05/1981

1955 D, 39 CHALAI TRIVANDRUM Thiruvananthapuram Kerala

695036 Thiruvananthapuram ThiruvananthapuramKerala 695036 TRIVANDRAM NO - 04/07/2014 04/07/2014 16/05/2017

8612106 60019937 FGG SUBHASHINI J. 02/02/1979

25 BHARATHI NAGAR A STREET BANGALORE Bangalore

Karnataka 560005 Bangalore Bangalore Karnataka 560005 R.T.NAGAR NO - 20/05/2014 20/05/2014 16/05/2017

8462601 60019939 FGG PREMA .. 25/07/1974

11-113P, Someshwar, Dakshina Kannada - Mangalore

Karnataka 575022 Dakshina Kannada Dakshina Kannada Karnataka 575003 MANGALORE YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 19/05/2014 19/05/2014 11/01/2017

8612072 60019941 FGG MEENU CHAWLA 03/03/1969 F-148 lajpat nagar 1 New Delhi Delhi Delhi 110001 South South Delhi 110024 FARIDABAD NO - 08/08/2014 08/08/2014 16/05/2017

5928356 60019945 FGG SHUJAUDDIN KHALILVLLA SHAIKH 22/05/1966 AT-TARAPUR TALUKA-PALGHAR THANE Thane Maharashtra 4-15-2 Thane Thane Maharashtra 401502 VASHI NO - 25/03/2013 25/03/2013 02/12/2015

4149549 60019946 FGG JOY P.G. 11/11/1952

480, POKKATH HOUSE CHUNGAMVELI MARAMPILLY PO, ALUVA

Ernakulam Kerala 683112 Ernakulam Ernakulam Kerala 683110 COCHIN YES

LIFE INSURANCE

CORPORATION 13/06/2014 13/06/2014 26/03/2017

4024345 60019947 FGG SAYYAD CHANDSAB BABALAL 30/07/1989

AT & PO: KARNAL, TAL. MIRAJ, DIST. SANGLI. Sangli

Maharashtra 416416 Sangli Sangli Maharashtra 416416 KOLHAPUR YES

LIFE INSURANCE

CORPORATION 04/12/2013 04/12/2013 13/02/2017

8612029 60019949 FGG SATYA PRAKASH 29/07/1982

NO.38, 1ST FLOOR ACHARAPPAN STREET Chennai Tamil

Nadu 600001 Chennai Chennai Tamil Nadu 600001 CHENNAI YES

LIFE INSURANCE

CORPORATION 02/06/2014 02/06/2014 16/05/2017

8611982 60019955 FGG GURSIMRAN BAJWA 13/04/1975

3429, SECTOR-27D CHANDIGARH Chandigarh Chandigarh

160001 Chandigarh Chandigarh Chandigarh 160017 CHANDIGARH NO - 21/07/2014 21/07/2014 16/05/2017

8612011 60019956 FGG SHAIK MAJAHAR 05/05/1972 18-5, Tiruvuru Krishna Krishna Andhra Pradesh 520001 Krishna Krishna Andhra Pradesh 520001 HYDERABAD NO - 05/05/2014 05/05/2014 16/05/2017

8611863 60019959 FGG JAGRUTI B DESAI 18/01/1961

Old No 35, New No 35, Alagesan Road, Coimbatore Coimbatore

Tamil Nadu 641011 Coimbatore Coimbatore Tamil Nadu 641011 COIMBATORE NO - 20/05/2014 20/05/2014 16/05/2017

4192411 60019962 FGG A. SUNDARAMOORTHY 07/06/1985

37A SARAMEDU COIMBATORE Coimbatore Tamil Nadu

641008 Coimbatore Coimbatore Tamil Nadu 641008 COIMBATORE YES

LIFE INSURANCE

CORPORATION 07/03/2014 07/03/2014 22/04/2017

8611802 60019963 FGG SHIKHA BANTHIA 05/07/1984

ASHOKA INDUSTRIAL CORPORATION,62 9TH STREET EXTN

COIMBATORE Coimbatore Tamil Nadu 641012 Coimbatore Coimbatore Tamil Nadu 641012 COIMBATORE NO - 26/08/2014 26/08/2014 16/05/2017

8613486 60019968 FGG MOHAMMEDAKTHER D LAGDAK 19/10/1983 111/1 Beerban Oni Hubli Dharwad Karnataka 580024 Dharwad Dharwad Karnataka 580024 HUBLI NO - 27/06/2014 27/06/2014 17/05/2017

8613479 60019969 FGG APRAMIT ACHELAL SHUKLA 17/08/1992

Hanuman Nagar J P sawant chawl wagle estate Thane

Maharashtra 400604 Thane Thane Maharashtra 400607 THANE NO - 30/05/2014 30/05/2014 17/05/2017

2849644 60019970 FGG AMARJIT SINGH SAINI 27/02/1967

VPO RAMGARH, BUDHEHRA NEAR ZIRAKPUR, TEH. DERABASSI

Sahibzada Ajit Singh Nagar Punjab 160055 Rupnagar Rupnagar Punjab 160055 CHANDIGARH YES

BHARTI AXA LIFE

INSURANCE CO. LTD. 13/02/2013 13/02/2013 20/12/2015

8618659 60019987 FGG VEENA GARG 19/03/1977

PLT NO 60 SEC 11 HIRAN MAGRI IDOA[IR POLOT NO 60 SEC 11

HIRAN MAGRI UDIAPUR UDAIPUR Udaipur Rajasthan

313003 Udaipur Udaipur Rajasthan 313001 JAIPUR NO - 15/07/2014 15/07/2014 22/05/2017

4973295 60019988 FGG VINOD KUMAR CHOPRA 12/02/1968

11, AVTAR COLONY, KUNJPURA ROAD, KARNAL, Karnal

Haryana 132001 Karnal Karnal Haryana 132001 ROHTAK YES SBI LIFE INS. CO. 13/02/2015 13/02/2015 28/12/2017

8618555 60019989 FGG LADMAN MOHAMMEDARIF A. 28/05/1969

PATEL FALIYA NO.2, AJABDI MILL ROAD, YAKUTPURA, Vadodara

Gujarat 390006 Vadodara Vadodara Gujarat 390006 BARODA NO - 24/03/2014 24/03/2014 22/05/2017

8618549 60019990 FGG SAPNA KANWAR 15/08/1985

92, Vasundhara Colony, Tonk Road, Ward No. - 21, Jaipur Jaipur

Rajasthan 301001 Jaipur Jaipur Rajasthan 302001 JAIPUR YES AVIVA LIFE INSURANCE 30/06/2014 30/06/2014 22/05/2017

8618592 60019992 FGG PARIKH VIRAL AMRISH 12/02/1992

105, VRAJBHUMI APPT B/H. SANJAY APPT OPP. C.N. VIDHYALAYA,

AMBAWADI Ahmadabad Gujarat 380006 Ahmadabad Ahmadabad Gujarat 380006 AHMEDABAD NO - 22/04/2014 22/04/2014 22/05/2017

8618971 60019993 FGG JASLEEN KAUR 06/10/1989

Hno-57 Pocket-22,3rd Floor,sector-24,Rohini Delhi Delhi Delhi

110085 North West North West Delhi 110085 WEST DELHI YES

ICICI PRUDENTIAL LIFE

INSURANCE 22/07/2014 22/07/2014 23/05/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8618641 60019994 FGG ANKITA PARIMALBHAI SHAH 02/08/1983

A/P: GEB COLONEY, UKAI TAL: SONGADH SURAT Surat Gujarat

394680 Surat Surat Gujarat 394680 SURAT NO - 28/05/2014 28/05/2014 22/05/2017

8618618 60019999 FGG PATEL JIGNASHA BHAVESH 30/08/1987

PLOT NO 699, VIJAYRAJNAGAR BHAVNAGAR BHAVNAGAR

Bhavnagar Gujarat 364002 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 18/03/2014 18/03/2014 22/05/2017

8618606 60020002 FGG PRAGNESH K THAKOR 03/03/1980

C/4773, AYODHYANAGARI KALIABID BHAVNAGAR Bhavnagar

Gujarat 364002 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 18/03/2014 18/03/2014 22/05/2017

8618602 60020004 FGG SAMEER RAJESH THAKKAR 09/05/1991

103, Sneh Parag, Road No. 4, Pestom Sagar, Plot No. 10/11,

Chembur Mumbai Maharashtra 400089 Mumbai Mumbai Maharashtra 400089 GHATKOPAR NO - 22/04/2014 22/04/2014 22/05/2017

8618579 60020006 FGG SANDEEP ASATI 25/04/1980

w no 25 h.b. colony , prem nagar balaghat Balaghat

Madhya Pradesh 481001 Balaghat Balaghat Madhya Pradesh 481001 JABALPUR NO - 24/03/2014 24/03/2014 22/05/2017

8621648 60020028 FGG SUJATA MANEK 31/10/1974

1262 WRIGHT TOWN OPP BHAWANI COMPLEX JABALPUR

Jabalpur Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR YES

LIFE INSURANCE

CORPORATION 23/04/2014 23/04/2014 24/05/2017

8078916 60020050 FGG N. SURESH KUMAR 31/03/1987

OLD NO :5/105 NEW NO: 5/456 MOLAPALAYAM PACHAPALAYAM

POST S.S.KULAM VIA Coimbatore Tamil Nadu 641107 Coimbatore Coimbatore Tamil Nadu 641107 COIMBATORE NO - 01/04/2013 01/04/2013 05/05/2016

8624287 60020051 FGG JAISINGHANI PRIYA MANUMAL 04/06/1987

SAI LEELA APT 2ND FLR FLAT NO 12 NEAR HANUMAN MANDIR

ULHASNAGAR Thane Maharashtra 421004 Thane Thane Maharashtra 421003 THANE NO - 11/06/2014 11/06/2014 25/05/2017

8624284 60020052 FGG SHIKHA .. 02/08/1979 520 Sec-23 NIT Faridabad Haryana 121001 Faridabad Faridabad Haryana 121001 GURGAON NO - 17/04/2014 17/04/2014 25/05/2017

1812653 60020053 FGG KAUSTUBH MADHAV SATPUTE 26/08/1981

Flat No. H-102 Highbliss Phayari Pune Maharashtra

411041 Pune Pune Maharashtra 411041 PUNE YES

KOTAK MAHINDRA OLD

MUTUAL 31/03/2014 31/03/2014 11/10/2016

335185 60020054 FGG VANI A. SOMESHWAR 26/04/1968

22, DIVYA SWAPNA DR. C.P.GIDWANI MARG, CHEMBUR Mumbai

Maharashtra 400074 Mumbai Mumbai Maharashtra 400074 VASHI YES

LIFE INSURANCE

CORPORATION OF INDIA 10/10/2013 10/10/2013 27/11/2016

5205025 60020055 FGG KUSH SHARMA 26/09/1986

N 557 A Sector 23 Sanjay Nagar Ghaziabad Ghaziabad Uttar

Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA YES BIRLA SUN LIFE 26/12/2014 26/12/2014 27/02/2018

8624265 60020057 FGG PRITI SHARMA 28/04/1984

III E-32 Nehrau Nagar Ghaziabad Ghaziabad Uttar Pradesh

201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 17/04/2014 17/04/2014 25/05/2017

8624239 60020058 FGG DAISY BABY MATHEW 20/04/1971

174-C, Slice-4 Sector C Vijay Nagar Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 05/05/2014 05/05/2014 25/05/2017

8624223 60020060 FGG C. BASKARAN 26/04/1983

60,ANNA NAGAR WEST,VINAYAKAR KOIL STREET MAJIRA

KOLLAPATTY SALEM Salem Tamil Nadu 636030 Salem Salem Tamil Nadu 636030 SALEM NO - 29/04/2014 29/04/2014 25/05/2017

8624205 60020063 FGG SOMASHEKAR J. 11/11/1986

49/1, 5th cross, near shaneswara temple' ragav nagar Bangalore

Karnataka 560026 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 15/05/2014 15/05/2014 25/05/2017

8624199 60020065 FGG KUSH MAHAJAN 14/01/1986

H. No. 242 renuka mandir lane, Opp. Bhinder Hospital, garden

Colony pathankot Gurdaspur Punjab 145001 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR NO - 02/05/2014 02/05/2014 25/05/2017

8625063 60020066 FGG SURESH KUMAR KANKANI 01/01/1969

NETAJI SUBHASH ROAD, DIST.:UTTAR DINAJPUR, RAIGANJ,

RAIGUNJ UTTAR DINAJPUR West Dinajpur West Bengal

733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA NO - 28/05/2014 28/05/2014 26/05/2017

8625056 60020067 FGG SHARMILLA BOSE 16/10/1949

VILL AND PO KANKI DISTT- UTTAR DINAJPUR RAIGUNJ UTTAR

DINAJPUR West Dinajpur West Bengal 733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA NO - 28/05/2014 28/05/2014 26/05/2017

2572017 60020072 FGG PIJUSH KANTI SARKAR 02/01/1975

VILL-BINDUGRAM PO-BENIAGRAM PS-FARAKKA Murshidabad

West Bengal 742212 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA YES

LIFE INSURANCE

CORPORATION 31/08/2012 31/08/2012 03/09/2015

8625048 60020073 FGG BAPI SIL 01/02/1971

104 1 A TOLLYGUNGE ROAD KALIGHAT KALIGHAT KAORATALA

BURNINGGHAT KOLKATA West Dinajpur West Bengal

733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA YES

SBI LIFE INSURANCE

COMPANY 21/08/2014 21/08/2014 26/05/2017

894331 60020092 FGG SURAIYA TEJAS CHANDRAKANT 23/01/1979

KAMDAR STREET MOTI BAZAR GONDAL Rajkot Gujarat

360311 Rajkot Rajkot Gujarat 360311 RAJKOT YES

LIFE INSURANCE

CORPORATION 07/11/2014 07/11/2014 08/12/2017

8628719 60020101 FGG ABRAR MOHMEDHANIF INAMDAR 20/02/1981

FLAT NO 06 SHREYAS APPT. VATAN NAGAR COLONEY TALAEGAON

DABHADE. PUNE Pune Maharashtra 410507 Pune Pune Maharashtra 410507 PUNE NO - 20/05/2014 20/05/2014 29/05/2017

5341710 60020104 FGG AVVARU SRINIVASA RAO 26/04/1970

8-15-2 ENUGULUVARI STREET VIJAYAWADA Krishna Andhra

Pradesh 520001 Krishna Krishna Andhra Pradesh 520003 VIJAYAVADA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/01/2013 28/01/2013 20/04/2015

8630463 60020477 FGG VISHAL PETKAR 09/06/1987

#38/5, 2ND FLOOR DATTATREYA TEMPLE, STREET PIPELINE,

MALLESHWARAM BANGALORE Bangalore Karnataka

560003 Bangalore Bangalore Karnataka 560003 INDIRA NAGAR NO - 17/04/2014 17/04/2014 30/05/2017

8630469 60020478 FGG KIRAN R.C. 04/02/1993

#4086/A 3RD CROSS, 3RD MAIN, RAJAJINAGAR 2ND STAGE,

BANGALORE Bangalore Karnataka 560021 Bangalore Bangalore Karnataka 560021 INDIRA NAGAR NO - 17/04/2014 17/04/2014 30/05/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8630493 60020479 FGG M. VENKATARANGA REDDY 30/05/1977

#101 MUNESHWARA COMPLEX, CHOLANAYAKANAHALLI, 2ND CI

BANGALORE Bangalore Karnataka 560032 Bangalore Bangalore Karnataka 560032 INDIRA NAGAR NO - 17/04/2014 17/04/2014 30/05/2017

8630514 60020482 FGG AJAY RAMKRISHNA SUROSAY 03/08/1969

A-603 SHRINIWAS GREENLAND COUNTRY S. NO. 42/1/2 NARE

AMBEGAON Pune Pune Maharashtra 411041 Pune Pune Maharashtra 411041 PUNE NO - 20/05/2014 20/05/2014 30/05/2017

8630532 60020484 FGG SHUBHAMANGALA N. 02/04/1973

38/1 Escorts Engineering Society, Athen layout, Yelahanka New

town Bangalore Bangalore Karnataka 560064 Bangalore Bangalore Karnataka 560064 BANGALORE NO - 11/06/2014 11/06/2014 30/05/2017

8635345 60020638 FGG RAJESH KUMAR 15/05/1982

264 naushera Teh. gurdaspur Gurdaspur Punjab

143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR NO - 05/06/2014 05/06/2014 01/06/2017

5633139 60020640 FGG DHANUKA SHILPA TARACHAND 07/12/1983

Near Shyam Mandir, Bhusara, Khamgaon Akola Maharashtra

444303 Buldana Buldana Maharashtra 444303 AURANGABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/09/2012 26/09/2012 02/08/2015

8635190 60020641 FGG PREM YADAV 17/03/1990

vill prem pur post limarua barhut nagar mandla Mandla

Madhya Pradesh 481661 Mandla Mandla Madhya Pradesh 481661 JABALPUR NO - 16/06/2014 16/06/2014 01/06/2017

8522890 60020642 FGG IMAMHUSIN BAPULAL KHALIFA 11/07/1950

H NO 4 B WING SHANKAR ENCLAVE GAONDEVI MANDIR ROAD

Kalyan E Thane Maharashtra 421306 Thane Thane Maharashtra 421306 VASHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 21/02/2014 21/02/2014 23/02/2017

8635178 60020643 FGG HARISH V MANAGULI 01/05/1985

E BAGALKOT E BAGALKOT BAGALKOT Bagalkot Karnataka

587101 Bagalkot Bagalkot Karnataka 587101 MANGALORE NO - 23/06/2014 23/06/2014 01/06/2017

928358 60020644 FGG PADMINI M. 20/01/1968

PLOT No.4B TNGO COLONY II STREET NANGANALLUR, CHENNAI

Chennai Tamil Nadu 600061 Kancheepuram Kancheepuram Tamil Nadu 600061 CHENNAI YES

LIFE INSURANCE

CORPORATION 28/11/2014 28/11/2014 10/01/2018

8635166 60020645 FGG PRIYA MISHRA 17/11/1978 244 Dr. Mukerjee Nagar Delhi Delhi Delhi 110009 North West North West Delhi 110009 CONNAUGHT PLACENO - 28/05/2014 28/05/2014 01/06/2017

8639459 60020651 FGG PARVEEN KUMAR CHANDOLA 10/03/1975

D- BLOCK NEAR POLICY LINE QUTER VIKAS PURI NEW DELHI Delhi

Delhi 110018 West West Delhi 110018 CONNAUGHT PLACENO - 11/06/2014 11/06/2014 05/06/2017

8638843 60020654 FGG ANIKET BOMB 05/09/1991

201 TRISHUL APARTMENT 5 SANGHI COLONY Indore

Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 28/05/2014 28/05/2014 05/06/2017

8638928 60020655 FGG SUMIT MANIKCHANDJI BAKLIWAL 03/08/1981

7-1-83/PA BALAJI NAGAR, NR. SINDHI COLONY, AURANGABAD

Aurangabad Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD NO - 15/07/2014 15/07/2014 05/06/2017

4710829 60020657 FGG HARISH CHANDER KOCHAR 11/12/1975 1469 NHBC PANIPAT Panipat Haryana 132102 Panipat Panipat Haryana 132102 WEST DELHI NO - 01/10/2014 01/10/2014 14/10/2017

8601652 60020658 FGG MANISH KUMAR 15/02/1987

H.NO 92,VILL.BERKHERI NARAINGARH AMBALA Ambala

Haryana 134204 Ambala Ambala Haryana 134001 CHANDIGARH NO - 28/01/2015 28/01/2015 02/05/2017

8638700 60020660 FGG NARAYAN HIMATSINGKA 14/03/1957

3/C NETAJI SUBHASH ROAD, DIST.:UTTAR DINAJPUR, RAIGANJ,

RAIGUNJ West Dinajpur West Bengal 733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA NO - 23/06/2014 23/06/2014 05/06/2017

8638710 60020661 FGG NIRMAL KUMAR GOYAL 03/02/1971

42 DR. B C ROY SARANI, RAIGANJ, NORTH DINAJPUR, RAIGUNJ

West Dinajpur West Bengal 733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA NO - 27/06/2014 27/06/2014 05/06/2017

8638720 60020663 FGG SAUMIK SAHA 30/09/1982

LENIN SARANI, DUNLOP MORE P.O. BALURGHAT DIST U DINAJPUR,

RAIGUNJ UTTAR DINAJPUR West Dinajpur West Bengal

733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 KOLKATA NO - 16/06/2014 16/06/2014 05/06/2017

8638857 60020667 FGG V.H TANK 24/09/1976

22, KANCHAN PLAZA, SIHOR BHAVNAGAR Bhavnagar

Gujarat 364240 Bhavnagar Bhavnagar Gujarat 364240 BHAVNAGAR NO - 05/05/2014 05/05/2014 05/06/2017

8638930 60020668 FGG SHAH KUNJALBEN 25/05/1979

2, PANCHDIP APARTMENT BHADUATNAGAR ROAD MANINAGAR

Ahmadabad Gujarat 380008 Ahmadabad Ahmadabad Gujarat 380008 AHMEDABAD NO - 05/06/2014 05/06/2014 05/06/2017

8639291 60020670 FGG MADHUSUDHAN R. 02/02/1985

46/31 5TH CROSS KALIDAS LAYOUT SRINAGAR Bangalore

Karnataka 560050 Bangalore Bangalore Karnataka 560050 BANGALORE NO - 27/06/2014 27/06/2014 05/06/2017

8641298 60020673 FGG VISHAL VATSAL 09/11/1978

#264, Sec 20 A Chandigarh Chandigarh Chandigarh Chandigarh

Chandigarh 160020 Chandigarh Chandigarh Chandigarh 160020 CHANDIGARH NO - 19/06/2014 19/06/2014 06/06/2017

3671096 60020684 FGG VIMALBEN PREMABHAI TANDEL 18/04/1980

MULANA NAGAR, GHELAKHADI, VIJALPORE, NAVSARI Navsari

Gujarat 394350 Navsari Navsari Gujarat 396445 SURAT YES

RELIANCE LIFE

INSURANCE 02/12/2013 02/12/2013 24/10/2016

8647148 60020692 FGG SACHIN PRUTHI 04/07/1980 29C BLOCK-E,D PITAMPURA Delhi Delhi Delhi 110034 North West North West Delhi 110034 WEST DELHI NO - 20/05/2014 20/05/2014 12/06/2017

8612086 60020694 FGG RANGUNWALA PARIMAL SUNDARLAL 02/05/1985

42-502, STYANAGAR, N/R : JIVANJYOT CINEMA UDHNA Surat

Gujarat 394210 Surat Surat Gujarat 394210 SURAT NO - 04/07/2014 04/07/2014 16/05/2017

8647435 60020695 FGG CHITRA NATARAJAN 21/05/1962

1/149, Palladam Road, Puliampatti, Pollachi Coimbatore

Tamil Nadu 642002 Coimbatore Coimbatore Tamil Nadu 642002 COIMBATORE NO - 19/08/2014 19/08/2014 12/06/2017

8647419 60020696 FGG ARIHANT KOTHARI 01/04/1993

OLD NO.26, NEW NO.17, PILLAIYAR KOIL STREET, VADAPALANI

Chennai Tamil Nadu 600093 Chennai Chennai Tamil Nadu 600093 CHENNAI NO - 20/05/2014 20/05/2014 12/06/2017

8647411 60020697 FGG DARSHANA DESAI 27/12/1968

64, Vaikunath Society, Lallubhai Park, Andheri West Mumbai

Maharashtra 400058 Mumbai Mumbai Maharashtra 400058 VASHI NO - 21/07/2014 21/07/2014 12/06/2017

8647199 60020700 FGG RITESHKUMAR K RAVAL 28/07/1982

J-88,RAJHANS, ANDADA, TAL:ANKLESHWAR Bharuch

Gujarat 393010 Bharuch Bharuch Gujarat 393010 ANKLESHWAR NO - 28/07/2014 28/07/2014 12/06/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3784013 60020701 FGG SHAH BHARTIBEN D. 31/12/1968

10, Mitra Milan Society Rajmahel Road, Devgadh Baria, Panch

Mahals Gujarat 389380 Dohad Dohad Gujarat 389380 GODHRA NO - 18/11/2013 18/11/2013 29/11/2016

8647397 60020702 FGG B. VAISHNAVI 15/10/1989

402/B, 1-8-725/A/1, Balaji Bagya Nagar Apts, Nallakunta,

Hyderabad Hyderabad Telangana 500044 Medak Medak Andhra Pradesh 502001 HYDERABAD NO - 16/06/2014 16/06/2014 12/06/2017

8647271 60020704 FGG SANDEEP KUMAR 01/01/1987

78/117 New Ganesh Ganj, Ganesh Ganj, Lucknow Lucknow

Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 27/06/2014 27/06/2014 12/06/2017

8651092 60020712 FGG SUMANA CHAKRABORTY NAG 13/02/1982 G-504 SAROJINI NAGAR NEW DELHI Delhi Delhi 110023 New Delhi New Delhi Delhi 110023 CONNAUGHT PLACENO - 03/06/2014 03/06/2014 14/06/2017

8647286 60020718 FGG YOGITA NAVINCHANDRA KHARAVA 15/05/1987

H. NO. 2/2443/B, GROUND FLOOR MACHHIWAD MAIN ROAD,

RUDERPURA SURAT Surat Gujarat 395003 Surat Surat Gujarat 395003 SURAT NO - 30/12/2014 30/12/2014 12/06/2017

8647281 60020719 FGG AZIZZUR REHMAN S SHAIKH 22/04/1983

H. NO. 1/1993, JAMRUKH GALI, BARA HAJARI MOHOLLA,

NANPURA SURAT Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 29/12/2014 29/12/2014 12/06/2017

4729991 60020720 FGG GULSHAN JAIKISHIN MANGLANI 28/01/1968

FLAT NO-8, RAGHUWANSHI CHS., NEAR AMAN TALKIES, THANE

Thane Maharashtra 421003 Thane Thane Maharashtra 421003 VASHI NO - 01/10/2014 01/10/2014 19/10/2017

1772961 60020723 FGG ANIL NAMDEV DALVI 20/09/1965

B-111/1, Govt. Colony Bandra (East) Mumbai Mumbai

Maharashtra 400051 Mumbai Mumbai Maharashtra 400051 ANDHERI YES

MAX NEW YORK LIFE

INSURANCE 21/08/2013 21/08/2013 29/08/2016

8653323 60020724 FGG TIWARI ARVIND RAJBAHADUR 01/07/1968

H NO. 109, GRD FLOOR, TIWARI SADAN, SAHYADRI SOCIETY,

DAHAGAON VASIND, THANE Thane Maharashtra 421604 Thane Thane Maharashtra 421604 THANE NO - 30/06/2014 30/06/2014 15/06/2017

8459647 60020725 FGG VAIBHAV K PATAIT 09/04/1988

SN. 134/6 , WARJE MALWADI NEAR POPULAR NAGAR , PUNE

Pune Maharashtra 411001 Pune Pune Maharashtra 411001 PUNE NO - 16/01/2014 16/01/2014 09/01/2017

8655503 60020727 FGG ASHOK RATNAKAR CHODNEKAR 24/12/1969

TWIN TOWERS B BUILDING FLAT NO 1003 DP ROAD AUND OPP

MACDONOLDS NR WIRELESS COLONEY Pune Pune

Maharashtra 411007 Pune Pune Maharashtra 411007 PUNE NO - 07/07/2014 07/07/2014 16/06/2017

8655455 60020729 FGG T. PRIYA 03/06/1979

OLD NO.4C, NEW NO.30 MANICKAM STREET CHROMPET Chennai

Tamil Nadu 600044 Kancheepuram Kancheepuram Tamil Nadu 600044 CHENNAI NO - 17/04/2014 17/04/2014 16/06/2017

8655452 60020730 FGG SAMPATHKUMAR JAMUNA RANI 06/01/1961

PLOT NO.29B, TTNGO COLONY 2ND STREET NANGANALLUR

Chennai Tamil Nadu 600061 Kancheepuram Kancheepuram Tamil Nadu 600061 CHENNAI NO - 17/04/2014 17/04/2014 16/06/2017

3968758 60020734 FGG DEVRAM SHANKAR AWATE 03/06/1968

03/02, LAXMI NIWAS, MOHILI VILLAGE, KURLA Mumbai

Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 GHATKOPAR YES

BaJAJ ALLIANZ LIFE

INSURANCE 17/12/2013 17/12/2013 28/01/2017

8655396 60020735 FGG SANGEETHA VISHWANATH GUNDU 05/04/1978

240 6240 MAHAVIR PREM CHS LTD PANT NAGAR GHATKOPAR

Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 GHATKOPAR NO - 17/04/2014 17/04/2014 16/06/2017

8655371 60020736 FGG ANDALIB ZAFAR KHATRI 14/02/1976

602/C BASERA APT 29 HUSSAIN PATEL MARG MAZGAON

Mumbai Maharashtra 400010 Mumbai Mumbai Maharashtra 400010 GHATKOPAR NO - 17/04/2014 17/04/2014 16/06/2017

8655338 60020737 FGG PATEL VANITA VIJAY 24/10/1975

2809, CHAWL Kr. 182, GROUP NO 8B TAGORE NAGAR V IKHROLI

EAST Mumbai Maharashtra 400083 Mumbai Mumbai Maharashtra 400083 GHATKOPAR NO - 19/08/2014 19/08/2014 16/06/2017

8655262 60020738 FGG PILLAI S.A. 05/02/1981

S.No.73/2F/18, Sai Santosh Nest, Flat -14A, Tapkir Nagar Pune

Pune Maharashtra 411017 Pune Pune Maharashtra 411017 PUNE NO - 10/09/2014 10/09/2014 16/06/2017

8549884 60020739 FGG SHANTALA P. SHINDE 01/11/1970

NEW ANKITA RESIDENCY FLAT NO1 LOKSEVA HANUMAN MANDIR

HADAPSAR Pune Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE YES

LIFE INSURANCE

CORPORATION 01/03/2014 01/03/2014 14/03/2017

8654977 60020744 FGG JAYAVEL .. 02/06/1988

NO.6/15 N N GARDEN, 5TH LANE Chennai Tamil Nadu

600013 Chennai Chennai Tamil Nadu 600013 CHENNAI NO - 17/04/2014 17/04/2014 16/06/2017

8654899 60020748 FGG KAPADIYA ROHIT NAGJIBHAI 12/04/1990

AYODHYA SOCIETY, KOTHARIYA ROAD RAJKOT Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 26/05/2014 26/05/2014 16/06/2017

8662343 60020857 FGG ALWYN PRITHAM DSOUZA 03/03/1984

17-6-353 MARIA NAGAR JEPPU SEMINARY COMPUND KANKANDY

POST MANGALORE Mangalore Karnataka 575002 Dakshina Kannada Dakshina Kannada Karnataka 575002 MANGALORE NO - 01/09/2014 01/09/2014 21/06/2017

8662280 60020867 FGG RAJESH PAI 29/07/1971

44 BLDG- SAMRAT LAYOUT BANNERGHATTA ROADARAKERE IIM

POST BANGALORE Bangalore Karnataka 560076 Bangalore Bangalore Karnataka 560076 MANGALORE NO - 23/06/2014 23/06/2014 21/06/2017

8662215 60020892 FGG ANTHONY SELVAM 15/10/1980

#330, 1st cross Kuvempu Nagar Vijinaputam K R puram

Bangalore Karnataka 560016 Bangalore Bangalore Karnataka 560016 BANGALORE NO - 15/05/2014 15/05/2014 21/06/2017

135806 60020945 FGG HANSIKA UDANI 25/12/1961

A-11, Aditya Apartment Old Nagardas Road Andheri (East)

Mumbai Maharashtra 400069 Mumbai Mumbai Maharashtra 400069 ANDHERI YES

MAX NEW YORK LIFE

INSURANCE 24/04/2013 24/04/2013 19/05/2016

1860836 60020968 FGG RAJEN KHUBCHAND HIRANANDANI 03/03/1964

5, VICTORIA BULDING, MOGUL LANE, BEHIND MAHIM BAZAAR

POST OFFICE, Mumbai Maharashtra 400016 Mumbai Mumbai Maharashtra 400016 ANDHERI NO - 03/12/2013 03/12/2013 26/12/2016

8661603 60020972 FGG RAM KUMAR MAHAJAN 03/01/1964 107/9 SECTOR 1 PUSHP VIHAR SAKET Delhi Delhi 110017 South South Delhi 110017 CONNAUGHT PLACENO - 09/06/2014 09/06/2014 21/06/2017

8661529 60020983 FGG LATA SACHIN NAIDOO 12/01/1975

FLAT NO 1 NEHA APTS LANE 10 PRABHAT ROAD SHIVAJINAGAR

Pune Pune Maharashtra 411004 Pune Pune Maharashtra 411004 PUNE NO - 09/06/2014 09/06/2014 21/06/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

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Name of other

Insurer

License

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Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

2749114 60021007 FGG SANTANU KUMAR SASMAL 19/06/1981 352C MUNIIRKA VILLAGE NEW DELHI Delhi Delhi 110067 South West South West Delhi 110067 CONNAUGHT PLACEYES

HDFC STD LIFE

INSURANCE CO. LTD. 30/05/2013 30/05/2013 17/11/2015

8667069 60021414 FGG HARISH KUMAR KHULLAR 21/09/1960

4250 SECTOR-68, MOHALI Sahibzada Ajit Singh Nagar Punjab

160055 Rupnagar Rupnagar Punjab 160055 CHANDIGARH YES

MAX NEW YORK LIFE

INSURANCE 03/06/2014 03/06/2014 23/06/2017

1206260 60021757 FGG SANJEEV KUMAR GUPTA 01/12/1973

67-N/2 GALI NO. 7, WEST GURU ANGAD NAGAR LAXMI NAGAR

Delhi Delhi 110092 East East Delhi 110092 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 27/06/2012 27/06/2012 25/06/2015

4112537 60021758 FGG RAJAN BEDI 20/08/1973

FLAT NO-200 BLOCK GH-5 AND 7 PASCHIM VIHAR Delhi Delhi

110087 West West Delhi 110087 NOIDA YES

MAX NEW YORK LIFE

INSURANCE 13/02/2014 13/02/2014 14/03/2017

8671957 60021759 FGG MAHESH SAINI 25/12/1980

19 Gali Shiv Mandir Shalimar Village New Delhi Delhi Delhi

110088 North West North West Delhi 110088 WEST DELHI NO - 19/05/2014 19/05/2014 26/06/2017

8671955 60021760 FGG DEVESH NILESH BHATIA 06/01/1987

A / 303 Gaurav Geet CHS Gaurav Garden Complex Bandar Pakhadi

Road Charkop Kandivali West Mumbai Maharashtra

400067 Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 01/09/2014 01/09/2014 26/06/2017

8671953 60021761 FGG GIRISHBHAI KANTILAL RAVAT 23/10/1985

533, CHANDRABHAGA HOUSING NO. 351 TO 700, OPP. GANESH

KANTYA VIDYALAYA NAVA VADAJ Ahmadabad Gujarat

380013 Ahmadabad Ahmadabad Gujarat 380013 CHINCHWAD NO - 05/06/2014 05/06/2014 26/06/2017

8671940 60021762 FGG MEMON M. ARIF F. 24/02/1980

NOOR COLONY AT & PO : SAVGADH HIMATNAGAR Sabar Kantha

Gujarat 383001 Sabar Kantha Sabar Kantha Gujarat 383001 AHMEDABAD NO - 23/06/2014 23/06/2014 26/06/2017

8671936 60021763 FGG SHAILESH J. KANTHARIA 08/06/1985

B-16,TULSIDHAM SOCIETY, ZADESHWAR,TAL:BHARUCH DIST:

BHARUCH Bharuch Gujarat 392011 Bharuch Bharuch Gujarat 392011 BHARUCH NO - 19/05/2014 19/05/2014 26/06/2017

1952221 60021764 FGG NARESH KUMAR 23/03/1976

H.No. 5427 MHC Manimajra Chandigarh Chandigarh

Chandigarh 160101 Chandigarh Chandigarh Chandigarh 160101 PANCHKULA YES

LIFE INSURANCE

CORPORATION 06/03/2014 06/03/2014 30/03/2017

8671928 60021793 FGG J.V.N.L. ANNAPURNA 11/05/1969 119/A, Kapra, ECIL Rangaredy Rangareddy Telangana 500062 HYDERAABD HYDERAABD Andhra Pradesh 500062 HYDERABAD NO - 06/05/2014 06/05/2014 26/06/2017

8671916 60021796 FGG CHIRAG HARESHWAR SAVE 03/10/1982

Post Vangaon Tal Dhananu Dist Thane Thane Maharashtra

401103 Thane Thane Maharashtra 401103 BOISAR NO - 28/07/2014 28/07/2014 26/06/2017

8671914 60021797 FGG ANKIT PAUL 26/12/1985 B-1, Kirti Nagar, New Delhi Delhi Delhi 110015 West West Delhi 110015 CONNAUGHT PLACENO - 23/06/2014 23/06/2014 26/06/2017

8671903 60021798 FGG CHARANJIT KAUR 07/06/1981

H.No 51 Barila Kalan Gurdaspur Gurdaspur Punjab

143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR NO - 04/07/2014 04/07/2014 26/06/2017

8671848 60021799 FGG RACHNA LITORIA 17/06/1982

.5/6 Laxmi Puri Hinotiya, Chandbad BHOPAL Bhopal

Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL NO - 15/05/2014 15/05/2014 26/06/2017

8671839 60021802 FGG ASHOK KUMAR MOHAPATRA 04/07/1961

AT/PO-GUNDICHAPARA DHENKANAL DHENKANAL Dhenkanal

Odisha 759025 Dhenkanal Dhenkanal Orissa 759025 CUTTACK NO - 22/12/2014 22/12/2014 26/06/2017

8671818 60021806 FGG HEMANT DAMODAR BORIKAR 11/07/1983

PLOT NO 621, KAWARAPETH, KAMPTEE ROAD NAGPUR Nagpur

Maharashtra 440012 Nagpur Nagpur Maharashtra 440012 NAGPUR NO - 26/08/2014 26/08/2014 26/06/2017

8276650 60021807 FGG VIJENDRA NAMDEO 12/03/1979

1504 KANCH GHAR JHANDA CHOWK JABALPUR Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR YES

LIFE INSURANCE

CORPORATION 02/09/2013 02/09/2013 09/09/2016

8661562 60021809 FGG RAHUL S. GARADE 31/10/1977

SIDDHARTH CREATION SR NO. 57/B AZAD NAGAR WAWADI PUNE

Pune Maharashtra 411041 Pune Pune Maharashtra 411023 PUNE NO - 28/07/2014 28/07/2014 21/06/2017

8671765 60021818 FGG NADAGOUDAR H.B. 01/06/1964

Basavanagar Mudhol Mudhol Bagalkot Karnataka

587313 Bagalkot Bagalkot Karnataka 587313 HUBLI NO - 01/08/2014 01/08/2014 26/06/2017

8671735 60021820 FGG POONAM SHARMA 25/07/1982 RZ-58G Gali No-8 Tughlakabad Extn Delhi Delhi 110019 South South Delhi 110019 CONNAUGHT PLACENO - 19/06/2014 19/06/2014 26/06/2017

1890701 60021822 FGG CHANDINI N KUMAR 20/04/1966

CHANDINI HOUSE YEMMEKERE CROSS SOUTH CANARA

Mangalore Karnataka 575001 Dakshina Kannada Dakshina Kannada Karnataka 575001 MANGALORE YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 23/12/2014 23/12/2014 08/02/2017

8671684 60021825 FGG RAVINDER SINGH 04/01/1974 D-114, Ajay Enclave,Tilak Nagar New Delhi Delhi Delhi 110018 West West Delhi 110018 CONNAUGHT PLACENO - 16/06/2014 16/06/2014 26/06/2017

8671678 60021826 FGG RAVINDER SINGH 10/08/1970 F-994 Block-F Mansarover Garden Delhi Delhi Delhi 110015 West West Delhi 110015 CONNAUGHT PLACENO - 16/06/2014 16/06/2014 26/06/2017

8671672 60021827 FGG MANJU THAKKAR 11/10/1973

A-14, Retreat Apartment, Plot No 20, I P Extension New Delhi

Delhi Delhi 110092 East East Delhi 110092 CONNAUGHT PLACENO - 19/06/2014 19/06/2014 26/06/2017

8671640 60021829 FGG SUMAIYA AZFAR 12/11/1970

115, Abul Fazal Apartments, Vasundhara Enclave, Delhi Delhi

Delhi 110096 East East Delhi 110096 CONNAUGHT PLACENO - 19/06/2014 19/06/2014 26/06/2017

8671618 60021831 FGG TERANCE AJAI KUMAR 11/08/1975

GLOBAL FINANCIAL SERVICE, 2ND FLOOR JAYAVERMA CENTRE

MALLIKATTA MANGALORE DAKSHINA KANNADA Mangalore

Karnataka 575002 Dakshina Kannada Dakshina Kannada Karnataka 575002 MANGALORE NO - 23/06/2014 23/06/2014 26/06/2017

8671610 60021832 FGG KIRAN BIRENDRANATH PANDEY 25/10/1976

Flat: D - 604, 6th Floor, Plot: 92 to 96 Panchavati Hsg Socy, Sector -

5, Ghansoli, Thane Maharashtra 400701 Thane Thane Maharashtra 400701 VASHI NO - 22/04/2014 22/04/2014 26/06/2017

8450571 60021833 FGG SHAH DIPAKKUMAR K. 20/07/1973

Aviskar Complex Opp Arts College Greed Chowkadi Anand

Gujarat 388001 Anand Anand Gujarat 388001 ANAND YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 14/04/2014 14/04/2014 03/01/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

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License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8671557 60021834 FGG MODI KHUSBU RAJESH 13/08/1992

32,nilkanth nagar, GHB,sevashram road, bharuch Bharuch

Gujarat 392001 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 19/05/2014 19/05/2014 26/06/2017

3402193 60021835 FGG GAZALA PRAVEEN ANSARI 03/05/1973

Room No 1485 Gate 8 Chawl 159 MHB Colony Malavani Malad W

Mumbai, Mumbai Maharashtra 400095 Mumbai Mumbai Maharashtra 400095 ANDHERI NO - 24/07/2013 24/07/2013 29/06/2016

129388 60021859 FGG BHARAT PRADYUMAN DAMANI 31/08/1971

Shop No. 9, Govardhan Nagar, Opp. Poisar Gumkhana, Kandivali

West Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 15/09/2012 15/09/2012 10/11/2015

8680974 60021860 FGG ARTI NARESH SANGHAVI 25/09/1962

9, Triveni Bldg Vallabh Baug lane (Extn) Ghatkopar (E) MUMBAI

Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 13/10/2014 13/10/2014 29/06/2017

8685758 60021879 FGG GUMMALLA SUBBARAO 05/07/1979

4-333/1 SATYANARAYANA PURAM ONGOLE Prakasam

Andhra Pradesh 523001 Prakasam Prakasam Andhra Pradesh 523001 VIJAYAVADA NO - 07/07/2014 07/07/2014 03/07/2017

8685755 60021880 FGG TEJAL NITIN DHARAMSHI 06/09/1989

F 6 RANDEEP COLONY (F) LAL BAHADUR SHASTRI MARG

BHANDUP WEST Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400078 GHATKOPAR NO - 20/05/2014 20/05/2014 03/07/2017

8685745 60021881 FGG PATRICK SYDNEY MCGHEE 04/11/1978

B-409, 4th Floor, dheeraj Garden Chs Poonam Nagar Andheri (E)

Mumbai Maharashtra 400093 Mumbai Mumbai Maharashtra 400093 ANDHERI NO - 27/06/2014 27/06/2014 03/07/2017

1995358 60021883 FGG KAJAL SHAH 16/10/1976

10 Vasant Niwas No 2 Morvi Lane Mumbai Mumbai

Maharashtra 400007 Mumbai Mumbai Maharashtra 400007 VASHI NO - 15/05/2014 15/05/2014 06/06/2017

2840534 60021884 FGG SAKSHI ANAND 28/09/1982 65/36 NEW ROHTAK ROAD NORTH Delhi Delhi 110005 Central Central Delhi 110005 WEST DELHI YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 01/02/2013 01/02/2013 17/12/2015

8225904 60021885 FGG LAGAD SANDIP NARAYAN 02/01/1982

AT POST KONDHAPURI TAL SHIRUR PUNE Pune

Maharashtra 412209 Pune Pune Maharashtra 412209 PUNE YES

LIFE INSURANCE

CORPORATION 06/08/2013 06/08/2013 12/08/2016

8685256 60021886 FGG SHEETAL NILESHKUMAR PANWALA 20/10/1980

107, SWAPNIL ROW HOUSE B/H RAJHANS CINEMA, PIPLOD

SURAT Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 09/06/2014 09/06/2014 03/07/2017

8685246 60021887 FGG CHALIAWALA KAVITA SAGAR 02/11/1985

27, BHAGAWAN PARK SOC., NR MORARJI GARDEN, ADAJAN

SURAT Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT NO - 07/07/2014 07/07/2014 03/07/2017

8685355 60021888 FGG TANISH KUMAR BHURAT 16/07/1991

501, PARITOSH APPARTMENT CITY LIGHT ROAD SURAT Surat

Gujarat 395002 Surat Surat Gujarat 395002 SURAT NO - 30/06/2014 30/06/2014 03/07/2017

8688744 60021904 FGG MEGHA BHASIN 17/03/1987 T-3; T Block Sukhar Bazar Uttam Nagar Delhi Delhi Delhi 110059 West West Delhi 110059 WEST DELHI NO - 16/05/2014 16/05/2014 05/07/2017

8685165 60021905 FGG RISHI RAJ THAPA 28/05/1972

202,Sector-16A Vasundhara Ghaziabad Ghaziabad Uttar

Pradesh 201012 Ghaziabad Ghaziabad Uttar Pradesh 201012 CONNAUGHT PLACENO - 19/06/2014 19/06/2014 03/07/2017

8688812 60021907 FGG SHILPA JANMEJAY MOGHE 07/02/1978

52/south harinagar society, gotri road, Vadodara Gujarat

390007 Vadodara Vadodara Gujarat 390007 BARODA NO - 02/05/2014 02/05/2014 05/07/2017

5580604 60021910 FGG AMIT ARORA 08/10/1975 J3/58b 2nd floor J block Rajouri Garden Delhi Delhi 11--27 West West Delhi 110027 CONNAUGHT PLACENO - 30/04/2013 30/04/2013 19/07/2015

8689579 60021912 FGG VOHRA OVESH S. 14/09/1989 citizen society, nr.royal plaza, anand Anand Gujarat 388001 Anand Anand Gujarat 388001 ANAND NO - 05/06/2014 05/06/2014 05/07/2017

8685168 60021923 FGG SURJEET SINGH 02/06/1983 21/24 Savitri Nagar New Delhi Delhi Delhi 110017 South South Delhi 110017 CONNAUGHT PLACENO - 07/07/2014 07/07/2014 03/07/2017

8685201 60021926 FGG NAYAK MINAL DINESHKUMAR 06/02/1988

3- Balaji Darshan Golden Nest Cross Rd Bhayandar (E) Thane

Maharashtra 401105 Mumbai Mumbai Maharashtra 400092 ANDHERI NO - 21/07/2014 21/07/2014 03/07/2017

8685205 60021927 FGG TEHSEEN BANU KARIMUDDIN SHAIKH 07/12/1988

B- 209 Hira Apartment R N P Park Bhayandar (e) Thane

Maharashtra 401105 Thane Thane Maharashtra 401105 ANDHERI NO - 07/07/2014 07/07/2014 03/07/2017

8685332 60021929 FGG MANOHAR S TIMASANI 25/08/1975

Maharaja Colony Opp Apmc Yard Mudhol Bagalkot

Karnataka 587313 Bagalkot Bagalkot Karnataka 587313 HUBLI NO - 04/07/2014 04/07/2014 03/07/2017

8685361 60021931 FGG JAYNI MAHENDRA DEDHIA 01/11/1984

16/53, WELFARE TERRACE, 3RD FLOOR, SCHEME NO-6, ROAD NO-

4, SION EAST, Mumbai Maharashtra 400022 Mumbai Mumbai Maharashtra 400022 GHATKOPAR NO - 04/07/2014 04/07/2014 03/07/2017

1319885 60021936 FGG MOHINDER PAL MAHAJAN 03/04/1948

H.NO.248,MIRPUR COLONY,PATHANKOT DISTT.GURDASPUR

Gurdaspur Punjab 145001 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR YES

LIFE INSURANCE

CORPORATION 04/06/2012 04/06/2012 19/08/2015

8692980 60021937 FGG G. CHANDNI 12/11/1989

Old No 14, New No7, Thulasingam Street, Sowcarpet Chennai

Tamil Nadu 600014 Chennai Chennai Tamil Nadu 600014 CHENNAI NO - 20/05/2014 20/05/2014 07/07/2017

8692329 60021939 FGG SARITA BABU SAYANNA 25/09/1985

GNG-A,187/1/14, SHASTRI NAGAR, DHARAVI Mumbai

Maharashtra 400017 Mumbai Mumbai Maharashtra 400017 GHATKOPAR NO - 20/05/2014 20/05/2014 07/07/2017

8036469 60021940 FGG JYOTSANA SANGHI 22/08/1983

25 Palasia Main Road INDORE Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE YES

HDFC STD LIFE

INSURANCE CO. LTD. 21/10/2013 21/10/2013 22/03/2016

8692306 60021945 FGG MANISH SRIVASTAVA 14/11/1978

P-235 Nehru Enclave Gomti Nagar Lucknow Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW YES

LIFE INSURANCE

CORPORATION 15/07/2014 15/07/2014 07/07/2017

5280261 60021948 FGG S. SRINIVAS RAJU 12/06/1963

FLAT NO 447, RANKA COURT APPARTMENTS, 18 CAMBRIDGE

ROAD, ULSOOR Bangalore Karnataka 560008 Bangalore Bangalore Karnataka 560008 BANGALORE YES

RELIANCE LIFE

INSURANCE 16/02/2015 16/02/2015 22/03/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8695889 60021951 FGG K. NAVANEETHA SELVARAJ 24/04/1965

54 Rainbow Enclave East vinayagar koil street mailkal

kuniyamuthur Coimbatore Tamil Nadu 641008 Coimbatore Coimbatore Tamil Nadu 641008 COIMBATORE NO - 09/06/2014 09/06/2014 10/07/2017

5878424 60021955 FGG NEKKALA SRINU 01/01/1981

LIC AGENT (671) D.NO.40-50-4/4,SANTHOSH NAGAR

KAILASAPURM Visakhapatnam Andhra Pradesh 530024 Visakhapatnam Visakhapatnam Andhra Pradesh 530024 VIZAG YES

LIFE INSURANCE

CORPORATION 09/02/2013 09/02/2013 08/11/2015

8697879 60021956 FGG DONAKA RAJU 23/09/1981

#3-5-71, G A COLONY, NEAR BHPV, VISAKHAPATNAM GA COLONY

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 530012 Visakhapatnam Visakhapatnam Andhra Pradesh 530012 VIZAG NO - 11/06/2014 11/06/2014 11/07/2017

8697852 60021958 FGG JAGADEESWARI N. 01/08/1971

#4-3-1, KOTHAAGRAHARAM, SECOND LANE, OPP BPMMH

SCHOOL VIZIANAGARAM Vizianagaram Andhra Pradesh

535002 VIZIANAGARAM VIZIANAGARAM Andhra Pradesh 535002 VIZAG NO - 22/07/2014 22/07/2014 11/07/2017

8697838 60021959 FGG KOTTA RAMA MURTHY 30/05/1955

50-16-14 RAJESNDRA NAGAR SEETHAMMAPETA Visakhapatnam

Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 11/06/2014 11/06/2014 11/07/2017

8264832 60021960 FGG RAVI KUMAR PUTTAPU 18/03/1976

31-21-34, VENKATESWARA METTA NARAYANA STREET

Visakhapatnam Andhra Pradesh 530004 Visakhapatnam Visakhapatnam Andhra Pradesh 530004 VIZAG YES BIRLA SUN LIFE 10/01/2014 10/01/2014 03/09/2016

8697765 60021964 FGG SANGHAMITRA JENA 05/01/1979

HARICHANDANPUR K B ROAD LAKHIMPUR Lakhimpur

Assam 787001 Lakhimpur Lakhimpur Assam 787001 CUTTACK NO - 17/11/2014 17/11/2014 11/07/2017

8697747 60021966 FGG SANGEET JAIN 21/09/1974

MAIN ROAD NEAR SHANKER MANDIR, BARGI JABALPUR Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 24/07/2014 24/07/2014 11/07/2017

8697744 60021967 FGG SIKATA DAS 28/06/1975

Plot No-112B Plot No-112B,Surya Nagar,Bhubaneswar

Bhubaneswar BHUBANESHWAR Odisha 751001 Khordha Khordha Orissa 751003 BHUBANESWAR NO - 30/06/2014 30/06/2014 11/07/2017

8697736 60021968 FGG PRADIPTA KUMAR MOHANTY 19/05/1972

Bhimatangi H.B. Colony,Bhimatangi Bhubaneswar Khurda

BHUBANESHWAR Odisha 751003 Khordha Khordha Orissa 751003 BHUBANESWAR NO - 30/06/2014 30/06/2014 11/07/2017

8700253 60021977 FGG NIKHIL DEVARAJ 08/12/1989

NO 84/10 4TH CROSS 6 TH MAIN MICO LAYOUT VIJAYNAGAR

BANGALORE Bangalore Karnataka 560040 Bangalore Bangalore Karnataka 560040 VIJAYNAGAR NO - 09/05/2014 09/05/2014 12/07/2017

8700250 60021978 FGG ANITA GUPTA 01/01/1972

House No A-17 A Block Mansa Ram Park Uttam Nagar Delhi Delhi

110081 North West North West Delhi 110081 WEST DELHI NO - 20/05/2014 20/05/2014 12/07/2017

8700589 60021979 FGG K. LAKSHMI 28/08/1992

NI.1/33, 4TH AVENUE BANU NAGAR AMBATTUR Chennai

Tamil Nadu 600053 Thiruvallur Thiruvallur Tamil Nadu 600053 CHENNAI NO - 20/05/2014 20/05/2014 13/07/2017

8700543 60021981 FGG UMA ASHOK 22/06/1978

DOOR NO.4 PALLAVAN NAGAR VILLIWAKKAM Chennai

Tamil Nadu 600010 Chennai Chennai Tamil Nadu 600010 CHENNAI YES

LIFE INSURANCE

CORPORATION 15/07/2014 15/07/2014 13/07/2017

8700514 60021983 FGG SANDEEP DILIP KHATRI 27/06/1976

OPP ARANESHWAR MANDIR YASHTARA SOCIETY ARYANESHWAR

PUNE Pune Maharashtra 411019 Pune Pune Maharashtra 411019 PUNE NO - 08/09/2014 08/09/2014 13/07/2017

285647 60021984 FGG SUBRAMANIAM KRISHNAN 10/05/1954

FLAT NO. 11, PLOT NOS 71/74, TEMPLE VIEW C.H.S., CHHEDA

NAGAR, CHEMBUR MUMBAI 400089 CHEMBUR Mumbai

Maharashtra 400089 Mumbai Mumbai Maharashtra 400089 GHATKOPAR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 11/10/2013 11/10/2013 29/10/2016

8700226 60021985 FGG BINAL D SHAH 05/10/1974

MAHAVIR MENSION, FLAT NO. 6 2nd KHATTAR GALLI 21

THAKURDWAR ROAD MUMBAI Mumbai Maharashtra

400002 Mumbai Mumbai Maharashtra 400002 GHATKOPAR NO - 16/05/2014 16/05/2014 12/07/2017

8700185 60021987 FGG ARCHANA VISHWAS MULGUND 28/08/1956

1/6, AANCHAL APPARTMENT OPP. RAJPATH RAW HOUSE

SATELLIE Ahmadabad Gujarat 380054 Ahmadabad Ahmadabad Gujarat 380054 AHMEDABAD NO - 02/06/2014 02/06/2014 12/07/2017

8699943 60021996 FGG JYOTI ASHISH AGGARWAL 13/10/1984

19/21 , Vijay Mahal, 5th floor, D Road, churchgate, Mumbai

Maharashtra 400020 Mumbai Mumbai Maharashtra 400020 FORT NO - 23/06/2014 23/06/2014 12/07/2017

8699923 60021997 FGG RADHIKA AGGARWAL 13/12/1988

1403 - A Highland Park Off New Link Road, Lokhandwala Complex

Andheri West Mumbai Maharashtra 400053 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 01/08/2014 01/08/2014 12/07/2017

8703967 60022009 FGG SONAL A MEHTA 25/09/1969

C-2-406, YOGIDEEP CHS LTD YOGI NAGAR EKSAR ROAD BORIVALI

WEST MUMBAI Mumbai Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 ANDHERI NO - 11/08/2014 11/08/2014 14/07/2017

8703963 60022010 FGG NINDERPAL SINGH 24/06/1989

Vill Nurpur jatttan PO Nurpur Lubhana The Dhilwan Kapurthala

Punjab 144601 Kapurthala Kapurthala Punjab 144601 JALANDHAR NO - 26/08/2014 26/08/2014 14/07/2017

8409204 60022015 FGG KATHYAYINI RAVINDRA RAO 30/04/1972

B 002 Bansuri Chs Sector 1 Vasant Nagri Vasai East Vasai (E)

Thane Maharashtra 401208 Thane Thane Maharashtra 401601 ANDHERI YES BIRLA SUN LIFE 30/12/2013 30/12/2013 07/12/2016

8703923 60022017 FGG SAMIR J NACHANE 11/06/1974

G-103,Panchsheel Gardens, Mahaveer Nagar,Near Dhanukarwadi

Kandivali(West), Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 19/01/2015 19/01/2015 14/07/2017

8376252 60022018 FGG JANVI PRASHANT JAGYASI 17/06/1976

PLOT NO.18, JARIPATKA NAGPUR Nagpur Maharashtra

440014 Nagpur Nagpur Maharashtra 440014 NAGPUR YES

LIFE INSURANCE

CORPORATION 12/09/2013 12/09/2013 15/11/2016

8703880 60022020 FGG ARIF TAJMOHMMAD SHEIKH 02/02/1983

AT-SATNNAWARI, POST-BAJARGOAN, AMRAVATI ROAD,

SATNAWARI NAGPUR Nagpur Maharashtra 440023 Nagpur Nagpur Maharashtra 440023 NAGPUR NO - 06/10/2014 06/10/2014 14/07/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8703870 60022021 FGG DIPIKA PATNI 15/01/1986

936, Sudama Nagar, INDORE Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 28/05/2014 28/05/2014 14/07/2017

8703860 60022023 FGG BHARTI KUSHAWAHA 19/09/1980

A/M-3, Sukhliya, Indore Indore Madhya Pradesh

452010 Indore Indore Madhya Pradesh 452010 INDORE NO - 28/05/2014 28/05/2014 14/07/2017

8703753 60022024 FGG JAGDALE NANDU MACHINDRA 11/06/1981

SHOP NO B-S-41 ASHOKA NAGAR NEAR BARAMATI BANK

MUNDWA BUYPASS. CHANDANNAGAR, NAGAR ROAD PUNE

Pune Maharashtra 411014 Pune Pune Maharashtra 411014 PUNE NO - 11/06/2014 11/06/2014 14/07/2017

8703522 60022025 FGG MUKHEDKAR ARUNKUMAR G. 30/10/1954

107 NYAYMURI NAGAR N-3 CIDCO AURANGABAD Aurangabad

Maharashtra 431003 Aurangabad Aurangabad Maharashtra 431003 AURANGABAD NO - 23/06/2014 23/06/2014 14/07/2017

2868447 60022026 FGG AVINASH DESHMUKH 04/07/1968

E-447/A E SECTOR N-1 SARA NAGAR CIDCO AURANGABAD

Aurangabad Maharashtra 431005 Aurangabad Aurangabad Maharashtra 431005 AURANGABAD YES

HDFC STD LIFE

INSURANCE CO. LTD. 18/02/2013 18/02/2013 27/12/2015

8703494 60022027 FGG MANJU BANDHEL 12/01/1988

H NO.48066,VILL-MUNGWANI ,KALA, POST-MUNGWANI, SEONI,

Seoni Madhya Pradesh 480661 Chhindwara Chhindwara Madhya Pradesh 480006 JABALPUR NO - 23/06/2014 23/06/2014 14/07/2017

8708007 60022035 FGG SUDHA K. 03/07/1983

174F(73F) PUTHIGE GRAMA PANCHAVATH KASARGOD

Kasaragod Kerala 671321 Kasaragod Kasaragod Kerala 671321 MANGALORE NO - 16/07/2014 16/07/2014 18/07/2017

5329788 60022036 FGG KAMAL DUREJA 26/01/1981 252 SUBHASH NAGAR ROHTAK Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

SBI LIFE INSURANCE

COMPANY 02/11/2012 02/11/2012 14/04/2015

8708020 60022037 FGG PONNIAH .. 04/05/1965

5/34, Police Station, Back Street, M Kallupatty Peraiyur, Madurai

Tamil Nadu 625515 Theni Theni Tamil Nadu 625515 MADURAI NO - 03/12/2014 03/12/2014 18/07/2017

8638931 60022038 FGG BRIJESH ASHOKKUMAR KOBAWALA 25/01/1972

837, HIRAJAIN SOCIETY RAMNAGAR SABARMATI Ahmadabad

Gujarat 380005 Ahmadabad Ahmadabad Gujarat 380005 AHMEDABAD NO - 02/06/2014 02/06/2014 05/06/2017

5257428 60022041 FGG MANMOHAN SINGH 13/11/1979

PLOT NO. 10 BEHIND KALI MANDIR CHUNABHATTI Bhopal Madhya

Pradesh 462016 Bhopal Bhopal Madhya Pradesh 462016 BHOPAL YES MET LIFE INS CO LTD. 09/08/2012 09/08/2012 16/03/2015

5837651 60022042 FGG MALATHIPERIMELAZHAGAN .. 08/07/1973

HOUSE NO-18,RATHINAMMAL STREET THIYAGARAYA NAGAR

CHENNAI Chennai Tamil Nadu 6---24 Chennai Chennai Tamil Nadu 600024 CHENNAI NO - 28/11/2012 28/11/2012 14/10/2015

8711758 60022045 FGG KANAK KUMAR MISHRA 30/01/1975

WZ 407A GALI NO-6, SADH NAGAR, PALAM VIHAR Delhi Delhi

110046 South West South West Delhi 110046 NOIDA NO - 28/01/2015 28/01/2015 19/07/2017

8711905 60022048 FGG KASHISH AMIT GANGWANI 30/07/1981

C-4/701, Hyde Park residency Ghodbunder road Tatvagyan

Vidyapith Thane Maharashtra 400607 Thane Thane Maharashtra 400607 THANE NO - 27/06/2014 27/06/2014 19/07/2017

8708042 60022050 FGG CHABUKSWAR AAVESH AADAM 16/11/1984

H.No.3910 Naikwadi Pura Old Nashik Nasik Nashik

Maharashtra 422001 Nashik Nashik Maharashtra 422001 NASHIK NO - 05/05/2014 05/05/2014 18/07/2017

8711944 60022051 FGG DALAL JANKI PARTHESH 09/10/1981

O - 04, PRASANNA SOCIETY, NR. AAKAR SOC., PREMCHANDNAGAR

ROAD, SATELLITE, Ahmadabad Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD NO - 17/09/2014 17/09/2014 19/07/2017

8711930 60022054 FGG JITESH JAIN 07/10/1980 417, SANKET TOWER, B/H GREED, Anand Gujarat 388001 Anand Anand Gujarat 388001 ANAND NO - 05/06/2014 05/06/2014 19/07/2017

8711919 60022055 FGG RIDDHI KEYUR SHAH 30/11/1986

176/7, Dattatray Bhuvan, Sir Bhalchandra Road, Hindu Colony,

Dadar West Mumbai Maharashtra 400014 THANE THANE Maharashtra 400610 VASHI NO - 26/05/2014 26/05/2014 19/07/2017

8711910 60022057 FGG DINESH GANGJI SHAH 28/10/1944

B-1/802, Lok Everest, J D Road, Mulund West Mumbai

Maharashtra 400080 Mumbai Mumbai Maharashtra 400080 VASHI NO - 26/05/2014 26/05/2014 19/07/2017

8711781 60022060 FGG PUSHPA RATHINAM M. 30/03/1988

OLD NO.106, NEW NO.86, KARUNIGAR STREET ADHAMBAKKAM

Chennai Tamil Nadu 600088 Kancheepuram Kancheepuram Tamil Nadu 600088 CHENNAI NO - 12/05/2014 12/05/2014 19/07/2017

8708034 60022063 FGG DINESH CHAWLA 13/10/1981

C-9 Pralhad Arcade kalpataru nagar, Mumbai Agra Raod Nasik

Nashik Maharashtra 422001 Nashik Nashik Maharashtra 422009 NASHIK NO - 05/05/2014 05/05/2014 18/07/2017

8711776 60022064 FGG POOJA NAMDEO 12/08/1992

582 PHOTATAL BADHAI MOHALLA NEAR WATER TANK JABALPUR

Jabalpur Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR YES

LIFE INSURANCE

CORPORATION 19/08/2014 19/08/2014 19/07/2017

8714375 60022066 FGG VIPULKUMAR SHANTILAL PATEL 13/02/1972

AMIN NIVAS, NR.NUTAN CLUB, AT : V V NAGAR Anand Gujarat

388120 Anand Anand Gujarat 388120 ANAND YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 05/06/2014 05/06/2014 20/07/2017

5393682 60022067 FGG HIRENKUMAR GIRISHKUMAR SHAH 24/01/1978

"SHAKTI" GITANJALI NAGAR SOCIETY, NANA KUMBHNATH ROAD,

NADIAD Kheda Gujarat 387001 Kheda Kheda Gujarat 387001 NADIAD YES

LIFE INSURANCE

CORPORATION 07/04/2012 07/04/2012 19/05/2015

8714369 60022068 FGG ROBIN SETIA 26/05/1981

506/6 GALI NO.6 RAJA PARK, JAIPUR Jaipur Rajasthan

302004 Jaipur Jaipur Rajasthan 302004 JAIPUR NO - 19/08/2014 19/08/2014 20/07/2017

8722968 60022072 FGG BHAGWAN RAM NAYAL 07/06/1975

V/p Jelely Nayalan V/p Banar Banar Jodhpur Rajasthan

342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR NO - 23/06/2014 23/06/2014 25/07/2017

8722971 60022073 FGG RAJANI SHARMA 15/07/1986

612 Bahtiyon ka Bass, Shiv Bari Bikaner Bikaner Rajasthan

334001 Bikaner Bikaner Rajasthan 334001 JODHPUR NO - 21/07/2014 21/07/2014 25/07/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8723095 60022074 FGG PRITI JAYESH MEHTA 06/07/1971

392, GROUND FLOOR, ASHIRWAD VILLA NEAR ST. THOMAS

SCHOOL, BHARTHANA, NEW CITY LIGHT ROAD SURAT Surat

Gujarat 395002 Surat Surat Gujarat 395002 SURAT NO - 14/08/2014 14/08/2014 25/07/2017

8723062 60022075 FGG TARUNKUMAR D LUNIA 06/11/1984

D/602, Indraprasth Apt City Light Road Opp HDFC Bank, Surat

Surat Gujarat 395007 Surat Surat Gujarat 395007 SURAT YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 10/12/2014 10/12/2014 25/07/2017

8723019 60022076 FGG PAWANKUMAR GOPIRAM ARUKIA 05/04/1974

I-16, GHANSHYAM NAGAR SOCIETY, SUBHASH BRIDGE,OPP.RTO,

Ahmadabad Gujarat 380027 Ahmadabad Ahmadabad Gujarat 380027 BARODA NO - 26/05/2014 26/05/2014 25/07/2017

8723001 60022077 FGG RAJENDRASINH S KOSAMIYA 15/09/1974

at & post: kara, tal:valia, dist:bharuch Bharuch Gujarat

391810 Bharuch Bharuch Gujarat 393125 BHARUCH NO - 04/07/2014 04/07/2014 25/07/2017

8722704 60022079 FGG VIVEK KAUSHAL 08/12/1976 H.No. 53 Nai Abadi Hoshiarpur Hoshiarpur Punjab 146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR NO - 30/06/2014 30/06/2014 25/07/2017

8725423 60022085 FGG NAVJOT KAUR 23/09/1992

244/1, VPO MOHALI MOHALI Sahibzada Ajit Singh Nagar Punjab

160055 Rupnagar Rupnagar Punjab 160055 CHANDIGARH NO - 01/08/2014 01/08/2014 26/07/2017

8725235 60022086 FGG ANEESH S. R. 18/03/1988

MELEMANKOOTTATHU PUTHEN VEEDU,edakode NEMOM

TRIVANDRUM Thiruvananthapuram Kerala 695020 Thiruvananthapuram ThiruvananthapuramKerala 695020 TRIVANDRAM NO - 28/01/2015 28/01/2015 26/07/2017

8725207 60022088 FGG SANTHOSH KUMAR V.S. 30/05/1977

Kannamangalam,Pappanamcode p.o Kaimanam Pappanamcode

Trivandrum Thiruvananthapuram Kerala 695018 Thiruvananthapuram ThiruvananthapuramKerala 695018 TRIVANDRAM NO - 11/08/2014 11/08/2014 26/07/2017

8725196 60022089 FGG M.R. SUNITHA 30/05/1980

10809(161),J.S Bhavan2,Kottakkakom, Kulathoor Grama

Panchayath Kottakkakom Neyyattinkara Thiruvananthapuram

Kerala 695506 Thiruvananthapuram ThiruvananthapuramKerala 695506 TRIVANDRAM NO - 11/08/2014 11/08/2014 26/07/2017

8725183 60022091 FGG THAHIRABEEVI S. 10/04/1982

Thahira Manzil,344/2,46Manikkavilakom. Manikkavilakom

Trivandrum Thiruvananthapuram Kerala 695026 Thiruvananthapuram ThiruvananthapuramKerala 695026 TRIVANDRAM NO - 11/08/2014 11/08/2014 26/07/2017

8491206 60022099 FGG VIPAN KUMAR 15/11/1979 V Plahar Po Amroh Hoshiarpur Hoshiarpur Punjab 146001 Hoshiarpur Hoshiarpur Punjab 146001 JALANDHAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 22/07/2014 22/07/2014 31/01/2017

8729078 60022100 FGG MIHIR PRAVIN NISAR 23/05/1988

B/602,Nirmal CHS,Joshi wada Behind Janam Hospital Tembhi

Naka Thane Maharashtra 400601 Thane Thane Maharashtra 400601 THANE NO - 21/07/2014 21/07/2014 27/07/2017

8728692 60022101 FGG SONIKA GUPTA 12/05/1977

421-A, Model town Extn Ludhiana Ludhiana Ludhiana

Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 19/08/2014 19/08/2014 27/07/2017

8728722 60022102 FGG DEVADAS PANDURANG MANE 01/10/1974

03/08/1607 DREAMS BHANDUP (W) Mumbai Maharashtra

400078 Mumbai Mumbai Maharashtra 400078 GHATKOPAR NO - 20/05/2014 20/05/2014 27/07/2017

8725170 60022105 FGG SOUBHAGYA KUMAR 12/09/1987

AT-HOMAYANEE,DEVINE NAGAR APARNNA NAGAR

CHAULIAGANJ Cuttack Odisha 753004 Cuttack Cuttack Orissa 753004 CUTTACK NO - 26/08/2014 26/08/2014 26/07/2017

8517872 60022110 FGG MURALI .. 19/05/1973

PL NO:24, THULASINGAR ANAICUT,ONDRIKUPPAM,

POONAMALLEE PL NO:24, THULASINGAR

ANAICUT,ONDRIKUPPAM, POONAMALLEE CHENNAI Chennai

Tamil Nadu 600056 Thiruvallur Thiruvallur Tamil Nadu 600056 ANNA NAGAR NO - 05/06/2014 05/06/2014 20/02/2017

8612032 60022111 FGG NIRMALA M. 09/04/1972

NO.298, BLOCK-1 VALAYAPATHY SALAI 2ND CROSS STREET

MUGAPPAIR Chennai Tamil Nadu 600037 CHENNAI CHENNAI Tamil Nadu 600037 ANNA NAGAR NO - 07/07/2014 07/07/2014 16/05/2017

246396 60022116 FGG VINAY TARIMALA 06/05/1970

8-3-833/A/4, FLAT 509,DIVYA SHAKTHI HOMES, KRISHNA BLOCK,

NAVODAYA COL, YELLAREDDYGUDA, HYDERABAD. Hyderabad

Telangana 500073 Hyderabad Hyderabad Andhra Pradesh 500073 HYDERABAD YES

LIFE INSURANCE

CORPORATION 25/07/2013 25/07/2013 22/11/2016

8724781 60022120 FGG SASMITA DAS 30/09/1970 Dimirisena,Bramhagiri,Puri Puri Puri Puri Odisha 752001 Puri Puri Orissa 752001 BHUBANESWAR NO - 30/06/2014 30/06/2014 26/07/2017

1464985 60022122 FGG RASHMI SHRIVASTAVA 29/11/1974

1564, SARASWATI COLONY, CHERITAL, JABALPUR Jabalpur

Madhya Pradesh 482002 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR YES

LIFE INSURANCE

CORPORATION 10/12/2012 10/12/2012 29/12/2015

8738510 60022124 FGG SUMANA V SHENOY 04/01/1975

NO-803 8TH FLOOR VAJRESHWARI APARTMENTS MANGALORE

Mangalore Karnataka 575001 Dakshina Kannada Dakshina Kannada Karnataka 575001 MANGALORE NO - 09/12/2014 09/12/2014 01/08/2017

8738857 60022129 FGG SANTHOSH N.R. 05/09/1971

403-A WING NEAR SAI BABI TEMPLE LADYHIL MANGALORE

Dakshina Kannada Karnataka 575003 Dakshina Kannada Dakshina Kannada Karnataka 575003 MANGALORE NO - 09/12/2014 09/12/2014 01/08/2017

8725092 60022131 FGG ALO DEY 20/12/1982

2/1A DR. B C ROY SARANI, RAIGANJ, NORTH DINAJPUR, RAIGUNJ

West Dinajpur West Bengal 733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 DURGAPUR NO - 28/07/2014 28/07/2014 26/07/2017

8725066 60022133 FGG JHUMA HUI 06/02/1974

P. O. & VILL. SONAPURHAT BLOCK CHOPRA DIST. UTTAR DINAJPUR

RAIGUNJ UTTAR DINAJPUR West Dinajpur West Bengal

733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 DURGAPUR NO - 28/07/2014 28/07/2014 26/07/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8724815 60022135 FGG SANDIP GHOSH 01/01/1975

P. O. & VILL. SONAPURHAT BLOCK CHOPRA DIST. UTTAR DINAJPUR

RAIGUNJ UTTAR DINAJPUR West Dinajpur West Bengal

733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 DURGAPUR NO - 22/12/2014 22/12/2014 26/07/2017

8724807 60022136 FGG SATYA RANJAN KHANRA 28/05/1945

63 LENIN SARANI, DUNLOP MORE P.O. BALURGHAT DIST U

DINAJPUR, RAIGUNJ West Dinajpur West Bengal 733211 Uttar Dinajpur Uttar Dinajpur West Bengal 733211 DURGAPUR NO - 22/12/2014 22/12/2014 26/07/2017

8390592 60022141 FGG KEDAR B RANADE 25/08/1981

B 8 NAVKAR VATIKA DUPLEX BH POONAM COMPLEX WADHODIA

ROAD Vadodara Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA NO - 21/10/2013 21/10/2013 24/11/2016

8741179 60022149 FGG NAGA SWETHA BOLLU 25/07/1990

#C-80/1 #C-80/1,RYTHU PETA,NEAR HERO HONDA SHOOW

ROOM,NANDIGAMA NANDIGAMA Krishna Andhra Pradesh

521185 Krishna Krishna Andhra Pradesh 521185 VIJAYAVADA NO - 08/09/2014 08/09/2014 02/08/2017

8739936 60022152 FGG ARVIND RAMESH GURNANI 01/12/1976

Flat No 704,7th Floor,Rose Blossom, RBR Road, Yogi Hills,

Swapnanagri Mulund (W) Mumbai Maharashtra

400050 Mumbai Mumbai Maharashtra 400050 THANE NO - 09/12/2014 09/12/2014 02/08/2017

5078009 60022154 FGG GURBIR SINGH OBEROI 03/11/1960

SC-212 SHSHTRI NAGAR GHAZIABAD Ghaziabad Uttar

Pradesh 201002 Ghaziabad Ghaziabad Uttar Pradesh 201002 NOIDA YES MET LIFE INS CO LTD. 09/02/2015 09/02/2015 26/01/2018

8305415 60022158 FGG PARESHKUMAR GUNVANTRAI BAROT 09/03/1967

A/51, Abiram Nagar Society Shastri Road, Bardoli, Surat Surat

Gujarat 394601 Surat Surat Gujarat 395001 SURAT YES

LIFE INSURANCE

CORPORATION 29/08/2013 29/08/2013 27/09/2016

3625943 60022159 FGG ARABASTANI VIBHUTIBEN 24/10/1972

A-11, NEMNATH NAGAR, TADWDI, (GORAT), RANDER ROAD,

Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES SBI LIFE INS. CO. 24/12/2013 24/12/2013 05/10/2016

5705871 60022160 FGG RAHUL VIJAYKUMAR MEHTA 30/06/1979

50 SANSKAR NAGAR SOCIETY NR HOMEOPATHIC COLLEGE BHATAR

ROAD SURAT Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT YES

HDFC STD LIFE

INSURANCE CO. LTD. 18/06/2013 18/06/2013 26/08/2015

8740112 60022163 FGG PARVINDER SINGH KHURANA 06/03/1975 G-14/15 1st Floor, Kirti Nagar, New Delhi Delhi Delhi 110015 West West Delhi 110015 CONNAUGHT PLACENO - 01/08/2014 01/08/2014 02/08/2017

8740210 60022172 FGG TRILOK GUPTA 07/11/1970 a4/70 block a-4 new kondli Delhi Delhi 110096 East East Delhi 110096 FARIDABAD NO - 21/07/2014 21/07/2014 02/08/2017

8740200 60022174 FGG MADHUR JUNEJA 02/04/1977

h no-13 ward no-34 jain colony ballabgarh Faridabad

Haryana 121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 27/10/2014 27/10/2014 02/08/2017

2416314 60022178 FGG MUTHA SHRENIKRAJ 19/04/1967

9-50/81 HALISGAR SHAHAPUR-585223 SHAHAPUR YADGIR

Gulbarga Karnataka 585223 Gulbarga Gulbarga Karnataka 585223 HUBLI YES

LIFE INSURANCE

CORPORATION 23/07/2012 23/07/2012 16/05/2015

8740180 60022180 FGG MOHAMMED NAYEEM DHARWAD 23/06/1986

5 TH CROSS FATESHANAGAR PLOT NO-136 ANAND NAGAR ROAD

HULBI -580024 DHARWAD DHARWAD Dharwad Karnataka

580024 Dharwad Dharwad Karnataka 580024 HUBLI NO - 19/08/2014 19/08/2014 02/08/2017

8740170 60022182 FGG SYED MOINUDDIN KHADRI 03/02/1989

NO.3, LATHIF COLONY, 2ND STREET ZAMIN PALLAVARAM

Chennai Tamil Nadu 600043 Kancheepuram Kancheepuram Tamil Nadu 600043 CHENNAI NO - 11/08/2014 11/08/2014 02/08/2017

8740152 60022188 FGG NEERAJ SHARMA 23/04/1987

178, New Bharat Nagar, Batala Road, Amritsar Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 28/07/2014 28/07/2014 02/08/2017

3523141 60022189 FGG POORNANAND BALAKRISHNA SHELLIK 30/12/1978

76 RAGHAVENDRA COLONY RC NAGAR, BELGAUM Belgaum

Karnataka 590006 Belgaum Belgaum Karnataka 590006 HUBLI YES

BaJAJ ALLIANZ LIFE

INSURANCE 29/01/2014 29/01/2014 23/08/2016

8739809 60022191 FGG NAGSHETTY G PATIL 01/01/1972

House No 12-1-322,Channabasawa Nagar, Behind Karnataka

Comm. College, Aurad Bidar Bidar Karnataka 585401 Bidar Bidar Karnataka 585401 HUBLI NO - 19/08/2014 19/08/2014 02/08/2017

1884915 60022232 FGG PUTHRAN HIRIYANNA JARAPPA 13/03/1946

SHREE GURUDEV 4TH MAIN ROAD, GOPALPURA SANTHEKATTE

POST Udupi Karnataka 576105 Udupi Udupi Karnataka 576104 MANGALORE NO - 30/01/2014 30/01/2014 31/01/2017

8744915 60022233 FGG SURESH KUMAR 09/08/1962

26TH FLOOR, SHREEPATI ARCADE A K MARG NANA CHOWK

Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI YES

LIFE INSURANCE

CORPORATION 01/08/2014 01/08/2014 04/08/2017

1859270 60022236 FGG ROHIT ANAND 17/12/1985

3112-1 ADITYA COLONY NARBADA ROAD JABALPUR Jabalpur

Madhya Pradesh 482002 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR NO - 14/11/2013 14/11/2013 22/12/2016

8753592 60022240 FGG NAVEEN GUPTA 05/07/1978

1628a New telephone exchange Thana Area thana road Part1

Delhi Delhi 110043 South West South West Delhi 110043 CONNAUGHT PLACENO - 01/09/2014 01/09/2014 10/08/2017

8081748 60022243 FGG JAY ARVIND KORADIA 15/02/1980

65230065 LBS MARG MULUND Mumbai Maharashtra

400080 Mumbai Mumbai Maharashtra 400080 BORIVALI NO - 17/11/2014 17/11/2014 09/05/2016

8745013 60022272 FGG UDHAYAKUMAR N. 19/05/1988

114, AMBATHKAR STREET THONDOR VILLAGE, MELVOLAKKUR

POST GINGEE TALUK Viluppuram Tamil Nadu 604203 Viluppuram Viluppuram Tamil Nadu 604203 ANNA NAGAR NO - 01/08/2014 01/08/2014 04/08/2017

8756318 60022274 FGG G. NANDAKUMAR 13/01/1972

H NO 34 BALAJI GARDENS THUDIIALUR Coimbatore Tamil

Nadu 641029 Coimbatore Coimbatore Tamil Nadu 641029 COIMBATORE NO - 09/06/2014 09/06/2014 11/08/2017

8756308 60022276 FGG JEETENDRA DILIPSINGH HANDE 24/12/1976

AMBICA NIVAS, WADI, BHATWADA, Vadodara Gujarat

390001 Vadodara Vadodara Gujarat 390001 BARODA NO - 28/05/2014 28/05/2014 11/08/2017

8756303 60022277 FGG BHARTI BHARAT VANJANI 26/05/1972 342, Sharad Nagar, Tarsali, Vadodara Gujarat 390009 Vadodara Vadodara Gujarat 390009 BARODA NO - 05/06/2014 05/06/2014 11/08/2017

8756295 60022278 FGG S HANUMANTH REDDY 10/12/1981

12-11-629/188/B, LN Nagar Warasiguda Secunderabad

Hyderabad Telangana 500061 Hyderabad Hyderabad Telangana 500061 HIMAYATHNAGAR YES

SBI LIFE INSURANCE

COMPANY 24/09/2014 24/09/2014 11/08/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8756108 60022279 FGG P. VARALAXMI 25/02/1977

12-7-162/2/A, Mettuguda Secunderabad Rangareddy Telangana

500017 Hyderabad Hyderabad Andhra Pradesh 500017 KUKKATPALLY NO - 11/08/2014 11/08/2014 11/08/2017

8754049 60022280 FGG PRASHANT GOPINATH PAWAR 16/12/1980

ROOM NO. 7 PAWAR CHAWL KEVNIPADA, JOGESHWARI (W)

Mumbai Maharashtra 400102 Mumbai Mumbai Maharashtra 400102 GHATKOPAR NO - 14/08/2014 14/08/2014 10/08/2017

8756837 60022283 FGG JASBIR SINGH UPPAL 20/08/1977

NEAR HERO PUCH SHOWROOM, SARI NAGAR ROAD, AJMER

Ajmer Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

MAX LIFE INSURANCE

CO.LTD. 31/07/2014 31/07/2014 12/08/2017

5865005 60022285 FGG TEMGHARE SMITA 24/10/1980

B-8, AKSHAY VILLA, NR NIRMAL TOWNSHIP, SONCITY ROAD, Pune

Maharashtra 411051 Pune Pune Maharashtra 411051 PUNE YES SBI LIFE INS. CO. 29/09/2012 29/09/2012 30/10/2015

8756734 60022293 FGG ASHISH GAUTAM 10/08/1987

129/28 Jawahar Nager Sonepat Sonipat Haryana

131001 Sonipat Sonipat Haryana 131001 ROHTAK NO - 01/09/2014 01/09/2014 12/08/2017

8756700 60022296 FGG JYOTI S HIREMATH 08/06/1980

KHB COLONY A/P & TQ DANDELI DANDELI Uttara Kannada

Karnataka 581325 Uttara Kannada Uttara Kannada Karnataka 581325 HUBLI NO - 19/08/2014 19/08/2014 12/08/2017

8756666 60022297 FGG SELOT PRIYANKA S. 13/01/1990

S.NO.6/A9 SAIPRASAD C/O DR.NAPHADE ABHINAV FINANCIAL

SERVICES OPP INCOME TAX OFFICE LANE NO. 14 PRABHAT ROAD

ERANDAWANE Pune Pune Maharashtra 411004 Pune Pune Maharashtra 411038 PUNE NO - 08/09/2014 08/09/2014 12/08/2017

8759199 60022306 FGG T. MANJANNA 22/07/1958

G-5, Rajashree Apts 4th block jaynagar 18/57, srk garden

Bangalore Karnataka 560041 Bangalore Bangalore Karnataka 560041 BANGALORE NO - 14/08/2014 14/08/2014 16/08/2017

2135701 60022308 FGG KHAMBHAYATA SAMIR B. 18/01/1983

21- SAIBABA PARK, KALAWAD ROAD, B/H.WATER TANK, RAJKOT

Rajkot Gujarat 360005 Rajkot Rajkot Gujarat 360005 RAJKOT YES

LIFE INSURANCE

CORPORATION 22/07/2014 22/07/2014 04/10/2017

8756681 60022324 FGG NARENDRA SINGH 01/05/1986

207/42/1 prakesh mohalla gardhi lajpat nager Delhi Delhi

110024 South South Delhi 110024 CONNAUGHT PLACEYES

ICICI PRUDENTIAL LIFE

INSURANCE 13/10/2014 13/10/2014 12/08/2017

8764873 60022325 FGG GANESH M. 21/04/1982

NO FA-635 2ND FLOOR HAL TOWNSHIP MARATHALLI,AIRPORT

ROAD BANGALORE Bangalore Karnataka 560037 Bangalore Bangalore Karnataka 560037 R.T.NAGAR NO - 08/09/2014 08/09/2014 18/08/2017

1458301 60022329 FGG SAJEESH MELOTTIL 31/05/1975 Vasu Nivas Peruvallur PO Kondotty Malappuram Kerala 673638 Malappuram Malappuram Kerala 673638 CALICUT YES

LIFE INSURANCE

CORPORATION 06/11/2012 06/11/2012 30/10/2015

8756629 60022331 FGG SANDESH .. 14/05/1989

#6-6/9B kodical mangalore Dakshina Kannada Karnataka

575006 Dakshina Kannada Dakshina Kannada Karnataka 575006 MANGALORE NO - 14/10/2014 14/10/2014 12/08/2017

8352126 60022332 FGG SHIVAPRASAD .. 07/03/1986

Kodange House Jodumarga Post B Moda Bantwala B Moda

Bantwala Dakshina Kannada Karnataka 574237 Dakshina Kannada Dakshina Kannada Karnataka 574237 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/06/2014 19/06/2014 27/10/2016

5767204 60022337 FGG KUKKUNDOOR NARAYANA NAYAK 14/03/1964 156-1 MUNCIPAL BLOCK NO-06 KARKALA Udupi Karnataka 574104 Udupi Udupi Karnataka 574104 MANGALORE YES

LIFE INSURANCE

CORPORATION 09/11/2012 09/11/2012 16/09/2015

8766778 60022341 FGG T.S. BHANUSHEKAR 24/11/1964

#7, BULL TEMPLE STREET BASAVANAGUDI Bangalore

Karnataka 560004 Bangalore Bangalore Karnataka 560004 BANGALORE NO - 16/07/2014 16/07/2014 20/08/2017

8766777 60022342 FGG ASLAM PASHA 12/06/1978

#930, SHARABA MUNISWAMAPPA LAYOUT HOSAKOTE

BANGALROE Bangalore Karnataka 562114 Bangalore Rural Bangalore Rural Karnataka 562114 BANGALORE NO - 19/08/2014 19/08/2014 20/08/2017

500938 60022348 FGG SUDHEENDRA .. 15/07/1975

4-36, ZPC SCHOOL, KOTESHWARA WARD NO 4, UDUPI Udupi

Karnataka 576222 Udupi Udupi Karnataka 576222 MANGALORE YES

LIFE INSURANCE

CORPORATION 15/02/2014 15/02/2014 30/03/2017

8770428 60022361 FGG PRIYA .. 13/08/1976

NEW NO.32, SIVAN KOVIL STREET, THIRUVERKADU POONAMALLE

Chennai Tamil Nadu 600077 Thiruvallur Thiruvallur Tamil Nadu 600077 CHENNAI NO - 11/08/2014 11/08/2014 22/08/2017

8770414 60022362 FGG MALABEN DEVANGBHAI SHAH 29/10/1967

BLOCK NO.C,06TH FLOOR,FLAT NO.603, HAT FALIA, HARIPURA

Surat Gujarat 395003 Surat Surat Gujarat 395003 BARODA NO - 11/06/2014 11/06/2014 22/08/2017

8770409 60022363 FGG NARESH KUMAR 20/01/1983

VILL SHANADI, PO JAMTA NAHAN Sirmaur Himachal

Pradesh 173001 Sirmaur Sirmaur Himachal Pradesh173001 CHANDIGARH NO - 08/08/2014 08/08/2014 22/08/2017

8770404 60022364 FGG SHYAM SWAROOP TRIVEDI 23/08/1978

530/17 Sekhupura bada Chandganj Lucknow Lucknow

Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 26/08/2014 26/08/2014 22/08/2017

8770450 60022365 FGG JAGADEESAN K. 02/02/1992

N NO 1/498, D NO 1/368, Mugalivakkam Main Road, Chennai

Chennai Tamil Nadu 600116 Thiruvallur Thiruvallur Tamil Nadu 600116 ANNA NAGAR NO - 09/06/2014 09/06/2014 22/08/2017

8770440 60022366 FGG K. AMARSINGH 28/06/1980

8/59 EASWARAN KOIL STREET ALANDUR Chennai Tamil

Nadu 600016 Kancheepuram Kancheepuram Tamil Nadu 600016 ANNA NAGAR NO - 17/11/2014 17/11/2014 22/08/2017

8773363 60022373 FGG KAMINI JHA 25/04/1971

RT 706, Shipra Sanasiti, Ghaziabad Indirapuram Ghaziabad

Ghaziabad Uttar Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 NOIDA NO - 03/09/2014 03/09/2014 24/08/2017

8773384 60022374 FGG VIKAS SHARMA 30/08/1982 428 PKT C, Sarita Vihar, Delhi Delhi Delhi 110076 West West Delhi 110075 NOIDA NO - 01/09/2014 01/09/2014 24/08/2017

8781494 60022388 FGG HEMLATA .. 24/11/1975

NO 21/10, GANDIA MUTT ROAD, ROYAPETTAH Chennai

Tamil Nadu 600014 Chennai Chennai Tamil Nadu 600014 CHENNAI NO - 27/10/2014 27/10/2014 28/08/2017

8781488 60022389 FGG SHERITHA ROBIN 17/03/1974

DOOR NO-1/2/3,MADHA NAGAR MUGALIWAKKAM

SRIPERUMBUDUR(TK) Kancheepuram Tamil Nadu 600116 Thiruvallur Thiruvallur Tamil Nadu 600116 CHENNAI NO - 11/08/2014 11/08/2014 28/08/2017

1359363 60022391 FGG M NIRMAL KUMAR 27/07/1972

83, RAJA STREET, WALAJABATH KANCHIPURAM Kancheepuram

Tamil Nadu 0 Kancheepuram Kancheepuram Tamil Nadu 631501 CHENNAI YES BIRLA SUN LIFE 27/02/2013 27/02/2013 25/08/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8781422 60022395 FGG ANANT PRAKASH MHASKE 10/09/1970

Plot No 04 Pragati Colony,Ghati Aurangabad Aurangabad

Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD NO - 24/11/2014 24/11/2014 28/08/2017

8781416 60022396 FGG SWAPNALI AMIT PRABHUDESAI 25/12/1982

A 104, Aphrodite, Lodha Paradise, Majiwade, Thane West Thane

Maharashtra 400601 Thane Thane Maharashtra 400708 VASHI NO - 11/08/2014 11/08/2014 28/08/2017

8781051 60022397 FGG VIKRAM PRATAPBHAI KATARIA 03/01/1977

Room no 6, 1st Flr, Mahaveer Shikhar, opp Gabriel Co., LBS Marg,

Mulund West Mumbai Maharashtra 400080 Mumbai Mumbai Maharashtra 400080 VASHI NO - 26/08/2014 26/08/2014 28/08/2017

8781209 60022398 FGG SHAH JIGNA SANJAYBHAI 07/04/1983

A - 9, Bhalchandra Appts B/h. Vasna Stop Vasna Ahmadabad

Gujarat 380007 Ahmadabad Ahmadabad Gujarat 380007 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 14/08/2014 14/08/2014 28/08/2017

8781186 60022399 FGG NIRALI NIRAL SHAH 12/04/1982

3RD FLOOR, PRIYATI COMPLEX, OPP. MAHAVIR NAGAR, NR.

SHYAMAL CORSS ROADS,SATELLITE Ahmadabad Gujarat

380015 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD NO - 01/09/2014 01/09/2014 28/08/2017

8781177 60022400 FGG VISHAL A. SHAH 29/07/1989

D - 125, SAPNA NAGAR, WARD NO. 4, KUTCHH, GANDHIDHAM,

Kachchh Gujarat 370201 Kachchh Kachchh Gujarat 370201 AHMEDABAD NO - 02/06/2014 02/06/2014 28/08/2017

1063373 60022401 FGG SANGITA CHETESH SHAH 04/01/1970

304, RUKHMANI APTS; PATEL COLONY, BHAWESHWAR NAGAR,

KUT BHUJ Kachchh Gujarat 370001 Kachchh Kachchh Gujarat 370001 AHMEDABAD YES

SBI LIFE INSURANCE

COMPANY 09/03/2015 09/03/2015 27/04/2018

3081976 60022404 FGG MANISH TAYAL 13/07/1981

303 OPP JAI GOPAL INDUSTRIES KRISHNA NAGAR Bulandshahr

Uttar Pradesh 203001 Bulandshahar Bulandshahar Uttar Pradesh 203001 LUCKNOW YES BIRLA SUN LIFE 27/06/2013 27/06/2013 28/02/2016

8780914 60022405 FGG JAYSHREEBEN NARESHCHANDRA INTW 29/09/1963

PLOT NO 582, GANGA BHUVAN, ADARSH SOCIETY, ATHWALINE,

Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 07/07/2014 07/07/2014 28/08/2017

8781017 60022407 FGG ADROJA HASMUKH KANJIBHAI 01/09/1980

C-35 GITANJALI CO.OP.SOCIETY BHADKODRA-10 Bharuch

Gujarat 393002 Bharuch Bharuch Gujarat 393002 BARODA NO - 16/09/2014 16/09/2014 28/08/2017

8781008 60022408 FGG F.B. JAHAGIRDAR 06/01/1984

H NO-01 KHB COLONY J M ROAD BIJAPUR Bijapur Karnataka

586101 Bijapur Bijapur Karnataka 586101 HUBLI NO - 11/08/2014 11/08/2014 28/08/2017

8780928 60022409 FGG SANJEEV KUMAR SINGH 03/10/1979

Village Hinota, Post Shahpur, Rewa Rewa Madhya Pradesh

486001 Rewa Rewa Madhya Pradesh 486001 BHOPAL NO - 16/09/2014 16/09/2014 28/08/2017

8740314 60022410 FGG ABIRAMI .. 26/10/1976

PLOT NO.165,1ST FLOOR V V GIRI STREET, RAMAKRISHNA NAGAR

VALASARAWAKKAM Chennai Tamil Nadu 600087 Thiruvallur Thiruvallur Tamil Nadu 600087 CHENNAI NO - 14/08/2014 14/08/2014 02/08/2017

8784492 60022417 FGG KASHA MALLESH 05/05/1984

16-2-740/75/67/C, Gaddi Annaram Hyderabad Rangareddy

Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 DILSUKHNAGAR NO - 03/09/2014 03/09/2014 29/08/2017

8784481 60022418 FGG S. SANJEEV RAO 04/07/1984

#6-67, Korap[ally Karimnagar Karimnagar Telangana

505001 Karimnagar Karimnagar Andhra Pradesh 505001 HYDERABAD NO - 08/08/2014 08/08/2014 29/08/2017

8784449 60022421 FGG KOMMA SAGARIKA 26/08/1991 3-2-50, R.P Road Secundrabad Rangareddy Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 11/06/2014 11/06/2014 29/08/2017

8784433 60022422 FGG P. RAVINDER 25/08/1974

9-4-39/c/2, Old bolenpally Hyderabad Rangareddy Telangana

500011 Rangareddi Rangareddi Andhra Pradesh 500011 HYDERABAD NO - 16/06/2014 16/06/2014 29/08/2017

8784423 60022423 FGG SARVABHOTLA V.S.S. CHARAN 07/03/1980

401, Plot no-D66&67 Madhura Nagar Hyderabad Rangareddy

Telangana 500008 Rangareddi Rangareddi Andhra Pradesh 500011 KUKKATPALLY NO - 11/08/2014 11/08/2014 29/08/2017

8783991 60022424 FGG VIJAYA MAHAVIRSINH BANKAWAT 29/11/1974

24/A, Shakti Society, B/H Aavishkar Complex, Old Padra Road,

Vadodara Gujarat 390016 Vadodara Vadodara Gujarat 390015 BARODA NO - 16/09/2014 16/09/2014 29/08/2017

6006984 60022426 FGG DARSHANA MANISH THAKKAR 04/09/1974

A-1/95, SHREE AMBIKA NIKETAN SOCIETY, NR.CROSSING MANEJA,

MANJALPUR,VADODARA Vadodara Gujarat 390011 Vadodara Vadodara Gujarat 390011 BARODA YES

LIFE INSURANCE

CORPORATION 02/01/2013 02/01/2013 14/01/2016

8527363 60022428 FGG DEORE BHUSHAN ASHOK 10/01/1986

No 15 Shrikrishna Shivganga Soc Iti Ambad Link Road Kamatwade

Shiwar Nashik Maharashtra 422009 Nashik Nashik Maharashtra 422009 NASHIK YES BIRLA SUN LIFE 14/02/2014 14/02/2014 25/02/2017

8783759 60022429 FGG JAYESH BAPURAO WAGH 27/10/1979

10, Siddhi plaza appt, Near Dhanwantary college, kamathwade,

Nashik Nashik Maharashtra 422101 Nashik Nashik Maharashtra 422101 NASHIK NO - 17/11/2014 17/11/2014 29/08/2017

8780952 60022430 FGG A.S. KHARBANDA 10/08/1977 WZ-65B, Meenakshi Garden New delhi Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 WEST DELHI NO - 01/09/2014 01/09/2014 28/08/2017

8783748 60022433 FGG PAWAN KUMAR 05/03/1988 G-499 Jahangirpuri, Jahangirpuri, Delhi Delhi 110033 North North Delhi 110033 WEST DELHI NO - 22/09/2014 22/09/2014 29/08/2017

8787916 60022438 FGG J.H. DESAI 15/12/1985

KARMASHIPL, RELIANCE TOWNSHIP, PIPLOD, SURAT Surat

Gujarat 395007 Surat Surat Gujarat 395007 SURAT NO - 07/08/2014 07/08/2014 30/08/2017

8787913 60022439 FGG KIRITKUMAR NATVARBHAI PATEL 29/09/1975 SAROLI TAL: CHORYASI SURAT Surat Gujarat 394520 Surat Surat Gujarat 394520 SURAT NO - 08/09/2014 08/09/2014 30/08/2017

8787911 60022440 FGG ARUNA BHASIN 04/08/1967 A 14/1 SFS Flats Saket New Delhi Delhi Delhi 110017 South South Delhi 110017 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 01/10/2014 01/10/2014 30/08/2017

8787889 60022441 FGG GURPREET SINGH 23/11/1981

24/2A,Block-24 Double Storey, Moti Nagar new delhi Delhi Delhi

110015 West West Delhi 110015 CONNAUGHT PLACENO - 01/09/2014 01/09/2014 30/08/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8787741 60022450 FGG RUPALI DARSHAN GANDHI 13/10/1980

J 1-7 KAKDE PARK TANAJI NAGAR CHINCHWAD PUNE Pune

Maharashtra 411033 Pune Pune Maharashtra 411033 CHINCHWAD NO - 01/08/2014 01/08/2014 30/08/2017

8787715 60022452 FGG MEHER GAUTAM SHANTILAL 26/07/1983

BLDG NO 10 FLAT NO 12 SEC NO 21 SCH NO 10 MAYUR HSG SOC.

YAMUNA NAGAR NIGDI Pune Maharashtra 411044 Pune Pune Maharashtra 411044 CHINCHWAD NO - 22/09/2014 22/09/2014 30/08/2017

1818420 60022454 FGG RAJABHAU DEVIDAS THORAT 14/07/1976

Plot NO. 3, Perfect Layout Jayatala Road Nagpur Nagpur

Maharashtra 440036 Nagpur Nagpur Maharashtra 440016 NAGPUR YES

KOTAK MAHINDRA OLD

MUTUAL 14/10/2013 14/10/2013 18/10/2016

8070611 60022455 FGG SAYYED KAMRAN ALI 18/03/1985

PLOT NO 17 ZINGABAI TAKLI GODHANI ROAD, NAGPUR Nagpur

Maharashtra 440001 Nagpur Nagpur Maharashtra 440030 NAGPUR NO - 18/03/2013 18/03/2013 27/04/2016

8795007 60022471 FGG MALARKODI .. 09/06/1978

K-36,WARD-1, K TYPE QUARTERS, SEVILLIMEDU,KANCHIPURAM,

Kancheepuram Tamil Nadu 600016 Kancheepuram Kancheepuram Tamil Nadu 600016 CHENNAI NO - 04/11/2014 04/11/2014 05/09/2017

8794979 60022472 FGG S. SRIDHAR 26/06/1981

26/48 B, Mannavalan Street, Vettri Nagar, Chennai Chennai

Tamil Nadu 600082 Chennai Chennai Tamil Nadu 600082 ANNA NAGAR NO - 01/10/2014 01/10/2014 05/09/2017

8794955 60022474 FGG OMKAR SRIVASTAVA 19/10/1983

C/o R.A. Himatsingka & Co. Patratu Chowk, Arya Nagar Colony

More HAZARIBAGH Hazaribag Jharkhand 825301 Hazaribagh Hazaribagh Jharkhand 825301 RANCHI NO - 03/11/2014 03/11/2014 05/09/2017

4191777 60022477 FGG TEJAL K. SHROFF 17/11/1971

60-D, 4TH FLOOR BHUPEN CHAMBER DALAL ESTATE, FORT

Mumbai Maharashtra 400001 Mumbai Mumbai Maharashtra 400020 ANDHERI YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 23/05/2014 23/05/2014 21/04/2017

4683639 60022478 FGG HEMAWATI .. 01/07/1972 157 PKT-II PASHCHIM PURI NEW DELHI Delhi Delhi 110063 West West Delhi 110063 GURGAON NO - 27/10/2014 27/10/2014 05/10/2017

1469300 60022479 FGG MANJULABEN SURYAKANT PATEL 14/05/1952

PERFECT AUTO SERVICES NEAR RAJKAMAL PETROL

PUMP,GONDAL ROAD RAJKOT. Rajkot Gujarat 360004 Rajkot Rajkot Gujarat 360004 RAJKOT NO - 05/07/2012 05/07/2012 22/05/2015

8193050 60022483 FGG KIRAN P DEOTA 29/07/1981

E-223 PARAGARAS SOC NEW HARNI RING RD VADODARA

Vadodara Gujarat 390006 Vadodara Vadodara Gujarat 390006 BARODA YES

LIFE INSURANCE

CORPORATION 20/06/2013 20/06/2013 26/07/2016

8798101 60022485 FGG VINEET KHANNA 25/04/1975

B-144, Sector-55, Tehsil-Dadri Noida Gautam Buddha Nagar

Uttar Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 CONNAUGHT PLACENO - 01/09/2014 01/09/2014 06/09/2017

8798092 60022486 FGG BRIJESH SHARMA 05/02/1978 1/7132, Shivaji Park, Shahadra Delhi Delhi Delhi 110032 East East Delhi 110032 CONNAUGHT PLACENO - 01/09/2014 01/09/2014 06/09/2017

8798086 60022487 FGG BEAUTY RANI 14/02/1967 8A/517, DDA Janta Flats,Trilokpuri New Delhi Delhi Delhi 110091 East East Delhi 110091 CONNAUGHT PLACENO - 01/09/2014 01/09/2014 06/09/2017

4313094 60022488 FGG VINOD KUMAR 31/08/1972

PKT F279, ANTRIKSH APARTMENT, SECTOR 14, ROHINI, DELHI-85,

Delhi Delhi 110085 North West North West Delhi 110085 CONNAUGHT PLACENO - 07/07/2014 07/07/2014 18/06/2017

4398389 60022491 FGG VISHAL SHARMA 10/10/1972

H.No 372 Hajipur Tehsil Mukerian, Hajipur Hoshiarpur Punjab

146001 Hoshiarpur Hoshiarpur Punjab 146105 JALANDHAR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 26/09/2014 26/09/2014 20/07/2017

8797968 60022492 FGG SUNIL KHER 01/03/1975

C-178, MAHARANA PRATAP ENCLAVE PITAM PURA NEW DELHI

Delhi Delhi 110017 South South Delhi 110017 CONNAUGHT PLACENO - 01/08/2014 01/08/2014 06/09/2017

8797959 60022493 FGG HITENDRA SINGH 01/09/1986

1 D 17 PRATAP NAGAR Jodhpur Jodhpur Rajasthan

342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR NO - 08/09/2014 08/09/2014 06/09/2017

8797946 60022495 FGG MOOL CHAND 01/04/1968 Shanti Nagar, Sanchore, Dist Jalore Jalor Rajasthan 343041 Jalor Jalor Rajasthan 343041 JODHPUR NO - 22/09/2014 22/09/2014 06/09/2017

8797924 60022497 FGG AJAY HARJIVAN SOLANKI 28/09/1976

303, Reva Apt, Dattani Park Western Express Highway Kandivali

East Mumbai Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 BORIVALI NO - 08/09/2014 08/09/2014 06/09/2017

1221788 60022498 FGG REENA S MITTAL 31/12/1973

33/84 Shilpa Apts, M M G S Marg Dadar, Mumbai

Maharashtra 400014 Mumbai Mumbai Maharashtra 400014 ANDHERI NO - 25/09/2014 25/09/2014 26/11/2017

8797870 60022501 FGG KAVIARASAN P. 22/08/1974

40 Sammatipuram Mettu St Madurai Madurai Tamil Nadu

625016 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 19/08/2014 19/08/2014 06/09/2017

8797797 60022503 FGG KUMARI SWETA 02/01/1977

Girija Sadan, South of Bada Kuan, Chandpur Bela Jakkanpur,

Patna Bihar 800001 Patna Patna Bihar 800001 PATNA NO - 10/09/2014 10/09/2014 06/09/2017

5846820 60022504 FGG YOGESH DIGAMBAR JOSHI 03/12/1967

Flat-A/7-2, Umiya Nagar (Bldg No.1)CHS , Vishveshwar Nagar,

Goregaon (E) Mumbai Mumbai Maharashtra 4---63 Mumbai Mumbai Maharashtra 400063 ANDHERI NO - 22/01/2013 22/01/2013 21/10/2015

8800862 60022511 FGG VISHAKHA VIJAY BANKA 10/08/1979

Chaitanya 10, 11 Tejpal Scheme Road no - 2, Vile Parle East,

Mumbai Maharashtra 400057 Mumbai Mumbai Maharashtra 400057 GHATKOPAR NO - 01/10/2014 01/10/2014 07/09/2017

2377965 60022512 FGG AJIT GEORGE 09/02/1970

M.V. GEORGE NAVODAYA VIDHYALAYA DAI;WARA LALITPUR

Lalitpur Uttar Pradesh 284403 Kolhapur Kolhapur Maharashtra 416216 KOLHAPUR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 23/02/2012 23/02/2012 29/03/2015

8802817 60022516 FGG GEDELA GOPALAM 05/06/1982

MIG 138, POTHINA MALLAYAPALEM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530017 Visakhapatnam Visakhapatnam Andhra Pradesh 530041 VIZAG NO - 28/10/2014 28/10/2014 08/09/2017

8802777 60022517 FGG SUKHJINDER SINGH BASRA 12/12/1976

Vill Nadala Kapurthala Kapurthala Kapurthala Punjab

144031 Jalandhar Jalandhar Punjab 144030 JALANDHAR NO - 25/02/2015 25/02/2015 08/09/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8802769 60022519 FGG JAI PRAKASH JAIN 10/01/1978 192 SAJNOT Salumber, Noli Udaipur Rajasthan 313026 Udaipur Udaipur Rajasthan 313038 UDAIPUR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 13/11/2014 13/11/2014 08/09/2017

278309 60022522 FGG MANHERBHAI MANGALBHAI PATEL 25/07/1964

E53 - AJITANGAR SOCIETY VIP Road, Amitnagar Circle VADODARA

Vadodara Gujarat 390018 Vadodara Vadodara Gujarat 390018 BARODA YES

KOTAK MAHINDRA OLD

MUTUAL 12/09/2013 12/09/2013 21/10/2016

8802631 60022526 FGG GUPTA ARTI VINODBHAI 20/07/1987

A-5, SHRENIK PARK, NR.AKOTA STADIUM, Vadodara Gujarat

390020 Vadodara Vadodara Gujarat 390020 BARODA NO - 08/09/2014 08/09/2014 08/09/2017

8806800 60022529 FGG RAHUL BAPNA 11/04/1976

201,Vinayak Regency, 61 Padmavati colony Near Sent Paul

School, Indore, Indore Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 16/09/2014 16/09/2014 11/09/2017

4758735 60022530 FGG YOGITA SAMIR SHINDE 09/09/1984

A 201,Shri Dutt Krupa CHS Mandir Road, Bhandup Wesst

Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400078 BORIVALI NO - 08/12/2014 08/12/2014 26/10/2017

8227567 60022531 FGG POONAM KANWAR 17/10/1984

70 Azad Basti Opp Azad Basti Opp Jaipur Rajasthan

302001 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 14/08/2013 14/08/2013 15/08/2016

2435826 60022533 FGG MILI JAYPRAKASH SHAH 20/12/1978

72/A, THAKOR BAUG, SARDAR PATEL NAGAR ROAD,

NAVRANGPURA Ahmadabad Gujarat 38---9 Ahmadabad Ahmadabad Gujarat 380006 AHMEDABAD NO - 07/06/2012 07/06/2012 02/06/2015

8802567 60022534 FGG PRAMILA SATISHKUMAR KABRA 02/11/1978

6, GAUTAM SWAMI FLATS, NR. NAVROJI HALL, SATELLITE,

Ahmadabad Gujarat 380004 Ahmadabad Ahmadabad Gujarat 380004 MANINAGAR NO - 14/08/2014 14/08/2014 08/09/2017

8802742 60022535 FGG NAIK RAHIL SUHAS 24/08/1980

03/11/2015 BALWANI NAGAR, BELL HAVEN CO-OP HSG SOCITY

MAROL MORSHI RD, ANDHERI E Mumbai Maharashtra

400059 Mumbai Mumbai Maharashtra 400059 ANDHERI NO - 10/09/2014 10/09/2014 08/09/2017

5661267 60022537 FGG MD SADIQUE 13/04/1984 33 Harin bari lane 2nd Floor, Kolkata Kolkata West Bengal 700073 Kolkata Kolkata West Bengal 700073 KOLKATA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/08/2012 28/08/2012 12/08/2015

5752678 60022541 FGG MOUSUMI ROY 25/07/1983

C/2 ALAKANANDA COMPLEX KUNJ NAGAR SONARI EAST

SINGBHUM Purbi Singhbhum Jharkhand 831-11 Purbi Singhbhum Purbi Singhbhum Jharkhand 831011 JAMSHEDPUR NO - 03/10/2012 03/10/2012 14/09/2015

8814076 60022561 FGG ANUPAMA S MANER 21/12/1979

KOTHRUD DEPO BHUSARI COLONEY ( RIGHT ) PAUD ROAD Pune

Maharashtra 411038 Pune Pune Maharashtra 411038 PUNE NO - 22/12/2014 22/12/2014 14/09/2017

8814179 60022562 FGG RONAK SHYAMKANT PAWAR 13/12/1990

D 11/12 ASKOK PRESIDENCY NEAR NERLEKAR HOSPITAL, NEW

GANGAPUR NAKA, Nashik Nashik Maharashtra 413201 Ahmadnagar Ahmadnagar Maharashtra 413201 PUNE NO - 01/12/2014 01/12/2014 14/09/2017

8814232 60022563 FGG SACHIN YADAV 27/06/1986

H No 2, Kiran Nagar, Bhopal Bhopal Madhya Pradesh

462021 Bhopal Bhopal Madhya Pradesh 462021 BHOPAL NO - 29/09/2014 29/09/2014 14/09/2017

5558143 60022564 FGG VIVEK SHEEL UDAINIA 01/07/1963

MIG - 11, Mandakini Parisar, C- Sector Indra Puri, Bhopal Bhopal

Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462022 BHOPAL YES BIRLA SUN LIFE 30/07/2012 30/07/2012 13/07/2015

8814528 60022567 FGG UDAY KUMAR 05/11/1979

405,m=-92/1, ch baldev singh complex, munirka munirka , Delhi

Delhi 110067 South West South West Delhi 110029 CONNAUGHT PLACENO - 08/10/2014 08/10/2014 14/09/2017

8814540 60022568 FGG HIMANSHU BHAGAT 28/08/1975

H107/108, PALM COURT COMPLEX NEW LINK ROAD MALAD

WEST Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 ANDHERI NO - 26/08/2014 26/08/2014 14/09/2017

8007697 60022569 FGG GAURAV KARNANI 08/01/1990

H NO 36/17A NEHRU MARKET BADARPUR SOUTH EAST Delhi

Delhi 110044 South West South West Delhi 110037 FARIDABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 18/03/2013 18/03/2013 23/02/2016

8818160 60022578 FGG BHUSHAN KUMAR PURI 25/12/1954

H No 25 E Gobind Colony, Rajpura Town,Rajpura Distt Patiala

Patiala Punjab 147001 Patiala Patiala Punjab 147001 PATIALA NO - 19/08/2014 19/08/2014 16/09/2017

1674715 60022580 FGG MEMON HABIBBHAI GANIBHAI 16/03/1975

5/190, FIRST FLOOR, HARADWALA BLDG., HAJIPURA

HIMMATNAGAR Sabar Kantha Gujarat 383001 Sabar Kantha Sabar Kantha Gujarat 383001 AHMEDABAD NO - 17/05/2013 17/05/2013 19/04/2016

884372 60022581 FGG THANGASAMY SANTHANA KRISHNAN 04/02/1952

19, Lakshmipuram, 5th Street Madurai Madurai Tamil Nadu

625001 Madurai Madurai Tamil Nadu 625001 MADURAI YES

LIFE INSURANCE

CORPORATION 30/12/2014 30/12/2014 29/08/2017

8459713 60022584 FGG RAMPRASAD .. 06/02/1982

1038, VPO QUILA ZAFARGARH, JULANA, Jind Haryana

126102 Jind Jind Haryana 126101 ROHTAK YES SBI LIFE INS. CO. 28/02/2014 28/02/2014 09/01/2017

2019282 60022586 FGG VYAS GAURANG ARVINDBHAI 03/10/1979

SATYAM PARK SOCIETY, PLOT NO-E 93,OPP HYUNDAI SHOW

ROOM, RAJKOT, Rajkot Gujarat 360005 Rajkot Rajkot Gujarat 360005 RAJKOT YES

LIFE INSURANCE

CORPORATION 13/06/2014 13/06/2014 30/06/2017

8818624 60022587 FGG NISHIT JITUBHAI SHAH 30/06/1977

Plot No 18, 3, Mahavir Society, Rajkot, Rajkot Gujarat

360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 01/08/2014 01/08/2014 16/09/2017

8820945 60022592 FGG SANJEEV SHARMA 15/05/1990

HOUSE NO 95 PREET NAGAR AMBALA CITY Ambala

Haryana 134003 Ambala Ambala Haryana 133001 AMBALA NO - 01/09/2014 01/09/2014 18/09/2017

8821320 60022595 FGG RAJALAKSHMI SIVA 02/03/1984

17, WARD NO-9 ROAD STREET,BABU NAGAR KANATHUR Chennai

Tamil Nadu 600069 Thiruvallur Thiruvallur Tamil Nadu 600069 ANNA NAGAR NO - 16/09/2014 16/09/2014 19/09/2017

8821342 60022596 FGG RAGHUVIR KHODABHAI DANGAR 04/12/1980

AT:-RANGHOLA, TAL:-UMRALA RANGHOLA, Bhavnagar

Gujarat 364003 Bhavnagar Bhavnagar Gujarat 364003 BHAVNAGAR NO - 19/08/2014 19/08/2014 19/09/2017

881251 60022597 FGG VINOD GOVINDRAM JESWANI 05/07/1972

LG 48 Shanti Nagar Colony Nagpur Nagpur Maharashtra

440002 Nagpur Nagpur Maharashtra 440002 NAGPUR NO - 24/09/2014 24/09/2014 08/12/2017

8821457 60022598 FGG SATISH CHANDRA 30/04/1974 121 Sec-22, Dwarka New Delhi Delhi Delhi 110075 West West Delhi 110075 GURGAON NO - 16/09/2014 16/09/2014 19/09/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

4437091 60022599 FGG BHARATHI V SHETTY 03/03/1973

5-12-1118/104-105, CRYSTAL APTS,KODIALBAIL WEST,

MANGALORE Mangalore Karnataka 575003 Dakshina Kannada Dakshina Kannada Karnataka 575003 MANGALORE YES

BHARTI AXA LIFE

INSURANCE CO. LTD. 30/06/2014 30/06/2014 30/07/2017

8821539 60022600 FGG ASIS KUMAR PATI 04/05/1991

AT-ERANCH, PO- BENTKAR DIST-CUTTACK Cuttack Odisha

754112 Cuttack Cuttack Orissa 754112 CUTTACK NO - 26/08/2014 26/08/2014 19/09/2017

8821648 60022601 FGG BHOOPENDRA YADAV 19/03/1991

78, Panchwati Nagar, Ward No 66, Karond, Bhopal, Bhopal

Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL NO - 16/09/2014 16/09/2014 19/09/2017

8821812 60022602 FGG BHUMIKA HETALKUMAR DANECHA 27/09/1982

2/2019. "SHRADDHA SADAN" OPP ABHILASHA APPT RUDERPURA,

MAIN ROAD, SURAT Surat Gujarat 395001 Surat Surat Gujarat 395001 SURAT NO - 19/08/2014 19/08/2014 19/09/2017

8822310 60022605 FGG MRIDUL BAISHYA 03/01/1984 SENABAR, KHETRI KHETRI Kamrup Assam 781001 Kamrup Kamrup Assam 781001 GUWAHATI NO - 28/11/2014 28/11/2014 19/09/2017

8822394 60022606 FGG RUHUL AMIN 01/05/1975

BYELANE -2 ANANDA NAGAR NOONMATI GUWAHATI Kamrup

Assam 781020 Barpeta Barpeta Assam 781020 GUWAHATI NO - 22/09/2014 22/09/2014 19/09/2017

8822561 60022607 FGG SARIKA A POTNIS 12/05/1978

Flat No.20, 2nd Floor, Ganesh Niwas Chsl, Prabhat Colony Rd

No.5, Santacruz (E) Mumbai Maharashtra 400055 Mumbai Mumbai Maharashtra 400055 ANDHERI NO - 28/07/2014 28/07/2014 19/09/2017

8822577 60022608 FGG SANJAY VISHNU THORAT 24/03/1975

A-402, Nirman Chsl, M.G. Cross Rd no.3, Behind Swimming Pool

Kandivali (W) Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 12/11/2014 12/11/2014 19/09/2017

8822617 60022611 FGG RUKHSAR NOORULLAKHAN JAHAGIRDA 10/08/1992

PLOT NO 4, SHIRAHATTI BUILDING GOKUL DHAM, DEVAR

GUDIHAL ROAD HUBLI Dharwad Karnataka 580024 Dharwad Dharwad Karnataka 580024 HUBLI NO - 19/08/2014 19/08/2014 19/09/2017

8104499 60022616 FGG RAJESH RAI 29/06/1967

H No 1 38 1 Paduperar Mangalore Mangalore Karnataka

575006 Dakshina Kannada Dakshina Kannada Karnataka 575006 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 25/07/2013 25/07/2013 28/05/2016

8828279 60022625 FGG S. VENKATESHAM 24/12/1973

15-111, Hanuman Nagar Siddipet Medak Medak Telangana

502103 Medak Medak Andhra Pradesh 502103 HYDERABAD NO - 08/08/2014 08/08/2014 21/09/2017

8828304 60022626 FGG MADUNALA ROOPA 10/10/1979

F-No:112, Plot No:105&106, Chintal Hyderabad Rangareddy

Telangana 500054 Rangareddi Rangareddi Andhra Pradesh 500054 HYDERABAD NO - 11/08/2014 11/08/2014 21/09/2017

8828955 60022630 FGG CHAITANYA NEELAGIRI 03/09/1979

301 RR NIVAS MOOSAPET HYDERABAD Hyderabad

Telangana 500018 Rangareddi Rangareddi Telangana 500018 HIMAYATHNAGAR NO - 03/11/2014 03/11/2014 21/09/2017

8829205 60022635 FGG VEDAVATHI MULLAGURI 01/10/1988

1/8/1977 ALWAL SECUNDRABAD Hyderabad Telangana

500010 Medak Medak Telangana 500010 HYDERABAD NO - 08/09/2014 08/09/2014 21/09/2017

8829245 60022636 FGG SD DILDAR 01/02/1985

11-5-59/3 SR NAGAR HYDERABAD Hyderabad Telangana

500032 Medak Medak Andhra Pradesh 500032 DILSUKHNAGAR NO - 03/09/2014 03/09/2014 21/09/2017

8829270 60022637 FGG KEDAS PADMAVATHI 24/03/1982

H NO.2-21 F NO.501 CHAITANYAPURI HYDERABAD Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 DILSUKHNAGAR NO - 03/09/2014 03/09/2014 21/09/2017

8829347 60022638 FGG ANUJA PARAK 18/11/1972

3-6-235 HIMAYATHNAGAR HYDERABAD Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 29/09/2014 29/09/2014 21/09/2017

8829379 60022639 FGG KARISHMA SARAF 16/02/1984

P NO.33 H NO.5 JYOTHI CLY SECUNDRABAD Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 DILSUKHNAGAR NO - 02/02/2015 02/02/2015 21/09/2017

8829854 60022641 FGG NARENDRAKUMAR KISAN PATLE 10/05/1973

AT-SHRIRAM NAGAR TAH-TUMSAR TUMSAR Bhandara

Maharashtra 441904 Bhandara Bhandara Maharashtra 441904 NAGPUR NO - 04/11/2014 04/11/2014 21/09/2017

8829905 60022644 FGG GURPREET KAUR 20/03/1988

VPO NAGGAL HISSAR ROAD HISSAR ROAD Ambala Haryana

134003 Ambala Ambala Haryana 134003 CHANDIGARH NO - 28/10/2014 28/10/2014 21/09/2017

1770191 60022645 FGG PATEL SANGITABEN S. 14/07/1968

1,RAJDHANI BUNGLOW OPP.SHRUTI FLATS,MEMNAGAR

AHMEDABAD Ahmadabad Gujarat 380052 Ahmadabad Ahmadabad Gujarat 380052 AHMEDABAD NO - 02/08/2013 02/08/2013 25/08/2016

4003690 60022647 FGG MOHMEDYUSUF VALLIMOHMED HARSOL26/09/1960

NEAR MINARA MASJID, MOTI VORVAD, HIMATNAGAR, Sabar

Kantha Gujarat 383001 Sabar Kantha Sabar Kantha Gujarat 383001 AHMEDABAD YES BIRLA SUN LIFE 21/02/2014 21/02/2014 07/02/2017

8832851 60022648 FGG DEEPA J. 22/09/1982

#11, 1ST CROSS, AMAR REGENCY ANBAGAM, HORAMAVU MAIN

ROAD BANGALROE Bangalore Karnataka 560082 Bangalore Bangalore Karnataka 560008 VIJAYNAGAR NO - 19/08/2014 19/08/2014 22/09/2017

5596997 60022649 FGG H.M. NAGARAJU 01/06/1971

5 1st Floor 80feet Road Maruti Nagar Chandra C/o Bangalore

Bangalore Karnataka 560072 Bangalore Bangalore Karnataka 560072 VIJAYNAGAR YES BIRLA SUN LIFE 27/09/2012 27/09/2012 24/07/2015

8832915 60022650 FGG SANDESH K.C. 20/07/1980

SANTRUPTI NILAYA NO 16 KITTUR CHANNMA ROAD 11TH CROSS

BENDRA NAGAR BSK 2ND STAGE Bangalore Karnataka

560070 Bangalore Bangalore Karnataka 560070 BANGALORE NO - 26/08/2014 26/08/2014 22/09/2017

8575193 60022651 FGG PRASAD SHET 26/05/1987

NO.2-44,, NR LAKSHMI VENKATESHA TEMPLE, PUTTUR Udupi

Karnataka 576105 Udupi Udupi Karnataka 576104 MANGALORE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 31/05/2014 31/05/2014 29/03/2017

8832977 60022653 FGG GEETHANJALI D. 10/06/1971

31 6th A Cross, Avalahalli layout, Vijayanagar, Bangalore

Bangalore Karnataka 560026 Bangalore Bangalore Karnataka 560026 R.T.NAGAR NO - 22/09/2014 22/09/2014 22/09/2017

8832987 60022655 FGG ASHOKA KARANAM 01/06/1988

144 Vijayanagara Badavane, Hadagali, Vard No 5, Bellary Bellary

Karnataka 583219 Bellary Bellary Karnataka 583219 BANGALORE NO - 26/08/2014 26/08/2014 22/09/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8833006 60022658 FGG NARENDER PAL 19/08/1985 3rd FLOOR 16/3 MOTI NAGAR DELHI Delhi Delhi 110015 West West Delhi 110027 WEST DELHI NO - 08/09/2014 08/09/2014 22/09/2017

8840546 60022670 FGG K. CH. SUGETHA 24/02/1991

30/13 VEDHACHALAM GARDEN MANDHAVELI Chennai

Tamil Nadu 600029 Chennai Chennai Tamil Nadu 600029 CHENNAI NO - 01/09/2014 01/09/2014 26/09/2017

8840559 60022671 FGG CHANDAN BALA 19/11/1980

NO.3, BIG STREET, SATHUVACHARI,VELLORE, Vellore Tamil

Nadu 632009 Vellore Vellore Tamil Nadu 632009 CHENNAI NO - 19/08/2014 19/08/2014 26/09/2017

8840565 60022672 FGG S. BHUVANESWARI 21/05/1969

NEW NO.13, OLD NO.10, 2ND STREET,BASHYAM NAGAR,

CHROMPET, Chennai Tamil Nadu 600044 Kancheepuram Kancheepuram Tamil Nadu 600044 CHENNAI NO - 11/08/2014 11/08/2014 26/09/2017

8841605 60022681 FGG SADANANDA PARIDA 05/06/1983

FLAT NO. 4D 1 BISHNUPRIYA APPARTMENT JAYADEV VIHAR

BHUBANESWAR BHUBANESHWAR Odisha 751013 Khordha Khordha Orissa 751015 BHUBANESWAR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 29/09/2014 29/09/2014 26/09/2017

8841772 60022683 FGG POORNIMA S. 20/06/1988

OLD POST OFFICE ROAD, VENKATAPURE, TUMKUR, Tumkur

Karnataka 572105 Tumkur Tumkur Karnataka 572105 BANGALORE NO - 27/10/2014 27/10/2014 26/09/2017

4979854 60022685 FGG RAJESH KUAMR MITTAL 18/02/1969 A-480, TRANSPORT NAGAR ALWAR Alwar Rajasthan 301001 Alwar Alwar Rajasthan 301001 UDAIPUR NO - 03/03/2015 03/03/2015 29/12/2017

3199131 60022688 FGG I. SUBA 17/07/1968

37/10, PLOT NO.4-B, ZENTH CASTLE, KAVERI STREET,

SALIGRAMAM, CHENNAI Chennai Tamil Nadu 600093 Chennai Chennai Tamil Nadu 600093 ANNA NAGAR YES

MAX NEW YORK LIFE

INSURANCE 27/02/2013 27/02/2013 27/03/2016

8842157 60022690 FGG SUKHWINDER KAUR 01/07/1983

#524/D-II, Huse Fed Cpmplex, G.T. Road,Amritsar, Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 01/09/2014 01/09/2014 26/09/2017

8842457 60022692 FGG RATHAD SAMIDHA KASHINATH 09/01/1991

KELVE MAHIM TALUKA PALGHAR DIST -THANE Thane

Maharashtra 401404 Thane Thane Maharashtra 401404 BORIVALI NO - 16/09/2014 16/09/2014 26/09/2017

8842464 60022693 FGG SUJATA DEEPAK SHARMA 17/04/1960

Jatin Janki Vilas, Road No 3, Daulat Nagar ,Borivali East, Mumbai

Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 BORIVALI NO - 21/07/2014 21/07/2014 26/09/2017

8842473 60022694 FGG SONAM JAYANT SANGOI 13/04/1988

C/23,Suyash Apts, Gokahle Road North, Dadar(West) Mumbai

Maharashtra 400028 Mumbai Mumbai Maharashtra 400028 FORT NO - 09/12/2014 09/12/2014 26/09/2017

8842491 60022695 FGG SUNNY RAJESH PANCHAL 20/06/1984

502 Riddhi Siddhi Aparments Jayraj Nagar Boriwali West

Mumbai Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 ANDHERI NO - 26/08/2014 26/08/2014 26/09/2017

8160672 60022696 FGG ANTHONY GEORGE FERNANDES 20/05/1957

FLAT NO.210,ASHOK NAGAR UTTAN ROAD BHYANDER Thane

Maharashtra 401107 Thane Thane Maharashtra 401107 ANDHERI YES

LIFE INSURANCE

CORPORATION 07/06/2013 07/06/2013 01/07/2016

8842526 60022697 FGG PANDEY NARENDRAKUAMR G. 20/03/1984

A/11 MITRA SAGAR CHS , SINGH ESTATE RD NO 5, SINGH ESTATE

RD NO 5, KANDIVALI EAST Mumbai Maharashtra

400101 Mumbai Mumbai Maharashtra 400101 ANDHERI NO - 28/11/2014 28/11/2014 26/09/2017

8842530 60022698 FGG SHIKHA S. CHUGH 13/09/1990

62- FLAT NO - 1486 , ADARSH NAGAR COLONY ADARSH NAGAR

COLONY WORLI Mumbai Maharashtra 400030 Mumbai Mumbai Maharashtra 400030 ANDHERI NO - 15/12/2014 15/12/2014 26/09/2017

8842532 60022699 FGG BHAVANA JIGNESH RATHOD 05/07/1982

D-218 KAMLESH APTS, 368-4 SHERE PUNJAB COLONY, NR TOLANI

COLLEGE, ANDHERI EAST Mumbai Maharashtra 400093 Mumbai Mumbai Maharashtra 400093 ANDHERI NO - 28/11/2014 28/11/2014 26/09/2017

1080051 60022701 FGG THORVE RAJENDRA SHIVRAM 10/06/1973 A/P. DHANORA TQ. ASHTI DIST BEED Beed Maharashtra 413207 Bid Bid Maharashtra 413207 AHMEDNAGAR YES

LIFE INSURANCE

CORPORATION 27/03/2012 27/03/2012 29/03/2015

5823536 60022707 FGG KOTHARI KRUPA NIRAV 07/08/1991

161/1-, LAXMI PALACE 5TH FLOOR, R.B.MEHTA ROAD GHATKOPAR

(E) Mumbai Maharashtra 4---77 Mumbai Mumbai Maharashtra 400077 PRABHADEVI NO - 18/09/2012 18/09/2012 08/10/2015

8843505 60022708 FGG ANNU .. 12/04/1991

Post & Village - Berdao Ka Bass, Teh - Osian, Dist - Jodhpur

Jodhpur Rajasthan 342303 Jodhpur Jodhpur Rajasthan 342303 JODHPUR NO - 28/10/2014 28/10/2014 27/09/2017

8843603 60022709 FGG BABOO DEVI CHOUDHARY 07/12/1984

96, Sau V Sutharon Ki Dhani, Merajaniyon Ki Beri, Tehsil Baytu,

Dist Barmer Barmer Rajasthan 344001 Barmer Barmer Rajasthan 344001 JODHPUR NO - 27/10/2014 27/10/2014 27/09/2017

8843743 60022710 FGG NITHYA .. 07/11/1983

3-2, PERIYA MANDI STREET, HARUR DHARMAPURI Dharmapuri

Tamil Nadu 636903 Dharmapuri Dharmapuri Tamil Nadu 636903 SALEM NO - 30/12/2014 30/12/2014 27/09/2017

8843889 60022711 FGG CHAITALI NAINESH PANDYA 23/10/1980

Terrace Floor, Mangaldeep Complex, Nr. RTO, Ring Road, Surat

Surat Gujarat 394101 Surat Surat Gujarat 394101 SURAT NO - 27/10/2014 27/10/2014 27/09/2017

8844907 60022718 FGG PRAVEEN P.R. 04/05/1985

PUTHANKULAM HOUSE KRISHNANAGAR , KOLAZHY P.O.,

THRISSUR Thrissur Kerala 680010 Thrissur Thrissur Kerala 680010 THRISSUR NO - 03/11/2014 03/11/2014 27/09/2017

8845090 60022720 FGG SHIJINI RAJAN 06/04/1974

AMBADATH HOUSE ANANDAPURAM P.O. ,ALATHUR THRISSUR

Thrissur Kerala 680741 Thrissur Thrissur Kerala 680741 THRISSUR NO - 03/11/2014 03/11/2014 27/09/2017

8846238 60022725 FGG SAJJAN KUMAR 09/09/1981

1205, VPO CHHOCHHI, JHUJJAR, Jhajjar Haryana

124103 Jhajjar Jhajjar Haryana 124103 ROHTAK NO - 08/09/2014 08/09/2014 27/09/2017

8846405 60022728 FGG RAMA PRATAP BAMBHANIYA 22/01/1986 AMBARDI AMBARDI AMRELI Amreli Gujarat 365601 Amreli Amreli Gujarat 365601 RAJKOT NO - 01/08/2014 01/08/2014 27/09/2017

8846445 60022729 FGG SHAH MITESH JITENDRA 28/08/1992

JALARAM PLOT, UNIVERSITY RD, RAJKOT, Rajkot Gujarat

360005 Rajkot Rajkot Gujarat 360005 RAJKOT NO - 28/07/2014 28/07/2014 27/09/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3362413 60022730 FGG ATULKUMAR T RUPAPARA 05/06/1985

SHRIRAM NIVAS, AT:-KANGASIYALI, TAL:-KOTADAS SANGANI,

KANGASIYALI, Rajkot Gujarat 362002 Junagadh Junagadh Gujarat 362002 RAJKOT YES

BaJAJ ALLIANZ LIFE

INSURANCE 29/07/2013 29/07/2013 17/06/2016

8847635 60022735 FGG PRADEEP KUMAR 15/01/1989 Santor, Buhana, Jhunjhunu, Jhunjhunun Rajasthan 331025 Churu Churu Rajasthan 331025 JAIPUR NO - 19/08/2014 19/08/2014 28/09/2017

5698478 60022739 FGG K. SANKARANARAYANAN 29/07/1972 71/38, AGRAHARAM SHEVAPET Salem Tamil Nadu 636002 Salem Salem Tamil Nadu 636002 SALEM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/02/2013 16/02/2013 24/08/2015

8715086 60022742 FGG D. KEERTHI SAIRAM 19/03/1993

L 174 OLD ASTC HUDCO HOSUR Krishnagiri Tamil Nadu

635109 Dharmapuri Dharmapuri Tamil Nadu 635109 COIMBATORE YES

LIFE INSURANCE

CORPORATION 04/09/2014 04/09/2014 21/07/2017

1355983 60022760 FGG SWETA AGRAWAL 16/09/1983

VALLABH NAGAR, RING ROAD NO 1, RAIPUR, Raipur Chattisgarh

492001 Raipur Raipur Chhattisgarh 492001 RAIPUR YES

LIFE INSURANCE

CORPORATION 27/11/2012 27/11/2012 21/08/2015

8850744 60022771 FGG VINOD KUMAR ARORA 06/10/1967 B-56 Block-B Lajpat Nagar Lajpat Nagar Delhi Delhi 110024 South South Delhi 110024 FARIDABAD NO - 17/11/2014 17/11/2014 28/09/2017

8850762 60022772 FGG MINAKSHI .. 01/09/1987

FCA-1281 Block-C SGM Nagar Faridabad Haryana

121002 Faridabad Faridabad Haryana 121002 FARIDABAD NO - 08/08/2014 08/08/2014 28/09/2017

8506298 60022773 FGG ASHOK KUMAR SHARMA 20/11/1973

H No 146 Nangla Enclave I Ward 7 Sarpanch Chowk Nit Faridabad

Faridabad Haryana 121005 Faridabad Faridabad Haryana 121005 FARIDABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/12/2014 12/12/2014 11/02/2017

8854649 60022794 FGG KIRAN MEHTA 05/02/1975 148 HIRAN MAGRI SEC-3 Udaipur Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 27/10/2014 27/10/2014 29/09/2017

5314478 60022796 FGG SUNITA PUNDIR 01-02-1986

C-16,PLOT NO-92 I.P.EXTN,PATPARGANJ DELHI[11J] Delhi Delhi

10092 Delhi Delhi Delhi 110092 NOIDA YES

LIFE INSURANCE

CORPORATION 30/03/2012 30/03/2012 29/03/2015

8463768 60022808 FGG KINJAL H SHETH 05/07/1978

14 MAHADEV NAGAR SOC OPP HARISH PETROL PUMP PANIGATE

VADODARA Vadodara Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA YES

LIFE INSURANCE

CORPORATION 30/12/2013 30/12/2013 12/01/2017

8858047 60022809 FGG NAVDEEP SINGH 05/01/1978

H.NO. 153, CHAMKAUR SAHIB CHAMKAUR SAHIB Rupnagar

Punjab 140111 Rupnagar Rupnagar Punjab 140111 CHANDIGARH NO - 01/10/2014 01/10/2014 03/10/2017

8861487 60022815 FGG PRUTHVI M. PANWALA 17/12/1992

1,THAKORDWAR SOCIETY, GHOD DOD ROAD, SURAT, Surat

Gujarat 395007 Surat Surat Gujarat 395007 SURAT NO - 22/12/2014 22/12/2014 04/10/2017

8861625 60022818 FGG PRANJAL KUMAR SINGH 26/04/1984

D/201 CHANDRESH SHRADDHA AMBAWADI M D NAGAR COTTON

GREEN Mumbai Maharashtra 400033 Mumbai Mumbai Maharashtra 400033 GHATKOPAR NO - 15/12/2014 15/12/2014 04/10/2017

2966044 60022819 FGG TWISHA R SHAH 14/09/1988

303 SAIV TRISHUL RAVIRAJ COMPLEX ANDHERI WEST Mumbai

Maharashtra 400053 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 19/12/2012 19/12/2012 29/01/2016

222165 60022820 FGG SUDHA DEVI 20/07/1962

117 PURANI BASTI NAUBASTA Kanpur Nagar Uttar Pradesh

208001 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208001 KANPUR NO - 21/08/2013 21/08/2013 24/09/2016

8861640 60022822 FGG SHINIVAS RAGHAVENDRA 10/06/1967

#372, I FLOOR, 9TH MAIN, 50 FEET ROAD, HANUMANTHANAGAR

Bangalore Karnataka 560019 Bangalore Bangalore Karnataka 560079 BANGALORE YES

LIFE INSURANCE

CORPORATION 27/10/2014 27/10/2014 04/10/2017

8863888 60022828 FGG AMIT RANJAN 11/01/1970

Vill. Kunjnagar Saldega, Po. Simdega SIMDEGA Simdega

Jharkhand 835223 Gumla Gumla Jharkhand 835223 RANCHI NO - 03/11/2014 03/11/2014 06/10/2017

4773741 60022831 FGG PRITI SACHIN PAWAR 12/11/1983

AT RAWATE, POST BORSHETI TAL PALGHAT THANE Thane

Maharashtra 400601 Thane Thane Maharashtra 400601 BORIVALI NO - 17/11/2014 17/11/2014 31/10/2017

347013 60022832 FGG NITIN SHANTILAL SHAH 14/10/1950

GANGHAGHAR WADI 2ND FLOOR, BABULNATH ROAD, Mumbai

Maharashtra 400007 Mumbai Mumbai Maharashtra 400007 FORT NO - 17/04/2014 17/04/2014 24/05/2017

8867085 60022834 FGG ROHIT GULATI 27/04/1974

A1/1, Main Wali Nagar, Paschim Vihar, New Delhi, Delhi Delhi

110008 West West Delhi 110008 CONNAUGHT PLACENO - 04/11/2014 04/11/2014 09/10/2017

8867079 60022835 FGG DEEPAK .. 10/06/1987 R-7, Private Colony Sriniwas Puri New Delhi Delhi Delhi 110065 South South Delhi 110065 CONNAUGHT PLACENO - 10/09/2014 10/09/2014 09/10/2017

8867072 60022836 FGG BALJINDER SINGH 10/08/1974 D-69, Fateh Nagar New Delhi Delhi Delhi 110064 West West Delhi 110064 CONNAUGHT PLACENO - 01/09/2014 01/09/2014 09/10/2017

8866739 60022837 FGG KRISHNAGOPAL BASU 05/09/1971

121/1, KALICHARAN GHOSH ROAD, BARAHANAGAR, Kolkata

West Bengal 700050 Kolkata Kolkata West Bengal 700050 KOLKATA NO - 17/11/2014 17/11/2014 09/10/2017

8866703 60022840 FGG GOUTAM DAS 13/01/1981

63/2, RAM KRISHNA PALLY, ARIADAHA, Kolkata West

Bengal 700057 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700057 KOLKATA NO - 22/09/2014 22/09/2014 09/10/2017

8866661 60022841 FGG SATHEESH MS 02/04/1978

Manjiparambil House, PO Vatanapally, Thrissur, Thrissur

Kerala 680614 Thrissur Thrissur Kerala 680614 THRISSUR NO - 19/01/2015 19/01/2015 09/10/2017

8866651 60022842 FGG DHINU M.D. 17/04/1990

Mambully House, Padiyam, Kandassamkadavu PO, Thrissur

Thrissur Kerala 680613 Thrissur Thrissur Kerala 680613 THRISSUR NO - 19/01/2015 19/01/2015 09/10/2017

8414042 60022849 FGG JITENDRA KUMAR SAHU 01/06/1985

I/19, PT. R.S.S.UNIVERSITY CAMPUS, RAIPUR, Raipur

Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 28/04/2014 28/04/2014 09/12/2016

8866356 60022853 FGG RAMESH KUMAR VERMA 16/03/1944

VILLAGE - KURRA, N RAJIM, RAJIM, Raipur Chattisgarh

493885 Raipur Raipur Chhattisgarh 493885 RAIPUR NO - 22/12/2014 22/12/2014 09/10/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8866295 60022861 FGG SHAKTI SINGH VERMA 18/02/1978

20 RAJ SHREE COLONY BOHRA GANEH JI KE PEECHE Udaipur

Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 23/12/2014 23/12/2014 09/10/2017

2850636 60022863 FGG MEERA HARISH ADATIA 22/05/1953

C/1- 2nd floor mankal kunj s. v. road Borivali w Mumbai

Maharashtra 4---92 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 16/10/2012 16/10/2012 20/12/2015

8870324 60022865 FGG OM PARKASH KHURANA 20/04/1956 G-3/172 ROHINI SECTOR-16 DELHI Delhi Delhi 110085 North West North West Delhi 110085 CONNAUGHT PLACENO - 28/10/2014 28/10/2014 10/10/2017

1278978 60022867 FGG GARIMA AGARWAL 19/09/1983 A-167, IST FLOOR PREET VIHAR VIKAS MARG Delhi Delhi 110092 East East Delhi 110092 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 02/06/2012 02/06/2012 04/07/2015

8870596 60022868 FGG AMEERA J BASHEER 28/04/1987

413(15/64) Aswathi 10 Pullamkonam Kudappanakunnu

Thiruvananthapuram Kerala 695005 Thiruvananthapuram ThiruvananthapuramKerala 695005 COCHIN NO - 12/11/2014 12/11/2014 11/10/2017

8870714 60022873 FGG SHEEJA SUMESH 13/04/1980

269K, KRISHNAVEM PALARIVATTOM COCHIN Ernakulam

Kerala 682019 Ernakulam Ernakulam Kerala 682019 COCHIN NO - 12/11/2014 12/11/2014 11/10/2017

8870744 60022875 FGG SARATHKUMAR S. 14/05/1984

Kaithakombil Mattathippara Kadanad Kottayam Kerala

686651 Kottayam Kottayam Kerala 686651 COCHIN NO - 17/11/2014 17/11/2014 11/10/2017

8870759 60022876 FGG JASMINE SHIBU 29/04/1974

Chemparathy House , Thodupuzha east P.O Maviinchuvadu,

Muthalakodam Idukki Kerala 685584 Idukki Idukki Kerala 685584 COCHIN NO - 12/11/2014 12/11/2014 11/10/2017

8870807 60022878 FGG MANJU V.V. 23/09/1981

267,VATTAPPARAMPIL CHENGAMANADU P O NEDUMBASSERY

Ernakulam Kerala 683578 Ernakulam Ernakulam Kerala 683578 COCHIN NO - 27/10/2014 27/10/2014 11/10/2017

8871090 60022880 FGG POOJA BISWAS 27/01/1992

BURGAPUR COLONY BLOCK-L, P.O & P.S-NEW ALIPORE KOLKATA

Kolkata West Bengal 700053 Kolkata Kolkata West Bengal 700053 KOLKATA NO - 09/12/2014 09/12/2014 11/10/2017

8871469 60022882 FGG MUNESH KUMARI 08/12/1986

H.No.-229 Vill- Bado Nargarh Tehsil- Pataudi Gurgaon

Haryana 122051 Gurgaon Gurgaon Haryana 122051 GURGAON NO - 27/10/2014 27/10/2014 11/10/2017

8871678 60022883 FGG KRISHNA KUMAR SHIVAHARE 08/07/1956

H.No.-344A Gali No.-11, Krishna colony Gurgaon Gurgaon

Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 04/11/2014 04/11/2014 11/10/2017

8871695 60022885 FGG RAJ KUMAR 09/07/1979

H. No.-60, Uncha Majra Uncha Majra Gurgaon Gurgaon

Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 28/01/2015 28/01/2015 11/10/2017

5414630 60022887 FGG DESHRAJ .. 05/04/1970 H NO 144 VILL SIDHRAWALI GURGAON Gurgaon Haryana 122--1 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 12/03/2013 12/03/2013 27/05/2015

5510986 60022889 FGG JALDU NAGAMANI 21/05/1963

#9-5-58/6/20, T-3, CITYZEN APTS, SIVAJI PALEM, VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530017 Visakhapatnam Visakhapatnam Andhra Pradesh 530002 VIZAG YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 11/09/2012 11/09/2012 28/06/2015

5789047 60022892 FGG HEMARAJU A.S. 27/05/1977

1 A, IST CROSS SONNENAHALLI BEHIND AMURTHNADHAMAYI

ASHRAMA Bangalore Karnataka 560056 Bangalore Bangalore Karnataka 560056 BANGALORE YES

LIFE INSURANCE

CORPORATION 01/09/2012 01/09/2012 24/09/2015

8872806 60022894 FGG MUNGANDI KISHORE BABU 12/04/1980

13-13-12/1,Kotilingalapeta, Kotilingalapeta Rajahmundry

Visakhapatnam Andhra Pradesh 533104 East Godavari East Godavari Andhra Pradesh 533104 VIZAG NO - 28/10/2014 28/10/2014 11/10/2017

8872864 60022895 FGG VISHAL SHARMA 05/01/1992 B-17,satyawati nagar ashok vihar ashok vihar Delhi Delhi 110052 North North Delhi 110052 WEST DELHI NO - 14/10/2014 14/10/2014 11/10/2017

8872930 60022897 FGG PAPPU KUMAR 15/02/1990

G5, G block , Sharma Colony , Budh Vihar , Phase 2 , New Delhi

New Delhi Delhi Delhi Delhi 110034 North West North West Delhi 110034 WEST DELHI YES

LIFE INSURANCE

CORPORATION 03/11/2014 03/11/2014 11/10/2017

8873088 60022904 FGG KESHAVLAL POPATLAL DOBARIYA 10/03/1949

C/203 GOLDEN CITY, ZANZARDA ROAD, JUNAGADH, Junagadh

Gujarat 362015 Junagadh Junagadh Gujarat 362015 RAJKOT YES

LIFE INSURANCE

CORPORATION 16/07/2014 16/07/2014 11/10/2017

3936039 60022905 FGG PATVA KRIPALI KAMLESHBHAI 23/10/1977

BALKRISHNA APPARTMENT,FLAT NO.3 4-VIDYAKUNJ SOCIETY

CORNER, AMIN MARG RAJKOT Rajkot Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 25/10/2013 25/10/2013 11/01/2017

4959714 60022906 FGG BRAJENDU JYOTISHI 24/04/1977

SATYAM SHIVAM SUNDARAM PARK, MADHAPAR, RAJKOT, Rajkot

Gujarat 360003 Rajkot Rajkot Gujarat 360003 RAJKOT YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/11/2014 20/11/2014 24/12/2017

8873120 60022908 FGG SANGEETHA KANKARIA 18/03/1976

NO:1 AHUJA CHAMBERS KUMAR KRUPA RAOD, HIGH GROUNDS

Bangalore Karnataka 560001 Bangalore Bangalore Karnataka 560001 BANGALORE NO - 01/08/2014 01/08/2014 11/10/2017

8873123 60022910 FGG SOUMYA ARORA 06/08/1993

Plot No 4 , Flat No 67 , priya Appt , Sec 14 , rohini New Delhi

Delhi Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI NO - 16/09/2014 16/09/2014 11/10/2017

5697072 60022913 FGG PALAK RAVI KHANDWALA 17/10/1987

HOUSE NO-A5/6,CHANDRABHAGA A V NAGWEKAR PRABHADEVI

MUMBAI Mumbai Maharashtra 4---25 Mumbai Mumbai Maharashtra 400025 GHATKOPAR NO - 03/10/2012 03/10/2012 24/08/2015

8873589 60022914 FGG RAHIL PATYAR 12/04/1991

r/o Swankha morh,vijaypur distt Samba Vijaypur Samba Jammu

Jammu & Kashmir 181141 Jammu Jammu Jammu and Kashmir181141 JAMMU NO - 14/10/2014 14/10/2014 12/10/2017

8873608 60022915 FGG TARSEN KOUR 13/03/1981

VPO Dablehar R S Pura Jammu R S Pura JAMMU Jammu Jammu

& Kashmir 181111 Jammu Jammu Jammu and Kashmir181111 JAMMU NO - 14/10/2014 14/10/2014 12/10/2017

8873656 60022919 FGG SACHIN KAPOOR 14/02/1977

H NO 36, GREATER KAILASH, Jammu, Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 14/11/2014 14/11/2014 12/10/2017

8873868 60022921 FGG ANCHAL SINGH 25/04/1977

Village Ghagwal Hiranagar, Kathua, Kathua Jammu &

Kashmir 184101 Kathua Kathua Jammu and Kashmir184101 JAMMU NO - 31/10/2014 31/10/2014 12/10/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8873898 60022923 FGG ANU BALA 02/07/1985

H No. 17, Lane No.2, Sector 4 Ext, Trikuta Nagar, Jammu Jammu

& Kashmir 180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 16/09/2014 16/09/2014 12/10/2017

8873936 60022924 FGG ARVINDER S. KOHLI 04/02/1968

H No-201, Upper Bazar, Panjthiriti, Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 28/11/2014 28/11/2014 12/10/2017

8873966 60022925 FGG GURNAM SINGH 12/02/1964

H NO-88, DHRAM LANE, PREET NAGAR DIGINA, Jammu Jammu &

Kashmir 180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 14/11/2014 14/11/2014 12/10/2017

8873986 60022926 FGG ARCHANA BHAT 10/05/1972

NASEEB NAGAR, JANIPUR, JAMMU, Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 14/11/2014 14/11/2014 12/10/2017

8874869 60022929 FGG UNICHID KIRANMAI 21/12/1978

HNO.2173 MIG SERILINGAMPALLY HYDERABAD Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 28/10/2014 28/10/2014 12/10/2017

8874910 60022930 FGG KATAMAREDDY KRISHNAVENAMMA 01/06/1975

14-1-90/121/B BALANAGAR HYDERABAD Hyderabad

Telangana 500018 Rangareddi Rangareddi Andhra Pradesh 500018 HYDERABAD NO - 11/08/2014 11/08/2014 12/10/2017

8875056 60022931 FGG ADI SESHULU JANGA 10/07/1976

F NO.403 MANIKONDA HYDERABAD Hyderabad Telangana

500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 14/10/2014 14/10/2014 12/10/2017

8875221 60022933 FGG HARIPRASAD THALAGAMA 09/08/1987

5-9-224/1, Plot No:123, Yapral Secundrabad Rangareddy

Telangana 500087 Rangareddi Rangareddi Andhra Pradesh 500087 HYDERABAD NO - 10/09/2014 10/09/2014 12/10/2017

8875288 60022935 FGG SURESH NEERITHU 01/07/1987

PNO.65 KARMANGHAT HYDERABAD Hyderabad Telangana

500036 Rangareddi Rangareddi Andhra Pradesh 500036 HYDERABAD NO - 08/08/2014 08/08/2014 12/10/2017

6060556 60022939 FGG VIJAYALAKSHMI N. 16/11/1978

NO 15, SAKTHI IILAM METRO NAGAR ALAPAKKAM, CHENNAI

Chennai Tamil Nadu 600116 Thiruvallur Thiruvallur Tamil Nadu 600116 CHENNAI NO - 15/03/2013 15/03/2013 04/03/2016

8762210 60022941 FGG RAJNI GUPTA 12/02/1983

99/1, Ward No. 5, Gardhiwala, Hoshiapur, Hoshiarpur Punjab

146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR YES

BaJAJ ALLIANZ LIFE

INSURANCE 29/09/2014 29/09/2014 17/08/2017

8875604 60022942 FGG DARSHAN SINGH 15/06/1963

Vill. Moranwali, Garhshankar, Hoshiarpur, Hoshiarpur Punjab

146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR NO - 29/09/2014 29/09/2014 12/10/2017

8601563 60022946 FGG NEETU VERMA 10/10/1983

2850,KALYAN BHAWAN BAGRU WALOAN KA RASTA,CHANDPOLE

BAZAR JAIPUR Jaipur Rajasthan 302016 Jaipur Jaipur Rajasthan 302016 JAIPUR YES

LIFE INSURANCE

CORPORATION 22/05/2014 22/05/2014 02/05/2017

8875607 60022947 FGG ANJU KHANDELWAL 10/11/1975

3-A GALTA WALON KI BAGICHI NEAR MUNSIDAS KI HAVELI,

BANDARI KA NASIK GANGAPOLE Jaipur Rajasthan

302002 Jaipur Jaipur Rajasthan 302002 JAIPUR NO - 27/10/2014 27/10/2014 12/10/2017

8875620 60022951 FGG RAMESH KUMAR SHARMA 08/06/1969

2677 vpo nindana,tehsil maham rohtak Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK NO - 01/12/2014 01/12/2014 12/10/2017

8480893 60022954 FGG S. ARUNA 08/05/1976

PLOT NO. 4064 , VILLAPURAM HOUSING BOARD, MADURAI,

Madurai Tamil Nadu 625011 Madurai Madurai Tamil Nadu 625011 MADURAI YES SBI LIFE INS. CO. 06/03/2014 06/03/2014 26/01/2017

1926385 60022956 FGG B. GANESHAMOORTHI 25/06/1983

20 PANCHAYAT LANE STREET NARASIPURAM,COIMBATORE

Coimbatore Tamil Nadu 641109 Coimbatore Coimbatore Tamil Nadu 641109 COIMBATORE YES

LIFE INSURANCE

CORPORATION 19/02/2014 19/02/2014 15/03/2017

8875611 60022958 FGG KARTHIKEYAN G. 05/11/1979

NO 57/17, PALAMALAI ROAD, VANJIMA NAGAR,

PERIANAICKENPALAYAM Coimbatore Tamil Nadu 641020 Coimbatore Coimbatore Tamil Nadu 641020 COIMBATORE NO - 19/08/2014 19/08/2014 12/10/2017

8880676 60022960 FGG SHWETA DESAI 30/11/1974

Banglow 2, Vasant Nagar, Nr. Circuit House, Kolhapur

Maharashtra 416003 Kolhapur Kolhapur Maharashtra 416003 KOLHAPUR NO - 04/11/2014 04/11/2014 16/10/2017

8880668 60022961 FGG BABYKALA .. 17/06/1974

2-112, ADYARU MANGALORE MANGALORE DAKSHINA KANNADA

Dakshina Kannada Karnataka 575009 Dakshina Kannada Dakshina Kannada Karnataka 575009 MANGALORE NO - 27/10/2014 27/10/2014 16/10/2017

8880655 60022962 FGG PARUL .. 22/12/1982

Ward no 15, House No 3222, Gurudwara Road, Rajpura

Fatehgarh Sahib Punjab 140401 Patiala Patiala Punjab 140401 PATIALA NO - 08/09/2014 08/09/2014 16/10/2017

8567478 60022968 FGG P.V. SUDHAKARAN 25/05/1962

1 DECASTA ROAD PULIYANTHOPE CHENNAI Chennai Tamil

Nadu 600012 Chennai Chennai Tamil Nadu 600012 CHENNAI YES

LIFE INSURANCE

CORPORATION 09/05/2014 09/05/2014 25/03/2017

8880577 60022969 FGG YAWALKAR SHRIKANT VIKAS 10/07/1982

KULKARNI PLOT ASHIRWADBHAVAN TAL- BHUSAVAL, DIST.

JALGAON, Pune Maharashtra 425201 Jalgaon Jalgaon Maharashtra 425201 PUNE NO - 16/02/2015 16/02/2015 16/10/2017

8880567 60022972 FGG VENU GOPALA SATYANARAYANA RAJU 01/01/1964

HIG 2, NO-133/A BEHIND SBH ATM SAGAR NAGAR Vizianagaram

Andhra Pradesh 535001 Visakhapatnam Visakhapatnam Andhra Pradesh 530043 VIZAG NO - 16/09/2014 16/09/2014 16/10/2017

8458829 60022973 FGG SHALINI PUNJ 02/11/1975

FLAT NO. B 23, AIIMS APPT SEC-21 D, FARIDABAD Faridabad

Haryana 121001 Faridabad Faridabad Haryana 121001 FARIDABAD YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 03/03/2014 03/03/2014 09/01/2017

8880555 60022975 FGG B.M. JITHIN 11/05/1993

NO 710 2ND CROSS,3RD BLOCK ,3RD

STAGE,BASAVESHWARANAGAR 2ND CROSS,3RD BLOCK ,3RD

STAGE,BASAVESHWARANAGAR BANGALORE Bangalore

Karnataka 560079 Bangalore Bangalore Karnataka 560079 R.T.NAGAR NO - 08/09/2014 08/09/2014 16/10/2017

8880529 60022979 FGG SAMEER GUPTA 13/03/1971

NO 356 SHANTHINIKETAN LAYOUT VYSYA BANK COLONY

BANGALORE Bangalore Karnataka 560076 Bangalore Bangalore Karnataka 560076 BANGALORE YES

LIFE INSURANCE

CORPORATION 10/11/2014 10/11/2014 16/10/2017

2379212 60022982 FGG HITEN KANTIBHAI PATEL 03/09/1967 6, Nairobi Colony, College Road, Nadiad Kheda Gujarat 387001 Kheda Kheda Gujarat 387001 NADIAD YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 30/01/2012 30/01/2012 29/03/2015

1835649 60022983 FGG ASHEESH AGRAWAL 27/12/1979

5-87 Civil Lines Haldwani Nainital Nanital Uttarakhand

244715 Nainital Nainital Uttaranchal 263139 HALDWANI YES

AEGON RELIGARE LIFE

INSURANCE 16/12/2013 16/12/2013 15/11/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8880527 60022984 FGG M. ANIL 15/10/1970

644/1282/5 1ST FLOOR,3RD MAIN,KUMARA VYASA

ROAD,SRINAGAR BANGALORE Bangalore Karnataka

560050 Bangalore Bangalore Karnataka 560019 R.T.NAGAR NO - 14/10/2014 14/10/2014 16/10/2017

8880855 60022985 FGG A. S. HABIB 28/12/1982

H NO 105 ANCHATGERI ONI, SUPER MARKET HUBLI Dharwad

Karnataka 580020 Dharwad Dharwad Karnataka 580020 HUBLI NO - 19/08/2014 19/08/2014 16/10/2017

8880727 60022990 FGG ARVINDKUMAR MUJAWDIYA 26/02/1980

2229 B, Sudama Nagar, Indore, Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 01/10/2014 01/10/2014 16/10/2017

8880698 60022991 FGG KARMJIT KOUR 27/10/1969

H. No. 19C/1, Palsikar Colony, Indore Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 14/10/2014 14/10/2014 16/10/2017

1984698 60022992 FGG SHWETA MARDIA 04/02/1978

D-2, Daspa House Loco Road Jodhpur Jodhpur Rajasthan

342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR YES

KOTAK MAHINDRA OLD

MUTUAL 21/04/2014 21/04/2014 24/05/2017

8894593 60023001 FGG SAGAR DILIP PATODI 10/01/1991

A/P SARAF BAZAR, TQ KOPARGAON AHMEDNAGAR

AHMEDNAGAR Ahmadnagar Maharashtra 423601 Ahmadnagar Ahmadnagar Maharashtra 423601 AURANGABAD NO - 28/10/2014 28/10/2014 23/10/2017

8894509 60023005 FGG K. CHITRA SELVI 10/05/1970

13/8A,PUDHUPOOLAMMEDU NANJALOOR(PO) CHIDHAMBARAM

Cuddalore Tamil Nadu 608302 Cuddalore Cuddalore Tamil Nadu 608302 ANNA NAGAR NO - 14/10/2014 14/10/2014 23/10/2017

8894493 60023007 FGG PATEL UNNAT MUKESHBHAI 07/02/1987

PLOT NO 1117, BLOCK NO 4, AMBAWADI BHAVNAGAR

Bhavnagar Gujarat 364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 01/08/2014 01/08/2014 23/10/2017

8894484 60023008 FGG DABHI BHADRESH K. 21/05/1992

PLOT NO 1357/A, OPP T.V REALY KENDRA, GHOGHA CIRCLE,

Bhavnagar Gujarat 364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 11/08/2014 11/08/2014 23/10/2017

8894444 60023010 FGG DIPESH DATTATRAY PAWADE 27/03/1979

At Ambeda Post Samta Tal Dhanau Thane Maharashtra

401602 Thane Thane Maharashtra 401602 BORIVALI NO - 24/11/2014 24/11/2014 23/10/2017

8894409 60023013 FGG VIJAYALAKSHMI PITTA 19/10/1988

34-2-78 GHANAPURAM VISHAKAPATNAM Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HIMAYATHNAGAR YES BIRLA SUN LIFE 01/10/2014 01/10/2014 23/10/2017

8726147 60023015 FGG SHEKHAR VILAS NIKAM 06/08/1977

SHANTABAI BALSARAF CHAWL, PARSHIWADI,NR HANUMAN

MANDIR, KOPRI COLONY THANE EAST Thane Maharashtra

400603 Thane Thane Maharashtra 400603 THANE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 09/08/2014 09/08/2014 26/07/2017

2771745 60023016 FGG HITESH B. DHABUWALA 22/04/1972

PLOT NO: 12, MANGAL MURTI APT., B/H ALTHAN, Surat Gujarat

395017 Surat Surat Gujarat 395010 SURAT YES

MAX NEW YORK LIFE

INSURANCE 17/09/2012 17/09/2012 27/11/2015

8894314 60023020 FGG M. ROHIT NAHAR 05/08/1992

NO.11/21, NAMBULIYAR STREET, SOWCARPET, Chennai

Tamil Nadu 600080 Thiruvallur Thiruvallur Tamil Nadu 600080 CHENNAI NO - 10/09/2014 10/09/2014 23/10/2017

8894271 60023025 FGG KASBE AMITA PRASHANT 02/04/1980

SEC 18 SCHEME NO 1 BLDG NO 116 FLAT NO 05 SHRUTI HSG SOC.

MAHATMA PHULE NAGAR CHINCHWAD PUNE Pune

Maharashtra 411019 Pune Pune Maharashtra 411019 CHINCHWAD NO - 28/10/2014 28/10/2014 23/10/2017

8894258 60023026 FGG MEHEK A. SAYYED 09/03/1982

6/5 GOPINATH NAGAR GANDHI BHAVAN KOTHRUD PUNE Pune

Maharashtra 411038 Pune Pune Maharashtra 411038 PUNE NO - 12/11/2014 12/11/2014 23/10/2017

8894241 60023027 FGG APURVA J. SHAH 20/05/1982

A-20, KALYAN NAGAR, WAGHODIA ROAD,BARODA, Vadodara

Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA NO - 28/10/2014 28/10/2014 23/10/2017

8894209 60023029 FGG VANJANI ANIL 20/12/1969

635, SHARAD NAGAR, TARSALI, Vadodara Gujarat

390009 Vadodara Vadodara Gujarat 390009 BARODA NO - 27/10/2014 27/10/2014 23/10/2017

8894190 60023031 FGG VINOD BUDHWANI 02/09/1971

C-1-7 SEC-7, RAJENDRA NAGAR, RAIPUR, Raipur

Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 15/12/2014 15/12/2014 23/10/2017

8894127 60023036 FGG SANDHYA DENNIS 14/11/1978

379(145),PRATHEEKSHA BHAVAN 6, T B WARD,

POOVAR,TRIVANDRUM Thiruvananthapuram Kerala

695525 Thiruvananthapuram ThiruvananthapuramKerala 695525 TRIVANDRAM NO - 28/01/2015 28/01/2015 23/10/2017

2806051 60023043 FGG ARVINDER PAL SINGH 18-01-1977 J-1-/9 Gobind Colony, Rajpura, Patiala, Patiala Punjab 147--1 Patiala Patiala Punjab 147001 PATIALA NO - 01/07/2013 01/07/2013 07/12/2015

8465772 60023051 FGG PATIL NAVNATH VILAS 01/06/1983

A/P MHAKAVE TAL.KAGAL DIST.KOLHAPUR Kolhapur

Maharashtra 416216 Kolhapur Kolhapur Maharashtra 415101 KOLHAPUR YES

LIFE INSURANCE

CORPORATION 27/12/2013 27/12/2013 13/01/2017

8899620 60023057 FGG GHADAGE SACHIN SURESH 28/06/1982

Sr No 2, Mahavir Nagar, Nr Datta Mandir, Wadgaon Sheri, Pune

Pune Maharashtra 411014 Pune Pune Maharashtra 411014 PUNE NO - 10/09/2014 10/09/2014 27/10/2017

8899619 60023058 FGG BANDISTI SUMEET ARVIND 03/12/1987

153, Patas Gaothan, Ap Kedgaon, Tal Daund, Pune Pune

Maharashtra 412219 Pune Pune Maharashtra 412219 PUNE NO - 20/01/2015 20/01/2015 27/10/2017

207043 60023060 FGG SEJAL SAMIR DHOLAKIA 21/06/1966

C-206 PANCHSHEEL RESIDENCY, MAHAVIR NAGAR, KANDIVALI

(W) Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI YES

LIFE INSURANCE

CORPORATION 20/07/2013 20/07/2013 25/09/2016

8899531 60023062 FGG J. ELPHINSON DAWSON 08/03/1978

Door NO 193, VOC Nagar Street, Ponniamman Medu, Chennai

Chennai Tamil Nadu 600110 Thiruvallur Thiruvallur Tamil Nadu 600110 ANNA NAGAR NO - 11/08/2014 11/08/2014 27/10/2017

8899616 60023064 FGG NIZAR P.A. 25/05/1971

KANADATHIL PARAMBU PERUMPADAPPU PALLURUTHY

Ernakulam Kerala 682006 Ernakulam Ernakulam Kerala 682006 COCHIN NO - 12/11/2014 12/11/2014 27/10/2017

8899611 60023066 FGG CHANDAN KALITA 01/01/1977 HAJO ROAD, NALBARI, NALBARI, Nalbari Assam 781335 Nalbari Nalbari Assam 781335 GUWAHATI NO - 27/10/2014 27/10/2014 27/10/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3625873 60023067 FGG DINESH BHAGAT 06/07/1981

A T ROAD, NEW COLONG, NEAR MORE PETROL PUMP,

HAIBARGAON,NAGAON, Nagaon Assam 782001 Nagaon Nagaon Assam 782001 GUWAHATI YES

LIFE INSURANCE

CORPORATION 03/10/2013 03/10/2013 05/10/2016

8899600 60023070 FGG WILSON K.K. 26/01/1950

KOTTIYATTIL HOUSE KANIMANGALAM P.O. THRISSUR Thrissur

Kerala 680027 Thrissur Thrissur Kerala 680027 THRISSUR NO - 19/01/2015 19/01/2015 27/10/2017

8899597 60023071 FGG SHAMRAO MADHAVRAO MANKAR 03/07/1953

P.No.5, S.no.38/2A/1B, Near Hemant Steel, Balwant Nagar,

Gangapur, Nashik Maharashtra 422013 Nashik Nashik Maharashtra 422013 NASHIK NO - 28/11/2014 28/11/2014 27/10/2017

8899581 60023074 FGG YOGESH DEELIPSINGH PARDESHI 30/09/1979

Bldg No.B-3, P.no.8, Renukabai Co op Soc., Mumbai Agra Road,

Nashik Maharashtra 422009 Nashik Nashik Maharashtra 422009 NASHIK NO - 28/11/2014 28/11/2014 27/10/2017

8904284 60023076 FGG S.P. SURIYA 18/04/1987

1/876, GANTHI NAGAR ANNA STREET, REDHILS, Chennai

Tamil Nadu 600052 Thiruvallur Thiruvallur Tamil Nadu 600052 ANNA NAGAR NO - 12/11/2014 12/11/2014 30/10/2017

8903970 60023080 FGG PRASHANTH SHRINIVAS KADAMBALIT 13/07/1976

SUPRABHATHAM, SPRING FIELD CHILIMBI Ashoknagar, Dakshina

Kannada, Mangalore Mangalore Karnataka 575006 Dakshina Kannada Dakshina Kannada Karnataka 575006 MANGALORE YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 28/11/2014 28/11/2014 30/10/2017

8904311 60023081 FGG ROHIT KUMAR G. 21/07/1980

RANGANATH NILAYANO 18 ,2ND MAIN 5TH CROSS,AVALAHALLI

BANGALORE BANGALORE Bangalore Karnataka 560028 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 23/12/2014 23/12/2014 30/10/2017

8903954 60023083 FGG SURESH VENKAPPA SHETTY 24/01/1969

1504 15th Floor Challenger Tower No. II Thakur Village Mumbai

Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 ANDHERI NO - 01/12/2014 01/12/2014 30/10/2017

8904365 60023089 FGG PRAGATI MAHANSARIA 02/08/1991

28/01/11, SHKESPEARE SARANI, GANGA JAMUNA BUILDING,

FLAT-87, 8th FLOOR, Kolkata West Bengal 700017 Kolkata Kolkata West Bengal 700017 KOLKATA YES

LIFE INSURANCE

CORPORATION 19/08/2014 19/08/2014 30/10/2017

8904360 60023090 FGG VIKRAM KUMAR JHA 16/06/1983

12/3N, DHARMATALA ROAD, GROUND FLOOR, FLAT-G, LP-

164/5/12/1, KOLKATA Kolkata West Bengal 700039 Kolkata Kolkata West Bengal 700039 KOLKATA NO - 28/01/2015 28/01/2015 30/10/2017

8908040 60023097 FGG ROBIN MODI 21/06/1985 246, Indrapuri, Indore, Indore Madhya Pradesh 456001 Indore Indore Madhya Pradesh 452001 INDORE NO - 01/10/2014 01/10/2014 02/11/2017

8907236 60023098 FGG SHALINI C.K. 29/12/1989

R M C BACKSIDE, CHIKANAYAKANAHALLI TUMKUR TUMKUR

TUMKUR Tumkur Karnataka 572214 Tumkur Tumkur Karnataka 572214 MANGALORE NO - 27/10/2014 27/10/2014 01/11/2017

8907173 60023099 FGG PRATEEK SHARMA 11/02/1992 C-39, Z-2, DILSHAD GARDEN, DELHI, Delhi Delhi 110095 North East North East Delhi 110095 CONNAUGHT PLACENO - 03/12/2014 03/12/2014 01/11/2017

8908123 60023100 FGG MAMTA GUPTA 09/06/1974

301, Surya Complex 21 Veer Sawarkar Block Shakarpur Delhi

Delhi 110092 East East Delhi 110092 FARIDABAD NO - 17/11/2014 17/11/2014 02/11/2017

8908126 60023101 FGG VEDIKA JHUNJHUNWALA 25/06/1985

3, LOUDON STREET, ASTER COURT, Kolkata West Bengal

700017 Kolkata Kolkata West Bengal 700017 KOLKATA NO - 14/10/2014 14/10/2014 02/11/2017

8907232 60023106 FGG BORSE RAJESHREE SUNIL 02/01/1982

10, Citrakut housing soceity, Dindori naka, panchavati, Nashik

Nashik Nashik Maharashtra 422006 Nashik Nashik Maharashtra 422006 NASHIK NO - 08/01/2015 08/01/2015 01/11/2017

8907214 60023110 FGG JAGRUTI HARISHCHANDRA KULKARNI 09/10/1989

1980, Dingar Ali, Sambjai Chowk, Ganeshatek Nasik Nashik

Maharashtra 422001 Nashik Nashik Maharashtra 422001 NASHIK NO - 17/11/2014 17/11/2014 01/11/2017

5560818 60023111 FGG SUSHANT SHANKAR METKAR 16/03/1980

N 42 C E 3 26/7 SHIVSHAKTI CHOWK CIDCO, NASIK Nashik

Maharashtra 422009 Nashik Nashik Maharashtra 422009 NASHIK YES

LIFE INSURANCE

CORPORATION 31/08/2012 31/08/2012 13/07/2015

8907210 60023112 FGG PAWAR VAIBHAVI KAILAS 13/07/1977

297, Bhaur, Tal- Deola, Nashik, Nashik Maharashtra

423102 Nashik Nashik Maharashtra 423102 NASHIK NO - 17/11/2014 17/11/2014 01/11/2017

5867450 60023115 FGG S. GNANASEKARAN 18/07/1984

90 BHARATHI NAGAR MOOLAPALAYAM ERODE Erode Tamil Nadu

638002 Erode Erode Tamil Nadu 638002 COIMBATORE YES

HDFC STANDARD LIFE

INSURANCE CO. 24/01/2013 24/01/2013 01/11/2015

8907179 60023117 FGG MANJUNATH H.M. 19/02/1977

8 26TH MAIN, 17TH CROSS, MUTHRAPPA GARDEN, J P NAGAR

BANGALORE Bangalore Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 28/10/2014 28/10/2014 01/11/2017

8907171 60023118 FGG SINGH SANJAY D. 03/10/1983

49/1737 TILAK NAGAR CHEMBUR Chembur Mumbai

Maharashtra 400089 Mumbai Mumbai Maharashtra 400089 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 18/11/2014 18/11/2014 01/11/2017

8907170 60023119 FGG PATEL DIVYESH RAMESHBHAI 16/03/1991

58, MANI BAUG, OPP PEOPLE'S BANK, KATARGAM MAIN ROAD,

Surat Gujarat 395004 Surat Surat Gujarat 395004 SURAT NO - 09/12/2014 09/12/2014 01/11/2017

4930566 60023124 FGG PRUTHVI KUMAR Y. 15/10/1974

62, 1ST MAIN 7TH CROSS,DINNUR R T NAGAR Bangalore

Karnataka 560032 Bangalore Bangalore Karnataka 560032 R.T.NAGAR NO - 17/11/2014 17/11/2014 18/12/2017

8910231 60023128 FGG VIDYADHAR ASHOK NEMANE 21/04/1977

15, GEETA SHANKAR MARKET, JALGAON, Jalgaon

Maharashtra 425001 Jalgaon Jalgaon Maharashtra 425001 JALGAON NO - 28/10/2014 28/10/2014 03/11/2017

8910197 60023129 FGG BHAT SACHIN RAMACHANDRA 20/03/1980

1754, VISHNU MANDIRA JAVAL, NASHIRABAD, Jalgaon

Maharashtra 425309 Jalgaon Jalgaon Maharashtra 425309 JALGAON NO - 28/10/2014 28/10/2014 03/11/2017

8916185 60023136 FGG ARUN KUMAR 08/07/1991

NO.80A SARASWATHY NAGAR 6TH STREET, ALANDUR Chennai

Tamil Nadu 600018 Chennai Chennai Tamil Nadu 600018 CHENNAI NO - 12/11/2014 12/11/2014 09/11/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8916182 60023138 FGG D JEFFERSON RAJESH 12/06/1974

NO 15/36, UDYA SURIYAN 2ND ST, SETHUNAGAR, Chennai

Tamil Nadu 600019 Thiruvallur Thiruvallur Tamil Nadu 600019 CHENNAI NO - 09/12/2014 09/12/2014 09/11/2017

8689981 60023139 FGG JITEN VIJAY MODI 28/06/1991

A 20/240 Happy Valley Housing Manpada Ghodbandar Road

Thane Thane Maharashtra 400601 Thane Thane Maharashtra 400601 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/11/2014 19/11/2014 06/07/2017

8916421 60023144 FGG DAVE HARSHA VISHALBHAI 10/04/1985

14-Raghuvir Society, Str No-1, Sahkar Soc, Main Road, Rajkot

Gujarat 360002 Rajkot Rajkot Gujarat 360002 RAJKOT NO - 12/11/2014 12/11/2014 09/11/2017

8916440 60023145 FGG S. DHINAKARAN 06/03/1991

NO 32, VALAIAMMAL STREET, COIMBATORE Coimbatore

Tamil Nadu 641045 Coimbatore Coimbatore Tamil Nadu 641045 COIMBATORE NO - 14/10/2014 14/10/2014 09/11/2017

8910081 60023146 FGG SINGH RAJ 15/01/1961

Vill. Sher Gujran PO Tikker Hills Panchkula Panchkula

Haryana 134205 Panchkula Panchkula Haryana 134205 AMBALA NO - 27/10/2014 27/10/2014 03/11/2017

8916109 60023149 FGG MANJIT BAPPAJI MHASKE 10/07/1980

A\p. Gadhe Jalgaon Aurangabad Aurangabad Aurangabad

Maharashtra 431005 Aurangabad Aurangabad Maharashtra 431005 AURANGABAD NO - 03/12/2014 03/12/2014 09/11/2017

5639600 60023150 FGG RAVICHANDRA REDDY 02/08/1983

HOUSE NO-E19/6-5,MALLESHWARA NILAYA 8TH MAIN 14TH

SECTOR, VIRATNAGAR, BOMMANAHALLI,BANGALORE Bangalore

Karnataka 56--68 Bangalore Bangalore Karnataka 560078 INDIRA NAGAR NO - 25/09/2012 25/09/2012 05/08/2015

8453436 60023151 FGG KODIMALAR R. 26/06/1979

OLD NO 10, 1st MAIN ROAD, NORTH JAGANATHAN NAGAR,

VILLIVAKKAM, Chennai Tamil Nadu 600049 Thiruvallur Thiruvallur Tamil Nadu 600049 CHENNAI YES

LIFE INSURANCE

CORPORATION 31/12/2013 31/12/2013 04/01/2017

8915986 60023152 FGG HETAL HARDIK SHAH 25/10/1978

FLAT NO.A-2, BERRY'S AVENUE, OPP.RADHA KRISHNA SOCIETY,

AKOTA, Vadodara Gujarat 390020 Vadodara Vadodara Gujarat 390020 BARODA NO - 08/09/2014 08/09/2014 08/11/2017

5911639 60023154 FGG LAXMIKANTA SATAPATHY 26/06/1981

21, CHA-497, MADHUBAN , PARADEEP, JAGATSINGPUR , ORISSA,

Jagatsinghapur Odisha 754135 Jajapur Jajapur Orissa 754135 CUTTACK YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 20/02/2013 20/02/2013 24/11/2015

2614374 60023155 FGG AKSHAYA KUMAR SAHOO 15/08/1974 AT-NIRANJANPUR PO-RASULPUR JAJPUR Jajapur Odisha 755--9 Jajapur Jajapur Orissa 755009 CUTTACK NO - 21/07/2014 21/07/2014 21/09/2015

8915979 60023157 FGG ANUSHA PALISETTY 22/06/1993

#50-16-19, WARD NO:27, SEETHAMPETA, VISAKHAPATNAM,

Visakhapatnam Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 01/09/2014 01/09/2014 08/11/2017

8915978 60023158 FGG D.V. RAMADEVI PRAGADA 06/03/1988

#30-73-17, KANITHI COLONY, VADLAPUDI RH, GAJUWAKA,

Visakhapatnam Andhra Pradesh 530046 Visakhapatnam Visakhapatnam Andhra Pradesh 530046 VIZAG NO - 01/09/2014 01/09/2014 08/11/2017

8915977 60023159 FGG TAPAS KUMAR MAITY 09/11/1970

38/1/4/1, DANESH SK. LANE, SHIBPUR, HOWRAH, Haora West

Bengal 711109 Haora Haora West Bengal 711109 KOLKATA NO - 12/11/2014 12/11/2014 08/11/2017

8915952 60023165 FGG AMOL BABASAHEB PATIL 29/12/1979

187/2 7TH LANE M G ROAD JAYSINGPUR, TAL-SHIROL Kolhapur

Maharashtra 416101 Kolhapur Kolhapur Maharashtra 416101 KOLHAPUR NO - 12/11/2014 12/11/2014 08/11/2017

8915949 60023166 FGG MOHAMMAD WAQAR 29/11/1991

1529 Hawa Chakki Mohalla Nasirabad Ajmer Rajasthan

305601 Ajmer Ajmer Rajasthan 305601 AJMER YES

LIFE INSURANCE

CORPORATION 09/12/2014 09/12/2014 08/11/2017

8915931 60023168 FGG BABITA DEVI 18/09/1985

36, SHASTRI NAGAR, BLOCK NO 2,KADMA, Jamshedpur,East

Singhbhum, Purbi Singhbhum Jharkhand 831005 Purbi Singhbhum Purbi Singhbhum Jharkhand 831005 JAMSHEDPUR NO - 17/11/2014 17/11/2014 08/11/2017

8915927 60023169 FGG RAVINDER SINGH KUMAR 11/10/1976

72, Amitesh Nagar, Indore, Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 03/12/2014 03/12/2014 08/11/2017

8915913 60023171 FGG NIKHITHA P.R. 28/10/1992

PUTHANKULAM HOUSE KRISHNA NAGAR ,4TH STREET THRISSUR

Thrissur Kerala 680010 Thrissur Thrissur Kerala 680010 THRISSUR NO - 27/10/2014 27/10/2014 08/11/2017

8920608 60023175 FGG SANTOSH KUMAR SAHU 01/09/1972

C/O L AND T FINANCE, ITWARA BAZAAR, NARSINGHPUR,

Jabalpur Madhya Pradesh 487001 Narsimhapur Narsimhapur Madhya Pradesh 487001 JABALPUR NO - 09/12/2014 09/12/2014 13/11/2017

2481386 60023179 FGG PARESH VASANT PARMAR 29/05/1985

EKVEERA NAGAR CHAWL NO.1 SANTOSHI MATA ROAD, KALYAN -

W Thane Maharashtra 421301 Thane Thane Maharashtra 421301 VASHI YES

LIFE INSURANCE

CORPORATION 18/09/2012 18/09/2012 03/07/2015

5866004 60023180 FGG PHILIP DANIEL 14/04/1975

A-9,3:1, MILLENNIUM TOWERS, SECTOR-09, SANPADA, NAVI

MUMBAI Raigarh Maharashtra 400705 Thane Thane Maharashtra 400705 VASHI YES

BAJAJ ALLIANZ LIFE

INSURANCE 07/01/2013 07/01/2013 30/10/2015

2476651 60023182 FGG DARSHINI B. PANCHAL 22/05/1982

H/17/202, ANAND NAGAR APPT. B/H AKHBARNAGAR, NEW VADAJ

AHMEDABAD Ahmadabad Gujarat 380013 Ahmadabad Ahmadabad Gujarat 380013 AHMEDABAD YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 20/06/2012 20/06/2012 29/06/2015

4686850 60023184 FGG NIRANJAN V. 11/05/1981

NO 510, BCMC EMPLOYEES HOUSE, BUILDING CO-OPERATIVE

SOCIETY LAYOUT,RAGHUVANAHALLI, BANGALORE Bangalore

Karnataka 560082 Bangalore Bangalore Karnataka 560056 BANGALORE NO - 16/09/2014 16/09/2014 06/10/2017

8920482 60023186 FGG UMA MAGESHWARI V. 23/05/1971

NO 34, NEW COLONY, 1ST STREET, MEENAKSHI FLATS,

ADAMBAKKAM CHENNAI Chennai Tamil Nadu 600088 Kancheepuram Kancheepuram Tamil Nadu 600088 CHENNAI YES

LIFE INSURANCE

CORPORATION 20/01/2015 20/01/2015 13/11/2017

8692379 60023187 FGG ANJU MARWAHA 12/07/1979

Kothi No. 16, Defence Colony, Zirakpur,Mohali, Sahibzada Ajit

Singh Nagar Punjab 140603 Rupnagar Rupnagar Punjab 140103 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 30/05/2014 30/05/2014 07/07/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8238786 60023188 FGG NARINDER KAUR 20/11/1979

VPO MULANA Near Bus Stand Vpo Mulana Ambala

Haryana 133001 Ambala Ambala Haryana 133001 AMBALA YES BIRLA SUN LIFE 13/08/2013 13/08/2013 20/08/2016

8127263 60023189 FGG JASBIR SINGH 13/02/1984

House No 11(45) VILLAGE JAWAHARPUR POST OFFICE DERA

BASSI Mohali Sahibzada Ajit Singh Nagar Punjab 140507 Patiala Patiala Punjab 140507 AMBALA YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 09/10/2013 09/10/2013 14/06/2016

8920145 60023191 FGG SHALINDER YADAV 21/02/1982

T-2-298 R.S.D Colony Shahpurkandi Township Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 09/12/2014 09/12/2014 13/11/2017

5857481 60023201 FGG ARCOT GODAVARI 11/02/1978 7/1/1941 AMEERPET HYDERABAD Hyderabad Telangana 500026 Hyderabad Hyderabad Andhra Pradesh 500026 HYDERABAD YES SBI LIFE INS. CO. 27/12/2012 27/12/2012 27/10/2015

8925936 60023204 FGG MANISH HASMUKHRAI KOTHARI 26/10/1970

5, Kailash Jyot Building No 2, Deraser Lane, Ghatkopar (East),

Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 14/10/2014 14/10/2014 16/11/2017

8102371 60023205 FGG SUREKHA SANJAY NIKAM 17/06/1974

Flat No 28 Kamada Hsg Society Bldg Chinchwad Pune

Maharashtra 411019 Pune Pune Maharashtra 411033 CHINCHWAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/08/2013 20/08/2013 27/05/2016

8925917 60023206 FGG LIMBORE VIKAS APPA 18/11/1979

TRIVENI NAGAR TALAWADE TAL HAVELI DIST PUNE PUNE Pune

Maharashtra 412114 Chikhali, Pune Chikhali, Pune Maharashtra 412114 CHINCHWAD NO - 28/10/2014 28/10/2014 16/11/2017

8925890 60023209 FGG SUJIT BHAWAL 05/05/1966 250 VILL KOTLA MAYUR VIHAR PHASE 1 Delhi Delhi Delhi 110091 East East Delhi 110091 CONNAUGHT PLACENO - 03/03/2015 03/03/2015 16/11/2017

160595 60023210 FGG SANGITA MINESH PATEL 09/02/1970

70, RAMESHWAR PARK, RAJENDRA PARK RD., NH-8,

ODHAV,AHMEDABAD Ahmadabad Gujarat 382415 Ahmadabad Ahmadabad Gujarat 382415 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 05/06/2013 05/06/2013 07/07/2016

8922904 60023212 FGG DEEPA MUTREJA 11/02/1978 139, B3-Block, Janak Puri, New Delhi, Delhi Delhi 110058 West West Delhi 110058 GURGAON NO - 27/10/2014 27/10/2014 14/11/2017

8922908 60023213 FGG DEEPANJALI P.R. 21/03/1985

BBMP 22 5th main 2nd cross thippasandra post BANGALORE

Bangalore Karnataka 560075 Bangalore Bangalore Karnataka 560075 BANGALORE NO - 17/11/2014 17/11/2014 14/11/2017

8349996 60023216 FGG JAMIL ELYAS KHATRI 10/02/1978

A 501 Dwarka CHS Plot No 5 to 9 sec-14 Kopar Khairane Navi

Mumbai Raigarh Maharashtra 400709 Thane Thane Maharashtra 400709 VASHI NO - 23/09/2013 23/09/2013 27/10/2016

8923158 60023217 FGG SHUBHA VINAYAK RAO 12/01/1963

502 New Devashish Society Teen Haath Naka Thane

Maharashtra 400604 Thane Thane Maharashtra 400604 THANE NO - 09/12/2014 09/12/2014 14/11/2017

8923175 60023220 FGG POOJA RAWAT 16/08/1973

Plot no. 39 Sector 1 Shakti nagar Bhopal Bhopal Madhya

Pradesh 462024 Bhopal Bhopal Madhya Pradesh 462024 BHOPAL NO - 17/11/2014 17/11/2014 14/11/2017

8928139 60023228 FGG M. TARIC 16/06/1975

11 B/20, New Rice Mill, 2nd Street, Madurai Madurai Tamil

Nadu 625011 Madurai Madurai Tamil Nadu 625011 MADURAI NO - 27/10/2014 27/10/2014 17/11/2017

8928136 60023229 FGG HASEENA BALKIES 17/07/1983

2 Mosque Street Sunramaniapuram 3rd Main Road Madurai

Tamil Nadu 625011 Madurai Madurai Tamil Nadu 625011 MADURAI YES

LIFE INSURANCE

CORPORATION 27/10/2014 27/10/2014 17/11/2017

8929825 60023230 FGG F. LAWRENCE WILSON 11/01/1968

5A MUDAKKATTAN SAMBAR ALANGULAM Madurai Tamil

Nadu 625017 Madurai Madurai Tamil Nadu 625017 MADURAI NO - 28/10/2014 28/10/2014 20/11/2017

8925501 60023233 FGG DEEPAK TANAJI JADHAV 25/05/1987

Flat No.301 plot no.15, sec-1, shiravne ges nerul 400706

navimumbai Thane Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI NO - 15/12/2014 15/12/2014 16/11/2017

8928120 60023234 FGG SALONI OBERAI 05/06/1976

Ward No 17, Katni Road, Behind Hotel Akarti, Maihar, Satna

Madhya Pradesh 485771 Satna Satna Madhya Pradesh 485771 JABALPUR NO - 16/02/2015 16/02/2015 17/11/2017

8928032 60023235 FGG VED PRAKASH SINGH 11/02/1989 Rajeev Nagar,Road No-09 Patna Patna Patna Bihar 800024 PATNA PATNA Bihar 800024 BHAGALPUR NO - 22/12/2014 22/12/2014 17/11/2017

8923210 60023238 FGG RAJWINDER KAUR KAHLON 03/05/1989

Room No-1946,Chawl No 78 Group No-6 Tagore Nagar Vikhroli

Vikhroli East Mumbai Maharashtra 400083 Mumbai Mumbai Maharashtra 400083 GHATKOPAR NO - 12/11/2014 12/11/2014 14/11/2017

8699654 60023239 FGG PRIYADARSHANI S. TIWARI 19/11/1970

G - 304, Army Co opp Soc, Sector - 9, Nerul, Thane Maharashtra

400706 Thane Thane Maharashtra 400706 GHATKOPAR YES

HDFC STD LIFE

INSURANCE CO. LTD. 23/06/2014 23/06/2014 12/07/2017

2393558 60023240 FGG KALPES ARVINDBHAI BHATT 14/05/1975

304- GAYATRI RAKSHA APPTS. THIRD FLOOR, 8- TAYAKWADI PLOT,

NR-JUNCTION PLOT, RAJKOT Rajkot Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 23/02/2012 23/02/2012 16/04/2015

1027804 60023242 FGG SHETH PAYAL NILKESHKUMAR 11/04/1979

57, ADITYANAGAR SOCIETY, BEHIND SETU HEALTH CLUB,

MAHAVIR NAGAR ROAD GODHRA Panch Mahals Gujarat

389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA YES BIRLA SUN LIFE 22/12/2014 22/12/2014 06/02/2018

4010357 60023243 FGG TARUN KUMAR NARULA 12/03/1979

388/5, Gali No 10, Warda no 29, Arjun Nagar, Gurgaon Gurgaon

Haryana 122002 Gurgaon Gurgaon Haryana 122002 GURGAON YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 05/07/2014 05/07/2014 10/02/2017

8933568 60023244 FGG PULKIT TONGIA 18/02/1989

38, Murai Mohalla, Sanyogitaganj, Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 24/11/2014 24/11/2014 22/11/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8933285 60023252 FGG ANITHA POTHU 22/08/1986

36-258, JAGATGIRI GUTTA, BALANAGAR HYDERABAD Hyderabad

Telangana 500037 Rangareddi Rangareddi Andhra Pradesh 500037 HYDERABAD NO - 16/12/2014 16/12/2014 22/11/2017

8754778 60023256 FGG RAJIV K. PAREKH 02/04/1980

SANIDHYA, A-103 3-MARUTI NAGAR, AIR PORT ROAD, RAJKOT

Rajkot Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 07/07/2014 07/07/2014 11/08/2017

8933061 60023262 FGG PRADEEP KUMAR SACHDEVA 19/07/1972

B5,Block-B , guru ram dass nager laxmi nager Delhi Delhi Delhi

110092 East East Delhi 110092 NOIDA NO - 22/12/2014 22/12/2014 22/11/2017

8642286 60023267 FGG ROKKAM SWATHI 19/01/1985

H No 30 9 68 Bestha Street Ward 36 East Godavari Andhra

Pradesh 533101 East Godavari East Godavari Andhra Pradesh 533101 RAJAHMUNDRY YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 18/06/2014 18/06/2014 07/06/2017

999125 60023268 FGG KAPEL GUPTAA 13/10/1979

B/803, Redwood Bldg., Evershine Greens, New Link Road,

Oshiwara, Andheri(W), Mumbai Maharashtra 400102 Mumbai Mumbai Maharashtra 400102 ANDHERI NO - 29/01/2015 29/01/2015 29/03/2018

8935315 60023274 FGG RAKHI BATRA 25/07/1992 22/33-B, Tilak Nagar, New Delhi, Delhi Delhi 110018 West West Delhi 110018 CONNAUGHT PLACENO - 06/10/2014 06/10/2014 24/11/2017

8935325 60023275 FGG SUMITA LUTHRA 24/03/1990

E-63, South Aanrkali, Gali No. 6, Block-E, Krishna Nagar, Delhi

Delhi 110051 East East Delhi 110051 CONNAUGHT PLACENO - 14/10/2014 14/10/2014 24/11/2017

8935428 60023276 FGG DEEPTI .. 10/07/1990 1596, KRIBHCO NAGAR, SURAT, Surat Gujarat 394510 Navsari Navsari Gujarat 394510 SURAT NO - 09/12/2014 09/12/2014 24/11/2017

5619089 60023277 FGG SONIYA BAJAJ 23/04/1981

32 B D A COLONY TEELA JAMALPURA BHOPAL Bhopal Madhya

Pradesh 462-18 Bhopal Bhopal Madhya Pradesh 462018 BHOPAL NO - 10/05/2012 10/05/2012 30/07/2015

8935700 60023281 FGG JITESH MAHESHWARI 05/08/1990

158-B, Nehru Nagar Pani Pech Jhotwara Jaipur Rajasthan

302001 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 30/01/2015 30/01/2015 24/11/2017

8935871 60023285 FGG AFANZUBER AJMODDIN KAVADI 16/09/1989

1478 AMMIN BHAVI GRAMAD MA NAM 1040 RIND 1150

AMMINABHAVI DHARWAD Dharwad Karnataka 581201 Dharwad Dharwad Karnataka 581201 HUBLI NO - 14/10/2014 14/10/2014 24/11/2017

8935917 60023286 FGG ANKITA MARWAHA 29/09/1981

H.No. 93, Ward No. 2, Paonta Sahib,Sirmour, Sirmaur

Himachal Pradesh 173025 Sirmaur Sirmaur Himachal Pradesh173025 CHANDIGARH NO - 09/12/2014 09/12/2014 24/11/2017

8936299 60023291 FGG RAKESHKUMAR NAGINBHAI MISTRY 20/02/1968

GIDC PLOT NO. 22, RAJPIPLA, TAL:NANDOD, Narmada

Gujarat 391111 Vadodara Vadodara Gujarat 391111 BARODA NO - 26/09/2014 26/09/2014 24/11/2017

8936394 60023292 FGG MITESH VILAS MHATRE 13/05/1989

At- Mukkam, Post-Kudal, Tal-Palghar, Dist-Thane, Boisar Thane

Maharashtra 400601 Thane Thane Maharashtra 400601 BORIVALI NO - 22/09/2014 22/09/2014 24/11/2017

8936435 60023293 FGG VIKRAM DILIPKUMAR MEHTA 25/07/1979

101/ park view apt, near balika ashram balika ashram, tirupati

nagar phase II virar w dist thane Thane Maharashtra 401204 Thane Thane Maharashtra 401204 BORIVALI NO - 26/09/2014 26/09/2014 24/11/2017

8936611 60023296 FGG BHAVESH J. PATEL 13/02/1980

2, PRITHVIRAJ COMPLEX, NR.CHANAKYAPURI, NEW SAMA

ROAD,BARODA, Vadodara Gujarat 390008 Vadodara Vadodara Gujarat 390008 BARODA NO - 01/09/2014 01/09/2014 24/11/2017

8939763 60023305 FGG NISHIKANT BAJRANGLAL JANGID 07/06/1962

Flat No 304, 3rd Floor, Sharaton Heights, Plot No 112/B, Charat,

Chakala, Andheri East Mumbai Maharashtra 400093 Mumbai Mumbai Maharashtra 400093 THANE NO - 22/12/2014 22/12/2014 27/11/2017

8939671 60023311 FGG HARITHA SASIKUMAR 13/02/1992

MOOSARAYIL PALLIPURATHUSERY VAIKOM Kottayam Kerala

686606 Kottayam Kottayam Kerala 686606 COCHIN NO - 17/11/2014 17/11/2014 27/11/2017

1780022 60023312 FGG BHAIRAVI UJWAL ATHALYE 10/07/1967

114, Ganesh Arcade Opp\ Ira Hotel, Varad Ganesh Road, Samarth

Nagar AURANGABAD Aurangabad Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD YES

LIFE INSURANCE

CORPORATION 10/08/2013 10/08/2013 07/09/2016

8612041 60023318 FGG CHAITALEE GAURAV PATHAK 21/01/1982

44, Ushakal Appts, Flat No 8 Pandey Layout, Khamla Nagpur

Nagpur Maharashtra 440001 Nagpur Nagpur Maharashtra 440025 NAGPUR YES AVIVA LIFE INSURANCE 22/04/2014 22/04/2014 16/05/2017

8942570 60023321 FGG MANOJ KUMAR MAURYA 08/09/1973

C/O Vijay Grain Stores 148 - 316 Motilal Nehru Nagar Sion

Koliwada Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI NO - 04/12/2014 04/12/2014 29/11/2017

8942721 60023322 FGG BHOSALE ARCHANA NETAJI 15/04/1976

SR NO 1050, BAGAL CHOWK E WARD SHAHUPURI , PUL GALLI

KOLHAPUR Kolhapur Maharashtra 416005 Kolhapur Kolhapur Maharashtra 416005 KOLHAPUR YES

Edelweiss Tokio Life

Insurance 30/12/2014 30/12/2014 29/11/2017

4059501 60023323 FGG MIRAJKAR VIDYA SHANTANU 09/08/1975

VISHWATARA B-402, VISHWAKARMA PARK PRATIBHA NAGAR

Kolhapur Maharashtra 416008 Kolhapur Kolhapur Maharashtra 416008 KOLHAPUR YES

LIFE INSURANCE

CORPORATION 21/02/2014 21/02/2014 25/02/2017

8942806 60023325 FGG E. JAGANATHAN 12/09/1971

NO 1, RAMALINGA NAGAR, 4TH CROSS, K K PUDUR, COIMBATORE

Coimbatore Tamil Nadu 641038 Coimbatore Coimbatore Tamil Nadu 641038 COIMBATORE NO - 12/11/2014 12/11/2014 29/11/2017

8943060 60023330 FGG NAGARAJAN .. 18/03/1972

1E, Plot No: 8 Devi Karumari Amman Nagar, Mottai Arasu Kovil

Near, Avaniapuram Madurai Madurai Tamil Nadu

625012 Madurai Madurai Tamil Nadu 625012 MADURAI NO - 20/01/2015 20/01/2015 29/11/2017

8947280 60023338 FGG GOPINATH DATTATRAY BAGUL 14/04/1978

Fl no.5 Pl no.1 Rameshwar sankul savarkar nagar Satpur Nasik

Nashik Maharashtra 422007 Nashik Nashik Maharashtra 422007 NASHIK NO - 17/11/2014 17/11/2014 05/12/2017

8947436 60023344 FGG SAUJANYA SHIVYOGI 29/10/1980

# 74-24-7, DHANEKULA VARI STREET,PATAMATA VIJAYAWADA

Krishna Andhra Pradesh 520010 Krishna Krishna Andhra Pradesh 520010 VIJAYAVADA NO - 15/12/2014 15/12/2014 05/12/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8947597 60023347 FGG DIVAKARA RAJA RAJEEVAN 01/11/1967

INDRANILAM PALACE AYYANTHOLE P.O. THRISSUR Thrissur

Kerala 680003 Thrissur Thrissur Kerala 680003 THRISSUR NO - 22/12/2014 22/12/2014 05/12/2017

8947630 60023349 FGG MANIMEKALAI .. 09/06/1965

NO.74 N, VINAYAKAR KOIL STREET THUDIYALUR COIMBATORE

Coimbatore Tamil Nadu 641034 Coimbatore Coimbatore Tamil Nadu 641034 COIMBATORE NO - 09/12/2014 09/12/2014 05/12/2017

8291094 60023352 FGG KAINE S. 12/01/1992

301 2ND FLOOR 3RD CROSS ETHMAIN HRBR LAYOUT BANGALORE

Bangalore Karnataka 560043 Bangalore Bangalore Karnataka 560043 BANGALORE NO - 02/08/2013 02/08/2013 19/09/2016

3079254 60023354 FGG KKUSUM GUPTAA 10/07/1955

B 803 REDWOOD BLDG, EVERSHINE GREENS, NEW LINK ROAD,

OSHIWARA, ANDHERI (W), Mumbai Maharashtra

400102 Mumbai Mumbai Maharashtra 400102 ANDHERI NO - 31/01/2013 31/01/2013 27/02/2016

8947744 60023356 FGG SANJAY KHAMBAYAT 22/10/1977

NEW GANESH NAGAR CHS LTD 6-7 NEAR DURGA BAKERY BEHIND

KAVERI PARK NEAR TEL EXCHANGE NETIVALI Kalyan East Thane

Maharashtra 421306 Thane Thane Maharashtra 421306 CHINCHWAD NO - 03/12/2014 03/12/2014 05/12/2017

8947785 60023359 FGG GAURAV VINOD KHEMKA 31/10/1981

303- GULMOHAR APPARMENTS CHITANAVIS MARG CIVIL LINES

Nagpur Maharashtra 440001 Nagpur Nagpur Maharashtra 440001 NAGPUR NO - 22/12/2014 22/12/2014 05/12/2017

2339977 60023364 FGG RASHIDA A TAVAWALLA 20/01/1952

ROOM NO 6 ZARIN MANZIL 111 MATHARPAKADY ROAD

MAZGAON Mumbai Maharashtra 400010 Mumbai Mumbai Maharashtra 400010 FORT NO - 20/01/2015 20/01/2015 13/03/2018

1939882 60023365 FGG MANISH K CHAUHAN 02/01/1982

15-Shiv Shankar Appt. Opp. SVR College, Umra Road Icchanath,

Surat, Surat Gujarat 395007 Surat Surat Gujarat 395007 SURAT NO - 26/03/2014 26/03/2014 22/03/2017

4218285 60023385 FGG RAVI R. 05/08/1976

133 MAHARAJAKADAI POST KRISHNAGIR Krishnagiri Tamil

Nadu 635120 Dharmapuri Dharmapuri Tamil Nadu 635120 BANGALORE NO - 04/07/2014 04/07/2014 08/05/2017

8953111 60023392 FGG DHAVALKUMAR A. PATEL 06/02/1986

Nr.Bahuchar Mata Temple, Modi ni Khadki, At: Mahudha, Kheda

Gujarat 387335 Kheda Kheda Gujarat 387335 ANAND NO - 17/11/2014 17/11/2014 11/12/2017

4754699 60023394 FGG SANJAY KUMAR SINHA 15/09/1968

109/189, Model House, Lucknow, Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226018 LUCKNOW YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 05/09/2014 05/09/2014 24/10/2017

8951275 60023395 FGG KAMAL RAJBONGSHI 27/10/1979

RAJADUAR, NORTH GUWAHATI, GUWAHATI, Kamrup

Assam 781030 Kamrup Kamrup Assam 781030 GUWAHATI NO - 01/12/2014 01/12/2014 08/12/2017

8953108 60023397 FGG NEHA MAHI 06/12/1989

# 1129 OLD HAMIFA YAMUNANAGAR Ambala Haryana

135001 Yamunanagar Yamunanagar Haryana 135001 CHANDIGARH NO - 01/10/2014 01/10/2014 11/12/2017

8952713 60023404 FGG SUDHEESH G.S. 06/05/1975

TC 44/965, SANGEETHA, KAMALESWARAM, MANACAUD P O,

TRIVANDRUM KAMALESWARAM TRIVANDRUM

Thiruvananthapuram Kerala 695036 Thiruvananthapuram ThiruvananthapuramKerala 695036 TRIVANDRAM NO - 28/01/2015 28/01/2015 11/12/2017

8952677 60023406 FGG PRASANTH S. 20/05/1988

VILAYIL VEEDU,sp nivas,velarkudi ATTINGAL TRIVANDRUM

Thiruvananthapuram Kerala 695101 Thiruvananthapuram ThiruvananthapuramKerala 695101 TRIVANDRAM NO - 28/01/2015 28/01/2015 11/12/2017

8952674 60023407 FGG SIBI S.L. 11/11/1985

SL BHAVAN,kanjiramvila,ambalathinkala KATTAKADA

TRIVANDRUM Thiruvananthapuram Kerala 695572 Thiruvananthapuram ThiruvananthapuramKerala 695572 TRIVANDRAM NO - 28/01/2015 28/01/2015 11/12/2017

8952662 60023408 FGG S.S. SANJAI 31/05/1968

Tc - 48/20 Ambalathara Trivandrum Thiruvananthapuram

Kerala 695026 Thiruvananthapuram ThiruvananthapuramKerala 695026 TRIVANDRAM NO - 28/01/2015 28/01/2015 11/12/2017

8955463 60023419 FGG PANKAJ BHALSE 25/09/1984

H.No.12, Jhopad Patte Sneh Nagar, Indore, Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 23/12/2014 23/12/2014 13/12/2017

8955472 60023420 FGG HETA S. DAMODAR 13/01/1990

3-B, Jeevan ASHA, 60-*A, Dr.G.Deshmukh Marg, Mumbai

Mumbai Maharashtra 400026 Mumbai Mumbai Maharashtra 400026 GHATKOPAR NO - 15/12/2014 15/12/2014 13/12/2017

8955490 60023421 FGG TRUPTI S. GAJBE 25/12/1975

PLOT NO 41, KAPSE LAYOUT DINDAYAL NAGAR NAGPUR Nagpur

Maharashtra 440022 Nagpur Nagpur Maharashtra 440022 NAGPUR NO - 20/01/2015 20/01/2015 13/12/2017

8955514 60023422 FGG SANTOSH B. JAWALE 10/11/1987

H.No.317/4 Bhuigaon Dongari Tal.-Vasai Thane Maharashtra

401203 Thane Thane Maharashtra 401203 BORIVALI NO - 24/11/2014 24/11/2014 13/12/2017

2845250 60023438 FGG DINESHBHAI M. PATEL 18/10/1960

BAVAJI NI KHADKI, BHAG-3, AT & PO SEVASI, TA& DF Vadodara

Gujarat 391101 Vadodara Vadodara Gujarat 391101 BARODA YES

RELIANCE LIFE

INSURANCE 05/12/2012 05/12/2012 19/12/2015

100188 60023439 FGG VITTAL B. P. 22/07/1967

C/O HARISHCHANDRA, QTRS.NO.184 ASHOK NAGAR POST

MANGALORE Dakshina Kannada Karnataka 575006 Dakshina Kannada Dakshina Kannada Karnataka 575006 MANGALORE YES

LIFE INSURANCE

CORPORATION 02/04/2013 02/04/2013 14/04/2016

8959061 60023442 FGG BRAJESH KUMAR 09/09/1984

BANDH GADI BASTI, PO RMCH, RANCHI, Ranchi Jharkhand

834009 Ranchi Ranchi Jharkhand 834009 RANCHI NO - 12/11/2014 12/11/2014 19/12/2017

8959050 60023446 FGG RANJAN KUMAR SINGH 23/10/1970

VILL PO DEOGHAR, DEOGHAR, RANCHI, Deoghar Jharkhand

814112 Deoghar Deoghar Jharkhand 814112 DEOGHAR NO - 30/12/2014 30/12/2014 19/12/2017

8959002 60023449 FGG C. MADHUMOHAN REDDY 01/06/1985

PNO.280,2NDFLOOR MIYAPUR HYDERABAD Hyderabad

Telangana 500049 Hyderabad Hyderabad Andhra Pradesh 500049 HYDERABAD NO - 20/11/2014 20/11/2014 19/12/2017

8958995 60023450 FGG V.V. MAHESH CHOWDARY GOTTIPATI 14/08/1987

G-46 YUSUFGUDA HYDERABAD Hyderabad Telangana

500018 Rangareddi Rangareddi Andhra Pradesh 500018 HYDERABAD NO - 17/11/2014 17/11/2014 19/12/2017

8958991 60023451 FGG VIKRANTH GOEL 14/10/1979

21-7-564, BAHADURAPUR HYDERABAD Hyderabad

Telangana 500002 Hyderabad Hyderabad Telangana 500002 HYDERABAD NO - 28/01/2015 28/01/2015 19/12/2017

8958922 60023454 FGG BANU PRIYA K. 12/06/1989

NO:7 THYAGAPPA STREET KILPAQ Chennai Tamil Nadu

600010 Chennai Chennai Tamil Nadu 600010 CHENNAI NO - 22/12/2014 22/12/2014 19/12/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

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valid from

Expiry

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Details of Individual Agents of the Company as on 31st March 2015

8958913 60023457 FGG ELVIN RAJA ESSAKI MADASWAMY 18/09/1987

1st Floor, Room No.106 Netaji Co-op Hsg Soc N Wing, U.M.Thevar

Nagar Sion Mahin Link Road, Mahin East, Mumbai

Maharashtra 400017 Mumbai Mumbai Maharashtra 400017 FORT NO - 19/01/2015 19/01/2015 19/12/2017

8958912 60023458 FGG PARAG SUNDERLAL AGGARWAL 02/06/1990

103-A, Shanti Jyot, Balaji Nagar, Bhayander West Thane

Maharashtra 401101 Thane Thane Maharashtra 401101 ANDHERI NO - 27/10/2014 27/10/2014 19/12/2017

2832920 60023459 FGG NITESHSINGH B. GAHARWAL 16/11/1983

D/51B, SAHAKAR WADI,MALANG RINGADE CHAWL, MULUND LINK

RD., GOREGAON-EAST, Mumbai Maharashtra 400063 Mumbai Mumbai Maharashtra 400063 ANDHERI YES

LIFE INSURANCE

CORPORATION 03/12/2012 03/12/2012 14/12/2015

8958760 60023460 FGG SHETH MEHUL NIRANJANBHAI 24/03/1983

19,Shakti Park Society, Nr.Ankur Society, Bhuravav, Godhra,

Panch Mahals Gujarat 389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 08/01/2015 08/01/2015 18/12/2017

8507162 60023464 FGG SUNITHA A.P. 31/07/1986

No 202 4th Stage, 4th Block, B D A House, Rajajinagar Bangalore

Bangalore Karnataka 560079 Bangalore Bangalore Karnataka 560079 BANGALORE YES SBI LIFE INS. CO. 28/03/2014 28/03/2014 13/02/2017

6058272 60023471 FGG PRIYA MOHAN 24/04/1978

NO. 4/244, DR. RADHAKRISHNAN SALAI CHENNAI Chennai

Tamil Nadu 600074 Kancheepuram Kancheepuram Tamil Nadu 600074 CHENNAI NO - 28/02/2013 28/02/2013 26/02/2016

8959855 60023473 FGG ASHAF MOOSAKUNHI 06/05/1981

10/961 M K VILLA , BAPPAITHOTTY, UPPALA -PO KASARAGOD

KASARAGOD Kasaragod Kerala 671322 Kasaragod Kasaragod Kerala 671322 MANGALORE NO - 09/12/2014 09/12/2014 19/12/2017

4708727 60023482 FGG AMIT BAFNA 21/06/1990

2/GD RAIL VIHAR, P NO.2 SEC. NO.9, VIDYADHAR NAGAR, JAIPUR

Jaipur Rajasthan 302023 Jaipur Jaipur Rajasthan 302023 JAIPUR YES

LIFE INSURANCE

CORPORATION 26/09/2014 26/09/2014 14/10/2017

8964147 60023488 FGG ANITA RAJU MUDGE 13/08/1982

2/5 DR. PEDNEKAR CHAWL, BHATWADI , Ghatkopar West

Mumbai Maharashtra 400084 Mumbai Mumbai Maharashtra 400084 ANDHERI NO - 20/01/2015 20/01/2015 25/12/2017

8964095 60023490 FGG SUJAYA S. SHETTY 16/01/1975

1801 OBEROI GARDEN 3 WING OPP WESTERN HIGHWAY ,

KANDIVALI EAST , THAKUR VILLAGE KANDIVALI EAST Mumbai

Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 ANDHERI NO - 30/12/2014 30/12/2014 25/12/2017

8964107 60023491 FGG SATTAPPA BALU SALOKHE 01/06/1983

36, B D D Chawl No.7 Sakhubai Mohite Rd Mumbai Mumbai

Maharashtra 400001 Mumbai Mumbai Maharashtra 400001 ANDHERI NO - 30/12/2014 30/12/2014 25/12/2017

8574443 60023494 FGG AMIT SHARMA 01/05/1980

AGARSEN MARG SHEOGANJ SIROHI Sirohi Rajasthan

307027 Sirohi Sirohi Rajasthan 307027 UDAIPUR YES BIRLA SUN LIFE 11/04/2014 11/04/2014 29/03/2017

8963977 60023496 FGG SUDHARANI B.V. 02/10/1985

NO 51,6TH CROSS,VEER SAGAR MAIN ROAD , ATTUR

LAYOUT,YELAHANKA UPANAGAR BANGALORE Bangalore

Karnataka 560106 Bangalore Bangalore Karnataka 560017 R.T.NAGAR NO - 20/01/2015 20/01/2015 25/12/2017

8963969 60023498 FGG BARKHAA N. GUPTAA 06/06/1988

803, Redwood, B wing, Evershine Greens, New link Road,

Oshiwara , Andheri (W), Mumbai Maharashtra 400102 Mumbai Mumbai Maharashtra 400102 ANDHERI NO - 27/10/2014 27/10/2014 25/12/2017

8963958 60023499 FGG BRIJESHKUMAR S. SINGH 20/07/1984

332, Sagar Park Building, 3 F-W, 1st floor, Gaondivi,

Ghatkopar(W), Off Amrut Nagar, Mumbai Maharashtra

400086 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 01/12/2014 01/12/2014 25/12/2017

8964438 60023502 FGG SUMANTHA REDDY C. 10/05/1988

NO 205/109 BSA ROAD SAGAYAPURAM Bangalore

Karnataka 560005 Bangalore Bangalore Karnataka 560005 VIJAYNAGAR NO - 16/09/2014 16/09/2014 25/12/2017

8962042 60023506 FGG HOMI JHAY 22/05/1965

3/472,KAIMATHURUTHY THURUTHUR ROAD PUTHENVELIKARA

Ernakulam Kerala 683594 Ernakulam Ernakulam Kerala 683594 COCHIN NO - 19/02/2015 19/02/2015 22/12/2017

8970444 60023521 FGG NIMESH CHANDRA SAHA 16/07/1953

24, SALT LAKE, SECTOR-1, BLOCK-CD, BIDHANNAGAR, Kolkata

West Bengal 700067 Kolkata Kolkata West Bengal 700067 KOLKATA NO - 27/02/2015 27/02/2015 30/12/2017

8289250 60023528 FGG DHANESH K. SHAH 13/01/1964

G/1,VIRESHWAR SMRUTI CHS., RAM MANDIR ROAD, VILE PARLE-

EAST Mumbai Maharashtra 400057 Mumbai Mumbai Maharashtra 400057 THANE YES

LIFE INSURANCE

CORPORATION 06/09/2013 06/09/2013 19/09/2016

8828393 60023530 FGG RADHA RAMJI 10/01/1952

3A, DIAMOND GITANJALI 17, KALAKSHETRA ROAD

THIRUVANMAIYUR - Chennai Tamil Nadu 600041 Kancheepuram Kancheepuram Tamil Nadu 600041 CHENNAI YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 01/09/2014 01/09/2014 21/09/2017

8971238 60023531 FGG GUNASEHARAN T. 07/04/1983

NO.33 TMV VELLAISAMY STREET ARIPPUKOTTAI TK,

Virudhunagar Tamil Nadu 626101 Virudhunagar Virudhunagar Tamil Nadu 626101 CHENNAI NO - 30/12/2014 30/12/2014 01/01/2018

8971220 60023535 FGG ZEEL V. TRIVEDI 16/11/1983

402, TAPSI APPARTMENT, NEAR SWEET HOME, JODHPUR GAM,

SATELLITE, Ahmadabad Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD NO - 02/02/2015 02/02/2015 01/01/2018

8971206 60023538 FGG AMITA GUPTA 06/08/1978

356/255/250, Ashraf Nagar, Alam Nagar Road Lucknow,

Lucknow Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 02/02/2015 02/02/2015 01/01/2018

8971174 60023541 FGG SHUKLA NITU PANKAJ 08/02/1983

A WING FLAT NO 406 KAKADE CITY KARVE NAGAR PUNE Pune

Maharashtra 411052 Pune Pune Maharashtra 411052 CHINCHWAD NO - 30/12/2014 30/12/2014 01/01/2018

526986 60023545 FGG SANJAY RAGHUNATH PATIL 04/06/1968

Flat No.401, Bldg -5 Wimbledon Park, Pokhran Road No.1 Thane

Thane Maharashtra 400606 Thane Thane Maharashtra 400606 THANE YES

KOTAK MAHINDRA OLD

MUTUAL 16/01/2015 16/01/2015 18/04/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

1070544 60023551 FGG NAND KISHORE .. 30/06/1972 A-5-8 PAND NAGAR SHADI PUR DEPOT Delhi Delhi 11---8 West West Delhi 110008 WEST DELHI NO - 12/03/2012 12/03/2012 19/03/2015

8972458 60023556 FGG BHOOMIKA S. PRASAD 23/08/1991

FLAT NO.601, ASTVINAYAK CHS SEC-13, PALM BEACH ROAD,

SANPADA, NAVI MUMBAI Thane Maharashtra 400705 Thane Thane Maharashtra 400705 VASHI YES BIRLA SUN LIFE 04/03/2015 04/03/2015 03/01/2018

8087638 60023557 FGG ANAND SWAROOP SHARMA 05/06/1969

FL.NO.C-102,SHIV ARPAN CHS.,PL.NO.15 SECTOR-5

GHANSOLI,NAVI MUMBAI Thane Maharashtra 400701 Thane Thane Maharashtra 400701 VASHI YES

LIFE INSURANCE

CORPORATION 25/09/2013 25/09/2013 14/05/2016

8972445 60023559 FGG SANJAY CHOUDHRY 28/12/1969

12/07/11, PRINCE GOLAM MD.SHAH ROAD, GOLF GARDENS, LP-

105/11/21, Kolkata West Bengal 700045 Kolkata Kolkata West Bengal 700045 KOLKATA NO - 10/02/2015 10/02/2015 03/01/2018

8972442 60023560 FGG PUNEET SARAF 31/10/1974

AD-204, SALT LAKE CITY, SECTOR-1, P.O & P.S: BIDHAN NAGAR

(NORTH) Kolkata West Bengal 700064 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700064 KOLKATA NO - 13/01/2015 13/01/2015 03/01/2018

8724476 60023564 FGG ISHANI ANKUR PATEL 28/06/1989

489, KHEDVAY STREET, B/H SARASWATI VIDHYALAY, NAVA

MAGDALLA, Surat Gujarat 395007 Surat Surat Gujarat 395009 SURAT YES

LIFE INSURANCE

CORPORATION 06/06/2014 06/06/2014 26/07/2017

5578949 60023565 FGG MENABEN ARVINDBHAI VARASANI 31/07/1980

151, AJAMAL DHAM SOCIETY, PUNA GAM, SIMADA GAM, SIMADA

ROAD, Surat Gujarat 394210 Surat Surat Gujarat 394210 SURAT YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 17/09/2012 17/09/2012 17/07/2015

8972421 60023566 FGG PRACHI UMESH SHAH 03/03/1970

Old Agakhan Building, 563, Dr. E Moses Road, Jacob Circle,

Mumbai Maharashtra 400011 Mumbai Mumbai Maharashtra 400014 FORT NO - 30/12/2014 30/12/2014 03/01/2018

8972343 60023567 FGG SACHIN SHAHAJI BHUKAN 10/04/1983

SN NO 164/28 NR GURUDWARA BHUKAN WASTI PUNE PUNE

PUNE Pune Maharashtra 411047 Pune Pune Maharashtra 411047 PUNE NO - 08/01/2015 08/01/2015 03/01/2018

8972332 60023569 FGG SARFRAJ KHAN KHALIL KHAN 29/06/1980

284-6 RUBI APARTMENT JAVAL, KATAYA FAIL, SHANI PETH

JALGAON Jalgaon Maharashtra 425001 Jalgaon Jalgaon Maharashtra 425001 JALGAON NO - 08/01/2015 08/01/2015 03/01/2018

2850623 60023572 FGG CHAUDHARI DINESH BHAGWAT 22/09/1983

1693, NR.SRI KRUSHNA TEMPLE NASHIRABAD DT:JALGAON

Jalgaon Maharashtra 425309 Jalgaon Jalgaon Maharashtra 425309 JALGAON YES

LIFE INSURANCE

CORPORATION 29/01/2013 29/01/2013 20/12/2015

2407451 60023577 FGG K.P. VIJAY KUMAR 19/10/1961

APRT NO 204,CLASSIC COURT 507/508,8TH MAIN 7TH BLOCK

JAYANAGAR Bangalore Karnataka 560082 Bangalore Bangalore Karnataka 560082 BANGALORE NO - 03/03/2015 03/03/2015 04/05/2018

5252748 60023578 FGG JOSEPH FELIX SELVANATHAN 30/04/1949

333/2, 5th Cross, Guptha Nagar, Angammal Colony, Salem Salem

Tamil Nadu 636009 Salem Salem Tamil Nadu 636009 SALEM YES

LIFE INSURANCE

CORPORATION 04/01/2012 04/01/2012 15/03/2015

2059576 60023580 FGG BELA DARSHAN DESAI 26/01/1972

D/60, GANESH TOWNSHIP, LINK ROAD, NR. SHRAVAN SCHOOL,

BHARUCH, Bharuch Gujarat 392001 Bharuch Bharuch Gujarat 392001 BHARUCH YES

BaJAJ ALLIANZ LIFE

INSURANCE 12/07/2014 12/07/2014 05/08/2017

8972313 60023581 FGG PALLAVI ATUL SALEKAR 23/09/1976

B-69, MANIBHAI PARK, SAYAJIPURA, AJWA ROAD,BARODA,

Vadodara Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA NO - 02/03/2015 02/03/2015 03/01/2018

8701584 60023583 FGG VISHWAJNA .. 16/09/1982

D NO 2-13, SRI LAXMI GANESH, JOKATTE, MANGALORE,

Mangalore Karnataka 574173 Dakshina Kannada Dakshina Kannada Karnataka 574173 MANGALORE YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 04/06/2014 04/06/2014 13/07/2017

2203694 60023588 FGG MAYUR K NAHAR 13/06/1986

B WING ROOM NO 106, VINAYAK NAGAR ROAD, BHAYANDER

THANE. Thane Maharashtra 401101 Thane Thane Maharashtra 401101 BORIVALI YES

LIFE INSURANCE

CORPORATION 21/11/2014 21/11/2014 07/12/2017

8975227 60023594 FGG V. ASHOK KUMAR 29/06/1964

17 I 10 TH CROSS ROAD ,SUDHEENDRA NAGAR ,MALLESWARAM

BANGALORE Bangalore Karnataka 560003 Bangalore Bangalore Karnataka 560003 BANGALORE NO - 20/01/2015 20/01/2015 08/01/2018

8975420 60023595 FGG RIFAT SIDDIQUI 10/12/1982

BEHIND BTI MADAN BHAVANA NAGAR RAIPUR Raipur

Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 02/02/2015 02/02/2015 08/01/2018

6064428 60023600 FGG STELLA MARY JAYANTHI 21/01/1963

NO 3, GANDHI ROAD GILL NAGAR, CHOOLAIMEDU CHENNAI

Chennai Tamil Nadu 600094 Chennai Chennai Tamil Nadu 600094 CHENNAI NO - 15/02/2013 15/02/2013 30/03/2016

3268443 60023601 FGG ANUPAMA R. 24/08/1975

113 8TH MAIN 4TH BLOCK JAYANAGAR Bagalkot Karnataka

560011 Bangalore Bangalore Karnataka 560041 BANGALORE NO - 13/05/2013 13/05/2013 28/04/2016

2890637 60023602 FGG SATISH MALHOTRA 24/11/1970 B-202, DERAWAL NAGAR, New Delhi, Delhi Delhi 110009 North West North West Delhi 110009 WEST DELHI YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 15/03/2013 15/03/2013 01/01/2016

4690499 60023603 FGG AKHIL UPPAL 21/01/1985

607/11 NHBC, SEC-14 SONIPAT Sonipat Haryana

131001 Sonipat Sonipat Haryana 131001 WEST DELHI NO - 01/10/2014 01/10/2014 07/10/2017

8976409 60023606 FGG MANJEET KAUR 07/02/1985

381 Muhalla Vakila Kasian Ludhiana Ludhiana Punjab

140802 Ludhiana Ludhiana Punjab 141001 LUDHIANA YES

MAX NEW YORK LIFE

INSURANCE CO.LTD. 10/02/2015 10/02/2015 09/01/2018

8976408 60023612 FGG MOHAMMED NOORUDDIN 09/09/1984

ESURANCE,#159/22, 3RD FLOOR 32ND E CROSS, 4TH T BLOCK,

JAYANAGAR BANGALORE Bangalore Karnataka 560011 Bangalore Bangalore Karnataka 560011 INDIRA NAGAR NO - 16/01/2015 16/01/2015 09/01/2018

8976407 60023613 FGG BHARATKUMAR A PATEL 04/05/1980

AT & Post - Gangadiya, Savli, Baroda, Vadodara Gujarat

391520 Vadodara Vadodara Gujarat 391520 BARODA NO - 30/12/2014 30/12/2014 09/01/2018

2141408 60023618 FGG SHAILESH RAMANBHAI PATEL 31/10/1979

36, NARAYAN SOCIETY, NR. RAILWAY STATION, KALOL,

GANDHINAGAR Gandhinagar Gujarat 382721 Gandhinagar Gandhinagar Gujarat 382721 AHMEDABAD NO - 07/10/2014 07/10/2014 09/10/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8976121 60023625 FGG SUDHA S 27/05/1980

DOOR NO.G-2, PLOT NO.28/22, MADHU MENOR APRTS,5TH MAIN

ROAD, NANGALLUR Chennai Tamil Nadu 600061 Chennai Chennai Tamil Nadu 600061 ANNA NAGAR NO - 20/01/2015 20/01/2015 09/01/2018

8975418 60023629 FGG MEENA KAPOOR 05/11/1965 ARJUN NAGAR New Delhi New Delhi Delhi Delhi 110051 Ghaziabad Ghaziabad Uttar Pradesh 201010 NOIDA NO - 02/02/2015 02/02/2015 08/01/2018

1670121 60023632 FGG UTTAM KUMAR DUTTA 31/12/1968

H/N - 11, SANDHYACHAL NAGAR, BORSO LALMATI BASISTHA,

GUWAHATI, Kamrup Assam 781029 BASISTHA BASISTHA Assam 781029 GUWAHATI YES BIRLA SUN LIFE 04/05/2013 04/05/2013 22/04/2016

219838 60023648 FGG SARADA TARIMALA 01/07/1940

FLAT NO.16, SOMAVARAPU HEIGHTS, 6-3-563/26/A/16, HILL TOP

COLONY, ERRAMANZIL, HYDERABAD. Hyderabad Telangana

500082 Hyderabad Hyderabad Andhra Pradesh 500082 HIMAYATHNAGAR NO - 08/07/2013 08/07/2013 14/09/2016

8978459 60023650 FGG MADHAVI B. D. 30/01/1983

#59 2nd floor 3r main 2nd cross srinivasanagar BANGALORE

Bangalore Karnataka 560050 Bangalore Bangalore Karnataka 560004 BANGALORE NO - 30/12/2014 30/12/2014 12/01/2018

286768 60023651 FGG RAJNIKANT MOHANLAL SHAH 13/11/1943

FLAT NO 106 2ND FLOOR HRISHIKESH APTS V S MARG

PRABHADEVI MUMBAI Mumbai Maharashtra 400028 Mumbai Mumbai Maharashtra 400028 ANDHERI YES

LIFE INSURANCE

CORPORATION 18/11/2013 18/11/2013 18/12/2016

8978737 60023656 FGG ANIL KUMAR SHARMA 03/01/1974

Shkti Computers Bank Road Bhinmal Jalor Rajasthan

307029 Jalor Jalor Rajasthan 307029 JODHPUR NO - 17/01/2015 17/01/2015 12/01/2018

8978813 60023678 FGG N. K. JAYASANKAR 11/04/1965

600 B,PARAMESWARA VIHAR 8,VELIYATHAMPARAMBU

NAYARAMBALAM Ernakulam Kerala 682509 Ernakulam Ernakulam Kerala 682509 COCHIN NO - 30/12/2014 30/12/2014 12/01/2018

8977700 60023682 FGG DIMPLE LIMBACHIYA 20/08/1987

C-3, Devram Dange Chawl, Devipada, Borivali (E) Mumbai

Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 ANDHERI NO - 28/01/2015 28/01/2015 11/01/2018

8980135 60023685 FGG ISHAAN VIJ 21/05/1993 37 DLF Industrial Area Kirti Nagar Delhi Delhi 110015 West West Delhi 110015 FARIDABAD NO - 16/01/2015 16/01/2015 15/01/2018

8980141 60023686 FGG HITESH MADAN 15/09/1987

20A/4 Marla New Colony, Palwal Faridabad Haryana

121102 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 04/02/2015 04/02/2015 15/01/2018

1229204 60023690 FGG DRISHTEE S MAHADIK 27/03/1979

A-2-3, CRYSTAL PALACE, KANDER PADA, NEAR LEGEND IV DAHISAR

EAST Mumbai Maharashtra 4---68 Mumbai Mumbai Maharashtra 400068 ANDHERI NO - 26/07/2012 26/07/2012 22/04/2015

8980175 60023691 FGG GOPINATH RAO V.J. 23/07/1980

#785, West Chord road, 3rd Cross, Basaveshwara nagar , J C nagar

Bangalore Bangalore Karnataka 560075 Bangalore Bangalore Karnataka 560075 BANGALORE NO - 20/01/2015 20/01/2015 15/01/2018

8979917 60023695 FGG LAGISHETTY JEEVANLATHA 26/03/1980

H NO 3-7/2' 1st floor, Baghameer KUKATPALLY HYDERABAD

Hyderabad Telangana 500072 Rangareddi Rangareddi Andhra Pradesh 500072 DILSUKHNAGAR NO - 02/02/2015 02/02/2015 15/01/2018

8979910 60023697 FGG VINJAMURI VENKATA RATNAM 12/07/1982

24-99 MALKAJGIRI HYDERABAD Hyderabad Telangana

500047 Rangareddi Rangareddi Andhra Pradesh 500047 HYDERABAD NO - 22/12/2014 22/12/2014 15/01/2018

8979894 60023702 FGG KAPIL DEV G TIWARI 12/05/1973

512, 5th Floor, Vallabh CHS, Saibaba Nagar, Dharavi, Mumbai

Mumbai Maharashtra 400017 Mumbai Mumbai Maharashtra 400017 ANDHERI NO - 28/01/2015 28/01/2015 15/01/2018

8979889 60023703 FGG RISHIKESH S SOSHTE 30/11/1977

A/203, DWARKAMAI BLDG 2ND FLOOR PANNALAL GHOSH ROAD,

SOMWAR BAZAR MALAD WEST Mumbai Maharashtra

400064 Mumbai Mumbai Maharashtra 400064 ANDHERI NO - 19/01/2015 19/01/2015 15/01/2018

5493042 60023705 FGG SULBHA RAMESH BOCHARE 05/06/1984

AT NANDKHED PO SHIRLA TA PATUR DI AKOLA Akola Maharashtra

444001 Akola Akola Maharashtra 444001 AKOLA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/10/2012 26/10/2012 23/06/2015

8980899 60023706 FGG SHAHID T.M. 27/09/1985

461, Thadathil House Kavalmukkatta P.O Nilambur Malappuram

Kerala 676505 Malappuram Malappuram Kerala 676505 COCHIN NO - 19/02/2015 19/02/2015 16/01/2018

4468391 60023708 FGG V. PRITESH 01/04/1982

OLD 42/1 NEW # 6 RAMNATHAN STREET OPP PERUMAL KOIL 1st

FLOOR AYANAVARAM Chennai Tamil Nadu 600023 Chennai Chennai Tamil Nadu 600023 CHENNAI YES

RELIANCE LIFE

INSURANCE 30/08/2014 30/08/2014 06/08/2017

8980912 60023710 FGG JASPREET KAUR 14/12/1985 76 United india appts. Delhi Delhi Delhi 110091 East East Delhi 110091 NOIDA NO - 23/02/2015 23/02/2015 16/01/2018

8981460 60023714 FGG NITHIN TV 11/04/1989

#935, 7TH MAIN, R V BLOCK, SRINAGAR BANGALORE Bangalore

Karnataka 560050 Bangalore Bangalore Karnataka 560050 INDIRA NAGAR NO - 16/01/2015 16/01/2015 17/01/2018

8981057 60023715 FGG RUCHI JAIN 24/05/1982

HOUSE NO -353 SEC 18 HOUSING COLONY Ghaziabad Uttar

Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 22/12/2014 22/12/2014 16/01/2018

8361364 60023719 FGG USHA RANI 15/09/1986

V.P.O. LADHOUT ROHTAK ROHTAK Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK YES SBI LIFE INS. CO. 23/10/2013 23/10/2013 02/11/2016

8981776 60023726 FGG SAGARIKA JENA 18/05/1981

AT-UTTARASAHI 1, PO- MULABASANT, CUTTACK, Cuttack

Odisha 754204 Kendrapara Kendrapara Odisha 754204 CUTTACK NO - 02/02/2015 02/02/2015 17/01/2018

8981062 60023740 FGG VANAPALLI MAHESH 11/09/1977

FLAT NO-B1, SAMPAT SURYA DEVI TOWERS AKKAYYAPALEM

Visakhapatnam Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 09/03/2015 09/03/2015 16/01/2018

4240709 60023741 FGG GAWALI ANAJA ANIL 27/10/1987

NEAR GAWALI GARDEN SHANKAR NAGAR PUSAD Yavatmal

Maharashtra 445204 Yavatmal Yavatmal Maharashtra 445204 AURANGABAD NO - 17/06/2014 17/06/2014 19/05/2017

8984671 60023762 FGG M KARTHIK 17/02/1986

No-354 Vaico nagar Mettavaithalai Tiruchirapalli Tamil Nadu

639112 Tiruchirappalli Tiruchirappalli Tamil Nadu 639112 TRICHY NO - 22/12/2014 22/12/2014 22/01/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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Agent code DP ID Agent Name

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Birth Address Town/City District State Pin code

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Is

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8984669 60023763 FGG PUNEET TRIKHA 15/10/1977 774 Sector 9A Gurgaon Gurgaon Haryana 121001 Faridabad Faridabad Haryana 121001 GURGAON NO - 28/01/2015 28/01/2015 22/01/2018

8984668 60023764 FGG SATYABRAT MALLICK 18/06/1987

Vasant Vihar Near Garhi Harsaru Railway Station Garhi Harsaru

Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 28/01/2015 28/01/2015 22/01/2018

8984666 60023765 FGG JYOTI BAJORIA 17/11/1958 F-2550 D Block Palam Vihar Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 28/01/2015 28/01/2015 22/01/2018

8981059 60023768 FGG SRI HARSHA B S 19/03/1982

#799/A ground floor 17th cross 37th main JP nagar 6th phase

BANGALORE Bangalore Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 19/01/2015 19/01/2015 16/01/2018

8257008 60023770 FGG DIVYA SOMESHEKARIAH 15/06/1984

265 2nd Floor A T Street 6th Block Jaya Nagar Yediyur Bangalore

Karnataka 560082 Bangalore Bangalore Karnataka 560082 BANGALORE NO - 24/06/2013 24/06/2013 30/08/2016

8454470 60023772 FGG SUSHEEL SULAIMAN 17/02/1972

ALAT NO.009 NO.40/6186/B-18,PRASANNA VIHAR AWHO

MARINE DRIVE ERANAKULAM Ernakulam Kerala

682031 Ernakulam Ernakulam Kerala 683101 COCHIN YES

LIFE INSURANCE

CORPORATION 11/02/2014 11/02/2014 05/01/2017

8985033 60023775 FGG NIRMLA KUMARI 16/06/1955

VPO Jamsher khas railway road VPO Jamsher khas Jalandhar

Punjab 144020 Jalandhar Jalandhar Punjab 144020 JALANDHAR NO - 25/02/2015 25/02/2015 23/01/2018

8984617 60023776 FGG ABHAY BHADOURIA 27/08/1981

B-2510, B BLOCK INDIRA NAGAR, GHAZIPUR GHAZIPUR Lucknow

Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 02/01/2015 02/01/2015 22/01/2018

8984615 60023777 FGG VIKASH JAISHWAL 10/10/1976

11/11 KHA CHURI WALI GALI, GANDHI NIWAS, UDAYGANJ

UDAYGANJ Lucknow Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 02/01/2015 02/01/2015 22/01/2018

8984603 60023779 FGG SHISHIR SHARMA 27/12/1982

555 KHA/26/13GA BHOLA KHERA, ALAMBAGH LUCKNOW

Lucknow Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 02/01/2015 02/01/2015 22/01/2018

8984589 60023780 FGG ANURAG SRIVASTAVA 07/06/1980

22/165 INDIRA NAGAR LUCKNOW Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 02/01/2015 02/01/2015 22/01/2018

8981058 60023783 FGG ROOPA R 24/10/1979

NO 20, 4th cross kurubarahalli Bangalore Bangalore

Karnataka 560078 Bangalore Bangalore Karnataka 560078 VIJAYNAGAR NO - 13/02/2015 13/02/2015 16/01/2018

8986047 60023784 FGG PRASAD RAMKRISHNA SALVI 29/05/1990

3/10, HARIHARWALA BLDG, SANE GURUJI MARG, LALBAUG,

Mumbai Mumbai Maharashtra 400012 Mumbai Mumbai Maharashtra 400012 GHATKOPAR NO - 15/12/2014 15/12/2014 23/01/2018

8986478 60023787 FGG SWATI GARUD 30/01/1991

Swati Priti Bhavn Sanjay Niwas kajupada kurla Near Shivaji

Vidyalaya Kurla Mumbai Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 GHATKOPAR NO - 13/02/2015 13/02/2015 24/01/2018

8986045 60023790 FGG BELI FESAL MOHAMMED S 06/07/1975

793, Vali Faliya No.2, Godhra, Panch Mahals Gujarat

389001 Godhra Godhra Gujarat 389001 GODHRA NO - 20/01/2015 20/01/2015 23/01/2018

5345235 60023791 FGG KINJESHKUMAR S PATEL 12/08/1985

28, SARASWATI SOCIETY, NR. MARKETING YARD, GODHRA.

Panch Mahals Gujarat 389001 Godhra Godhra Gujarat 389001 GODHRA YES

LIFE INSURANCE

CORPORATION 26/02/2015 26/02/2015 22/04/2018

460148 60023792 FGG ALKESH B KAPANI 02/01/1966

House No A/104, 1st Floor, Vallabh Vihar, Opp SBI Rajawadi M G

Road, Ghatkopar Mumbai Maharashtra 400077 Thane Thane Maharashtra 400607 GHATKOPAR NO - 10/03/2014 10/03/2014 05/03/2017

8270865 60023794 FGG VIKRANT NANDKISHOR BHAVSAR 14/07/1982

C/O NR KAPSE, PL NO 151, DWARKAPURI, EKANTH NAGAR - -

Aurangabad Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 18/11/2013 18/11/2013 06/09/2016

5809653 60023795 FGG JAYASHREE THAMAJI SHINDE 01/02/1987

18/5, AVANTI HSG SOC INDRAYANI NAGAR BHOSARI PUNE Pune

Maharashtra 411026 Pune Pune Maharashtra 411026 CHINCHWAD YES

LIFE INSURANCE

CORPORATION 28/03/2013 28/03/2013 01/10/2015

8986937 60023799 FGG ARCHANA ARVIND KULKARNI 01/09/1979

A/P JAKHINWADI JAKHINWADI KARAD Satara Maharashtra

415110 Satara Satara Maharashtra 415110 SATARA NO - 08/01/2015 08/01/2015 24/01/2018

8987093 60023803 FGG PARMAR BHAGIRATSINH R 30/08/1979

KRISHNA PARK PLOT NO 91-B, B/H POPAT PARA, RAILNAGAR,

Rajkot Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 20/01/2015 20/01/2015 24/01/2018

8981064 60023807 FGG M A NAGDEEP 26/10/1982

NO 9-10/1, VAYUPUTHR GLASS & PLAYWOODS B V K ROAD

Bangalore Karnataka 560053 Bangalore Bangalore Karnataka 560053 VIJAYNAGAR NO - 16/02/2015 16/02/2015 16/01/2018

2038747 60023810 FGG VINOD GOYAL 20/07/1966

SHOP NO-124 NEW ANAJ MANDI ADAMPUR Hisar Haryana

125001 Hisar Hisar Haryana 125001 BARODA YES

BaJAJ ALLIANZ LIFE

INSURANCE 24/06/2014 24/06/2014 19/07/2017

1609959 60023812 FGG PANKAJ S SANGHVI 04/11/1958

B/302, CRYASTAL APTS. FATEH BAUG KANDIVLI [WEST] Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 FORT YES

LIFE INSURANCE

CORPORATION 26/03/2013 26/03/2013 26/02/2016

8989917 60023815 FGG B. GAYATHRI 02/06/1993

OLD NO 29 A, NEW NO 26, ALAGIRI NAGAR, PRADHANA SALAI, T

NAGAR, Chennai Tamil Nadu 600026 Chennai Chennai Tamil Nadu 600026 CHENNAI NO - 16/02/2015 16/02/2015 29/01/2018

2196734 60023816 FGG SONAL RAKESH SHAH 16/02/1966

302, SAI TRISHUL, RAVIRAJ COMPLEX NEW LINK ROAD,

ANDHERI(W) Mumbai Maharashtra 400053 Mumbai Mumbai Maharashtra 400053 PRABHADEVI NO - 30/12/2014 30/12/2014 01/12/2017

8990785 60023830 FGG KINJAL HIREN GOLWALA 14/09/1990

2071,SUBHANWAD ANKLESHWAR-8, NR. SAMDI FALIYA,

ANKLESHWAR DIST BHARUCH, Bharuch Gujarat 393001 Bharuch Bharuch Gujarat 393001 BHARUCH NO - 22/12/2014 22/12/2014 30/01/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

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Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

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Is

Comp

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If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3565321 60023839 FGG MONALI AMIT MEHTA 30/10/1974

2-22, BHUTA NIWAS DR AMBEDKAR RD MATUNGA MUMBAI

Mumbai Maharashtra 400019 Mumbai Mumbai Maharashtra 400019 ANDHERI YES

BaJAJ ALLIANZ LIFE

INSURANCE 17/01/2014 17/01/2014 11/09/2016

8992622 60023840 FGG GARIMA SACHDEVA 23/11/1984

107/146, Jawahar Nagar, Kanpur, Kanpur Dehat Uttar

Pradesh 208012 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208012 KANPUR NO - 20/01/2015 20/01/2015 31/01/2018

8992880 60023841 FGG MADHU KATHERIA 20/07/1984

B-188 Purana Vidhadhar Nagar Block-B Jaipur Rajasthan

302016 Jaipur Jaipur Rajasthan 302016 JAIPUR NO - 12/02/2015 12/02/2015 31/01/2018

5159862 60023847 FGG PATEL PALAK 08/04/1990

MAHADEV, NR. SHASTRI BAUG, DR. COOK ROAD, ANAND,

Anand Gujarat 388001 Anand Anand Gujarat 388001 ANAND YES

LIFE INSURANCE

CORPORATION 10/01/2015 10/01/2015 17/02/2018

8176982 60023849 FGG RADHA DEVI JAIN 10/02/1987

702 GANGA-JAMUNA MANSAROVAR MIRA-BHYANDER ROAD

BHYANDER Thane Maharashtra 401107 Thane Thane Maharashtra 401107 ANDHERI YES

LIFE INSURANCE

CORPORATION 08/07/2013 08/07/2013 15/07/2016

9099495 60023852 FGG BHOSALE JAYDEEP J 08/05/1973

Flat No 2-2, Vrindavan Apartment, Adinath Nagar, Shirur, Pune

Maharashtra 41221- Pune Pune Maharashtra 411043 AHMEDNAGAR NO - 27/06/2012 27/06/2012 26/06/2015

8993522 60023855 FGG D NAGARATHINAM 12/07/1980

OLD NO 60, NEW NO 8, KANNAGI NAGAR, 2ND STREET, P N ROAD

Coimbatore Tamil Nadu 641602 Coimbatore Coimbatore Tamil Nadu 641602 COIMBATORE NO - 27/02/2015 27/02/2015 01/02/2018

4615024 60023860 FGG DEEPAK MADAN 18/02/1980 776 Jheel Kuranja Geeta Colony Delhi Delhi 110051 East East Delhi 110051 CONNAUGHT PLACENO - 08/08/2014 08/08/2014 18/09/2017

8996542 60023870 FGG TINA M. DSOUZA 26/06/1971

3-14-12687/8,1B high point apts,1st floor nathoor Mangalore

Dakshina Kannada Karnataka 575005 Dakshina Kannada Dakshina Kannada Karnataka 575005 MANGALORE NO - 09/03/2015 09/03/2015 06/02/2018

5835053 60023872 FGG SANJAY SINGH CHOUHAN 28/01/1974 ES 124 NEHRU NAGAR BHOPAL Bhopal Madhya Pradesh 462--3 Bhopal Bhopal Madhya Pradesh 462003 BHOPAL NO - 31/08/2012 31/08/2012 13/10/2015

8496489 60023873 FGG AJAY SRIRAM KABRA 24/11/1970

P. No.4, 1st Floor, Bijee Nagar, Osmanpura, Aurangabad

Maharashtra 431005 Aurangabad Aurangabad Maharashtra 431005 AURANGABAD NO - 10/02/2014 10/02/2014 03/02/2017

1327795 60023885 FGG PRIYA VENKATARAMAN 27/01/1971

No 6/3, F A Mugil Apts., 47th Street, Ashok Nagar, Chennai

Chennai Tamil Nadu 6---83 Chennai Chennai Tamil Nadu 600083 CHENNAI NO - 11/09/2012 11/09/2012 04/08/2015

1477576 60023890 FGG SHITAL VINODKUMAR AGRAWAL 15/05/1974

262, RAMDEV BABA MANDIR WARD NAYA PRESS AKOT Akola

Maharashtra 4441-1 Akola Akola Maharashtra 444101 AKOLA NO - 03/07/2012 03/07/2012 03/04/2015

8693250 60023892 FGG YADAV CHANDRAPRAKASH ARJUNPRAS 10/12/1991

510, Jalaram Soc-1, Near Karodia Gam, Bajwa, Baorda, Vadodara

Gujarat 391310 Vadodara Vadodara Gujarat 391310 BARODA YES

RELIANCE LIFE

INSURANCE 29/05/2014 29/05/2014 08/07/2017

5931764 60023897 FGG RAHUL SHARMA 13/06/1980 6A/1, DURGA PURI EXTN SHAHDARA DELHI Delhi Delhi 110093 North East North East Delhi 110093 NOIDA YES

LIFE INSURANCE

CORPORATION 05/10/2012 05/10/2012 04/12/2015

4993942 60023898 FGG RAJU BHASKAR 15/03/1971 H NO 26-A, KUNDAN NAGAR, DELHI, Delhi Delhi 110092 East East Delhi 110092 NOIDA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/12/2014 20/12/2014 30/12/2017

774190 60023901 FGG RAMJI SAHU 15/03/1964

725 GOL BAZAR J B 58 A S P 2 JABALPUR Jabalpur Madhya

Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR YES

LIFE INSURANCE

CORPORATION 13/09/2014 13/09/2014 14/10/2017

486907 60023903 FGG ASHOK KUMAR 20/07/1954

HOUSE NO.93,GALI NO.9, MAIN BAZAR,PAWAN NAGAR,

AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

LIFE INSURANCE

CORPORATION 28/12/2013 28/12/2013 24/03/2017

9002151 60023927 FGG KRISHNA DEKA 08/10/1979

H/N - 79, PUB SARANIA, CHANDMARI, GUWAHATI, Kamrup

Assam 781003 Kamrup Kamrup Assam 781003 GUWAHATI NO - 02/03/2015 02/03/2015 14/02/2018

8121440 60023932 FGG PANDURANGA RAO PILARISETTY 05/10/1948

4-157 MARUTHINAGAR, MALKAJGIRI HYDERABAD Hyderabad

Telangana 500047 Rangareddi Rangareddi Andhra Pradesh 500047 HYDERABAD YES SBI LIFE INS. CO. 21/08/2013 21/08/2013 10/06/2016

8106835 60023936 FGG SANJU SURESHKUMAR BOHRA 20/01/1973

701 A Suparshawar Apartment Elphistone Road Mumbai

Maharashtra 400025 Mumbai Mumbai Maharashtra 400025 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 25/03/2014 25/03/2014 30/05/2016

8054217 60023937 FGG DHAVAL BHARATKUMAR SHAH 15/11/1977

Flat No 1603, Kent Height CHSL, Vardhman Nagar, Nursing Lane,

Malad West, Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI NO - 06/11/2013 06/11/2013 06/04/2016

9003287 60023938 FGG GANESH J ADSUL 21/12/1983

100/104, Chimna Butcher Street Bandookwala Building

Bandookwala Mumbai Mumbai Maharashtra 400003 Mumbai Mumbai Maharashtra 400003 ANDHERI NO - 27/02/2015 27/02/2015 16/02/2018

5339265 60023941 FGG SACHIN GOEL 29/10/1982

128, PUNJABI BAGH, GALI NO. 4, KARDHAN ROAD, AMBALA,

Ambala Haryana 133--1 Ambala Ambala Haryana 133001 CHANDIGARH NO - 31/01/2013 31/01/2013 19/04/2015

9003301 60023942 FGG PREETI SHARMA 07/12/1988

59, GARABASA, TATANAGAR, Jamshedpur, Purbi Singhbhum

Jharkhand 831002 Purbi Singhbhum Purbi Singhbhum Jharkhand 831002 JAMSHEDPUR NO - 16/02/2015 16/02/2015 16/02/2018

9003299 60023944 FGG AMIN AMISHABEN KAMLESH 10/07/1977

A-12,UPVANI RESI, BHOLAV, BHARUCH Bharuch Gujarat

393105 Bharuch Bharuch Gujarat 393105 BHARUCH NO - 09/12/2014 09/12/2014 16/02/2018

9003676 60023947 FGG AAYUSH GUPTA 16/12/1986

44 Anand Lok Near Kamla Nehru Collage New Delhi Delhi Delhi

110074 South South Delhi 110074 FARIDABAD NO - 27/02/2015 27/02/2015 16/02/2018

2636697 60023957 FGG ANKUR KHURANA 08/03/1980 B 9-324 SECTOR-3 ROHINI Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI YES

HDFC STANDARD LIFE

INSURANCE 30/10/2012 30/10/2012 27/09/2015

9004777 60023958 FGG SATYA NARAYANA S. 11/11/1962

PNO.68, 1ST FLOOR SUCHITRA CHINTAL HYDERABAD Hyderabad

Telangana 500054 Rangareddi Rangareddi Andhra Pradesh 500054 HYDERABAD NO - 09/03/2015 09/03/2015 19/02/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

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agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

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valid from

Expiry

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Details of Individual Agents of the Company as on 31st March 2015

8615467 60023959 FGG S. REKHA 04/02/1983

NO 21 3RD MAIN ROAD VIJAYANAGAR VELACHERRY VELACHERRY

Chennai Tamil Nadu 600042 Chennai Chennai Tamil Nadu 600042 CHENNAI YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 23/04/2014 23/04/2014 19/05/2017

9004849 60023960 FGG UTTAM CHAND DARDA 28/08/1971

30, Narayanappa St, Old Washermenpet, Chennai Chennai

Tamil Nadu 600021 Madurai Madurai Tamil Nadu 625006 MADURAI NO - 27/02/2015 27/02/2015 19/02/2018

9004748 60023962 FGG KADAM JAYWANT PARSHARAM 15/04/1978

G 23, SOHARAB CHAWL NO 349, N M JOSHI ROAD MUMBAI

Mumbai Maharashtra 400011 Mumbai Mumbai Maharashtra 400011 THANE NO - 02/03/2015 02/03/2015 19/02/2018

9004744 60023963 FGG NIDHI ARORA 10/11/1973

768, Ashok Chowk, Adarsh Nagar,Ward No.33, Jaipur, Jaipur

Rajasthan 302004 Jaipur Jaipur Rajasthan 302004 JAIPUR NO - 22/12/2014 22/12/2014 19/02/2018

3337032 60023967 FGG PRAKASH KANKARIYA 18/06/1977

No:16/3,Chinna Mettu Palayam Ist lane Thiruvottiyur Chennai

Chennai Tamil Nadu 600019 Thiruvallur Thiruvallur Tamil Nadu 600019 CHENNAI YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 31/07/2013 31/07/2013 04/06/2016

9004732 60023968 FGG MANSUKHLAL CHAGANLAL JAIN 30/06/1966

4/1A, MINT 2ND LANE 2ND FLOOR SOWCARPET Chennai

Tamil Nadu 600001 Chennai Chennai Tamil Nadu 600001 CHENNAI YES

LIFE INSURANCE

CORPORATION 16/02/2015 16/02/2015 19/02/2018

5920104 60023969 FGG NIM ABHISHEK MUNNILAL 27/05/1986

BLOCK NO A-523 ROOM NO 4, SHAH CHAWL SOCIETY NEAR

ULHASNAGAR RLY STN ULHASNAGAR Thane Maharashtra 421004 Thane Thane Maharashtra 421004 BORIVALI YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 30/10/2013 30/10/2013 29/11/2015

9006017 60023973 FGG SHAILESH SHANTILAL SHAH 25/05/1954

13/B, SHANTINAGAR, B/H. PARABADI, NARESH PARK, ASHRAM

ROAD, Ahmadabad Gujarat 380013 Ahmadabad Ahmadabad Gujarat 380013 AHMEDABAD NO - 02/02/2015 02/02/2015 20/02/2018

9006176 60023975 FGG SUBODHINI MOHAN KHAIRE 21/08/1982

Subhashnagar, Room no.312/G-542/2, Parksite, Vikhroli Mumbai

Mumbai Maharashtra 400102 Mumbai Mumbai Maharashtra 400102 ANDHERI NO - 27/02/2015 27/02/2015 20/02/2018

1277104 60023979 FGG NEERAJ GIRDARILAL PANJWANI 12/08/1974

4-1 F ABHISHEK APTS., 4 TH FLR., N DUTTA MARG, OFF J V LINK

ROAD, ANDHERI - WEST, MUMBAI Mumbai Maharashtra 4---53 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 16/07/2013 16/07/2013 03/07/2015

9006611 60023980 FGG MANISHKUMAR N DAMOR 09/03/1974

134,maa gayatri nagar, bamroli road, godhra Panch Mahals

Gujarat 389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA NO - 30/12/2014 30/12/2014 21/02/2018

1516164 60023982 FGG ASHOK KUMAR MODI 08/09/1968

RAMPATH, GOVINDNAGAR KADMA JAMSHEDPUR Purbi

Singhbhum Jharkhand 831005 Purbi Singhbhum Purbi Singhbhum Jharkhand 831005 JAMSHEDPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 26/12/2012 26/12/2012 12/12/2015

9006604 60023984 FGG UTHAYAN K. 02/02/1979

46/14-31 Viyasarapuram akkirakaram Ward34 Madurai

Tamil Nadu 625001 Madurai Madurai Tamil Nadu 625001 MADURAI NO - 06/02/2015 06/02/2015 21/02/2018

9008217 60023996 FGG A P SARANYA 11/11/1989

NO.14/8, ERULAR COLONY, AYANAMBAKKAM Thiruvallur

Tamil Nadu 601204 Thiruvallur Thiruvallur Tamil Nadu 601204 ANNA NAGAR NO - 20/01/2015 20/01/2015 22/02/2018

5728914 60024015 FGG RAJA C 20/05/1978

307, MALAIYAPPAPURAM ANGARAI LALGUDI TK, TRICHY,

Tiruchirapalli Tamil Nadu 621703 Tiruchirappalli Tiruchirappalli Tamil Nadu 621703 TRICHY YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/09/2013 10/09/2013 01/09/2015

527474 60024018 FGG KARUNA KIRAN DEHERKAR 13/07/1969

A-701, Gokul Deverie Behind Kalpana Garage, S.V. Road, Vile

Parle (W), Mumbai Greater Bombay Maharashtra 400056 Mumbai Mumbai Maharashtra 400058 ANDHERI NO - 08/04/2014 08/04/2014 05/05/2017

9011191 60024025 FGG PRAN NATH JAIN 15/08/1972

52 c shipra sun city indirapuram Ghaziabad Uttar Pradesh

201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 22/12/2014 22/12/2014 26/02/2018

9011189 60024026 FGG SATISH KUMAR 01/09/1988 110/3 Sec-1 pusp vihar Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 NOIDA NO - 30/12/2014 30/12/2014 26/02/2018

9011021 60024031 FGG REENA GARG 08/06/1978

H.NO.24,BLOCK-A/7 WARD NO.21 PUNJABI COLONY BACK SIDE

OF K.K.SCHOOL RAJPURA Patiala Punjab 147001 Patiala Patiala Punjab 147001 PATIALA NO - 16/02/2015 16/02/2015 26/02/2018

9014048 60024045 FGG ANITA CHOUDHARY 31/01/1955 E-26,Block E,Bali Nagar Delhi Delhi Delhi 110015 West Delhi West Delhi Delhi 110015 WEST DELHI NO - 16/02/2015 16/02/2015 28/02/2018

5723385 60024048 FGG NARAYAN SINGH YADAV 17/01/1978 31 KANHAI GURGAON Gurgaon Haryana 122--1 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 31/01/2013 31/01/2013 30/08/2015

5593841 60024049 FGG SONI KUMARI 05/06/1989

C-86, OPP SHIV MANDIR, SHEETAL MATA ROAD, RAJEEV NAGAR,

GURGAON Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO SBI LIFE INS. CO. 04/07/2012 04/07/2012 23/07/2015

2465623 60024051 FGG TANVI BARIYA 03/02/1986

D-46, AJITA NAGAR, NR AMIT NAGAR CIRCLE,SAMA SAYALI ROAD

VADODARA Vadodara Gujarat 390023 VADODARA VADODARA Gujarat 390023 BARODA YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 22/05/2012 22/05/2012 23/06/2015

3292575 60024059 FGG SRINIVAS EEDUPUGANTI 15/06/1972

FLAT 306 B SRI LAZMIKRISHNA PARADISE OPP ST RITH SCHOOL

WIDIA CLY MIYAPU Hyderabad Telangana 500049 Hyderabad Hyderabad Telangana 500049 HYDERABAD NO - 12/12/2014 12/12/2014 13/05/2016

9014901 60024062 FGG SREEJITH S G 25/05/1988

820(7/51),jagada vihar 7,chempanakode KATTAKADA

TRIVANDRUM Thiruvananthapuram Kerala 695572 Thiruvananthapuram ThiruvananthapuramKerala 695572 TRIVANDRAM NO - 28/01/2015 28/01/2015 28/02/2018

9014868 60024063 FGG HARISH PAHWA 31/03/1950 3383 Banjarwara Rewari Gurgaon Haryana 123401 Rewari Rewari Haryana 123401 CONNAUGHT PLACENO - 02/03/2015 02/03/2015 28/02/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

775013 60024066 FGG SACHIN P DESAI 20/11/1978

FLAT NO-2, 1ST FLOOR, SHREE LAXMAN SADAN, DIWAKOLIWADA,

SECTOR 9, NEAR BAJAJ SERVICE CENTRE, AIROLI, Navi Mumbai

Thane Maharashtra 400708 Thane Thane Maharashtra 400708 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 04/10/2014 04/10/2014 04/10/2017

9014696 60024069 FGG DEEKSHITH P J 18/11/1993

NO 87, 1ST MN RD, VENKATESHWARA LAYOUT, VIJAYANAGAR

2ND STAGE BANGALORE Bangalore Karnataka 560040 Bangalore Bangalore Karnataka 560040 INDIRA NAGAR NO - 16/01/2015 16/01/2015 28/02/2018

1055696 60024073 FGG NILESH T DAWDA 15/04/1968

C 26 OM SHIVAM SOCY CAMA LANE GHATKOPAR W MUMBAI

Mumbai Maharashtra 400086 Mumbai Mumbai Maharashtra 400086 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 06/01/2015 06/01/2015 10/05/2018

9015596 60024074 FGG MD SAQUIB HAYAT 12/02/1985

9199 GALI NO 4 B 1ST FLOOR MULTANI DAHNDA PAHARGANJ

Delhi Delhi 110055 Delhi Delhi Delhi 110055 CONNAUGHT PLACENO - 02/03/2015 02/03/2015 01/03/2018

1278004 60024080 FGG ASHISH SAHU 23/04/1974

1442/2, SHIVNAGAR STREET, JABALPUR Jabalpur Madhya Pradesh

482002 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR YES

LIFE INSURANCE

CORPORATION 21/06/2012 21/06/2012 30/07/2015

9018023 60024084 FGG SANJEEV CHOWDHARY 18/10/1985

AMBIKA VIHAR JAMMU JAMMU Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu and Kashmir180001 JAMMU NO - 09/03/2015 09/03/2015 05/03/2018

9018020 60024085 FGG RAHUL GUPTA 21/01/1979

65 A JANIPUR MAIN STOP JAMMU KASHMIR JAMMU Jammu

Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 09/03/2015 09/03/2015 05/03/2018

9019723 60024135 FGG V N GOPI KRISHNA AKULA 12/07/1979

16-11-16/N/40/A PRASHANTH NAGAR, NEAR SHARADA SCHOOL,

MALAKPET Hyderabad Telangana 500036 Rangareddi Rangareddi Andhra Pradesh 500036 DILSUKHNAGAR NO - 27/02/2015 27/02/2015 08/03/2018

9022541 60024136 FGG M G GEETHA RANI 26/06/1984

H NO 149-9, 1st Floor, Mahalaxmi Mansion Building, M G ROAD,

Paradise, SECUNDERABAD Hyderabad Telangana 500003 Secunderabad Secunderabad Andhra Pradesh 500003 HYDERABAD NO - 13/03/2012 13/03/2012 12/03/2015

1765923 60024147 FGG SAJJA RAVINDRA 16/06/1974

10-43/1 New Gaddiannaram Colony Dilsukhnagar Hyderabad

Hyderabad Telangana 500060 Dilsukhnagar Dilsukhnagar Telangana 500060 HIMAYATHNAGAR NO - 06/09/2013 06/09/2013 18/08/2016

9023775 60024166 FGG AARTI GUPTA 06/12/1980

AF-71 C,SHALIMAR BAGH NEW DELHI DELHI NEW DELHI DELHI

Delhi Delhi 110088 North West North West Delhi 110088 CONNAUGHT PLACENO - 02/03/2015 02/03/2015 13/03/2018

197071 60024169 FGG SOWMYALATHA 29/01/1978

1810, 4TH CROSS TANK ROAD, KUMARASWAMY LAYOUT

BANGALORE Bangalore Karnataka 560078 Bangalore Bangalore Karnataka 560078 INDIRA NAGAR YES

HDFC STD LIFE

INSURANCE CO. LTD. 23/09/2013 23/09/2013 07/08/2016

1216472 60024176 FGG RAJENDRA SUKHANRAJ JAIN 07/03/1969

P SANGAVI CLOTH CENTRE, 26 A BAZAAR ROAD, BANDRA-WEST,

Mumbai Maharashtra 400050 Mumbai Mumbai Maharashtra 400050 ANDHERI YES

LIFE INSURANCE

CORPORATION 09/04/2012 09/04/2012 19/06/2015

8358585 60024189 FGG HITESH TEWARI 02/07/1982

ARYA VEDIC PUBLIC SCHOOL ARAM BAGH STAF QRS. CHITRA

GUPTA ROAD PAHARGANJ Delhi Delhi 110055 Central Central Delhi 110055 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 30/10/2013 30/10/2013 31/10/2016

9026028 60024191 FGG JAYAPRAKASH P 30/10/1976

DOOR NO.1, DEVARAJ NAGAR MAIN ROAD SALIGRAMAM

Chennai Tamil Nadu 600093 Chennai Chennai Tamil Nadu 600093 CHENNAI NO - 23/02/2015 23/02/2015 15/03/2018

9027499 60024192 FGG MARGARETA PISHON 04/09/1988

5-107(L),76 badagu bettu ,bailore Near bailore ,mm higer primery

school Udupi Udupi Karnataka 576101 Udupi Udupi Karnataka 576101 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/03/2012 19/03/2012 18/03/2015

5447069 60024193 FGG G MANJUNATH 29/07/1984

1- 6TH MAIN 6TH CROSS GIDDAPPA BLOCK GANGANAGAR

BANGALORE Bangalore Karnataka 56--32 Bangalore Bangalore Karnataka 560032 MANGALORE NO - 30/07/2012 30/07/2012 09/06/2015

9027039 60024194 FGG AMIT KUMAR 20/08/1983

61/62 gali no 8 west guru anand nagar laxmi nagar Delhi Delhi 11--

92 East East Delhi 110092 CONNAUGHT PLACENO - 19/03/2012 19/03/2012 18/03/2015

8097699 60024199 FGG PARVEEN KUMAR 22/02/1978

H NO:85 GUL MARAG AVE CLY NT LAMA PIND CHOWK

JALANDHA,JALANDHAR Jalandhar Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR YES

DLF PRAMERICA LIFE

INSURANCE 11/10/2013 11/10/2013 24/05/2016

9027712 60024200 FGG DAVINDERJIT SINGH 20/07/1969 8, Ashok Nagar, Jalandhar, Jalandhar Punjab 144--1 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 19/03/2012 19/03/2012 18/03/2015

9027102 60024201 FGG DINESH BHANUSHALI 26/04/1976

CHAWL NO 180, ROOM NO 1439 MOTILAL NAGAR 1 GOREGAON

WEST Mumbai Maharashtra 400104 Mumbai Mumbai Maharashtra 400104 BORIVALI NO - 19/03/2012 19/03/2012 18/03/2015

9027098 60024202 FGG UJWALA PRAMOD SHEJWADKAR 20/07/1965

C/39FLAT NO 4-1 BHOOMIKA CHS LTD SHANTI NAGAR SECTOR 5

MIRA ROAD Thane Maharashtra 4-11-7 Thane Thane Maharashtra 401107 BORIVALI NO - 19/03/2012 19/03/2012 18/03/2015

9027068 60024203 FGG SANJAY SURYAKANT GANDHI 19/04/1964

C/112 RAJESH APT CABIN CROSS ROAD BHYANDER EAST Thane

Maharashtra 4-11-5 Thane Thane Maharashtra 401105 BORIVALI NO - 19/03/2012 19/03/2012 18/03/2015

9027982 60024204 FGG PRITI YOGESH DARUVALA 14/06/1988

DARUVAL HOUSE VALAN MAHIM ROAD PALGHAR Thane

Maharashtra 4-14-4 Thane Thane Maharashtra 401404 BORIVALI NO - 20/03/2012 20/03/2012 19/03/2015

9027730 60024205 FGG NEHA MAHAJAN 02/08/1986

1 PEER MUCHALA ROAD ANAND VIHAR, BALTANA Sahibzada Ajit

Singh Nagar Punjab 14-5-1 Patiala Patiala Punjab 140501 CHANDIGARH NO - 19/03/2012 19/03/2012 18/03/2015

776878 60024207 FGG DURAISAMY 01/06/1970

KARUPPAMPATTI EVOOR P.O. MUSIRI TK Tiruchirapalli Tamil

Nadu 621202 Dindigul Dindigul Tamil Nadu 621202 TRICHY YES

LIFE INSURANCE

CORPORATION 18/12/2014 18/12/2014 20/12/2017

9027734 60024208 FGG K MURUGADASS 15/06/1987

9/4, RAZAK GARDEN AVAI STREET ARUMBAKKAM Chennai Tamil

Nadu 6--1-6 Chennai Chennai Tamil Nadu 600106 CHENNAI NO - 19/03/2012 19/03/2012 18/03/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

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agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9026876 60024210 FGG BURANDE SACHIN UTTAM 15/04/1985

11,Khandeshwari colont.Pravra Nagar,Beed Khandeshwari

Rd.,Beed Beed Beed Maharashtra 431122 BEED BEED Maharashtra 431122 AHMEDNAGAR NO - 19/03/2012 19/03/2012 18/03/2015

608772 60024211 FGG JAYENDRA SHAH 03/06/1953

A-104 DARSHAN APPTS. SHANKAR LANE, KANDIVLI-W Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BORIVALI YES

MAX NEW YORK LIFE

INSURANCE 11/07/2014 11/07/2014 07/07/2017

9027053 60024212 FGG AJAY KHANDELWAL 23/12/1977

85 RAMNATH PURI KALWAR ROAD,JHOTWARA Jaipur Rajasthan 3-

2-12 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 19/03/2012 19/03/2012 18/03/2015

9027049 60024213 FGG VICKY ARORA 20/03/1978 2/335 subhash nagar New Delhi Delhi Delhi 11--27 West West Delhi 110027 FARIDABAD NO - 19/03/2012 19/03/2012 18/03/2015

9027046 60024214 FGG SAURABH HASIJA 11/05/1981 26/6 block no-28 ashok nagar New Delhi Delhi Delhi 11--48 South South Delhi 110048 FARIDABAD NO - 19/03/2012 19/03/2012 18/03/2015

9026904 60024216 FGG BHUPENDRA SHRIMALI 01/07/1985

13 CHETAK MARG HATHI POLE UDAIPUR Udaipur Rajasthan 3-

5921 Ajmer Ajmer Rajasthan 305921 UDAIPUR NO - 19/03/2012 19/03/2012 18/03/2015

9026891 60024217 FGG AJAY KUMAR 04/08/1981 75 Adil Nagar Adil Nagar Lucknow Lucknow Uttar Pradesh 226--1 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 19/03/2012 19/03/2012 18/03/2015

9026884 60024218 FGG DHRUVKUMAR N MEHTA 15/02/1988

29, SAIRAM ROW HOUSE, NR SARASWATI VIDYALAL SCHOOL,

HONEY PARK ROAD, Surat Gujarat 395--9 Surat Surat Gujarat 395009 SURAT NO - 19/03/2012 19/03/2012 18/03/2015

9027524 60024219 FGG MUTHANAND GANESAN 12/02/1976

3_45 Pandian nagar 1st st, moondrumavadi, k.pudur Madurai

Madurai Tamil Nadu 625--7 Madurai Madurai Tamil Nadu 625007 MADURAI NO - 19/03/2012 19/03/2012 18/03/2015

9027270 60024221 FGG NEETU SHARMA 11/08/1982

A-4 gali no-12 Som Bazar road Vikas Vihar, uttam nagar, Delhi

Delhi 11--59 West West Delhi 110059 WEST DELHI NO - 19/03/2012 19/03/2012 18/03/2015

9027986 60024222 FGG AKANKSHA 08/10/1991 279 moti nagar ward no. 16 Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 20/03/2012 20/03/2012 19/03/2015

9027984 60024223 FGG SUDHEER BABU G V 15/07/1977

D NO 34/25 , RAMANJINEYA NAGAR , BELGAL CROSS , BELLARY

Bellary Karnataka 5831-3 Bellary Bellary Karnataka 583103 BANGALORE NO - 20/03/2012 20/03/2012 19/03/2015

9028072 60024224 FGG SANKARA NARAYANAN R 05/09/1975

176 Bagavath Singh Road,Bethaniapuram, Mettu St Madurai

Madurai Tamil Nadu 625-16 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 20/03/2012 20/03/2012 19/03/2015

9028071 60024226 FGG SARAVANAN L 23/03/1985

5A Sesathri st,Palani Muthu nagar, villapuram Madurai Madurai

Tamil Nadu 625-12 Madurai Madurai Tamil Nadu 625012 MADURAI NO - 20/03/2012 20/03/2012 19/03/2015

9029864 60024231 FGG ANUPMA 23/07/1983

opp kewal shiv mandir truck union road Malerkotla Khanna

Sangrur Punjab 1472-4 Patiala Patiala Punjab 147204 LUDHIANA NO - 21/03/2012 21/03/2012 20/03/2015

9029871 60024232 FGG RAJESH KUMAR 15/06/1991

vill Dhaulagarh Opp Mangla Udyog palwal Faridabad Haryana

1211-2 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 21/03/2012 21/03/2012 20/03/2015

9029877 60024233 FGG JYOTI SHIVANAND GAHUKAR 22/01/1987

218 MANDAWI, KALMESHWAR NAGPUR Nagpur Maharashtra

4411-7 Nagpur Nagpur Maharashtra 441107 NAGPUR NO - 21/03/2012 21/03/2012 20/03/2015

9028875 60024234 FGG SHYAM KUMAR MEHTA 09/07/1976 NO.16/57 BAKERS STREET CHOOLAI Chennai Tamil Nadu 6--112 Chennai Chennai Tamil Nadu 600112 CHENNAI NO - 20/03/2012 20/03/2012 19/03/2015

9028886 60024235 FGG DILLI RANI M 15/04/1989

NO.9-/4,VELLALA STREET, AYANAVARAM CHENNAI Chennai Tamil

Nadu 6---23 Chennai Chennai Tamil Nadu 600023 CHENNAI NO - 20/03/2012 20/03/2012 19/03/2015

9028883 60024236 FGG KISHOR JIVRAJBHAI SAVANI 24/07/1976

5, Kishor Nivas, Shreenagar, Rajkot, Rajkot Gujarat

360002 Rajkot Rajkot Gujarat 360002 RAJKOT NO - 16/02/2015 16/02/2015 19/03/2018

9028867 60024237 FGG ABRAHAMJAYA PRAKASH A 17/02/1976

44, Palavan Nagar, 5th Street, P.P.Chavadi Madurai Madurai Tamil

Nadu 625-16 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 20/03/2012 20/03/2012 19/03/2015

9029959 60024239 FGG SUBHASHREE NAYAK 05/05/1989 Chasanagar, Balugaon, Khurda, BHUBANESHWAR Odisha 752--2 Puri Puri Odisha 752002 BHUBANESWAR NO - 21/03/2012 21/03/2012 20/03/2015

9029819 60024241 FGG VENKATESH N 30/08/1983

No 234 16/1, 3rd Main Road, M M Road, Byatarayana Pura New

Layout Bangalore Bangalore Karnataka 56--26 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 21/03/2012 21/03/2012 20/03/2015

9029956 60024242 FGG MARTHANDGOUDA S PATIL 04/01/1980

SHRI SHRINIVAS NILAYA NEAR KOLLKAR CLINIC KASABHA A/P & TQ

NARGUND Dharwad Karnataka 58---1 Dharwad Dharwad Karnataka 580001 HUBLI NO - 21/03/2012 21/03/2012 20/03/2015

8811860 60024243 FGG CHANDNI RAMESH AGARWAL 14/10/1981

Flat No 601,Fine Apts, II Nadiadwala Colony, Malad(W),Mumbai

Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI YES

MAX NEW YORK LIFE

INSURANCE 09/12/2014 09/12/2014 14/09/2017

9030368 60024247 FGG AMARINDER SINGH 03/09/1993

H NO 1-6 VILLAGE GAHUR TEH LUDHIANA DIST LUDHIANA

Ludhiana Punjab 14-8-2 Patiala Patiala Punjab 140802 LUDHIANA NO - 22/03/2012 22/03/2012 21/03/2015

9030352 60024248 FGG SUKHPREET SINGH 03/09/1988 OLD CANTT ROAD FARIDKOT FARIDKOT Faridkot Punjab 1512-2 Faridkot Faridkot Punjab 151202 LUDHIANA NO - 22/03/2012 22/03/2012 21/03/2015

9030331 60024249 FGG MALKEET SINGH 06/09/1982 8133 Gurpal Nagar Gurpal Nagar Ludhiana Punjab 14-8-2 Patiala Patiala Punjab 140802 LUDHIANA NO - 22/03/2012 22/03/2012 21/03/2015

8039607 60024250 FGG AMRUTHA M 10/07/1988

32/1 TERU STREET ULSOOR Bangalore Bangalore Bangalore

Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 26/12/2013 26/12/2013 24/03/2016

9030925 60024252 FGG MANOHAR KUMAR 25/02/1976

54 Word no-2 Village-Gurgaon Tehsil-Gurgaon Gurgaon Haryana

122--1 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 22/03/2012 22/03/2012 21/03/2015

9031135 60024254 FGG SWEETY SANKET SHAH 28/01/1982

9, VAIBHAVI BUNGLOWS, NEW C. G. ROAD, CHANDKHEDA,

Ahmadabad Gujarat 382424 Gandhinagar Gandhinagar Gujarat 382424 AHMEDABAD NO - 22/03/2012 22/03/2012 21/03/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

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which the

agent is

Is

Comp

osite

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Name of other

Insurer

License

issued on

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valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9031141 60024255 FGG ROGHELIYA ABHISHEK 27/12/1982

17/D, RANGSAGAR FLATS, P. T. COLLEGE ROAD, PALDI,

Ahmadabad Gujarat 38---7 Ahmadabad Ahmadabad Gujarat 380007 AHMEDABAD NO - 22/03/2012 22/03/2012 21/03/2015

9023252 60024263 FGG RAJANI K 19/02/1985

16-11-511/D/342/9 MOOSARAM BAGH HYDERABAD Hyderabad

Telangana 500036 Rangareddi Rangareddi Andhra Pradesh 500036 DILSUKHNAGAR NO - 09/03/2015 09/03/2015 13/03/2018

9023250 60024264 FGG CHANDOLU RAJAGOPAL 01/06/1958

F. NO.309 AMEER ESTATE SR NAGAR HYDERABAD Hyderabad

Telangana 500038 Hyderabad Hyderabad Andhra Pradesh 500038 HYDERABAD NO - 27/02/2015 27/02/2015 13/03/2018

3987570 60024265 FGG N LAKSHMIKANTHAN 24/06/1982

D NO 81/4, 1ST FLOOR, 3RD EAST STREET, RAMANATHAPURAM,

KANNKURUCHI MAIN ROAD, SALEM Salem Tamil Nadu

636008 Salem Salem Tamil Nadu 636016 SALEM YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 11/02/2014 11/02/2014 01/02/2017

1067453 60024274 FGG VENKATASWARULU VAVILAPALLI 10/10/1971

006-77 LAKSHMI PURAM WARD-39 Visakhapatnam Andhra

Pradesh 530007 Visakhapatnam Visakhapatnam Andhra Pradesh 530007 VIZAG YES

LIFE INSURANCE

CORPORATION 26/03/2012 26/03/2012 26/03/2015

9034511 60024275 FGG SEEMA SHRIVASTAVA 20/10/1984 724-C, Sukhaliya, Indore, Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 27/03/2012 27/03/2012 26/03/2015

9034485 60024276 FGG NATESAN AMBIGA 06/05/1987

181 WARD 5, P NATTAMAN GALAM, AMANI KONDALAMPATTY,

SALEM Salem Tamil Nadu 636-1- Salem Salem Tamil Nadu 636010 SALEM NO - 27/03/2012 27/03/2012 26/03/2015

756735 60024277 FGG KHADER BASHA SHABINA BANU 07/06/1979

20, CHB COLONY, STREET II, WARD NO 27, TIRUCHENGODE

NAMAKKAL Namakkal Tamil Nadu 637211 Namakkal Namakkal Tamil Nadu 637211 SALEM YES

LIFE INSURANCE

CORPORATION 25/02/2015 25/02/2015 23/09/2017

8177259 60024279 FGG D. PRIYA 19/12/1982

H No 5/1469 Plot No 7 Mubali Illam Ii Floor Kamber Street

Subramaniya Nagar Salem Tamil Nadu 636005 Salem Salem Tamil Nadu 636005 SALEM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/06/2013 20/06/2013 15/07/2016

9034461 60024280 FGG SUNITA BEHERA 04/08/1991

At-Bhugudakata, Ward-No-26, Po-Bhanjapur, PS-Baripada,

Mayurbhanj Odisha 757002 Mayurbhanj Mayurbhanj Odisha 757002 BHUBANESWAR NO - 02/03/2015 02/03/2015 26/03/2018

9034433 60024282 FGG RAKESH KUMAR PANDEY 01/07/1982

h.no - 815, sector - 9 Indira Nagar Lucknow Lucknow Uttar

Pradesh 226016 Lucknow Lucknow Uttar Pradesh 226016 LUCKNOW YES

LIFE INSURANCE

CORPORATION 27/03/2012 27/03/2012 26/03/2015

9034417 60024284 FGG R GANGADHAR 05/07/1977

D NO:3--24-143 SEETHARAMAPURAM VIJAYAWADA

Visakhapatnam Andhra Pradesh 53---1 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 DILSUKHNAGAR NO - 27/03/2012 27/03/2012 26/03/2015

9034377 60024285 FGG H MAJEEDA PARVEEN 03/06/1978

NO.179/19, A B NAGAR GANDHI NAGAR POST TIRUPUR

Coimbatore Tamil Nadu 641603 Coimbatore Coimbatore Tamil Nadu 641603 COIMBATORE NO - 27/03/2012 27/03/2012 26/03/2015

9034371 60024289 FGG GANESAN 01/09/1990

NO.7, CHINNA STREET-B ZAMIN ROYAPETTAH CHROMPET Chennai

Tamil Nadu 6---44 Kancheepuram Kancheepuram Tamil Nadu 600044 ANNA NAGAR NO - 27/03/2012 27/03/2012 26/03/2015

9034368 60024291 FGG C SURESH 04/08/1984

NO.13,MEENAMBAL NAGAR 6TH STREET, OLD WASHERMENPET

Chennai Tamil Nadu 6---21 Chennai Chennai Tamil Nadu 600021 ANNA NAGAR NO - 27/03/2012 27/03/2012 26/03/2015

9034360 60024293 FGG MARIASELVAM 25/04/1984

NO.3-11A,MEENATCHI STREET, SENTHAMIZH NAGAR,

RAMAPURAM Chennai Tamil Nadu 6---89 Kancheepuram Kancheepuram Tamil Nadu 600089 CHENNAI NO - 27/03/2012 27/03/2012 26/03/2015

9034358 60024294 FGG MADHANKUMAR E 08/05/1982 M/6A, TNHB ARAKONAM TK Vellore Tamil Nadu 631--1 Vellore Vellore Tamil Nadu 631001 ANNA NAGAR NO - 27/03/2012 27/03/2012 26/03/2015

1942929 60024295 FGG SIDHARTH KUMAR SRIVASTAVA 25/10/1981

27/260 RIDDHI SIDDHI FLAT NR BHAILAL MARRIAGE PARTY PLOT

GORWA BARODA Vadodara Gujarat 390016 Vadodara Vadodara Gujarat 390016 BARODA YES

HDFC STD LIFE

INSURANCE CO. LTD. 06/03/2014 06/03/2014 24/03/2017

9034331 60024301 FGG JITENDER 21/01/1985 68/28-8 GALI NO 68 MOLAR BAND EXTN DELHI Delhi Delhi 11--44 South South Delhi 110044 FARIDABAD NO - 27/03/2012 27/03/2012 26/03/2015

9034316 60024302 FGG ANURODH KUMAR 15/11/1975 322 WARD NO-2-,Sainipura Rohtak Rohtak Haryana 124--1 Rohtak Rohtak Haryana 124001 ROHTAK NO - 27/03/2012 27/03/2012 26/03/2015

9034298 60024303 FGG SAHIL SHARMA 18/07/1993 D/1- D block Vivek vihar delhi Delhi Delhi 11---1 New Delhi New Delhi Delhi 110001 NOIDA NO - 27/03/2012 27/03/2012 26/03/2015

9033031 60024304 FGG SUBHA A N 07/06/1989

16 Dr Ramanujam Road Harihara Davangere Davanagere

Karnataka 5776-1 Davanagere Davanagere Karnataka 577601 BANGALORE NO - 26/03/2012 26/03/2012 25/03/2015

9035646 60024305 FGG HEMANT KUMAR VERMA 26/01/1977 22 radha krishn kunj amrit nagar Ghaziabad Uttar Pradesh 2-1--1 Ghaziabad Ghaziabad Uttar Pradesh 201001 KANPUR NO - 27/03/2012 27/03/2012 26/03/2015

9035665 60024307 FGG CHETNA DWIVEDI 17/04/1991

622 B Awas Vikas B Awas Vikas Kanpur Kanpur Nagar Uttar

Pradesh 2-8-17 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208017 KANPUR NO - 27/03/2012 27/03/2012 26/03/2015

9035667 60024308 FGG MANDEEP SINGH CHAWLA 01/01/1988

H No. 79 C Guru Harkishan Nagar Jalandhar Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 27/03/2012 27/03/2012 26/03/2015

9035406 60024309 FGG PREETI RATHI 21/04/1974

NATRAJ BHAWAN, AKODIA MANDI, SHAJAPUR, Indore Madhya

Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 27/03/2012 27/03/2012 26/03/2015

9036864 60024314 FGG HARPREET KAUR 04/11/1973 961 Dr Mukherjee Nagar delhi Delhi Delhi 11---9 North West North West Delhi 110009 CONNAUGHT PLACENO - 28/03/2012 28/03/2012 27/03/2015

9037481 60024324 FGG SANJAY KUMAR SINGH 16/05/1980

28, BARODA BHATTACHARYA LANE, 28 SHIBPUR, HOWRAH, Haora

West Bengal 7111-1 Howrah Howrah West Bengal 711101 KOLKATA NO - 29/03/2012 29/03/2012 28/03/2015

9036914 60024325 FGG P ABDUL MAJEETH 15/05/1989

NO.2--A QUIDE MILLATH NAGAR,3RD STREET PULIYANGUDI

Sivaganga Tamil Nadu 627855 Sivaganga Sivaganga Tamil Nadu 627855 ANNA NAGAR NO - 28/03/2012 28/03/2012 27/03/2015

9037545 60024326 FGG SANGEETA G BIRADAR 01/06/1985

H NO 1--234/A, NIMBALKAR BLDG., OPP GACHINIMANI HOSPITAL,

LOWAR LANE, BRAHAMPUR Gulbarga Karnataka 5851-3 Gulbarga Gulbarga Karnataka 585103 HUBLI NO - 29/03/2012 29/03/2012 28/03/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

4971825 60024334 FGG ANIL GUPTA 13/02/1974

81A 2ND EXTENSION GANDHI NAGAR Jammu Jammu & Kashmir

180004 Jammu Jammu Jammu and Kashmir180004 JAMMU YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/01/2015 07/01/2015 26/12/2017

9036909 60024335 FGG SHAIK SARDAR 15/06/1987

H NO 2-1--/3 RAMALAYAM STREET, WARD NO 1-, JAGGAIAH PET

VIJAYAWADA Krishna Andhra Pradesh 521175 Krishna Krishna Andhra Pradesh 521175 VIJAYAVADA NO - 28/03/2012 28/03/2012 27/03/2015

9036903 60024336 FGG USHARANI KETHIPALLI 16/11/1983

D No 2-8-192/1 VIDHYADARA PURAM VIJAYAWADA Krishna

Andhra Pradesh 52---4 Guntur Guntur Andhra Pradesh 520004 VIJAYAVADA NO - 28/03/2012 28/03/2012 27/03/2015

9036899 60024337 FGG VENKATA SURYA PADMAJA ALLURI 10/08/1983

# 1--1-68 Opp Church, K N Road, Tallamudurupadu

TADEPALLIGUDEM West Godavari Andhra Pradesh 5341-1 West Godavari West Godavari Andhra Pradesh 534101 VIJAYAVADA NO - 28/03/2012 28/03/2012 27/03/2015

9037948 60024339 FGG V EDUKONDALU POTTI 11/07/1982

#1-3-182 NEAR APPALA SWAMY QUARY,V DF PURAM

VIJAYAWADA Krishna Andhra Pradesh 52---1 Krishna Krishna Andhra Pradesh 520001 VIJAYAVADA NO - 29/03/2012 29/03/2012 28/03/2015

9039088 60024340 FGG MANDEEP SINGH 05/04/1983 H N 236 Talab Nahir Rajpura Bathinda Punjab 151--1 Bathinda Bathinda Punjab 151001 PATIALA NO - 29/03/2012 29/03/2012 28/03/2015

9038963 60024342 FGG KRISHNA KUMAR DEVADULA 24/09/1965

MIG-2,NO:-4-,D.NO:-15-69,RATNAGIRI COLONY,

P.M.PALEEM,MADHURAWADA VISAKHAPATNAM Krishna Andhra

Pradesh 52---1 Krishna Krishna Andhra Pradesh 520001 VIJAYAVADA NO - 29/03/2012 29/03/2012 28/03/2015

9038841 60024343 FGG P RAMANAREDDY 01/04/1982

H NO 4-151, ROAD NO-6 RTC COLONY, CHENOCHERLA UPPAL

Hyderabad Telangana 5---39 Rangareddi Rangareddi Andhra Pradesh 500039 HYDERABAD NO - 29/03/2012 29/03/2012 28/03/2015

9038834 60024344 FGG AARTHI RAJESH CHINGAMPALLY 03/10/1977

1-8-164, STREET NO-12 STREET NO 12, LAKSHMI VILLA

CHIKKADPALLY Hyderabad Telangana 5---2- Hyderabad Hyderabad Andhra Pradesh 500020 HYDERABAD NO - 29/03/2012 29/03/2012 28/03/2015

9038822 60024345 FGG S V SRIKANTH 17/05/1990 8-2-4 LAXMI NAGAR KARMANGHAT Hyderabad Telangana 5---28 Hyderabad Hyderabad Andhra Pradesh 500028 HYDERABAD NO - 29/03/2012 29/03/2012 28/03/2015

9038813 60024347 FGG DEEPAK SINGH 22/11/1981 5/486 Resettlement colony Block No-5,khicripur Delhi Delhi 11--91 Delhi Delhi Delhi 110091 CONNAUGHT PLACENO - 29/03/2012 29/03/2012 28/03/2015

9038803 60024348 FGG RAHUL GOEL 29/03/1985 25/119 Block No-25 shakti nagar, Delhi Delhi 11---7 North North Delhi 110007 CONNAUGHT PLACENO - 29/03/2012 29/03/2012 28/03/2015

9035904 60024349 FGG ABHISHEK PRAMOD GAONKAR 30/06/1989

27--A/404, Panchsheel Chs, Bimbisar Nagar, W.F. Highway

Goregaon East. Mumbai Maharashtra 400065 Mumbai Mumbai Maharashtra 400065 ANDHERI NO - 19/01/2015 19/01/2015 27/03/2018

8092423 60024350 FGG KANAGARAJA SEKARAN D 17/04/1945 H No 4 Sannathi Street Fort Salem Tamil Nadu 636001 Salem Salem Tamil Nadu 636008 SALEM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/08/2013 20/08/2013 19/05/2016

9039166 60024351 FGG D SUKUMARAN 25/01/1988

4-B, P NATTAMANGALAM COLONY, AMANI KONDALAMPATTY,

SALEM Salem Tamil Nadu 636-1- Salem Salem Tamil Nadu 636010 SALEM NO - 29/03/2012 29/03/2012 28/03/2015

9040353 60024352 FGG H BANUMATHI 30/03/1978

NO: 2/14, GOVARDHAN STREET, ROYAPETTAH, CHENNAI Chennai

Tamil Nadu 6---14 CHENNAI CHENNAI Tamil Nadu 600014 CHENNAI NO - 30/03/2012 30/03/2012 29/03/2015

9040344 60024355 FGG MOHAN KUMAR S 16/08/1977

73/31/2, SOLAIAPPAN STREET, OLD WASHERMEN PET Chennai

Tamil Nadu 6---21 Chennai Chennai Tamil Nadu 600021 CHENNAI NO - 30/03/2012 30/03/2012 29/03/2015

9040697 60024357 FGG ANITA NANDA 11/12/1959 16-Ring road Lajpat Nagar New Delhi Delhi Delhi 11--24 Delhi Delhi Delhi 110024 JALANDHAR NO - 30/03/2012 30/03/2012 29/03/2015

9041551 60024359 FGG PREETI BHARDWAJ 10/06/1991 2A/19, GEETA COLONY, DELHI, Delhi Delhi 11--31 Delhi Delhi Delhi 110031 CONNAUGHT PLACENO - 31/03/2012 31/03/2012 30/03/2015

8116477 60024361 FGG RAJ KUMAR SOLANKI 20/06/1987

B 103 STREET NO 10 KACHI COLONY DELHI NEW MORDEN

SAHADRA DELHI Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 CONNAUGHT PLACEYES SBI LIFE INS. CO. 22/10/2013 22/10/2013 06/06/2016

9042507 60024369 FGG ANKITA DAS 07/12/1989 9, DOVER ROAD, WARD NO-69, Kolkata West Bengal 7---19 Kolkata Kolkata West Bengal 700019 KOLKATA NO - 03/04/2012 03/04/2012 02/04/2015

9042511 60024370 FGG MEGHA MENDIRATTA 14/12/1992 1-15 Sector-9 Faridabad Faridabad Faridabad Haryana 121--3 Faridabad Faridabad Haryana 121003 FARIDABAD NO - 03/04/2012 03/04/2012 02/04/2015

2795706 60024373 FGG KIRAN PATEL 02/05/1968

B/H ATMAJYOTI ASHRAM ELLORA PARK, BARODA, Vadodara

Gujarat 390023 VADODARA VADODARA Gujarat 390023 BARODA YES SBI Life Insurance co ltd 30/11/2012 30/11/2012 04/12/2015

8427956 60024376 FGG T TAMILZHARASI 08/03/1976

,10 A Salai Muthaliyar Street ,Madurai Madurai Madurai

Tamil Nadu 625002 Madurai Madurai Tamil Nadu 625002 MADURAI YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 21/02/2014 21/02/2014 20/12/2016

9042510 60024377 FGG TUSHAR A NARVEKAR 12/02/1975

19/21, Mehroon villa 2 Floor,S.P.Marg Chira Bazar Mumbai

Maharashtra 4----2 Mumbai Mumbai Maharashtra 400002 FORT NO - 03/04/2012 03/04/2012 02/04/2015

9042512 60024378 FGG SARMISHTHA 08/02/1982 C/o Rajkishan Village Badli Jhajhar Jhajjar Haryana 1241-5 Jhajjar Jhajjar Haryana 124105 GURGAON NO - 03/04/2012 03/04/2012 02/04/2015

9042553 60024380 FGG K NEELA 03/06/1983

NO 32 , PANNARAJ COMPOUND FORT BELLARY Bellary Karnataka

5831-1 Bellary Bellary Karnataka 583101 BANGALORE NO - 03/04/2012 03/04/2012 02/04/2015

9042076 60024381 FGG MANIMARAN S 10/01/1972

No : 665 , c/o Sharadamma , CK Nagar , Bangalore Bangalore

Karnataka 56-1-- Electronics City Electronics City Karnataka 560100 BANGALORE NO - 02/04/2012 02/04/2012 01/04/2015

9042308 60024382 FGG R. P. KARPE 29/09/1971

S K SHOP NO 1 NEW TELCO ROAD BHOSARI Pune Pune

Maharashtra 411039 Pune Pune Maharashtra 411001 PUNE NO - 03/04/2012 03/04/2012 02/04/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

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Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9042644 60024383 FGG SYED HAMEED SAGAR 13/03/1979

H NO 1-143, ANGADI SANGANNA CAMP, WARD NO 7, ISLAMPUR,

GANGAWATI Bangalore Karnataka 560001 Bangalore Bangalore Karnataka 560001 BANGALORE NO - 27/02/2015 27/02/2015 03/04/2018

9042726 60024384 FGG KOMAL 15/08/1988

E-135B KASHRA NO-123/24 E-BLOCK, JAI VIHAR, PHASE-1,

NANGOLI ROAD Delhi Delhi 11--43 South West South West Delhi 110043 WEST DELHI NO - 04/04/2012 04/04/2012 03/04/2015

9042761 60024385 FGG SWATI BHUJBAL 15/08/1983

C/O RAJENDRA KESHARWANI, VILL-TIDA W.NO-7 TILDA, TILDA,

Raipur Chattisgarh 493114 Dhamtari Dhamtari Chhattisgarh 493114 RAIPUR NO - 04/04/2012 04/04/2012 03/04/2015

9042778 60024391 FGG PANKAJ KUMAR VERMA 10/08/1979

Kumaran Tola Gola Deena Nath Kheri Lakhimpur Kheri Uttar

Pradesh 2628-2 Kheri Kheri Uttar Pradesh 262802 LUCKNOW NO - 04/04/2012 04/04/2012 03/04/2015

9042712 60024393 FGG SHANKAR MAHALINGA MENDON 19/11/1960

A 2 Ashapura chs, Shri Chhatrapati Shivaji Nagar Ghatkopar W

Mumbai Maharashtra 4----1 Mumbai Mumbai Maharashtra 400001 PRABHADEVI NO - 04/04/2012 04/04/2012 03/04/2015

9042786 60024395 FGG VIPIN A 18/05/1986

AVUNDITHARA HOUSE KARAKKAD , MARANCHERY P.O. ,

PURANGU MALAPPURAM Malappuram Kerala 679581 Malappuram Malappuram Kerala 679581 THRISSUR NO - 04/04/2012 04/04/2012 03/04/2015

9042792 60024396 FGG SHIHAB K M 17/11/1976

KUNJITTY HOUSE PATTIMATOM PO PERUMBAVOOR Ernakulam

Kerala 683562 Ernakulam Ernakulam Kerala 683562 COCHIN NO - 04/04/2012 04/04/2012 03/04/2015

9043146 60024400 FGG Y M MANJESH 24/04/1981

NO 36/B 1ST FLOOR 12TH CROSS 19TH MAIN MUNESHWARA

BLOCK BANGALORE Bangalore Karnataka 56--26 Bangalore Bangalore Karnataka 560026 R.T.NAGAR NO - 06/04/2012 06/04/2012 05/04/2015

9042941 60024401 FGG RAUNAK SHRIKISHAN BANGAD 07/07/1985

A/3-2, Kaavya Heights, ageshree Park, shivsena Gali, B Bhayandar

(W), Thane Maharashtra 4-11-1 Thane Thane Maharashtra 401101 PRABHADEVI NO - 05/04/2012 05/04/2012 04/04/2015

9042932 60024402 FGG RAMU NAIDU P 14/07/1985

# 5-39 PERANTALA

PALEM,REGUPALEM(POST),YELAMANCHALI(MANDAL),

VISHAKAPATNAM Visakhapatnam Andhra Pradesh 531-55 Visakhapatnam Visakhapatnam Andhra Pradesh 531055 VIJAYAVADA NO - 05/04/2012 05/04/2012 04/04/2015

1902755 60024403 FGG SARLA M TALREJA 04/07/1963

FLAT NO. 1, ROCK HOUSE 1ST FLOOR, WORLI HILL ROAD MUMBAI

Mumbai Maharashtra 400018 Mumbai Mumbai Maharashtra 400018 ANDHERI YES

LIFE INSURANCE

CORPORATION 07/02/2014 07/02/2014 22/02/2017

9043054 60024404 FGG KIRANJIT KAUR GAHUNIA 12/12/1985

Vill sujjan the & dist nawanshahr Nawanshahr Nawanshahr

Nawanshahr Punjab 144205 Hoshiarpur Hoshiarpur Punjab 144205 JALANDHAR NO - 05/04/2012 05/04/2012 04/04/2015

9043945 60024408 FGG KANISHAK BATTA 31/01/1994

BATTA BAGH COLONY NABHA NABHA BATTA BAGH COLONY

NABHA Patiala Punjab 14-2-1 Patiala Patiala Punjab 140201 PATIALA NO - 09/04/2012 09/04/2012 08/04/2015

9043946 60024411 FGG ANKITA CHADHA 10/01/1992

chadha bhawan kali mata mandir road opp dr. subasha gupta

hospital Pathankot Pathankot Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 09/04/2012 09/04/2012 08/04/2015

9043947 60024412 FGG GOURAV KAPOOR 19/08/1987 32D Model House jalandhar Jalandhar Punjab 144--3 Jalandhar Jalandhar Punjab 144003 JALANDHAR NO - 09/04/2012 09/04/2012 08/04/2015

9043944 60024413 FGG M NAUSHAD 06/01/1970

D NO 28-1, JALAL STREET, SALEM CORPORATION SALEM Salem

Tamil Nadu 636--5 Salem Salem Tamil Nadu 636005 SALEM NO - 09/04/2012 09/04/2012 08/04/2015

4521446 60024415 FGG PREETI KHANDELWAL 10/09/1983

ID-96 NIT FARIDABAD FARIDABAD Faridabad Haryana

121001 Faridabad Faridabad Haryana 121001 GURGAON NO - 26/08/2014 26/08/2014 24/08/2017

1599717 60024416 FGG SEEMALATHA N SUVARNA 18/05/1980

SAGAR TARANG CHS LTD 47-A-43, BRINDABAN COMPLEX

THANE [W] Thane Maharashtra 400601 Thane Thane Maharashtra 400601 GHATKOPAR NO - 08/02/2013 08/02/2013 24/03/2016

9043902 60024417 FGG KISHOR KUMAR P 16/05/1979

158, POLAKKOT, NADUVATHUR KOYILANDY Kozhikode Kerala 6733-

6 Kozhikode Kozhikode Kerala 673306 CALICUT NO - 09/04/2012 09/04/2012 08/04/2015

9043905 60024418 FGG R SELVAKUMAR 30/07/1986

No 21/2, TANGAL STREET ANNANAGER,RAMAPURAM CHENNAI

Chennai Tamil Nadu 6---89 Chennai Chennai Tamil Nadu 600089 CHENNAI NO - 09/04/2012 09/04/2012 08/04/2015

9044025 60024422 FGG H MAHESH 05/06/1980 99, KALLIYAMPUDUR, PERUNDURAI Erode Tamil Nadu 638-52 Erode Erode Tamil Nadu 638052 CHENNAI NO - 10/04/2012 10/04/2012 09/04/2015

9043991 60024423 FGG T VAITHYANATHAN 27/03/1975 NO.56, PATEL ROAD PERAMBUR Chennai Tamil Nadu 6---11 Chennai Chennai Tamil Nadu 600011 ANNA NAGAR NO - 10/04/2012 10/04/2012 09/04/2015

9043989 60024424 FGG RAHUL 04/11/1981

18/4,64th STREET 1-TH SECTOR K K NAGAR Chennai Tamil Nadu 6--

-78 Chennai Chennai Tamil Nadu 600078 ANNA NAGAR NO - 10/04/2012 10/04/2012 09/04/2015

9043999 60024425 FGG MAHENDRA VINODRAO HELCHAL 31/03/1988

PLOT NO 17, SHYAM NAGAR NR SAINT PAUL SCHOOL,

HUDKESHWAR ROAD NAGPUR Nagpur Maharashtra 44--23 Nagpur Nagpur Maharashtra 440023 NAGPUR NO - 10/04/2012 10/04/2012 09/04/2015

9044189 60024426 FGG JABIR K A 11/05/1983

HOUSE NO:12/1--1 PANAYAPPALLY MATTANCHERY Ernakulam

Kerala 682--2 Ernakulam Ernakulam Kerala 682002 COCHIN NO - 10/04/2012 10/04/2012 09/04/2015

9044007 60024429 FGG SANDEEP KUMAR 13/02/1989

132/2/128, shatri nagar, shatri nagar, Karnal Karnal Haryana 132--

1 Karnal Karnal Haryana 132001 ROHTAK NO - 10/04/2012 10/04/2012 09/04/2015

8817899 60024432 FGG NIRANJAN MALLIPEDDI 15/08/1970

TAMPATAPALLY VILLAGE PALAKONDA SRIKAKULAM DIST

Srikakulam Andhra Pradesh 532440 Visakhapatnam Visakhapatnam Andhra Pradesh 530022 VIZAG NO - 22/07/2014 22/07/2014 16/09/2017

8102540 60024433 FGG NAGURU USHA RANI 23/06/1978

Usha Rani Naguru D/O Late Eswaravara Prasada Rao N Palamau

Palamau Palamou Jharkhand 822101 Palamu Palamu Jharkhand 822101 VIZAG NO - 29/05/2013 29/05/2013 27/05/2016

9044786 60024436 FGG RASHMITA KUMARI TRIPATHY 23/07/1987

AT-TOTASAHI, PO- NABARANGPUR, NABARANGPUR,

Nabarangapur Odisha 764-59 Koraput Koraput Odisha 764059 CUTTACK NO - 11/04/2012 11/04/2012 10/04/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9044789 60024437 FGG SANJULATA PANDA 21/06/1980

AT-SAMSARPUR, MAHANGA, CUTTACK, Cuttack Odisha

754029 Cuttack Cuttack Odisha 754029 CUTTACK NO - 11/04/2012 11/04/2012 10/04/2015

9044844 60024438 FGG MANISH JAISWAL 08/02/1978 111\478 Brahm Nagar Kanpur Kanpur Nagar Uttar Pradesh 2-8-12 Kanpur Kanpur Uttar Pradesh 208012 KANPUR NO - 11/04/2012 11/04/2012 10/04/2015

8589930 60024440 FGG NEHA S LULLA 26/10/1987

no.38, Flat No.3-A NEW AVADI ROAD, KILPAUK CHENNAI

Chennai Tamil Nadu 600010 Chennai Chennai Tamil Nadu 600010 CHENNAI NO - 24/03/2014 24/03/2014 19/04/2017

9045401 60024449 FGG RITU A AGRAWAL 11/09/1983

17, VIRALPARK SOCIETY, NR. SAURABH PARK, SUBHANPURA,

Vadodara Gujarat 390023 VADODARA VADODARA Gujarat 390023 BARODA YES

HDFC STANDARD LIFE

INSURANCE CO LTD 12/04/2012 12/04/2012 11/04/2015

3379456 60024450 FGG SATYEN ANILBHAI CHOBE 16/03/1977

BAGHESHRI APARTMENT GODHRA VAVADI BUJARG Panch

Mahals Gujarat 389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA YES BIRLA SUN LIFE 17/06/2013 17/06/2013 22/06/2016

9045402 60024451 FGG MOHANRAJ 23/07/1974

NO 4/2, THIYAGARAJAN STREET, VETRI NAGAR CHENNAI Chennai

Tamil Nadu 6---82 Chennai Chennai Tamil Nadu 600082 CHENNAI NO - 12/04/2012 12/04/2012 11/04/2015

9026883 60024452 FGG P VELMURUGAN 20/07/1976

34/3, KARANI GARDEN, 3RD STREET SAIDAPET Chennai Tamil Nadu

600015 Chennai Chennai Tamil Nadu 600015 CHENNAI YES

LIFE INSURANCE

CORPORATION 12/04/2012 12/04/2012 18/03/2015

9045845 60024458 FGG RAJ H CHUNAWALA 28/09/1990

C-59,SARASWATI SOC, OPP SUPER BAKERY, AJWA ROAD, BARODA,

Vadodara Gujarat 39--19 Vadodara Vadodara Gujarat 390019 BARODA NO - 13/04/2012 13/04/2012 12/04/2015

9045846 60024459 FGG MOLUGURI PRABHAKAR 10/01/1985

H NO 7-73/24 VENNEMPALLY SAIDAPUR Karimnagar Telangana 5-

5462 Karimnagar Karimnagar Andhra Pradesh 505462 HYDERABAD NO - 13/04/2012 13/04/2012 12/04/2015

9045847 60024460 FGG MARTIN ANTONY 25/09/1973

KIZHAKKEVEETIL HOUSE, KANAMALLY PO COCHIN Ernakulam

Kerala 682--8 Cochin Cochin Kerala 682008 COCHIN NO - 13/04/2012 13/04/2012 12/04/2015

9046368 60024466 FGG TWINKLE CHINTAN BALIA 29/06/1979

A wing, flat no-16, 4 flr, pushpgandha chs shree nagar, wagle est

Thane West Thane Maharashtra 401601 Thane Thane Maharashtra 401601 GHATKOPAR NO - 09/03/2015 09/03/2015 15/04/2018

9046369 60024467 FGG NILAMBARI DIGAMBAR RANE 10/11/1959

36 Vitthal Krupa Bhavani Shankar Road Dadar Mumbai

Maharashtra 4---28 Mumbai Mumbai Maharashtra 400028 FORT NO - 16/04/2012 16/04/2012 15/04/2015

9046370 60024468 FGG AZHARABBAS M MERCHANT 15/10/1986

B-15 Blue Diamond Apt Gibert Hill Road Near Bhavan's College,

Andheri West Mumbai Maharashtra 4---58 Mumbai Mumbai Maharashtra 400058 FORT NO - 16/04/2012 16/04/2012 15/04/2015

8500016 60024488 FGG VISHAL VASUDEO NAIK 28/03/1979

Guru Prasad Banglow Bolinj Khavane Ali Taluka Vasai Thane

Maharashtra 401303 Thane Thane Maharashtra 401303 GHATKOPAR YES BIRLA SUN LIFE 27/03/2014 27/03/2014 07/02/2017

9046922 60024490 FGG SUBODH SUDHAKAR JAIN 18/04/1976

A/P SAMA SADAN, RACCA COLONY, SHARANPUR ROAD, NASHIK

Nashik Maharashtra 4132-1 Nashik Nashik Maharashtra 413201 NASHIK NO - 17/04/2012 17/04/2012 16/04/2015

9046923 60024491 FGG MANOJ SHANKARRAO KALWANKAR 18/07/1967 Gurav Galli Gandhi Chowk Kalwan Nashik Maharashtra 4235-1 Nashik Nashik Maharashtra 423501 NASHIK NO - 17/04/2012 17/04/2012 16/04/2015

9046924 60024492 FGG BUDDHA INDRAJA 21/04/1993

15-17-15 PVR NAIDU STREET, NIDANAM DODDI ANAKAPALLE

Visakhapatnam Andhra Pradesh 531--1 Visakhapatnam Visakhapatnam Andhra Pradesh 531001 VIZAG NO - 17/04/2012 17/04/2012 16/04/2015

9046925 60024493 FGG LAGUDU PRASAD 08/08/1987

GOLUGONDA MANDALM GOLUGONDA MANDALM KRISHNA

DEVIPETA Visakhapatnam Andhra Pradesh 531-84 Visakhapatnam Visakhapatnam Andhra Pradesh 531084 VIZAG NO - 17/04/2012 17/04/2012 16/04/2015

9046927 60024495 FGG NAKKA LAVANYA 15/05/1982

1--3-19/43 FNO 5-5 SANJANA RESIDENCY RAMNAGAR FACOURS

LAYOUT Visakhapatnam Andhra Pradesh 53---1 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 17/04/2012 17/04/2012 16/04/2015

9047354 60024509 FGG DILEEP M S. 25/05/1984

maheswary nivas,tc 19/2-54(1) vaniyathu

lane,chengalloor,poojapura p.o TRIVANDRUM

Thiruvananthapuram Kerala 695-12 Thiruvananthapuram ThiruvananthapuramKerala 695012 TRIVANDRAM NO - 18/04/2012 18/04/2012 17/04/2015

9047017 60024514 FGG SAPNA KABRA 24/11/1974

42, Raman Apartment 93, Saket Nagar INDORE Indore

Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 18/04/2012 18/04/2012 17/04/2015

193252 60024515 FGG JITENDRA KUMAR PAREEK 29/03/1980 08 SATANA BAZAR BIJAYNAGAR Ajmer Rajasthan 305624 Ajmer Ajmer Rajasthan 305624 AJMER YES

LIFE INSURANCE

CORPORATION 24/07/2013 24/07/2013 02/08/2016

9047352 60024521 FGG BHUPENDRA JAIN 09/08/1985

A-61,ABHAY ANAND SOCIETY, B/H SUGAM PARK SOC., AIR PORT

HOTEL, HARNI ROAD, Vadodara Gujarat 390006 Vadodara Vadodara Gujarat 390006 BARODA YES

LIFE INSURANCE

CORPORATION 18/04/2012 18/04/2012 17/04/2015

9047350 60024525 FGG RAMA RAJU KALIDINDI 12/01/1978

MIG-C 315 MIG-C 315 SAGAR NAGAR Visakhapatnam Andhra

Pradesh 530045 Visakhapatnam Visakhapatnam Andhra Pradesh 530044 VIZAG NO - 18/04/2012 18/04/2012 17/04/2015

9047918 60024527 FGG SURAJ MAL ROLANIYA 07/06/1987 Village Kanwar Ka Bas Jaipue Jaipur Jaipur Rajasthan 3-2-12 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 19/04/2012 19/04/2012 18/04/2015

9047921 60024529 FGG PREETI CHANDAK 17/07/1989 Friend's colony, B.K.Road, Cuttack, Cuttack Odisha 753--1 Cuttack Cuttack Odisha 753001 BHUBANESWAR NO - 19/04/2012 19/04/2012 18/04/2015

9047925 60024531 FGG SYEDA WAJAHATH KUBRA 19/02/1977

51/52 21ST MAIN ROAD,22ND CROSS,BEHIND MARUTHI

MANDIR,VIJAYA NAGAR BANGALORE Bangalore Karnataka

560040 Bangalore Bangalore Karnataka 560040 BANGALORE NO - 19/04/2012 19/04/2012 18/04/2015

1275040 60024532 FGG SUNIL VARMA 29/08/1965

101 - B, VAASTU SHUBH, 1 ST FLR., PUMP HOUSE, ANDHERI (E),

MUMBAI Mumbai Maharashtra 400093 Mumbai Mumbai Maharashtra 400093 ANDHERI YES

LIFE INSURANCE

CORPORATION 19/05/2012 19/05/2012 05/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3086682 60024534 FGG YOGESH PALIWAL 24/04/1981

159;SALUMBAR KI HAVELI RAO JI KA HATA UDAIPUR Udaipur

Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR YES

LIFE INSURANCE

CORPORATION 13/06/2013 13/06/2013 01/03/2016

9048437 60024535 FGG MAHANTH KUMAR PANDEY 10/01/1988

PLOT NO-183, FLAT NO-4-1 M N REDDY NAGAR COLONY BANK

COLONY Hyderabad Telangana 5---85 Hyderabad Hyderabad Andhra Pradesh 500085 HYDERABAD NO - 20/04/2012 20/04/2012 19/04/2015

9048433 60024536 FGG MOHAMMED FAIYAZ KHAN 23/08/1988

8-2-74-/A/1/B BANJARA HILLS SHAIKPET Hyderabad Telangana 5---

8- Hyderabad Hyderabad Andhra Pradesh 500080 HYDERABAD NO - 20/04/2012 20/04/2012 19/04/2015

9048439 60024537 FGG KOWKUNTLA SUDHEER REDDY 28/03/1987

1-9-, CHINNA HOTURU BLOCK-1 VAJRAKRURU MANDAL Anantapur

Andhra Pradesh 515--2 Anantapur Anantapur Andhra Pradesh 515002 KUKKATPALLY NO - 20/04/2012 20/04/2012 19/04/2015

9048435 60024538 FGG THOTA MANOHAR 02/05/1988

H NO 4-4, CHINTALPALLY DANDEPALLY ADILABAD Adilabad

Telangana 5-4215 Adilabad Adilabad Andhra Pradesh 504215 HYDERABAD NO - 20/04/2012 20/04/2012 19/04/2015

9049747 60024554 FGG SHELLAMANI RANJIT KUMAR 09/07/1983

No 59, North street, Palanganatham Madurai Madurai Tamil Nadu

625--3 Madurai Madurai Tamil Nadu 625003 MADURAI NO - 24/04/2012 24/04/2012 23/04/2015

9049775 60024555 FGG D RAJESHKUMAR 10/09/1982

No 31, New No 95/N, South street Palanganatham Madurai

Madurai Tamil Nadu 625--3 Madurai Madurai Tamil Nadu 625003 MADURAI NO - 24/04/2012 24/04/2012 23/04/2015

9049823 60024556 FGG RAVISHANKAR GUPTA 07/07/1986

APNA AUTO SHOP NO 2, ABDULLA COMPOUND, GANDHI NAGAR,

KURAR VILLAGE, MALAD (E) Mumbai Maharashtra 4---97 Mumbai Mumbai Maharashtra 400097 BORIVALI NO - 24/04/2012 24/04/2012 23/04/2015

9049837 60024557 FGG THASLIM BANU A 18/06/1980

6-1/2, VANNIYAR NAGAR, PEYIA PUDHUR ALAGAPURAM, SALEM

Salem Tamil Nadu 636-16 Salem Salem Tamil Nadu 636016 SALEM NO - 24/04/2012 24/04/2012 23/04/2015

9049840 60024558 FGG H J BHADANE 24/10/1979

45, SWAMI SAHJANAND NAGAR, B H MANJIT NAGAR,

MANJALPUR, BARODA Vadodara Gujarat 39--11 Vadodara Vadodara Gujarat 390011 BARODA NO - 24/04/2012 24/04/2012 23/04/2015

9049851 60024559 FGG HEMABEN DALAL 04/10/1977

E-5, SAMARPAN PARK SOCIETY, NEAR OLD BAPOD JAKAT NAKA,

WAGHODIA ROAD, Vadodara Gujarat 39--19 Vadodara Vadodara Gujarat 390019 BARODA NO - 24/04/2012 24/04/2012 23/04/2015

9049862 60024560 FGG AASHISH L GUPTA 19/01/1981 B-15, Krishna Colony, Bhatapara, Raipur Chattisgarh 492--1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 24/04/2012 24/04/2012 23/04/2015

9049874 60024562 FGG KAVITA RAWAT 10/07/1992 225 NEAR THANE GEGAL AJMER Ajmer Rajasthan 3-4--1 Ajmer Ajmer Rajasthan 304001 AJMER NO - 24/04/2012 24/04/2012 23/04/2015

9049884 60024563 FGG ABHISHEK SHARMA 27/11/1986

52/, NEAR HOLY MOTHER SCHOOL COMPOUND, SUNDER NAGAR,

Raipur Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 24/04/2012 24/04/2012 23/04/2015

9049889 60024564 FGG NARESH KUMAR 11/11/1982 L-148 J.J Colony Wazirpur Delhi Delhi 11--52 Delhi Delhi Delhi 110052 CONNAUGHT PLACENO - 24/04/2012 24/04/2012 23/04/2015

5565930 60024566 FGG SOURABH GUGNANI 21/11/1983

9/121, MALVIYA NAGAR NEW DELHI DELHI[117] Delhi Delhi

110017 Delhi Delhi Delhi 110017 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 09/07/2012 09/07/2012 14/07/2015

9049897 60024568 FGG UDDAGIRI PERARAJU 08/01/1980

1-55,CHINNIPALEM VILLAGE KOTHAVALASA VIZINAGARAM

Vizianagaram Andhra Pradesh 532122 Srikakulam Srikakulam Andhra Pradesh 532122 VIZAG NO - 24/04/2012 24/04/2012 23/04/2015

9049898 60024569 FGG M SREEDEVI 02/05/1968

DNO:43-16-1,TSN COLONY DONDAPARTHY VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 53--16 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 24/04/2012 24/04/2012 23/04/2015

9049899 60024570 FGG SAILAJA LINGAMANENI 29/08/1966

8-12-72/A THOTAPALEM VIZIANAGARAM Vizianagaram Andhra

Pradesh 535501 Vizianagaram Vizianagaram Andhra Pradesh 535502 VIZAG NO - 03/03/2015 03/03/2015 23/04/2018

9049900 60024571 FGG HARSHIL SHAH 20/05/1988

1399, AKASHGANGA SOCIETY, MAKARPURA, Vadodara Gujarat 39--

14 Vadodara Vadodara Gujarat 390014 BARODA NO - 24/04/2012 24/04/2012 23/04/2015

9049901 60024572 FGG HARSHAD SHANTILAL NAGDA 16/12/1973

31/185, ELLORAPARK SUBHANPURA, BARODA, Vadodara Gujarat

39---7 Vadodara Vadodara Gujarat 390007 BARODA NO - 24/04/2012 24/04/2012 23/04/2015

9051705 60024583 FGG NEELAVENI VATTI 05/05/1989

#5--6--8/2, RAJENDRA NAGAR SEETHAMMAPETA

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 53--16 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 27/04/2012 27/04/2012 26/04/2015

9051708 60024584 FGG SRINIVAS KANTUBHUKTHA 20/08/1985

#14-4--9, APHB COLONY, SRIKAKULAM, Srikakulam Andhra

Pradesh 532--1 Srikakulam Srikakulam Andhra Pradesh 532001 VIZAG NO - 27/04/2012 27/04/2012 26/04/2015

9051713 60024585 FGG KAKITAPALLI SARALA 15/07/1977

D/o K SRI HARI RAO DEVUDALA VILLAGE & POST REGIDI MANDAL

Srikakulam Andhra Pradesh 53244- Srikakulam Srikakulam Andhra Pradesh 532440 VIZAG NO - 27/04/2012 27/04/2012 26/04/2015

9051719 60024586 FGG KIRAN G N 26/07/1982

Sir M V Layout M G Road ChikkaBallapura Tumkur Karnataka 5621-

1 Kolar Kolar Karnataka 562101 BANGALORE NO - 27/04/2012 27/04/2012 26/04/2015

3140411 60024588 FGG OMKAR MAL SHARMA 06/12/1946

KHAJPUR NAYA TEH JHUNJHUNU JHUNJHUNU Jhunjhunun

Rajasthan 333024 Udaipur Udaipur Rajasthan 333001 JAIPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 25/10/2013 25/10/2013 15/03/2016

9051753 60024589 FGG SARTAJ SINGH 10/03/1973

H.No.3-87/2, Sector-44 D Chandigarh Chandigarh Chandigarh 16--

47 Chandigarh Chandigarh Chandigarh 160047 CHANDIGARH NO - 27/04/2012 27/04/2012 26/04/2015

9051759 60024590 FGG SUPRIYA 24/09/1979

H.No.1-7, GH 6 MDC, Sector 5 Panchkula Panchkula Haryana 1341-

9 Panchkula Panchkula Haryana 134109 CHANDIGARH NO - 27/04/2012 27/04/2012 26/04/2015

9051764 60024591 FGG KAUSHAL PATEL 10/06/1986

69, CHIMANLAL PARK SOCIETY, NR RANCHODJI MANDIR, BARODA,

Vadodara Gujarat 39---1 Vadodara Vadodara Gujarat 390001 BARODA NO - 27/04/2012 27/04/2012 26/04/2015

9051770 60024592 FGG SAUMEETRA A VAZE 20/02/1985

B - 22, VAISHALI SOCIETY, SHIV MANDIR ROAD, AMBERNATH EAST

Thane Maharashtra 4--6-1 Thane Thane Maharashtra 400601 FORT NO - 27/04/2012 27/04/2012 26/04/2015

9051776 60024593 FGG SHABNA SUNEEJ 31/05/1988

371 4/272, PARUTHIKUNNAN KODUR PO Malappuram Kerala 6765-

4 Malappuram Malappuram Kerala 676504 CALICUT NO - 27/04/2012 27/04/2012 26/04/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9051782 60024594 FGG PARAMBATH RAVEENDRAN 25/11/1958

CHAITHRAM 3/16-, ELAYAPARAMBATH, EDAKKAD PO KOZHIKODE

Kozhikode Kerala 673--5 Kerala Kerala Kerala 673005 CALICUT NO - 27/04/2012 27/04/2012 26/04/2015

9051790 60024595 FGG PRAVESH JAIN 18/07/1980 Arya Samaj Road Purani Dhan Mandi kota Kota Rajasthan 324--5 Kota Kota Rajasthan 324005 UDAIPUR NO - 27/04/2012 27/04/2012 26/04/2015

9053644 60024596 FGG SATBIR SINGH 13/11/1981

# 1459 PROGRESSIVE SOCIETY SECTOR-5- Chandigarh Chandigarh

16---1 Chandigarh Chandigarh Chandigarh 160001 CHANDIGARH NO - 30/04/2012 30/04/2012 29/04/2015

4098501 60024597 FGG SAPNA DEVI 22/02/1979

VPO BAGGI PO-BHAKERI TEHSIL-BARSAR HAMIRPUR Hamirpur

Himachal Pradesh 174304 Solan Solan Himachal Pradesh173205 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 07/03/2014 07/03/2014 11/03/2017

4248805 60024607 FGG GAURAV GOYAL 22/07/1987

GOYAL TRADERS, OPP. SONI HOSPITAL, PIPLI ROAD, NEAR TEL

PHONE EXCH, KURUKSHETRA, Kurukshetra Haryana

136030 AMBALA AMBALA Haryana 136118 CHANDIGARH YES

RELIANCE LIFE

INSURANCE 25/06/2014 25/06/2014 25/05/2017

9054778 60024608 FGG SUDHISH N R 28/05/1983

NADUVILPURAKKAL HOUSE P. O. ANJUR , MUNDUR ,

ANDAPARAMBA THRISSUR Thrissur Kerala 68-549 Thrissur Thrissur Kerala 680549 THRISSUR NO - 02/05/2012 02/05/2012 01/05/2015

9054779 60024609 FGG ANIL SINGHAL 01/09/1982

83 NEW KHANDELWAL NAGAR AGRA ROAD JAIPUR Jaipur

Rajasthan 3-2--4 Jaipur Jaipur Rajasthan 302004 JAIPUR NO - 02/05/2012 02/05/2012 01/05/2015

9054870 60024611 FGG NASREEN SULTANA 25/01/1973

A 5, HOUSING UNIT, TANJORE ROAD TRICHY Tiruchirapalli Tamil

Nadu 62---8 Tiruchirappalli Tiruchirappalli Tamil Nadu 620008 TRICHY NO - 03/05/2012 03/05/2012 02/05/2015

9054907 60024612 FGG P SHANMUGASUNDARAM 14/07/1973

NO 58, KEEZHATHANEERPALLI, RAJENDRAM PO, KULITHALAI TK

KARUR Karur Tamil Nadu 6213-1 Karur Karur Tamil Nadu 621301 TRICHY NO - 03/05/2012 03/05/2012 02/05/2015

9054920 60024613 FGG A MOHAMED FAIZAL 19/02/1983

2/116, A S KULAVAI PATTI ALANGUDE PUDUGAI, 21 A 212 IQBAL

COLONY, Tiruvannamalai Tamil Nadu 62--2- Tiruchirappalli Tiruchirappalli Tamil Nadu 620020 TRICHY NO - 03/05/2012 03/05/2012 02/05/2015

9054927 60024614 FGG S RAMESH BABU 15/03/1979

NEW NO M 789, ANNA NAGAR, NAVALPATTU TRICHY

Tiruvannamalai Tamil Nadu 62--26 TRICHY TRICHY Tamil Nadu 620026 TRICHY NO - 03/05/2012 03/05/2012 02/05/2015

9054944 60024616 FGG BALAKRISHNAN R 29/05/1985

WARD 14, NESAVALAR COLONY, THATHAIENGAR PETTAI SPECIAL,

METTUPALAYAM Tiruchirapalli Tamil Nadu 621214 Tiruchirappalli Tiruchirappalli Tamil Nadu 621214 TRICHY NO - 03/05/2012 03/05/2012 02/05/2015

9054967 60024618 FGG FASALU RAHIMAN N A 12/05/1974

NAROTHPARAMBIL HOUSE, HILL VIEW, PO MULLURKARA,

TRICHOR, Thrissur Kerala 68-583 Ernakulam Ernakulam Kerala 680583 THRISSUR NO - 03/05/2012 03/05/2012 02/05/2015

9054989 60024619 FGG SINDHU SUNILKUMAR 26/02/1978

MANAPPETTI HOUSE NO 7/38-, MARIYAPURAM, SJ JOSEPHS

STREET, ANCHETY PO Thrissur Kerala 68---6 Thrissur Thrissur Kerala 680006 THRISSUR NO - 03/05/2012 03/05/2012 02/05/2015

8534131 60024621 FGG NILESH NARENDRA JAISWAL 13/12/1992

Room No-9 Shastri Nagar 90 Feet Road Pant Nagar Ghatkopar

East Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 GHATKOPAR NO - 30/01/2014 30/01/2014 02/03/2017

9055054 60024622 FGG KARUNA SANJAY DHANAVIJAY 14/06/1966

C/O. SANJAY DHANVIJAY KAWRAPETH UMRED Nagpur

Maharashtra 4412-3 Nagpur Nagpur Maharashtra 441203 NAGPUR NO - 03/05/2012 03/05/2012 02/05/2015

9055070 60024624 FGG KOLAGANTI SATYA SRI 16/06/1986

2--3/1-93A Ayodya Nagar Vijayawada Krishna Andhra Pradesh 52---

3 Vijayawada Vijayawada Andhra Pradesh 520003 VIJAYAVADA NO - 03/05/2012 03/05/2012 02/05/2015

9055080 60024625 FGG USMAN GANI KHOKAR 26/09/1973

339, KHDKHARON KA NOHALLA SABALAPURA SIKAR Sikar

Rajasthan 331-24 Sikar Sikar Rajasthan 331024 JAIPUR NO - 03/05/2012 03/05/2012 02/05/2015

9055085 60024626 FGG DIPAL RAJUBHAI PATEL 01/06/1987 4-1, KOLI FALIYA, NANA VARACHHA, Surat Gujarat 395--6 Surat Surat Gujarat 395006 SURAT NO - 03/05/2012 03/05/2012 02/05/2015

9055087 60024628 FGG R T MALARVIZHI 12/06/1971 106, MEMBALANAGAR, SALEM Salem Tamil Nadu 636003 Salem Salem Tamil Nadu 636005 SALEM NO - 03/05/2012 03/05/2012 02/05/2015

9055705 60024643 FGG SUNEET SOGANI 05/09/1983

27 JATAN VILLA NR SSHOKA OIL MILLS ADARSH NAGAR MALAPURA

TONK Tonk Rajasthan 3-45-2 Tonk Tonk Rajasthan 304502 JAIPUR NO - 04/05/2012 04/05/2012 03/05/2015

330815 60024647 FGG GAURAV LUTHRA 21/03/1980

690 BLOCK NEW ALIPORE KOLKATA Kolkata West Bengal

700029 KOLKATA KOLKATA West Bengal 700156 KOLKATA NO - 02/12/2013 02/12/2013 05/12/2016

9055759 60024648 FGG ALKA PATEL 18/05/1982

18, SIDDHESHWAR COLONY, JHABUA, Indore Madhya Pradesh 452-

-1 Indore Indore Madhya Pradesh 452001 INDORE NO - 04/05/2012 04/05/2012 03/05/2015

3656993 60024659 FGG DHANANJAY KUMAR 01/03/1983

ADARSH NAGAR, BAZAR SMITI, ANAIHT ARA,BHOJPUR, Patna

Bihar 800001 Patna Patna Bihar 800001 PATNA YES

LIFE INSURANCE

CORPORATION 26/09/2013 26/09/2013 19/10/2016

440765 60024660 FGG CHARU VIJAY SHAH 31/10/1960

A-105 Umang Soc. Gotri Road VADODARA Vadodara Gujarat

390007 Vadodara Vadodara Gujarat 390007 BARODA YES

LIFE INSURANCE

CORPORATION 30/01/2014 30/01/2014 19/02/2017

607535 60024661 FGG BALJIT SINGH 06/06/1962

VILL.ATHWAL, P.O.NAUSHERA MAJHA SINGH,DISTT.GURDASPUR

Gurdaspur Punjab 143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR YES

LIFE INSURANCE

CORPORATION 19/07/2014 19/07/2014 19/07/2017

9057212 60024662 FGG HEMA 23/11/1989

477/15 INDRPRASTH COLONY NATHPURA RD BURAI Delhi Delhi 11--

84 Delhi Delhi Delhi 110084 WEST DELHI NO - 08/05/2012 08/05/2012 07/05/2015

9057213 60024663 FGG HARISH KUMAR 02/07/1976

79 SOUTH ANARKALI EXTN KRISHAN NAGAR NEW DELHI Delhi

Delhi 11--51 Delhi Delhi Delhi 110051 CONNAUGHT PLACENO - 08/05/2012 08/05/2012 07/05/2015

9057215 60024664 FGG B BHURATNAMALA ACHARY 02/04/1982 26/3, PAPPER MILLS ROAD PERAMBUR Chennai Tamil Nadu 6---11 Chennai Chennai Tamil Nadu 600011 CHENNAI NO - 08/05/2012 08/05/2012 07/05/2015

9057216 60024665 FGG ASMITA DINESH BHALERAO 02/03/1988

A/P KALAMB TAL-AMBEGAON PUNE Pune Maharashtra

410301 Pune Pune Maharashtra 410301 CHINCHWAD NO - 27/02/2015 27/02/2015 07/05/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9057217 60024666 FGG SUSHIL KUMAR TIWARI 20/10/1978

VILL KAMKHORIYA PO KASIA KUSHINAGAR Kushinagar Uttar

Pradesh 2742-3 Kushinagar Kushinagar Uttar Pradesh 274203 CHANDIGARH NO - 08/05/2012 08/05/2012 07/05/2015

551315 60024667 FGG EASWARA ANANDAR NAMASIVAYAM 01/12/1951

9 II CROSS, MARUTHI NAGAR KARUMANDAPAM Tiruchirapalli

Tamil Nadu 620001 Tiruchirappalli Tiruchirappalli Tamil Nadu 620001 TRICHY YES

LIFE INSURANCE

CORPORATION 20/06/2014 20/06/2014 14/07/2017

3178791 60024668 FGG NAZEER 23/02/1978

KARAKKAT HOUSE, KARIKKAD P O THRISSUR Thrissur Kerala

680519 Thrissur Thrissur Kerala 680519 THRISSUR NO - 03/11/2014 03/11/2014 25/03/2016

5489900 60024670 FGG MUNISH MAHAJAN 02/06/1979

M/S SANJHI RAM HARI SHARAN BALU BRIDGE CHAMBA Chamba

Himachal Pradesh 17631- Chamba Chamba Himachal Pradesh176310 JALANDHAR NO - 29/06/2012 29/06/2012 23/06/2015

9058542 60024692 FGG VIVEK TARE 23/07/1974

Thakersy J Build 2/68 T J Road, Sewri naka, sewri Sewri Mumbai

Maharashtra 4---19 Mumbai Mumbai Maharashtra 400019 BOISAR NO - 11/05/2012 11/05/2012 10/05/2015

9059841 60024697 FGG SARITA S JAISWAL 20/08/1986

R.no.2 Motorwali Chawl, Jai hind Nagar Khar East Mumbai

Maharashtra 4---51 Mumbai Mumbai Maharashtra 400051 ANDHERI NO - 14/05/2012 14/05/2012 13/05/2015

9059907 60024698 FGG BHEEMUDI UPENDER 20/04/1983 1-78, GUNDALA AMBALA Nalgonda Telangana 5-8--1 Nalgonda Nalgonda Andhra Pradesh 508001 HYDERABAD NO - 14/05/2012 14/05/2012 13/05/2015

9059940 60024699 FGG BOMMA PUNITH 09/05/1984

S/O 3 DEVI ENCLAVE HYDERSHAKOTE RAJENDRA NAGAR

Rangareddy Telangana 5---29 Hyderabad Hyderabad Andhra Pradesh 500029 HYDERABAD NO - 14/05/2012 14/05/2012 13/05/2015

9059969 60024700 FGG SHIRLEY JUNEJA 22/11/1972

F NO. 3-3 P NO.4- WEST MARREDPALLY SECUNDRABAD Hyderabad

Telangana 5----3 Rangareddi Rangareddi Andhra Pradesh 500003 HIMAYATHNAGAR NO - 14/05/2012 14/05/2012 13/05/2015

9059995 60024701 FGG SHILPA BHANUBHAI KARIA 18/03/1977 Khodiya Krupa Krushna Nagar Road RAJKOT Rajkot Gujarat 36---2 Rajkot Rajkot Gujarat 360002 RAJKOT NO - 14/05/2012 14/05/2012 13/05/2015

9060036 60024702 FGG SHRADDHA MEHTA 08/08/1982

Shiv Shrushti Bunglow Kalawad Road RAJKOT Rajkot Gujarat

360005 Rajkot Rajkot Gujarat 360005 RAJKOT YES

EXIDE LIFE INSURANCE

COMPANY LIMITED 14/05/2012 14/05/2012 13/05/2015

9060099 60024704 FGG SARJEET 15/09/1986 91/1-A Near Gautam Public School Kondli Delhi Delhi 11--96 Delhi Delhi Delhi 110096 WEST DELHI NO - 14/05/2012 14/05/2012 13/05/2015

1828427 60024705 FGG RAVINDRA KUMAR SHARMA 11/05/1979

19/221 CHOUPASNI HOUSING BOARD JODHPUR Jodhpur

Rajasthan 342008 Jodhpur Jodhpur Rajasthan 342001 JODHPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 05/12/2013 05/12/2013 01/11/2016

9060140 60024706 FGG A CHITRADEVI 23/05/1986

ACHINAKULAM BLOCK A AYANVAPAMALAPURAM POST

THOOTHUKKUDI Karur Tamil Nadu 6289-2 Karur Karur Tamil Nadu 628902 COIMBATORE NO - 14/05/2012 14/05/2012 13/05/2015

9060201 60024707 FGG HAMEEDA FARHATH KHANAM 20/06/1965

10/12-10/1, MADAR SAB LAYOUT C CROSS, GURUAPPAN PALYA,

BANGALORE Bangalore Karnataka 560029 Bangalore Bangalore Karnataka 560029 INDIRA NAGAR NO - 02/03/2015 02/03/2015 13/05/2018

9060207 60024708 FGG BHUSHANE RANJANA K 11/02/1985

D/159, SHREE SAHASPARK KAMLANAGAR- 7, AJWA ROAD,

Vadodara Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA YES

LIFE INSURANCE

CORPORATION 14/05/2012 14/05/2012 13/05/2015

9060223 60024709 FGG MEGHA SHAJI C 28/07/1992

Chear Komannil House Mukuzhy Thayanoor P.O Kasaragod Kerala

671531 Kasaragod Kasaragod Kerala 671531 CALICUT NO - 14/05/2012 14/05/2012 13/05/2015

9062054 60024717 FGG ANITA THORAT 03/02/1986

Bldg no.1, Room no.4-3, Rashmi Pink city, Phase2 Naigaon east

Vasai Virar Thane Maharashtra 4-12-8 Thane Thane Maharashtra 401208 THANE NO - 16/05/2012 16/05/2012 15/05/2015

8625581 60024725 FGG MANSHA SEHGAL 24/07/1990

3-CHANRLRA MOWLI COM CHANNI JAKAT NAKA VADODARA

Vadodara Gujarat 390001 Vadodara Vadodara Gujarat 390001 BARODA YES

LIFE INSURANCE

CORPORATION 26/05/2014 26/05/2014 26/05/2017

9062967 60024726 FGG ASHU RANI 10/10/1986

sector-13 krishna colony milk road Naraingarh, ambala Ambala

Haryana 1342-3 Ambala Ambala Haryana 134203 CHANDIGARH NO - 17/05/2012 17/05/2012 16/05/2015

9062993 60024728 FGG VIPULKUMAR VASOYA 30/08/1986

"SHIVAM" SANTBHOJALRAM SOCIETY, STREET NO 3, KOTHARIYA

ROAD, Rajkot Gujarat 36---5 Rajkot Rajkot Gujarat 360005 RAJKOT NO - 17/05/2012 17/05/2012 16/05/2015

9062995 60024729 FGG GAURAV SHARMA 07/10/1975

203, Tapashcharya CHS, Old Mumbai Pune Road, Near Chitamani

Jewellers, Thane Thane Maharashtra 400601 Thane Thane Maharashtra 400601 THANE YES HDFC STANDARD LIFE 17/05/2012 17/05/2012 16/05/2015

9062997 60024730 FGG NIPA VIPIN HIRANI 18/02/1971

15TH KAMLESH MANSION, DIXIT ROAD, VILE PARLE (E), Mumbai

Maharashtra 4---57 Mumbai Mumbai Maharashtra 400057 GHATKOPAR NO - 17/05/2012 17/05/2012 16/05/2015

9062998 60024731 FGG PRITI SHIVRAM GOTAD 17/08/1985

Room no- 6, Ramdular Tadav Chwal Gunfa Rd, Pratap ngr

Jogeshwari East Mumbai Maharashtra 4---6- Mumbai Mumbai Maharashtra 400060 GHATKOPAR NO - 17/05/2012 17/05/2012 16/05/2015

3197122 60024732 FGG ANITA C SHETTAR 01/06/1985

D/O C P SHETTAR KAMADOLLI TQ KUNDAGOL HUBLI Dharwad

Karnataka 581113 Uttara Kannada Uttara Kannada Karnataka 581113 HUBLI YES SBI LIFE INS. CO. 07/04/2014 07/04/2014 27/03/2016

9023473 60024735 FGG SHALINI .. 20/05/1975

HOUSE NO.504 PANCHSEEL ENCLAVE BISHANPURA ZIRAKPUR

Patiala Punjab 140201 Patiala Patiala Punjab 140201 LUDHIANA NO - 27/02/2015 27/02/2015 13/03/2018

9063649 60024741 FGG ANOOP GUPTA 15/03/1964

C-12 2nd FLOOR , AHINSA VIHAR SECTOR - 9, ROHINI Delhi Delhi

11--85 North West North West Delhi 110034 CONNAUGHT PLACENO - 18/05/2012 18/05/2012 17/05/2015

9063658 60024742 FGG MAHMEDAASEF GULMMAHMED 16/02/1992

4/5 KHUSHBU PARK, KHUSHBU PARK SERPURA ROAD, DUNGRI,

Bharuch Gujarat 392--1 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 18/05/2012 18/05/2012 17/05/2015

9063710 60024743 FGG MD KAMAL HUSSAIN 15/02/1984 1- IDC MG ROAD Gurgaon Haryana 121--1 Faridabad Faridabad Haryana 121001 GURGAON NO - 18/05/2012 18/05/2012 17/05/2015

9063737 60024744 FGG LALITA GUPTA 16/07/1971 8 Sadar Appratments Delhi Delhi Delhi Delhi 11--91 Delhi Delhi Delhi 110091 FARIDABAD NO - 18/05/2012 18/05/2012 17/05/2015

9068453 60024784 FGG VENKATESH NANDAGIRI 08/08/1987 H NO 3-139 SARVELU NALGONDA Nalgonda Telangana 5-8--1 Nalgonda Nalgonda Andhra Pradesh 508001 HYDERABAD NO - 25/05/2012 25/05/2012 24/05/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9068452 60024785 FGG GORRE ANIL KUMAR 24/02/1985

H NO 4-86/27 PO-GHANPUR, MO-SAIDAPUR Karimnagar

Telangana 5-5468 Karimnagar Karimnagar Andhra Pradesh 505468 HYDERABAD NO - 25/05/2012 25/05/2012 24/05/2015

2715794 60024786 FGG SUMAN GUPTA 26/12/1978

# 7, VISHISHT NAGAR NEAR RAM MANDIR AMBALA Ambala

Haryana 133001 Ambala Ambala Haryana 133001 CHANDIGARH YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 23/11/2012 23/11/2012 30/10/2015

9068438 60024787 FGG DHARAM VEER 27/04/1963

house no 46 Old partap nagar milk plant road, baldev nagar

Ambala Haryana 134--7 Ambala Ambala Haryana 134007 CHANDIGARH NO - 25/05/2012 25/05/2012 24/05/2015

9068386 60024790 FGG JAYEN MAHESH UDANI 18/04/1966

3-1/3-2 VENKATESHWAR NAGAR , BDLG NO - A/2 CABIN ROAD

BHAYANDER EAST Thane Maharashtra 4-11-5 Thane Thane Maharashtra 401105 ANDHERI NO - 25/05/2012 25/05/2012 24/05/2015

9068380 60024791 FGG AMRITLAL KOTUMAL NIHALANI 15/07/1955

G-4, Shree Sadgurukripa Bldg, S.B. Marg, Matunga Road West

Mumbai Mumbai Maharashtra 4---16 Mumbai Mumbai Maharashtra 400016 PRABHADEVI NO - 25/05/2012 25/05/2012 24/05/2015

9068377 60024792 FGG SANJAY RAJAKUMAR PANDEY 20/01/1981

B/24,TIWARI CHL COMM SUBHASH NGR SUBHASH NGR VAKOLA

PIPLINE Mumbai Mumbai Maharashtra 4---55 Mumbai Mumbai Maharashtra 400055 GHATKOPAR NO - 25/05/2012 25/05/2012 24/05/2015

9068372 60024793 FGG A SAGAYAMARY 30/07/1983

NO 15/3, VELLAYATHA PANDIAN STREET CHENNAI Chennai Tamil

Nadu 6---21 Chennai Chennai Tamil Nadu 600021 CHENNAI NO - 25/05/2012 25/05/2012 24/05/2015

9068447 60024794 FGG RAJEEV K V 16/11/1981

366 51/288, VALAPPIL, POOZHIYIL ROAD, KOZHIKODE Kozhikode

Kerala 673--1 Kozhikode Kozhikode Kerala 673001 CALICUT NO - 25/05/2012 25/05/2012 24/05/2015

9068434 60024795 FGG RAKESH KUMAR 08/12/1988 H NO 51, BADSHAHPUR GURGAON Gurgaon Haryana 122--1 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 25/05/2012 25/05/2012 24/05/2015

9068424 60024797 FGG ABHISHEK DWIVEDI 06/08/1989

House No-992 Old Housing Board Colony sector-18 Faridabad

Haryana 121--2 Faridabad Faridabad Haryana 121002 FARIDABAD NO - 25/05/2012 25/05/2012 24/05/2015

9068423 60024798 FGG JOY I C 31/05/1969

ILLIKAL HOUSE,PALAYAMPRAMBU ANNAMANADA CHALAKUDY

Ernakulam Kerala 68-741 Ernakulam Ernakulam Kerala 680741 COCHIN NO - 25/05/2012 25/05/2012 24/05/2015

9068420 60024799 FGG AVINASH 30/05/1993 Vill Khusnagar Mukerian Hoshiarpur Hoshiarpur Punjab 146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR YES

METLIFE INDIA

INSURANCE CO. PVT. LTD 25/05/2012 25/05/2012 24/05/2015

9068388 60024800 FGG MANISHKUMAR M KOTHARI 06/09/1983 KASAR GALLI, RISOD WASHIM Washim Maharashtra 4441-6 Akola Akola Maharashtra 444106 AKOLA NO - 25/05/2012 25/05/2012 24/05/2015

9068366 60024805 FGG MUTHAIAN 12/04/1962

OLD NO 1- C/1, NEW NO 41/1, THURIYUR ROAD, MUSIRI

Tiruvannamalai Tamil Nadu 621211 Tiruchirappalli Tiruchirappalli Tamil Nadu 621211 TRICHY NO - 25/05/2012 25/05/2012 24/05/2015

9068362 60024806 FGG RAJASEKARAN B 11/02/1984

71 Indirani Nagar, Mudakusalai Madurai Madurai Tamil Nadu 625-

11 Madurai Madurai Tamil Nadu 625011 MADURAI NO - 25/05/2012 25/05/2012 24/05/2015

9068284 60024807 FGG SUNITA MISHRA 01/09/1982

637-D BarraVishva bank colony kanpur Kanpur Nagar Uttar

Pradesh 2-94-7 Kanpur Kanpur Uttar Pradesh 209402 CONNAUGHT PLACENO - 25/05/2012 25/05/2012 24/05/2015

660948 60024808 FGG REEMA GUPTA 04/03/1978

RAIZADA MEDICAL HALL SAMBA SAMBA Jammu Jammu &

Kashmir 181121 Jammu Jammu Jammu and Kashmir181121 JAMMU YES

LIFE INSURANCE

CORPORATION 24/09/2014 24/09/2014 05/08/2017

1031741 60024810 FGG NARINDERJIT KAUR SATINDERSINGH 09/09/1965

C-504, EDEN II HIRANANDANI GARDENS, A.S.MARG, POWAI,

Mumbai Maharashtra 400076 Mumbai Mumbai Maharashtra 400076 FORT NO - 08/01/2015 08/01/2015 10/01/2018

9072018 60024812 FGG ATUL JOSHI 09/03/1984 16-/4, Pipliyarao AB Road, Indore, Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 29/05/2012 29/05/2012 28/05/2015

9072293 60024813 FGG SUHAS M HOUSALMAL 06/12/1986

b/27/-4, sector -1 nrear sai baba mandir vashi Thane Maharashtra

4--7-3 Thane Thane Maharashtra 400703 GHATKOPAR NO - 29/05/2012 29/05/2012 28/05/2015

9072340 60024814 FGG NUHAIL FIROZ SHAIKH 27/10/1990

Ahmed Building,2nd Floor,Room No.23, Gunpowder Road,

Mazgaon Mumbai Maharashtra 4---1- Mumbai Mumbai Maharashtra 400010 ANDHERI NO - 29/05/2012 29/05/2012 28/05/2015

9072632 60024817 FGG VIJAY SINGH 02/04/1966 234/81 Mansla,Disst Chamoli Chamoli Uttarakhand 246401 Chamoli Chamoli Uttaranchal 246401 CONNAUGHT PLACENO - 09/03/2015 09/03/2015 28/05/2018

9072655 60024818 FGG VEER SAIN 02/03/1947

138 JATWARA NEAR NAVYOU MARKET GAZIABAD Ghaziabad Uttar

Pradesh 2-1--1 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 29/05/2012 29/05/2012 28/05/2015

9072679 60024819 FGG NEHA AGGARWAL 20/02/1982

772/2 visokharroad shyamsinh vihar modinagar Ghaziabad Uttar

Pradesh 2-12-4 Ghaziabad Ghaziabad Uttar Pradesh 201204 NOIDA NO - 29/05/2012 29/05/2012 28/05/2015

9072689 60024820 FGG ALAPATI BALAKRISHNA 24/07/1977

H.no: 8-56 Velamavari street Bobilli Vizianagaram Andhra

Pradesh 532122 Srikakulam Srikakulam Andhra Pradesh 532122 VIZAG NO - 27/02/2015 27/02/2015 28/05/2018

9072695 60024821 FGG RAJESH G 10/02/1985

MA-158 Hudco Colony Ganapathy Maa Nagar Ganapathy post

Coimbatore Tamil Nadu 641--6 Coimbatore Coimbatore Tamil Nadu 641006 COIMBATORE NO - 29/05/2012 29/05/2012 28/05/2015

9073408 60024826 FGG SANGEETHA K 19/05/1979

No: 87 , Model House Road , Jayanagar , BANGALORE Bangalore

Karnataka 56---4 Bangalore Bangalore Karnataka 560004 BANGALORE NO - 29/05/2012 29/05/2012 28/05/2015

9075109 60024831 FGG SHEEBA 15/05/1976

GAYATRI,CHAVADIMUKKU,VAKKAM P O,KADAKKAVOOR

KADAKKAVOOR TRIVANDRUM Thiruvananthapuram Kerala 6953-6 Thiruvananthapuram ThiruvananthapuramKerala 695306 TRIVANDRAM NO - 30/05/2012 30/05/2012 29/05/2015

1068677 60024832 FGG SUNIT SETHI 20/09/1959 B-4A VIJAY NAGAR DELHI Delhi Delhi 110009 North West North West Delhi 110009 WEST DELHI YES

LIFE INSURANCE

CORPORATION 19/01/2015 19/01/2015 23/02/2018

5449879 60024833 FGG SANTOSH BHAGWAN CHAUDHARI 19/10/1977

DINDAYAL CHAWL ST.JOHN BAPTIST ROAD BANDRA (W) MUMBAI

Mumbai Maharashtra 4---5- Mumbai Mumbai Maharashtra 400050 GHATKOPAR NO - 10/07/2012 10/07/2012 11/06/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9075130 60024834 FGG ABHISHEK GANGULY 10/06/1987

ABHISHEK AUTO CENTRE, KRISHNAKALI TALA, MOKDUMPUR

Maldah West Bengal 7321-1 Maldah Maldah West Bengal 732101 SILIGURI NO - 30/05/2012 30/05/2012 29/05/2015

9076069 60024836 FGG SAMRESH KUMAR 20/08/1977 A 157 BLOCK A NEHRU VIHAR Delhi Delhi 11--94 North East North East Delhi 110094 CONNAUGHT PLACENO - 31/05/2012 31/05/2012 30/05/2015

9076104 60024837 FGG RAJYA LAKSHMI VATTEM 17/05/1979

2-152, ROAD NO-3 OPP KINGS BAKERY, NEAR BUS STOP NEW

NAGOLE Hyderabad Telangana 5---35 Rangareddi Rangareddi Andhra Pradesh 500035 HYDERABAD NO - 31/05/2012 31/05/2012 30/05/2015

9076141 60024838 FGG S MARIA PRAKASH 16/06/1980

2/266 KOTTUR RD SULEESWARANPATTI POLLACHI COIMBATORE

Coimbatore Tamil Nadu 642--6 Coimbatore Coimbatore Tamil Nadu 642006 COIMBATORE NO - 31/05/2012 31/05/2012 30/05/2015

9076264 60024840 FGG VINOTHINI MOHAN 12/11/1988

NO:82 1ST FLOOR, AMBEDKAR STREET, KALAIVANAR COLONY,

ANNANGER WEST CHENNAI Chennai Tamil Nadu 6--1-1 Thiruvallur Thiruvallur Tamil Nadu 600101 CHENNAI NO - 31/05/2012 31/05/2012 30/05/2015

9076277 60024841 FGG UMA 03/08/1983

OLD NO.110, NEW NO.45, PALLATH STREET, AMBATTUR Chennai

Tamil Nadu 600053 CHENNAI CHENNAI Tamil Nadu 600053 ANNA NAGAR NO - 31/05/2012 31/05/2012 30/05/2015

9076284 60024842 FGG B GEETHA 04/06/1987

OLD NO.11, NEW NO.11 RAILWAY STATION ROAD, NARASINGAN

PETTAI THIRUVEDAI MARUTHUR Thanjavur Tamil Nadu

609802 Thanjavur Thanjavur Tamil Nadu 609802 ANNA NAGAR NO - 31/05/2012 31/05/2012 30/05/2015

9076302 60024843 FGG SUMATHI BALU 05/11/1984

NO.144 RAMAKRISHNA PURAM, MYLAPORE Chennai Tamil Nadu 6-

---1 Chennai Chennai Tamil Nadu 600001 ANNA NAGAR NO - 31/05/2012 31/05/2012 30/05/2015

9076311 60024844 FGG SATHYA ARUMUGAM 16/03/1987 D64 Arasaradi Madurai Madurai Tamil Nadu 625-11 Madurai Madurai Tamil Nadu 625011 MADURAI NO - 31/05/2012 31/05/2012 30/05/2015

9076316 60024845 FGG K BHASKAR 08/05/1986

OLD NO 5/147 H NO 157 KAMRAJ NAGAR COLONY SALEM Salem

Tamil Nadu 636-14 Salem Salem Tamil Nadu 636014 SALEM NO - 31/05/2012 31/05/2012 30/05/2015

9076327 60024846 FGG SURINDER MOHAN SEHGAL 10/10/1947 flat no-6-5 Suth city -1 Gurgaon Gurgaon Haryana 122--1 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 31/05/2012 31/05/2012 30/05/2015

5961620 60024847 FGG SYED JAFER TAHIR KAZMI 19/01/1975

P 2A 098 PRINCETON ESTATE DLF PHASE 5 Gurgaon Haryana

122002 Gurgaon Gurgaon Haryana 122002 GURGAON YES

HDFC STD LIFE

INSURANCE CO. LTD. 27/12/2012 27/12/2012 20/12/2015

9076439 60024850 FGG RAM KISHAN MAHAWAR 23/06/1973 82 RAYPURA,BRAHAMANPARA SIKRAI Dausa Rajasthan 3-3326 Dausa Dausa Rajasthan 303326 JAIPUR NO - 31/05/2012 31/05/2012 30/05/2015

3514770 60024852 FGG SANJAY DHOTRE 16/05/1966

AT/PO MATORI TQ NASIK DT NASIK Nashik Maharashtra

422003 Nashik Nashik Maharashtra 422003 NASHIK YES

LIFE INSURANCE

CORPORATION 06/08/2013 06/08/2013 20/08/2016

9076450 60024853 FGG PUJA PANKAJ CHAUDHARI 09/03/1985

1266 CHAUDHARI WADA,VARANGAON,TAL-BHUSAWAL

VARANGAON Jalgaon Maharashtra 4253-5 Jalgaon Jalgaon Maharashtra 425305 JALGAON NO - 31/05/2012 31/05/2012 30/05/2015

9076478 60024854 FGG PATIL KUNALI PANKAJ 02/06/1989

A/P DATTA NAGAR,VANJOLA ROAD,OPP.HANUMAN MANDIR

BHUSAWAL JALGAON Jalgaon Maharashtra 4252-1 Jalgaon Jalgaon Maharashtra 425201 JALGAON NO - 31/05/2012 31/05/2012 30/05/2015

8033358 60024876 FGG JAGADEESH K 24/03/1980

NETHRA HOMOEOPATHY MEDICAL COLLEGE 54,METUPALAYAM

ROAD,G.N MILLS PO COIMBATORE Coimbatore Tamil Nadu

641029 Coimbatore Coimbatore Tamil Nadu 641029 CALICUT YES SBI LIFE INS. CO. 28/02/2013 28/02/2013 19/03/2016

9079045 60024877 FGG ABHILASH A K 24/11/1987

PATHAYA PARAMBA GOVINDAPUARM KOZHIKODE Kozhikode

Kerala 673-16 Kozhikode Kozhikode Kerala 673016 CALICUT NO - 05/06/2012 05/06/2012 04/06/2015

9079047 60024878 FGG ALOK KUMAR SEN 07/06/1982

13/1 pateriya mohalla narsinghpur Narsimhapur Madhya Pradesh

487--1 Narsimhapur Narsimhapur Madhya Pradesh 487001 JABALPUR NO - 05/06/2012 05/06/2012 04/06/2015

9079050 60024879 FGG SANDEEP KUMAR JAIN 17/05/1979

H NO 62- guru tiraha dixitpura Jabalpur Jabalpur Madhya Pradesh

482--2 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR NO - 05/06/2012 05/06/2012 04/06/2015

9079049 60024880 FGG JITENDRA NAYAK 19/11/1969 12-, GARHA PATHAK, JABALPUR, Jabalpur Madhya Pradesh 482--1 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 05/06/2012 05/06/2012 04/06/2015

9079052 60024881 FGG JAIRAM DAS KUKREJA 10/04/1972

M/s. New Amar Kirana, Jawahar Market, Camp - 2, Durg

Chattisgarh 49---9 Durg Durg Chhattisgarh 490009 RAIPUR NO - 05/06/2012 05/06/2012 04/06/2015

9079053 60024882 FGG JASLEEN KAUR PAINTAL 03/09/1985 H.No.56R, Model Town Hoshiarpur Hoshiarpur Punjab 146--1 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR NO - 05/06/2012 05/06/2012 04/06/2015

9079054 60024883 FGG BHUPINDER SINGH 21/05/1975 Red Road Katcha Toba Hoshiarpur Hoshiarpur Punjab 146--1 Hoshiarpur Hoshiarpur Punjab 146001 JALANDHAR NO - 05/06/2012 05/06/2012 04/06/2015

9079055 60024884 FGG RAMANDEEP SHARMA 15/12/1988 Vill. Bakhadi Sangrur Sangrur Sangrur Punjab 1472-4 Patiala Patiala Punjab 147204 JALANDHAR NO - 05/06/2012 05/06/2012 04/06/2015

9079838 60024889 FGG JOSEPH K G 14/02/1978 443 KALATHI VEETTIL 3 KUMBALANGI Ernakulam Kerala 682--7 Ernakulam Ernakulam Kerala 682007 COCHIN NO - 06/06/2012 06/06/2012 05/06/2015

3376343 60024890 FGG CHIGTERI AMRUTA ASHOK 12/06/1984

371/72 DHAMANI ROAD ADINATH BUILDING NR BILDER ASSSO

PADMAVATI COLONY Sangli Maharashtra 416416 Sangli Sangli Maharashtra 416416 KOLHAPUR NO - 01/04/2013 01/04/2013 21/06/2016

3268201 60024891 FGG SUNIL KUMAR SRIVASTAVA 03/05/1966

G-2 PLOT NO-49A SECTOR-2 VAISHALI Ghaziabad Uttar

Pradesh 201010 Ghaziabad Ghaziabad Uttar Pradesh 201010 NOIDA YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 25/03/2013 25/03/2013 27/04/2016

116865 60024892 FGG MINESH TRIBHOVANBHAI PATEL 12/05/1973

BLOCK - C/5, SHIVGANGA RESIDENCY OPP. DHARTI VIDHYALAY,

NR. KHODIYARBAUG SOCIETY GOPAL CHOWK, NAVA NARODA

Ahmadabad Gujarat 382330 Ahmadabad Ahmadabad Gujarat 382330 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 25/04/2013 25/04/2013 07/05/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9079946 60024893 FGG VIJAYSING N RAJPUT 27/02/1982

A/P GARKHEDA, TAL JAMNER, DIST JALGAON Jalgaon Maharashtra

4242-6 Jalgaon Jalgaon Maharashtra 424206 JALGAON NO - 06/06/2012 06/06/2012 05/06/2015

9079960 60024895 FGG PRAMOD MANOHAR BHOSALE 08/05/1978

RADHE HOS. SOCIETY B-35/16 PREMLOK PARK CHINCHWAD PUNE

Pune Maharashtra 411033 Pune Pune Maharashtra 411033 CHINCHWAD YES

RELIANCE LIFE

INSURANCE CO.LTD. 06/06/2012 06/06/2012 05/06/2015

9079968 60024897 FGG AMIT R JAJOO 28/12/1985 9-4,OPERA HOUSE CITY LIGHT SURAT Surat Gujarat 395--7 Surat Surat Gujarat 395007 BHARUCH NO - 06/06/2012 06/06/2012 05/06/2015

9079971 60024898 FGG PARAS PATIDAR 03/06/1982 96, Narayanpura, Khargon, Indore Madhya Pradesh 451--1 Khargon Khargon Madhya Pradesh 451001 KHARGONE NO - 06/06/2012 06/06/2012 05/06/2015

5458975 60024909 FGG SEEMA SHARMA 06/07/1972

A-15F NEHRU GROUND NEW INDUSTRIAL TOWN FARIDABAD

Faridabad Haryana 121--1 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 27/06/2012 27/06/2012 15/06/2015

9083249 60024919 FGG AMIT KUMAR 09/09/1987 HOUSE NO 119 pehalwan Akhara Taraori Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 11/06/2012 11/06/2012 10/06/2015

9084740 60024939 FGG CHIRAG NENSHI GALA 17/12/1986

C-55, Sahyog CHS, Gawde Nagar, S.N. Dubey Road, dahisar

mumbai Mumbai Maharashtra 400068 MUMBAI Mumbai Maharashtra 400092 VASHI NO - 12/06/2012 12/06/2012 11/06/2015

9085337 60024945 FGG SARVESH KUMAR SRIVASTAVA 30/04/1981 3--/4 Awas Vikas Unnao Unnao Unnao Uttar Pradesh 2-98-1 Unnao Unnao Uttar Pradesh 209801 KANPUR NO - 13/06/2012 13/06/2012 12/06/2015

9085430 60024946 FGG RAYUDU KRISHNARAO 21/08/1974

JN-3/26/-3 PANCHSHEEL APARTMENTS OWNERS ASSOCIATION,

SEC--9, VASHI Thane Maharashtra 4--7-3 Thane Thane Maharashtra 400703 VASHI NO - 13/06/2012 13/06/2012 12/06/2015

9085478 60024947 FGG NIRBHAY TULSHIRAM MENDHE 01/07/1979

A 2-2 ANANTDHAM APT KRUSHNA TOWNSHIP AMBADI RD VASAI

W Thane Maharashtra 4--6-1 Thane Thane Maharashtra 400601 BORIVALI NO - 13/06/2012 13/06/2012 12/06/2015

2723700 60024950 FGG JIGNESH PRATAPRAY DAVE 10/10/1970

Jagganath Park Suvidha Township BHAVNAGAR Bhavnagar Gujarat

364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR YES

LIFE INSURANCE

CORPORATION 29/10/2012 29/10/2012 05/11/2015

9085673 60024952 FGG PREM SINGH SISODIYA 02/02/1975 4 RAJAJI NAGAR RAMDEV ROAD PALI Pali Rajasthan 3-6--1 Pali Pali Rajasthan 306001 JODHPUR NO - 13/06/2012 13/06/2012 12/06/2015

8716201 60024953 FGG SHIVA KUMAR 05/03/1991 RZ-128/1 GALI NO-5 DURGA PARK Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 CONNAUGHT PLACENO - 27/05/2014 27/05/2014 21/07/2017

9085728 60024955 FGG ANIL KUMAR JOSHI 13/12/1964

421/1, Bhawani Road, Sanawad, Tehsil Barwaha, Khargone, Indore

Madhya Pradesh 451115 Indore Indore Madhya Pradesh 451115 KHARGONE NO - 13/06/2012 13/06/2012 12/06/2015

9085738 60024956 FGG SONIYA GAMBHIR 05/09/1990

6, VIVEKANAND COLONY DEWAS DEWAS Dewas Madhya Pradesh

455--1 Dewas Dewas Madhya Pradesh 455001 INDORE NO - 13/06/2012 13/06/2012 12/06/2015

9085740 60024957 FGG PARAG SHRIDHARRAO DHOTE 18/10/1970

AT.BEHIND SAI HERITAGE BUILDING OLD WARORA NAKA

CHANDRAPUR Chandrapur Maharashtra 4424-1 Chandrapur Chandrapur Maharashtra 442401 CHANDRAPUR NO - 13/06/2012 13/06/2012 12/06/2015

9085907 60024958 FGG SANDEEP M CHAKRABORTY 20/06/1972

AT.432 SARWODAYAM HILL MANDAL BHAVAN SANJAY NAGAR

CHANDRAPUR Chandrapur Maharashtra 4412-5 Chandrapur Chandrapur Maharashtra 441205 CHANDRAPUR NO - 13/06/2012 13/06/2012 12/06/2015

9085911 60024959 FGG SANJOG SHIRISH NIKAM 16/10/1989

ankit apt plot no:333/334 sector-31/A, Vashi gaon Vashi Thane

Maharashtra 4--7-3 Thane Thane Maharashtra 400703 GHATKOPAR NO - 13/06/2012 13/06/2012 12/06/2015

9085917 60024960 FGG KEDAR KASHYAP 24/05/1985

KHALASHI LINE MOHAN NAGAR, LALA'S GARDEN NAGPUR Nagpur

Maharashtra 44---1 Nagpur Nagpur Maharashtra 440001 NAGPUR NO - 13/06/2012 13/06/2012 12/06/2015

9085919 60024961 FGG NARENDER KUMAR 05/02/1985

Block No 5 Vill Gangoli Tehsil Safidon Distt Jind Distt Jind Jind

Haryana 1261-1 Jind Jind Haryana 126101 ROHTAK NO - 13/06/2012 13/06/2012 12/06/2015

9085926 60024963 FGG MANOJ KUMAR SHUKLA 15/06/1981 6/11, ILKAPUR PORTI BARELI Bareilly Uttar Pradesh 2-2421 Budaun Budaun Uttar Pradesh 202421 NOIDA NO - 13/06/2012 13/06/2012 12/06/2015

9085928 60024964 FGG KRISHANA KUMAR JHA 15/12/1970 Koratbari Maithiltola Madhubani Madhubani Purnia Bihar 8521-1 Saharsa Saharsa Bihar 852101 BHAGALPUR NO - 13/06/2012 13/06/2012 12/06/2015

9085929 60024965 FGG NIBEDITA SINGHA 17/06/1982

MAUJA-MITHIPUR J.L.NO.-15, PASCHIMPARA MITHIPUR

RAGHUNATHGANJ Murshidabad West Bengal 742213 Murshidabad Murshidabad West Bengal 742213 KOLKATA NO - 13/06/2012 13/06/2012 12/06/2015

9085931 60024966 FGG GHANSHYAM PARDHI 20/10/1978

B/H ASHADEEP, CANGORABHATTA, RAIPUR, Raipur Chattisgarh

492--1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 13/06/2012 13/06/2012 12/06/2015

9086484 60024967 FGG SODHIYA SANJAY RANMALBHAI 04/01/1988 128, Sanala Road, Morbi, Rajkot Gujarat 363641 Rajkot Rajkot Gujarat 363641 RAJKOT NO - 14/06/2012 14/06/2012 13/06/2015

8911034 60024968 FGG ANJANA PATEL 29/07/1980

A-201 Tulsi Aprt 300/1,Jaldhara Chokdi GIDC, Ankleshwar

Bharuch Gujarat 393002 Bharuch Bharuch Gujarat 393002 BARODA NO - 01/09/2014 01/09/2014 04/11/2017

5332901 60024969 FGG KIRANKUMAR PUNAMCHAND PARIKH 25/04/1966

TRIKAMJI POLE NR OLD SWAMINARAYAN MANDIR NADIAD

Vadodara Gujarat 387001 Kheda Kheda Gujarat 387001 BARODA YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 14/06/2012 14/06/2012 15/04/2015

8060410 60024978 FGG KIRAN S KOTVAL 23/04/1980

BHADAKE NIVAS BURUDGAON ROAD AHMEDNAGAR

Ahmadnagar Maharashtra 414001 AHMEDNAGAR AHMEDNAGAR Maharashtra 414001 AHMEDNAGAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/01/2014 20/01/2014 15/04/2016

9088506 60024979 FGG E CHRISTOPHER ANGELO 25/12/1986

NO.4/74, KAMARAJ STREET AYANAVARAM Chennai Tamil Nadu 6---

23 Chennai Chennai Tamil Nadu 600023 CHENNAI NO - 15/06/2012 15/06/2012 14/06/2015

5752606 60024980 FGG SATYADEV ARYA 20/08/1982

V. Sainin Majra, Teh. Pehowa Dest. Kurukshetra, Dest.

Kurukshetra, Kurukshetra Haryana 132108 Panipat Panipat Haryana 132108 ROHTAK YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 15/11/2012 15/11/2012 13/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9089983 60024998 FGG RAMANDEEP KAUR 10/11/1992 59-, Ward- V/458 Prem Nagar Karnal Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 18/06/2012 18/06/2012 17/06/2015

9089994 60025000 FGG RUBBY SETHI 10/03/1974

163/26 Saidan mohalla Shahbad markanda Kurukshetra Haryana

136-3- Karnal Karnal Haryana 132001 AMBALA NO - 18/06/2012 18/06/2012 17/06/2015

9090001 60025001 FGG CHARANJEET SINGH NANDA 13/06/1981 1313- A Model Town karnal Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 18/06/2012 18/06/2012 17/06/2015

9090043 60025005 FGG SHIKHA AGARWAL 09/09/1970

B-1-2, GOPALA APRTMENT, 5-, RAM TIRTH MARG, LUCKNOW

Lucknow Uttar Pradesh 226--1 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 18/06/2012 18/06/2012 17/06/2015

9090072 60025006 FGG C VASANTHA GANESH 28/12/1981

9 Arapalayam Maravar 2nd street Madurai Madurai Tamil Nadu

625-16 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 18/06/2012 18/06/2012 17/06/2015

9090078 60025007 FGG M CH SEKHER 24/08/1974

D NO 3-18 VARALAKSHMI NAGAR VEPAGUNTA VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 53--47 Visakhapatnam Visakhapatnam Andhra Pradesh 530041 VIZAG NO - 18/06/2012 18/06/2012 17/06/2015

9090085 60025008 FGG PARAG KUMAR DEKA 01/09/1980

HOUSE # 19 C/O JAGADISH CH GOSWAMI DULIAJAN DULIAJAN

Dibrugarh Assam 786191 Kamrup Kamrup Assam 781005 GUWAHATI NO - 18/06/2012 18/06/2012 17/06/2015

9090086 60025009 FGG PRADIP DAS 03/01/1979

DR. KALICHARAN NURSING HOME & POLYCLINIC GOPINATH

NAGAR BIRUBARI GUWAHATI Kamrup Assam 781-16 Kamrup Kamrup Assam 781016 GUWAHATI NO - 18/06/2012 18/06/2012 17/06/2015

9090100 60025010 FGG BINOD CHETRI 07/09/1984 KRISHNANAGAR GUWAHATI GUWAHATI Kamrup Assam 781--3 Kamrup Kamrup Assam 781003 GUWAHATI NO - 18/06/2012 18/06/2012 17/06/2015

9090102 60025011 FGG LUNA DEKA 30/08/1983

FLAT # C4 KANIKA APARTMENT ASOM JATIYA VIDYALAY SANKAR

NAGAR, NOON MATI Kamrup Assam 781--1 Mno 9-85314654, GuwahatiMno 9-85314654, GuwahatiAssam 781020 GUWAHATI NO - 18/06/2012 18/06/2012 17/06/2015

9091304 60025020 FGG MARIA DHOLKAWALA 31/08/1967

129, Modi Street Desai Cambers 4th floor Fort Mumbai

Maharashtra 4----1 Mumbai Mumbai Maharashtra 400001 PRABHADEVI NO - 19/06/2012 19/06/2012 18/06/2015

582073 60025021 FGG MUTHUKUMARAN D 25/08/1969

NO 150 Maniyakara Street ARAKKONAM KANCHIPURAM Vellore

Tamil Nadu 631001 Vellore Vellore Tamil Nadu 631001 CHENNAI YES BIRLA SUN LIFE 17/06/2014 17/06/2014 17/06/2017

9091437 60025023 FGG MRUNALINI KHADILKAR 25/06/1982

AT.TRIMURTY NIWAS ,VIVEK NAGAR MUL ROAD CHANDRAPUR

Chandrapur Maharashtra 4424-1 Chandrapur Chandrapur Maharashtra 442401 NAGPUR NO - 19/06/2012 19/06/2012 18/06/2015

9091445 60025024 FGG SURAJ SHANKARRAO UTTARWAR 15/12/1979

AT POST AHERI, TAQ- AHERI, DIST GADCHIROLI GADCHIROLI

Gadchiroli Maharashtra 4427-5 Yavatmal Yavatmal Maharashtra 442705 CHANDRAPUR NO - 19/06/2012 19/06/2012 18/06/2015

9091462 60025025 FGG SUNIL MANOHAR PIMPALKAR 25/10/1981

PLOT NO 157, NEAR MATA MANDIR, AT BHAVSAR WARD NO 2

CHANDRAPUR Chandrapur Maharashtra 4424-1 Chandrapur Chandrapur Maharashtra 442401 CHANDRAPUR NO - 19/06/2012 19/06/2012 18/06/2015

9091494 60025026 FGG NIZAMUDDIN MOLLA 09/09/1990

3-/2, MUNSHI SK TAIBULLAH LANE, SHIBPUR, Haora West Bengal

7111-1 Haora Haora West Bengal 711101 KOLKATA NO - 19/06/2012 19/06/2012 18/06/2015

8581395 60025027 FGG KANTA BHATTACHARYA 08/08/1971

1329 PRANTIKPALLY SWAPNADEEP APPTT KOLKATA Kolkata

West Bengal 700042 Kolkata Kolkata West Bengal 700078 KOLKATA YES

LIFE INSURANCE

CORPORATION 05/01/2015 05/01/2015 05/04/2017

9091525 60025028 FGG SHAH DHARMIN CHAMPAKLAL 02/09/1979

5, Om siddharth flat, Opp. K.nagar jain derasar, Krishnanagar

Bhavnagar Bhavnagar Gujarat 364--1 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 19/06/2012 19/06/2012 18/06/2015

9091552 60025031 FGG RAGESH 02/06/1986 MULLAKKAL HOUSE THEKUMARA THRISSUR Thrissur Kerala 68-6-8 Thrissur Thrissur Kerala 680608 THRISSUR NO - 19/06/2012 19/06/2012 18/06/2015

9091557 60025032 FGG RAJESH N T 08/03/1986

NADUVELIYIL VEEDU MOODAKKOLLY P.O. , BATHERY , WAYANAD

Wayanad Kerala 673592 Wayanad Wayanad Kerala 673592 THRISSUR NO - 19/06/2012 19/06/2012 18/06/2015

9091559 60025033 FGG DAYANAND LIMBAJI KAMBLE 12/06/1979

RAMCHANDRA KATE CHAWL NEHARU CHOWK DAPODI PUNE Pune

Maharashtra 411-12 Pune Pune Maharashtra 411012 CHINCHWAD NO - 19/06/2012 19/06/2012 18/06/2015

9092729 60025036 FGG SAYANI SURYA CHANDRA RAO 22/07/1977

# 11/83-A2 Old Indane Gas Co. Road, Eluru Road GUDIVADA

Krishna Andhra Pradesh 5213-1 Krishna Krishna Andhra Pradesh 521301 VIJAYAVADA NO - 20/06/2012 20/06/2012 19/06/2015

9092864 60025040 FGG P YOGANAND 25/08/1985

28 A, sulli peruki kadu,kavandanoor padaiveedu (po) thirucencodu

Namakkal Tamil Nadu 6373-3 Salem Salem Tamil Nadu 637303 SALEM NO - 20/06/2012 20/06/2012 19/06/2015

9092877 60025041 FGG SUPREETH TEAKNER 12/03/1969

DESHAPANDE NAGAR DESHAPANDE NAGAR HUBLI Dharwad

Karnataka 58--29 Dharwad Dharwad Karnataka 580029 HUBLI NO - 20/06/2012 20/06/2012 19/06/2015

9092883 60025045 FGG CHANDRASHEKHAR HADIMANI 15/05/1984

MARIYAM COLONY EKATA NAGAR, SAI NAGAR HUBLI Dharwad

Karnataka 58--31 Dharwad Dharwad Karnataka 580031 HUBLI NO - 20/06/2012 20/06/2012 19/06/2015

9092886 60025046 FGG JYOTHI B P 01/04/1977

4-72 5TH CROSS, SANGAM NILAYA, SIDDAVEERAPPA LAYOUT

DAVANGERE Davanagere Karnataka 577--4 Davanagere Davanagere Karnataka 577004 HUBLI NO - 20/06/2012 20/06/2012 19/06/2015

9092950 60025047 FGG NIDHI 27/01/1987

197 Abadi jaggi colony phase -2 Ambala city Ambala Haryana 134--

7 Ambala Ambala Haryana 134007 CHANDIGARH NO - 20/06/2012 20/06/2012 19/06/2015

9092951 60025048 FGG RAKESH SAINI 13/04/1991 1-6 vill - karasan the - Naraingarh Ambala Ambala Haryana 1342-3 Ambala Ambala Haryana 134203 AMBALA NO - 20/06/2012 20/06/2012 19/06/2015

9092952 60025049 FGG KALPANA 17/04/1986

OLD.NO.31,NEW.NO.15, VENKATRANGAM PILLAI STREET,

TRIPLICANE Chennai Tamil Nadu 6----5 Chennai Chennai Tamil Nadu 600005 CHENNAI NO - 20/06/2012 20/06/2012 19/06/2015

9092953 60025050 FGG G VANAJA 07/05/1975

LIG -17 SHANKAR NAGAR RAIPUR RAIPUR Raipur Chattisgarh 492--

1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 20/06/2012 20/06/2012 19/06/2015

9092954 60025051 FGG ANKIT BHASKARBHAI JOSHI 08/08/1985 HAVELI STREET, UNA, JUNAGADH, Junagadh Gujarat 36256- Junagadh Junagadh Gujarat 362560 RAJKOT NO - 20/06/2012 20/06/2012 19/06/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9092955 60025052 FGG VIKASH AGARWAL 16/10/1980 82, BALARAM DEY STREET, KOLKATA Kolkata West Bengal 7----6 Kolkata Kolkata West Bengal 700006 KOLKATA NO - 20/06/2012 20/06/2012 19/06/2015

9095325 60025064 FGG ANIL KUMAR SAINI 06/09/1963 34 B 2ND FLOOR Malviya Nagar New Delhi Delhi Delhi 11--17 South South Delhi 110017 GURGAON NO - 22/06/2012 22/06/2012 21/06/2015

9095341 60025065 FGG SHYAM SINGH 28/08/1986

Awas Vikas Colony haldwani Nainital Road Haldwani Nanital

Uttarakhand 263139 Nainital Nainital Uttaranchal 263139 HALDWANI YES

BAJAJ ALLIANZ LIFE

INSURANCE 22/06/2012 22/06/2012 21/06/2015

9095343 60025066 FGG T KARTHIKEYAN 26/11/1976

D NO 48-A, KUNDU PILLAIYAR, GOPAL STREET, SALEM Salem Tamil

Nadu 636--3 Salem Salem Tamil Nadu 636003 SALEM NO - 22/06/2012 22/06/2012 21/06/2015

9096165 60025067 FGG ANIL KUMAR JOSHI 15/10/1989 D-2-1 Block - D, Ward No. 69 jaipur Jaipur Rajasthan 3-2-23 Jaipur Jaipur Rajasthan 302023 JAIPUR NO - 25/06/2012 25/06/2012 24/06/2015

9096817 60025075 FGG AKSHIT AGARWAL 02/10/1984

7-4 UNIQUE SANGI APARTMENT MAHAVEER NAGAR,DURGA PURA

Jaipur Rajasthan 3-1--1 Alwar Alwar Rajasthan 301001 JAIPUR NO - 25/06/2012 25/06/2012 24/06/2015

9096841 60025076 FGG DHARM SINGH YADAV 09/07/1981 1-6 MANSAROVER COLONY , JHOTWARA Jaipur Rajasthan 3-2-12 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 25/06/2012 25/06/2012 24/06/2015

9096867 60025077 FGG POONAM PRAKASH 21/12/1990

898 ,Gaurav Florr Mills Azad Nagar BHILWARA Bhilwara Rajasthan

311--1 Bhilwara Bhilwara Rajasthan 311001 AJMER NO - 25/06/2012 25/06/2012 24/06/2015

9096949 60025079 FGG ABHIJIT VITTHAL PALANDE 25/11/1987

MUKHAI NEAR VELU RIVER TAL-SHIRUR PUNE Pune Maharashtra

4122-8 Pune Pune Maharashtra 412208 PUNE NO - 25/06/2012 25/06/2012 24/06/2015

8816739 60025083 FGG SNEHAL SHRISHAIL PADSALGE 13/03/1987

FLAT NO 205,B-WING OSTWAL EMPIRE,POST BOISAR PALGHAR

Thane Maharashtra 401501 Thane Thane Maharashtra 401501 BORIVALI YES

LIFE INSURANCE

CORPORATION 18/10/2014 18/10/2014 15/09/2017

602504 60025084 FGG FALGUNI JAYESH SHAH 28/05/1964

49, HARI SADAN, 2ND FLR., SHANKER ROAD, KANDIVALI-WEST,

MUMBAI Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 FORT YES

LIFE INSURANCE

CORPORATION 05/05/2014 05/05/2014 03/08/2017

9097211 60025088 FGG SAPNA KHANNA 26/08/1985

H NO 2921/28, GALI THEKE WALI, FAIJ PURA, RATTNA SINGH

CHOWK, FATEHGARH CHURIAN ROAD, AMRITSAR Amritsar Punjab

143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 25/06/2012 25/06/2012 24/06/2015

9097231 60025092 FGG JASWANT SINGH 21/04/1978

H NO 8, GALI CHANNA SINGH, TARN TARAN Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

LIFE INSURANCE

CORPORATION 25/06/2012 25/06/2012 24/06/2015

9097237 60025095 FGG MOHANRAJ GUNASUNDRAI 29/09/1988

63-27, WARD 8, PERUMAL KOIL ADIVARAM AMANI

KONDALAMPATTY, NATTAMANGALAM COLONY, Salem Tamil

Nadu 636-1- Salem Salem Tamil Nadu 636010 SALEM NO - 25/06/2012 25/06/2012 24/06/2015

9097238 60025096 FGG NOUFAL 31/12/1989

MANKARATHODI, POOKKOTTUR MALAPPURAM Malappuram

Kerala 676517 Malappuram Malappuram Kerala 676517 CALICUT NO - 25/06/2012 25/06/2012 24/06/2015

9099399 60025109 FGG SUKHINDER SINGH MADAN 25/07/1968

32, Concorde CHS, Plot No 238, 3rd Flr, Sher E Punjab Society

Andheri (E) Mumbai Maharashtra 4---93 Mumbai Mumbai Maharashtra 400093 ANDHERI NO - 26/06/2012 26/06/2012 25/06/2015

9099805 60025112 FGG JEYANTHI V 04/08/1982

53/3, PEELIAMMAN KOIL STREET KOTTURPURAM Chennai Tamil

Nadu 6---85 Chennai Chennai Tamil Nadu 600085 CHENNAI NO - 27/06/2012 27/06/2012 26/06/2015

9099787 60025113 FGG P KAVITHA 01/05/1989

OLD NO.1/65,NEW NO.1/69 MELAKRISHNAN PUDHUR ,

AGATHEESHWARAM, KANYAKUMARI Kanniyakumari Tamil Nadu

6296-1 Kanniyakumari Kanniyakumari Tamil Nadu 629601 ANNA NAGAR NO - 27/06/2012 27/06/2012 26/06/2015

9099839 60025114 FGG JOHNSON J 12/01/1980

O.NO.35,N.NO.26, NINAN STREET MYLAPORE Chennai Tamil Nadu

6---18 Chennai Chennai Tamil Nadu 600018 CHENNAI NO - 27/06/2012 27/06/2012 26/06/2015

9099850 60025116 FGG RAMESH S 20/03/1981

O.NO.21, N.NO.11, RANGARAJAPURAM 4TH STREET, SAIDAPET

Chennai Tamil Nadu 6---15 Chennai Chennai Tamil Nadu 600015 ANNA NAGAR NO - 27/06/2012 27/06/2012 26/06/2015

9099863 60025117 FGG NEHAL R SHAH 25/03/1981

14/31, REDDY ROAD(NORTH BOAG ROAD) 3RD FLOOR T. NAGAR

Chennai Tamil Nadu 6---17 Chennai Chennai Tamil Nadu 600017 CHENNAI NO - 27/06/2012 27/06/2012 26/06/2015

8809604 60025119 FGG NAVEEN SARPAL 08/07/1981

16-10-228/7/6 SRIRAMA APTS OLD MALAKPET Hyderabad

Telangana 500036 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD YES

LIFE INSURANCE

CORPORATION 15/09/2014 15/09/2014 13/09/2017

8969463 60025120 FGG SHAILAJA JALIGAMA 02/03/1972

1-9-296/B/103 HARINI APARTMENTS VIDYANAGAR,ACHYUT

REDDY NAGAR Hyderabad Telangana 500044 Hyderabad Hyderabad Andhra Pradesh 500044 HYDERABAD YES SBI LIFE INS. CO. 29/01/2015 29/01/2015 29/12/2017

9100275 60025121 FGG M MAHESH 14/08/1983

8-3-228/128-/5-5, JAWAHAR NAGAR YOUSUFGUDA HYDERABAD

Hyderabad Telangana 5---45 Hyderabad Hyderabad Andhra Pradesh 500045 HYDERABAD NO - 27/06/2012 27/06/2012 26/06/2015

9100500 60025122 FGG THORPUNOORI SRINIVAS 12/06/1992

C/O NAGARAJU, HNO-5-5-114-/31/1E, PNO-31/1E SAINATH

NAGAR COLONY CHINTHALKUNTA, LB NAGAR Hyderabad

Telangana 5---7- Hyderabad Hyderabad Andhra Pradesh 500070 DILSUKHNAGAR NO - 27/06/2012 27/06/2012 26/06/2015

9100938 60025123 FGG KANTILAL JAIN 05/01/1959 -4/-3/26 KACHIGUDA HYDERABAD Hyderabad Telangana 5---27 Hyderabad Hyderabad Andhra Pradesh 500027 KUKKATPALLY NO - 27/06/2012 27/06/2012 26/06/2015

9100970 60025125 FGG T N P CHANDRA 12/08/1989

#2--1232, NEAR CHANDANAGAR, MMTS LINGAMPALLY

RANGAREDDY Hyderabad Telangana 5---19 Serilingampally Serilingampally Andhra Pradesh 500019 HYDERABAD NO - 27/06/2012 27/06/2012 26/06/2015

9102059 60025141 FGG SHINGALA CHETANBHAI V 29/09/1981

BLOCK NO. 50 JALARAM AUTOMOBILES,BHATHA GAM,NR.GREEN

CITY ADAJAN SURAT Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

Edelweiss Tokio Life

Insurance Company

Limited 28/06/2012 28/06/2012 27/06/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9102072 60025143 FGG PUNIT KISHOR GAJRA 09/02/1993

2/87, BHANUSHALI WADI, TILAK ROAD, GHAKOPAR (E), Mumbai

Maharashtra 4---77 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 28/06/2012 28/06/2012 27/06/2015

9103980 60025163 FGG GEETA JAYANT VED 13/12/1961

173-4848,2ndfloor,Pantnagar, Ghatkopar(East), Mumbai Mumbai

Maharashtra 4---75 Mumbai Mumbai Maharashtra 400075 GHATKOPAR NO - 29/06/2012 29/06/2012 28/06/2015

9104081 60025164 FGG CHANDAN DAS 31/12/1982

BAPUJI NAGAR HOUSING COLONY, SILPUKHURI, H NO 36,

GUWAHATI Kamrup Assam 781--3 Kamrup Kamrup Assam 781003 GUWAHATI NO - 29/06/2012 29/06/2012 28/06/2015

9104150 60025165 FGG KAUSHIK RANJAN BHAGAWATI 09/03/1981 VILL & PO - KARARA KARARA KARARA Kamrup Assam 781381 Kamrup Kamrup Assam 781381 GUWAHATI NO - 29/06/2012 29/06/2012 28/06/2015

8861293 60025167 FGG NAYNABEN CHAUHAN 22/04/1981

10, SAIKRUPA SOCIETY NEAR:MATHURA NAGARI B/D.PALANPUR

GAM,SURAT Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

LIFE INSURANCE

CORPORATION 09/10/2014 09/10/2014 04/10/2017

9104456 60025169 FGG BANGARU RAJU KUSUMANCHI 11/12/1963

49-9-14/1 LALITHA NAGAR AKKAYYAPALEM Visakhapatnam

Andhra Pradesh 53--16 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 29/06/2012 29/06/2012 28/06/2015

9104499 60025170 FGG ROHIT C NARTEKAR 29/08/1987

4-6 , GANESH PETH HUMJE KHAN CHOWK KACHWALA APP

SECOND FLOOR, PUNE Pune Maharashtra 411--2 Pune Pune Maharashtra 411002 PUNE NO - 29/06/2012 29/06/2012 28/06/2015

9104550 60025172 FGG PRASHANT BACHHAV 06/02/1979

wani house New Mumbai Agra Road Nasik Nashik Maharashtra

422--1 Nashik Nashik Maharashtra 422001 NASHIK NO - 29/06/2012 29/06/2012 28/06/2015

9104593 60025174 FGG SHRADHA RAHUL LUNAWAT 12/11/1983

Tractor House Tigraniya Corner Nashik Nashik Maharashtra 4132-

1 Ahmadnagar Ahmadnagar Maharashtra 413201 NASHIK NO - 29/06/2012 29/06/2012 28/06/2015

9104786 60025176 FGG SAPANA BALAJI MYAKAL 26/06/1989

C/O GANGARAM RAJARAM BANDI,SR.NO.48/3, LANE NO.11

GANESH NAGAR, WADGAON SHERI Pune Maharashtra 411014 Pune Pune Maharashtra 411014 PUNE YES

LIFE INSURANCE

CORPORATION OF INDIA 29/06/2012 29/06/2012 28/06/2015

9104842 60025177 FGG MAHENDRA GIRI GOSWAMI 13/04/1986 SILVER HILLS INDORE RD DHAR Indore Madhya Pradesh 45---1 East Nimar East Nimar Madhya Pradesh 450001 INDORE NO - 29/06/2012 29/06/2012 28/06/2015

9104864 60025178 FGG RATANLAL 01/01/1977 22 Bhagwatisinghpura JAIPUR Jaipur Rajasthan 3-1--1 Alwar Alwar Rajasthan 301001 JAIPUR NO - 29/06/2012 29/06/2012 28/06/2015

1858424 60025179 FGG IDHATE VIVEK K 01/08/1985

AT/POST-NIGHOJ TAL- PARNER AHMEDNAGAR Ahmadnagar

Maharashtra 414306 Ahmadnagar Ahmadnagar Maharashtra 414201 AHMEDNAGAR YES

LIFE INSURANCE

CORPORATION 16/12/2013 16/12/2013 21/12/2016

9105052 60025180 FGG RAJESHMUTHUKUMAR P 02/03/1985 No 8, JAWAHAR NAGAR MADURAI Madurai Tamil Nadu 625-12 Madurai Madurai Tamil Nadu 625012 MADURAI NO - 29/06/2012 29/06/2012 28/06/2015

9105093 60025181 FGG ABDUL VAHIDH 29/11/1985 833 Lena Mohammed Street Fort Coimbatore Tamil Nadu 641--1 Coimbatore Coimbatore Tamil Nadu 641001 COIMBATORE NO - 29/06/2012 29/06/2012 28/06/2015

9105132 60025182 FGG MAYURI KHATRI 08/06/1983

H NO 185 B.R.S Nagar,Block-H,J,Housing Board Colony,Ward No-

44 Ludhiana Ludhiana Punjab 141--8 Ludhiana Ludhiana Punjab 141008 LUDHIANA NO - 29/06/2012 29/06/2012 28/06/2015

481467 60025183 FGG PARESHKUMAR AMRUTLAL PARMAR 04/09/1978

C/O SUSHIL PARMAR, B-157, JAY JALARAM NAGAR, OPP-

PETROFILS BUS STOP, GORWA, VADODAR Vadodara Gujarat

390016 Vadodara Vadodara Gujarat 390016 BARODA YES

LIFE INSURANCE

CORPORATION 22/02/2014 22/02/2014 17/03/2017

9105218 60025184 FGG S YOGANANDAN 17/06/1981

NO.2,1ST CROSS STREET CITIBABU NAGAR PALLIKARANAI Chennai

Tamil Nadu 6--1-- Kancheepuram Kancheepuram Tamil Nadu 600100 CHENNAI NO - 29/06/2012 29/06/2012 28/06/2015

8537679 60025185 FGG KACHHADIA REKHABEN MANOJBHAI 17/10/1974

B105,VAIBHAV PARK NR.KAPODARA PATIA GIDC ANKLESHWAR

Bharuch Gujarat 393002 Ankleshwar Ankleshwar Gujarat 383002 ANKLESHWAR YES

LIFE INSURANCE

CORPORATION 04/04/2014 04/04/2014 06/03/2017

9105241 60025186 FGG MUKKAGALLA NAVEEN 18/03/1990 3-4-512/38, 24/TRT BARKATHPURA Hyderabad Telangana 5---27 Hyderabad Hyderabad Andhra Pradesh 500027 KUKKATPALLY NO - 29/06/2012 29/06/2012 28/06/2015

3544146 60025187 FGG H N VIJAY KUMAR 08/10/1978

1ST FLOOR 100 FT ROAD INDIRANAGAR BANGALORE BANGALORE

Bangalore Karnataka 560038 Bangalore Bangalore Karnataka 560097 R.T.NAGAR YES

LIFE INSURANCE

CORPORATION 06/08/2013 06/08/2013 31/08/2016

9105256 60025188 FGG FAHIMUDDIN SIDDIQUI 07/09/1982

OPP. ANJUMAN ISLAMIYA SCHOOL GHOGHAR REWA Rewa

Madhya Pradesh 486--1 Rewa Rewa Madhya Pradesh 486001 JABALPUR NO - 29/06/2012 29/06/2012 28/06/2015

9105278 60025189 FGG SHWETA GUPTA 23/08/1982

H NO 3-6 KIDWAI NAGAR WARD NO 55 LUDHIANA Ludhiana

Punjab 141--1 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 29/06/2012 29/06/2012 28/06/2015

9105294 60025190 FGG NISHA U GUPTA 01/11/1990

D 2, Akurli Shrishti CHS, RSC 4 PT 33, Road No. D 2, Akurli,

Kandivali East Mumbai Maharashtra 4--1-1 Mumbai Mumbai Maharashtra 400101 GHATKOPAR NO - 29/06/2012 29/06/2012 28/06/2015

8407354 60025191 FGG SOUBHAGYA KUMAR BARIK 03/12/1980 At Gandapal Kuhika Sukinda jajpur Jajapur Odisha 755108 Jagatsinghapur Jagatsinghapur Odisha 754120 CUTTACK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 15/05/2014 15/05/2014 06/12/2016

9108543 60025202 FGG RAGHUNATHA B S 07/02/1984

No 1- 6th Cross, Pukraj Layout Bangalore Bangalore Karnataka 56--

3- Bangalore Bangalore Karnataka 560030 BANGALORE NO - 03/07/2012 03/07/2012 02/07/2015

9108571 60025204 FGG VINESH SHANTARAM THAKUR 05/12/1991

Room no 5, Arjun Desai Chawl, Nr. Ganga Vidyamnadir School,

Kokan Nagar Road, Utkarsh Nagar, Bhandup (W), Mumbai

Maharashtra 4---78 Mumbai Mumbai Maharashtra 400078 GHATKOPAR NO - 03/07/2012 03/07/2012 02/07/2015

9108710 60025206 FGG RUCHI HITESH MEHTA 12/03/1993

flat 41, pearl prabha, plot no 6, andheri chs, v p road Andheri W

Mumbai Maharashtra 4---58 Mumbai Mumbai Maharashtra 400058 GHATKOPAR NO - 03/07/2012 03/07/2012 02/07/2015

9108719 60025207 FGG AMIT KUMAR 15/01/1985 2/26A RAJENDER NAGAR ROHTAK Rohtak Haryana 124--1 Rohtak Rohtak Haryana 124001 ROHTAK NO - 03/07/2012 03/07/2012 02/07/2015

9108761 60025209 FGG VIVEK THOMAS GEORGE 12/09/1992

A - 1-2, SUKIRTI GARDEN, NR. AMBEDKAR BUNGLOWS & SUPER

SOC VEJALPUR Ahmadabad Gujarat 38--51 Ahmadabad Ahmadabad Gujarat 380051 AHMEDABAD NO - 03/07/2012 03/07/2012 02/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8051038 60025214 FGG KUMAR CH BALAJI 19/07/1975

H NO 2-2-185/89/1 RAMA KRISHNA NAGAR BAGH AMBERPET

Hyderabad Telangana 500034 Hyderabad Hyderabad Andhra Pradesh 500034 HYDERABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/05/2013 03/05/2013 30/03/2016

9108792 60025215 FGG CH VIRAT KUMAR 23/06/1982

PLOT NO-134, S N BATA HEAVENS ASIF NAGAR Hyderabad

Telangana 500029 Hyderabad Hyderabad Andhra Pradesh 500029 DILSUKHNAGAR YES

LIFE INSURANCE

CORPORATION 03/07/2012 03/07/2012 02/07/2015

9108793 60025216 FGG GERA RAJESH 15/08/1986

2--26-113, DONKA ROAD CHINNARAVURU, WARD-12, TENALI

Guntur Andhra Pradesh 5222-1 Guntur Guntur Andhra Pradesh 522201 DILSUKHNAGAR NO - 03/07/2012 03/07/2012 02/07/2015

9108794 60025217 FGG NARESH VALUSA 24/04/1982

12-1-343/6/7 DATTA NAGAR HYDERABAD Hyderabad Telangana 5--

-57 Hyderabad Hyderabad Andhra Pradesh 500057 DILSUKHNAGAR NO - 03/07/2012 03/07/2012 02/07/2015

9108796 60025218 FGG MURALIMOHAN VEMPARALA 25/07/1982

H NO 2--4/1/74 UPPAL ROAD HYDERABAD Hyderabad Telangana 5-

--39 Rangareddi Rangareddi Andhra Pradesh 500039 HYDERABAD NO - 03/07/2012 03/07/2012 02/07/2015

3623041 60025219 FGG SAMIR V ONKAR 22/05/1979

RAMYANAGRI BEHIND PROFESSOR COLONY SHIRUR

TALUKA,PUNE Pune Maharashtra 412210 Pune Pune Maharashtra 412210 PUNE NO - 16/09/2013 16/09/2013 03/10/2016

9110560 60025235 FGG SANGRAM DASH 10/01/1973

Plot No-74, Satyanagar, Kharavela Nagar, BHUBANESHWAR Odisha

751--3 Khordha Khordha Odisha 751003 BHUBANESWAR NO - 05/07/2012 05/07/2012 04/07/2015

9110567 60025236 FGG HIMADRI KESHARI PATTANAIK 03/06/1978

Plot-No-389,1St Floor Jayadurga Nagar,Bomikhal Bhubaneswar

BHUBANESHWAR Odisha 751--9 Khordha Khordha Odisha 751009 BHUBANESWAR NO - 05/07/2012 05/07/2012 04/07/2015

9110841 60025240 FGG PRAVIN MALI 29/10/1985

SS-2, Room No. 1-8 Sector-2,Koparkhairne, NAVI MUMBAI Thane

Maharashtra 4--7-6 Thane Thane Maharashtra 400706 VASHI NO - 06/07/2012 06/07/2012 05/07/2015

9110866 60025241 FGG KARAN R SHAH 13/03/1992

B/6-1, pranay vidya boraspada, new sai baba nagar kandivali west

Mumbai Maharashtra 4---67 Mumbai Mumbai Maharashtra 400067 GHATKOPAR NO - 06/07/2012 06/07/2012 05/07/2015

5400086 60025248 FGG ASHISH RAMCHANDRA MISHRA 23/09/1979

03/41, POONAWALA CHAWL, G K MARG., LOWER PAREL Mumbai

Maharashtra 400013 Mumbai Mumbai Maharashtra 400013 GHATKOPAR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 09/07/2012 09/07/2012 21/05/2015

9112700 60025249 FGG REKHA R SHETH 30/07/1960

19, Anjaria Wadi, M.G. Road, Ghatkopar (E), Mumbai Mumbai

Maharashtra 4---77 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 09/07/2012 09/07/2012 08/07/2015

9112820 60025251 FGG WASIM KHAN 06/05/1984

R/O 18, DOLHI BAWADI OUT SIDE MASJID UDAIPUR Udaipur

Rajasthan 313--1 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 09/07/2012 09/07/2012 08/07/2015

4553777 60025258 FGG SINDHU GOPAL 11/03/1982

GRAM PANCHAYAT PALRA PANCHAYAT SAMITI SRINAGAR Ajmer

Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES SBI LIFE INS. CO. 29/07/2014 29/07/2014 29/08/2017

9113955 60025261 FGG SIVASANKAR S 09/04/1986

NO 3133, GANDHI MAANAGAR, GANAPATHY Coimbatore Tamil

Nadu 641--4 Coimbatore Coimbatore Tamil Nadu 641004 COIMBATORE NO - 10/07/2012 10/07/2012 09/07/2015

9113989 60025262 FGG K MARIA JOHN VICTOR 10/05/1979

O NO 2, MULLAI NAGAR, COIMBATORE EAST, COIMBATORE

Coimbatore Tamil Nadu 641-15 Coimbatore Coimbatore Tamil Nadu 641015 COIMBATORE NO - 10/07/2012 10/07/2012 09/07/2015

5471251 60025263 FGG MADHU SUDAN KASHYAP 13/07/1983 SHAKTI NAGAR NAKA MADAR AJMER, Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/07/2012 10/07/2012 17/06/2015

9114759 60025274 FGG RAJEEV THAKUR 31/12/1979 F-345 LADO SARAI Mehrauli Delhi Delhi 11--32 East East Delhi 110032 NOIDA NO - 11/07/2012 11/07/2012 10/07/2015

9115119 60025278 FGG SANJAY M SAWANT 27/10/1984

OPP RAILWAY QUARTERS MAIN GATE, ROOM NO 4, NEW

AGRIPADA AHEMDABAD ROAD, CHIMABAI MHATRE CHAWL

SANTACRUZ EAST Mumbai Maharashtra 4---55 Mumbai Mumbai Maharashtra 400055 BORIVALI NO - 11/07/2012 11/07/2012 10/07/2015

9116373 60025283 FGG NIRMAL GUPTA 15/07/1974 161, GOLA WARD NO 9, BALIA BALIA Ballia Uttar Pradesh 2217-1 Ballia Ballia Uttar Pradesh 221701 LUCKNOW NO - 12/07/2012 12/07/2012 11/07/2015

9116392 60025284 FGG ABHAYA AGRAWAL 19/08/1978

10/61, Near Munsi Poliya, Indira Nagar, Lucknow Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW YES

BAJAJ ALLIANZ LIFE

INSURANCE 12/07/2012 12/07/2012 11/07/2015

9116611 60025293 FGG RUPESH R PARMAR 07/03/1988

6/1581, KUMBHAR SHERI,MAHIDHARPURA SURAT Surat Gujarat

395--3 Surat Surat Gujarat 395003 SURAT NO - 12/07/2012 12/07/2012 11/07/2015

9116608 60025294 FGG PRAVINBHAI LALJIBHAI PATEL 02/08/1965

B 1-1, DHARMANANDAN COM,VARACHHA ROAD

DHARMANANDAN COM,VARACHHA ROAD SURAT Surat Gujarat

395--6 Surat Surat Gujarat 395006 SURAT NO - 12/07/2012 12/07/2012 11/07/2015

9116616 60025295 FGG SABIR I ALI 14/07/1977

28, ROSE COLONY, PRASHANT LAYOUT BEHIND SHYAM LAWNS,

JAFAR NAGAR NAGPUR Nagpur Maharashtra 44--13 Nagpur Nagpur Maharashtra 440013 NAGPUR NO - 12/07/2012 12/07/2012 11/07/2015

9116622 60025296 FGG TILAK VIRJI MAISHERI 01/06/1956

H.NO 44- WARD NO.6 MAIN ROAD SAONER Nagpur Maharashtra

4411-7 Nagpur Nagpur Maharashtra 441107 NAGPUR NO - 12/07/2012 12/07/2012 11/07/2015

3085539 60025297 FGG MAYURKUMAR KHIMANI 24/02/1959

KASHMIRA CHOWK, JAIN MANDIR BUILDING, 1ST FLOOR, AMRELI

Rajkot Gujarat 0 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 13/02/2013 13/02/2013 01/03/2016

9117412 60025313 FGG DARSHAN HASMUKHBHAI SHETH 29/08/1980

38, AMUL SOCIETY SUKHIPURA, NEW SHARDA MANDIR ROAD

PALDI Ahmadabad Gujarat 38---7 Ahmadabad Ahmadabad Gujarat 380007 AHMEDABAD NO - 13/07/2012 13/07/2012 12/07/2015

9117416 60025314 FGG AMODIA RUPA DAXESHBHAI 10/08/1974

E - 2-4, PEARL APPARTMENT SHYAMAL ROW HOUSING SATELLITE

Ahmadabad Gujarat 38--15 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD NO - 13/07/2012 13/07/2012 12/07/2015

9117432 60025315 FGG PATEL ROHITKUMAR D 24/07/1982

562, SHERRY NO.7, PATEL WAS HIRAPURA VIRAMGAM

Ahmadabad Gujarat 38215- Ahmadabad Ahmadabad Gujarat 382150 AHMEDABAD NO - 13/07/2012 13/07/2012 12/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9117443 60025316 FGG NAGAR AJAY 29/06/1978

914/1, MANEK CHOWK SANKADI SHERI ZAPDANI POLE

Ahmadabad Gujarat 38---1 Ahmadabad Ahmadabad Gujarat 380001 AHMEDABAD NO - 13/07/2012 13/07/2012 12/07/2015

2160233 60025317 FGG KALPESHKUMAR KANANI 28/05/1979

B-2,NILKANTHNAGAR SOC. NR.BAJRANGDAS ASHRAM THAKKAR

BAPANAGAR Ahmadabad Gujarat 382350 AHMEDABAD AHMEDABAD Gujarat 382350 MANINAGAR YES

LIFE INSURANCE

CORPORATION 22/09/2014 22/09/2014 27/10/2017

1265881 60025318 FGG MAHESHBHAI G VASANI 02/03/1965

I/35, AYUSH TENAMENT 99, NR. YOGESHWAR BUNGLOWS NIKOL

GAM ROAD NARODA Ahmadabad Gujarat 382350 AHMEDABAD AHMEDABAD Gujarat 382350 MANINAGAR YES

LIFE INSURANCE

CORPORATION 06/07/2012 06/07/2012 01/08/2015

9117463 60025319 FGG RAMARAO PADHAMALLU 03/06/1973

#2-2-9/2, BLOCK : 23, MARKET STREET AMALAPURAM East

Godavari Andhra Pradesh 53111- Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 13/07/2012 13/07/2012 12/07/2015

8103097 60025320 FGG SADANJAN KUMAR GOPASANA 14/04/1964

Plot No 30 Phase Iii Vada Colony Contenment Area Vizianagaram

Andhra Pradesh 535003 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 17/09/2013 17/09/2013 27/05/2016

9117473 60025321 FGG SANDYARANI VULLURI 25/04/1990

#13-253, INDIRA NAGAR GOPALA PATNAM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 53--27 Visakhapatnam Visakhapatnam Andhra Pradesh 530027 VIZAG NO - 13/07/2012 13/07/2012 12/07/2015

754856 60025323 FGG JASBIR KAUR DHANOA 03/04/1964

KOTHI NO.- 2226 SECTOR- 68 MOHALI Sahibzada Ajit Singh

Nagar Punjab 160062 Chandigarh Chandigarh Chandigarh 160061 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 04/11/2014 04/11/2014 04/11/2017

9118811 60025330 FGG V. R. DHANALAKSHMI 06/03/1975

221 2ND MAIN 6TH CROSS PRAKASH NAGAR SRIRAMPURAM

BANGALORE Bangalore Karnataka 56--21 Bangalore Bangalore Karnataka 560011 R.T.NAGAR NO - 16/07/2012 16/07/2012 15/07/2015

9118867 60025331 FGG SWAROOP M N. 22/04/1986

#76/41 11th main 14th cross padmanabhanagar BANGALORE

Bangalore Karnataka 560070 Bangalore Bangalore Karnataka 560070 BANGALORE NO - 16/07/2012 16/07/2012 15/07/2015

9118942 60025333 FGG S. ADISHESHA 08/09/1988

11 1st main, Khadi Commission Layout, Vivekananda Nagar

Bangalore Bangalore Karnataka 56--85 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 16/07/2012 16/07/2012 15/07/2015

9118979 60025334 FGG M SENTHIL KUMAR 03/07/1981

27 2nd Main, 5th Cross, gokula 1st Stage, Yeshwanthpura

Bangalore Bangalore Karnataka 56--22 Bangalore Bangalore Karnataka 560022 R.T.NAGAR NO - 16/07/2012 16/07/2012 15/07/2015

9118995 60025335 FGG NAVEEN TAJ 31/05/1977

3 1st Main road, Kanaka Nagar, R T Nagar Post, Bangalore

Bangalore Karnataka 56--32 Bangalore Bangalore Karnataka 560032 BANGALORE NO - 16/07/2012 16/07/2012 15/07/2015

2841386 60025336 FGG S PARTHASARATHY 27/03/1975

NO 43 OLD NO 42 NEW NO 53 GIRI ROAD T NAGAR Chennai Tamil

Nadu 600017 Chennai Chennai Tamil Nadu 600017 CHENNAI YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 28/11/2012 28/11/2012 17/12/2015

9119113 60025337 FGG SURYA M 10/09/1991

1-/24,1-TH BLOCK PUSHPA NAGAR NUNGAMBAKKAM Chennai

Tamil Nadu 6---34 Chennai Chennai Tamil Nadu 600034 CHENNAI NO - 17/07/2012 17/07/2012 16/07/2015

9119190 60025338 FGG MALLI SUBRAMANIAN VIJAYAKUMAR 28/10/1951

145, THIAGARAJAR COLONY, PASUMALAI Madurai Tamil Nadu 625-

-4 Madurai Madurai Tamil Nadu 625004 MADURAI NO - 17/07/2012 17/07/2012 16/07/2015

9119229 60025340 FGG ANIL KUMAR 25/04/1981

VPO-Bhagraula Ki Dhan VPO-Bhagraula Ki Dhan Gurgaon Gurgaon

Haryana 122-51 Gurgaon Gurgaon Haryana 122051 GURGAON NO - 17/07/2012 17/07/2012 16/07/2015

9119453 60025343 FGG RAJEEV SHARMA 04/05/1975

HNO 495/15 WARD NO 15,ASHAGANJ ROAD AJMER Ajmer

Rajasthan 3-5--1 Ajmer Ajmer Rajasthan 305001 AJMER NO - 17/07/2012 17/07/2012 16/07/2015

9119488 60025344 FGG DIPENDER SANSANWAL 01/08/1980 Naksha Enterprises(P) Ltd G-25 sec-11 Noida Delhi Delhi 11---1 New Delhi New Delhi Delhi 110001 NOIDA NO - 17/07/2012 17/07/2012 16/07/2015

9119641 60025345 FGG NEELIMA SRIVASTAVA 23/03/1984

OPP PWD OFF JAIMAU HAZARTGANJ HAZRATGANJ Lucknow Uttar

Pradesh 2-95-6 Unnao Unnao Uttar Pradesh 209506 LUCKNOW NO - 17/07/2012 17/07/2012 16/07/2015

9119719 60025346 FGG ASMITA B PALIVAR 21/04/1993

Ramvihar Soc, B/h, Rameshwar Temple RAJKOT Rajkot Gujarat 36---

4 Rajkot Rajkot Gujarat 360004 RAJKOT NO - 17/07/2012 17/07/2012 16/07/2015

9119788 60025347 FGG MANOHAR PATIDAR 29/07/1968 126, Gram Krondia, Khargon, Indore Madhya Pradesh 451--1 West Nimar West Nimar Madhya Pradesh 451001 INDORE NO - 17/07/2012 17/07/2012 16/07/2015

9087987 60025348 FGG SHINDE SACHIN KASHINATH 02/02/1979 562 ROAD NO3 MUMBAI Mumbai Maharashtra 400001 Mumbai Mumbai Maharashtra 400001 PRABHADEVI YES

LIFE INSURANCE

CORPORATION 17/07/2012 17/07/2012 14/06/2015

382718 60025349 FGG JAGDISH PRASAD MOTILAL JAGETIA 08/08/1950

A-1, 601, SHUB RESIDENCY, UHNA SURAT Surat Gujarat

394210 Surat Surat Gujarat 394210 SURAT YES

LIFE INSURANCE

CORPORATION 26/02/2014 26/02/2014 11/03/2017

9114064 60025350 FGG PATEL CHINTAN DIPAKBHAI 13/09/1984

12, MAHADEV NAGAR, ADAJAN PATIYA, ADAJAN, Surat Gujarat

395--9 Surat Surat Gujarat 395009 SURAT NO - 10/07/2012 10/07/2012 09/07/2015

9114063 60025351 FGG SHRAVAN DAMU BAGALE 16/08/1991

387, HARI NAGAR - 3, OPP BRC TAMPLE, UDHNA, Surat Gujarat

39421- Surat Surat Gujarat 394210 SURAT NO - 10/07/2012 10/07/2012 09/07/2015

9120074 60025352 FGG HEMANT TIWARI 20/06/1977

PLOT NO:26, SHRIRAJ DARSAN RAW HOUSE, B/H SHRIJEE NAGRI

SOC, UGAT JAHANGIRABAD, SURAT Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

LIFE INSURANCE

CORPORATION 17/07/2012 17/07/2012 16/07/2015

1580572 60025353 FGG RAJSHRI BANTHIA 03/02/1969

B-504, 5th Floor, Wing-B Angan Residency, Nr Nandini Vesu Surat

Surat Gujarat 395007 Surat Surat Gujarat 395007 SURAT YES

KOTAK MAHINDRA OLD

MUTUAL 19/03/2013 19/03/2013 03/02/2016

9120112 60025354 FGG M B VADODARIYA 08/03/1982

226, SANKHEDI SHERRY, VAVERA TAL: RAJULA, DISTT: AMRELI,

SURAT AMRELI Amreli Gujarat 36556- Amreli Amreli Gujarat 365560 SURAT NO - 17/07/2012 17/07/2012 16/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

1606769 60025355 FGG DHARMESH JAYANTILAL POPAT 25/10/1968

BLDG.NO.C/2,FLAT NO.204, NEELKANTH RESIDENCY,CROSS

ROAD,OPP.SANSKAR RESIDENCY, AMROLI, SURAT Surat Gujarat

394107 Surat Surat Gujarat 394107 SURAT YES

LIFE INSURANCE

CORPORATION 28/01/2013 28/01/2013 25/02/2016

4337001 60025356 FGG ARUNDHATI ANIMESH MUNSHI 09/06/1972

B-3/103, VASANT VIHAR TOWNSHIP UNIVERSITY ROAD, BHATAR

ALTHAN, SURAT Surat Gujarat 395017 SURAT SURAT Gujarat 395017 SURAT NO - 30/08/2013 30/08/2013 31/08/2016

8191192 60025358 FGG MAMTA JAISWAL 28/10/1984

Naskabhat Dakshin Para Para Kolkata West Bengal

700039 Para Kolkata West Bengal 700039 KOLKATA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/06/2013 30/06/2013 25/07/2016

9120237 60025359 FGG NARENDER KUMAR VERMA 30/11/1976

H NO 567/31 CHAUHAN COLONY GOHANA ROAD Sonipat Haryana

131--1 Sonipat Sonipat Haryana 131001 ROHTAK NO - 17/07/2012 17/07/2012 16/07/2015

9120267 60025360 FGG MAHENDER SINGH 20/12/1979 138/A ward 7new jawahar nagar Hisar Hisar Haryana 125001 Hisar Hisar Haryana 125001 ROHTAK YES

LIFE INSURANCE

CORPORATION OF INDIA 17/07/2012 17/07/2012 16/07/2015

9120950 60025365 FGG PADARSHI MAHMADRAFIKA 04/11/1991

NR. DOSHI MEDICAL, DANAPITH, PALITANA, Bhavnagar Gujarat

36427- Bhavnagar Bhavnagar Gujarat 364270 BHAVNAGAR NO - 18/07/2012 18/07/2012 17/07/2015

9120966 60025367 FGG SUBHARANJAN SAHOO 15/07/1987

At DHENKIKOTE DHENKIKOTE,GHATAGAON KEONJHAR Kendujhar

Odisha 758-27 Kendujhar Kendujhar Odisha 758027 CUTTACK NO - 18/07/2012 18/07/2012 17/07/2015

9120981 60025369 FGG SANJU PANDEY 19/12/1984

MANIFIT BAZAR NEAR RAO ENGLISH SCHOOL PO - TELCO

Jamshedpur Purbi Singhbhum Jharkhand 831--4 Purbi Singhbhum Purbi Singhbhum Jharkhand 831004 JAMSHEDPUR NO - 18/07/2012 18/07/2012 17/07/2015

9121015 60025370 FGG GOURAV 01/06/1988 B-36/1- Gopi Pura Pathankot Pathankot Patiala Punjab 145--1 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR NO - 18/07/2012 18/07/2012 17/07/2015

9121041 60025371 FGG JASDEEP SINGH 18/09/1966 H.No. 73 St. No. 2 Ranjit Nagar Hoshiarpur Punjab 146--1 Hoshiarpur Hoshiarpur Punjab 146001 JALANDHAR NO - 18/07/2012 18/07/2012 17/07/2015

2610269 60025372 FGG SEEMA RANI 05/08/1964 HOUSE 829 WARD NO 5TH TEH LUDHIANA Ludhiana Punjab 14-8-2 Patiala Patiala Punjab 140802 LUDHIANA NO - 17/09/2012 17/09/2012 20/09/2015

134364 60025373 FGG MOHIT KALRA 16/06/1981

H.NO. 1044/35A, AKASH PURI, CIVIL LINES, LUDHIANA Ludhiana

Punjab 141101 Ludhiana Ludhiana Punjab 141101 LUDHIANA YES

LIFE INSURANCE

CORPORATION 25/04/2013 25/04/2013 15/05/2016

9121110 60025374 FGG HIKKU P S 23/05/1990

POTTEKKAT HOUSE KRISHNAPURAM , OLLUKKARA POST, THRISSUR

Thrissur Kerala 68-655 Thrissur Thrissur Kerala 680655 THRISSUR NO - 18/07/2012 18/07/2012 17/07/2015

9121197 60025376 FGG SHYAM SEKHAR M 16/09/1978

MATHRUPPILLY HOUSE NADAVARAMBA , IRINJALAKUDA THRISSUR

Thrissur Kerala 68-121 Thrissur Thrissur Kerala 680121 THRISSUR NO - 18/07/2012 18/07/2012 17/07/2015

9121277 60025378 FGG G LATHA 31/03/1982

NEW NO 172 NOCHI NAGAR MAILAPURE CHENNAI CHENNAI

CHENNAI Chennai Tamil Nadu 600004 Chennai Chennai Tamil Nadu 600004 TRICHY YES

EXIDE LIFE INSURANCE

COMPANY LIMITED 18/07/2012 18/07/2012 17/07/2015

9121302 60025379 FGG SUMATHI 28/03/1989

OLD NO 157, KARUNAPURAM NEW COLONY, KALLAKURUCHI,

VILLUPURAM Viluppuram Tamil Nadu 6-4--1 Viluppuram Viluppuram Tamil Nadu 604001 TRICHY NO - 18/07/2012 18/07/2012 17/07/2015

9121373 60025380 FGG SYED IBRAHIM 03/06/1980

-2/58 Mohamed ali jinna street,Trichy Trichy Tiruvannamalai Tamil

Nadu 62-1-2 Tiruchirappalli Tiruchirappalli Tamil Nadu 620102 TRICHY NO - 18/07/2012 18/07/2012 17/07/2015

3957254 60025381 FGG INDIRA AGRAWAL 21/08/1972

B.T.F.-7 SAMDARIYA ABHINANDAN, DAMOH ROAD, SHIV NAGAR

JABALPUR Jabalpur Madhya Pradesh 482002 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR YES

LIFE INSURANCE

CORPORATION 12/12/2013 12/12/2013 22/12/2016

9121383 60025382 FGG AAYISHA M B 09/06/1978

2-88-1 Kamarajar street,papakurichi (po) Trichy Trichy Thiruvallur

Tamil Nadu 62--19 Tiruchirappalli Tiruchirappalli Tamil Nadu 620019 TRICHY NO - 18/07/2012 18/07/2012 17/07/2015

9121386 60025383 FGG PRAMEELA JOSYULA 22/11/1966

Head post office VIZIANAGARAM Vizianagaram Vizianagaram

Andhra Pradesh 535--1 Vizianagaram Vizianagaram Andhra Pradesh 535001 VIZAG NO - 18/07/2012 18/07/2012 17/07/2015

9121387 60025384 FGG V. S. SESHA SAI N 11/08/1970

H.no: 7-22 ward no: 12 Bobilli Vizianagaram Andhra Pradesh

535558 Vizianagaram Vizianagaram Andhra Pradesh 535558 VIZAG NO - 18/07/2012 18/07/2012 17/07/2015

9121392 60025385 FGG KIRUTHIKA J 09/04/1989

2-216 RICEMIK THERU PADALUR PERAMBALUR Perambalur Tamil

Nadu 6211-1 Perambalur Perambalur Tamil Nadu 636002 SALEM NO - 18/07/2012 18/07/2012 17/07/2015

9121395 60025386 FGG POTHULA SHIVA KUMAR 22/11/1988

13-4-561/24 NEW GANGANAGAR NEAR KULSUMPURA Hyderabad

Telangana 5----1 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 18/07/2012 18/07/2012 17/07/2015

9121398 60025388 FGG VISHWA MOHAN YADAV 19/06/1981 S-824 BADODIYA BASTI JAIPUR Jaipur Rajasthan 3-2--1 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 18/07/2012 18/07/2012 17/07/2015

9121400 60025389 FGG RADHIKA VIJAY 28/05/1985

43, Shiv Shakti Nagar-A Model Town, Jagatpura Road Jaipur Jaipur

Rajasthan 3-2--1 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 18/07/2012 18/07/2012 17/07/2015

9121403 60025390 FGG MEGHA AKSHAY GUPTA 04/02/1978

AT 11--2, SHIVAJI NAGAR DEVAI GO. TUKUM, TAH CHANDRAPUR

GRAMIN CHANDRAPUR Chandrapur Maharashtra 4424-1 Chandrapur Chandrapur Maharashtra 442401 CHANDRAPUR NO - 18/07/2012 18/07/2012 17/07/2015

9121407 60025391 FGG VINAYAK SURESH SAKPAL 28/06/1983

G-16, Santoshi Mata Chawl- 4, Utkarsh Nagar, Tambipada Road,

Bhandup West Mumbai Maharashtra 4---78 Mumbai Mumbai Maharashtra 400078 GHATKOPAR NO - 18/07/2012 18/07/2012 17/07/2015

9121408 60025392 FGG SURYAKANT UPADHYAY 02/02/1969

HO.NO.43 UPADHYAY NAGAR KOTA RAIPUR Raipur Chattisgarh

492--1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 18/07/2012 18/07/2012 17/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9110260 60025393 FGG NAINA DHUMAL 12/11/1977 512/2 YADAV COLONY Jabalpur Jabalpur Madhya Pradesh 482--2 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR NO - 05/07/2012 05/07/2012 04/07/2015

9122716 60025395 FGG HARSH PAL SINGH 26/02/1982

58/3, NEW KASHIDIH, SAKCHI, Jamshedpur, Purbi Singhbhum

Jharkhand 831--1 Purbi Singhbhum Purbi Singhbhum Jharkhand 831001 JAMSHEDPUR NO - 19/07/2012 19/07/2012 18/07/2015

9122719 60025396 FGG ABHISHEK R SHRIKHANDE 31/05/1991 5-1 RASTE WADA RASTA PETH, Pune Maharashtra 411-11 Pune Pune Maharashtra 411011 PUNE NO - 19/07/2012 19/07/2012 18/07/2015

9122718 60025397 FGG RAHUL RAVINDRA TONDE 02/07/1990

FLAT NO -6-4 SARTHI SAMRUDHI APTS S.NO 79/A1+2 KUMBRE

GARDEN KOTHRUD PUNE PUNE Pune Maharashtra 411-38 Pune Pune Maharashtra 411038 PUNE NO - 19/07/2012 19/07/2012 18/07/2015

9122715 60025398 FGG POOJA R KHARBANDA 17/10/1976

bunglow no14, basant garden chs maitri park, S.T.road, Chembur

Mumbai Maharashtra 4---71 Mumbai Mumbai Maharashtra 400071 GHATKOPAR NO - 19/07/2012 19/07/2012 18/07/2015

9122714 60025399 FGG RAMKUMAR F SAROJ 08/05/1983

arunoday chawl,mtira mandal indira nagar vakalo pile line,

gaondevi, santacruz, (e) Mumbai Maharashtra 4---55 Mumbai Mumbai Maharashtra 400055 GHATKOPAR NO - 19/07/2012 19/07/2012 18/07/2015

9123325 60025402 FGG JENUPRAKASH P J 29/08/1980

PAMBUMKATTIL HOUSE KURIACHIRA P.O. THRISSUR Thrissur

Kerala 68---6 Thrissur Thrissur Kerala 680006 THRISSUR NO - 20/07/2012 20/07/2012 19/07/2015

2202582 60025403 FGG SANJEEB KUMAR JHA 12/07/1972 B-12,Birla Colony, Phulwari Sharief Patna Patna Bihar 801505 Patna Patna Bihar 801505 PATNA YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 10/12/2014 10/12/2014 06/12/2017

9123578 60025404 FGG MAMTA KUMARI 31/12/1990 Shiv Shakti Colony Road no-24 Keshari Nagar Patna Bihar 8---24 PATNA PATNA Bihar 800024 PATNA NO - 20/07/2012 20/07/2012 19/07/2015

5924357 60025405 FGG MITHILESH KUMAR SINGH 12/11/1978 H.NO 378 VILL DEVAPUR PO DEVAPUR Gopalganj Bihar 841405 Saran Saran Bihar 841405 PATNA YES

RELIANCE LIFE

INSURANCE CO. LTD. 26/03/2013 26/03/2013 01/12/2015

9123612 60025406 FGG RAHUL RANJAN 01/02/1986

Gandhi Nagar Chowk Madhuban,Po-Gulwara purwi Purba

Champaran Bihar 854301 East Champaran East Champaran Bihar 845420 MUZAFFARPUR YES

SBI LIFE INSURANCE

COMPANY LIMITED 20/07/2012 20/07/2012 19/07/2015

9123620 60025407 FGG SAMARJEET KUMAR 20/10/1978

Nalada Nagar Near Mazar, Kurji, Sadaquat Ashram, Patna Patna

Bihar 8----1 Patna Patna Bihar 800001 PATNA NO - 20/07/2012 20/07/2012 19/07/2015

9123621 60025408 FGG POOJA DEEPAK MATAI 18/08/1955

Flat no - 1-1, Bldg no -25, Oshiwara Linkway CHSL Oshiwara

Mahada, Andheri West, Mumbai Maharashtra 4---53 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 20/07/2012 20/07/2012 19/07/2015

9123623 60025409 FGG JASVINDER SINGH 20/02/1979

H.NO --56 UIT COLONY WARD NO 44,TEHSIL:AJMER AJMER Ajmer

Rajasthan 3-5--1 Ajmer Ajmer Rajasthan 305001 AJMER NO - 20/07/2012 20/07/2012 19/07/2015

9123624 60025410 FGG BHUPENDER SHARMA 24/11/1976

H NO 1-4 CRI COLONY SEC 7 D FARIDABAD Faridabad Haryana 121--

6 Faridabad Faridabad Haryana 121006 FARIDABAD NO - 20/07/2012 20/07/2012 19/07/2015

9123625 60025411 FGG MURALI DHAR BIHARI 25/11/1972 H No 1232 Sector-29 Faridabad Faridabad Haryana 121002 Faridabad Faridabad Haryana 121002 FARIDABAD YES

LIFE INSURANCE

CORPORATION 20/07/2012 20/07/2012 19/07/2015

9123626 60025412 FGG ANGAPPAN S 22/04/1985

44 IRUKKANKUDI MARIAMMAN MADURAI Madurai Tamil Nadu

625--2 Madurai Madurai Tamil Nadu 625002 MADURAI NO - 20/07/2012 20/07/2012 19/07/2015

9123627 60025414 FGG SANJEET KAUR KHANUJA 30/04/1985 52- VISHNUPURI NX INDORE Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 20/07/2012 20/07/2012 19/07/2015

1818887 60025423 FGG RAJABATHAR DEVAKUMAR 09/07/1959

37-A,FOURTH CROSS RAINBOW NAGAR PONDY Puducherry

Pondicherry 605011 Pondicherry Pondicherry Pondicherry 605011 PONDICHERRY YES

LIFE INSURANCE

CORPORATION 21/01/2014 21/01/2014 20/01/2017

1760758 60025424 FGG LAVANYA 11/02/1975

PLOT NO.13-14,2NS CROSS STREET, VASANTH NAGAR

MUDHALIARPET Puducherry Pondicherry 605004 Pondicherry Pondicherry Pondicherry 605004 PONDICHERRY YES

LIFE INSURANCE

CORPORATION 26/07/2013 26/07/2013 22/09/2016

9124979 60025427 FGG GHATAR NIGAM KANUBHAI 21/11/1979

BUKHARA'S MOHLO KHAMAS AHMEDABAD Ahmadabad Gujarat

38---1 Ahmadabad Ahmadabad Gujarat 380001 AHMEDABAD NO - 23/07/2012 23/07/2012 22/07/2015

8327738 60025429 FGG SURENDER PAL 14/09/1973

VILL BARI RASOUR PO & TEH NARAINGARH AMBALA Ambala

Haryana 134203 Ambala Ambala Haryana 134203 AMBALA YES

RELIANCE LIFE

INSURANCE 10/12/2013 10/12/2013 11/10/2016

9125042 60025430 FGG MEKHE SHASHANK MADHUKAR 25/06/1980

SHANTI NAGAR, PLOT NO 7, KANNAD, AURANGABAD Aurangabad

Maharashtra 4311-3 Aurangabad Aurangabad Maharashtra 431103 AURANGABAD NO - 23/07/2012 23/07/2012 22/07/2015

1151255 60025433 FGG SUDHA ANIL SALVI 27/03/1961

F/202,RASHMI TANMAY,EDEN ROSE BEVERLY PARK, THANE Thane

Maharashtra 401107 Thane Thane Maharashtra 401107 BORIVALI YES

LIFE INSURANCE

CORPORATION 23/07/2012 23/07/2012 04/05/2015

1110318 60025434 FGG VEENA CHITKARA 15/12/1964

C/O AJIT RUBBER INDUSTRIES UNCHA GAON ROAD

BALLABHGARH FARIDABAD Faridabad Haryana 121004 Faridabad Faridabad Haryana 121004 FARIDABAD YES

LIFE INSURANCE

CORPORATION 23/07/2012 23/07/2012 26/03/2015

9125719 60025437 FGG G GOBIKRISHNAN 18/06/1969

4 PANGAJAM COLONY, NORTH DEVI STREET, SRIRANGAM,

Tiruchirapalli Tamil Nadu 62---6 Tiruchirappalli Tiruchirappalli Tamil Nadu 620006 TRICHY NO - 24/07/2012 24/07/2012 23/07/2015

5355359 60025438 FGG SUMATHI 30/05/1973

NO:20 POST OFFICE STREET MELAKALKANDAR KOTTAI,TRICHY 745

Tiruchirapalli Tamil Nadu 620011 Tiruchirappalli Tiruchirappalli Tamil Nadu 620011 TRICHY YES

LIFE INSURANCE

CORPORATION 24/07/2012 24/07/2012 27/04/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9125722 60025439 FGG N THANGADURAI 20/05/1975

Vellampatti, Mallupatti, Palacode Dharmapuri Dharmapuri

Dharmapuri Tamil Nadu 6368-5 Dharmapuri Dharmapuri Tamil Nadu 636805 TRICHY NO - 24/07/2012 24/07/2012 23/07/2015

9126103 60025442 FGG SHAH BINTI KEYURBHAI 02/09/1991

A/61, Vraj Vihar Society B/H Raneshwar Temple, Vasna Road

Vadodara Vadodara Vadodara Gujarat 390007 Vadodara Vadodara Gujarat 390007 BARODA YES

SBI LIFE INSURANCE

COMPANY LIMITED 24/07/2012 24/07/2012 23/07/2015

9126808 60025443 FGG CHAVAN DEEPAK N 13/03/1986

Nandlal Master Chawl, Jaihind nagar, Pipe line, Khar East, Mumbai

Maharashtra 4---51 Mumbai Mumbai Maharashtra 400051 FORT NO - 24/07/2012 24/07/2012 23/07/2015

9128065 60025453 FGG AJENDRA PRATAP SHAHI 18/07/1987

C/1-3/14 Ram krishna ashram, Mohaddipur Gorakhpur Gorakhpur

Uttar Pradesh 273--8 Gorakhpur Gorakhpur Uttar Pradesh 273008 LUCKNOW NO - 25/07/2012 25/07/2012 24/07/2015

9128093 60025454 FGG MANNU JHARKHANDE GUPTA 25/05/1979

Room No-2, Desai Rana Chawl, Nityanand Nagar, Ghatkopar West

Mumbai Maharashtra 4---86 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 25/07/2012 25/07/2012 24/07/2015

9127926 60025455 FGG ANIL BEDI 23/05/1978 cloth metchant Naya bazar Phillaur Jalandhar Punjab 14441- Jalandhar Jalandhar Punjab 144410 LUDHIANA NO - 25/07/2012 25/07/2012 24/07/2015

9128202 60025459 FGG RAJ KUMAR 06/08/1982 # 19- Ward no 13 Adarsh Nagar Hissar Hisar Haryana 125--1 Hisar Hisar Haryana 125001 ROHTAK NO - 25/07/2012 25/07/2012 24/07/2015

9129634 60025468 FGG THOMAS GEORGE THAYIL 07/04/1984

YATCH CLUB ENCLAVE KONTHURUTHI COCHIN Ernakulam Kerala

682-13 Ernakulam Ernakulam Kerala 682013 COCHIN NO - 26/07/2012 26/07/2012 25/07/2015

9129685 60025469 FGG CHILUKURI RAVI KIRAN 08/08/1981

FLAT NO: 3-4 Sri Satya Sai Enclave, Waltair uplands

Visakhapatnam Visakhapatnam Andhra Pradesh 53---3 Visakhapatnam Visakhapatnam Andhra Pradesh 530003 VIZAG NO - 26/07/2012 26/07/2012 25/07/2015

9129915 60025479 FGG S S V RAJU SANGANI 02/06/1974 13-1219/4 Sector- II Arilova Visakhapatnam Andhra Pradesh 53--4- Visakhapatnam Visakhapatnam Andhra Pradesh 530040 VIZAG NO - 26/07/2012 26/07/2012 25/07/2015

154749 60025482 FGG RAJESHBHAI KESHAVBHAI PATEL 03/06/1966

A/FF/12, SARDAR PATEL MALL NR. DAIMOD SILK MILL NIKOL

GAM ROAD Ahmadabad Gujarat 382340 Gandhinagar Gandhinagar Gujarat 382340 MANINAGAR YES

LIFE INSURANCE

CORPORATION 20/05/2013 20/05/2013 11/07/2016

9130284 60025485 FGG VELAGALA VINOD REDDY 07/07/1985 8-561 Block-8 Ravulapalem East Godavari Andhra Pradesh 533238 East Godavari East Godavari Andhra Pradesh 533238 VIZAG NO - 27/07/2012 27/07/2012 26/07/2015

8075583 60025491 FGG PIYUSH BOHRA 04/11/1991

BHORA KI POLE SHARAFA BAZAR JODHPUR Jodhpur

Rajasthan 342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/03/2014 28/03/2014 02/05/2016

1280653 60025493 FGG ARVIND KUMAR K SINGH 13/07/1969

THAKUR , DHOKALI OPP. MOHAN HILL COMPOUND KOLSHET

ROAD THANE. Thane Maharashtra 400607 Thane Thane Maharashtra 400607 THANE YES

LIFE INSURANCE

CORPORATION 27/07/2012 27/07/2012 28/07/2015

9133525 60025495 FGG SHRAVANI SANTOSH CHAVAN 29/10/1985

RUPEE HOUSING SOCIETY NR.RENUKA MANGAL KARYALAYA,

RUPEE NAGAR,TALWADE,PUNE Pune Maharashtra 412114 Chikhali, Pune Chikhali, Pune Maharashtra 412114 PUNE NO - 30/07/2012 30/07/2012 29/07/2015

9070182 60025496 FGG PANKAJ GOEL 01/11/1973 H no - 190,1st Floor Shahpur Jat New Delhi Delhi Delhi 110049 South South Delhi 110049 CONNAUGHT PLACEYES

MAX NEW YORK LIFE

INSURANCE 30/07/2012 30/07/2012 27/05/2015

9133907 60025497 FGG PIYUSH SOMNATH PATIL 26/05/1988

C-5, SHREE SIDDHI APT, NR AKASHWANI, GANGAPUR ROAD,

NASHIK Nashik Maharashtra 422007 Nashik Nashik Maharashtra 422013 NASHIK YES

LIFE INSURANCE

CORPORATION 30/07/2012 30/07/2012 29/07/2015

9133985 60025498 FGG METKAR YOGESH SURESH 22/11/1982

Flat No 3, Ujjwala Height, Bandavane nagar Kamatwada Nashik

Nashik Maharashtra 422-11 Nashik Nashik Maharashtra 422011 NASHIK NO - 30/07/2012 30/07/2012 29/07/2015

9134018 60025499 FGG PRAKASH NEHRU 02/02/1987

177, MUTHANAMPATTI, KOVILPATTI, ANDIPATTI TK, Theni Tamil

Nadu 6252-3 Madurai Madurai Tamil Nadu 625001 MADURAI NO - 30/07/2012 30/07/2012 29/07/2015

9134177 60025500 FGG NAVNEET KAUR 28/12/1981

H NO 2147, URBAN ESTATE, PHASE 2, DUGRI WARD NO 4-,

LUDHIANA Ludhiana Punjab 14-8-2 Patiala Patiala Punjab 140802 LUDHIANA NO - 30/07/2012 30/07/2012 29/07/2015

2961851 60025501 FGG VARINDER KUMAR GROVER 20/04/1976

H NO 126, RAILWAY STATION ROAD, VILLAGE 2, PO- LADHUWAL,

Ludhiana Punjab 141007 Ludhiana Ludhiana Punjab 141007 LUDHIANA YES SBI LIFE INS. CO. 14/06/2013 14/06/2013 28/01/2016

9134292 60025502 FGG SHASHIBUSHAN S 12/05/1961

# 43 THE TRAVELLER ,BDA COMPLEX R T NAGAR BANGALORE

Bangalore Karnataka 56--32 Bangalore Bangalore Karnataka 560032 CONNAUGHT PLACENO - 30/07/2012 30/07/2012 29/07/2015

9134312 60025503 FGG DARAM RADHIKA 05/06/1985 G-46 YUSUFGUDA HYDERABAD Hyderabad Telangana 5---18 Rangareddi Rangareddi Andhra Pradesh 500018 DILSUKHNAGAR NO - 30/07/2012 30/07/2012 29/07/2015

9134331 60025505 FGG ZEENATUNNISA 03/04/1992

FLAT NO-2-2, BAVANI SRI SHEELA AVENUE, BESIDE LIC OF INDIA,

MUSHEERABAD Hyderabad Telangana 5---26 Hyderabad Hyderabad Andhra Pradesh 500026 HYDERABAD NO - 30/07/2012 30/07/2012 29/07/2015

9134350 60025506 FGG AJAY PENTAREDDY 01/07/1989 3-92 BLOCK-3 SINGARAM Warangal Telangana 5-6--1 Warangal Warangal Andhra Pradesh 506001 HYDERABAD NO - 30/07/2012 30/07/2012 29/07/2015

9134472 60025508 FGG SANGEM SRIDHAR 21/07/1985

1-9-735/3-4 BLOCK-A VIDYANAGAR, NALLAKUNTA Hyderabad

Telangana 5---44 Hyderabad Hyderabad Andhra Pradesh 500044 HYDERABAD NO - 30/07/2012 30/07/2012 29/07/2015

9134781 60025510 FGG KONDAL REDDY SANDI 05/04/1985 6-123/2 YELLAMPALLY SAIDAPUR Karimnagar Telangana 5-5--1 Karimnagar Karimnagar Andhra Pradesh 505001 HYDERABAD NO - 30/07/2012 30/07/2012 29/07/2015

9134789 60025511 FGG SEKHAR VIMJAM 10/05/1966

PNO-729, VIVEKANANDA NAGAR COLONY KUKATPALLY Hyderabad

Telangana 5---72 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 HYDERABAD NO - 30/07/2012 30/07/2012 29/07/2015

9134825 60025512 FGG MALLAIAHWARI ANJI REDDY 02/02/1981

2-3-734/C/11 GANGA NAGAR AMBERPER Hyderabad Telangana 5---

13 Hyderabad Hyderabad Andhra Pradesh 500013 KUKKATPALLY NO - 30/07/2012 30/07/2012 29/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9134875 60025514 FGG VIKRAM SINGH 19/05/1979

H NO 5- SEC 13 NANAK NAGAR JAMMU Jammu Jammu & Kashmir

18---1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 30/07/2012 30/07/2012 29/07/2015

9134888 60025516 FGG KUNDAN SINGH 24/06/1985

452-DURJAN NIWAS BOHRA MASZID KE PICHE,KHAROL

COLONY,FATEHPURA UDAIPUR Udaipur Rajasthan 313--1 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 30/07/2012 30/07/2012 29/07/2015

9134945 60025517 FGG NAMITA KEJRIWAL 11/07/1974

2ND FLOOR A/4 MITAL TOWER KADMA JAMSHEDPUR Purbi

Singhbhum Jharkhand 831--1 Purbi Singhbhum Purbi Singhbhum Jharkhand 831001 JAMSHEDPUR NO - 30/07/2012 30/07/2012 29/07/2015

9134977 60025519 FGG ANITA SRIVASTAVA 04/12/1977

K2/23, ROAD NO 24 TELCO COLONY Jamshedpur Purbi Singhbhum

Jharkhand 831--4 Purbi Singhbhum Singabhum Jharkhand 831004 JAMSHEDPUR NO - 30/07/2012 30/07/2012 29/07/2015

9136713 60025526 FGG GURVINDER SINGH CHHABRA 17/12/1973 D-218,KALANDARI GATE KARNAL KARNAL Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 31/07/2012 31/07/2012 30/07/2015

9136865 60025527 FGG JAYANT BHATIA 15/08/1982 J-48, Janta Colony, Area Colony, Bhopal Madhya Pradesh 460001 Betul Betul Madhya Pradesh 460001 BHOPAL YES

LIFE INSURANCE

CORPORATION 31/07/2012 31/07/2012 30/07/2015

9136873 60025528 FGG BAROT KETAN PRAVIN 27/04/1981

1-4 ANURADHA CHS LTD CAVES ROAD, JOGESHWARI EAST

MUMBAI Mumbai Maharashtra 4---6- Mumbai Mumbai Maharashtra 400060 GHATKOPAR NO - 31/07/2012 31/07/2012 30/07/2015

9136890 60025529 FGG ATUL KUMAR VIJAYVERGIYA 29/10/1980

22 GOTA COLONY BORAJ TEHSIL AJMER AJMER Ajmer Rajasthan

304001 Tonk Tonk Rajasthan 304001 AJMER YES

ICICI PRUDENTIAL LIFE

INSURANCE 31/07/2012 31/07/2012 30/07/2015

9136902 60025532 FGG SUBHASH S KASBE 25/08/1983

room no-26-3, chawl no-158,5/B, Tagore nagar, nr. Hanuman

mandir Vikhroli (E) Mumbai Maharashtra 4---83 Mumbai Mumbai Maharashtra 400083 GHATKOPAR NO - 31/07/2012 31/07/2012 30/07/2015

9136947 60025533 FGG RAGINI RAJENDRA KADAM 04/03/1982

Jay Hanuman Chawl Kamity, Room no 43/A, Devipada, Borivali

East Mumbai Maharashtra 4---66 Mumbai Mumbai Maharashtra 400066 GHATKOPAR NO - 31/07/2012 31/07/2012 30/07/2015

9137023 60025535 FGG VINAYAK RAMCHANDRA DIMBLE 14/12/1978

68/1-3 , MAHESH Soc NEAR DATTA MANDIR BIBVEWADI Pune

Pune Maharashtra 411-37 Pune Pune Maharashtra 411037 PUNE NO - 31/07/2012 31/07/2012 30/07/2015

9137211 60025539 FGG BHARTI 07/03/1989

VPO Bathri Distt. Chamba chanba Chamba Himachal Pradesh 1763-

3 Chamba Chamba Himachal Pradesh176303 JALANDHAR NO - 31/07/2012 31/07/2012 30/07/2015

9137339 60025540 FGG SHIVANI 05/12/1973 H.no. b-11/4A New Patel Nagar Jalandhar Jalandhar Punjab 144--1 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 31/07/2012 31/07/2012 30/07/2015

3135156 60025541 FGG SANJAY KUMAR GUPTA 10/05/1972

1323/8 NO 3 RAMA MANDI BABA BUDHAJI NAGAR Jalandhar

Punjab 144023 Jalandhar Jalandhar Punjab 144001 JALANDHAR YES

HDFC STD LIFE

INSURANCE CO. LTD. 25/11/2013 25/11/2013 14/03/2016

9138904 60025551 FGG SHIBANI SATAPATHY 12/07/1985

Room no.228,Ground floor, Borse building, Behind Vishnu Patil

chawl, Airoli Gaon,Airoli Navi Mumbai Thane Maharashtra 4--7-8 Thane Thane Maharashtra 400708 THANE NO - 02/08/2012 02/08/2012 01/08/2015

9138915 60025552 FGG OM PARKASH JASWAL 12/04/1971 #758 SEC-26 E CHANDIGARH Chandigarh Chandigarh 16--17 Chandigarh Chandigarh Chandigarh 160017 CHANDIGARH NO - 02/08/2012 02/08/2012 01/08/2015

9138921 60025553 FGG SAGAR KASHYAP 04/07/1975 # 138-A DHARAMPUR SOLAN Solan Himachal Pradesh 1732-9 Solan Solan Himachal Pradesh173209 CHANDIGARH NO - 02/08/2012 02/08/2012 01/08/2015

9138956 60025554 FGG VIPIN KURIAN 15/05/1983

Kizhakkayil House Puduppady PO Eangappuzha Kozhikode Kerala

673586 Kozhikode Kozhikode Kerala 673586 CALICUT NO - 02/08/2012 02/08/2012 01/08/2015

9138983 60025555 FGG ASWINI DINESH SONAVARIA 31/12/1987

4-17, AGARWAL NAGAR MAROL NAKA CHIMATPADA, ANDHERI (E)

Mumbai Maharashtra 4---59 Mumbai Mumbai Maharashtra 400059 PRABHADEVI NO - 02/08/2012 02/08/2012 01/08/2015

9139022 60025556 FGG B P DEEPAK KUMAR 08/08/1972

23 nehrunagar main road,sheshadripuram BANGALORE Bangalore

Karnataka 56--2- Bangalore Bangalore Karnataka 560020 CONNAUGHT PLACENO - 02/08/2012 02/08/2012 01/08/2015

9139028 60025557 FGG MASHROOF 02/02/1988

5, Holiwala Hiranwala Board 2, Nagar Palika Parishad, J P Nagar

Agra Uttar Pradesh 244241 Rampur Rampur Uttar Pradesh 244241 CONNAUGHT PLACENO - 02/08/2012 02/08/2012 01/08/2015

8871245 60025558 FGG UPENDRA CHAUHAN 07/06/1992

RANA MARKET NEAR HP PETROL PUMP NOIDA Gautam Buddha

Nagar Uttar Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 NOIDA YES

RELIANCE LIFE

INSURANCE 14/11/2014 14/11/2014 11/10/2017

9139037 60025559 FGG V DINESH REDDY 25/07/1984

# 9-37 CHOPPAKATLAPALEM YERRUPALEM Khammam Telangana 5-

72-1 Khammam Khammam Andhra Pradesh 507201 VIJAYAVADA NO - 02/08/2012 02/08/2012 01/08/2015

9068181 60025560 FGG JOHN JOSEPH 02/03/1986

NO 53/2 GANESHA TEMPLE ROAD 2ND CROSS CHIKKA SUBANNA

ROAD TIN FACTORY BANGALORE Bangalore Karnataka 560016 Bangalore Bangalore Karnataka 560016 BANGALORE YES

SBI LIFE INSURANCE

COMPANY 02/08/2012 02/08/2012 23/05/2015

9033551 60025562 FGG SHAH HEMLATA NIRAJKUMAR 19/06/1988

B-109 MATHURA NAGARI SOC B/H UNITED WAY GARBA GROUND

OLD PADRA ROAD, VADODARA Vadodara Gujarat 390020 Vadodara Vadodara Gujarat 390020 BARODA YES

MAX NEW YORK LIFE

INSURANCE 02/08/2012 02/08/2012 25/03/2015

9139096 60025563 FGG N MUTHU RAJ 14/05/1957

# 5, WARD 7, KARNAM STREET, KEELA GUDALAR, Theni Tamil

Nadu 625518 Theni Theni Tamil Nadu 625518 MADURAI NO - 02/08/2012 02/08/2012 01/08/2015

8001493 60025564 FGG NEELU ANIL BHATT 05/09/1974

1103-A Dheeraj Ganga C B Road Malad West Mumbai Mumbai

Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 PRABHADEVI YES

METLIFE INDIA

INSURANCE 25/03/2013 25/03/2013 09/02/2016

9140111 60025574 FGG BHAVSAR NIKUNJ T 01/04/1983

G-45 Nandanvan society Sussen Tarsali Ring Road Baroda

Vadodara Gujarat 39---9 Vadodara Vadodara Gujarat 390009 BARODA NO - 04/08/2012 04/08/2012 03/08/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

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License

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valid from

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Date

Details of Individual Agents of the Company as on 31st March 2015

8903531 60025575 FGG SYEDA RAKHEEBA BANU 01/06/1974

62,OLD BANK COLONY,RUSHYASHR, ROAD,KANANAKUNTE,

BANGALORE Bangalore Rural Karnataka 560062 Bangalore Bangalore Karnataka 560062 BANGALORE YES ICICI PRUDENTIAL LIFE 28/10/2014 28/10/2014 30/10/2017

9140690 60025579 FGG SAAKSHI BRAHMI 06/10/1993 B-37-B 2nd floor street no -4 Majlis park Delhi Delhi Delhi 11--33 North North Delhi 110033 CONNAUGHT PLACENO - 06/08/2012 06/08/2012 05/08/2015

9140758 60025582 FGG MANIKANDAN 08/05/1987

O.No184A,N.No115 Pudu Street Pallur,Arakonam Vellore Tamil

Nadu 631-51 Vellore Vellore Tamil Nadu 631051 CHENNAI NO - 06/08/2012 06/08/2012 05/08/2015

9140798 60025583 FGG SWETA KANOONGO 08/06/1984 585 Bus Stand Jamwaramgarh Jaipur Jaipur Rajasthan 3-2--1 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 06/08/2012 06/08/2012 05/08/2015

9140885 60025584 FGG HARSHA 28/07/1992

House No.12 Village Dr. Nijam Pur New Delhi New Delhi Delhi

Delhi 11--81 North West North West Delhi 110081 WEST DELHI NO - 06/08/2012 06/08/2012 05/08/2015

9140902 60025585 FGG DIVYA ELIZABETH MATHEWS 29/12/1992

PLOT NO.7,TVS NAGAR EXTENTION, 6TH CROSS STREET KORATTUR

Chennai Tamil Nadu 600076 Thiruvallur Thiruvallur Tamil Nadu 600076 ANNA NAGAR YES

LIFE INSURANCE

CORPORATION 06/08/2012 06/08/2012 05/08/2015

8312950 60025591 FGG SONAL PARIMAL PALEJA 31/01/1961

103, Vatika 12/13 Tarangan Society, GEB colony, off padra road

VADODARA Vadodara Gujarat 390021 Vadodara Vadodara Gujarat 390021 BARODA NO - 02/08/2013 02/08/2013 29/09/2016

9135074 60025592 FGG RAMAKRISHNA B L 02/08/1955

NO 1113/R CHUNCHADRI, 1ST G MAIN,2ND PHASE GIRINAGAR

Bangalore Karnataka 56--85 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 30/07/2012 30/07/2012 29/07/2015

672718 60025594 FGG RAJIV KUMAR BORAH 14/02/1973

C/O N K GOGOI, H/N - 32 S N GOGOI PATH PANJABARI

GUWAHATI Kamrup Assam 781022 Kamrup Kamrup Assam 781022 GUWAHATI YES

LIFE INSURANCE

CORPORATION 12/06/2014 12/06/2014 15/08/2017

8527118 60025597 FGG RAHUL ARORA 24/08/1989

305 C SUS NAGAR JALANDHAR Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 24/02/2014 24/02/2014 25/02/2017

8516973 60025600 FGG RIYAZAHMED QURESHI 03/12/1980

H 4 202 Aquamarin Moraj Residency Sec 16A Palm Beach Road

Plot 1 Sanpada Navi Mumbai Thane Maharashtra 400703 Thane Thane Maharashtra 400703 VASHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/02/2014 20/02/2014 20/02/2017

9141870 60025601 FGG H KEVIN ANTONY 13/03/1990

ONO 25/1, NEW NO 33, ALAMEEN COLONY, 2ND STREET, SOUTH

UKKADAM Coimbatore Tamil Nadu 641--1 Coimbatore Coimbatore Tamil Nadu 641001 COIMBATORE NO - 07/08/2012 07/08/2012 06/08/2015

9141881 60025602 FGG SHAILESH B GADAM 05/12/1981

C/O.GULABRAO SATPUTE PLOT NO.-59,SHESH NAGAR, KHARBI

ROAD, NAGPUR Nagpur Maharashtra 44---9 Nagpur Nagpur Maharashtra 440009 NAGPUR NO - 07/08/2012 07/08/2012 06/08/2015

9141901 60025603 FGG NEERAJ GUPTA 04/11/1979

H.NO.7- SEC-2- GURDEV NAGAR KURUKSHETRA Kurukshetra

Haryana 136-3- Sonipat Sonipat Haryana 131001 ROHTAK NO - 07/08/2012 07/08/2012 06/08/2015

9141904 60025604 FGG NAVEEN NAINAWA 12/06/1990

11-12, KOLIWADA IN SIDE SURAJPOLE UDAIPUR Udaipur Rajasthan

313003 UDAIPUR UDAIPUR Haryana 313003 UDAIPUR YES

RELIANCE LIFE

INSURANCE CO.LTD. 07/08/2012 07/08/2012 06/08/2015

5816980 60025605 FGG K M SARAVANAN 29/06/1981

255 2/185 NKN NAGAR NARASO TRIPATHI SALEM Salem Tamil

Nadu 636004 Salem Salem Tamil Nadu 636004 SALEM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/04/2013 10/04/2013 06/10/2015

9142202 60025609 FGG SAHERA ARA BEGUM 20/03/1989

17/1-1 9 th Cross,Adi Kabir Ashram,Matadahalli,R T Nagar,

Bangalore Bangalore Karnataka 56--32 Bangalore Bangalore Karnataka 560032 BANGALORE NO - 07/08/2012 07/08/2012 06/08/2015

9142230 60025611 FGG VANISHREE 27/12/1980

B 13, SFS 12th Main, 7 B Cross, New Town Yelhanka, Bangalore

Bangalore Karnataka 56--65 Bangalore Bangalore Karnataka 560065 R.T.NAGAR NO - 07/08/2012 07/08/2012 06/08/2015

5078994 60025612 FGG HIRALAL M PATEL 20/03/1953

627 NANA HIRA ST AT PO BHIMPORE TA CHORIYASI Surat

Gujarat 394550 Surat Surat Gujarat 394550 SURAT YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 26/12/2014 26/12/2014 26/01/2018

9143089 60025615 FGG KARAM SINGH 14/08/1976

#212 Gali No.2 Peeran Wali, Kishan Kot, Islamabad Amritsar

Punjab 143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 08/08/2012 08/08/2012 07/08/2015

9143133 60025617 FGG LEENA BHAVESHBHAI POPAT 01/03/1971

"MADHUVAN" NR. NILKANTH MAHADEV TEMPLE, UNI. ROAD, 3,

AFRICA COLONY, Rajkot Gujarat 36---7 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 08/08/2012 08/08/2012 07/08/2015

1495058 60025618 FGG AKSHAY JAITHALIA 09/08/1978

B-1/23, IIND FLOOR MODEL TOWN, PART-II NEW DELHI Delhi Delhi

110009 North West North West Delhi 110009 CHANDIGARH YES BIRLA SUN LIFE 15/03/2013 15/03/2013 27/11/2015

9051538 60025620 FGG PIYUSHKUMAR R PARMAR 20/03/1973 338, Shivam Nagar Tal Karjan Baroda Vadodara Gujarat 391240 Vadodara Vadodara Gujarat 391240 BHARUCH YES

MAX NEW YORK LIFE

INSURANCE 08/08/2012 08/08/2012 26/04/2015

2435242 60025621 FGG B KIRTHIKA 01/10/1977

FLAT NO.8, SUNDARESAN STREET,RAJAJI NAGAR PALLAWARAM

Chennai Tamil Nadu 600043 Kancheepuram Kancheepuram Tamil Nadu 600043 CHENNAI YES

LIFE INSURANCE

CORPORATION 08/08/2012 08/08/2012 01/06/2015

3336672 60025622 FGG CHUDASAMA VARSHA MILAN 09/01/1979

201 SHIVAM APPART OPP JAYGAYATRI BARODA BARODA

Vadodara Gujarat 390018 Vadodara Vadodara Gujarat 390018 BARODA YES

BaJAJ ALLIANZ LIFE

INSURANCE 01/10/2013 01/10/2013 04/06/2016

5863437 60025623 FGG PRADEEP B GUPTA 10/06/1978

2A/21, ASHIRWAD SOC., ASHA NGR., THAKUR COMPLEX,

KANDIVALI (E) Mumbai Maharashtra 400101 Mumbai Mumbai Maharashtra 400101 GHATKOPAR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 14/11/2012 14/11/2012 29/10/2015

9143365 60025624 FGG JAGDISH CHOUDHARY 06/07/1986

Vill. Pratappura Post. Chittora, Teh Phagi Jaipur Jaipur Rajasthan 3-

31-2 Jaipur Jaipur Rajasthan 303102 JAIPUR NO - 08/08/2012 08/08/2012 07/08/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

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License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9143395 60025625 FGG SALONI PATNI 17/04/1993

1-2 Siddhi Vinayak Appt.,133 dhanvantari nagar,Rajendra Nagar

Indore Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 08/08/2012 08/08/2012 07/08/2015

9124958 60025626 FGG THAKKAR JAY RAKESHKUMAR 16/04/1993

1 Shivangi Appt, Chief HSG Society, Uttam Nagar, Mani Nagar,

Ahmadabad Gujarat 38---8 Ahmadabad Ahmadabad Gujarat 380008 ANAND NO - 23/07/2012 23/07/2012 22/07/2015

9144001 60025628 FGG KARAN NAVINCHANDRA TODAI 17/11/1989

Shri Gaurav, B--2, Sane Guruji Nagar, K P B, 9- Feet Road, Mulund

East Mumbai Maharashtra 4---81 Mumbai Mumbai Maharashtra 400081 GHATKOPAR NO - 09/08/2012 09/08/2012 08/08/2015

9144095 60025629 FGG GANESH P RAJPURKAR 22/07/1978

36-D, Narendra Sadan Mugbhat Cross Lane, Ganesh Chowk R

No.33, Mumbai Mumbai Maharashtra 400004 Mumbai Mumbai Maharashtra 400004 GHATKOPAR YES BIRLA SUN LIFE 09/08/2012 09/08/2012 08/08/2015

9144196 60025630 FGG HARPREET KAUR SABHARWAL 08/06/1984

D X KACHNAR CITY JABALPUR JABALPUR Jabalpur Madhya Pradesh

482--1 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 09/08/2012 09/08/2012 08/08/2015

9144234 60025631 FGG GURINDER SINGH SIAN 04/05/1987

H.No.792/1 Sector-41 A Chandigarh Chandigarh Chandigarh 16--

41 MOHALI MOHALI Chandigarh 160041 PANCHKULA NO - 09/08/2012 09/08/2012 08/08/2015

2637203 60025632 FGG MOHINDER JEET SINGH 08/07/1979 B-23-4233 SHIVAJI NAGAR LUDHIANA Ludhiana Punjab 141008 Ludhiana Ludhiana Punjab 141008 LUDHIANA YES

KOTAK MAHINDRA OLD

MUTUAL 21/09/2012 21/09/2012 27/09/2015

9144245 60025633 FGG HARSH JANOTRA 15/02/1992

H.No-261 Peeru Banda,Salem Tabri Ludhiana Ludhiana Punjab 141-

-8 Ludhiana Ludhiana Punjab 141008 LUDHIANA NO - 09/08/2012 09/08/2012 08/08/2015

9144259 60025634 FGG JYOTI 20/11/1991

HOUSE NO.181 WARD NO.-17 HANUMAN GALI JIND Jind Haryana

1261-2 Jind Jind Haryana 126102 ROHTAK NO - 09/08/2012 09/08/2012 08/08/2015

9144262 60025635 FGG SANJAY MORESHWAR PATIL 02/11/1974

PATIL NIWAS M.D. ROAD NEAR SANDIP HOTEL KANDIVALI EAST

MUMBAI Mumbai Maharashtra 4--1-1 Mumbai Mumbai Maharashtra 400101 BORIVALI NO - 09/08/2012 09/08/2012 08/08/2015

9146771 60025643 FGG RESHMA VIKAS KAREKAR 24/12/1977

-9, SHIVRA, SHINDE CHAWL, OLD NAGARDAS ROAD, BEHIND

CLASSIC HOTEL, ANDHERI EAST Mumbai Maharashtra 4---69 Mumbai Mumbai Maharashtra 400069 BORIVALI NO - 13/08/2012 13/08/2012 12/08/2015

9146789 60025644 FGG SAMPATI RAWAT 25/05/1990

HNO 1598 DAYANAND COLONY RAMNAGAR Ajmer Ajmer

Rajasthan 3-5--1 Ajmer Ajmer Rajasthan 305001 AJMER NO - 13/08/2012 13/08/2012 12/08/2015

9146805 60025645 FGG SONIA 19/11/1987 Village Ranhola Defence Colony, New Delhi Delhi Delhi 11--41 North West North West Delhi 110041 GURGAON NO - 13/08/2012 13/08/2012 12/08/2015

9147423 60025653 FGG ALKA SHARMA 29/06/1978 12- Vrindavan Colony Indore Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 14/08/2012 14/08/2012 13/08/2015

9148704 60025660 FGG SAKSHI DEVESAR 14/09/1990

69-L, White Avenue State Bank Colony Amritsar Amritsar Punjab

143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 14/08/2012 14/08/2012 13/08/2015

9148721 60025661 FGG HONEY SURI 12/04/1985

1523/7, Gali Mela panda Kt.Charta Singh Amritsar Amritsar Punjab

143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 14/08/2012 14/08/2012 13/08/2015

9148732 60025662 FGG JASNEET KAUR 01/06/1991 #1928/11, Bakarwana Amritsar Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

LIFE INSURANCE

CORPORATION 14/08/2012 14/08/2012 13/08/2015

5103339 60025663 FGG KULAMANI BEHERA 05/05/1971 TAROL, NUAGAON, JAGATPUR, Cuttack Odisha 754021 Jajapur Jajapur Odisha 754021 CUTTACK NO - 30/12/2014 30/12/2014 30/01/2018

8555863 60025666 FGG SHIRISH K K 10/06/1979

GURURAY LAYOUT,2 G9,8TH MAIN ,BANGALORE VENKATAPURE,

BANGALORE Bangalore Karnataka 560020 Kolar Kolar Karnataka 563131 BANGALORE YES

SBI LIFE INSURANCE

COMPANY 19/06/2014 19/06/2014 17/03/2017

9148791 60025667 FGG C CHETHAN SHARMA 30/06/1986

NEAR SANJEEVENI ANJENAYA TEMPLE ,UPPARAHALLI

UPPARAHALLI TUMKUR Tumkur Karnataka 5721-2 Tumkur Tumkur Karnataka 572102 BANGALORE NO - 14/08/2012 14/08/2012 13/08/2015

9148814 60025668 FGG BEDATHUR PUTTAMALLAPPA 21/06/1986

NO123,BASHETTAHALLI,DODDABAL;LAPUR DODDABALLAPUR

DODDABALLAPUR Bangalore Karnataka 5612-3 Bangalore Rural Bangalore Rural Karnataka 561203 INDIRA NAGAR NO - 14/08/2012 14/08/2012 13/08/2015

9149794 60025676 FGG NAGAVEENA B 23/10/1986

NO 714 , 1st C MAIN , 8th BLOCK , JAYANAGAR , Bangalore

Bangalore Karnataka 56--82 Bangalore Bangalore Karnataka 560027 BANGALORE NO - 16/08/2012 16/08/2012 15/08/2015

2989627 60025677 FGG SANTOSH G KALAMKAR 09/07/1976

66/4, SAVITRIBAI PHULE NAGAR, PANT NAGAR, GHATKOPAR (E),

MUMBAI Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 24/01/2013 24/01/2013 05/02/2016

9149984 60025678 FGG RAMESH CHANDRA KUMAWAT 07/10/1978 DHANI NAGAN JOBNER TEHSIL -PHULERA Jaipur Rajasthan 3-2--2 Jaipur Jaipur Rajasthan 302002 JAIPUR NO - 16/08/2012 16/08/2012 15/08/2015

8581473 60025682 FGG VIJAY LAKSHMI 10/12/1980

HNO 138/5 VILL DALLI TEH JALANDHAR Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR YES

LIFE INSURANCE

CORPORATION 13/05/2014 13/05/2014 05/04/2017

8559071 60025683 FGG KAVITA 03/09/1979

HNO 138 DEEP NAGAR JALANDHAR CANTT Jalandhar

Punjab 144005 Jalandhar Jalandhar Punjab 144005 JALANDHAR YES

LIFE INSURANCE

CORPORATION 25/06/2014 25/06/2014 21/03/2017

9151065 60025687 FGG NAUSHAD AHMAD 10/01/1985

A/4-3, Pandav Enclave Apna Ghar, GCC Road Mira Road East

Thane Maharashtra 4-11-7 Thane Thane Maharashtra 401107 BORIVALI NO - 17/08/2012 17/08/2012 16/08/2015

9151103 60025688 FGG SHWETA A CHAUHAN 21/05/1975

Building no 12, room no 94- old MHB colony Gorai road ,Borivali

Mumbai Maharashtra 4---91 Mumbai Mumbai Maharashtra 400091 THANE NO - 17/08/2012 17/08/2012 16/08/2015

8629529 60025689 FGG SURESH KUMAR MADAN 01/06/1949 311, Jai Apptt, Rohini, Sec-9 Delhi Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI YES

MAX NEW YORK LIFE

INSURANCE 04/06/2014 04/06/2014 29/05/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9151190 60025690 FGG PATEL KINJALBEN JAGAT 14/06/1980

SF, C/5, SAUJANYA APPARTMENT, ANNANYA APP B/H. ANNANYA

BUNGLOWS, NR. KAMESHWAR MAHADEV GHODASAR Ahmadabad

Gujarat 38--5- Ahmadabad Ahmadabad Gujarat 380050 AHMEDABAD NO - 17/08/2012 17/08/2012 16/08/2015

9151205 60025692 FGG RAVINDER KUMAR 05/05/1992 923 PREM NAGAR ROHTAK Rohtak Haryana 124--1 Rohtak Rohtak Haryana 124001 ROHTAK NO - 17/08/2012 17/08/2012 16/08/2015

5795762 60025726 FGG RAJENDRA PRASAD AGRAWAL 08/08/1955

Alpine 006 Fantasy Garden 2nd Main Road Kasturi Nagar

BANGALORE Bangalore Karnataka 560033 Bangalore Bangalore Karnataka 560043 BANGALORE YES BIRLA SUN LIFE 23/10/2012 23/10/2012 28/09/2015

9156245 60025728 FGG LATA HARI MANEK 10/12/1989

BUILDING NO.23, ROOM NO.796 BACKSIDE CHEMBUR COLONY

NEAR POST OFFICE MUMBAI Mumbai Maharashtra 4---74 Mumbai Mumbai Maharashtra 400074 VASHI NO - 23/08/2012 23/08/2012 22/08/2015

9156385 60025730 FGG VIJAYA KANNAN 14/05/1969

TC 3/2(1),SNRA-1-,SAPHALYA

NAGAR,KESAVADASAPURAM,TRIVANDRUM,KERALA

KESAVADASAPURAM TRIVANDRUM Thiruvananthapuram Kerala

695--4 Chennai Chennai Tamil Nadu 600006 TRIVANDRAM NO - 23/08/2012 23/08/2012 22/08/2015

9156915 60025738 FGG RESHMA DAS 23/07/1983

AT BADADERA, TOWN KEONJHARGARH, PS TOWN, Kendujhar

Odisha 755-19 Jajapur Jajapur Odisha 755019 CUTTACK NO - 23/08/2012 23/08/2012 22/08/2015

9156929 60025739 FGG MANEESH BEDI 11/05/1981 2169 PEPSU SOCIETY SECTOR-5- Chandigarh Chandigarh 16--47 Chandigarh Chandigarh Chandigarh 160047 CHANDIGARH NO - 23/08/2012 23/08/2012 22/08/2015

9158984 60025750 FGG RAJAT KUMAR 16/02/1975

house No-7-3 Shiva Apprtments sector-21D Faridabad Faridabad

Faridabad Haryana 121--4 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 25/08/2012 25/08/2012 24/08/2015

9159015 60025751 FGG VIKRANT GUPTA 12/11/1979

R/O H no 278 Sec-5 Channi Humat jammu Jammu Jammu &

Kashmir 18--15 JAMMU JAMMU Jammu and Kashmir180015 JAMMU NO - 25/08/2012 25/08/2012 24/08/2015

9159017 60025752 FGG SHAMSHER SINGH 05/09/1981

TALAB TILLO CAMP TRILOKPUR ROAD SWARAN COLONY Jammu

Jammu & Kashmir 18---2 Jammu Jammu Jammu & Kashmir180002 JAMMU NO - 25/08/2012 25/08/2012 24/08/2015

9159039 60025755 FGG ANIMESH SHARMA 12/07/1991 539 N3 AR C sector piplani bhel Bhopal Madhya Pradesh 462-21 Bhopal Bhopal Madhya Pradesh 462021 BHOPAL NO - 25/08/2012 25/08/2012 24/08/2015

9159050 60025756 FGG VIKAS DUA 31/01/1968 FLAT NO 57 PKT B SARITA VIHAR NEW DELHI Delhi Delhi 11--76 DWARKA DWARKA Delhi 110077 CONNAUGHT PLACENO - 25/08/2012 25/08/2012 24/08/2015

9159082 60025759 FGG SAILESH KUMAR TRIPATHY 14/07/1985

AT MUNDAMAL, PO JAJPUR ROAD, JAJPURROAD JAJPUR Jajapur

Odisha 755-19 Jajapur Jajapur Odisha 755019 CUTTACK NO - 25/08/2012 25/08/2012 24/08/2015

9159086 60025760 FGG SMITA MUKHERJEE 20/02/1980

S-7/3, NAVJEEVAN COMPLEX, BARIDIH BARIDIH COLONY

JAMSHEDPUR Purbi Singhbhum Jharkhand 831-17 Purbi Singhbhum Purbi Singhbhum Jharkhand 831017 JAMSHEDPUR NO - 25/08/2012 25/08/2012 24/08/2015

9159100 60025761 FGG JYOTI 03/01/1989 H no- Z-91 Dayal Sar Road Uttam nagar Delhi Delhi 11--59 West Delhi West Delhi Delhi 110059 WEST DELHI NO - 25/08/2012 25/08/2012 24/08/2015

9159119 60025762 FGG MAMTA GUPTA 12/12/1974 H no-227, Block E-16 Rohini New Delhi Delhi Delhi 11--85 North West North West Delhi 110085 WEST DELHI NO - 25/08/2012 25/08/2012 24/08/2015

9159120 60025763 FGG NIDHI GARG 16/09/1988 H no -15-a Hastsal Road Uttam nagar Delhi Delhi 11--59 West West Delhi 110059 WEST DELHI NO - 25/08/2012 25/08/2012 24/08/2015

9159122 60025764 FGG MAJJI MRUDULA 31/07/1985

D NO 12-2-28/1 AZEEMABAD, GAJUWAKA VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 53--26 Visakhapatnam Visakhapatnam Andhra Pradesh 530026 VIZAG NO - 25/08/2012 25/08/2012 24/08/2015

9159123 60025765 FGG D VASU DEVA RAO 22/07/1988

5--16-21/1 RAJENDRA NAGAR, SEETHAM PET VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 53--16 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 25/08/2012 25/08/2012 24/08/2015

9159147 60025768 FGG ARCHANA PRAKASH KARANDIKAR 30/10/1977

22, usha Apt, M.G. Road, Vishunager dombivali (w) Thane

Maharashtra 4212-2 Thane Thane Maharashtra 421202 GHATKOPAR NO - 25/08/2012 25/08/2012 24/08/2015

9159149 60025769 FGG SHALEEN SUNJOY GUREJJA 19/06/1993

FLAT-212, 2ND FLOOR, VEENA VIHAR, NEXT TO

SHANMUKHANANDA HALL, 17 A FLANK ROAD, SION, Mumbai

Maharashtra 400022 Mumbai Mumbai Maharashtra 400022 GHATKOPAR YES BIRLA SUN LIFE 25/08/2012 25/08/2012 24/08/2015

9159152 60025770 FGG SUBHASH BALU KHOT 05/09/1986

EC- 37/B, 2-4, Sai Vatika CHS, Evershine City, Thane Thane

Maharashtra 4-12-2 Thane Thane Maharashtra 401202 GHATKOPAR NO - 25/08/2012 25/08/2012 24/08/2015

9063953 60025771 FGG VITTHAL A AMBURE 20/05/1980

Room No 04 Bhd Lucky Durga Hotel Moraraji Nagar Saki Vihar

Road Andheri Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400087 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE 25/08/2012 25/08/2012 18/05/2015

9059727 60025784 FGG ABHINAYA NARENDRAPRASAD JOSHI 03/08/1971

D 8 SIMANDHAR COMPLEX PRABHAT CHOWK GHATLODIA

Ahmadabad Ahmadabad Gujarat 380061 Ahmadabad Ahmadabad Gujarat 380061 AHMEDABAD YES

TATA AIA LIFE

INSURANCE 27/08/2012 27/08/2012 13/05/2015

9160618 60025786 FGG DIPTI K SHAH 26/01/1985

14-6/1-9, ASHOK MILL NI CHAWLI ASARWA AHMEDABAD

Ahmadabad Gujarat 38--26 Ahmadabad Ahmadabad Gujarat 380026 AHMEDABAD NO - 27/08/2012 27/08/2012 26/08/2015

1904348 60025787 FGG DHING HITESH 22/06/1983

24-B HARI DAS JI KI MAGRI SAJJANGARM ROAD UDAIPUR

Udaipur Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR YES

BaJAJ ALLIANZ LIFE

INSURANCE 13/03/2014 13/03/2014 23/02/2017

9042317 60025796 FGG OPINDERPAL SINGH 18/08/1973 141 New Model Town Ludhiana Ludhiana Ludhiana Punjab 141--1 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 03/04/2012 03/04/2012 02/04/2015

9162474 60025797 FGG GOWTHAM GEMBALI 28/07/1988

1--25 Siva Sankar Colony Pathapatnam Srikakulam Andhra

Pradesh 532213 Srikakulam Srikakulam Andhra Pradesh 532213 VIZAG NO - 28/08/2012 28/08/2012 27/08/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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Details of Individual Agents of the Company as on 31st March 2015

9162502 60025798 FGG BHABANI SANKHAR PADHY 20/05/1989

2-15, Rattini Meliaputti (Mandal) Srikakulam Andhra Pradesh

532215 Srikakulam Srikakulam Andhra Pradesh 532215 VIZAG NO - 28/08/2012 28/08/2012 27/08/2015

9162528 60025799 FGG TARUN BHANDULA 03/11/1986 H.NO.163-A/8 SHIVAJI COLONY ROHTAK Rohtak Haryana 124--1 Rohtak Rohtak Haryana 124001 ROHTAK NO - 28/08/2012 28/08/2012 27/08/2015

9162532 60025800 FGG DEEPAK UDAYKUMAR NARWANI 06/02/1984

Flat No 2-3/D Ramayan Ngr, Dharamdas Marg/ Ulhasnagar Thane

Maharashtra 421--4 Thane Thane Maharashtra 421004 THANE NO - 28/08/2012 28/08/2012 27/08/2015

9162534 60025801 FGG KRISHNA MAHESHWAR PANDEY 01/01/1969

E-1-6, Chandresh Manor Lodha Hevan, Nilije, Dombivili (E)

Dombivali Thane Maharashtra 4212-1 Thane Thane Maharashtra 421201 THANE NO - 28/08/2012 28/08/2012 27/08/2015

9162535 60025802 FGG NAVINKUMAR ANURUDHI SHAH 11/01/1990

Lokmanya chawl no.1, hanuman Nagar Akurli cross road, Kandivali

east Mumbai Maharashtra 4--1-1 Mumbai Mumbai Maharashtra 400101 BORIVALI NO - 28/08/2012 28/08/2012 27/08/2015

9050931 60025803 FGG ROHITKUMAR SHIVKUMAR K GUPTA 08/04/1992

Santoshi Mata Ngr 9, Suryadarshan Soc,Vidhag Paris

Site,Varshanagar,Vikroli W Mumbai Mumbai Mumbai

Maharashtra 400079 Mumbai Mumbai Maharashtra 400001 BORIVALI YES

METLIFE INDIA

INSURANCE 28/08/2012 28/08/2012 25/04/2015

624953 60025808 FGG ASHABEN GHANSHYAMBHAI PATEL 09/11/1974

306 & 307,SHANTI ARCADE NR.SAHAJANAND COMPLEX 132

FT.RING ROAD,NARANPURA Ahmadabad Gujarat

380013 Ahmadabad Ahmadabad Gujarat 380013 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 12/06/2014 12/06/2014 15/07/2017

2758811 60025809 FGG POONAM LAXMAN HOLE 21/06/1986

73/7, Devki Nivas Handewadi Road, Hadpsar, Pune Pune

Maharashtra 411-28 Pune Pune Maharashtra 411028 PUNE NO - 18/06/2013 18/06/2013 22/11/2015

9165246 60025810 FGG M. B. JOSHI 25/11/1986 3 NAVA PLOT VISTAR MAVDI RAJKOT Rajkot Gujarat 36---5 Rajkot Rajkot Gujarat 360005 RAJKOT NO - 30/08/2012 30/08/2012 29/08/2015

9165294 60025811 FGG M MYTHILI .. 19/12/1978

NO.1--1, PANPATTAI 1ST STREET, NANDHANAM Chennai Tamil

Nadu 6---35 Chennai Chennai Tamil Nadu 600035 CHENNAI NO - 30/08/2012 30/08/2012 29/08/2015

9165444 60025813 FGG SARATHKUMAR .. 10/06/1994

PLOT NO, 1236 1ST MAIN ROAD ANNANAGAR Chennai Tamil Nadu

6---4- Chennai Chennai Tamil Nadu 600040 ANNA NAGAR NO - 30/08/2012 30/08/2012 29/08/2015

9165618 60025815 FGG HIMANI DHAWAN 05/09/1991 Balmiki Gate Jalandhar Jalandhar Jalandhar Punjab 144--1 Jalandhar Jalandhar Punjab 144001 ROHTAK NO - 30/08/2012 30/08/2012 29/08/2015

9165658 60025816 FGG MATHEW EMISON 04/12/1980

4/12,Chorappillil house, Substation Road Koothattukulam

Ernakulam Kerala 686662 Koothattukulam Ernakulam Kerala 686662 COCHIN NO - 30/08/2012 30/08/2012 29/08/2015

9165817 60025819 FGG MAJESH MOHAN 12/10/1983

KUTTIYIL HOUSE CHERUKURANJI RANI Pathanamthitta Kerala

689673 Pathanamthitta Pathanamthitta Kerala 689673 COCHIN NO - 30/08/2012 30/08/2012 29/08/2015

9166020 60025822 FGG GEMINI SANJAY WASAN 17/05/1974

FLAT NO 2-4, MERIDIAN CHS LTD, HIRANANDANI MEADOWS,

GLADYS ALWARES ROAD, THANE WEST Thane Maharashtra 4--61- THANE THANE Maharashtra 400610 THANE NO - 30/08/2012 30/08/2012 29/08/2015

5787297 60025826 FGG UPENDRA VIDYASAGAR SHUKLA 26/12/1972

SHIVA GEN STORE SHOP 2 BANDUKWALA CHAWL VIKROLI VILLAGE

(E) Mumbai Maharashtra 400079 Mumbai Mumbai Maharashtra 400079 THANE YES

FUTURE GENERALI LIFE

INSURANCE 30/08/2012 30/08/2012 23/09/2015

9166437 60025828 FGG KAVITA BAI .. 29/01/1986

Baskrapal Nagar The. Kishangarh Bas Alwar Alwar Rajasthan 3-14-

5 Alwar Alwar Rajasthan 301405 JAIPUR NO - 30/08/2012 30/08/2012 29/08/2015

9166539 60025829 FGG AJAY SAKHARAM MALVIYA 27/11/1987 381/5 Neharu Nagar Indore Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 30/08/2012 30/08/2012 29/08/2015

9166321 60025830 FGG AMIT KHUSHAL PEMPAKWAR 16/06/1983

AT.SHRIRAM CHOWK,ALLAPALLI ALLAPALLI ALLAPALLI Gadchiroli

Maharashtra 4427-3 Gadchiroli Gadchiroli Maharashtra 442703 CHANDRAPUR NO - 30/08/2012 30/08/2012 29/08/2015

9166614 60025831 FGG S JAGADISH .. 06/07/1981

5-9-8-2 TO 8-4 GUNFOUNDRY HYDERABAD Hyderabad Telangana 5-

---1 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 30/08/2012 30/08/2012 29/08/2015

4191113 60025833 FGG PRITI JAYPRAKASH MISTRY 28/11/1964

1-A/502 SHARDA NAGAR BEHIND SUNDER NAGAR S V ROAD

MALAD (WEST) MUMBAI Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI YES

LIFE INSURANCE

CORPORATION 09/04/2014 09/04/2014 21/04/2017

698576 60025834 FGG DINESH BABU SAXENA 30/01/1954 C-69 KARBATA B.K.DUTT COLONY Delhi Delhi 110092 East East Delhi 110092 FARIDABAD YES

LIFE INSURANCE

CORPORATION 27/10/2014 27/10/2014 24/08/2017

1062809 60025835 FGG INDU CHAND 15/01/1976 A 68 GALI NO. 6 INDRA NAGAR Delhi Delhi 110033 North North Delhi 110033 FARIDABAD YES

LIFE INSURANCE

CORPORATION 24/08/2012 24/08/2012 12/03/2015

5383794 60025836 FGG BIHOLA RONAKKUMAR ALKESHKUMAR 08/11/1988

C/5/5, BHAGVATI NAGAR, 1ST FLOOR NR. KOTARPUR WATER

WORKS OPP. PREM P ASHRAM, KUBERNAGAR Ahmadabad Gujarat

382340 Gandhinagar Gandhinagar Gujarat 382340 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 30/08/2012 30/08/2012 13/05/2015

9166661 60025837 FGG VINODKUMAR P 30/07/1991

YANTAGAN VILLAGE AND POST YANTAGANA

HALLI,NELAMANGALA BANGALORE RURAL Bangalore Karnataka

562123 Bangalore Rural Bangalore Rural Karnataka 562123 R.T.NAGAR NO - 30/08/2012 30/08/2012 29/08/2015

9166662 60025838 FGG M ANTINAMARY 30/11/1987

2E Santhiyagappar palyam, kems town, Trichy Tiruchirapalli Tamil

Nadu 62---1 Tiruchirappalli Tiruchirappalli Tamil Nadu 620001 TRICHY NO - 30/08/2012 30/08/2012 29/08/2015

9166669 60025839 FGG L NATHIYA 02/02/1991

3/474, North street,semmangur, villupuram Viluppuram Tamil

Nadu 6-61-7 Viluppuram Viluppuram Tamil Nadu 606107 TRICHY NO - 30/08/2012 30/08/2012 29/08/2015

8506961 60025840 FGG M BALAJI 04/08/1984

54 Maniakara Street Trichy Trichy Tiruchirapalli Tamil Nadu

620008 Bangalore Bangalore Karnataka 560041 TRICHY YES

KOTAK MAHINDRA OLD

MUTUAL 30/08/2012 30/08/2012 13/02/2014

9166700 60025841 FGG JAYASREE G 14/09/1985

NE NO 68, GANESAN STREET COIMBATORE Ernakulam Kerala 68-

667 Thrissur Thrissur Kerala 680667 COIMBATORE NO - 30/08/2012 30/08/2012 29/08/2015

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9166703 60025842 FGG FATIMA SAKINA 30/05/1974

17-4-642 DABIRAPURA NAGAR BOWLI DABIRAPURA ALVA BEE BE

Hyderabad Telangana 5---28 Hyderabad Hyderabad Andhra Pradesh 500028 HYDERABAD NO - 30/08/2012 30/08/2012 29/08/2015

9166713 60025843 FGG PEUSH JAIN 29/03/1990

HNO-14-1-373 AGHAPURA HYDERABAD Hyderabad Telangana 5---

48 Hyderabad Hyderabad Andhra Pradesh 500048 HYDERABAD NO - 30/08/2012 30/08/2012 29/08/2015

9166723 60025844 FGG BOREDDY TIRUMAL REDDY 17/07/1987

H NO 4-9-68, ALAMPALLY VILLAGE VIKARABAD Hyderabad

Telangana 5-11-1 Rangareddi Rangareddi Andhra Pradesh 501101 HYDERABAD NO - 30/08/2012 30/08/2012 29/08/2015

9166726 60025845 FGG SUMEDHA GOYAL 13/05/1987

HOUSE NO -2, JAI KUNJ, CH AREA, BISTUPUR JAMSHEDPUR Purbi

Singhbhum Jharkhand 831--1 Purbi Singhbhum Purbi Singhbhum Jharkhand 831001 JAMSHEDPUR NO - 30/08/2012 30/08/2012 29/08/2015

9166731 60025846 FGG MADHU BALA SHARMA 09/02/1983

51 SHIV MANDIR WALI GALI, WARD NO-11, KRISHNAPURI

KISHANGARH Ajmer Rajasthan 3-58-1 Ajmer Ajmer Rajasthan 305801 AJMER NO - 30/08/2012 30/08/2012 29/08/2015

9166735 60025847 FGG RAVINDRA SONARIYA 01/11/1990

153-Kvill Gajnod The.Badnawar Dhar Dhar Madhya Pradesh

454665 Dhar Dhar Madhya Pradesh 454665 INDORE NO - 30/08/2012 30/08/2012 29/08/2015

9166739 60025848 FGG GAURAV VYAS 17/08/1989

2-2, Keshardeep Apartment 71, Narayan Bagh INDORE Indore

Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 30/08/2012 30/08/2012 29/08/2015

9166746 60025850 FGG SAROJ NITIN BAJAJ 27/12/1966

BAJAJ HOUSE, C/O HYDERABAD MOTOR GARAGE, JATHAR PETH,

UTSAV MANGAL KARYALAYA ROAD, AKOLA Akola Maharashtra

444--1 Akola Akola Maharashtra 444001 AKOLA NO - 30/08/2012 30/08/2012 29/08/2015

9166748 60025851 FGG SAKSHEE SACHIN PRADHAN 10/09/1982

44/264,Mangalmurty CHS, MHB colony,Aliyavar Jung Marg, Near

Reliance energy, Dindoshi Nagar, Malad east Mumbai

Maharashtra 4---97 Mumbai Mumbai Maharashtra 400097 BORIVALI NO - 30/08/2012 30/08/2012 29/08/2015

9166750 60025852 FGG PRADEEP KUMAR JHA 15/08/1983

Binod nand jha colony Madhubani ward-5,Town vill- Nagar

parishad Madhubani Madhubani Bihar 8471-2 Rohtas Rohtas Bihar 847102 CONNAUGHT PLACENO - 30/08/2012 30/08/2012 29/08/2015

9166753 60025853 FGG MOHAMMAD ASHARAF HINGORA 27/05/1957

VARDHMAN APPARTMENT, MOUDHA PARA RAIPUR Raipur

Chattisgarh 492--1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 30/08/2012 30/08/2012 29/08/2015

9167026 60025860 FGG MANOJ KUMAR 24/04/1984

S.K-1,83-C, Sector-93, Noida Gautam Buddha Nagar Uttar Pradesh

2-13-5 Ghaziabad Ghaziabad Uttar Pradesh 201305 CONNAUGHT PLACENO - 31/08/2012 31/08/2012 30/08/2015

9167091 60025861 FGG RAKESH KUMAR 15/08/1984

1/3388A, GALI NO 3D,RAVIDAS GATE RAM NAGAR EXT.MANDOLI

ROAD SHAHDARA Delhi Delhi 110035 West West Delhi 110035 CONNAUGHT PLACEYES

KOTAK MAHINDRA OLD

MUTUAL 31/08/2012 31/08/2012 30/08/2015

9167145 60025863 FGG GARIMA ANAND 13/09/1986

H NO 6--61 POCKET I/4, 2nd Floor,Sec-16, Rohini Delhi Delhi 11--

85 North West North West Delhi 110085 WEST DELHI NO - 31/08/2012 31/08/2012 30/08/2015

9167379 60025864 FGG PRITI SINHA 23/10/1984

C/O ABDUL BARI, ZOO ROAD TINALI R G BARUAH ROAD

GUWAHATI Kamrup Assam 781--5 Kamrup Kamrup Assam 781005 GUWAHATI NO - 31/08/2012 31/08/2012 30/08/2015

9170763 60025875 FGG YOJANA N. RAUT 02/01/1986

bldg no.3,flat no.46, triveni nagar co op society, sn.162

hadapsar,pune Pune Maharashtra 411-28 Pune Pune Maharashtra 411028 PUNE NO - 04/09/2012 04/09/2012 03/09/2015

9056540 60025876 FGG VALLAPU SWAMY PAPA RAO 30/08/1988

d no 1 3 4 109 vidyadharapuram kwari appala swami krishna

vijayavada Krishna Andhra Pradesh 520012 Krishna Krishna Andhra Pradesh 520012 VIJAYAVADA YES

FUTURE GENERALI LIFE

INSURANCE 04/09/2012 04/09/2012 06/05/2015

8679057 60025878 FGG BHARAT BHUSHAN 31/08/1982 662 jagjiwan Pura Fatehabad Hisar Haryana 125001 Hisar Hisar Haryana 125001 ROHTAK NO - 02/05/2014 02/05/2014 29/06/2017

9172187 60025882 FGG SHEERAJ MOHD AMEEN 01/01/1984

39, NICHLA MALAKANA BHAG-1, SANDEELA HARDOI Hardoi Uttar

Pradesh 241--1 Hardoi Hardoi Uttar Pradesh 241001 LUCKNOW NO - 05/09/2012 05/09/2012 04/09/2015

9172200 60025883 FGG N VIJAYAKUMAR 01/08/1983

4/5/5 , KRISHTAPPA ONI , GANGAVATHI Gulbarga Karnataka

583227 Koppal Koppal Karnataka 583227 BANGALORE NO - 05/09/2012 05/09/2012 04/09/2015

9172717 60025885 FGG ANAND KAKANI 05/12/1976

HNO 495/15 2RHB 202 PANCHSHEEL NAGAR,AJMER AJMER Ajmer

Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES BIRLA SUN LIFE 06/09/2012 06/09/2012 05/09/2015

9172724 60025886 FGG SULABHA K KARKERA 29/10/1960

14,menzes Bldg,LBS Marg,opp Sheetal cinema, Kurla West

Mumbai Mumbai Maharashtra 4---7- Mumbai Mumbai Maharashtra 400070 BORIVALI NO - 06/09/2012 06/09/2012 05/09/2015

4411487 60025889 FGG POOJA PARIN SHAH 01/04/1980

2 302 , SHREEPATI ARCADE 26 , AUGUST KRANTI MARG

GOWALIA TANK Mumbai Maharashtra 400036 Mumbai Mumbai Maharashtra 400036 GHATKOPAR NO - 15/05/2014 15/05/2014 23/07/2017

9173710 60025893 FGG MANOJ DATTATRAYA SHINDE 15/08/1977

A/P RANJANGAON MASHID TAL PARNER AHMEDNAGAR

Ahmadnagar Maharashtra 4137-3 Ahmadnagar Ahmadnagar Maharashtra 413703 AHMEDNAGAR NO - 07/09/2012 07/09/2012 06/09/2015

9173976 60025895 FGG DEEPAK SINGH THAKUR 07/08/1980

H N.72 GHANDI CHOWK PURANI BASTI KORBA Korba Chattisgarh

495119 Korba Korba Chhattisgarh 495119 RAIPUR NO - 07/09/2012 07/09/2012 06/09/2015

161176 60025897 FGG UDAILAL SHARMA 01/02/1956

145, SHASTRINAGAR CHITTORGARH Chittaurgarh Rajasthan

312001 Chittaurgarh Chittaurgarh Rajasthan 312001 UDAIPUR YES

LIFE INSURANCE

CORPORATION 16/05/2013 16/05/2013 28/06/2016

9174011 60025898 FGG GOUTHAM CHANDRA S 03/09/1987

2/130 4TH STREET KUMARAN COLONY, VADAPALANI Chennai

Tamil Nadu 600026 Chennai Chennai Tamil Nadu 600026 CHENNAI YES

MAX NEW YORK LIFE

INSURANCE 07/09/2012 07/09/2012 06/09/2015

3980307 60025903 FGG SHIKHA B SHAH 13/06/1982

2/G MANMOTI FLATS NR RUKHSHMANI HOSPITAL Ahmadabad

Gujarat 380008 Ahmadabad Ahmadabad Gujarat 380008 RATLAM YES

RELIANCE LIFE

INSURANCE 10/02/2014 10/02/2014 30/01/2017

9174267 60025904 FGG NIRALI SHAH 27/07/1977

8-2 OM SRISHTI DUMPING ROAD MULUND WEST Mumbai

Maharashtra 4---8- Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 07/09/2012 07/09/2012 06/09/2015

9174285 60025905 FGG TADHA FARHEEN NAEEM 12/08/1982

26, GREEN PARK SOCIETY B/H. GUJARAT AGRO PUMP P. O.

JUHAPURA SARKEJ ROAD Ahmadabad Gujarat 38--55 Ahmadabad Ahmadabad Gujarat 380055 AHMEDABAD NO - 07/09/2012 07/09/2012 06/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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9174292 60025906 FGG DEEPAK YADAV 13/11/1982 16, Nirmal Nagar, Bhopal Bhopal Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 07/09/2012 07/09/2012 06/09/2015

9029801 60025907 FGG RINA A SANGHANI 08/07/1984

3, LP Park B/H Nagbai Pan , Kuvadva Rd Rajkot Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360003 RAJKOT YES

LIFE INSURANCE

CORPORATION 07/09/2012 07/09/2012 20/03/2015

8120993 60025908 FGG ALVINA SHAILESH INGLE 20/05/1985

C-706, Shree Manoshi Complex Sector-03 Ghansoli Thane

Maharashtra 400701 Thane Thane Maharashtra 400701 VASHI YES

RELIANCE LIFE

INSURANCE 14/07/2014 14/07/2014 09/06/2016

9174338 60025909 FGG RAKESH C PATEL 15/01/1985

5-81, MOTI KADKI PATEL NO WAGO TUNDAV, TAL SALVI Vadodara

Gujarat 391775 Vadodara Vadodara Gujarat 391775 BARODA NO - 07/09/2012 07/09/2012 06/09/2015

9175291 60025910 FGG NAGARAJAPPA NAVEENKUMAR 01/01/1992

NO 29, 7TH CROSS, VENUGOPAL NAGAR, NAGASANDRA NEAR

ROCKLINE STUDIO Bangalore Karnataka 56--73 Bangalore Bangalore Karnataka 560073 BANGALORE NO - 10/09/2012 10/09/2012 09/09/2015

9175307 60025911 FGG SAMIP DILIP SHAH 03/06/1983

1-1, 1 st floor, nikunj chhaya, Mathuradas Road Kandivali West

Mumbai Maharashtra 4---67 Mumbai Mumbai Maharashtra 400067 GHATKOPAR NO - 10/09/2012 10/09/2012 09/09/2015

8140842 60025912 FGG JAMES ALEXANDER 20/04/1966

#22, Sridhar Glass Road,Behind Rishab Bankers Kammanahalli

Main Road, K M Halli, ST.THOMAS TOWN, BANGALORE Bangalore

Karnataka 560084 Bangalore Bangalore Karnataka 560084 BANGALORE YES

LIFE INSURANCE

CORPORATION 16/07/2013 16/07/2013 21/06/2016

9175602 60025914 FGG M KEERTHIKALA 26/02/1988

4-7 EWS 3RD MAIN BASAWESHWARA NAGAR,BG 2ND STAGE,KHB

COLONY, Bangalore Karnataka 56--79 Bangalore Bangalore Karnataka 560079 BANGALORE NO - 10/09/2012 10/09/2012 09/09/2015

5622119 60025917 FGG NAVITHA VARSHA 15/05/1991 1111/24, 1-th Main, Prakash Nagar, Bangalore Karnataka 56--21 Bangalore Bangalore Karnataka 560021 BANGALORE NO - 05/09/2012 05/09/2012 29/07/2015

9175844 60025918 FGG K JAYATEERTHA 01/07/1971

NO : 49 , TUNGABHADRA BOARD COLONY , MOKA ROAD , BELLARY

Bellary Karnataka 5831-1 Bellary Bellary Karnataka 583101 BANGALORE NO - 10/09/2012 10/09/2012 09/09/2015

9175885 60025919 FGG A KANNAPPAN 05/06/1983 5 Vasantha nagar,2nd street Madurai Madurai Tamil Nadu 625--3 Madurai Madurai Tamil Nadu 625003 MADURAI NO - 10/09/2012 10/09/2012 09/09/2015

9175974 60025920 FGG P MAHENDRAKUMAR 20/04/1978

1-A Perrakka Nagar, Pasumalai Madurai Madurai Tamil Nadu 625--

4 Madurai Madurai Tamil Nadu 625004 MADURAI NO - 10/09/2012 10/09/2012 09/09/2015

9175986 60025921 FGG ANITA ARJUN KADAM 01/02/1985

D-27/1:7, Sector : 25 Jui Co-op Hosuing Scoiety Jui Nagar Thane

Maharashtra 4--7-5 Thane Thane Maharashtra 400705 VASHI NO - 10/09/2012 10/09/2012 09/09/2015

9176134 60025922 FGG DILIP VINAYAK KELKAR 30/11/1945

DALVI APPT, 2ND FLOOR, DR LAZARES RD, Thane Thane

Maharashtra 4--6-1 Thane Thane Maharashtra 400601 THANE NO - 10/09/2012 10/09/2012 09/09/2015

9176607 60025945 FGG SANJEEV KUMAR 20/05/1977

VILLAGE-SHARKPUR PO BARARA DISTT AMBALA Ambala Haryana

133001 Ambala Ambala Haryana 133001 AMBALA YES

LIFE INSURANCE

CORPORATION 11/09/2012 11/09/2012 10/09/2015

9177868 60025972 FGG SUSHEEL KUMAR S DUBEY 11/08/1987

A/1,Awadh Kung Soc Shastri Nagar Khadi No-3 Sakinaka Mumbai

Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 BORIVALI YES

KOTAK MAHINDRA OLD

MUTUAL 12/09/2012 12/09/2012 11/09/2015

9177946 60025973 FGG SNEHAL R SALIAN 22/03/1993

117/3837,Vijayanta Apt nehru nagar Kurla Mumbai Maharashtra 4-

--24 Mumbai Mumbai Maharashtra 400070 BORIVALI NO - 12/09/2012 12/09/2012 11/09/2015

9177970 60025975 FGG HEMINA DINESH PATEL 07/07/1980

Navvarsh Co-op Housing Society,Gorai, Plot no 58,Room C7,

Borivali West Mumbai Maharashtra 4---92 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 12/09/2012 12/09/2012 11/09/2015

9178005 60025978 FGG R THANASELVAN 10/06/1976

A/3, Shanti Niketan Chsl, YAC Nagar, Off Rmakrishna Mandir RD,

Kondivita,Andheri (E) Mumbai Mumbai Maharashtra 4---59 Mumbai Mumbai Maharashtra 400059 ANDHERI NO - 12/09/2012 12/09/2012 11/09/2015

8122421 60025980 FGG UTTAMCHAND NAVIN 29/11/1970

45 KANNADASAN SALAI, T.NAGAR CHENNAI Chennai Tamil

Nadu 600017 Chennai Chennai Tamil Nadu 600017 CHENNAI NO - 17/07/2013 17/07/2013 10/06/2016

9178407 60025981 FGG NAVITA CHAWLA 16/07/1984 35-B Sarabha Nagar Ludhiana Ludhiana Punjab 141--1 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 12/09/2012 12/09/2012 11/09/2015

1686296 60025985 FGG SANJEEV SHARMA 20/07/1973

246 STR. NO.7,TALAB TILLO JAMMU Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu & Kashmir180002 JAMMU YES

BaJAJ ALLIANZ LIFE

INSURANCE 26/07/2013 26/07/2013 18/05/2016

9178631 60025988 FGG ASHWANI KUMAR 06/02/1984

KHOUIR NARAYANA TEH AKHNOOR AKHNOOR Jammu Jammu &

Kashmir 18---1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 12/09/2012 12/09/2012 11/09/2015

9178733 60025992 FGG S KASTURI 27/11/1976

NO 12-/2_1- NERU STREET, TIRUVERKADU Thiruvallur Tamil Nadu

6---77 Thiruvallur Thiruvallur Tamil Nadu 600077 CHENNAI NO - 12/09/2012 12/09/2012 11/09/2015

9178772 60025993 FGG NANDHINI 12/06/1984 23/C VALLUVAR NAGAR MEENJUR Thiruvallur Tamil Nadu 6-12-3 Thiruvallur Thiruvallur Tamil Nadu 601203 CHENNAI NO - 12/09/2012 12/09/2012 11/09/2015

9179692 60026003 FGG ASHISH NAVLANI 26/12/1987

SATGURU SKODA DEVAS NAKA A. B RD INDORE Indore Madhya

Pradesh 45---1 East Nimar East Nimar Madhya Pradesh 450001 INDORE NO - 13/09/2012 13/09/2012 12/09/2015

8552417 60026012 FGG DIMPLE GARG 21/09/1973

192/1, Ward No.24, Sargoda Colony, Kaithal, Kaithal

Haryana 136027 KAITHAL KAITHAL Haryana 136027 CHANDIGARH NO - 22/09/2014 22/09/2014 16/03/2017

1099438 60026013 FGG JAYACHANDRANNAIR 25/11/1955

TC-06/1492, AMRUTHAM PAPER MILL ROAD AKKULAM

Thiruvananthapuram Kerala 695031 Thiruvananthapuram ThiruvananthapuramKerala 695031 TRIVANDRAM YES

BAJAJ ALLIANZ LIFE

INSURANCE 12/06/2012 12/06/2012 17/03/2015

9180733 60026014 FGG CHANDNI PINKESH VORA 30/07/1983

Flat No.234, Chander Kiran, S V Road, Mumbai Mumbai

Maharashtra 4---64 Mumbai Mumbai Maharashtra 400064 FORT NO - 14/09/2012 14/09/2012 13/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

5553542 60026015 FGG SANDIP ANIL TIWALE 06/06/1982

PL.NO.2, NEHRU NAGAR ISOLATION HOSPITAL ROAD KOLHAPUR

Kolhapur Maharashtra 416012 Kolhapur Kolhapur Maharashtra 416012 KOLHAPUR YES

LIFE INSURANCE

CORPORATION 14/09/2012 14/09/2012 12/07/2015

2628085 60026018 FGG BHOOMIKA MAHABAL SHETTY 06/01/1958

A 5-4-5-5 SAI SHRADDHA CO OP HSG SOCY. NEAR DATTAGURU

SOCY. DEONAR MUMBAI Mumbai Maharashtra 4---88 Mumbai Mumbai Maharashtra 400088 ANDHERI NO - 11/09/2012 11/09/2012 25/09/2015

9181011 60026019 FGG S SENTHILKUMAR 21/04/1984

NO.1-,UDAYARPALAYAM, PUDUPEDU,MINJUR, PONNERI TK

Thiruvallur Tamil Nadu 6-12-3 Thiruvallur Thiruvallur Tamil Nadu 601203 CHENNAI NO - 14/09/2012 14/09/2012 13/09/2015

9181070 60026020 FGG PAWAN SHARMA 29/08/1987

P.NO 87, Nirmal Vihar Benaar Road, Dadi Ka Phatak Jhotawara

Jaipur Rajasthan 3-2-12 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 14/09/2012 14/09/2012 13/09/2015

9181295 60026022 FGG RAM KRISHNA MULLAPUDI 06/11/1982

Fl:4-1,Raj kamal apts Laysons bay colony VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 53---5 Visakhapatnam Visakhapatnam Andhra Pradesh 530005 VIZAG NO - 14/09/2012 14/09/2012 13/09/2015

9181372 60026025 FGG HEMANT HARIVADAN DALAL 26/11/1972

PLOT NO A/119, PRABHUDARSHAN SOC.A,NR.UGAT

NAHER,BHESAN ROAD,JAHANGIRABAD, SURAT Surat Gujarat 395--

5 Surat Surat Gujarat 395005 SURAT NO - 14/09/2012 14/09/2012 13/09/2015

3216185 60026026 FGG SHELLY 03/01/1986

M/S SUBHASH CHANDER RAJ KUMAR,PARTAP BAZAR, AMRITSAR

Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

LIFE INSURANCE

CORPORATION 14/03/2013 14/03/2013 29/03/2016

9181452 60026027 FGG SIDHARTH M 01/02/1993

TC/8/1-

18(15),GAUTHAMA,BLANKATHNAGAR,VALIYAVILA,THIRUMALA

VALIYAVILA TRIVANDRUM Thiruvananthapuram Kerala 695--6 Thiruvananthapuram ThiruvananthapuramKerala 695006 TRIVANDRAM NO - 14/09/2012 14/09/2012 13/09/2015

9181459 60026028 FGG DILEEP KUMAR N S 30/05/1978

KUZHIVILA VADAKKEKARA VEEDU,PERINGAMMALA,KALLIYOOR P O

TRIVANDRUM PERINGAMMALA TRIVANDRUM

Thiruvananthapuram Kerala 695563 Thiruvananthapuram ThiruvananthapuramKerala 695563 TRIVANDRAM NO - 14/09/2012 14/09/2012 13/09/2015

9183239 60026042 FGG DIVYESH THAKKAR 25/07/1989

Vishnu Villa, 3rd Floor, 51--A, Flat No-7 Masani Road, Matunga

Mumbai Mumbai Maharashtra 4---19 Mumbai Mumbai Maharashtra 400019 FORT NO - 17/09/2012 17/09/2012 16/09/2015

9183306 60026043 FGG PRACHI DHAVAL SHAH 15/12/1987

3-1, SHIMONI APPT, MALVIYA ROAD, VILE PARLE EAST Mumbai

Maharashtra 4---57 Mumbai Mumbai Maharashtra 400057 GHATKOPAR NO - 17/09/2012 17/09/2012 16/09/2015

9183298 60026044 FGG PAYAL M MENON 22/05/1994

NO 297 12TH B CROSS PAI LAYOUT DOORAVANINAGAR

BANGALORE Bangalore Karnataka 56--16 Bangalore Bangalore Karnataka 560016 INDIRA NAGAR NO - 17/09/2012 17/09/2012 16/09/2015

9183349 60026045 FGG SHYAM HINGORANI 15/08/1954 77 NAGINA BAGH,AJMER Ajmer Ajmer Ajmer Rajasthan 3-5--1 Ajmer Ajmer Rajasthan 305001 AJMER NO - 17/09/2012 17/09/2012 16/09/2015

9115007 60026046 FGG VIVEK RAO 12/07/1984 Li 89 Sector Aliganj Lko Lucknow Lucknow Uttar Pradesh 226020 Lucknow Lucknow Uttar Pradesh 226020 LUCKNOW YES

FUTURE GENERALI LIFE

INSURANCE 17/09/2012 17/09/2012 10/07/2015

9183436 60026048 FGG KAMAL KUMAR AGARWAL 07/08/1970

SNEHA BUNGLO 167/1 KAMGAR NAGAR OPP ROAPLAS FACTORY

BEHIND SAI PARADISE PIMPRI PUNE Pune Maharashtra 411-18 Pune Pune Maharashtra 411018 CHINCHWAD NO - 17/09/2012 17/09/2012 16/09/2015

477492 60026065 FGG JAYESH SHANTILAL MEHTA 24/03/1968

L/3, Gujarat Housing Board Street No.5 Rajkot Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES BIRLA SUN LIFE 11/02/2014 11/02/2014 14/03/2017

9184621 60026066 FGG SEHEJ GULATI 18/06/1972 4 / 8/ 6, 7 - A Tailor Road Amritsar Amritsar Punjab 143--1 Amritsar Amritsar Punjab 143001 ANDHERI NO - 18/09/2012 18/09/2012 17/09/2015

9184867 60026067 FGG VASTUPAL J SHAH 03/11/1993

B/7 , Valani Estate Khot Kowa Rd,Rani Sati Marg Malad East

Mumbai Maharashtra 4---67 Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 18/09/2012 18/09/2012 17/09/2015

9184958 60026068 FGG MANDAAR SATWILKAR 19/02/1986

B 9 BLUE DIAMOND GILBIRT HILL RD MUMBAI Mumbai

Maharashtra 4---58 Mumbai Mumbai Maharashtra 400058 PRABHADEVI NO - 18/09/2012 18/09/2012 17/09/2015

9185258 60026069 FGG TRIDEEPA CHARU CHANDA 09/01/1993

AT-SARIPUR PO/PS-BALIPATNA,KHURDA BALIPATANA KHURDA

BHUBANESHWAR Odisha 7521-2 Puri Puri Odisha 752102 BHUBANESWAR NO - 18/09/2012 18/09/2012 17/09/2015

9185280 60026070 FGG LATIKA BHASKAR SALIAN 27/11/1993

1-1,Sargam vasant Complex,Mahavir Nagar, near New link road

Signal, Kandivali West Mumbai Maharashtra 4---67 Mumbai Mumbai Maharashtra 400067 BORIVALI NO - 18/09/2012 18/09/2012 17/09/2015

9186042 60026074 FGG DINKAR KRISHNAN 24/04/1979

27/4-94 C CHAKKALACKAL ROAD THEVARA PO Ernakulam Kerala

682-13 Ernakulam Ernakulam Kerala 682013 COCHIN NO - 20/09/2012 20/09/2012 19/09/2015

9187843 60026085 FGG GADDAM KRISHNA SAI AMITH 28/11/1985

PLOT NO-3-8, FLAT NO-2-4, GK SUDARSHAN APTS, BHARANI

COLONY, NEREDEMET, SAINIKPURI BACKSIDE OF HANUMAN

TEMPLE, Hyderabad Telangana 5---94 Rangareddi Rangareddi Andhra Pradesh 500094 KUKKATPALLY NO - 21/09/2012 21/09/2012 20/09/2015

9187853 60026086 FGG RAVIKUMAR SEEMAKURTHI 16/05/1975

74-7-5/3, DONKA ROAD PATAMATA VIJAYAWADA Krishna Andhra

Pradesh 52--1- Krishna Krishna Andhra Pradesh 520010 KUKKATPALLY NO - 21/09/2012 21/09/2012 20/09/2015

9187854 60026087 FGG RASHMI RANI DAS 12/06/1977

Plot No-804, Mahavir Nagar, Laxmi Sagar, Bhubaneswar

BHUBANESHWAR Odisha 751006 Khordha Khordha Odisha 751006 BHUBANESWAR YES

HDFC STANDARD LIFE

INSURANCE 21/09/2012 21/09/2012 20/09/2015

9187855 60026088 FGG SATYAJIT PATTNAIK 21/06/1978

PLOT NO-164,CHAKEISIHANI NEAR D N CLUB OUSE. RASULGARH

BHUBANESHWAR Odisha 751--1 Khordha Khordha Odisha 751001 BHUBANESWAR NO - 21/09/2012 21/09/2012 20/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9190013 60026101 FGG KAMAL PODDAR 12/10/1989

C/O GIRIN DEKA FLAT NO - B6-2 SREE ENCLAVE JAYANAGAR ROAD

BELTOLA TINIALI GUWAHATI Kamrup Assam 781-28 Kamrup Kamrup Assam 781028 GUWAHATI NO - 24/09/2012 24/09/2012 23/09/2015

9190018 60026102 FGG KHIRUD BORAH 01/01/1980

VILL - NO 1 RANGATI MICHAMORA RANGATI CHARIALI LAKHIMPUR

Lakhimpur Assam 784165 Lakhimpur Lakhimpur Assam 784165 GUWAHATI NO - 24/09/2012 24/09/2012 23/09/2015

9190021 60026103 FGG RUSHNA CHOUDHURY 19/08/1983

H/N- 17 RUPALI PATH R G BARUAH ROAD AIDC P.O ZOO ROAD

GUWAHATI Kamrup Assam 781-24 Kamrup Kamrup Assam 781024 GUWAHATI NO - 24/09/2012 24/09/2012 23/09/2015

9190025 60026104 FGG SEEMA CHOUDHARY 16/12/1982

H/N - 4 CHAMPAK NAGAR LALMATI ROAD BHETAPARA GOHAIBARI

GUWAHATI Kamrup Assam 781-28 Kamrup Kamrup Assam 781028 GUWAHATI NO - 24/09/2012 24/09/2012 23/09/2015

9190026 60026105 FGG GOPAL DAS 15/06/1973

h no 16 pallan walla p s akhnoor dist jammu Jammu Jammu &

Kashmir 18---1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 24/09/2012 24/09/2012 23/09/2015

9190027 60026106 FGG SUDHAKAR N 01/09/1982

359 Vidyamanya Nagar, Andrahalli Bangalore Bangalore Karnataka

56--91 Bangalore Bangalore Karnataka 560091 BANGALORE NO - 24/09/2012 24/09/2012 23/09/2015

9190028 60026107 FGG VIKAS VASANT CHAVAN 25/05/1985

A-49/-:4, Sector - 15 Airoli, Navi Mumbai Thane Maharashtra 4--7-

8 Thane Thane Maharashtra 400708 VASHI NO - 24/09/2012 24/09/2012 23/09/2015

9190031 60026108 FGG SUNNY KRISHANLAL PHULL 06/09/1990

C-2 type, Bldg no. 16 geetanjali Aptmnt, room No.2, Sec-16 Vashi,

Navi Mumbai Thane Maharashtra 4--7-1 Thane Thane Maharashtra 400701 VASHI NO - 24/09/2012 24/09/2012 23/09/2015

9190033 60026109 FGG NAVEEN GULATI 15/02/1983 H.NO.EP-2--/15 JACUMPURA GURGAON Gurgaon Haryana 122--1 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 24/09/2012 24/09/2012 23/09/2015

9190036 60026111 FGG JAGRAM LUHANIWAL 20/09/1983 H.NO.117 VILL. BASUDA THE.REWARI Rewari Haryana 122100 New Delhi New Delhi Delhi 110001 GURGAON YES

ING VYSYA LIFE

INSURANCE 24/09/2012 24/09/2012 23/09/2015

9190212 60026117 FGG SUDHIR PANICKER 15/03/1983

Om Shree Balaji Chs, R No.1-3, Navghar Village, Bhayander Easr

Thane Maharashtra 4--6-3 Thane Thane Maharashtra 400603 BORIVALI NO - 25/09/2012 25/09/2012 24/09/2015

9190158 60026118 FGG ANKIT JAIN 16/03/1992

2248, GALI ANAR KINARI BAZAR, CHANDNI CHOWK, DELHI Delhi

Delhi 11---6 Central Central Delhi 110006 FARIDABAD NO - 25/09/2012 25/09/2012 24/09/2015

384816 60026119 FGG GAURAV VASANI 28/01/1982

102, Divine Paradise, IC Colony, Cross Rd.2, BORIVILI WEST

Mumbai Maharashtra 400092 Mumbai Mumbai Maharashtra 400103 BORIVALI YES

AVIVA LIFE INSURANCE

COMPANY 21/01/2014 21/01/2014 14/01/2017

9190160 60026120 FGG RAKESH JAISWAL 17/05/1970

House No-429, Sector-28 Faridabad Faridabad Faridabad Haryana

121--3 Faridabad Faridabad Haryana 121003 FARIDABAD NO - 25/09/2012 25/09/2012 24/09/2015

9190368 60026121 FGG NIKHIL SURYAKANT PATIL 06/02/1989

47/771, Gulmohar Chs, MHB Colony, Borivali East Mumbai

Mumbai Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 BORIVALI NO - 25/09/2012 25/09/2012 24/09/2015

9190161 60026122 FGG SONAM KAPOOR 27/07/1988

HOUSE NO 1-, Krishna Gali, gopal nagr nehru colony, majitha raod

Amritsar Punjab 143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 25/09/2012 25/09/2012 24/09/2015

9190488 60026125 FGG PRASANT ADIMULAM 14/02/1977

SAILILA ENCLAVE, BEFORE GREEN PARK ENCLAVE HYDERABAD

HYDERABAD Hyderabad Telangana 5---62 HYDERAABD HYDERAABD Andhra Pradesh 500062 HYDERABAD NO - 25/09/2012 25/09/2012 24/09/2015

9190563 60026126 FGG ROKKALA JAYA PRAKASH 15/04/1972

FLAT NO-1-1, SRI LAXMI NARSIMHA APTS HANUMAN NAGAR

BODUPPAL, NARAPALLY Hyderabad Telangana 5---39 Rangareddi Rangareddi Andhra Pradesh 500039 HYDERABAD NO - 25/09/2012 25/09/2012 24/09/2015

9190642 60026129 FGG V KRISHNA NEKKALAPUDI 19/08/1988

12-129, YERRAMALLA VILLAGE UNGUHIR MANDAL, WEST

GODAVARI West Godavari Andhra Pradesh 534411 West Godavari West Godavari Andhra Pradesh 534411 HYDERABAD NO - 25/09/2012 25/09/2012 24/09/2015

9190165 60026130 FGG REENA .. 27/05/1982 284, Puthusseriparamp Kunnamangalam Kozhikode Kerala 673--1 Kozhikode Kozhikode Kerala 673001 CALICUT NO - 25/09/2012 25/09/2012 24/09/2015

9190670 60026131 FGG IBRAHIM KALEEL K. M. 30/12/1984

KULANGARA KUDLU POST KASARAGOD KASARAGOD KASARAGOD

Kasaragod Kerala 671124 Kasaragod Kasaragod Kerala 671124 MANGALORE NO - 25/09/2012 25/09/2012 24/09/2015

4491276 60026132 FGG CHELLIAH MUDALIAR THEETHARAPPA 18/04/1948

192 WEST CAR STREET TIRUNELVELI TOWN Tirunelveli Tamil

Nadu 627006 Tirunelveli Tirunelveli Tamil Nadu 627001 MADURAI YES

SBI LIFE INSURANCE

COMPANY 18/07/2014 18/07/2014 12/08/2017

9190696 60026133 FGG DIVYA PRAKASH 18/07/1984

8-14-, Someshwara Uchila Bhoni Higher Primary School,

Soneshwara Mangalore Mangalore Karnataka 575-23 Dakshina Kannada Dakshina Kannada Karnataka 575003 MANGALORE NO - 25/09/2012 25/09/2012 24/09/2015

9190167 60026134 FGG M.R. MAHALAKSHMI 30/07/1979

NEW NO.43,PLOT NO.37, NATESANAGAR 5TH MAIN ROAD

VIRUGAMBAKKAM Chennai Tamil Nadu 6---92 Thiruvallur Thiruvallur Tamil Nadu 600092 CHENNAI NO - 25/09/2012 25/09/2012 24/09/2015

9190768 60026135 FGG JAGRUTI BHANUSHALI 04/04/1986

Plot no 169, Room no 18, Jawahar Nagar, Road No 2, Goregaon

West Mumbai Maharashtra 4---63 Mumbai Mumbai Maharashtra 400063 GHATKOPAR NO - 25/09/2012 25/09/2012 24/09/2015

9064664 60026136 FGG AMAR DINESH 20/04/1978

T6 MAHALAKSHMI APTS 80-84 NATTUSUBRAYAN ST Mylapore

Chennai Tamil Nadu 600004 Chennai Chennai Tamil Nadu 600004 CHENNAI YES

TATA AIA LIFE

INSURANCE 25/09/2012 25/09/2012 20/05/2015

9190169 60026137 FGG JEEVALAYAM S. 06/06/1963

OLD NO.21, NEW NO.4, ANDAL NAGAR, 7TH CROSS STREET,

ADAMBAKKAM Chennai Tamil Nadu 6---8- Thiruvallur Thiruvallur Tamil Nadu 600080 CHENNAI NO - 25/09/2012 25/09/2012 24/09/2015

9190777 60026138 FGG ATUL KUMAR 21/08/1989 R/O HASANPUR, tehsil hodal PALWAL Faridabad Haryana 1211-2 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 25/09/2012 25/09/2012 24/09/2015

9190198 60026139 FGG DEVADASSOU R. 24/11/1978 NO.3, NEW STREET EAMBALAM Puducherry Pondicherry 6-51-6 Pondicherry Pondicherry Pondicherry 605106 PONDICHERRY NO - 25/09/2012 25/09/2012 24/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9190804 60026142 FGG DEEPAK KUMAR 22/08/1982

h no 1/40 ward no 21 Near Pathania Public School gohana road

rohtak Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 FARIDABAD YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 25/09/2012 25/09/2012 24/09/2015

9190200 60026143 FGG KALPANA .. 22/08/1982

NO.19, METTU STREET, ODHIYAMPATTU Puducherry Pondicherry

6-511- Viluppuram Viluppuram Tamil Nadu 605110 PONDICHERRY NO - 25/09/2012 25/09/2012 24/09/2015

9190810 60026144 FGG RANJANA DEVI 04/02/1985 1 block 17 dakshin puri extn delhi Delhi Delhi 11--62 South South Delhi 110062 CONNAUGHT PLACENO - 25/09/2012 25/09/2012 24/09/2015

9190202 60026145 FGG GAURAV DUBEY 30/09/1979 22- Rafel tower Old plasia Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 25/09/2012 25/09/2012 24/09/2015

9191210 60026146 FGG TARUN KUMAR 22/04/1978 HOUSE NO 326 VPO UCHANA KARNAL Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 25/09/2012 25/09/2012 24/09/2015

9190204 60026147 FGG JYOTI PRAKASH SHARMA 08/12/1977 A-1/197, MADHU VIHAR DELHI Delhi Delhi 11--59 West West Delhi 110059 CONNAUGHT PLACENO - 25/09/2012 25/09/2012 24/09/2015

9190206 60026149 FGG AMARJEET KOUR KHALSA 12/07/1975 34/1545 GURUNANAK NAGAR RAIPUR Raipur Chattisgarh 492--1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 25/09/2012 25/09/2012 24/09/2015

4365100 60026151 FGG RITU BALA 18/10/1969

22 Ward No. 21 Gita Bhawan Road Hanuman Chowk Tehsil

Gurdaspur Gurdaspur Punjab 143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR YES

LIFE INSURANCE

CORPORATION 12/09/2014 12/09/2014 06/07/2017

9191308 60026152 FGG AKANKSHA DHICO 16/12/1992 8/385, Rajni Khand Sharda Nagar Lucknow Uttar Pradesh 2-95-6 Unnao Unnao Uttar Pradesh 209506 HOSHIARPUR NO - 25/09/2012 25/09/2012 24/09/2015

9191319 60026153 FGG PANCHAKSHARI .. 06/08/1986

KARADALU SANTHE NELUKERE POST TIPTUR TUMKUR Tumkur

Karnataka 572224 Tumkur Tumkur Karnataka 572224 BANGALORE NO - 25/09/2012 25/09/2012 24/09/2015

9191349 60026154 FGG NATESH S. 17/07/1986

BIRAVESHWARA NILAYA RING ROAD ,KYATHSANDRA TUMKUR

Tumkur Karnataka 5721-5 Tumkur Tumkur Karnataka 572105 BANGALORE NO - 25/09/2012 25/09/2012 24/09/2015

9191407 60026156 FGG NIKLESH FULCHANDRA PATIL 03/02/1990

Bhoper Gaon,Nandivali,Dombilvali, Thane Dombivali Thane Thane

Maharashtra 4212-1 Thane Thane Maharashtra 421201 VASHI NO - 25/09/2012 25/09/2012 24/09/2015

9191443 60026157 FGG S. GUNASEKARAN 25/06/1968

8/86, Avarankadu, Northsulli Ppalayam Uppupalayam PO T Gode

TK Namakkal Tamil Nadu 6372-1 Namakkal Namakkal Tamil Nadu 637201 TRICHY NO - 25/09/2012 25/09/2012 24/09/2015

9191485 60026159 FGG KARTHIKEYAN .. 20/07/1983

NO 28-J, BAVA GOPAL SAMI STREET THIRUVARUR, Thiruvallur

Tamil Nadu 61---1 Thiruvarur Thiruvarur Tamil Nadu 610001 TRICHY NO - 25/09/2012 25/09/2012 24/09/2015

9192299 60026164 FGG ASHISH KAJARIA 27/10/1980

CL-196 GRD FLOOR, SECTOR-2 SALT LAKE CITY Kolkata West Bengal

7---91 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700091 KOLKATA NO - 26/09/2012 26/09/2012 25/09/2015

9192370 60026165 FGG MONALISA PAL 02/11/1978

44/3 44/3 UMESH MUKHERJEE ROAD KOLKATA Kolkata West

Bengal 7---56 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700056 KOLKATA NO - 26/09/2012 26/09/2012 25/09/2015

9192414 60026166 FGG JATIN KUMAR 13/06/1985

H NO-242, WARD NO-148 SEC-4, F.P JHIRKA Gurgaon Haryana

1221-2 Gurgaon Gurgaon Haryana 122102 FARIDABAD NO - 26/09/2012 26/09/2012 25/09/2015

9192446 60026168 FGG PANKAJ JUGIA 12/06/1981

H NO H 12, CSIR SCIENTIST APARTMENT, NEAR ASHRAM CHOWK,

MAHARANI BAGH, Delhi Delhi 11--65 South South Delhi 110065 FARIDABAD NO - 26/09/2012 26/09/2012 25/09/2015

586333 60026169 FGG SUNITA BANKA 11/07/1966

C-1/3 BIMA ABASAN 594/1 DAKHINDARI ROAD KOLKATA Kolkata

West Bengal 700048 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700048 KOLKATA YES

LIFE INSURANCE

CORPORATION 03/06/2014 03/06/2014 29/07/2017

9192515 60026171 FGG KIRANKUMARI GUPTA 03/05/1993

Ashok nagar, Room no 24, Garibi hatao ngar Kurla West Mumbai

Maharashtra 4---7- Mumbai Mumbai Maharashtra 400070 GHATKOPAR NO - 26/09/2012 26/09/2012 25/09/2015

423466 60026172 FGG SITARAM G YADAV 03/03/1959

SAINATH CHS, SANJAY NAGAR, POWAI ROAD, PARK SITE,

VIKHROLI (W), MUMBAI. Mumbai Maharashtra 400079 Mumbai Mumbai Maharashtra 400079 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 17/02/2014 17/02/2014 16/02/2017

9192530 60026173 FGG SUMAN GUPTA 27/05/1979 5/6- VIKAS NAGAR LUCKNOW Lucknow Uttar Pradesh 226--1 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 26/09/2012 26/09/2012 25/09/2015

5578042 60026174 FGG NALINI MOHANRAJ 23/05/1952

39 B Venaktesh Nagar Virugambakkam Chennai Tamil Nadu

600092 Thiruvallur Thiruvallur Tamil Nadu 600092 ANNA NAGAR YES

FUTURE GENERALI LIFE

INSURANCE 26/09/2012 26/09/2012 16/07/2015

9192739 60026175 FGG MARTINE JUSTINE ARUJA 22/12/1979

Pamathara house, Pambayimoola Edakochi P O, Ernakulam Kerala

682--6 Ernakulam Ernakulam Kerala 682006 COCHIN NO - 26/09/2012 26/09/2012 25/09/2015

9192763 60026176 FGG LAXMIDHAR SAHOO 10/05/1983

At Dadhipatna, Po Narendrapur, Rajsunakhala, Nayagarh Odisha

752-65 Nayagarh Nayagarh Odisha 752065 BHUBANESWAR NO - 26/09/2012 26/09/2012 25/09/2015

9192770 60026177 FGG SHASHIKANT YADAV 10/03/1994

PARDIH, NEAR SHIV MANDIR PO-KAPALI CHANDIL Purbi

Singhbhum Jharkhand 831-12 Purbi Singhbhum Purbi Singhbhum Jharkhand 831012 JAMSHEDPUR NO - 26/09/2012 26/09/2012 25/09/2015

9192807 60026178 FGG NABAL KISHOR 25/12/1985

Q NO 46/2/4, RANCHI ROAD CHHOTA GOVINDPUR PO-THANA

CHHOTA GOVINDPUR HOUSING COLONY Purbi Singhbhum

Jharkhand 831-15 Purbi Singhbhum Purbi Singhbhum Jharkhand 831015 JAMSHEDPUR NO - 26/09/2012 26/09/2012 25/09/2015

9192822 60026179 FGG MAMTA CHOURASIYA 03/12/1979

68A, GAMAHARIA, ROAD NO 6 PO - GAMAHARIA GAMAHARIA

Purbi Singhbhum Jharkhand 8321-8 Purbi Singhbhum Purbi Singhbhum Jharkhand 832108 JAMSHEDPUR NO - 26/09/2012 26/09/2012 25/09/2015

9192841 60026181 FGG PROMILA SHARMA 11/11/1983

1--- RAMEE PARK SOCIETY DINDOLI 4 CHONASI Surat Gujarat

39421- Surat Surat Gujarat 394210 GURGAON NO - 26/09/2012 26/09/2012 25/09/2015

5784183 60026182 FGG GULIPILLI BHAGYLAKSHMI 10/04/1982

49-16-8 NEAR SAI BABA TEMPLELALITHA NAGAR VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530004 VIZAG YES

FUTURE GENERALI LIFE

INSURANCE 26/09/2012 26/09/2012 22/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9192938 60026183 FGG SUREDDI SRINIVASARAO 01/08/1975

39-25-36/15 SIVANI SCHOOL BUILDING, SITANNA GARDENS,

MADHAVADHARA VISAKHAPATNAM Visakhapatnam Andhra

Pradesh 53---7 Visakhapatnam Visakhapatnam Andhra Pradesh 530007 VIZAG NO - 26/09/2012 26/09/2012 25/09/2015

9192943 60026184 FGG SHYAM KUMAR 10/11/1980

14-5-5/2 WARD NO-19 VENKATAPATHIRAJU MARG

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 53--18 Visakhapatnam Visakhapatnam Andhra Pradesh 530018 VIZAG NO - 26/09/2012 26/09/2012 25/09/2015

9193016 60026185 FGG DEVANDRA J VISPUTE 27/12/1981

11---74 Shivshakti Nagar Akota road Baroda Vadodara Gujarat

390020 Vadodara Vadodara Gujarat 390020 BARODA YES BIRLA SUN LIFE 26/09/2012 26/09/2012 25/09/2015

9193044 60026186 FGG K KARTHIK 15/03/1987

NO.1-6, DHARMARAJAKOIL LANE COIMBATORE Coimbatore Tamil

Nadu 641--1 Coimbatore Coimbatore Tamil Nadu 641001 COIMBATORE NO - 26/09/2012 26/09/2012 25/09/2015

9193115 60026187 FGG PINKI GUPTA 11/05/1984 85/172 Pratap Nagar Sanganer Jaipur Rajasthan 3-1--1 Alwar Alwar Rajasthan 301001 JAIPUR NO - 26/09/2012 26/09/2012 25/09/2015

8662092 60026189 FGG R. NANDHINI 25/07/1974

BLOCK 4 Peach flat B-4 Orchard apt, 85,86,87, NSK Salai

Saligramam Chennai Tamil Nadu 600093 Chennai Chennai Tamil Nadu 600093 CHENNAI NO - 15/05/2014 15/05/2014 21/06/2017

9193393 60026191 FGG ANU VERMA 08/07/1990 H.No.3165 Sector-44D Chandigarh Chandigarh Chandigarh 16--47 Chandigarh Chandigarh Chandigarh 160047 CHANDIGARH NO - 26/09/2012 26/09/2012 25/09/2015

9193397 60026193 FGG RUCHIKA MOTGHARE 17/09/1992

PLOT NO.497/A, NEW NANDANVAN NEAR CORPORATION

SCHOOL&OFFICE NAGPUR Nagpur Maharashtra 44---9 Nagpur Nagpur Maharashtra 440009 NAGPUR NO - 26/09/2012 26/09/2012 25/09/2015

9193399 60026195 FGG BANDANADAM ANAND KUMAR 12/11/1982

4-41-139/3, PAPIREDDY NAGAR KUKATPALLY Rangareddy

Telangana 5---72 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 DILSUKHNAGAR NO - 26/09/2012 26/09/2012 25/09/2015

9138036 60026197 FGG SUSHIL KUMAR 18/12/1981

H. NO. 61 VILL BIBIPUR BRAHAMNAN KARNAL Karnal Haryana

132001 Karnal Karnal Haryana 132001 ROHTAK YES

MAX NEW YORK LIFE

INSURANCE 26/09/2012 26/09/2012 30/07/2015

9193455 60026198 FGG JAGDISH PARSAD NAUTIYAL 01/06/1981 Q 3-5 SH G P NAUTIYAL GURGAON Gurgaon Haryana 121--1 Faridabad Faridabad Haryana 121001 GURGAON NO - 26/09/2012 26/09/2012 25/09/2015

4560983 60026199 FGG SUNIL KUMAR 09/09/1979 259A PKT D-6 Sec-6 Rohini Delhi Delhi 110085 North West North West Delhi 110085 CONNAUGHT PLACEYES AEGON RELIGARE LIFE 17/10/2014 17/10/2014 31/08/2017

9193476 60026200 FGG DHIRAJ KUMAR SINGH 09/01/1982 WS 1/1 Harmu Housing colony, Ranchi Ranchi Jharkhand 834--2 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 26/09/2012 26/09/2012 25/09/2015

9193478 60026201 FGG DEVESH CHANDRA 02/10/1977 R 8/3 Harmu Ranchi Ranchi Jharkhand 834--2 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 26/09/2012 26/09/2012 25/09/2015

9193480 60026202 FGG DHANANJAY KUMAR MISHRA 10/10/1989 AT PO LAIYO Mandu Ramgarh RAMGARH Jharkhand 829122 Hazaribagh Hazaribagh Jharkhand 829122 RANCHI NO - 26/09/2012 26/09/2012 25/09/2015

9193486 60026203 FGG ASHWANI KUMAR 03/10/1986 Q No A-1- Harmu Housing Colony Ranchi Ranchi Jharkhand 834--2 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 26/09/2012 26/09/2012 25/09/2015

9195069 60026208 FGG V DURAIMURUGAN 29/05/1981

NO.1A, BREWERY ROAD EXTENTION SHENOY NAGAR Chennai

Tamil Nadu 6---3- Chennai Chennai Tamil Nadu 600030 CHENNAI NO - 27/09/2012 27/09/2012 26/09/2015

9195331 60026209 FGG NIDHI JAIN 17/12/1984

1--3- Punjabi Gali Bhopaganj bhilwara Bhilwara Bhilwara

Rajasthan 311--1 Bhilwara Bhilwara Rajasthan 311001 UDAIPUR NO - 27/09/2012 27/09/2012 26/09/2015

9195484 60026210 FGG GOURAVINDER SOOD 11/05/1980

1453 Krishna Puri,VPO-Machiwara Ludhiana Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA YES

LIFE INSURANCE

CORPORATION 27/09/2012 27/09/2012 26/09/2015

9195535 60026211 FGG ANJU CHOPRA 04/02/1968

4736 Ward No 24,Kachha Bazar Ambala Cantt Ambala Haryana

133--1 Ambala Ambala Haryana 133001 LUDHIANA NO - 27/09/2012 27/09/2012 26/09/2015

9195553 60026212 FGG BRIJENDRA NISHAD 09/07/1980 12 A, 4th Lane, Nishtganj, Lucknow Lucknow Uttar Pradesh 226--1 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 27/09/2012 27/09/2012 26/09/2015

9195600 60026213 FGG SANJAY DINANATH BELEKAR 15/06/1988

18/35, B D D Chawl, N M Joshi Marg, Lower Parel Mumbai

Mumbai Maharashtra 4---13 Mumbai Mumbai Maharashtra 400013 GHATKOPAR NO - 27/09/2012 27/09/2012 26/09/2015

3633671 60026214 FGG PARESHNATH GORE 15/10/1978

SURAJ WATER PARK WAGH BILL NAKA GHODBUNDER RD Thane

Maharashtra 400601 Thane Thane Maharashtra 400601 THANE YES

LIFE INSURANCE

CORPORATION 23/10/2013 23/10/2013 09/10/2016

8488548 60026215 FGG NISHIT SOMANI 18/05/1991 106 GOMTI NAGAR INDORE Dewas Madhya Pradesh 455001 Dewas Dewas Madhya Pradesh 455001 INDORE YES

LIFE INSURANCE

CORPORATION 27/11/2013 27/11/2013 30/01/2017

9196072 60026216 FGG TREVOR MARLIN PINTO 19/09/1972

shop no.22 plot no. 36, sec-15 CBD belapur Thane Maharashtra

40014 Thane Thane Maharashtra 400614 VASHI NO - 28/09/2012 28/09/2012 27/09/2015

9190163 60026221 FGG AMARINDER SINGH WALIA 23/10/1984

Bunglow No 22 Thamayya Road amritsar Cantt Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES BIRLA SUN LIFE 25/09/2012 25/09/2012 24/09/2015

9197559 60026227 FGG SUNILKUMAR PUKHRAJ RANKA 01/06/1966

A - 1, RUSHABH PALACE HIRA JAIN SOCIETY RAMNAGAR,

SABARMATI Ahmadabad Gujarat 38---5 Ahmadabad Ahmadabad Gujarat 380005 MANINAGAR NO - 28/09/2012 28/09/2012 27/09/2015

9197599 60026228 FGG KIRTIBHAI VIRAMBHAI PATEL 21/02/1976

38, ABHINANDAN SOC GHATLODIA AHMEDABAD Ahmadabad

Gujarat 38--61 Ahmadabad Ahmadabad Gujarat 380061 AHMEDABAD NO - 28/09/2012 28/09/2012 27/09/2015

9197653 60026229 FGG PATEL JIGISHA HIMMATBHAI 06/05/1988

7-D, 828, SUNDARVAN APPARTMENTS, SUNDARVAN PARK HO.

SOC B/S. KRISHNA PARK NIKOL GAM ROAD Ahmadabad Gujarat

38235- AHMEDABAD AHMEDABAD Gujarat 382350 AHMEDABAD NO - 28/09/2012 28/09/2012 27/09/2015

9197765 60026230 FGG ADITYA SHARMA 21/07/1983

R/O 168 D, UPPER SHIV NAGAR JAMMU Jammu Jammu & Kashmir

18---1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 28/09/2012 28/09/2012 27/09/2015

9197830 60026231 FGG SOLANKI DEVANG GIRISH 06/10/1987

C-28, Gopal Vihar, Navagaon, L.M. Rd, Dahisar (W) Mumbai

Mumbai Maharashtra 4---68 Mumbai Mumbai Maharashtra 400068 ANDHERI NO - 28/09/2012 28/09/2012 27/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8368480 60026232 FGG MAHESHKUMAR SHARMA 25/02/1961

A 203,SHIVCHHAYAADT KASTURI PARK, NAVGHAR ROAD

BHAYANDER EAST Thane Maharashtra 400601 Thane Thane Maharashtra 400601 ANDHERI YES

LIFE INSURANCE

CORPORATION 10/10/2013 10/10/2013 09/11/2016

9197883 60026233 FGG KAMAL SINGH 16/06/1977 RZ-22A, RZ BLOCK, OLD RAJA PURI DELHI Delhi Delhi 11--59 West West Delhi 110059 CONNAUGHT PLACENO - 28/09/2012 28/09/2012 27/09/2015

9198034 60026237 FGG KUMAR 15/05/1989

13 New Shankar Garden Jalandhar Jalandhar Jalandhar Punjab

144--1 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 28/09/2012 28/09/2012 27/09/2015

8715730 60026240 FGG PRAKASHA GOUDA H 22/07/1980

S/O. THIMMANA GOUDA H, B. BELAGAL POST, BELLARY Bellary

Karnataka 583102 Bellary Bellary Karnataka 583102 BANGALORE YES

ICICI PRUDENTIAL LIFE

INSURANCE 07/11/2014 07/11/2014 21/07/2017

9201578 60026243 FGG SNEHA KHANDELWAL 02/10/1984

SB-114, Tonk Road S-B Block, Bapunagar, Ward No. 18 Jaipur

Jaipur Rajasthan 302015 Jaipur Jaipur Rajasthan 302015 JAIPUR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 01/10/2012 01/10/2012 30/09/2015

9202535 60026248 FGG KRISHNA BABURAO AMBRALE 08/04/1976

aminabai shaikha chawl, samarth nagar bandup Mumbai

Maharashtra 4---76 Mumbai Mumbai Maharashtra 400076 THANE NO - 03/10/2012 03/10/2012 02/10/2015

9203653 60026253 FGG VINOD KUMAR PACHAVA 15/03/1985

TRT QUTR NO. 283 VIDYA NAGAR VIDYA NAGAR Hyderabad

Telangana 5---44 Hyderabad Hyderabad Andhra Pradesh 500044 HYDERABAD NO - 04/10/2012 04/10/2012 03/10/2015

9203672 60026254 FGG GADE BALA JOSEPH 16/08/1991

HNO.1-131 DEOGIRIPATNAM BLAKU WARANGAL Warangal

Telangana 5-633- Warangal Warangal Andhra Pradesh 506330 HYDERABAD NO - 04/10/2012 04/10/2012 03/10/2015

9203701 60026255 FGG POOLA RAVINDER RAO 28/04/1979

9-1-364/B/38, OPP BAPU CHAT LANGER HOUSE Hyderabad

Telangana 5----8 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 04/10/2012 04/10/2012 03/10/2015

9166496 60026256 FGG T AMARALINGAM 15/08/1982

NO 1-57 JANAPALLY BIBINAGAR Nalgonda Nalgonda Telangana

508126 Nalgonda Nalgonda Andhra Pradesh 508126 HYDERABAD YES

ING VYSYA LIFE

INSURANCE 04/10/2012 04/10/2012 29/08/2015

9203923 60026261 FGG SARAN NAIR U 14/02/1988

nandanam,tc 4/1873(22),pcwaf 8,pandit colony,kowdiar p.o

kowdiar trivandrum Thiruvananthapuram Kerala 695--3 Thiruvananthapuram ThiruvananthapuramKerala 695003 TRIVANDRAM NO - 04/10/2012 04/10/2012 03/10/2015

9203955 60026262 FGG SAMEERA SAFARULLA 01/10/1992

642A(12/186) sameera cottage 8,mission colony,manamboor

panchayath mission colony manamboor Thiruvananthapuram

Kerala 6951-2 Thiruvananthapuram ThiruvananthapuramKerala 695102 TRIVANDRAM NO - 04/10/2012 04/10/2012 03/10/2015

9202096 60026265 FGG K D PANDYA 01/05/1986

75, SANSKRUTI ROW HOUSE, NR RAJWADI PARTY PLOT NEW

KOSAD ROAD, AMROLI SURAT Surat Gujarat 395--7 Surat Surat Gujarat 395007 SURAT NO - 03/10/2012 03/10/2012 02/10/2015

9204137 60026273 FGG DEEPAK THAMBI K S 20/09/1985

THAMBI NIVAS 3RD MAIN,KARAVALI ROAD KK HALLI,ST.THOMAS

TOWN Bangalore Karnataka 56--84 Bangalore Bangalore Karnataka 560084 BANGALORE NO - 05/10/2012 05/10/2012 04/10/2015

1809652 60026274 FGG SHOBHANAGANESH ALIAS MEENAKSHI 27/05/1970

19/1107 C MEERA HOUSE CHALAPPURAM CALICUT Kozhikode

Kerala 673002 Kozhikode Kozhikode Kerala 673002 CALICUT YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 23/09/2013 23/09/2013 07/10/2016

9204157 60026275 FGG K SANGEETHA 15/12/1989

HNO. 2-3-7-3/A/B/25/A PATEL NAGAR AMBERPET Hyderabad

Telangana 5---13 Hyderabad Hyderabad Andhra Pradesh 500013 SECUNDERABAD NO - 05/10/2012 05/10/2012 04/10/2015

9206168 60026293 FGG KAMAL KISHORE ATTRI 22/07/1976 294 Gobind Nagar Basti Guzan Jalandhar Punjab 144--1 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 08/10/2012 08/10/2012 07/10/2015

1161809 60026294 FGG HINABEN BABULAL PIPALIA 09/04/1961

5 ALKA SOCIETY SURYADEEP MAVDI MAIN ROAD RAJKOT Rajkot

Gujarat 360004 Rajkot Rajkot Gujarat 360004 RAJKOT YES

LIFE INSURANCE

CORPORATION 08/10/2012 08/10/2012 18/05/2015

9206390 60026295 FGG SHYAM KUMAR S 28/08/1981

NO: 9.-4, LALITHA APTS GANAGAI AMMAN KOIL 4TH STREET

VADAPALANI Chennai Tamil Nadu 6---26 Thiruvallur Thiruvallur Tamil Nadu 600027 ANNA NAGAR NO - 08/10/2012 08/10/2012 07/10/2015

9206446 60026297 FGG MYTHILY S 26/06/1990

NO.19/17, POONGAVANM MARKET LAIN, KALADIPATTAL CHENNAI

Chennai Tamil Nadu 6---19 Thiruvallur Thiruvallur Tamil Nadu 600019 CHENNAI NO - 08/10/2012 08/10/2012 07/10/2015

9181045 60026307 FGG RAGHAV GOYAL 26/12/1990

87/1, HAZIKAN GALI, MANAN PANA, BHIWANI Bhiwani Haryana

127-2- BHIWANI BHIWANI Delhi 127020 GURGAON NO - 14/09/2012 14/09/2012 13/09/2015

2634174 60026312 FGG BHAVIN NARENDRA GAGLANI 01/10/1987

SHRI HARI HAR 20/9, SHIV SANGAM SOCIETY, NR 2 JALARAM ,

UNIVERSITY ROAD RAJKOT Rajkot Gujarat 360007 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 09/10/2012 09/10/2012 27/09/2015

9067126 60026322 FGG RAVI KUMAR PASAM 15/09/1977

1-3-225 KWARI APPALA SWAMY VIJAYAWADA Krishna Andhra

Pradesh 520001 Krishna Krishna Andhra Pradesh 521108 VIJAYAVADA YES

FUTURE GENERALI LIFE

INSURANCE 10/10/2012 10/10/2012 22/05/2015

9062677 60026324 FGG MEDATHOTI KESAVULU 01/01/1987

H No 2/5 Kammavaripalem Colony Krishna Nandigama Krishna

Andhra Pradesh 521185 Krishna Krishna Andhra Pradesh 521185 VIJAYAVADA YES

FUTURE GENERALI LIFE

INSURANCE 10/10/2012 10/10/2012 16/05/2015

4654455 60026325 FGG JANI SACHIN PRAVINCHANDRA 03/03/1984

5900,SIDDHI PARK SOC SAHER FARTI SADAK,BHARAT NAGAR

BHAVNAGAR Bhavnagar Gujarat 364002 Bhavnagar Bhavnagar Gujarat 364002 RAJKOT YES

LIFE INSURANCE

CORPORATION 04/08/2014 04/08/2014 28/09/2017

9208275 60026326 FGG RAKESH KUMAR 31/01/1978

House no 175, Block no 8, Dakshin Puri New Delhi Delhi Delhi 11--

62 South South Delhi 110062 CONNAUGHT PLACENO - 10/10/2012 10/10/2012 09/10/2015

9208377 60026327 FGG ABHISHEK DHELIA 08/08/1977

79A,Flat No GF-1 Sector--6,vaishali, Ghaziabad Ghaziabad Uttar

Pradesh 2-1--1 Ghaziabad Ghaziabad Uttar Pradesh 201001 CONNAUGHT PLACENO - 10/10/2012 10/10/2012 09/10/2015

9208398 60026328 FGG SHEFALI 20/01/1981 B-28 gali no 15 New govindpura Delhi Delhi 11--51 East East Delhi 110051 NOIDA NO - 10/10/2012 10/10/2012 09/10/2015

9208424 60026329 FGG P M MURALITHARAN 28/07/1978

NO:5, GANGAI AMMAN KOIL STREET, NEMILICHERY CHROMPET

Chennai Tamil Nadu 6---44 Kancheepuram Kancheepuram Tamil Nadu 600044 ANNA NAGAR NO - 10/10/2012 10/10/2012 09/10/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9208492 60026330 FGG RAKESH KUMAR SANGAI 30/11/1991

11-/C SWINHOE LANE, P.O-KASBA, KOLKATA Kolkata West Bengal

7---42 Kolkata Kolkata West Bengal 700042 KOLKATA NO - 10/10/2012 10/10/2012 09/10/2015

9208544 60026331 FGG RAJESH KUMAR 01/04/1981 HOUSE NO.36 VPO KAHNI ROHTAK Rohtak Haryana 124--1 Rohtak Rohtak Haryana 124001 ROHTAK NO - 10/10/2012 10/10/2012 09/10/2015

9208621 60026332 FGG OMPRAKASH 10/07/1987

MUDIGUBBA H NO 1-473,MUDIGUBBA MANDAL,ANANTHPURAM

MUDIGUBBA ANANTHPUR Anantapur Andhra Pradesh 515--2 Anantapur Anantapur Andhra Pradesh 515002 BANGALORE NO - 10/10/2012 10/10/2012 09/10/2015

9208655 60026333 FGG NAVIN H TIWARI 25/12/1975

3-5, sai parag tower, shirdi nagar, navghar fatak road, Shirdi

Nagar, bhayander (e) Thane Maharashtra 4-11-5 Thane Thane Maharashtra 401105 FORT NO - 10/10/2012 10/10/2012 09/10/2015

9208671 60026334 FGG DISHA HARSHAD CHANCHAD 11/08/1979

A3-1,Dhaval Factory lane, S V ROAD, BORIVALI WEST Mumbai

Maharashtra 4---64 Mumbai Mumbai Maharashtra 400064 BORIVALI NO - 10/10/2012 10/10/2012 09/10/2015

9208691 60026335 FGG R SHANTHINI PRIYAA 15/09/1990

NO.2-/A2 JADAL NAIDU STREET, PERIYANAICKENPALAYA, SRKV

POST COIMBATORE Coimbatore Tamil Nadu 641-2- Coimbatore Coimbatore Tamil Nadu 641020 COIMBATORE NO - 10/10/2012 10/10/2012 09/10/2015

3158977 60026336 FGG A SAKTHIVEL 15/02/1976

1/25, VINAYAGAR KOVIL STREET PALATHURAI(PO)

MADUKKARAI(VIA), COIMBATORE Coimbatore Tamil Nadu

641105 Coimbatore Coimbatore Tamil Nadu 641105 COIMBATORE YES

LIFE INSURANCE

CORPORATION 19/03/2013 19/03/2013 21/03/2016

9208712 60026337 FGG SURESH K S 25/05/1976

4/15- B, Selliamman Nagar, M Perumapalayam Salem Salem Tamil

Nadu 636111 Salem Salem Tamil Nadu 636111 COIMBATORE NO - 10/10/2012 10/10/2012 09/10/2015

9208749 60026341 FGG VAISHALI PRASHANT BERA 07/09/1988

12B/-4, Shivkrupa Chs, Shivdham Complex, Malad East Mumbai

Maharashtra 4---97 Mumbai Mumbai Maharashtra 400097 BORIVALI NO - 10/10/2012 10/10/2012 09/10/2015

9208750 60026342 FGG SNEHA SUDHIR SAWANT 07/07/1984 Om Shiv Sai Chs A/8-2, Sion East Mumbai Maharashtra 4---22 Mumbai Mumbai Maharashtra 400022 BORIVALI NO - 10/10/2012 10/10/2012 09/10/2015

9208751 60026343 FGG VIDHYA S MAHADIK 29/09/1972

Shri Sai Samarth Chs, R No.5-2, Bldg No.4-, Chatrapati Shivaji Raje

Sankul, Kandivali East Mumbai Maharashtra 4---67 Mumbai Mumbai Maharashtra 400067 BORIVALI NO - 10/10/2012 10/10/2012 09/10/2015

9208756 60026344 FGG SARIKA NILESH KHEDEKAR 15/09/1985

Plot no 4-2,A-wing Sohan Tower Opp shiv sena Shaka-Thane

Thane Maharashtra 4--6-1 Thane Thane Maharashtra 400601 THANE NO - 10/10/2012 10/10/2012 09/10/2015

9208761 60026345 FGG NAJEEBA ASHIFALI 01/06/1993

NALAKATH HOUSE , THANVIRUL ISLAM , MADRASA , CHULOOR ,

NATTIKA TRIPRAYAR Thrissur Kerala 68-567 Thrissur Thrissur Kerala 680567 THRISSUR NO - 10/10/2012 10/10/2012 09/10/2015

9209620 60026351 FGG THOTA ARTHY 05/08/1985

HNO-16-2-146/13 DAYANAND NAGAR MALAKPET Hyderabad

Telangana 5---36 Rangareddi Rangareddi Andhra Pradesh 500036 HYDERABAD NO - 11/10/2012 11/10/2012 10/10/2015

1363758 60026352 FGG ARUN VIJAY SINGH 23/11/1981

P M SHANKARACHARYA CHAWL, BANDONGRI, D M ROAD, MALAD

EAST Mumbai Maharashtra 400097 Thane Thane Maharashtra 401303 FORT YES

LIFE INSURANCE

CORPORATION 11/10/2012 11/10/2012 26/08/2015

9209914 60026353 FGG CHAMAN 14/07/1982 A-3/77,Block A-3 Nand nagri Delhi Delhi Delhi 11---1 New Delhi New Delhi Delhi 110001 CONNAUGHT PLACENO - 11/10/2012 11/10/2012 10/10/2015

9209924 60026354 FGG SANKARAN GANESHAKUMAR 02/10/1968

F6-Arch Tech Royal Apartments No 33/8-,oragadam Road

Vekatapuram,Ambattur Chennai Tamil Nadu 6---53 CHENNAI CHENNAI Tamil Nadu 600053 CHENNAI NO - 11/10/2012 11/10/2012 10/10/2015

9209929 60026358 FGG VIVEK CHANDWANI 18/02/1982 1-1 Mid rise Dream talwali chanda Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 11/10/2012 11/10/2012 10/10/2015

9209944 60026359 FGG PRADEEP T S 25/05/1984

CHIKKEMANDI ,BARLINE ROAD. BARLINE ROAD TUMKUR Tumkur

Karnataka 5721-1 Tumkur Tumkur Karnataka 572101 BANGALORE NO - 11/10/2012 11/10/2012 10/10/2015

9055418 60026360 FGG V SREENIVASARAO 25/07/1975

12-171,BELLANA VEEDHI,CHEEPURUPALLI,VIZIANAGARAM DT 69N-

67467 9885338386 Vizianagaram Andhra Pradesh 535128 Visakhapatnam Visakhapatnam Andhra Pradesh 530003 VIZAG YES

LIFE INSURANCE

CORPORATION 11/10/2012 11/10/2012 03/05/2015

9209977 60026362 FGG CH V KISHORE 15/08/1986

S/o: Ch.Viswanadham Munisbhu street Pedawaltair

Visakhapatnam Andhra Pradesh 53--17 Visakhapatnam Visakhapatnam Andhra Pradesh 530017 VIZAG NO - 11/10/2012 11/10/2012 10/10/2015

9209979 60026363 FGG DARSHANA JASANI 14/09/1973

3 - A - 2 Dattani Nagar S V Road Borivali West Mumbai

Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 11/10/2012 11/10/2012 10/10/2015

110660 60026364 FGG SHASHIKANT M MALI 15/02/1976

PATIL NIWAS JYOTIBA NAGAR KALEWADI PIMPRI PUNE Pune

Maharashtra 411017 Pune Pune Maharashtra 411017 CHINCHWAD YES

LIFE INSURANCE

CORPORATION 17/01/2013 17/01/2013 12/02/2016

9212660 60026376 FGG SUDESH KUMARI 12/08/1980 vill sonta sonata Ambala Ambala Haryana 133--1 Ambala Ambala Haryana 133001 CHANDIGARH NO - 15/10/2012 15/10/2012 14/10/2015

9214214 60026384 FGG GAIKWAD ABHIJEET 06/09/1993

H NO 15/2 SANGAM CO OP HSG SOC TALAWADE TAL HAVELI DIST

PUNE Pune Maharashtra 411-19 Pune Pune Maharashtra 411019 CHINCHWAD NO - 16/10/2012 16/10/2012 15/10/2015

9214216 60026386 FGG DEV RAJ BATRA 18/10/1957 9-SBI Nagar, paschim Vihar- Delhi Delhi Delhi Delhi Delhi 11--63 West West Delhi 110063 WEST DELHI NO - 16/10/2012 16/10/2012 15/10/2015

9215262 60026392 FGG ARUNA KANUMURI 16/08/1985 HNO. 1-55/3 SURYA NAGAR UPPAL Hyderabad Telangana 5---39 Rangareddi Rangareddi Andhra Pradesh 500039 HYDERABAD NO - 17/10/2012 17/10/2012 16/10/2015

9215275 60026393 FGG AKKALA SRINIVAS 01/06/1986 5-4-, CHINTHAPALLY DANDEPALLY Adilabad Telangana 5-4215 Karimnagar Karimnagar Andhra Pradesh 504215 HYDERABAD NO - 17/10/2012 17/10/2012 16/10/2015

271569 60026394 FGG C A JOSHI 15/12/1964

302, PLOT-29 SUMANGAL CHS., KOPAR-KHAIRNE SECTOR-4, NAVI

MUMBAI, THANE Thane Maharashtra 400709 Thane Thane Maharashtra 400709 VASHI YES

LIFE INSURANCE

CORPORATION 07/09/2013 07/09/2013 01/12/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8148959 60026396 FGG NARENDRA PATIDAR 01/01/1983

ROW HOUSE NO 20 SANKET REKHA SOCITY PARAB NAGR INDIRA

NAGAR NASIK Nashik Maharashtra 422009 Nashik Nashik Maharashtra 422001 NASHIK YES

RELIANCE LIFE

INSURANCE 17/05/2013 17/05/2013 27/06/2016

9215302 60026397 FGG AHAMADI BEGUM 20/07/1987

BYATARAYANAHALLI,BANGARPET KOLAR KOLAR Kolar Karnataka

563116 Kolar Kolar Karnataka 563116 BANGALORE NO - 17/10/2012 17/10/2012 16/10/2015

9215303 60026398 FGG AHMED KHAN 09/07/1994

NO 23/2, BRIAND SQUARE, 4TH MAIN ROAD MYSORE ROAD, NEW

THARAGUPET Bangalore Karnataka 56---2 Bangalore Bangalore Karnataka 560002 BANGALORE NO - 17/10/2012 17/10/2012 16/10/2015

9215310 60026399 FGG P SUHAILULLA KHAN 19/09/1964

#37/4, RAJESHWARI COMPLEX HENNUR MAIN ROAD,

LINGARAJPURAM Bangalore Karnataka 56--84 Bangalore Bangalore Karnataka 560084 BANGALORE NO - 17/10/2012 17/10/2012 16/10/2015

9215327 60026400 FGG SANDEEP SHARMA 12/11/1987

113, Ward No 14,street no 5 gobind nagar,33 foota road,Mundian

kalan Ludhiana Ludhiana Punjab 141-1- Ludhiana Ludhiana Punjab 141010 LUDHIANA NO - 17/10/2012 17/10/2012 16/10/2015

9215365 60026401 FGG LALIT SHARMA 08/10/1972

4/457, Gali Calcuttian Bazar Bourian Opp, Gurdwara Singh Sabha

Amritsar Punjab 143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 17/10/2012 17/10/2012 16/10/2015

9209890 60026408 FGG SIMRAN KADAM 09/03/1989

at post-koyanavale, bhigari, Taluka-panvel, bhingari Raigarh

Maharashtra 41-2-6 Raigarh Raigarh Maharashtra 410206 GHATKOPAR NO - 11/10/2012 11/10/2012 10/10/2015

671419 60026409 FGG DHANRAJ KARSANDAS 04/06/1968

5/8 GAYAKWADI PLOT RAJKOT RAJKOT Rajkot Gujarat

360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 08/09/2014 08/09/2014 22/09/2017

9216691 60026411 FGG SANJAY KUMAR 12/02/1982

V.P.O. Maloya, Chandigarh Chandigarh Chandigarh Chandigarh

Chandigarh 16--17 Chandigarh Chandigarh Chandigarh 160026 CHANDIGARH NO - 18/10/2012 18/10/2012 17/10/2015

9217648 60026421 FGG PHAGUN VERMA 07/02/1994

House No 9/7 New Delhi 2nd floor Subhash Nagar New Delhi Delhi

Delhi 11--27 West West Delhi 110027 WEST DELHI NO - 19/10/2012 19/10/2012 18/10/2015

3509226 60026425 FGG SHALINI K S 31/10/1981

75, SHANKARI SHELTERS, FLAT NO.301 KUVEMPU ROAD,

RAJESHWARI LAYOUT YELACHENAHALLI Bangalore

Karnataka 560062 Bangalore Bangalore Karnataka 560062 BANGALORE YES BIRLA SUN LIFE 21/08/2013 21/08/2013 16/08/2016

9219131 60026428 FGG PAMPANAGOUDA MALI PATIL 01/08/1953 6/1/1494 , WARD NO6 , SINDHANUR Belgaum Karnataka 584128 Raichur Raichur Karnataka 584128 BANGALORE NO - 22/10/2012 22/10/2012 21/10/2015

9219210 60026429 FGG DINESH KUMAR 28/05/1981

H.No.74A Akali Kaur Singh Colony Zirakpur, Teh Dera Bassi

Sahibzada Ajit Singh Nagar Punjab 16--47 Chandigarh Chandigarh Chandigarh 160047 CHANDIGARH NO - 22/10/2012 22/10/2012 21/10/2015

9219337 60026431 FGG SAIKRISHNA SRIRAMULA 20/08/1983

BLOCK NO-2- ROOM NO-2, MCH COLONY AMBERPET Hyderabad

Telangana 5---16 Hyderabad Hyderabad Andhra Pradesh 500016 HYDERABAD NO - 22/10/2012 22/10/2012 21/10/2015

9180972 60026433 FGG MAHESH GATTU 15/06/1984

111-136, MALLIKARJUNA NAGAR UPPAL DEPOT Hyderabad

Telangana 500039 Nalgonda Nalgonda Andhra Pradesh 508001 HYDERABAD YES BIRLA SUN LIFE 22/10/2012 22/10/2012 13/09/2015

9219368 60026434 FGG HEEREKAR HARI KRISHAN LAL 13/06/1987

HNO-6-1-193, OLD CIB QRTS KHAIRTHABAD Hyderabad Telangana

5---48 Hyderabad Hyderabad Andhra Pradesh 500048 HYDERABAD NO - 22/10/2012 22/10/2012 21/10/2015

9219395 60026435 FGG SEVELLA SAINATH 07/02/1985

HNO-3-6-724/2-2, ST BI-1--11 HIMAYATHNAGAR NEXT TO AXIS

BANK Hyderabad Telangana 5---29 Hyderabad Hyderabad Andhra Pradesh 500029 HYDERABAD NO - 22/10/2012 22/10/2012 21/10/2015

9219399 60026436 FGG SHAIK AKHEEL 24/05/1987

HNO-4-1-1/21/1, BOGGULAKUNTA NIYAZ KHANA NEAR KING KOTI

Hyderabad Telangana 5---1- Medak Medak Andhra Pradesh 500010 HYDERABAD NO - 22/10/2012 22/10/2012 21/10/2015

9219403 60026437 FGG PRAVIN W INGLE 10/05/1976 Asara Colony, Pawar Colony, Akot Akola Maharashtra 4441-1 Akola Akola Maharashtra 444101 AKOLA NO - 22/10/2012 22/10/2012 21/10/2015

9221237 60026450 FGG O I RILLWAN BADHUSHA 19/07/1983

NO 12C BATHALAVINAYAGAR KOVIL STREET MADIPAKKAM

Chennai Tamil Nadu 6---91 Kancheepuram Kancheepuram Tamil Nadu 600091 CHENNAI NO - 25/10/2012 25/10/2012 24/10/2015

5654651 60026451 FGG MAMTA TANEJA 15/03/1987

H No 1917 Mahaveer Mandar Road 21 Rajpura Town Patiala

Patiala Punjab 140401 Patiala Patiala Punjab 140401 CHANDIGARH YES BIRLA SUN LIFE 20/11/2012 20/11/2012 11/08/2015

9221377 60026452 FGG BALJIT KAUR 10/03/1983

H NO76 BASTI BABA JIWAN SINGH, APTTI TARN TARAN Amritsar

Punjab 143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 25/10/2012 25/10/2012 24/10/2015

9222808 60026466 FGG RENJITH KUMAR R 05/11/1977

ATHIRA KALAVOORKONAM IR LANE,PEROORKADA

Thiruvananthapuram Kerala 695--5 Thiruvananthapuram ThiruvananthapuramKerala 695005 TRIVANDRAM NO - 26/10/2012 26/10/2012 25/10/2015

9222829 60026467 FGG POONAM JOLLY 21/01/1987

HIG B 11 SUBHASH NAGAR MAHARAJPUR JABALPUR JABALPUR

Jabalpur Madhya Pradesh 482--1 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 26/10/2012 26/10/2012 25/10/2015

9222857 60026468 FGG GOPAKUMAR P S 06/05/1971

H NO 4/116, Pattath House, Thottakkattukara p o, Aluva

Ernakulam Kerala 683108 Ernakulam Ernakulam Kerala 683108 COCHIN YES

Edelweiss Tokio Life

Insurance Company

Limited 26/10/2012 26/10/2012 25/10/2015

9222915 60026469 FGG HUSSAIN LALUDDIN SHAIKH 18/09/1986

1 Badal Khan Chwal Pathanwadi, Malad (E) mumbai Mumbai

Maharashtra 4----1 Mumbai Mumbai Maharashtra 400102 BORIVALI NO - 26/10/2012 26/10/2012 25/10/2015

9222934 60026471 FGG SANISH M C 30/11/1985

MULLASSERY HOUSE KANJANI P.O. , MANALUR THRISSUR Thrissur

Kerala 68-617 Thrissur Thrissur Kerala 680617 THRISSUR NO - 26/10/2012 26/10/2012 25/10/2015

9222940 60026473 FGG SHAMSUDDEEN C V 13/04/1967 CHUNDAYIL HOUSE KALLOOR , THRISSUR Thrissur Kerala 68-317 Thrissur Thrissur Kerala 680317 THRISSUR NO - 26/10/2012 26/10/2012 25/10/2015

2879162 60026474 FGG KAMINI PIYUSH TOPIWALA 18/03/1978

10 NAVKAR RO HOUSE CHHATRAPATI SHIVAJI ROAD TAPI REST

Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

LIFE INSURANCE

CORPORATION 17/12/2012 17/12/2012 29/12/2015

9220253 60026475 FGG SUNIL KUMAR 05/08/1986 HOUSE NO 2- V.P.O KOTH KALAN HISSAR Hisar Haryana 125--1 Hisar Hisar Haryana 125001 ROHTAK NO - 23/10/2012 23/10/2012 22/10/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9222969 60026476 FGG JALALUDDIN HASAN SAWANT 03/10/1971

89/D, Raje shivaji bldg, 1st floor room no-39 mazgoan Mumbai

Maharashtra 4---1- Mumbai Mumbai Maharashtra 400010 GHATKOPAR NO - 26/10/2012 26/10/2012 25/10/2015

9223009 60026477 FGG SAVITA VERMA 10/03/1984

A-65, VIPIN GARDEN, KAKROLA MORE UTTAM NAGAR Delhi Delhi

Delhi 11--59 West West Delhi 110059 WEST DELHI NO - 26/10/2012 26/10/2012 25/10/2015

9223055 60026478 FGG VINOD KUMAR 04/08/1979

NO 9 KAMARAJ STREET,BHARATHIPURAM GOVINDA SALAI

Puducherry Pondicherry 6-5-11 Pondicherry Pondicherry Pondicherry 605011 PONDICHERRY NO - 26/10/2012 26/10/2012 25/10/2015

9223063 60026479 FGG S. GANESH 27/01/1976

11/21,ABRAHAM STREET, MYLAPORE CHENNAI Chennai Tamil

Nadu 6----4 Chennai Chennai Tamil Nadu 600004 CHENNAI NO - 26/10/2012 26/10/2012 25/10/2015

9223070 60026480 FGG BALAJI 14/08/1990

NO 39, MARIAMMAN KOIL VEEDHI, SEMBIYAPALAYAM Puducherry

Pondicherry 605106 Pondicherry Pondicherry Pondicherry 605106 PONDICHERRY YES

LIFE INSURANCE

CORPORATION 26/10/2012 26/10/2012 25/10/2015

9223095 60026481 FGG B. VARUNPRAKASH 28/03/1989

NO 14/6 VENKATASAMY STREET SRINIVASANAGAR

PERUNGULATHUR Chennai Tamil Nadu 6---63 Kancheepuram Kancheepuram Tamil Nadu 600063 CHENNAI NO - 26/10/2012 26/10/2012 25/10/2015

9139693 60026482 FGG SNEKA 29/03/1988

NO 32, IYYANAR KOIL STREET,VAITHIKUPPAM MUTHIALPET

Puducherry Pondicherry 605003 Pondicherry Pondicherry Pondicherry 605003 PONDICHERRY YES

ING VYSYA LIFE

INSURANCE 26/10/2012 26/10/2012 02/08/2015

9223113 60026483 FGG RAMNARAYAN DURGAPRASAD AGRAWAL30/06/1975

1-7, MALAVIYA NAGAR NEAR VIVEKANAND NAGAR, TUMSAR

BHANDARA Bhandara Maharashtra 441912 Bhandara Bhandara Maharashtra 441912 NAGPUR NO - 26/10/2012 26/10/2012 25/10/2015

9223110 60026484 FGG RADHAKRISHNAN MOHANRAJ 15/01/1990

NO.12-, SANJEEVARAJAN KOIL STREET OLD WASHERMENPET

Chennai Tamil Nadu 6---21 Chennai Chennai Tamil Nadu 600021 CHENNAI NO - 26/10/2012 26/10/2012 25/10/2015

9223140 60026485 FGG RAGHUNANDAN G 04/02/1983

No 4-2, 5th main road Nagendra Block, BSK 1st Stage Bangalore

Bangalore Karnataka 56--5- Bangalore Bangalore Karnataka 560050 BANGALORE NO - 26/10/2012 26/10/2012 25/10/2015

9085532 60026486 FGG MAHESH S SHIVHARE 10/07/1983

293/8, DUNGAR JI KI GALI KHOKHARA AHMEDABAD Ahmadabad

Gujarat 380008 Ahmadabad Ahmadabad Gujarat 380008 MANINAGAR YES

LIFE INSURANCE

CORPORATION 26/10/2012 26/10/2012 12/06/2015

9223153 60026488 FGG SHOAEB M PATRAWALA 02/10/1986

B 375 OPP MOTIALVIN BAG SONERI MAHAL BHARUCH Bharuch

Gujarat 392--1 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 26/10/2012 26/10/2012 25/10/2015

9223158 60026489 FGG VINEET SAHANI 11/02/1973

A2/445 FF BLOCK A POCKET NO 2 Sector-8 ROHINI Delhi Delhi 11--

85 West West Delhi 110035 FARIDABAD NO - 26/10/2012 26/10/2012 25/10/2015

9223182 60026491 FGG SUJATA MEHRA 13/03/1974

H NO 4- keshav nagar, village kingra Jalandhar Jalandhar Punjab

144--1 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 26/10/2012 26/10/2012 25/10/2015

9223186 60026493 FGG AVINASH MALYA 15/10/1976

Behind SAF Kaveri Nagar Chhindwara bhopal Bhopal Madhya

Pradesh 462--1 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL NO - 26/10/2012 26/10/2012 25/10/2015

9223192 60026495 FGG CHANDRA SEKARAN 13/05/1985

1/48, PERIYAPATTY EAST, KV SEMMANDAPATTY, OMAWR TK

SALEM Salem Tamil Nadu 6368-9 Dharmapuri Dharmapuri Tamil Nadu 636309 SALEM NO - 26/10/2012 26/10/2012 25/10/2015

9223201 60026496 FGG PALANIVEL B. 09/01/1977

1- NADAR STREET VADUGA PATTI PO PERIYAKULAH TK THENI

Theni Tamil Nadu 6256-3 Theni Theni Tamil Nadu 625604 MADURAI NO - 26/10/2012 26/10/2012 25/10/2015

9226574 60026502 FGG DEEPAK SHARMA 29/06/1981 236 ST NO 8 PADAM NAGAR DELHI Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 WEST DELHI YES

STAR UNION DAI ICHI

LIFE INSURANCE CO. LTD 30/10/2012 30/10/2012 29/10/2015

9226599 60026503 FGG SANDEEP KUMAR 15/03/1975 H NO 54 A, POCKET A, Vikas Puri Extn New Delhi Delhi Delhi 11--18 West West Delhi 110018 WEST DELHI NO - 30/10/2012 30/10/2012 29/10/2015

9226773 60026504 FGG AMAR POL 03/10/1982

FLAT NO.5 BUILDING NO.31 SECTOR NO. 4-/41 MAYURESHWAR

HSG SOCIETY VENUNAGAR WAKAD PUNE Pune Maharashtra 411-

27 Pune Pune Maharashtra 411027 CHINCHWAD NO - 30/10/2012 30/10/2012 29/10/2015

9226736 60026505 FGG ATUL BHANOT 21/12/1976 H.No.975 Sector-12 A Panchkula Panchkula Haryana 134112 BALTANA BALTANA Punjab 140603 PANCHKULA YES

LIFE INSURANCE

CORPORATION 30/10/2012 30/10/2012 29/10/2015

9226795 60026507 FGG ARTI SHARMA 02/02/1985 ward no-3 gurkhi dakhi akhnoor Jammu Jammu & Kashmir 18---1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 30/10/2012 30/10/2012 29/10/2015

9109052 60026508 FGG GAUTAM SIRDHANA 18/12/1974 293/10 MOHALLA DHOBIAN KHANNA Ludhiana Punjab 141401 Ludhiana Ludhiana Punjab 141401 PANCHKULA YES

LIFE INSURANCE

CORPORATION 30/10/2012 30/10/2012 03/07/2015

9226745 60026509 FGG SALVI MAHESHBHAI SHAH 29/12/1992

A-12 Dhara Park, opp Jay Jalaram Nagar , B/H Mothers School,

Gotri BARODA Vadodara Gujarat 39--21 Vadodara Vadodara Gujarat 390021 BARODA NO - 30/10/2012 30/10/2012 29/10/2015

9226758 60026510 FGG SHIV BAHADUR YADAV 01/12/1992

1-8 bhatpura post Guptarganj Sultanpur Sultanpur Uttar Pradesh

228151 Sultanpur Sultanpur Uttar Pradesh 228151 LUCKNOW NO - 30/10/2012 30/10/2012 29/10/2015

9226817 60026511 FGG SAPNA MANHAS 17/12/1982

SOUNDER DACHAN MARWAH DODA Jammu Jammu & Kashmir 18--

-1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 30/10/2012 30/10/2012 29/10/2015

9226770 60026512 FGG ZARA FATHIMA 05/08/1992

#54,2ND MAIN KOUSAR NAGAR KOUSAR NAGAR Bangalore

Bangalore Karnataka 56--32 Bangalore Bangalore Karnataka 560032 BANGALORE NO - 30/10/2012 30/10/2012 29/10/2015

9226778 60026513 FGG UDIT TRIPATHI 05/06/1992

118/1-A Block a sindhu farm road mithapur extn Delhi Delhi 11--

44 South South Delhi 110044 NOIDA NO - 30/10/2012 30/10/2012 29/10/2015

9226785 60026514 FGG BRIJENDRA ARORA 01/07/1966 GH-1/2-3 MIG Flats Paschim Vihar Delhi Delhi Delhi 11--63 West West Delhi 110063 WEST DELHI NO - 30/10/2012 30/10/2012 29/10/2015

8013072 60026516 FGG SIDDHARTH SHARMA 02/03/1985

150 Indira Colony Bani Park, Jaipur Jaipur Rajasthan

302006 Jaipur Jaipur Rajasthan 302006 JAIPUR YES

KOTAK MAHINDRA OLD

MUTUAL 23/07/2014 23/07/2014 02/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

287592 60026517 FGG POONAM KUMARI CHIB 23/03/1964

WARD 66 DINA NAGAR JAMMU Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 25/09/2013 25/09/2013 21/10/2016

2957629 60026522 FGG NIRMALA T AGRAWAL 14/07/1962

143 AKANKSHA DUPLEX SUBHANPURA Vadodara Vadodara

Gujarat 390016 Vadodara Vadodara Gujarat 390016 BARODA YES BIRLA SUN LIFE 18/06/2013 18/06/2013 26/01/2016

9049745 60026523 FGG SHIVANI SHIVAJI HARER 01/05/1985

304/D KASTURI GRAM SOC., BHARAT BHOIR NAGAR RETI BUNDER

ROAD, DOMBIVALI WEST Thane Maharashtra 421202 Thane Thane Maharashtra 421202 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 30/10/2012 30/10/2012 23/04/2015

9227307 60026524 FGG SHIVA KUMAR PULIGILLA 15/06/1983

PLOT NO. 25 FNO. 2-2 PRASANTHI GOLDEN HILLS KUKATPALLY

Hyderabad Telangana 5---9- HYDERABAD HYDERABAD Andhra Pradesh 500090 KUKKATPALLY NO - 30/10/2012 30/10/2012 29/10/2015

9227365 60026525 FGG NAGULA BHANUCHANDER 14/03/1989

15-21-122, BALAJI NAGAR, KUKATPALLY HYDERABAD Hyderabad

Telangana 5---72 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 KUKKATPALLY NO - 30/10/2012 30/10/2012 29/10/2015

5343953 60026526 FGG ASHWIN CHANDRAN THAYIL 13/04/1976

Plot No 233, Room No. 5 Nebula Building, Sector : 28 VASHI Navi

mumbai Thane Maharashtra 400703 Thane Thane Maharashtra 400705 VASHI YES

BAJAJ ALLIANZ LIFE

INSURANCE 30/10/2012 30/10/2012 21/04/2015

2045100 60026527 FGG DILIP BHAGWANRAO KULKARNI 06/05/1965

MITR PREM SR.NO.500/2 PLOT.NO.31, SHAHUNAGAR KEDGAON,

A,NAGAR Ahmadnagar Maharashtra 414005 Ahmadnagar Ahmadnagar Maharashtra 414005 AHMEDNAGAR YES

LIFE INSURANCE

CORPORATION 23/07/2014 23/07/2014 25/07/2017

2947719 60026528 FGG SANJAY DHONDU HINDALKAR 15/09/1973

B/6-2:5 SECTOR-1, VASHI, NAVI MUMBAI, THANE Mumbai

Maharashtra 400703 Thane Thane Maharashtra 400703 VASHI YES

LIFE INSURANCE

CORPORATION 29/01/2013 29/01/2013 23/01/2016

9227595 60026529 FGG SUNITA SANTOSH YADAV 02/05/1983

97 A, A/P yadavwadi,Tal.-Parner Parner Ahmadnagar Maharashtra

4143-1 Ahmadnagar Ahmadnagar Maharashtra 414301 AHMEDNAGAR NO - 30/10/2012 30/10/2012 29/10/2015

5829226 60026533 FGG JAIN CHETAN 08/10/1984

1/1,ARIHANT PROVISION STORE NR.ADARSHNAGAR NARANPURA

Ahmadabad Gujarat 380013 Ahmadabad Ahmadabad Gujarat 380013 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 30/10/2012 30/10/2012 11/10/2015

9227712 60026535 FGG JEGADEESAN S. 30/09/1989

OLD NO 27/C, NEW NO: 35 NEHRU STREET CHETPET Cuddalore

Tamil Nadu 6-68-1 Tiruvannamalai Tiruvannamalai Tamil Nadu 606801 CHENNAI NO - 30/10/2012 30/10/2012 29/10/2015

9227721 60026536 FGG RAVI KUMAR GUPTA 06/12/1989

RAVI KUMAR C/O HARIOM GRAIN STORE, GURUNANAK NAGAR,

GURU GOVIND SINGH ROAD, GHATKOPAR (W), Mumbai

Maharashtra 4---86 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 30/10/2012 30/10/2012 29/10/2015

9227728 60026537 FGG S MANJU BASHINI 14/11/1981

NEW NO 8 A MURUGESAN STREET WEST KK NAGAR Chennai Tamil

Nadu 6---78 Chennai Chennai Tamil Nadu 600078 CHENNAI NO - 30/10/2012 30/10/2012 29/10/2015

9227729 60026538 FGG LAVESH J TECKCHANDANI 19/08/1992

Flat no 4-, Bldg No 39, Neetkirtan CHS Ltd, Manish Nagar, J P

Road, Andheri West Mumbai Maharashtra 4---63 Mumbai Mumbai Maharashtra 400063 GHATKOPAR NO - 30/10/2012 30/10/2012 29/10/2015

9227733 60026539 FGG ANIL KUMAR K. 30/05/1966

KRISHNA VILASOM PEROORKADA TRIVANDRUM

Thiruvananthapuram Kerala 695--5 Thiruvananthapuram ThiruvananthapuramKerala 695005 TRIVANDRAM NO - 30/10/2012 30/10/2012 29/10/2015

8118338 60026548 FGG HARPREET SINGH 12/09/1982 26,BHARAT NAGAR Ashok Vihar Delhi Delhi Delhi 110052 North North Delhi 110052 WEST DELHI NO - 05/06/2013 05/06/2013 07/06/2016

9233363 60026563 FGG NITISH KUMAR 20/08/1988

H no-68,Village& post-koharaye Village& post-koharaye Dist-Basti-

UP Basti Uttar Pradesh 272--1 Basti Basti Uttar Pradesh 272001 CONNAUGHT PLACENO - 05/11/2012 05/11/2012 04/11/2015

9233381 60026564 FGG KIRAN 03/04/1976 233-A BLK A GANDHI VIHAR DELHI Delhi Delhi 11---9 North West North West Delhi 110009 WEST DELHI NO - 05/11/2012 05/11/2012 04/11/2015

4173599 60026575 FGG MANOJ B SHINDE 05/11/1980

SSII ROOM NO.187 SECTOR-04 KOPERKHAIRNE Thane

Maharashtra 400709 Thane Thane Maharashtra 400709 VASHI YES

LIFE INSURANCE

CORPORATION 03/03/2014 03/03/2014 06/04/2017

2198218 60026577 FGG M R MEENAL 11/04/1968

3/2 Perumal Nandavanam T P K Road Madurai Madurai

Tamil Nadu 625011 Madurai Madurai Tamil Nadu 625011 MADURAI YES BIRLA SUN LIFE 27/10/2014 27/10/2014 04/12/2017

9234710 60026578 FGG JATINDER SINGH 12/07/1983

#196, Pase-4 S.A.S Nagar Mohali Mohali Mohali Sahibzada Ajit

Singh Nagar Punjab 14-1-3 Rupnagar Rupnagar Punjab 140103 CHANDIGARH NO - 06/11/2012 06/11/2012 05/11/2015

4371093 60026579 FGG SHYAM NARAIN KATIYAR 03/07/1936

C/O KATIYAR BROTHERS, OPP BPMG INTER COLLAGE, NR GOEL

FACTORY, PACHORE ROAD, MANDHANA Kanpur Nagar Uttar

Pradesh 209217 Kanpur Nagar Kanpur Nagar Uttar Pradesh 209217 KANPUR NO - 28/05/2014 28/05/2014 09/07/2017

811137 60026580 FGG SHYAM LAL BUSRI 26/01/1958

333/4 RAM NAGAR GURGAON Gurgaon Haryana

122103 Gurgaon Gurgaon Haryana 122103 FARIDABAD YES

LIFE INSURANCE

CORPORATION 12/11/2014 12/11/2014 16/11/2017

1202087 60026581 FGG CHANCHAL KUMARI 20/02/1960 148/4 MALIWARA FIROZEPUR,JHIRKHA Gurgaon Haryana 122103 Gurgaon Gurgaon Haryana 122103 FARIDABAD YES

LIFE INSURANCE

CORPORATION 02/11/2012 02/11/2012 27/06/2015

9235521 60026582 FGG PRAMANAND SAJNANI 01/08/1955 SF-19A SHYAM PLAZA PANDRI Raipur Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 BILASPUR YES

TATA AIA LIFE

INSURANCE 07/11/2012 07/11/2012 06/11/2015

5393704 60026583 FGG LALITHA PANDIARAJ 28/04/1954

HOUSE NO-18,PADMAVATHY STREET CHAKRA NAGAR,MANGADU

TAMIL NADU Chennai Tamil Nadu 6-21-1 Kancheepuram Kancheepuram Tamil Nadu 602101 ANNA NAGAR NO - 05/11/2012 05/11/2012 19/05/2015

9235568 60026584 FGG JAYESH JAYANDRATH TAMBE 08/05/1990

31, New Police Line, Swami Vivekanand Rd, Opp Borivali Jail,

Borivali West Mumbai Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 07/11/2012 07/11/2012 06/11/2015

9235584 60026585 FGG MEENU TRIPATHI 30/07/1978 arya nagar ajeetmal auraiya Auraiya Uttar Pradesh 2-6121 Auraiya Auraiya Uttar Pradesh 206121 KANPUR NO - 07/11/2012 07/11/2012 06/11/2015

9235591 60026586 FGG SHIV VIVEK TRIPATHI 04/07/1977 Paras Ghatampur Kanpur Kanpur Nagar Uttar Pradesh 2-8--1 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208001 KANPUR NO - 07/11/2012 07/11/2012 06/11/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9118147 60026587 FGG EKTA JIGNESH MADHWANI 23/05/1979 904 Anandhvilla Adajan Surat Gujarat 395005 Surat Surat Gujarat 395005 ANDHERI YES

Edelweiss Tokio Life

Insurance 07/11/2012 07/11/2012 15/07/2015

1012810 60026588 FGG MONA KHUBCHAND HIRANANDANI 02/06/1936

5 VICTORA BLDG MOGHUL LANE BEHIND MAHIM BAZAR POST

OFFICE MAHIM Mumbai Maharashtra 400016 Mumbai Mumbai Maharashtra 400016 ANDHERI YES

LIFE INSURANCE

CORPORATION 16/01/2015 16/01/2015 04/02/2018

9235714 60026592 FGG TRIVEDI KOMAL ANANDBHAI 17/05/1991

BLOCK NO2-3 BHAGVANESHWAR COMPLEX AIR PORT ROAD

SUBHASHNAGAR BHAVNAGAR Bhavnagar Gujarat 364--1 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 08/11/2012 08/11/2012 07/11/2015

9235717 60026593 FGG NITIN MADHAVRAO DESHMUKH 02/10/1979

2-4, Gajlakshmi chs, Navre puranik Rd Dombivali E Thane

Maharashtra 4212-1 Thane Thane Maharashtra 421201 GHATKOPAR NO - 08/11/2012 08/11/2012 07/11/2015

9235719 60026595 FGG HARISH PURSHOTTAM SHROFF 15/08/1966

Nanak Niwas, 2nd Floor, Sarojini road, Santacruz(West) Mumbai

Maharashtra 4---54 Mumbai Mumbai Maharashtra 400054 ANDHERI NO - 08/11/2012 08/11/2012 07/11/2015

5949825 60026597 FGG MADHAV SATISH TANDON 01/12/1988

203 Kanchanjanga Appt Bhatar Char Rasta SURAT Surat Gujarat

395007 Surat Surat Gujarat 395007 SURAT YES BIRLA SUN LIFE 31/01/2013 31/01/2013 14/12/2015

9235739 60026598 FGG B. SANTHI 20/07/1990

4/54, ANDARKUPPAM VILLAGE PANJETTY POST,PONNERI TK,

Chennai Tamil Nadu 6----1 Chennai Chennai Tamil Nadu 600001 ANNA NAGAR NO - 08/11/2012 08/11/2012 07/11/2015

9189563 60026599 FGG JEEVAN MUKESH 17/01/1993

MOH.. RODUPURA GALI DR. SANDHU WALI TARN TARAN Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

SBI LIFE INSURANCE

COMPANY 08/11/2012 08/11/2012 23/09/2015

8753066 60026601 FGG AHUJA JAGDISH GULABCHAND 25/02/1987

JAGDISH 3/10GAYAKWADI PLOT RAJKOT Rajkot Gujarat

360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 10/07/2014 10/07/2014 10/08/2017

9235766 60026602 FGG MANISHKUMAR T PATEL 23/07/1982

E-8, ASHUTOSH SOCIETY SUBHANPURA, VADODARA, Vadodara

Gujarat 39--21 Vadodara Vadodara Gujarat 390021 BARODA NO - 08/11/2012 08/11/2012 07/11/2015

9110279 60026603 FGG BHUVANESWARI K.L. 11/10/1978

PALLIKKANDY KANNANKADAVATHU PUTHIYANGADI Kozhikode

Kerala 673021 Kozhikode Kozhikode Kerala 673021 CALICUT YES

SBI LIFE INSURANCE

COMPANY 08/11/2012 08/11/2012 04/07/2015

9235774 60026604 FGG I. KUMAR 03/05/1972

3\365 NARAYANAPURAM AATHIKULAM Madurai Tamil Nadu 625-

14 Madurai Madurai Tamil Nadu 625014 MADURAI NO - 08/11/2012 08/11/2012 07/11/2015

9079187 60026606 FGG VINEET JAIN 18/12/1982

OLD 222, NEW 419, SECTOR E PRAJAPATI NAGAR INDORE Indore

Madhya Pradesh 452009 Indore Indore Madhya Pradesh 452009 INDORE YES

MAX NEW YORK LIFE

INSURANCE 09/03/2015 09/03/2015 05/06/2018

9236301 60026607 FGG SMITA AGRAWAL 21/01/1984

FLAT NO.C-31, BLOCK NO C, THAPAR HOUSE COMPLEX, TEMPLE

ROAD, CIVIL LINES NAGPUR Nagpur Maharashtra 44---1 Nagpur Nagpur Maharashtra 440001 NAGPUR NO - 08/11/2012 08/11/2012 07/11/2015

9235780 60026608 FGG PARAG KIRTIKUMAR SHAH 11/01/1969

Room no-8, Parvati kunj,3, Daulat Nagar Borivali East Mumbai

Maharashtra 4---66 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 08/11/2012 08/11/2012 07/11/2015

9235781 60026609 FGG JOHN WESLEY KAMMELA 17/02/1989

6-29, Majeru Patamajeru, Main Village, Krishna Krishna Andhra

Pradesh 521121 Krishna Krishna Andhra Pradesh 521121 VIJAYAVADA NO - 08/11/2012 08/11/2012 07/11/2015

9235783 60026610 FGG N. VIJAYA KRISHNA 20/05/1979

Flat No :- 1-5,vasanta gopal appartments jamadhagni veedhi,tulasi

nagar vijayawada Krishna Andhra Pradesh 52--1- Krishna Krishna Andhra Pradesh 520010 VIJAYAVADA NO - 08/11/2012 08/11/2012 07/11/2015

9235786 60026611 FGG ARVINDER KAUR 19/03/1967 441 Gadi Garh jammu Jammu Jammu & Kashmir 1811-1 Jammu Jammu Jammu & Kashmir181101 JAMMU NO - 08/11/2012 08/11/2012 07/11/2015

9235788 60026612 FGG JACINTHA .. 18/04/1977

-. 5TH CROSS STREET,MARIYAL NAGAR REDIYARPALAYAM

PONDICHERRY Puducherry Pondicherry 6-5--5 Pondicherry Pondicherry Pondicherry 605005 PONDICHERRY NO - 08/11/2012 08/11/2012 07/11/2015

4174172 60026613 FGG YATIN PATEL 29/06/1977

BRAHMIN STREET SEVALIAGAM KHEDA Kheda Gujarat

388245 Kheda Kheda Gujarat 388245 ANAND NO - 02/03/2015 02/03/2015 07/04/2017

9236013 60026614 FGG UTPAL DEKA 01/10/1983

NEAR DR. BHUPEN HAZARIKA'S RESIDENCE NIZARAPAR,

CHANDMARI GUWAHATI Kamrup Assam 781--3 Kamrup Kamrup Assam 781003 GUWAHATI NO - 08/11/2012 08/11/2012 07/11/2015

9235995 60026615 FGG SHAREEN S LASKAR 01/03/1973 ANUPAM NAGAR HATIGAON GUWAHATI Kamrup Assam 781-38 GUWAHATI GUWAHATI Assam 781038 GUWAHATI NO - 08/11/2012 08/11/2012 07/11/2015

9236045 60026616 FGG SANJIB KALITA 01/01/1982

C/O ANIL MOHAN MAHANTA ANANDA NAGAR NOONMATI

GUWAHATI Kamrup Assam 781-2- Barpeta Barpeta Assam 781020 GUWAHATI NO - 08/11/2012 08/11/2012 07/11/2015

9236774 60026619 FGG PAULOMI P MEHTA 18/12/1973

1-2 Plaza Height, 55 Gamdevi Road, Off Huges Road, B/H Dharam

Palace Mumbai Maharashtra 4----7 Mumbai Mumbai Maharashtra 400001 FORT NO - 08/11/2012 08/11/2012 07/11/2015

6003470 60026624 FGG SONALI TAJANE 27/04/1987

YASHODHA APPT , FLAT NO 5 92/2, PAVANA NAGAR NR JAIN

HIGH SCHOOL CHINCHWAD Pune Maharashtra 411033 Pune Pune Maharashtra 411033 CHINCHWAD NO - 24/01/2013 24/01/2013 13/01/2016

8703955 60026635 FGG KRISHAN SINGH 25/09/1965

VPO- Dulothahir Mahendergarh Mahendergarh Mahendragarh

Haryana 123029 Mahendragarh Mahendragarh Haryana 123029 ROHTAK NO - 30/05/2014 30/05/2014 14/07/2017

8589761 60026637 FGG POOJA SUKHIJA 07/12/1979

Sukhija Boot House Main market Tosham Bhiwani Haryana

127040 Sonipat Sonipat Haryana 131001 ROHTAK NO - 19/02/2014 19/02/2014 19/04/2017

9128208 60026643 FGG KULDEEP .. 12/06/1988 # 58 Block No 1 Jatan Hathay Vill Sundawas Hisar Haryana 125--1 Hisar Hisar Haryana 125001 ROHTAK NO - 25/07/2012 25/07/2012 24/07/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

656106 60026671 FGG GOPAL SHARMA 11/11/1962

G - 845 A RAJEEV AWAS VIHAR SCHEME NO.114, VIJAY NAGAR

Indore Madhya Pradesh 450001 East Nimar East Nimar Madhya Pradesh 450001 INDORE YES

LIFE INSURANCE

CORPORATION 24/07/2014 24/07/2014 30/08/2017

9242072 60026673 FGG SATYANANDA PAL 14/10/1962

67/3, ABDUS SAMAD ROAD, BERHAMPUR, Murshidabad West

Bengal 7421-1 Murshidabad Murshidabad West Bengal 742101 KOLKATA NO - 19/11/2012 19/11/2012 18/11/2015

9242069 60026674 FGG RAKESH CHANDRA MANDAL 07/04/1987

JL-19 MAUJA : NARASHINGHAPUR,NOWDAPARA, SAGARPARA

JALANGI Murshidabad West Bengal 7423-5 Murshidabad Murshidabad West Bengal 742305 KOLKATA NO - 19/11/2012 19/11/2012 18/11/2015

9242068 60026676 FGG VIKAS M. PILLAI 21/05/1981

V V VILLA, CHENGAMANAD PO ERNAKULAM Ernakulam Kerala

683578 Ernakulam Ernakulam Kerala 683578 COCHIN NO - 19/11/2012 19/11/2012 18/11/2015

9242066 60026678 FGG MANIKANDAN M.K. 26/04/1974

MANIKANDA VILASAM MULLURKARA P.O. THRISSUR Thrissur

Kerala 68-583 Ernakulam Ernakulam Kerala 680583 THRISSUR NO - 19/11/2012 19/11/2012 18/11/2015

9242063 60026679 FGG PRASHANT C. TALIKOTI 13/12/1983 EWS 113, NAVANAGAR HUBLI Dharwad Karnataka 58--25 Dharwad Dharwad Karnataka 580025 HUBLI NO - 19/11/2012 19/11/2012 18/11/2015

5604685 60026681 FGG ATHUL R. UNNITHAN 30/05/1983

SREECHITHRA,CHERUMANGADU PUTHUR PO KOLLAM

Thiruvananthapuram Kerala 691507 Kollam Kollam Kerala 691507 COCHIN YES

LIFE INSURANCE

CORPORATION 19/11/2012 19/11/2012 27/07/2015

9242411 60026682 FGG BIPIN KUMAR H. SINGH 12/05/1971

Sidharth Vinayak Chawl, Sai Seva Sangh, Rajdhar bandh santakruz

E Mumbai Maharashtra 4---54 Mumbai Mumbai Maharashtra 400054 BORIVALI NO - 19/11/2012 19/11/2012 18/11/2015

9056465 60026683 FGG VINOD KUMAR 16/06/1989

H NO - 42, VILL-POST - KASNA G B NAGAR GREATER NOIDA

GREATER NOIDA Gautam Buddha Nagar Uttar Pradesh 201008 Ghaziabad Ghaziabad Uttar Pradesh 201008 NOIDA YES

METLIFE INDIA

INSURANCE 19/11/2012 19/11/2012 06/05/2015

9242059 60026685 FGG MAHESH ARYA 23/07/1986 1-9 BAGHMUGALIA Bhopal Bhopal Madhya Pradesh 462-23 Bhopal Bhopal Madhya Pradesh 462023 BHOPAL NO - 19/11/2012 19/11/2012 18/11/2015

9039070 60026687 FGG SHAH KOMAL VIPUL 18/09/1976

NO T-1 ARISHI APPARTMENT 2ND LINE PANCHAVATI AMBAWADI

CIRCLE OPP CENTRAL MALL Ahmadabad Gujarat

380006 Ahmadabad Ahmadabad Gujarat 380006 MANINAGAR YES

ING VYSYA LIFE

INSURANCE 19/11/2012 19/11/2012 28/03/2015

9242051 60026688 FGG PATEL PARTH BHARATKUMAR 23/07/1993

83, SURAMYA BUNGLOWS, OPP RATNAM BUNGLOW, SCIENCE

CITY ROAD, SOLA Ahmadabad Gujarat 38--6- AHEMDABAD AHEMDABAD Gujarat 380060 AHMEDABAD NO - 19/11/2012 19/11/2012 18/11/2015

9242050 60026689 FGG MANIKANDAN R. 03/04/1981

1-5B,PILLAIYAR KOIL STREET,V.K.PURAM P.O., AMBAI T.K.

CHENNAI Chennai Tamil Nadu 6----1 Chennai Chennai Tamil Nadu 600001 CHENNAI NO - 19/11/2012 19/11/2012 18/11/2015

9242049 60026690 FGG CHANDRA PRAKASH TIWARI 26/06/1981

H.NO 141/10 NEAR MODAL SCHOOL,BAPU NAGAR AJMER Ajmer

Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

HDFC STANDARD LIFE

INSURANCE CO LTD 19/11/2012 19/11/2012 18/11/2015

9242047 60026691 FGG YASH SUNIL AMRUTE 16/08/1993

A-6-1; SURYA ENCLAVE;NR.TUSLIDHAM THANE WEST Thane

Maharashtra 4--6-1 Thane Thane Maharashtra 400601 THANE NO - 19/11/2012 19/11/2012 18/11/2015

9242045 60026692 FGG VIDYA R. SHETTY 14/08/1976

1-7/A, krishna kunj, 143 s.b. Marge, nr ruparel college matunga(w)

Mumbai Maharashtra 4---16 Mumbai Mumbai Maharashtra 400016 GHATKOPAR NO - 19/11/2012 19/11/2012 18/11/2015

9242043 60026693 FGG KIRAN SUBRAMANYA B.S. 11/09/1992

15/1, 2ND FLOOR, SIDDANTHI BLOCK, SP ROAD MALLESWARAM

Bangalore Karnataka 56---3 Bangalore Bangalore Karnataka 560003 BANGALORE NO - 19/11/2012 19/11/2012 18/11/2015

9243268 60026706 FGG L LAVANYA MANISHA 07/08/1982

HNO:-7-1-3-7/17/A3/8 SUBASH NAGAR SANATHNAGAR

Hyderabad Telangana 5---18 Rangareddi Rangareddi Andhra Pradesh 500018 DILSUKHNAGAR NO - 20/11/2012 20/11/2012 19/11/2015

9243256 60026707 FGG RAJA RAJESWARI GORREPATI 26/08/1979

H NO 1-5-458/1, KOTHAPET, RANGAREDDY Hyderabad Telangana

5---6- Rangareddi Rangareddi Andhra Pradesh 500060 DILSUKHNAGAR NO - 20/11/2012 20/11/2012 19/11/2015

5242488 60026708 FGG AJITSINH ANANDRAO MOHITE 25/01/1985

PLOT NO.46, KASHID COLONY SAMRAT NAGAR KOLHAPUR

Kolhapur Maharashtra 416008 Kolhapur Kolhapur Maharashtra 416008 KOLHAPUR YES

LIFE INSURANCE

CORPORATION 06/01/2015 06/01/2015 12/03/2018

9243241 60026709 FGG LAMBE MANOJ APPASO 01/05/1977

AT POST NAGON TAL HATKANANGALE KOLHAPURE Kolhapur

Maharashtra 416122 Kolhapur Kolhapur Maharashtra 416122 KOLHAPUR NO - 20/11/2012 20/11/2012 19/11/2015

9242840 60026710 FGG IFTIKAR AHMED 04/07/1990

H/N 14 UDAYAN PATH HENGRABARI GUWAHATI Kamrup Assam

781--6 Kamrup Kamrup Assam 781006 GUWAHATI NO - 19/11/2012 19/11/2012 18/11/2015

9242839 60026711 FGG SANJIB RABHA 31/08/1976 HOUSE - 57 RUKHMINIGAON GUWAHATI Kamrup Assam 781--6 Kamrup Kamrup Assam 781006 GUWAHATI NO - 19/11/2012 19/11/2012 18/11/2015

9245155 60026718 FGG PODISHETTI SRINIVAS GOUD 04/04/1989 3-1-3, MARUTHI NAGAR MALKAJGIRI Hyderabad Telangana 5---47 Rangareddi Rangareddi Andhra Pradesh 500047 HYDERABAD NO - 21/11/2012 21/11/2012 20/11/2015

9245186 60026719 FGG KURA HYMAVATHY 11/10/1990

2-1-316,MAMTHA NAGAR ROAD NO 4D NAGOLE Hyderabad

Telangana 5---68 HYDERABAD HYDERABAD Andhra Pradesh 500068 HYDERABAD NO - 21/11/2012 21/11/2012 20/11/2015

9248673 60026731 FGG BAPNA SHOBHIT KUMAR JAIN 21/03/1989

HNO-7-1-5-/2/2-2 SIDDHARATH APTS, DHARAM KARAN ROAD

AMEERPET Hyderabad Telangana 5---16 Hyderabad Hyderabad Andhra Pradesh 500016 KUKKATPALLY NO - 26/11/2012 26/11/2012 25/11/2015

9248972 60026734 FGG VIJAYA BHASKAR REDDY T. 23/04/1985 MALLA REDDY SOMANPALLY CHENNUR Adilabad Telangana 5-42-1 Adilabad Adilabad Andhra Pradesh 504201 KUKKATPALLY NO - 26/11/2012 26/11/2012 25/11/2015

9249153 60026735 FGG R. SARAVANAN 04/06/1986

13/45 V.O.C STREET AMBETHKAR NAGAR Chennai Tamil Nadu

600040 Chennai Chennai Tamil Nadu 600040 CHENNAI NO - 26/11/2012 26/11/2012 25/11/2015

110378 60026760 FGG MEENA CHAUHAN 17/08/1965 239 PACCI DHAKKI JAMMU Jammu Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 16/03/2013 16/03/2013 16/04/2016

1060023 60026761 FGG RENU KUMARI SHARMA 04/06/1976

339-B,SEC.-1,LANE NO-4 DURGA NAGAR,PO.ROOP NAGAR

JAMMU Jammu Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 24/12/2014 24/12/2014 30/03/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

3000084 60026762 FGG DAYASHANKAR K YADAV 07/10/1970

VIAJY SMRUTI II ND FLR VEER SAWARKAR MARG NAUPADA

Thane Maharashtra 400603 Thane Thane Maharashtra 400603 THANE YES

LIFE INSURANCE

CORPORATION 12/02/2013 12/02/2013 07/02/2016

9252922 60026763 FGG ATRE A S 26/07/1981

59/A,GAJANAN NIWAS, KANCHAN GALLI NEAR LAW COLLEGE

ERANDAWANE, PUNE Pune Maharashtra 411--4 Pune Pune Maharashtra 411004 PUNE NO - 29/11/2012 29/11/2012 28/11/2015

9252992 60026764 FGG MEENU TEKRIWAL 06/11/1981

FLAT NO 4-1, SHYAM KRIPA SECTOR NO 1- VIDHYADHAR NAGAR

Jaipur Rajasthan 3-2-24 JAIPUR JAIPUR Rajasthan 302024 JAIPUR NO - 29/11/2012 29/11/2012 28/11/2015

9253114 60026765 FGG SHYAM LAL GUPTA 15/12/1951

101 SURYA NAGAR NADI KA PHATAK JAIPUR Jaipur Rajasthan

301001 Alwar Alwar Rajasthan 301001 JAIPUR YES BIRLA SUN LIFE 29/11/2012 29/11/2012 28/11/2015

9253210 60026766 FGG RAJENDRAKUAMR DINKAR PATIL 08/07/1974

Fl-B--2, Gate-21/A/5A Bldg III,Sakshi Park ,Panvel Navi Mumbai

Thane Maharashtra 41-2-6 Raigarh Raigarh Maharashtra 410206 VASHI NO - 29/11/2012 29/11/2012 28/11/2015

9253251 60026767 FGG SHWETA GADIYA 17/06/1985

27/181, Near Shiksh Niketan School, Panerio ki Madari, Sec 5,

Hirani Magari, Udaipur Rajasthan 313--1 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 29/11/2012 29/11/2012 28/11/2015

8679540 60026769 FGG SUJAY G 01/03/1977

House No 46 2Nd Cross Vivekananda Nagar Bangalore

Karnataka 560033 Bangalore Bangalore Karnataka 560033 R.T.NAGAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/12/2014 16/12/2014 29/06/2017

9253378 60026771 FGG GOVINDRAJ BHANUDAS PATRE 13/06/1986

R/o Ganpati Ward Mulawa Tq-Umerkhed Yavatmal Maharashtra

445211 Yavatmal Yavatmal Maharashtra 445211 AURANGABAD NO - 29/11/2012 29/11/2012 28/11/2015

9253388 60026772 FGG SAHIL SHARMA 03/01/1989 D-45 SUGAR MILL COLONY KARNAL Karnal Haryana 132--1 Karnal Karnal Haryana 132001 ROHTAK NO - 29/11/2012 29/11/2012 28/11/2015

9253833 60026775 FGG G DILIP KUMAR 27/01/1975

HNO-11-11-162/2 SOWBHAGYAPURAM, KOTHAPET Hyderabad

Telangana 5---6- Rangareddi Rangareddi Andhra Pradesh 500060 HIMAYATHNAGAR NO - 29/11/2012 29/11/2012 28/11/2015

9253873 60026776 FGG THARAKARAMU MUSULURI 21/06/1983

FLAT NO -3-6,4 TH FLOOR NEAR YSR NILAYAM,MAHALAXMI

MEADOWS, PANCHAVATI TOWNSHIP,MANIKONDA Hyderabad

Telangana 5---53 Hyderabad Hyderabad Andhra Pradesh 500053 HYDERABAD NO - 29/11/2012 29/11/2012 28/11/2015

9254025 60026777 FGG PATEL BIRVA RASHESH 06/07/1994

BUNGLOW NO - 17/18, OPP. AMBIKA NIWAS MANINAGAR CHAR

RASTA MANINAGAR Ahmadabad Gujarat 38---8 Ahmadabad Ahmadabad Gujarat 380008 AHMEDABAD NO - 29/11/2012 29/11/2012 28/11/2015

9254050 60026778 FGG RAJAN GHANSHYAMLAL BAGARIA 14/07/1978

1287, MOCHIKHADKI M. G. H. ROAD ASTODIA Ahmadabad Gujarat

38---1 Ahmadabad Ahmadabad Gujarat 380001 AHMEDABAD NO - 29/11/2012 29/11/2012 28/11/2015

3000784 60026779 FGG SHWETA G RAVAL 18/06/1984

310,HIRABAUG SOC-1 GHATLODIA AHMEDABAD Ahmadabad

Gujarat 380061 Ahmadabad Ahmadabad Gujarat 380061 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 18/03/2013 18/03/2013 07/02/2016

9254119 60026780 FGG AMIT SHARMA 24/09/1980

NANAK NAGAR NANAK NAGAR JAMMU Jammu Jammu & Kashmir

18---1 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 29/11/2012 29/11/2012 28/11/2015

9254158 60026781 FGG MOON SRIVASTAV 26/01/1977

Bus Stop Lokayiya Khera, Mourawan Unnao Unnao Uttar Pradesh

2-9821 Unnao Unnao Uttar Pradesh 209821 LUCKNOW NO - 29/11/2012 29/11/2012 28/11/2015

9254175 60026782 FGG DEVENDRA SINGH 23/09/1982

1/1148 VISHAL KHAND GOMTI NAGAR LUCKNOW Lucknow Uttar

Pradesh 226--4 Lucknow Lucknow Uttar Pradesh 226004 LUCKNOW NO - 29/11/2012 29/11/2012 28/11/2015

9254216 60026783 FGG MAHENDRA G CHOUDHARI 02/12/1979

B 206 ,NAVJEEVAN AAKASH GANGA SOC. NEAR BIRLA COLLEGE

KALYAN (W) Thane Maharashtra 421302 Thane Thane Maharashtra 421302 THANE YES

ICICI PRUDENTIAL LIFE

INSURANCE 29/11/2012 29/11/2012 28/11/2015

9185497 60026784 FGG UMESH CHANDRA TRIVEDI 27/07/1953

BIMA KENDRA NR.GAYATRI HOSPITAL SALUMBER Udaipur

Rajasthan 305921 Ajmer Ajmer Rajasthan 305921 UDAIPUR YES

LIFE INSURANCE

CORPORATION 29/11/2012 29/11/2012 18/09/2015

9254293 60026785 FGG DEVI N 17/03/1986

NO.3, JANAGIRAMAN STREET SAIDAPET CHENNAI Chennai Tamil

Nadu 600083 Chennai Chennai Tamil Nadu 600083 CHENNAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/11/2012 29/11/2012 28/11/2015

9258645 60026818 FGG M PURSHOTHAM GOUD 12/06/1976

HNO-12-5/6 J J NAGAR COLONY NEW ALWAL Hyderabad

Telangana 5---11 Rangareddi Rangareddi Andhra Pradesh 500011 HYDERABAD NO - 04/12/2012 04/12/2012 03/12/2015

9258646 60026819 FGG SUBHASHINI GANGA 02/12/1977

HNO:-5-94 UDUMVARIPALLI PULLAMPETA Hyderabad Telangana 5-

---2 Hyderabad Hyderabad Andhra Pradesh 500002 DILSUKHNAGAR NO - 04/12/2012 04/12/2012 03/12/2015

9258647 60026820 FGG SHAH HARSH A 19/04/1994

24 Gajanand society opp bank of baroda, Manjalpur Baroda

Vadodara Gujarat 390011 Vadodara Vadodara Gujarat 390011 BARODA YES

SBI LIFE INSURANCE

COMPANY LIMITED 04/12/2012 04/12/2012 03/12/2015

8112081 60026828 FGG ASHOK SINGH 10/12/1972 D-813 GALI NO 10 MUKANDPUR Delhi Delhi 110042 North West North West Delhi 110042 WEST DELHI YES SBI LIFE INS. CO. 18/06/2013 18/06/2013 02/06/2016

9258999 60026829 FGG REJINS C.B. 09/07/1980

CHELATTU HOUSE, MOOLANKAVE PO WAYANAD Wayanad Kerala

673592 Wayanad Wayanad Kerala 673592 CALICUT NO - 05/12/2012 05/12/2012 04/12/2015

9258997 60026830 FGG SAMBHU KUMAR 05/05/1976 A-121 B GN-2- POCKET-1 CHANAKYA PALACE Delhi Delhi 11---1 New Delhi New Delhi Delhi 110001 CONNAUGHT PLACENO - 05/12/2012 05/12/2012 04/12/2015

9258996 60026831 FGG SANDEEP KAUR 02/07/1985 Mona Kalan hosiarpur hosiarpur Hoshiarpur Punjab 1441-5 Hoshiarpur Hoshiarpur Punjab 144105 CONNAUGHT PLACENO - 05/12/2012 05/12/2012 04/12/2015

9258992 60026832 FGG NAMRATA JEETENDRA JAIN 10/04/1993

A 7-2 vikas palms dr ambedkar road panchpakhdi nr st bus depot

thane w Thane Maharashtra 4--6-1 Thane Thane Maharashtra 400601 GHATKOPAR NO - 05/12/2012 05/12/2012 04/12/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9258990 60026833 FGG MUKESH KUMAR GUPTA 14/08/1985

1\842 BARRA VISHWA BANK COLONY SEC H Kanpur Kanpur Nagar

Uttar Pradesh 2-8-27 Kanpur Dehat Kanpur Dehat Uttar Pradesh 208027 KANPUR NO - 05/12/2012 05/12/2012 04/12/2015

9258987 60026835 FGG RAJNI BALA 21/04/1956 #3-2, Ward-18, Tehsi.Batala Gurdaspur Gurdaspur Punjab 1435-5 Gurdaspur Gurdaspur Punjab 143505 AMRITSAR NO - 05/12/2012 05/12/2012 04/12/2015

9258985 60026836 FGG ABILASH V.B. 20/03/1984

358 (6/397 ) VAKKATT, 4, KUMBALANGI SOUTH PO COCHIN

Ernakulam Kerala 682--7 Ernakulam Ernakulam Kerala 682007 COCHIN NO - 05/12/2012 05/12/2012 04/12/2015

9258979 60026838 FGG G. JEYAKUMAR 15/04/1978

3/66, West Street, Melakuyilkudi, Nagamalai Madurai Madurai

Tamil Nadu 625-19 Madurai Madurai Tamil Nadu 625019 MADURAI NO - 05/12/2012 05/12/2012 04/12/2015

5971684 60026839 FGG LAKSHMI D.H. 04/05/1959

NO 361/106 , 3rd FLOOR , 2nd MAIN , 18th CROSS , BEML LAYOUT

, BASAVESHWAR NAGAR , BANGALORE Bangalore Karnataka

560079 Bangalore Bangalore Karnataka 560079 BANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/12/2012 05/12/2012 25/12/2015

9070016 60026840 FGG ABHISHEK SAINI 05/03/1984

1-7, GO TO ROD PASCHIVMI BEHAR, MAINPURI, Mainpuri Uttar

Pradesh 2-63-1 Mainpuri Mainpuri Uttar Pradesh 206301 CONNAUGHT PLACENO - 26/05/2012 26/05/2012 25/05/2015

9258976 60026841 FGG VEERESH BASAVARAJ UPASE 01/06/1985 A/P MATAPATI GALLI, BIJAPUR BIJAPUR Bijapur Karnataka 5861-1 Bijapur Bijapur Karnataka 586101 HUBLI NO - 05/12/2012 05/12/2012 04/12/2015

9033097 60026842 FGG VINITA JAIN 26/04/1970

178-SUKHDEV NAGAR INDORE MO Indore Madhya Pradesh

450001 East Nimar East Nimar Madhya Pradesh 450001 INDORE YES

LIFE INSURANCE

CORPORATION 05/12/2012 05/12/2012 25/03/2015

9095871 60026843 FGG MANISHA VINOD KAMBLE 09/07/1982 2369 PHULE NAGAR KALYAN Thane Maharashtra 421102 Thane Thane Maharashtra 421102 THANE YES

LIFE INSURANCE

CORPORATION 05/12/2012 05/12/2012 22/06/2015

9259367 60026844 FGG CHITRA SHRAVAN GHODKE 20/07/1980

Bilg No 2, Parvati Niwas, Patharli Road Dombivali E Thane

Maharashtra 4212-1 Thane Thane Maharashtra 421201 THANE NO - 05/12/2012 05/12/2012 04/12/2015

4714766 60026848 FGG RAJARAM PAWALE 07/08/1979

Flat No 8 Prithvi Prasth Bldg Market Yard Chakan Tal Khed PUNE

Pune Maharashtra 410501 Pune Pune Maharashtra 410501 CHINCHWAD NO - 16/02/2015 16/02/2015 15/10/2017

1176716 60026853 FGG PIYUSH KAUSHIK 12/08/1972

FLAT NO 409 SHAKTI APARTMENT SECTOR 14 Panchkula Haryana

134114 Panchkula Panchkula Haryana 134113 CHANDIGARH YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 07/12/2012 07/12/2012 08/05/2015

9261196 60026856 FGG SEEMA DHIRENDRA TRIPATHI 15/12/1980

chwl no6 rm no 202 panther ngr behind bldg no 41 godrej khadi

vikhroli Mumbai Maharashtra 400079 Mumbai Mumbai Maharashtra 400079 GHATKOPAR YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 07/12/2012 07/12/2012 06/12/2015

9261221 60026857 FGG SATHISHKUMAR J. 17/06/1983

#29-,5th Cross Virabhadra nagar Banshankari 3rd stage Bangalore

Karnataka 56--85 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 07/12/2012 07/12/2012 06/12/2015

9261327 60026858 FGG PALLABI SABAT 26/04/1977

M-122 BHIMATANGI,H.B COLONY BHUBANESWAR Khordha Odisha

752-18 Nayagarh Nayagarh Odisha 752018 BHUBANESWAR NO - 07/12/2012 07/12/2012 06/12/2015

9261353 60026860 FGG MOHAMMED RAFI 26/08/1985 4-58 SANGEM WARANGAL Warangal Telangana 5-633- Warangal Warangal Andhra Pradesh 506330 KUKKATPALLY NO - 07/12/2012 07/12/2012 06/12/2015

8932140 60026861 FGG AMIT KUMAR GARG 02/02/1980 C-13 SHALIMAR COLONEY AJEMR Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

LIFE INSURANCE

CORPORATION 18/11/2014 18/11/2014 22/11/2017

2691469 60026862 FGG REKHA MAURYA 05/07/1972

100 HARIBHAO UPADHYAY NAGAR MAIN AJMER Ajmer Rajasthan

305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 07/12/2012 07/12/2012 17/10/2015

9262644 60026872 FGG BAKIAVATHY .. 31/07/1979

NO.28, MARIAMMAN KOIL STREET, ODHIYAMPET Puducherry

Pondicherry 6-511- Viluppuram Viluppuram Tamil Nadu 605110 PONDICHERRY NO - 10/12/2012 10/12/2012 09/12/2015

9133319 60026874 FGG SUMATHI SRINIVASAN 10/12/1975

NO 95, 2ND MAIN ROAD,M.G.R NAGAR MOOLAKULAM

Puducherry Pondicherry 605010 Pondicherry Pondicherry Pondicherry 605010 PONDICHERRY YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 10/12/2012 10/12/2012 28/07/2015

8296724 60026879 FGG SARAVANABAVANE .. 25/11/1976

NO 1 ARINGNAR ANNA STREET MANAVELY PONDICHERRY

PONDICHERRY Puducherry Pondicherry 605001 Pondicherry Pondicherry Pondicherry 605001 PONDICHERRY YES

METLIFE INDIA

INSURANCE 27/09/2013 27/09/2013 22/09/2016

2856407 60026880 FGG VIJAYALAXMI R. AMIN 05/04/1970

314/D Neel kamal chs Shradhanand road Vile parle (east) Mumbai

Maharashtra 400057 Mumbai Mumbai Maharashtra 400057 FORT YES BIRLA SUN LIFE 07/05/2013 07/05/2013 22/12/2015

9264367 60026903 FGG RAKESH K 28/02/1985

385, PUTHOOKKARA, MANNUR KADALUNDI Kozhikode Kerala

673328 Kozhikode Kozhikode Kerala 673328 CALICUT NO - 12/12/2012 12/12/2012 11/12/2015

9264369 60026904 FGG ANOOP ACHUTHAN 19/08/1982

276, PUTHANPURAKKAL THRITHALA PO PALAKKAD Palakkad Kerala

679534 Palakkad Palakkad Kerala 679534 CALICUT NO - 12/12/2012 12/12/2012 11/12/2015

9264403 60026908 FGG AVNEESH KUMAR 12/08/1985 164, Mani Hari 2, Farrukhabad Farrukhabad Uttar Pradesh 2-9625 Farrukhabad Farrukhabad Uttar Pradesh 209625 KANPUR NO - 12/12/2012 12/12/2012 11/12/2015

9264400 60026909 FGG SANJAY GUPTA 07/04/1969

B 291, SECTOR 26, NOIDA Gautam Buddha Nagar Uttar Pradesh 2-

1--8 Ghaziabad Ghaziabad Uttar Pradesh 201008 NOIDA NO - 12/12/2012 12/12/2012 11/12/2015

8922884 60026910 FGG MUNI PRABHAKAR KONIDALA 05/08/1970

39-10-15/2 murali nagar VISAKHAPATNAM Visakhapatnam

Andhra Pradesh 530007 Visakhapatnam Visakhapatnam Andhra Pradesh 530007 VIZAG NO - 01/09/2014 01/09/2014 14/11/2017

8023553 60026913 FGG SIDDIGANAPATHY NEKKARE 15/08/1957

BANNERUGHATTA VILLAGE, TALUKA ANEKAL, BANGALORE

Bangalore Karnataka 562106 Bangalore Bangalore Karnataka 562106 BANGALORE YES

SBI LIFE INSURANCE

COMPANY LIMITED 04/03/2013 04/03/2013 11/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9264397 60026914 FGG NITIN D SONAWANE 23/02/1979

MORAYA COLONY SATHE CHAWL NEAR SAI MANDIR CHINCHWADE

NAGAR CHINCHWAD PUNE Pune Maharashtra 411-33 Pune Pune Maharashtra 411033 CHINCHWAD NO - 12/12/2012 12/12/2012 11/12/2015

9264392 60026916 FGG NITA SITARAM MANE 22/03/1990

PLOT NO 234, SHUKLA CHAWL, R B MEHTA ROAD, PATEL CHOWK,

GHATKOPAR EAST Mumbai Maharashtra 4---77 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 12/12/2012 12/12/2012 11/12/2015

9266433 60026918 FGG VISHAL B. CHHEDA 10/09/1982

1st floor 111,balubhai nivas, daftary road, Malad East Mumbai

Maharashtra 4---97 Mumbai Mumbai Maharashtra 400092 BORIVALI NO - 14/12/2012 14/12/2012 13/12/2015

9266438 60026919 FGG PRASANNA V. UPASANI 18/07/1979

MADHUBAN R H NO 16 2- F NO B 1, DASAK ROAD NASHIK Nashik

Maharashtra 4221-1 Nashik Nashik Maharashtra 422101 NASHIK NO - 14/12/2012 14/12/2012 13/12/2015

9266439 60026920 FGG SMITA MAHESH SANT 17/10/1966

FLAT NO 1-, MAHALAXMI DARSHAN SOC VIJAY NAGAR, DINDORI

ROAD, MHASRUL, PANCHVATI Nashik Maharashtra 422--4 Nashik Nashik Maharashtra 422004 NASHIK NO - 14/12/2012 14/12/2012 13/12/2015

9266441 60026921 FGG MANOJ SINGHAL 07/02/1985

A 1/7, DLF COLONY, BHOPURA, SAHIBABAD, GHAZIABAD

Ghaziabad Uttar Pradesh 2-1--1 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 14/12/2012 14/12/2012 13/12/2015

8369001 60026926 FGG SREEKALA S. 17/02/1971

Gokulam Kaliyilkonam Thuruvickal Thiruvananthapuram

Kerala 695011 Thiruvananthapuram ThiruvananthapuramKerala 695011 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/11/2013 30/11/2013 09/11/2016

8595521 60026928 FGG DILEEP KUMAR P. 19/07/1961

H No 76 2 82 1 Pandaravila Veedu Lvengodu Pothencodu

Thiruvananthapuram Kerala 695313 Thiruvananthapuram ThiruvananthapuramKerala 695313 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/07/2014 03/07/2014 26/04/2017

9267022 60026931 FGG MALINI T V 14/03/1984

#2 Muncipal Quaters Soppina Beedi 15th Ward nandni Road

Kandavar pet Chikkabalapur BANGALORE Bangalore Karnataka

5621-1 Kolar Kolar Karnataka 562101 BANGALORE NO - 14/12/2012 14/12/2012 13/12/2015

9267063 60026932 FGG INDU BALA 19/07/1985 H NO133 KHOO WALI,PATTI TARN TARAN Amritsar Punjab 143--1 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 14/12/2012 14/12/2012 13/12/2015

9264382 60026947 FGG VIJAY GORAKSHA TEMGIRE 21/11/1989

A/P THORANOALE TAL-AMBEGAON PUNE Pune Maharashtra 41-5-

4 Pune Pune Maharashtra 410504 PUNE NO - 12/12/2012 12/12/2012 11/12/2015

9268388 60026948 FGG NONEHAL SHARMA 13/06/1988

VPO SHANTI NAGAR (KURRI) TEHSIL- PEHOWA KURUKSHETRA

Kurukshetra Haryana 136136 Kurukshetra Kurukshetra Haryana 136020 AMBALA NO - 17/12/2012 17/12/2012 16/12/2015

9086034 60026949 FGG GAURAV BANSAL 11/03/1986 69 Vinoba Bhavevard INDORE Indore Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE YES

MAX NEW YORK LIFE

INSURANCE 12/12/2012 12/12/2012 13/06/2015

9264406 60026951 FGG MOHAMMED NAVEED 26/07/1989

#28/17 5TH A MAIN C CROSS, BISMILLA NAGAR, OFF B G ROAD

BANGALORE Bangalore Karnataka 56--29 Bangalore Bangalore Karnataka 560029 INDIRA NAGAR NO - 12/12/2012 12/12/2012 11/12/2015

9264404 60026952 FGG PUNITH KUMAR 01/04/1979

2-8-1 Shantigrama 1, Keshava Temple Road Hasan Hassan

Karnataka 5731-1 Hassan Hassan Karnataka 573101 BANGALORE NO - 12/12/2012 12/12/2012 11/12/2015

9268440 60026953 FGG B ARUN PRASATH 16/07/1984

N- 5C, Vinayaga Complex, OM Shakti Nagar, Opp Silk Form, Next

Thally Gate Hosur Krishnagiri Tamil Nadu 635--1 Dharmapuri Dharmapuri Tamil Nadu 635001 BANGALORE NO - 17/12/2012 17/12/2012 16/12/2015

9268465 60026954 FGG SAHIBA BANO 01/11/1993

88 JAGANNATHPURI 2-- FT RD JOTHWARA JAIPUR Jaipur Rajasthan

3-1--1 Alwar Alwar Rajasthan 301001 JAIPUR NO - 17/12/2012 17/12/2012 16/12/2015

9268498 60026955 FGG AMIT KR KEDIA 18/04/1983 TARABANGLA RANIGANJ BURDWAN Burdwan West Bengal 713347 Barddhaman Barddhaman West Bengal 713347 CUTTACK NO - 17/12/2012 17/12/2012 16/12/2015

9268537 60026956 FGG VARAKALA KRISHNA 15/02/1977

HN0:-2-101/1,CHANDURU(V,P,M) NEAR POLICE STATION

CHANDURU Nalgonda Telangana 508255 Nalgonda Nalgonda Andhra Pradesh 508255 HYDERABAD YES

ICICI PRUDENTIAL LIFE

INSURANCE 17/12/2012 17/12/2012 16/12/2015

9268584 60026960 FGG REJINTHALA RAMESH KUMAR 26/05/1969

HNO:-11-9-259,VIJAYAPURI COLONY BHAVAN SAROORNAGAR L B

NAGAR Rangareddy Telangana 5---36 Rangareddi Rangareddi Andhra Pradesh 500036 HYDERABAD NO - 17/12/2012 17/12/2012 16/12/2015

9132164 60026979 FGG ADITYA JAIN 23/04/1994

ND 66 VISHAKHA ENCLAVE PITAMPURA NEW DELHI Delhi Delhi

110034 North West North West Delhi 110034 CONNAUGHT PLACEYES

RELIANCE LIFE

INSURANCE 20/12/2012 20/12/2012 27/07/2015

9272365 60026980 FGG MURALI D 07/11/1972

NO 3-, UNNATHI NEAR NATIONAL CONVENT VITTALA NAGAR

BANGALORE Bangalore Karnataka 56--72 Bangalore Bangalore Karnataka 560072 BANGALORE NO - 20/12/2012 20/12/2012 19/12/2015

8852427 60026993 FGG RAJ KUMAR VERMA 30/10/1983

Raj Majipur Pure Bakhsi Sangi Pur Pratapgarh Pratapgarh

Uttar Pradesh 230139 Pratapgarh Pratapgarh Uttar Pradesh 230139 LUCKNOW YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/10/2014 16/10/2014 29/09/2017

140946 60027009 FGG KANTA GOYAL 04/03/1959

53, Spartan Nagar, Mogappair, Chennai Chennai Tamil

Nadu 600040 Chennai Chennai Tamil Nadu 600040 CHENNAI NO - 05/02/2013 05/02/2013 29/03/2016

9280172 60027014 FGG ALEKHA KUMAR SAHOO 09/01/1984

At/Po-Bainchua,Balianta,Khurda Bhubaneswar Khurda Khordha

Odisha 752-18 Khurda Khurda Odisha 752018 BHUBANESWAR NO - 27/12/2012 27/12/2012 26/12/2015

9280547 60027016 FGG PRASANTA KUMAR MOHANTY 25/06/1971

At/PO Jharakata, Via Bentakar, Dist Cuttack Cuttack Odisha

754112 Cuttack Cuttack Odisha 754112 CUTTACK NO - 27/12/2012 27/12/2012 26/12/2015

9280550 60027017 FGG SAMPAD KUMAR SWAIN 18/06/1984

FLAT NO-1-9 ASHUTOSH VIHAR, RAVI TALKIES ROAD,

BHUBANESWAR BHUBANESWAR BHUBANESHWAR Odisha 751--2 Khordha Khordha Odisha 751002 CUTTACK NO - 27/12/2012 27/12/2012 26/12/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9280181 60027018 FGG PAVITHRA R 26/06/1993

O.No: 13, N.No: 29 Periyasamy Konar Sandhu Madurai Madurai

Tamil Nadu 625001 Madurai Madurai Tamil Nadu 625001 MADURAI YES

FUTURE GENERALI LIFE

INSURANCE 27/12/2012 27/12/2012 26/12/2015

9280566 60027019 FGG VIVEK NEGI 03/06/1981 E-51,E-Block,East vinod nagar DELHI DELHI Delhi Delhi 11--52 North North Delhi 110052 CONNAUGHT PLACENO - 27/12/2012 27/12/2012 26/12/2015

9280572 60027020 FGG VIPIN KUMAR GUPTA 27/10/1961 R-35F R- block,Dilsahd garden. Delhi Delhi Delhi Delhi 11--52 North North Delhi 110052 CONNAUGHT PLACENO - 27/12/2012 27/12/2012 26/12/2015

9280577 60027022 FGG SAVITA SHARMA 15/06/1981 156, MODI NAGAR AJMER ROAD Jaipur Rajasthan 3-2--1 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 27/12/2012 27/12/2012 26/12/2015

3857906 60027023 FGG V MALATHI LATHA 02/06/1968

F NO 209 NAGARJUNA APTS BLOCK NO II NIZAMPET RD HYDER

NGR K PALLY R P Hyderabad Hyderabad Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 KUKKATPALLY YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 07/02/2014 07/02/2014 19/12/2016

9280583 60027024 FGG SANGEETA B PANDEY 08/06/1985

119 MAHAVEER SOCIETY B/H JALARAM TEMPLE DIVA ROAD

ANKLESHWAR Bharuch Gujarat 393--1 Bharuch Bharuch Gujarat 393001 BHARUCH NO - 27/12/2012 27/12/2012 26/12/2015

9280593 60027025 FGG KIRAN CHAWLA 03/05/1956

815/5 Housing Board Colony Jalandhar Jalandhar Jalandhar

Punjab 144--1 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 27/12/2012 27/12/2012 26/12/2015

9282047 60027033 FGG SHIKHA GOYAL 28/02/1982

139, ALOK NAGAR, KANADIA ROAD, OPP KARNATAKA SCHOOL,

INDORE Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 28/12/2012 28/12/2012 27/12/2015

9282039 60027035 FGG SANJAY VASANT KAMBLE 07/04/1974

Kamble Niwas Paspoli Village Vihar Lake Road, NITIE Andheri

Mumbai Maharashtra 4---87 Mumbai Mumbai Maharashtra 400087 ANDHERI NO - 28/12/2012 28/12/2012 27/12/2015

9282031 60027036 FGG PREETI NAGAR 02/09/1981

26A - 7-3, Nandadeep Building, Bimbisaar Nagar,off W. E.

Highway, Goregaon East, Mumbai Mumbai Maharashtra 4---63 Mumbai Mumbai Maharashtra 400063 ANDHERI NO - 28/12/2012 28/12/2012 27/12/2015

8781415 60027037 FGG S NANJUNDA ARADHYA 21/09/1968

#48,3RD MAIN KASHINAGAR,KANAKAPURA MAIN ROAD

YELUCHENALLI J P NAGAR 6TH PHASE Bangalore Karnataka

560078 Bangalore Bangalore Karnataka 560078 BANGALORE YES

LIFE INSURANCE

CORPORATION 26/11/2014 26/11/2014 28/08/2017

9282002 60027038 FGG REEMA SONI 20/02/1988 7-SA-3 Pawan Puri Bikaner Bikaner Rajasthan 334--3 Bikaner Bikaner Rajasthan 334003 JAIPUR NO - 28/12/2012 28/12/2012 27/12/2015

2413660 60027039 FGG KRUTI K. TRIVEDI 30/12/1982

B-4 SHYAMSUNDAR APPT NR T V CENTRE GHOGHA CIRCLE

BHAVNAGAR Bhavnagar Gujarat 364002 Bhavnagar Bhavnagar Gujarat 364002 BHAVNAGAR YES

HDFC STANDARD LIFE

INSURANCE CO. 28/12/2012 28/12/2012 12/05/2015

9146668 60027041 FGG MADHAVAN S. 12/03/1978

No B/S3 Rohini Park Melur Road Srirangam Tiruchirapalli Tamil

Nadu 620006 Tiruchirappalli Tiruchirappalli Tamil Nadu 620006 TRICHY YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/12/2012 28/12/2012 12/08/2015

794393 60027042 FGG MOHINDER KUMAR 26/05/1955

1894 II Floor Sector 34-D Chandigarh Chandigarh

160022 Chandigarh Chandigarh Chandigarh 160022 PANCHKULA YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 09/03/2015 09/03/2015 16/10/2017

9282252 60027043 FGG ASHISH G. JAGIASI 13/12/1989

Office No -9, Ground Floor, Sidharth Towers, Kopri Colony Thane

East Thane Maharashtra 4--6-3 Thane Thane Maharashtra 400603 THANE NO - 28/12/2012 28/12/2012 27/12/2015

9175273 60027044 FGG CHANDRASEKARAN P. 12/12/1940

59 B NEW NO 21 APPORUNAGAR Dharmapuri Dharmapuri Tamil

Nadu 636701 Dharmapuri Dharmapuri Tamil Nadu 636701 SALEM YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 28/12/2012 28/12/2012 09/09/2015

1431370 60027045 FGG KAVTHAKAR VIKRAM 02/06/1981 AT-ANNPUR POST-AMADABADE PUNE Pune Maharashtra 412210 Pune Pune Maharashtra 412218 AHMEDNAGAR YES

LIFE INSURANCE

CORPORATION 28/12/2012 28/12/2012 14/10/2015

9282437 60027046 FGG SIDDHANT SURANA 05/10/1990 19 VIVEKANAND NAGAR RAIPUR Raipur Chattisgarh 492--1 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 28/12/2012 28/12/2012 27/12/2015

9282455 60027047 FGG BHUVEN SHARMA 13/07/1992

B - 4, SHIVANG VILL APPT NANDAN PARK, OPP. INDOCTOTHERM

FACTORY BOPAL Ahmadabad Gujarat 38--58 Ahmadabad Ahmadabad Gujarat 380058 AHMEDABAD NO - 28/12/2012 28/12/2012 27/12/2015

8916177 60027050 FGG ATHARWA ABHIMANYU KALE 18/12/1991

Flat No. 17 Bldg No. 5 5th Floor Haji Ali Govt Qtrs Mahalaxmi

Near Lala College Mumbai Maharashtra 400034 Mumbai Mumbai Maharashtra 400034 FORT NO - 01/12/2014 01/12/2014 09/11/2017

1230323 60027051 FGG JISHA JOHNEY PANAKKAL 22/11/1981 PANAKKAL HOUSE NETAJI ROAD ALWAYE Ernakulam Kerala 6835-1 Ernakulam Ernakulam Kerala 683501 COCHIN NO - 13/06/2012 13/06/2012 13/06/2015

2729559 60027052 FGG MORADIYA RAMESH V. 02/02/1975

A-3, TAPIDARSHAN SOCIETY-2, OPP: NANDANVAN SOCIETY, NEAR:

COUSWAY, SINGANPOR, SURAT. Surat Gujarat 395004 Surat Surat Gujarat 395004 SURAT YES

LIFE INSURANCE

CORPORATION 31/12/2012 31/12/2012 08/11/2015

9286613 60027053 FGG TAMBE USHA MACHINDRA 30/09/1982 A/P SAMBHAJI NAGAR BEED BEED Beed Maharashtra 431122 BEED BEED Maharashtra 431122 AHMEDNAGAR NO - 31/12/2012 31/12/2012 30/12/2015

9286607 60027054 FGG RAJARATNAM .. 18/06/1976

12-1-512/3/R NEW ARYA NAGAR,LALAPET SECUNDERABAD

Hyderabad Telangana 5---17 Hyderabad Hyderabad Andhra Pradesh 500017 HYDERABAD NO - 31/12/2012 31/12/2012 30/12/2015

8456962 60027055 FGG MEGHA AVINASH SHAH 07/07/1984

3-4-184 TO 196 3RD FLOOR 304,RAMDHAN COMPLEX

LINGAMPALLY Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD YES

LIFE INSURANCE

CORPORATION 29/03/2014 29/03/2014 07/01/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9286588 60027057 FGG MURUGANANDHAM C. 20/02/1989

3/235 Sungaramadakku mailkal

kuniyamuthur,Vadugapalayam(po),Udumalpet Coimbatore Tamil

Nadu 6422-5 Udumalpet Udumalpet Tamil Nadu 642205 COIMBATORE NO - 31/12/2012 31/12/2012 30/12/2015

9286565 60027058 FGG SHEKHAR KATARIA 17/12/1986

A 92/R, WARD NO 1-, NEW COLONY, PALWAL Faridabad Haryana

121--1 Faridabad Faridabad Haryana 121005 GURGAON NO - 31/12/2012 31/12/2012 30/12/2015

9286532 60027060 FGG D. VEERAMANI 10/03/1986

Old no 3/36 new no 3/36 chetty kuzhi villkovilur po ariyalur dt

Karur Tamil Nadu 621715 Tiruvannamalai Tiruvannamalai Tamil Nadu 621715 TRICHY NO - 31/12/2012 31/12/2012 30/12/2015

9286518 60027062 FGG S. SUDHA 28/09/1989

O no 4/71 new no 63 vadaku strret sirupathur manachanallur

Trichy Tiruchirapalli Tamil Nadu 62---8 Tiruchirappalli Tiruchirappalli Tamil Nadu 620008 TRICHY NO - 31/12/2012 31/12/2012 30/12/2015

9289668 60027087 FGG DHARAM VIR DHANDA 01/04/1948

Karra Manj Kothi G.T. Road Mukerian Hoshiarpur Punjab

146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR NO - 03/01/2013 03/01/2013 02/01/2016

9289670 60027088 FGG J MURALI 04/01/1991

NO.35/9, THUKKARAM STREET, MANJAKUPPAM Cuddalore

Tamil Nadu 607001 Cuddalore Cuddalore Tamil Nadu 607001 CHENNAI NO - 03/01/2013 03/01/2013 02/01/2016

9290313 60027095 FGG NIRAJ KUMAR 09/01/1990

Makhdumpur,Gate no-88, Digha Ghat Patna Patna Patna Bihar

800011 Patna Patna Bihar 800011 PATNA NO - 04/01/2013 04/01/2013 03/01/2016

9192047 60027105 FGG HARPREET SINGH SURI 28/10/1992 11-L MODEL TOWN SONEPAT Sonipat Haryana 131001 Sonipat Sonipat Haryana 131001 WEST DELHI YES

LIFE INSURANCE

CORPORATION 07/01/2013 07/01/2013 25/09/2015

4392570 60027107 FGG HEMAL DARSHAN KOTHARI 08/04/1968

VIRMANI, 18, SARDAR NAGAR CORNER, RAJKOT, Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 21/07/2014 21/07/2014 17/07/2017

406635 60027108 FGG RAKESH SINGLA 21/07/1967

3199 SECTOR-15D CHANDIGARH Chandigarh Chandigarh

160015 Chandigarh Chandigarh Chandigarh 160015 CHANDIGARH YES

BaJAJ ALLIANZ LIFE

INSURANCE 14/12/2013 14/12/2013 29/01/2017

9293677 60027127 FGG RENU GUPTA 18/03/1989

EWS SECTOR-G JANKIPURAM LUCKNOW Lucknow Uttar

Pradesh 226005 Lucknow Lucknow Uttar Pradesh 226005 LUCKNOW NO - 09/01/2013 09/01/2013 08/01/2016

9293674 60027128 FGG PREETU .. 18/07/1980

19-B/20 VASHISHTHA PURAM 50 FEET ROAD, JANKIPURAM EXT.

LUCKNOW Lucknow Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 09/01/2013 09/01/2013 08/01/2016

9293792 60027129 FGG NISHA MEHROTRA 01/03/1951

529/88 RAHIM NAGAR LUCKNOW Lucknow Uttar Pradesh

209506 Unnao Unnao Uttar Pradesh 209506 LUCKNOW NO - 09/01/2013 09/01/2013 08/01/2016

8048434 60027130 FGG BRITA VIRAL MEHTA 17/04/1983

406/19 Sardar Patel Society 1 G I D C Ankleshwar Bharuch

Bharuch Gujarat 393002 Bharuch Bharuch Gujarat 393002 BHARUCH YES BIRLA SUN LIFE 09/01/2013 09/01/2013 29/03/2016

9293670 60027131 FGG CHANDAN P.L. 26/01/1989

15, 19TH CROSS, 15TH MAIN ROAD, J L NAGAR, MAHALAXMI

PURAM, BANGALORE Bangalore Karnataka 560086 Bangalore Bangalore Karnataka 560086 BANGALORE NO - 09/01/2013 09/01/2013 08/01/2016

9293825 60027132 FGG ANIL SAHU 25/07/1987

41 YOOSUFANAGAR GOSAI GANJ Lucknow Uttar Pradesh

209506 Unnao Unnao Uttar Pradesh 209506 LUCKNOW NO - 09/01/2013 09/01/2013 08/01/2016

9202550 60027133 FGG ARCHANA K.S. 09/10/1977

33 Sri Manjunaitha Nilaya 22Nd Main Muneshwara Block Girinag

Bangalore Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 09/01/2013 09/01/2013 02/10/2015

9293664 60027136 FGG PATEL RASILABEN C. 29/09/1974

A/28, VASUDEV PARK, INSIDE SURABHI PARK OPP. KARNAVATI

PARK, PARSHWANATH TOWNSHIP NEW NARODA Ahmadabad

Gujarat 380026 Ahmadabad Ahmadabad Gujarat 380026 AHMEDABAD NO - 09/01/2013 09/01/2013 08/01/2016

9293889 60027137 FGG DEEPA GOYAL 01/04/1976

D-1003 10th floor Gateway tower vashali Indirapuram

Ghaziabad Uttar Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 09/01/2013 09/01/2013 08/01/2016

1046338 60027138 FGG APARNA ANILKUMAR MAYEKAR 21/03/1957

101 SATDEV SECTOR-4 AIROLI NAVI MUMBAI Thane

Maharashtra 400708 Thane Thane Maharashtra 400708 THANE YES

LIFE INSURANCE

CORPORATION 05/11/2014 05/11/2014 22/02/2018

278162 60027139 FGG KOSHAA CHURCHILL SHAH 17/05/1980

B-ZENOBIA, N.S.ROAD NO.8, J.V.P.D. SCHEME, Mumbai

Maharashtra 400049 Mumbai Mumbai Maharashtra 400049 FORT NO - 16/09/2013 16/09/2013 29/11/2016

9294061 60027143 FGG RAKESH KUMAR 12/10/1977

H/No 605 vill FARMANA Kharkhauda Sonipat Haryana

131001 Sonipat Sonipat Haryana 131001 ROHTAK YES

LIFE INSURANCE

CORPORATION 10/01/2013 10/01/2013 09/01/2016

9218110 60027145 FGG ALAM SINGH PAL 10/06/1983

H.NO-306 DAIRY 02 BARKEDA NATHU BHOPAL Bhopal Madhya

Pradesh 462044 Bhopal Bhopal Madhya Pradesh 462011 BHOPAL YES

LIFE INSURANCE

CORPORATION 10/01/2013 10/01/2013 19/10/2015

131361 60027150 FGG DINESH MANEHJI LODAYA 04/10/1960

B-9 Manelam-Manglam Society BPC Rd Akota Vadodara

Gujarat 390020 Vadodara Vadodara Gujarat 390020 BARODA YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 15/04/2013 15/04/2013 06/05/2016

9294675 60027151 FGG NITA VIMAL MISTRY 23/05/1978

10 Prasad Co op Hoursing society Maktampur Ta & Dist Bharuch

BHARUCH Bharuch Gujarat 392012 Bharuch Bharuch Gujarat 392012 BHARUCH NO - 10/01/2013 10/01/2013 09/01/2016

9202395 60027160 FGG SUMAN VODELA 27/01/1982

12 11 550/C Lunagar Warasiguda Hyderabad Hyderabad

Hyderabad Telangana 500064 Hyderabad Hyderabad Andhra Pradesh 500064 HYDERABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 11/01/2013 11/01/2013 02/10/2015

9295056 60027161 FGG BANAJINI MAHAPATRA 07/06/1991

At-Radagan,Po-Nizampur,PS-Mangalpur,Jajpur, Jajpur Jajpur

Jajapur Odisha 755011 Jajapur Jajapur Odisha 755011 BHUBANESWAR NO - 11/01/2013 11/01/2013 10/01/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9295118 60027164 FGG PAWAN SAINI 01/08/1987

DH 200/8, WARD NO 11, JAIKAMPURA GURGAON Gurgaon

Haryana 121001 Faridabad Faridabad Haryana 121001 GURGAON NO - 11/01/2013 11/01/2013 10/01/2016

5403466 60027170 FGG PRIYA N 13/03/1987

195 1/236 3 CHANDRAMALA ESTATE Nelliyampathy PALAKKADU

Pathanamthitta Kerala 688530 Alappuzha Alappuzha Kerala 688530 COCHIN YES BIRLA SUN LIFE 12/01/2013 12/01/2013 24/05/2015

9296155 60027171 FGG LATHA S 30/05/1980

789(19/23) PUNNAKKADAN 13 PALLILAMKARA KALAMASSERY

MUNICIPALITY Ernakulam Kerala 682022 Ernakulam Ernakulam Kerala 682022 COCHIN NO - 12/01/2013 12/01/2013 11/01/2016

1265577 60027172 FGG PAWASKAR RAVINDRANATH R. 22/07/1961

170/5621, KANNAMWAR NAGAR NO.2 VIKHROLI Mumbai

Maharashtra 400083 Mumbai Mumbai Maharashtra 400083 FORT YES

LIFE INSURANCE

CORPORATION 03/01/2013 03/01/2013 28/06/2015

9297680 60027173 FGG UTHIRAVELU .. 05/01/1981

NO28 KOSAPALAYAM PONDICHERRY Puducherry Pondicherry

605005 Pondicherry Pondicherry Pondicherry 605005 PONDICHERRY YES

RELIANCE LIFE

INSURANCE CO.LTD. 15/01/2013 15/01/2013 14/01/2016

9297773 60027175 FGG JAI PRAKASH 18/07/1967 51A POCKT 14 DDA FLATS KALKAJI EXTN. Delhi Delhi 110019 South South Delhi 110019 NOIDA NO - 15/01/2013 15/01/2013 14/01/2016

9297788 60027176 FGG MAHALAKSHMI .. 11/06/1982

NO 602 VAZHUDHAVOOR ROAD DHARMAPURI Puducherry

Pondicherry 605009 Pondicherry Pondicherry Pondicherry 605009 PONDICHERRY NO - 15/01/2013 15/01/2013 14/01/2016

9298932 60027183 FGG BHARTI ACHARYA 04/06/1988

15/548,SHRINAGAR ROAD, NEAR DATA INN HOTEL,AJMER Ajmer

Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 16/01/2013 16/01/2013 15/01/2016

9298944 60027184 FGG POOJA SINGH 28/08/1986

1/514,Bhukahand vaishali, Ghaziabad Ghaziabad Ghaziabad

Uttar Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 CONNAUGHT PLACENO - 16/01/2013 16/01/2013 15/01/2016

1733955 60027222 FGG A. G. RAMKUMAR 02/06/1980

67 ASHOK ANNEX II CROSS NARASOTHY PATTY, SALEM Salem

Tamil Nadu 636004 Salem Salem Tamil Nadu 636004 COIMBATORE YES

LIFE INSURANCE

CORPORATION 31/05/2013 31/05/2013 08/07/2016

9302771 60027224 FGG VARAGANTI HARISH KUMAR 12/04/1979

WARD NO-14 SHARADA NAGAR LB NAGAR Rangareddy

Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 KUKKATPALLY NO - 21/01/2013 21/01/2013 20/01/2016

9302772 60027225 FGG A NARASIMHA 01/04/1979

PLOT-421 YALLAMMABANDA NEAR AUTO STAND Hyderabad

Telangana 500002 Hyderabad Hyderabad Andhra Pradesh 500002 HYDERABAD NO - 21/01/2013 21/01/2013 20/01/2016

9302773 60027226 FGG PODAPATI PAVANI 29/04/1991

17-1-391/2/42 SUBRAMANYAM SAIDABAD Hyderabad

Telangana 500002 Hyderabad Hyderabad Andhra Pradesh 500002 HIMAYATHNAGAR YES

HDFC STANDARD LIFE

INSURANCE CO LTD 21/01/2013 21/01/2013 20/01/2016

9302777 60027228 FGG BANSHIDHAR B PANDE 15/12/1978

Room no-4, chawl no-2, tisai colony raghunath nagar, asalegaon,

Ullahsnagar-4 Thane Maharashtra 400602 Thane Thane Maharashtra 400602 GHATKOPAR NO - 21/01/2013 21/01/2013 20/01/2016

9302941 60027229 FGG MORAMPUDI SURESH 05/06/1975

KAKARPALLY SATHUPALLY KHAMMAM Khammam

Telangana 507303 Khammam Khammam Andhra Pradesh 507303 HYDERABAD NO - 22/01/2013 22/01/2013 21/01/2016

9302947 60027230 FGG KANNEBOYANA SWARNALATHA 18/08/1991

4-38, APPAGAPALLI KULCHARAM MANDAL Medak Telangana

502381 Medak Medak Andhra Pradesh 502381 HYDERABAD NO - 22/01/2013 22/01/2013 21/01/2016

9102166 60027231 FGG GOBINDA KAKATI 12/02/1975

KANAKLATA PATH, NATUN NAGAR, DAKHIN GAON KAHILIPARA

GUWAHATI Kamrup Assam 781019 Kamrup Kamrup Assam 781309 GUWAHATI YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 22/01/2013 22/01/2013 27/06/2015

3963069 60027232 FGG NILOTPAL CHAKRABORTY 06/12/1978

H/N 65 PUBALI PATH ODALBAKRA NEAR HAYAT HOSPITAL

GUWAHATI Kamrup Assam 781034 Kamrup Kamrup Assam 781034 GUWAHATI YES

LIFE INSURANCE

CORPORATION 29/01/2014 29/01/2014 24/01/2017

9302994 60027233 FGG JANARTHANAM 22/12/1987

new no 1/1092 palani aandavar kovil street neelambur

Coimbatore Tamil Nadu 641014 Coimbatore Coimbatore Tamil Nadu 641014 COIMBATORE NO - 22/01/2013 22/01/2013 21/01/2016

9303000 60027234 FGG K MANIKANDAN 20/07/1991

159/552/3 MANIYAKARAR STREET ATTAYAMPATTY Salem Tamil

Nadu 637501 Salem Salem Tamil Nadu 637501 SALEM NO - 22/01/2013 22/01/2013 21/01/2016

9303101 60027236 FGG DUDHAGRA SHAILESH D 17/01/1984

AT:-JABIDA, TAL:- DHROL JABIDA JAMNAGAR Jamnagar

Gujarat 361001 Jamnagar Jamnagar Gujarat 361001 RAJKOT NO - 22/01/2013 22/01/2013 21/01/2016

9303368 60027240 FGG KHAN JULEKHA SAMIR 06/06/1979

A/P NAV NIRMAN HSG SOC NR GOSAVI HOSPITAL RUPEE NAGAR

TALAWADE TAL HAVELI PUNE Pune Maharashtra

410301 Pune Pune Maharashtra 410301 CHINCHWAD NO - 22/01/2013 22/01/2013 21/01/2016

9303360 60027246 FGG ARPIT NAGRIYA 09/05/1994

KAMATH WARD NEAR WATER TANK GADARWARA NARSINGHPUR

Narsimhapur Madhya Pradesh 487551 Narsimhapur Narsimhapur Madhya Pradesh 487551 JABALPUR NO - 22/01/2013 22/01/2013 21/01/2016

9303348 60027248 FGG ABHISHEK KUSHWAHA 18/07/1989

SARDAR PATEL WARD 13 MANDLA MANDLA Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 22/01/2013 22/01/2013 21/01/2016

9241418 60027251 FGG RAKESH KRISHNA GAIKWAD 13/02/1983

Ganesh Bhavan Room No 2 St Work Shop Khopat Thane

Maharashtra 400602 Thane Thane Maharashtra 400602 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/01/2013 23/01/2013 15/11/2015

9303908 60027263 FGG RAHUL DIXIT 29/11/1979

2140 NARSINGH NAGAR RANJHI, JABALPUR JABALPUR Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 22/01/2013 22/01/2013 21/01/2016

9306407 60027264 FGG MEHUL MANISH KADHI 01/08/1992

36/82, Room No 10, Popatwadi, 2nd Floor, Kalbadevi Mumbai

Maharashtra 400002 Mumbai Mumbai Maharashtra 400101 FORT NO - 24/01/2013 24/01/2013 23/01/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9306971 60027265 FGG DAVID RAJASEKAR V 04/06/1984

PORPALAMPATTU (PO) SANKARAPURAM(TK)

SSMDS,THIYAGADURUGAM Tirunelveli Tamil Nadu 627002 Tirunelveli Tirunelveli Tamil Nadu 627002 CHENNAI NO - 25/01/2013 25/01/2013 24/01/2016

9307567 60027272 FGG GIRISH G SADARHALLI 18/02/1986

Krishna Appartments, H No 3 Club Road, Opp SBI Hubli Dharwad

Karnataka 580029 Dharwad Dharwad Karnataka 580029 HUBLI NO - 25/01/2013 25/01/2013 24/01/2016

9307600 60027273 FGG YUSF AHMED A MEERWALE 01/06/1982

41/1E, Middle Wing PB Road No 4 Hubli Dharwad

Karnataka 580020 Dharwad Dharwad Karnataka 580020 HUBLI NO - 25/01/2013 25/01/2013 24/01/2016

119283 60027277 FGG KAUSHALIYA DINESHCHANDRA GHODA 01/07/1965

115 AJANTA COMPLEX OPP. BOMBAY HOTEL GONDAL

ROAD,RAJKOT Rajkot Gujarat 360005 Rajkot Rajkot Gujarat 360005 RAJKOT YES

LIFE INSURANCE

CORPORATION 24/01/2013 24/01/2013 12/02/2016

9154084 60027281 FGG P. SENTAMIZHSELVI 20/04/1974

NO 101, SECOND MAIN ROAD,VENKATESWARA NAGAR, LAWSPET

Puducherry Pondicherry 605008 Pondicherry Pondicherry Pondicherry 605008 PONDICHERRY YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 28/01/2013 28/01/2013 20/08/2015

9309990 60027282 FGG DEVERSHETTY LAXMI 06/09/1991

H NO 18-5-226/1, MEKALABANDA, ALIABAD Hyderabad

Telangana 500053 Hyderabad Hyderabad Andhra Pradesh 500053 HYDERABAD NO - 29/01/2013 29/01/2013 28/01/2016

9309997 60027283 FGG R RAM REDDY 04/04/1975

HNO:-2-3-64/10/A/54 JAISWAL GARDENS AMBERPET Hyderabad

Telangana 500013 Hyderabad Hyderabad Andhra Pradesh 500013 HYDERABAD NO - 29/01/2013 29/01/2013 28/01/2016

9310020 60027285 FGG EZAZ KHAN 26/09/1993

Ekta seva soc ,house no 1, Gaiban Ngr,kamani Kurla W Mumbai

Mumbai Maharashtra 400070 Mumbai Mumbai Maharashtra 400070 GHATKOPAR NO - 29/01/2013 29/01/2013 28/01/2016

9310024 60027286 FGG VIJAYKUMAR VISHNUPRASAD PANDYA 04/04/1957

741, JUNA BAZAR RAMNAGAR SABARMATI Ahmadabad

Gujarat 380005 Ahmadabad Ahmadabad Gujarat 380005 AHMEDABAD NO - 29/01/2013 29/01/2013 28/01/2016

9310033 60027287 FGG SURAJ PRASAD 19/10/1987

H-1- 385,H-1,Block,jahangirirpuri- ,DELHI ,DELHI Delhi Delhi

110033 North North Delhi 110033 CONNAUGHT PLACENO - 29/01/2013 29/01/2013 28/01/2016

5357519 60027288 FGG VARSHA KHANNA 18/02/1982 1905/10 GALI TEHNI WALI KATRA SAFED Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

MAX NEW YORK LIFE

INSURANCE 29/01/2013 29/01/2013 28/04/2015

9310064 60027290 FGG NIMMANAGOTI SAROJA 05/08/1980

15-07-76, KUMMARI BAZAR, OLD GUNTUR, KOTHAPET Guntur

Andhra Pradesh 522002 Guntur Guntur Andhra Pradesh 522002 VIJAYAVADA NO - 29/01/2013 29/01/2013 28/01/2016

4024471 60027291 FGG DIMPLEBEN SHAH 28/10/1972

B-1 MAYUR APPT, R V DESAI ROAD, PRATAPNAGAR, Vadodara

Gujarat 390017 Vadodara Vadodara Gujarat 390017 BARODA YES

LIFE INSURANCE

CORPORATION 22/03/2014 22/03/2014 13/02/2017

9310143 60027294 FGG LONDHE USHA SUKHDEO 28/07/1961

B.NO.C,F.NO.5, KENDRIYA VIHAR,SEC-4, NASIK ROAD,MOSHI-

411026 Pune Maharashtra 411026 Pune Pune Maharashtra 411026 CHINCHWAD NO - 29/01/2013 29/01/2013 28/01/2016

4954718 60027296 FGG MINAKSHI HIRALAL SHARMA 03/06/1984

C 336 ANAND BAUG SOC BARODA Vadodara Gujarat

388710 Anand Anand Gujarat 388710 BARODA YES

MAX NEW YORK LIFE

INSURANCE 26/12/2014 26/12/2014 23/12/2017

9310254 60027297 FGG ABHISHEK JOSHI 28/07/1994

PLOT NO 21 A, BLOCK B, VIKAS KUNJ EXTN, MOHAN GARDEN,

UTTAM NAGAR, SATURDAY BAZAR, NEW DELHI Delhi Delhi

110059 West West Delhi 110059 WEST DELHI NO - 29/01/2013 29/01/2013 28/01/2016

9310257 60027298 FGG FARUKH B SHAIKH 26/03/1984

A/P INDRAYANI HSG SOC RUPEE NAGAR TAL HAVELI DIST PUNE

Pune Maharashtra 411031 Pune Pune Maharashtra 411031 CHINCHWAD NO - 29/01/2013 29/01/2013 28/01/2016

9310273 60027299 FGG SWETHA SONI 31/03/1988

HNO:-16-6-674/5 FNO-105 MALAKPET Hyderabad

Telangana 500036 Rangareddi Rangareddi Andhra Pradesh 500036 KUKKATPALLY NO - 29/01/2013 29/01/2013 28/01/2016

9310376 60027301 FGG AKHRAM MD 21/06/1989

P NO-623,ROOM NO - 9 PRASHANTH NAGAR VANASTHALIPURAM

Hyderabad Telangana 500070 Hyderabad Hyderabad Andhra Pradesh 500070 HYDERABAD NO - 29/01/2013 29/01/2013 28/01/2016

9310313 60027302 FGG J. RAGHUVARAN 07/04/1985

NO 20/1, AMBEDKAR STREET, GENGUREDDY KUPPAM,

THIRUNINRAVUR Thiruvallur Tamil Nadu 602024 Thiruvallur Thiruvallur Tamil Nadu 602024 MADURAI NO - 29/01/2013 29/01/2013 28/01/2016

9310394 60027303 FGG THALSHIB NEDOOLA KANDY 13/07/1994

NADOOLAKANDY HO PARAMBATH THALAKULATHUR PO

Kozhikode Kerala 673317 Kozhikode Kozhikode Kerala 673317 CALICUT NO - 29/01/2013 29/01/2013 28/01/2016

9310091 60027304 FGG VISHAL VASANT DALVI 31/05/1983

C/111, Vadani Wala Society, Chincholi Bunder Road, Malad West

Mumbai Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/01/2013 29/01/2013 28/01/2016

9310613 60027307 FGG ANJULIKA JAIN 15/03/1971

H NO 41/883 BHERU JI CHBUTRE KE PASS,SHIV NAGAR,BIHARI

GANJ Ajmer Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 29/01/2013 29/01/2013 28/01/2016

9310743 60027308 FGG CHATTANGADA GANAPATHY RAVISH 01/02/1967

471, A 202, MEENAKSHI CLASSIC, KORMANGALA, HSR L/OUT 1

SECOT Bangalore Karnataka 560034 Bangalore Bangalore Karnataka 560034 BANGALORE NO - 29/01/2013 29/01/2013 28/01/2016

9310761 60027309 FGG ANSHUL SAXENA 01/07/1978

HOUSE NO A 116 KHASRA NO 478/179 2ND FLOOR SHASTRI

NAGAR Delhi Delhi 110052 North North Delhi 110052 CONNAUGHT PLACENO - 29/01/2013 29/01/2013 28/01/2016

8389643 60027310 FGG RAVINDRA KR SRIVASTAV 12/02/1979

AT+PO-PAKRI ISMAIL PAKRI ISMAIL MUZAFFARPUR Muzaffarpur

Bihar 842001 Muzaffarpur Muzaffarpur Bihar 842001 MUZAFFARPUR YES

LIFE INSURANCE

CORPORATION 21/10/2013 21/10/2013 24/11/2016

9310902 60027312 FGG SHUKLA DEEPAKKUMAR 23/08/1991

D/161, TEJENDRA PRAKASH SOC - 1 KHODIYARNAGAR

AHMEDABAD Ahmadabad Gujarat 380024 Ahmadabad Ahmadabad Gujarat 380024 AHMEDABAD NO - 29/01/2013 29/01/2013 28/01/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9310926 60027313 FGG RAMIN TALAKSHI CHHEDA 19/01/1977

A/504, APEKSHA ENCLAVE, ARPIT ENCLAVE, MAHAVIR NAGAR,

KANDIVALI WEST Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI NO - 29/01/2013 29/01/2013 28/01/2016

8537451 60027315 FGG A CLETUS ANTONY XAVIER 13/06/1990

35.AL AMEEN COLONY,2ND STREET SOUTH UKKADAM,BACKSIDE

OF MAHALINGAM PETROL BANK COIMBATORE Coimbatore

Tamil Nadu 641001 Coimbatore Coimbatore Tamil Nadu 641001 COIMBATORE NO - 10/02/2014 10/02/2014 06/03/2017

9312124 60027326 FGG SHRADDHA R GUPTA 16/10/1987

Vasant Nagri,A 301,Girnar,HSG, Sector - 2, Vasai - East Thane

Maharashtra 401208 Thane Thane Maharashtra 401208 ANDHERI NO - 30/01/2013 30/01/2013 29/01/2016

9313142 60027330 FGG TARANNUM M KHATIB 01/06/1978

JSJ APARTMENTS FLAT NO 101 OPP SPAR HYPERMARKET, BEHIND

CHICKEN COUNTY HOTEL OFF B G ROAD BANGALORE Bangalore

Karnataka 560001 Bangalore Bangalore Karnataka 560001 INDIRA NAGAR NO - 30/01/2013 30/01/2013 29/01/2016

9312171 60027332 FGG MUKUND KUMAR 12/02/1989 Pocket-4 Ehs Mix Housing Mayur Vihar Ph-3 Delhi Delhi 110096 East East Delhi 110096 NOIDA NO - 30/01/2013 30/01/2013 29/01/2016

9312156 60027334 FGG SUDHIR RAMKRISHNA PANDE 17/12/1980

C/O Prapti Financial Civil Lines Road Harsh Sankul Akola

Maharashtra 444001 Akola Akola Maharashtra 444001 AKOLA NO - 30/01/2013 30/01/2013 29/01/2016

9270933 60027335 FGG SANJEEV KUMAR YADAV 09/02/1980

68/211 CHHITWAPUR PAJAWA LUCKNOW Lucknow Uttar Pradesh

209506 Unnao Unnao Uttar Pradesh 209506 LUCKNOW YES

LIFE INSURANCE

CORPORATION 30/01/2013 30/01/2013 18/12/2015

9312147 60027337 FGG RAHUL PANDEY 04/09/1983

8/58 indiranagar lucknow lucknow Lucknow Uttar Pradesh

226016 Lucknow Lucknow Uttar Pradesh 226016 LUCKNOW NO - 30/01/2013 30/01/2013 29/01/2016

9312144 60027338 FGG SAURABH SRIVASTAVA 30/06/1989

E4/947 Vinay Khand Gomtinagar lucknow Lucknow Uttar

Pradesh 226010 Lucknow Lucknow Uttar Pradesh 226010 LUCKNOW NO - 30/01/2013 30/01/2013 29/01/2016

9312142 60027340 FGG ALAGURAJA 15/02/1985

VALLUVAR COLONY THENI ALLINAGARAM THENI Theni Tamil

Nadu 625535 Theni Theni Tamil Nadu 625535 MADURAI NO - 30/01/2013 30/01/2013 29/01/2016

9312532 60027343 FGG NICHIL BABU K. 31/05/1986

Kottayattil Chethukadavu Kunnamangalam Kozhikode

Kerala 673001 Kozhikode Kozhikode Kerala 673001 CALICUT NO - 30/01/2013 30/01/2013 29/01/2016

9026284 60027344 FGG MANU SAM .. 01/04/1962

H No 14 D 4Th Main Road Nanganallur Chennai Chennai Tamil

Nadu 600061 Kancheepuram Kancheepuram Tamil Nadu 600061 CHENNAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/01/2013 30/01/2013 16/03/2015

9312218 60027345 FGG RAMANI .. 17/12/1968

No 3, ELANGO STREET, MADIPAKKAM, CHENNAI Chennai

Tamil Nadu 600091 Kancheepuram Kancheepuram Tamil Nadu 600091 CHENNAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/01/2013 30/01/2013 29/01/2016

9312126 60027346 FGG VIMPY TIWARI 05/11/1983

H no. 428 Onkar Nagar Gurdaspur Gurdaspur Punjab

143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR NO - 30/01/2013 30/01/2013 29/01/2016

9314481 60027347 FGG LUKESH ARORA 15/03/1984

H No.58 Islam Ganj Jalandhar Jalandhar Jalandhar Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 31/01/2013 31/01/2013 30/01/2016

9314477 60027349 FGG SUMIT SAHNI 14/07/1982

W G 48 Red cross welfare society Jalandhar Jalandhar Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 31/01/2013 31/01/2013 30/01/2016

9314473 60027350 FGG ASEEM GUPTA 07/08/1984

H.No.144 Bhai Ditt Singh Nagar Jalandhar Jalandhar Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 31/01/2013 31/01/2013 30/01/2016

9315590 60027360 FGG SUBEDARI VAMSHI KRISHNA 19/02/1981

HNO:-3-5-313 LAXMI NAGAR KARIMNAGAR Karimnagar

Telangana 505001 Karimnagar Karimnagar Andhra Pradesh 505001 HYDERABAD NO - 31/01/2013 31/01/2013 30/01/2016

9315607 60027361 FGG JAYSON S 14/01/1986

RAILWAY COTTAGE NO 18, KANHANGAD KASARGOD Kasaragod

Kerala 670511 Kannur Kannur Kerala 670511 CALICUT NO - 31/01/2013 31/01/2013 30/01/2016

9312202 60027383 FGG SHREE NARAYAN 30/07/1985

Vidya Nagar Babarpur Auariya Auraiya Uttar Pradesh

206121 Auraiya Auraiya Uttar Pradesh 206121 KANPUR NO - 30/01/2013 30/01/2013 29/01/2016

9077908 60027384 FGG SREENIVASAN PILLAI V. 04/01/1950

Tc 22/435 Prasanthi Palace Road Attingal Thiruvananthapuram

Kerala 695101 Thiruvananthapuram ThiruvananthapuramKerala 695101 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/01/2013 30/01/2013 03/06/2015

9312118 60027385 FGG SAJJAYAN V S. 25/02/1976

Vadakkoodan house muttom Thaikkattukara Ernakulam

Kerala 683106 Ernakulam Ernakulam Kerala 683106 COCHIN NO - 30/01/2013 30/01/2013 29/01/2016

9312181 60027390 FGG CHANDNI J NEGANDHI 11/11/1989

603/604, Palmyra, Skyline Oasis, Kirol Road, Near Vidhyavihar

Station, Ghatkopar West, Mumbai Maharashtra 400086 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 30/01/2013 30/01/2013 29/01/2016

9312138 60027391 FGG REJOY DEVASSY 26/07/1978

Thaiparambil house Nazreth road Aluva Ernakulam Kerala

683101 Ernakulam Ernakulam Kerala 683101 COCHIN NO - 30/01/2013 30/01/2013 29/01/2016

9312136 60027392 FGG THOMAS P M. 14/11/1976

PUTHUCHIRA HOUSE PAYYAMPALLY MANATHAVADYWAYAND

Wayanad Kerala 670646 Wayanad Wayanad Kerala 670646 CALICUT NO - 30/01/2013 30/01/2013 29/01/2016

5897706 60027393 FGG AARTI MIRAJKAR 25/04/1984

PLOT NO.75 MOHITE COLONY KALAMBA ROAD, KOLHAPUR

Kolhapur Maharashtra 416007 Kolhapur Kolhapur Maharashtra 416007 KOLHAPUR YES

LIFE INSURANCE

CORPORATION 30/01/2013 30/01/2013 17/11/2015

9312129 60027394 FGG ARCHNA DEVI 15/03/1984

VPO JHARSANTALY TEH-BALLABHGARH FARIDABAD FARIDABAD

Faridabad Haryana 121001 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 30/01/2013 30/01/2013 29/01/2016

9318821 60027395 FGG SHILPI .. 19/09/1982

613/2 SHASTRI NAGAR MEERUT Meerut Uttar Pradesh

250001 Meerut Meerut Uttar Pradesh 250001 FARIDABAD NO - 05/02/2013 05/02/2013 04/02/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9318858 60027396 FGG ANSIYA M A. 29/09/1991

502(2/79)Muthayil Parekodu Kunnathunadu Ernakulam

Kerala 683564 Ernakulam Ernakulam Kerala 683564 COCHIN NO - 05/02/2013 05/02/2013 04/02/2016

9318897 60027397 FGG BURGULA RAVI KANTH 01/07/1987

18-7-466/2/B/46 AMBIKA NAGAR UPPUGUDA Hyderabad

Telangana 500053 Hyderabad Hyderabad Andhra Pradesh 500053 SECUNDERABAD NO - 05/02/2013 05/02/2013 04/02/2016

9318936 60027398 FGG SAWANT HARIBHAU SAMPAT 01/08/1982

22, MILIND NAGAR, TIDKE COLONY, NASHIK Nashik

Maharashtra 422002 Nashik Nashik Maharashtra 422002 NASHIK NO - 05/02/2013 05/02/2013 04/02/2016

9321195 60027420 FGG ANIL .. 10/10/1984

VPO- Kanhai Gurgaon Gurgaon Gurgaon Haryana

122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 07/02/2013 07/02/2013 06/02/2016

9321208 60027421 FGG ANURAG SINGH 15/02/1978

979, Ayodhya Puri Coloby Opp. Perfect Dental Rae - Bareli Rae

Bareli Uttar Pradesh 229001 Rae Bareli Rae Bareli Uttar Pradesh 229001 LUCKNOW NO - 07/02/2013 07/02/2013 06/02/2016

9321214 60027423 FGG SANIL MANJIT RAJPAL 05/04/1983

383/C RASTA PETH FL-503 OPP -YMCA KHOPKAR HEIGHT PUNE

Pune Maharashtra 411001 Pune Pune Maharashtra 411001 PUNE NO - 07/02/2013 07/02/2013 06/02/2016

9321218 60027425 FGG PRABHU MUDDA 02/06/1981

#28, om shri Nilaya, 18th A Cross, Bandappa garden , Muthyala

nagar BANGALORE Bangalore Karnataka 560054 Bangalore Bangalore Karnataka 560054 BANGALORE NO - 07/02/2013 07/02/2013 06/02/2016

9126180 60027426 FGG E UMA RANI 08/07/1982

1-49/6 Flat no 202 Deepti Enclave Prabhat nagar,Near Ganga

Hospital Chaitanyapuri Hyderabad Telangana 500060 Rangareddi Rangareddi Andhra Pradesh 500060 KUKKATPALLY YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 08/02/2013 08/02/2013 23/07/2015

9322186 60027429 FGG KAUSHIK J. PRAJAPATI 11/12/1984

B-203, Shree vallabh Yog,Plot no - 130 Pushpa Park, Daftari Road,

Malad (East) Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 PRABHADEVI NO - 08/02/2013 08/02/2013 07/02/2016

9323059 60027439 FGG P. MANIKANDAN 01/01/1991

13-80 PILLANALLUR RASIPURAM Namakkal Tamil Nadu

637403 Namakkal Namakkal Tamil Nadu 637403 SALEM NO - 11/02/2013 11/02/2013 10/02/2016

9323144 60027440 FGG SNEHA PATHARE 22/10/1973

yeshwant vehar complex ph 3, f wing no 001 near mgm school

virar w Thane Maharashtra 401201 Thane Thane Maharashtra 401201 BORIVALI YES

HDFC STANDARD LIFE

INSURANCE CO LTD 11/02/2013 11/02/2013 10/02/2016

9323164 60027443 FGG SHAILESH DHANANJAY UBALE 18/10/1983

Industrial estate 201 2nd Floor waliv vasai East Mumbai Mumbai

Maharashtra 400092 Mumbai Mumbai Maharashtra 400092 VASHI NO - 11/02/2013 11/02/2013 10/02/2016

153460 60027447 FGG RITA PANKAJ SONI 20/11/1957

C/23 AVANI PARK NR. VISHWAMITRA BUS STOP VEJALPUR,

AHMEDABAD Ahmadabad Gujarat 380051 Ahmadabad Ahmadabad Gujarat 380051 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 06/03/2013 06/03/2013 14/05/2016

9324100 60027468 FGG NEERAJ KUMAR 11/02/1982

G-80 TAGORE GALI-3, BLOCK-G JAGATPURI NAGAR, Delhi Delhi

110092 East East Delhi 110092 NOIDA NO - 12/02/2013 12/02/2013 11/02/2016

9324062 60027469 FGG GAIKWAD AMOL AJIT 24/03/1983

DUNGARI PADA MANOR ROAD PALGHAR DIST THANE Thane

Maharashtra 400601 Thane Thane Maharashtra 400601 BORIVALI YES

BaJAJ ALLIANZ LIFE

INSURANCE 12/02/2013 12/02/2013 11/02/2016

9324673 60027477 FGG B. DHIVYA 18/05/1979

421-1, Krishnamoorthyiyyer street Ashokapuram panchayat

COIMBATORE Coimbatore Tamil Nadu 641017 Coimbatore Coimbatore Tamil Nadu 641017 COIMBATORE NO - 12/02/2013 12/02/2013 11/02/2016

9321700 60027478 FGG ARUN VELIAPPAN A 15/05/1985

PILLAYAR KOVIL STREET MUTHUPALAYAM PO , UTHAMAPALYAM

TK Theni Tamil Nadu 625515 Theni Theni Tamil Nadu 625515 SALEM NO - 08/02/2013 08/02/2013 07/02/2016

9324866 60027480 FGG ASHA JHANWAR 03/08/1955

H NO 54, Usha Nagar Indore Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 12/02/2013 12/02/2013 11/02/2016

9324877 60027481 FGG CHANDAN DAS 01/03/1992

VILL-JAMTOLA RANGIYA GUWAHATI Kamrup Assam

781354 Kamrup Kamrup Assam 781354 GUWAHATI NO - 12/02/2013 12/02/2013 11/02/2016

9326777 60027490 FGG TONY THOMAS K. 27/12/1969

KOLENGADAN HOUSE PUZHAMPALAM ROAD , MARATHAKARRA

P.O. THRISSUR Thrissur Kerala 680306 Thrissur Thrissur Kerala 680306 THRISSUR NO - 14/02/2013 14/02/2013 13/02/2016

9326978 60027492 FGG SHRIJISH K. J. 13/01/1986

KANJIRAPARAMBIL HOUSE KANDANASSERY POST THRISSUR

Thrissur Kerala 680102 Thrissur Thrissur Kerala 680102 THRISSUR NO - 14/02/2013 14/02/2013 13/02/2016

9327238 60027505 FGG ARUN KUMAR SONI 08/08/1984

BALLAI MOHALLA,NEAR PATWAR GHAR,KEKERI,AJMER Ajmer

Ajmer Ajmer Rajasthan 305404 Ajmer Ajmer Rajasthan 305404 AJMER NO - 14/02/2013 14/02/2013 13/02/2016

9328316 60027506 FGG SATISH KUMAR CHAUDHARY 10/11/1976

Vill Rudain Post - Mustafabad,near jarwal road Behraich

Bahraich Uttar Pradesh 271801 Bahraich Bahraich Uttar Pradesh 271801 LUCKNOW NO - 15/02/2013 15/02/2013 14/02/2016

9329344 60027512 FGG VINIT G TIWARI 27/05/1993

42, SATYANARAYAN NAGAR BAMROLI ROAD UDHNA SURAT

Surat Gujarat 395010 Surat Surat Gujarat 395010 SURAT YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED

18/02/2013 18/02/2013 17/02/2016

5707977 60027520 FGG JYOTI SHARMA 15/05/1986 28 VILL MAHENDWARA SOHNA Gurgaon Haryana 122103 Gurgaon Gurgaon Haryana 122103 GURGAON YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 18/02/2013 18/02/2013 26/08/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9330300 60027521 FGG NITESH KUMAR 09/02/1993 # 132/2 outside Mori gate Hisar Hisar Haryana 125001 Hisar Hisar Haryana 125001 GURGAON NO - 18/02/2013 18/02/2013 17/02/2016

9331453 60027523 FGG BOLLAM ANIL KUMAR 16/10/1981

CHOPPADANDI KARIMNAGAR DISTRICT KARIMNAGAR

Karimnagar Telangana 505001 Karimnagar Karimnagar Andhra Pradesh 505001 KUKKATPALLY NO - 19/02/2013 19/02/2013 18/02/2016

8970015 60027525 FGG YESHSWANI KANHERE 08/12/1980

B-002,MANDLIK NAGAR CHS MALAD - WEST MUMBAI Mumbai

Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI YES

LIFE INSURANCE

CORPORATION 05/02/2015 05/02/2015 29/12/2017

9331489 60027526 FGG RAHUL .. 31/08/1990 flat no 8 pocket q dilshad garden DELHI Delhi Delhi 110095 North East North East Delhi 110095 NOIDA NO - 19/02/2013 19/02/2013 18/02/2016

9332522 60027531 FGG N. HARI KRISHNA 08/08/1982

44-34-43/A MUSLIEUM; TATICHETLAPALEM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530008 Visakhapatnam Visakhapatnam Andhra Pradesh 530008 VIZAG NO - 20/02/2013 20/02/2013 19/02/2016

9333619 60027553 FGG DEBRAJ MUKHERJEE 20/12/1978

S-7/3, Navjeevan Complex, Baridih Jamshedpur Purbi Singhbhum

Jharkhand 831017 Purbi Singhbhum Purbi Singhbhum Jharkhand 831017 JAMSHEDPUR NO - 22/02/2013 22/02/2013 21/02/2016

9333692 60027554 FGG VIKAS SRIVASTAVA 01/04/1989 Vill &post Mahson Basti Basti Basti Uttar Pradesh 272002 Basti Basti Uttar Pradesh 272002 LUCKNOW NO - 22/02/2013 22/02/2013 21/02/2016

9333762 60027555 FGG ANAND KUMAR SINGH 14/05/1983

CIVIL LINE HARDOI JAJES COLONY HARDOI HARDOI Hardoi

Uttar Pradesh 241001 Hardoi Hardoi Uttar Pradesh 241001 LUCKNOW NO - 22/02/2013 22/02/2013 21/02/2016

9333826 60027556 FGG MANISH KUMAR YADAV 11/10/1985

A-78 vimal nagar Indira Lucknow Vimal Nagar Lucknow lucknow

Lucknow Uttar Pradesh 226016 Lucknow Lucknow Uttar Pradesh 226016 LUCKNOW NO - 22/02/2013 22/02/2013 21/02/2016

9333986 60027557 FGG DEEPA NAIR 21/09/1980

#7, ACHUS, SMR LAYOUT, KEREGUDDADAHALLI, ABBIGERE

BANGALORE Bangalore Karnataka 560090 Bangalore Bangalore Karnataka 560090 INDIRA NAGAR NO - 22/02/2013 22/02/2013 21/02/2016

9334052 60027559 FGG KINI SRINIVASA NARASIMHA 20/10/1969

#773, MEDHA, 1ST C MAIN 2ND PHASE GIRINAGAR BANGALORE

Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 INDIRA NAGAR NO - 22/02/2013 22/02/2013 21/02/2016

9215533 60027562 FGG MAMONI TALUKDAR 01/12/1977

C/O DULAN DUTTA JYOTINAGAR BAMUNIMAIDAM GUWAHATI

Kamrup Assam 781021 Nalbari Nalbari Assam 781335 GUWAHATI YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 25/02/2013 25/02/2013 17/10/2015

9263408 60027565 FGG TARUN KUMAR 06/09/1989 140 Ward No 29 Rohtak Rohtak Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 25/02/2013 25/02/2013 10/12/2015

8756863 60027566 FGG ANIL KUMAR 01/09/1970

H.NO.365 SHASTRI NAGAR JAMMU Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 24/09/2014 24/09/2014 12/08/2017

9337265 60027567 FGG KARRA VENUGOPAL REDDY 06/07/1978

PLOT NO-42,PRANAYA ENCLAVE SRINAGAR COLONY

RAMANTHAPUR Hyderabad Telangana 500039 Rangareddi Rangareddi Andhra Pradesh 500039 HYDERABAD NO - 25/02/2013 25/02/2013 24/02/2016

9337327 60027568 FGG ROHIT KUMAR MANDLOI 15/02/1990

102/7 Rohit Nilay Phool Bagh Narsingarh Rajgarh Madhya

Pradesh 465669 Rajgarh Rajgarh Madhya Pradesh 465669 BHOPAL NO - 25/02/2013 25/02/2013 24/02/2016

9338086 60027572 FGG JALLI TEJASWINI 17/11/1991

2-1-646/8/A-D BHARAT NAGAR BAGHAMBERPET Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 26/02/2013 26/02/2013 25/02/2016

9338229 60027574 FGG PATIL KANISHKA S. 04/10/1988

panchali post.Umrali,tal.palghar,dist. Thane Palghar Thane Thane

Thane Maharashtra 400602 Thane Thane Maharashtra 400602 BORIVALI NO - 26/02/2013 26/02/2013 25/02/2016

9121592 60027575 FGG UTKARSH PANDYA 31/12/1979

19 PASHUPATINATH SOCIETY OPP AKASH GANGA COMPLEX NANA

VARACHHA Surat Gujarat 395006 Surat Surat Gujarat 395006 SURAT YES

RELIANCE LIFE

INSURANCE 26/02/2013 26/02/2013 18/07/2015

9338447 60027577 FGG AMANDEEP SINGH MANAKTALA 11/09/1987

Falt No 1-3, G 28, Panch Kamal Society, Vashi, Navi Mumbai

Thane Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI NO - 26/02/2013 26/02/2013 25/02/2016

9034400 60027579 FGG B. RAGINIAMMA .. 25/11/1955

3/1231, Ambadi House, No.E20 Lakshmi Nagar Pattom

Thiruvananthapuram Kerala 695004 Thiruvananthapuram ThiruvananthapuramKerala 695004 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/02/2013 26/02/2013 26/03/2015

8577850 60027585 FGG RAJENDRAN. N. 17/11/1957

H No 219 Reshma Bhavan 1 Vengode Pothencode

Thiruvananthapuram Kerala 695313 Thiruvananthapuram ThiruvananthapuramKerala 695313 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/07/2014 03/07/2014 30/03/2017

8179082 60027586 FGG SAVITA ARORA 07/03/1971

H No 16/192 Professor Colony Jalandhar Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR YES

KOTAK MAHINDRA OLD

MUTUAL 03/06/2014 03/06/2014 16/07/2016

9339854 60027587 FGG MOHSIN HASAN 29/12/1990

M 1/6 K. D. A. Colony, Jajmau Kanpur Kanpur Nagar Uttar

Pradesh 208010 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208010 KANPUR NO - 26/02/2013 26/02/2013 25/02/2016

9340494 60027595 FGG K. SHILPASHREE 25/12/1984

No 333 8TH A MAIN,A BLOCK 2ND STAGE,RAJAJINAGAR

Bangalore Karnataka 560010 Bangalore Bangalore Karnataka 560010 R.T.NAGAR NO - 27/02/2013 27/02/2013 26/02/2016

9340520 60027596 FGG THILAKA D. 24/01/1980

NO 14, VIJANAPURA, BANGALORE EAST BANGALORE Bangalore

Karnataka 560002 Bangalore Bangalore Karnataka 560002 INDIRA NAGAR NO - 27/02/2013 27/02/2013 26/02/2016

4384119 60027598 FGG K. S. DIVYA 26/10/1984

H NO 22/4-1 8TH MAIN TATA SILK FARM BANGALORE Bangalore

Karnataka 560070 Bangalore Bangalore Karnataka 560028 BANGALORE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 25/07/2014 25/07/2014 15/07/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9340790 60027601 FGG PRASHANTH K M. 22/03/1986

135/2 , DRAIN PARALLEL ROAD , BANASHANKARI 3rd STAGE ,

KATHRIGUPPE , BANGALORE Bangalore Karnataka

560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 27/02/2013 27/02/2013 26/02/2016

9244202 60027603 FGG SANKET BAPAT 26/10/1991

A201 Nakul Park Behind Sbi Patankar Park Road Nalasopara Thane

Maharashtra 401203 Thane Thane Maharashtra 401203 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/02/2013 27/02/2013 19/11/2015

9342083 60027607 FGG PRIYANKA PRAMOD MUNGEKAR 16/10/1966

23/1 Jai datta guru chs, bhoir nagar, vidyalaya marg, gavan pada,

mulund E Mumbai Maharashtra 400081 Mumbai Mumbai Maharashtra 400081 GHATKOPAR NO - 27/02/2013 27/02/2013 26/02/2016

9342279 60027608 FGG PATWA AJIT GYANMAL 01/07/1976

Ap Nr- Bus Stand Tal dindori Nasik Nashik Maharashtra

422202 Nasik Nashik Maharashtra 422202 NASHIK NO - 27/02/2013 27/02/2013 26/02/2016

9342335 60027609 FGG MEGHA WALIA 18/04/1983

H.No. 115, Parmarth Appartment, Vikas Puri New Delhi Delhi

Delhi 110018 West West Delhi 110018 CONNAUGHT PLACENO - 27/02/2013 27/02/2013 26/02/2016

9342362 60027610 FGG MIHIR N VACCHANI 17/06/1983

Kevalm Residency Block No-66 Pushkardham Main Road Near

Kalawad Road RAJKOT Rajkot Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 27/02/2013 27/02/2013 26/02/2016

9342376 60027611 FGG RIDDHI NITIN PANCHASARA 15/03/1990

vishwakarmar RamNagar ST No-3 B/H Hanuman Madhi RAJKOT

Rajkot Gujarat 360007 Rajkot Rajkot Gujarat 360005 RAJKOT NO - 27/02/2013 27/02/2013 26/02/2016

9342388 60027612 FGG UNNI PALATHINGAL 24/05/1974

PALATHINGAL ERUMUNDA CHUNGATHARA, NILAMBUR

Malappuram Kerala 679334 Malappuram Malappuram Kerala 679334 CALICUT NO - 27/02/2013 27/02/2013 26/02/2016

9342400 60027613 FGG DHARMENDRA MULENDRABHAI JOSHI 17/02/1966

D-8 Pragna Nagar , Nr Shivam Duplex, Kala Darshan char rasta,

waghodia road BARODA Vadodara Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA NO - 27/02/2013 27/02/2013 26/02/2016

9343023 60027617 FGG JAFSEL K. 13/05/1978

KADAVATH HOUSE POOKAYIL TIRUR Malappuram Kerala

676107 Malappuram Malappuram Kerala 676107 CALICUT NO - 28/02/2013 28/02/2013 27/02/2016

9343018 60027618 FGG KAVITHA L. 23/07/1987

33 , RAILWAY COLONY -1 , ARASIKERE , HASSAN Hassan

Karnataka 573103 Hassan Hassan Karnataka 573103 BANGALORE NO - 28/02/2013 28/02/2013 27/02/2016

9343033 60027622 FGG SHIVANI JAMWAL 10/04/1989

25 Channi himmat Jammu Jammu Jammu Jammu Jammu &

Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JALANDHAR NO - 28/02/2013 28/02/2013 27/02/2016

9348154 60027647 FGG SATISH G. BAGALKOT 01/01/1984

46/1 WARD NO 1 HUNGUND Bagalkot Karnataka

587118 Bagalkot Bagalkot Karnataka 587118 HUBLI NO - 05/03/2013 05/03/2013 04/03/2016

9348250 60027649 FGG NELAKURTHI KALYANI 01/06/1984

HNO:-1-10-1/227/69 SRI CHAKRI PURAM KEESARA ROAD

Rangareddy Telangana 500080 Hyderabad Hyderabad Andhra Pradesh 500080 HYDERABAD NO - 05/03/2013 05/03/2013 04/03/2016

9348258 60027650 FGG SRINIVASA RAO B. 30/05/1982

3-43,MAHALAKSHMI STREET ANGALAKUDURU POST TENALI

Guntur Andhra Pradesh 522211 Guntur Guntur Andhra Pradesh 522001 DILSUKHNAGAR NO - 05/03/2013 05/03/2013 04/03/2016

9348316 60027652 FGG KAVITABEN ISHVARBHAI PATEL 19/04/1983

FLAT NO 302 TORAL APPT B/H RAGINEE CINEMA, PO

BHADHODARA, TAL ANKLESHWAR BHARUCH Bharuch

Gujarat 392001 Bharuch Bharuch Gujarat 393010 ANKLESHWAR YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 05/03/2013 05/03/2013 04/03/2016

9348366 60027653 FGG VINOD K. 30/03/1984

224 (27\1606) KOZHIKODE HOUSE, CALICUT Kozhikode

Kerala 673002 Kozhikode Kozhikode Kerala 673002 CALICUT NO - 05/03/2013 05/03/2013 04/03/2016

9348383 60027654 FGG POONGODI .. 12/07/1979

VEERAPADRASAMY STREET, LAWSPET PONDICHERRY Puducherry

Pondicherry 605008 Pondicherry Pondicherry Pondicherry 605008 PONDICHERRY NO - 05/03/2013 05/03/2013 04/03/2016

9348403 60027655 FGG VINODHINI .. 02/12/1983

NO 36B, ASHOKAN NAGAR PONDICHERRY Puducherry

Pondicherry 605001 Pondicherry Pondicherry Pondicherry 605001 PONDICHERRY NO - 05/03/2013 05/03/2013 04/03/2016

9348437 60027656 FGG JOHNSONSAGAYADOSS .. 17/04/1972

2, Mariamman Koil Street, Vennila Nagar Seram Pondicherry

Puducherry Pondicherry 605013 Pondicherry Pondicherry Pondicherry 605013 PONDICHERRY YES

RELIANCE LIFE

INSURANCE CO.LTD. 05/03/2013 05/03/2013 04/03/2016

9348461 60027657 FGG RAVI PRAKASH MISHRA 11/06/1988

4 HAZRATGANJ HAZRATGANJ LUCKNOW Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW YES

SBI LIFE INSURANCE

COMPANY LIMITED 05/03/2013 05/03/2013 04/03/2016

9348482 60027658 FGG NEERAJ GOSVAMI 08/06/1977

A/13 VIMAL NAGAR LUCKNOW LUCKNOW LUCKNOW Lucknow

Uttar Pradesh 226005 Lucknow Lucknow Uttar Pradesh 226005 LUCKNOW NO - 05/03/2013 05/03/2013 04/03/2016

9348502 60027659 FGG ALOK KUMAR MISHRA 20/05/1989

H.No. 11 KAREEMPUR JAUNPUR Jaunpur Uttar Pradesh

222002 Jaunpur Jaunpur Uttar Pradesh 222002 LUCKNOW NO - 05/03/2013 05/03/2013 04/03/2016

9349049 60027663 FGG PANKAJ PRAVIN SHAH 22/03/1970

B 606, Rajkumar Corner Chs, 105, J P Road, Andheri West

Mumbai Maharashtra 400058 Mumbai Mumbai Maharashtra 400058 FORT NO - 05/03/2013 05/03/2013 04/03/2016

9349086 60027664 FGG BHAG CHAND BAGRA 10/03/1986

VILL BHAMBHORI KALWAR ROAD JAIPUR JAIPUR Jaipur

Rajasthan 302018 Jaipur Jaipur Rajasthan 302018 JAIPUR NO - 05/03/2013 05/03/2013 04/03/2016

9349268 60027665 FGG SURENDRA KUMAR GOTHWAL 15/01/1981

House No 63, Nimbark Nagar Behind Hira pura Pawar house

Ajmer road Jaipur Jaipur Rajasthan 302012 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 05/03/2013 05/03/2013 04/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9349627 60027670 FGG KURIMINDLA BHASKER 05/02/1982

HNO:-8-1-164/C/6 PRAGATHI NAGAR,HR RESIDENCY RAJENDER

NAGAR Rangareddy Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 06/03/2013 06/03/2013 05/03/2016

8075442 60027690 FGG GEETHA H R 24/06/1984

103 HOSUR V&P, BIDADI RAMANAGARAM Bangalore

Karnataka 562109 Bangalore Rural Bangalore Rural Karnataka 562109 BANGALORE NO - 05/06/2013 05/06/2013 02/05/2016

9351870 60027691 FGG SHANKAR M N 14/04/1978

NO 28/1 9TH CROSS A D HALLI,RAJAJI NAGAR Bangalore

Karnataka 560079 Bangalore Bangalore Karnataka 560079 BANGALORE NO - 07/03/2013 07/03/2013 06/03/2016

9351871 60027692 FGG MANJUNATHA K N 12/06/1978

# 07,KAMADENU NILAYA 18TH CROSS JAKKUR LAYOUT Bangalore

Karnataka 560092 Bangalore Bangalore Karnataka 560092 R.T.NAGAR NO - 07/03/2013 07/03/2013 06/03/2016

8700297 60027693 FGG SURESH UTTAMRAO DHAWALE 26/05/1950 At. Alsi Plot Akola Akola Akola Maharashtra 444001 Akola Akola Maharashtra 444001 AKOLA NO - 11/06/2014 11/06/2014 12/07/2017

5277037 60027734 FGG NILIMA SHAH 12/03/1958

5 NEEL KANTH SOC 38 SHIV ASHRAY SOCIETY VASANA ROAD RACE

COURSE VADODARA Vadodara Gujarat 390007 Vadodara Vadodara Gujarat 390007 BARODA YES

HDFC STANDARD LIFE

INSURANCE 20/10/2012 20/10/2012 22/03/2015

332737 60027737 FGG RAVEENDRA T RAYAPPANAVAR 15/10/1970

17,10 NE ELA AI JI MANEGALU NAVANAGAR HUBLI Dharwad

Karnataka 580025 Dharwad Dharwad Karnataka 580025 HUBLI YES

LIFE INSURANCE

CORPORATION 19/12/2013 19/12/2013 27/12/2016

9356175 60027741 FGG NAWAL KISHORE 01/06/1978 F-103 PARMESH COMPLEX KARKARDUMA Delhi Delhi 110092 East East Delhi 110092 FARIDABAD NO - 12/03/2013 12/03/2013 11/03/2016

9356188 60027742 FGG GEETANJALI GUPTA 10/06/1982

C-474 NANAKCHAND BASTI KOTLA MUBARKPUR Delhi Delhi

110003 New Delhi New Delhi Delhi 110003 FARIDABAD NO - 12/03/2013 12/03/2013 11/03/2016

3846528 60027743 FGG JITUBHAI UKABHAI KUKADIYA 12/06/1979

23, GANGOTRI SOC., CHIKUWADI, VARACHHA ROAD, SURAT

Surat Gujarat 395006 Surat Surat Gujarat 395006 SURAT YES

LIFE INSURANCE

CORPORATION 17/12/2013 17/12/2013 17/12/2016

9356799 60027746 FGG VEERENDRA PATIL 22/07/1978

A/P BACHINGUDDA BADAMI BAGALKOT Bagalkot Karnataka

587101 Bagalkot Bagalkot Karnataka 587101 HUBLI NO - 12/03/2013 12/03/2013 11/03/2016

9356821 60027748 FGG ANURAG NIGAM 20/09/1987

BAZAR MADHYA GOSAIGANJ LUCKNOW Lucknow Uttar

Pradesh 227125 Lucknow Lucknow Uttar Pradesh 227125 LUCKNOW NO - 12/03/2013 12/03/2013 11/03/2016

9356491 60027751 FGG PRATIBHA SINGH GEHLOT 13/07/1962

National Tractors and Motors,Parbatpura By pass,Adarsh

nagar,Ajmer Ajmer Ajmer Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 12/03/2013 12/03/2013 11/03/2016

9356838 60027753 FGG M.P. SINGH BALI 02/01/1946 WZ-45, 2nd floor, Street no-3, Shiv Nagar Delhi Delhi 110058 West West Delhi 110058 WEST DELHI NO - 12/03/2013 12/03/2013 11/03/2016

9357850 60027754 FGG S.V. DHEEBIGA 29/10/1991

NO 3/3 PILLAIYAR KOIL STREET AMBATTUR Chennai Tamil

Nadu 600053 CHENNAI CHENNAI Tamil Nadu 600053 ANNA NAGAR NO - 13/03/2013 13/03/2013 12/03/2016

9358169 60027758 FGG DEV CHAND YADAV 11/11/1982

153 ISMAILPUR SULTANPUR SULTANPUR SULTANPUR Sultanpur

Uttar Pradesh 228001 Sultanpur Sultanpur Uttar Pradesh 228001 LUCKNOW NO - 13/03/2013 13/03/2013 12/03/2016

9358207 60027759 FGG MANOJ SHUKLA 15/04/1979

3/658 VIKASH NAGAR LUCKNOW LUCKNOW LUCKNOW Lucknow

Uttar Pradesh 226005 Lucknow Lucknow Uttar Pradesh 226005 LUCKNOW NO - 13/03/2013 13/03/2013 12/03/2016

9358262 60027760 FGG RAJU DHIMAN 04/01/1986 V 918 VIJAY PARK MOUJPUR DELHI DELHI Delhi Delhi 110044 SOUTH SOUTH Delhi 110044 CONNAUGHT PLACENO - 13/03/2013 13/03/2013 12/03/2016

9358731 60027763 FGG VANEET BANSAL 08/06/1982

1002 phase 2 urban estate focal point chandigarh rd Ludhiana

Punjab 140802 Patiala Patiala Punjab 140802 LUDHIANA NO - 13/03/2013 13/03/2013 12/03/2016

9361485 60027780 FGG DOLLY NISHANTH 19/06/1986

D.S sadan,colony,muttappalam p.o muttapplam trivandrum

Thiruvananthapuram Kerala 695145 Thiruvananthapuram ThiruvananthapuramKerala 695145 TRIVANDRAM NO - 15/03/2013 15/03/2013 14/03/2016

3886056 60027781 FGG KALPESH ISHWARDAS SANGHAVI 13/11/1973

5/B, 34, Shyam Niwas Bhulabhai Desai Road, Cumballa Hill,

Mumbai, Mumbai Maharashtra 400026 Mumbai Mumbai Maharashtra 400026 GHATKOPAR YES BIRLA SUN LIFE 23/12/2013 23/12/2013 28/12/2016

9174147 60027806 FGG PAWAN KUMAR GUPTA 25/05/1973

HOUSE NO. 353, STREET 01 SARWAL CHOWK JAMMU Jammu

Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 18/03/2013 18/03/2013 06/09/2015

9367187 60027820 FGG R ARUN KUMAR 14/09/1986

1084, 85A/2 NURSERY GARDEN STREET PERAMANUR Salem

Tamil Nadu 636007 Salem Salem Tamil Nadu 636007 SALEM NO - 19/03/2013 19/03/2013 18/03/2016

5374953 60027821 FGG B SITA RAMA RAO 10/07/1968

PLOT NO-26,JANAPRIYA GARDENS HARIPURI COLONY LB NAGAR

Rangareddy Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 SECUNDERABAD YES

LIFE INSURANCE

CORPORATION 19/03/2013 19/03/2013 10/05/2015

9367337 60027823 FGG SHRADDHA SHAH 02/07/1983

D/2, SWAYAMBHU APPT., NR. AZAD SOC., AMBAWADI

Ahmadabad Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380015 MANINAGAR NO - 19/03/2013 19/03/2013 18/03/2016

9367645 60027824 FGG SAURABH HARIOM GOYAL 29/11/1988

6/23, VENUS CO OP HOUSING SOCIETY OPP ATLAS COPCO DAPODI

PUNE Pune Maharashtra 411012 Pune Pune Maharashtra 411012 CHINCHWAD YES

LIFE INSURANCE

CORPORATION OF INDIA 19/03/2013 19/03/2013 18/03/2016

9367693 60027825 FGG ASHOK KUMAR 27/08/1974

H NO 87, Vill Payga Maherdergarg Mahendragarh Haryana

123001 Mahendragarh Mahendragarh Haryana 123001 ROHTAK NO - 19/03/2013 19/03/2013 18/03/2016

5081400 60027826 FGG SURESH BHANDERI 13/12/1982

58 JUNU GANESH NAGAR SHERI NO. - 3 KOTHARIYA - 14 Rajkot

Gujarat 360002 Rajkot Rajkot Gujarat 360002 RAJKOT YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 27/01/2015 27/01/2015 27/01/2018

9367942 60027828 FGG PALLAVI S KAMDAR 02/11/1983

TIRTH GRUH APPARTMENT 39, KARAN PARA RAJKOT Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 19/03/2013 19/03/2013 18/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9367965 60027840 FGG BETHAPUDI RAJA SEKHAR 20/12/1974

76-4-14, BAHAVANI PURAM, VIJAYAWADA Krishna Andhra

Pradesh 520013 Krishna Krishna Andhra Pradesh 520013 VIJAYAVADA NO - 19/03/2013 19/03/2013 18/03/2016

9371156 60027844 FGG NAGARAJU DAGANI 18/06/1985

4-172, CHINA OGIRALA VYURU MNDAL, VIJYAWADA Krishna

Andhra Pradesh 521245 Krishna Krishna Andhra Pradesh 521245 VIJAYAVADA NO - 21/03/2013 21/03/2013 20/03/2016

9371609 60027851 FGG GANDRAPU VENKATESWARA RAO 03/10/1982

QTR NO: 463/P, RAILWAY QUARTERS, VIJAYAWADA. Krishna

Andhra Pradesh 520012 Krishna Krishna Andhra Pradesh 520012 VIJAYAVADA NO - 21/03/2013 21/03/2013 20/03/2016

9371634 60027852 FGG KIRAN BURRA 22/07/1981

43-113-10, AMERICAN HASPATAL RAOD, P&T COLONY ,AZITH

SINGH NAGAR, VIJAYAWADA Krishna Andhra Pradesh

520015 Krishna Krishna Andhra Pradesh 520015 VIJAYAVADA NO - 21/03/2013 21/03/2013 20/03/2016

9371669 60027855 FGG RAJU SRINIVAS LADDIKA 26/05/1980

27-7-27, GOVERNOR PETA, VIJAYAWADA, Krishna Andhra

Pradesh 520012 Krishna Krishna Andhra Pradesh 520012 VIJAYAVADA NO - 21/03/2013 21/03/2013 20/03/2016

9356772 60027860 FGG SHREEDHAR H T. 29/03/1980

VIKAS NAGAR HOSUR ROAD HUBLI Dharwad Karnataka

580021 Haveri Haveri Karnataka 580021 HUBLI NO - 12/03/2013 12/03/2013 11/03/2016

9080931 60027864 FGG RANVIR SINGH 05/07/1965

H No 289 Mohalla Adarsh Colony Brij Vihar Preet Vihar

Muradnagar Ghaziabad Uttar Pradesh 201206 Ghaziabad Ghaziabad Uttar Pradesh 201206 NOIDA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 22/03/2013 22/03/2013 06/06/2015

9372550 60027866 FGG KAMAL KISHORE SHARMA 01/11/1978

H -348 sec15 Noida Noida Gautam Buddha Nagar Uttar Pradesh

201009 Ghaziabad Ghaziabad Uttar Pradesh 201009 NOIDA YES

ICICI PRUDENTIAL LIFE

INSURANCE 22/03/2013 22/03/2013 21/03/2016

9373722 60027877 FGG VINOD KUMAR 01/01/1974

H.NO. 264/1, NEHRU COLONY KAJEHRI Chandigarh

Chandigarh 160001 Chandigarh Chandigarh Chandigarh 160001 CHANDIGARH NO - 22/03/2013 22/03/2013 21/03/2016

8091578 60027883 FGG SHIMLA DEVI 14/04/1984

01 GADAN PUR BADDU MAKRAND NAGAR ,KANNAUJ Kannauj

Uttar Pradesh 209720 Unnao Unnao Uttar Pradesh 209720 KANPUR NO - 29/05/2013 29/05/2013 18/05/2016

8170346 60027884 FGG JEET RAVI KHANDWALA 06/01/1992

A/5 CHANDRABHAGA APT A V NAGVEKAR MARG PRABHADEVI

Mumbai Maharashtra 400025 Mumbai Mumbai Maharashtra 400025 GHATKOPAR YES

RELIANCE LIFE

INSURANCE 24/10/2013 24/10/2013 12/07/2016

9378702 60027893 FGG VIKESH CHAUHAN 23/04/1991

Village-Asghapur Sec-129 Noida Gautam Buddha Nagar Uttar

Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 NOIDA NO - 25/03/2013 25/03/2013 24/03/2016

9379087 60027898 FGG SOURAV KUMAR 12/06/1989 82 Torpa Hill Chouk Khunti Gumla Jharkhand 835227 Ranchi Ranchi Jharkhand 835227 RANCHI NO - 25/03/2013 25/03/2013 24/03/2016

9379139 60027900 FGG SUHAS S GURAV 20/11/1989

MITRA SMRUTI CHAWL, JAI AWAN NAGAR RAHIWASI SANGH

OPP.EKTA BHOOMI GARDENS RAJENDRA NAGAR BORIVALI EAST

Mumbai Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 VASHI NO - 25/03/2013 25/03/2013 24/03/2016

9379149 60027901 FGG SEEMA TULI 21/01/1985

H NO N k 127 Charanjit Pura Jalandhar Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 25/03/2013 25/03/2013 24/03/2016

9379160 60027902 FGG SANDEEP SHARMA 18/10/1979

H NO 298, Sarna Teh Pathankot Gurdaspur Punjab

145001 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR NO - 25/03/2013 25/03/2013 24/03/2016

9379183 60027903 FGG ANURADHA GUPTA 04/10/1985

Moh.Bawian teh Shahkot Dist.Jalandhar Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 25/03/2013 25/03/2013 24/03/2016

9380398 60027906 FGG NEHA GOYAL 28/09/1983

260/4 NEETI MARG,BEHIND COLLECTORATE,JAIPUR ROAD, AJMER

Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 26/03/2013 26/03/2013 25/03/2016

9380537 60027909 FGG ANIL KUMAR 22/02/1985

VILL-SURPURA THURD THE-LUHARU BHIWANI Bhiwani

Haryana 127020 BHIWANI BHIWANI Delhi 127020 JAIPUR NO - 26/03/2013 26/03/2013 25/03/2016

9380569 60027910 FGG MASHRUR KHAN 05/10/1984

Plot No. 153, Ama Grah, Shakti Colony, Transport Nagar Jaipur

Jaipur Rajasthan 302004 Jaipur Jaipur Rajasthan 302004 JAIPUR NO - 26/03/2013 26/03/2013 25/03/2016

9380635 60027911 FGG PRAVIN PRAKASH KHOT 06/09/1993

BEGAR VASAHAT PRAKALP, STONE CRUSHER VASAHAT

SANGAVADE WADI, TAL- KARVEER Kolhapur Maharashtra

416012 Kolhapur Kolhapur Maharashtra 416012 KOLHAPUR NO - 26/03/2013 26/03/2013 25/03/2016

9380759 60027912 FGG KAMALANATHAN .. 04/06/1981

NO.1/60B, PERAMPATTU VILLAGE& POST THIRUPATTUR TALUK

Vellore Tamil Nadu 635601 Vellore Vellore Tamil Nadu 635601 CHENNAI YES

LIFE INSURANCE

CORPORATION OF INDIA 26/03/2013 26/03/2013 25/03/2016

9202397 60027915 FGG P. YAMINI 17/07/1989

HNO:-1-5-12/82,SURYA NAGAR NEAR SHIVALAYAM TEMPLE OLD

ALWAL Hyderabad Telangana 500010 Warangal Warangal Andhra Pradesh 506001 HYDERABAD YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/03/2013 26/03/2013 02/10/2015

9381380 60027916 FGG THUMMALA GOUTHAM KUMAR 25/05/1981

4-66/5, MAMIDIPALLY ARMOOR Nizamabad Telangana

503001 Nizamabad Nizamabad Andhra Pradesh 503001 HYDERABAD NO - 26/03/2013 26/03/2013 25/03/2016

9381647 60027917 FGG BHESANIYA JAYESHKUMAR P 20/09/1978

RAMGADH PLOT, BHESAN JUNAGADH Junagadh Gujarat

362020 Junagadh Junagadh Gujarat 362020 RAJKOT NO - 26/03/2013 26/03/2013 25/03/2016

9381959 60027918 FGG KARAN SHARMA 12/10/1987

HOUSE NO 1371/25, GALI NO-1 VIKASH NAGAR Karnal

Haryana 132001 Karnal Karnal Haryana 132001 ROHTAK NO - 26/03/2013 26/03/2013 25/03/2016

9383128 60027920 FGG SANGHIREDDY KUSUMALATHA 08/08/1987

12-11-629/188/B, LN NAGAR WARASIGUDA Hyderabad

Telangana 500061 Hyderabad Hyderabad Andhra Pradesh 500061 HYDERABAD NO - 28/03/2013 28/03/2013 27/03/2016

9383380 60027924 FGG ASTHA ASHISH YAMNURWAR 16/12/1984

AT NEAR NALA ROAD, RAJURA DIST CHANDRAPUR Chandrapur

Maharashtra 441206 Chandrapur Chandrapur Maharashtra 441206 CHANDRAPUR NO - 28/03/2013 28/03/2013 27/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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Details of Individual Agents of the Company as on 31st March 2015

4945361 60027925 FGG ARUNIMA PANDEY 27/06/1984

237 GULDHAR III GHAZIABAD Ghaziabad Uttar Pradesh

201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA YES

LIFE INSURANCE

CORPORATION OF INDIA 01/12/2014 01/12/2014 21/12/2017

9383592 60027927 FGG D. S VARMA 11/08/1985

55-41-4/4/3, 1ST FLOOR Near Shastriya kalyanamandapam

Ambedkarnagar Visakhapatnam Andhra Pradesh 532213 Srikakulam Srikakulam Andhra Pradesh 532213 VIZAG NO - 28/03/2013 28/03/2013 27/03/2016

9384006 60027930 FGG RAJAT KRISHNA AGRAWAL 19/04/1994

EWS-249,SECTOR-G JANKIPURAM LUCKNOW LUCKNOW

LUCKNOW Lucknow Uttar Pradesh 226005 Lucknow Lucknow Uttar Pradesh 226005 LUCKNOW NO - 28/03/2013 28/03/2013 27/03/2016

9384070 60027931 FGG AMIT GUPTA 15/02/1983

SANDILA ROAD BANGARMAU UNNAO Unnao Uttar Pradesh

241501 Unnao Unnao Uttar Pradesh 241501 LUCKNOW NO - 28/03/2013 28/03/2013 27/03/2016

9385457 60027939 FGG RASHMI KUMARI 01/01/1986

H NO 145 Chatnya nath jewade road Deoghar Deoghar

Jharkhand 814112 Deoghar Deoghar Jharkhand 814112 DEOGHAR NO - 28/03/2013 28/03/2013 27/03/2016

9385571 60027940 FGG KUMAR VIKASHAM 01/03/1978

H NO 30 Chatnya nath jewade road Deoghar Deoghar

Jharkhand 814112 Deoghar Deoghar Jharkhand 814112 DEOGHAR NO - 28/03/2013 28/03/2013 27/03/2016

9386519 60027947 FGG BABIN T T. 07/04/1986

THAYYIL THODUKAYIL HOUSE MAKKADA POST KOZHIKODE

Kozhikode Kerala 673611 Kozhikode Kozhikode Kerala 673611 CALICUT NO - 29/03/2013 29/03/2013 28/03/2016

9386865 60027948 FGG SYLVASTHER P. 07/09/1987

41 6th Street,Kamaraj nagar ganapathy Coimbatore Tamil

Nadu 641006 Coimbatore Coimbatore Tamil Nadu 641006 COIMBATORE NO - 29/03/2013 29/03/2013 28/03/2016

9386987 60027949 FGG GANESH V. 06/06/1987

GROUP D EMPLOYEES QTRS, UNIVERCITY LADIES HOSTEL

BANGALORE Bangalore Karnataka 560056 OM Shakthi Temple, BangaloreOM Shakthi Temple, BangaloreKarnataka 560078 BANGALORE NO - 29/03/2013 29/03/2013 28/03/2016

9387534 60027951 FGG PRABHAKAR JEETHU SANGRAM 25/09/1974

#43 1ST CROSS,AZADNAGAR BINNIPETE Bangalore

Karnataka 560018 Bangalore Bangalore Karnataka 560018 BANGALORE NO - 29/03/2013 29/03/2013 28/03/2016

9387613 60027952 FGG SEEMA GOYAL 03/03/1963

HNO 74/10 SHIVAM CIVIL LINES AJMER AJMER Ajmer Rajasthan

305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 29/03/2013 29/03/2013 28/03/2016

9387695 60027954 FGG SUSHMA BHATI 04/01/1978

HN-1220 N/FF, HBC SEC-2 BALLABGARH Faridabad Haryana

121002 Faridabad Faridabad Haryana 121002 FARIDABAD NO - 29/03/2013 29/03/2013 28/03/2016

651001 60027955 FGG SHANTA ANGELINE FELIX 17/02/1954

New No.7, `Amalaham` Barathi Nagar (near Camp Rd) Selaiyur

P.O Chennai Tamil Nadu 600073 Kancheepuram Kancheepuram Tamil Nadu 600073 CHENNAI YES

MAX NEW YORK LIFE

INSURANCE 25/07/2014 25/07/2014 29/07/2017

9387776 60027956 FGG A SHAILAJA REDDY 10/10/1979

HN0 -2-2-647/235/9 BAGH AMBERPETA HYDERABAD Hyderabad

Telangana 500013 Hyderabad Hyderabad Andhra Pradesh 500013 DILSUKHNAGAR NO - 29/03/2013 29/03/2013 28/03/2016

9387826 60027958 FGG NAWAB ALI 15/03/1984

642/5 WARD 15, GALI RAVIDAS BASTI AMBALA CITY Ambala

Haryana 134003 Ambala Ambala Haryana 134003 AMBALA NO - 29/03/2013 29/03/2013 28/03/2016

9387838 60027959 FGG KARAMVEER SINGH 18/03/1989

110, VILL CHANETI TEHSIL JAGADHARI DISTT-YAMUNANAGAR

Yamunanagar Haryana 133103 Yamunanagar Yamunanagar Haryana 133103 AMBALA NO - 29/03/2013 29/03/2013 28/03/2016

9387863 60027961 FGG ANATHULA SRINIVAS 18/05/1984

HNO:-4-62/2 BUDDA NAGAR,UPPAL DEPOT UPPAL Rangareddy

Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 29/03/2013 29/03/2013 28/03/2016

9387875 60027962 FGG RAGHAVENDRA VENKATA SITARAMAM 21/12/1979

HNO:-2-16-133,1st FLOOR PRASHANTH NAGAR,STREET NO-3

UPPAL NEAR COMMUNITY HALL Hyderabad Telangana

500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 29/03/2013 29/03/2013 28/03/2016

1251329 60027967 FGG SAMPADA S JAHAGIRDAR 12/12/1981

H. No.95, Anandvan A-6, Paschim Vihar, New Dlehi Delhi Delhi 11--

63 West West Delhi 110063 CONNAUGHT PLACENO - 25/05/2012 25/05/2012 18/06/2015

2298532 60027969 FGG HIRACHAND MOMAYA 28/07/1946

502-G, Kukreja Palace V B Lane, Ghatkopar East, Mumbai,

Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 FORT YES BIRLA SUN LIFE 03/12/2014 03/12/2014 15/02/2018

9078632 60027971 FGG RAHUL PRATAP SINGH 01/08/1989

557/11 OM NAGAR ALAMBAGH LUCKNOW LUCKNOW Lucknow

Uttar Pradesh 209506 Unnao Unnao Uttar Pradesh 209506 LUCKNOW YES

METLIFE INDIA

INSURANCE CO. PVT. LTD 02/04/2013 02/04/2013 04/06/2015

9393414 60027982 FGG SUNDARAVALLI JAGANNATHAN 12/06/1982

NO 4/1 MARIAMMAN KOIL STREET MAC NAGAR,RAMAPURAM

Chennai Tamil Nadu 600089 Kancheepuram Kancheepuram Tamil Nadu 600089 CHENNAI NO - 02/04/2013 02/04/2013 01/04/2016

9393459 60027984 FGG YOGESH B YADAV 08/08/1982

ROOM NO2, MOTILAL COMPD NO-9, P.N.ROAD, FARID NAGAR,

BHANDUP (W), Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400078 GHATKOPAR NO - 02/04/2013 02/04/2013 01/04/2016

8626884 60027985 FGG SHAMMI KADRI 30/07/1960

FAMOUS CLINIC 4 GURAV NIWAS, NEXT TO 2049 CHAWL,

TAGORE NAGAR NO 2, VIKHROLI(E) Mumbai Maharashtra

400001 Mumbai Mumbai Maharashtra 400001 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 23/07/2014 23/07/2014 27/05/2017

9393501 60027986 FGG MAHAZBEEN RAFIQ SHAIKH 23/04/1984

G-03 SAAYA VILLAGE, THALAGHATTAPURA, OFF KANAKPURA

ROAD PUSHPANJALI NAGAR BANGALORE Bangalore

Karnataka 560062 Bangalore Bangalore Karnataka 560062 FORT NO - 02/04/2013 02/04/2013 01/04/2016

8939109 60027990 FGG DINA BABUBHAI TAILOR 19/12/1985

B-26, ALKESH SOCIETY B/H ARYAKANYA VIDHYALAY KARELIBAUG

VADODARA Vadodara Gujarat 388710 Vadodara Vadodara Gujarat 390020 BARODA NO - 08/09/2014 08/09/2014 27/11/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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Details of Individual Agents of the Company as on 31st March 2015

9221343 60027991 FGG RASIKLAL V VORA 12/04/1941

Flat No 8 Chetan Plot No 207 Hingwala Lane Ghatkopar Mumbai

Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 02/04/2013 02/04/2013 24/10/2015

9393679 60027992 FGG SUBHASH BABAN KANK 08/07/1988

R:3A1/1F GRD FLOOR HANUMAN NAGAR ACHARYA DONDE MARG

SEWREE Mumbai Maharashtra 400015 Mumbai Mumbai Maharashtra 400015 PRABHADEVI NO - 03/04/2013 03/04/2013 02/04/2016

9393717 60027993 FGG ARLIN MURAIRA 31/05/1974

KADEPARAMBIL HOUSE CHELANCHERY ROAD , THEVARA P.O.

ERNAKULAM Ernakulam Kerala 682013 Ernakulam Ernakulam Kerala 682013 COCHIN NO - 03/04/2013 03/04/2013 02/04/2016

9393739 60027996 FGG PRADEEP CHAWLA 01/11/1976

HNO 276-C BACK PORTION 2ND FLOOR BLK WZ INDER PURI

Delhi Delhi 110012 South West South West Delhi 110012 WEST DELHI NO - 03/04/2013 03/04/2013 02/04/2016

9398221 60028033 FGG PULIGADDA PAVANI KUMARI 15/03/1987

HNO:-1-5-54,S2 YALAMANCHALI PLAZA NEW MARUTHI NAGAR

KOTHAPET,SAROORNAGAR Rangareddy Telangana 500035 Rangareddi Rangareddi Andhra Pradesh 500035 HYDERABAD NO - 10/04/2013 10/04/2013 09/04/2016

9047623 60028035 FGG MARY GODI 29/07/1982

18-13-131/a/1 Bandlaguda Patel Nagar Keshdguri Post Hyderabad

Telangana 500005 Rangareddi Rangareddi Andhra Pradesh 500005 HYDERABAD YES BIRLA SUN LIFE 10/04/2013 10/04/2013 18/04/2015

9398265 60028036 FGG SRIHARI GADDAM 01/06/1983

HNO:-3-4-937/42 RATNA NAGAR,NEAR FEVER HOSPITAL

BARKATHPURA Hyderabad Telangana 500027 Hyderabad Hyderabad Andhra Pradesh 500027 HYDERABAD NO - 10/04/2013 10/04/2013 09/04/2016

8195569 60028037 FGG B. SATYANARAYANA 06/07/1981

3-9-310,PNO-72/A SARASWATHI NAGAR,LB NAGAR

CHINTALKUNTA CHECK POST,SAROORNAGAR Rangareddy

Telangana 500074 Hyderabad Hyderabad Andhra Pradesh 500074 HYDERABAD YES

LIFE INSURANCE

CORPORATION 29/07/2013 29/07/2013 27/07/2016

9398275 60028038 FGG ANANDA N. 01/08/1991

HULLENAHALLI POST GULURU HOBLI TUMKUR Tumkur

Karnataka 572122 Tumkur Tumkur Karnataka 572122 R.T.NAGAR NO - 10/04/2013 10/04/2013 09/04/2016

9398713 60028044 FGG SUMIT KUMAR 02/09/1986

VPO. KAHRANA KAHRANA KALANAUR Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK NO - 10/04/2013 10/04/2013 09/04/2016

9398719 60028047 FGG DINESH RAMNARAYAN PATEL 14/01/1989

B-304, Ajay Appt, Achole Road, Nr Talati Office Nallasopara East

Thane Maharashtra 401209 Thane Thane Maharashtra 401209 GHATKOPAR NO - 10/04/2013 10/04/2013 09/04/2016

9399530 60028048 FGG PRINCE AGGARWAL 26/12/1982

37 GOPIPURA KOTI GATE HAPUR Agra Uttar Pradesh

245101 Ghaziabad Ghaziabad Uttar Pradesh 245101 FARIDABAD NO - 12/04/2013 12/04/2013 11/04/2016

9399632 60028051 FGG VINOD KUMAR A MISHRA 19/07/1975

PLOT NO 46,THADANI CHAWL, V N PURAV MARG, ROOM NO -15,

CHEMBUR Mumbai Maharashtra 400071 Mumbai Mumbai Maharashtra 400071 GHATKOPAR NO - 12/04/2013 12/04/2013 11/04/2016

8238655 60028054 FGG AMANDEEP SINGH 15/07/1979

138 C Race Course Road Opp Nayyar Hospital Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

KOTAK MAHINDRA OLD

MUTUAL 10/09/2013 10/09/2013 20/08/2016

9399702 60028055 FGG VIKRAM SHARMA 13/08/1976

HNO-15 ST NO-7 , PAWAN NAGAR BATALA ROAD AMRITSAR

Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 12/04/2013 12/04/2013 11/04/2016

8964479 60028056 FGG KUNJLATA RAWAT 30/12/1982

K-5, K BLOCK HAUZ KHAS ENCLAVE NEW DELHI Delhi Delhi

110016 Delhi Delhi Delhi 110016 CONNAUGHT PLACEYES

MAX NEW YORK LIFE

INSURANCE 15/01/2015 15/01/2015 26/12/2017

9401277 60028094 FGG ANOOP BINDRA 02/07/1978

WZ,A-124 Street No. 10 KRI Tilak Nagar Delhi New Delhi Delhi

Delhi 110018 West West Delhi 110018 WEST DELHI NO - 15/04/2013 15/04/2013 14/04/2016

9401275 60028096 FGG ASHWANI KUMAR ADLAKHA 30/03/1953 E-140 PRASHANT VIHAR ROHINI DELHI Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI NO - 15/04/2013 15/04/2013 14/04/2016

9401272 60028097 FGG DAYA NIDHI NAYAK 15/05/1985

PLOT NO-7,NEW CITY COLONY NEAR VENKATESHWAR SWAMY

TEMPLE NEW BOWENPALLY Hyderabad Telangana 500011 Rangareddi Rangareddi Andhra Pradesh 500011 HYDERABAD NO - 15/04/2013 15/04/2013 14/04/2016

9401269 60028099 FGG PRAVIN RAMESHRAO KHANDRE 05/11/1979

AT.NEAR REPLY CORIER SINDHI COLONY RAMNAGAR

CHANDRAPUR Chandrapur Maharashtra 442401 Chandrapur Chandrapur Maharashtra 442401 CHANDRAPUR NO - 15/04/2013 15/04/2013 14/04/2016

9401923 60028102 FGG PRAVAT KUMAR SAHOO 19/06/1979

Plot No-1149, Ground floor,Room No-2, Aerodrome Area,Lane-

2,Bhubaneswar,Khurda Bhubaneswar BHUBANESHWAR

Odisha 751020 KHURDA KHURDA Odisha 751020 BHUBANESWAR NO - 16/04/2013 16/04/2013 15/04/2016

9401928 60028103 FGG DINESH KUMAR P. 08/08/1981

NO:75 Bharathiyar road,first street,mkp colony ganapathy

Coimbatore Tamil Nadu 641006 Coimbatore Coimbatore Tamil Nadu 641006 COIMBATORE NO - 16/04/2013 16/04/2013 15/04/2016

617407 60028104 FGG SALUNKE RENUKA JITENDRA 19/04/1972

ROOM NO 16, SARASWAT BAUG, S T ROAD, Mumbai

Maharashtra 400071 Mumbai Mumbai Maharashtra 400071 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 08/08/2014 08/08/2014 11/07/2017

9401935 60028106 FGG BHAWNA .. 02/12/1992

HOUSE NO 487/15 Patel Nagar Kamp Panipat Haryana

132103 Panipat Panipat Haryana 132103 ROHTAK NO - 16/04/2013 16/04/2013 15/04/2016

9293737 60028107 FGG KARTIK PARMAR 25/09/1993

619 SAMARGOPAL PUR ROHTAK Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/04/2013 16/04/2013 08/01/2016

9402976 60028113 FGG MONAL M KRIPALANI 22/11/1989

Maheshwar ganga chs. Flat no-7 2nd floor, tps-3,pali naka

Bandra (W) Mumbai Maharashtra 400050 Mumbai Mumbai Maharashtra 400050 GHATKOPAR NO - 17/04/2013 17/04/2013 16/04/2016

9402974 60028114 FGG NIJSURE TANUJA S. 05/05/1966

B-1/302,VIKAS COMPLEX, CASTLE MILL COMPOUND THANE

Thane Maharashtra 400601 Thane Thane Maharashtra 400601 ANDHERI NO - 17/04/2013 17/04/2013 16/04/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

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Details of Individual Agents of the Company as on 31st March 2015

9402972 60028115 FGG CHETAN M. LAMBA 12/02/1986

513/BUNGLOW NO 4,, MARIA APARTMENTS, 12TH ROAD

CHEMBUR Mumbai Maharashtra 400071 Mumbai Mumbai Maharashtra 400071 GHATKOPAR NO - 17/04/2013 17/04/2013 16/04/2016

9184338 60028117 FGG SURENDER KUMAR 04/06/1943 Y - 6, Block - Y Green Park New Delhi Delhi Delhi 110016 South West South West Delhi 110016 CONNAUGHT PLACEYES

MAX NEW YORK LIFE

INSURANCE 18/04/2013 18/04/2013 17/09/2015

9403742 60028118 FGG SANDEEP SINGH BHURJI 30/12/1966

A-12/PLOT NO 197 .INDRALOK CHS, 90FEET ROAD NEXT TO

GORODIA PALACE, GHATKOPAR (E) Mumbai Maharashtra

400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 18/04/2013 18/04/2013 17/04/2016

9403704 60028121 FGG SUDHIR KUMAR 19/09/1992 148 Kardam Puri Extn. Delhi Delhi Delhi Delhi 110094 North East North East Delhi 110094 NOIDA NO - 18/04/2013 18/04/2013 17/04/2016

9403693 60028122 FGG SUBODH KUMAR SAHA 23/01/1964 N-85 Kirti Nagar New Delhi Delhi Delhi 110015 West West Delhi 110015 GURGAON NO - 18/04/2013 18/04/2013 17/04/2016

9404368 60028129 FGG PRAMOD BHASKAR KHANDALE 29/01/1989

3-14-350 Hamalwada Railway Station Aurangabad Aurangabad

Maharashtra 431005 Aurangabad Aurangabad Maharashtra 431005 AURANGABAD YES BIRLA SUN LIFE 19/04/2013 19/04/2013 18/04/2016

9407099 60028148 FGG ROOPA P BADIGER 22/02/1985

95 BAILAPPANAVAR NAGAR, HOSUR HUBLI Dharwad

Karnataka 580029 Dharwad Dharwad Karnataka 580029 HUBLI NO - 24/04/2013 24/04/2013 23/04/2016

9407129 60028149 FGG NANA DATTU WAGHAMARE 01/06/1967

A/P KORTI TAL- PANDHARPUR SOLAPUR Solapur

Maharashtra 413304 Solapur Solapur Maharashtra 413304 KOLHAPUR NO - 24/04/2013 24/04/2013 23/04/2016

8645280 60028150 FGG JAMUNA RAJESH PURI 01/01/1987

1945,POOJA DEEP NIWAS NEAR DAGDU PATIL CHOWK,GHANSOLI

GAON NAVI MUMBAI Thane Maharashtra 400701 Thane Thane Maharashtra 400701 VASHI YES

LIFE INSURANCE

CORPORATION 13/05/2014 13/05/2014 09/06/2017

9407190 60028151 FGG MILINA DEEPAKKUMAR SHUKLA 11/04/1976

1004 10th Floor, Palm view flat Opp Shobhna Nagar, Vasana

Road, BARODA Vadodara Gujarat 390007 Vadodara Vadodara Gujarat 390007 BARODA YES

AEGON RELIGARE LIFE

INSURANCE CO. LTD 24/04/2013 24/04/2013 23/04/2016

9407271 60028152 FGG BABITA AJAY KEJRIWAL 07/11/1979

A-2/205, Swapna Kiran Apt, Pimpari Pada Road Malad(W)

Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 GHATKOPAR NO - 24/04/2013 24/04/2013 23/04/2016

9407310 60028153 FGG GAYITHRI N. 08/06/1982

#121, 7th Main Road, Pipe line west, K.B. Nagar, BANGALORE

Bangalore Karnataka 560026 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 24/04/2013 24/04/2013 23/04/2016

9407503 60028154 FGG M KUMARA SWAMY 16/05/1987

HNO:-2-2-102/2,P VIJAYAPURI COLONY UPPAL Hyderabad

Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 24/04/2013 24/04/2013 23/04/2016

8604715 60028158 FGG VISHNUDAS P. 20/10/1986

Pulimoottil veedu Changampuzha road Cochin Ernakulam

Kerala 682033 Ernakulam Ernakulam Kerala 682033 COCHIN YES

BaJAJ ALLIANZ LIFE

INSURANCE 03/06/2014 03/06/2014 06/05/2017

9409259 60028174 FGG SANJAY DATTA PATIL 30/06/1978

flat no:39, c/11 Sahyadri Nagar, Charkop Kandivali West Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 GHATKOPAR NO - 26/04/2013 26/04/2013 25/04/2016

9409255 60028177 FGG DHANRAJ SHEENA POOJARI 27/08/1991

B001, Bild no 5, Kishore Kunj Apt Virar West Thane Maharashtra

401303 Thane Thane Maharashtra 401303 GHATKOPAR NO - 26/04/2013 26/04/2013 25/04/2016

5895784 60028178 FGG ANANDA MAHADIK 10/01/1982

201 E, CHANDRESH SAROVAR, NILJE VILLAGE, LODHA HEAVEN,

DOMBIVLI EAST, THANE Thane Maharashtra 400706 Thane Thane Maharashtra 400706 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 26/04/2013 26/04/2013 17/11/2015

9409467 60028181 FGG BASALINGAPPA GOUDAR GEETA 15/06/1974

E421, NO 68, 5TH MAIN ROAD, Venkateshwara Layout Herohalli

Magadi Main Road Bangalore Bangalore Karnataka

560091 Bangalore Bangalore Karnataka 560091 BANGALORE NO - 26/04/2013 26/04/2013 25/04/2016

9411057 60028186 FGG SHAILESH ATMARAM RAIKAR 17/03/1978

6/B, Lialavati Bldg, R. No.38/39, 2nd Flr, Zaoba Wadi,

Thakurdwar, Mumbai Mumbai Maharashtra 400002 Mumbai Mumbai Maharashtra 400002 FORT NO - 29/04/2013 29/04/2013 28/04/2016

9411233 60028188 FGG PREETI AGRAWAL 05/05/1985

VILL-AMATOLI BLOCK-SITAPUR SURGUJA Surguja

Chattisgarh 497001 Surguja Surguja Chhattisgarh 497001 RAIPUR NO - 29/04/2013 29/04/2013 28/04/2016

9411268 60028189 FGG JHUNU DAS 10/05/1980

Madhusudan Nagar, Bank Colony,Talabania, Puri Puri

Odisha 752002 Puri Puri Odisha 752002 BHUBANESWAR NO - 29/04/2013 29/04/2013 28/04/2016

9411289 60028190 FGG BHAVYA RAM IYENGAR 02/12/1984

DEVALOKE RECIDENCY BL-B,202/1, NSC BOSE ROAD KOLKATA

Kolkata West Bengal 700074 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700074 KOLKATA NO - 29/04/2013 29/04/2013 28/04/2016

9255681 60028196 FGG KAKADE BAPU DATTU 16/04/1985

A/P-BABURDI, PARNER-VISAPUR ROAD, PARNER,DIST-

AHMEDNAGAR Ahmadnagar Maharashtra 413703 Ahmadnagar Ahmadnagar Maharashtra 413703 AHMEDNAGAR YES

LIFE INSURANCE

CORPORATION 29/04/2013 29/04/2013 29/11/2015

9411419 60028197 FGG AWADHESH KUMAR 06/09/1988 At-Rahimpur, Parsa Bazar Patna Patna Patna Bihar 804453 PATNA PATNA Bihar 804453 PATNA NO - 29/04/2013 29/04/2013 28/04/2016

9411500 60028198 FGG SHASHIDHARA N. 22/10/1985

H NO 114, JANATHA COLONY, BANNUR Chikmagalur Karnataka

573133 Hassan Hassan Karnataka 573133 MANGALORE YES

LIFE INSURANCE

CORPORATION OF INDIA 29/04/2013 29/04/2013 28/04/2016

9411587 60028201 FGG NABI AMANULLA 10/04/1982

C/o Kangshot, Behind Popular Tailors, Near Eashwara temple Main

Road, Rajgopal nagar, Peenya Bangalore Bangalore

Karnataka 560058 Bangalore Bangalore Karnataka 560058 BANGALORE NO - 29/04/2013 29/04/2013 28/04/2016

8846965 60028219 FGG K. SAI PADMA SREE 06/05/1992

34-6-12/1 MANGALAVARAPU PETA RAJAHMUNDRY East

Godavari Andhra Pradesh 533101 East Godavari East Godavari Andhra Pradesh 533101 RAJAHMUNDRY NO - 29/10/2014 29/10/2014 28/09/2017

8947786 60028262 FGG SATISH KUMAR SALLA 18/01/1979

2/2/2002 BOLLARUM SECUNDRABAD Hyderabad Telangana

500010 Medak Medak Andhra Pradesh 500010 HIMAYATHNAGAR NO - 22/12/2014 22/12/2014 05/12/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9348221 60028263 FGG TAVVA BALA KRISHNA 08/04/1971

15-31-1VM-9/5 PHASE IV,KPHB COLONY KUKATPALLY Hyderabad

Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 HIMAYATHNAGAR NO - 05/03/2013 05/03/2013 04/03/2016

193597 60028264 FGG A.E.VARA PRASAD 26/09/1962

PLOT NO 146 PRASHANTHI HILLS PHASE I MEERPET RANGA

REDDY DIST. Hyderabad Telangana 500079 RANGAREDDY RANGAREDDY Andhra Pradesh 500079 HIMAYATHNAGAR NO - 26/11/2013 26/11/2013 02/08/2016

9190451 60028266 FGG M SRINIVAS V PRASAD 20/03/1968

E-1, BLOCK-B,LIVING HEIGHTS 8-19-4, RED CROSS STREET GANDHI

NAGAR East Godavari Andhra Pradesh 533--4 East Godavari East Godavari Andhra Pradesh 533004 HIMAYATHNAGAR NO - 25/09/2012 25/09/2012 24/09/2015

9048469 60028267 FGG SATHEESH ARUGONDA 03/08/1988

1-89, VEERAREDDY PALLY MIR DODDI MANDAL Hyderabad

Telangana 5----1 Hyderabad Hyderabad Andhra Pradesh 500001 HIMAYATHNAGAR NO - 20/04/2012 20/04/2012 19/04/2015

9416746 60028276 FGG HEMANT .. 21/01/1981 137 WARD 21 KAJIWARA Ambala Haryana 133001 Ambala Ambala Haryana 133001 AMBALA NO - 06/05/2013 06/05/2013 05/05/2016

9416756 60028277 FGG PINKI PANCHAL 15/04/1986

# 138/4 VILL NANHERA AMBALA CANTT Ambala Haryana

133001 Ambala Ambala Haryana 133001 AMBALA YES BIRLA SUN LIFE 06/05/2013 06/05/2013 05/05/2016

9416776 60028279 FGG GURMAIL SINGH 12/08/1982

VILL HAMID PUR PO KALPI DISTT-AMBALA Ambala Haryana

133001 Ambala Ambala Haryana 133001 AMBALA NO - 06/05/2013 06/05/2013 05/05/2016

9416895 60028283 FGG MOHD IRSHAD MOHD FAROOQUE RAEE 12/08/1977

ROOM NO 2, EKRAM MANZIR KHERANI ROAD SAKINAKA S.O

MUMBAI MUMBAI Mumbai Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 BORIVALI NO - 06/05/2013 06/05/2013 05/05/2016

9416901 60028285 FGG SANGEETA SOMANI 13/08/1977

K-127 PRAKASH KUNJ,WARD NO 25 BEHIND MEHBOOB KI

KOTHI,KRISHGANJ AJMER Ajmer Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 06/05/2013 06/05/2013 05/05/2016

9417478 60028293 FGG MANALI MILIND DALVI 30/09/1985

Om Dattatraya chs, behind mayur hotel, Pakhadi, kharegoan

,kalawa Thane Maharashtra 400601 Thane Thane Maharashtra 400605 GHATKOPAR NO - 07/05/2013 07/05/2013 06/05/2016

9417493 60028294 FGG GAURI C JADHAV 03/01/1984

Chau 554, Krushnanagar build. D.A Dr. babasaheb ambedkar rd

Shivari Mumbai Maharashtra 400012 Mumbai Mumbai Maharashtra 400012 GHATKOPAR NO - 07/05/2013 07/05/2013 06/05/2016

9417508 60028295 FGG ARCHANA THAKUR 25/01/1973

house no. 19 dargi mohalla. PO/PS- DORANDA RANCHI Ranchi

Jharkhand 834002 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 07/05/2013 07/05/2013 06/05/2016

9417658 60028297 FGG BINU JOSEPH 25/05/1993

VALLAVANATTU CHANDIROOR P O CHERTHALA Alappuzha

Kerala 688547 Alappuzha Alappuzha Kerala 688547 COCHIN NO - 07/05/2013 07/05/2013 06/05/2016

9417704 60028298 FGG KIRAN KUMAR K. O. 18/11/1981

kundala house Thottakkattukara.p.o Aluva Ernakulam

Kerala 683108 Ernakulam Ernakulam Kerala 683108 COCHIN NO - 07/05/2013 07/05/2013 06/05/2016

9302775 60028318 FGG NEHA AGGARWAL 09/01/1990

H.No- 5 Raghunath Pura M.C 49 Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 21/01/2013 21/01/2013 20/01/2016

5840513 60028322 FGG VARSHA SACHIN PATIL 12/08/1982

AIP KARNAL TAL MIRAJ SANGLI SANGLI Sangli Maharashtra

416416 Sangli Sangli Maharashtra 416416 KOLHAPUR YES

LIFE INSURANCE

CORPORATION OF INDIA 09/05/2013 09/05/2013 15/10/2015

8632463 60028328 FGG AKHILA PATNAM 07/05/1981

HNO:-11-17-101 BHAGAT SINGH NAGAR SAROORNAGAR,LB

NAGAR Rangareddy Telangana 500059 Hyderabad Hyderabad Andhra Pradesh 500059 HYDERABAD YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 11/09/2014 11/09/2014 30/05/2017

1714262 60028330 FGG RITESH KOCHHAR 30/08/1984

FLAT NO: A-5 1ST KHAR DANDA ROAD KHAR WEST Mumbai

Maharashtra 400052 Mumbai Mumbai Maharashtra 400050 ANDHERI YES

LIFE INSURANCE

CORPORATION 14/05/2013 14/05/2013 15/06/2016

1120117 60028331 FGG ILA DOSHI 17/08/1957

A-5, AADINATH TOWERS OPP. AKASHWANI RAJKOT Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 16/02/2015 16/02/2015 25/03/2018

8683045 60028332 FGG SUNITA DEVI 02/10/1978

H No 590A, SEc 6 Vats Colony, Bahadurgarh, Jhajjar

Haryana 124507 Jhajjar Jhajjar Haryana 124507 ROHTAK NO - 15/07/2014 15/07/2014 30/06/2017

1078996 60028339 FGG MEGHA SEKSARIA 08/10/1970 3-18, RANI SATI NAGAR MALAD [W] Mumbai Maharashtra 4---64 Mumbai Mumbai Maharashtra 400064 FORT NO - 20/04/2012 20/04/2012 23/04/2015

1079407 60028342 FGG MEENA SEKSARIA 04/03/1967 3-18 RANI SATI NAGAR MALAD [W] Mumbai Maharashtra 4---64 Mumbai Mumbai Maharashtra 400064 FORT NO - 20/04/2012 20/04/2012 23/04/2015

2257759 60028345 FGG NITU MEHOTRA 25/06/1972

412, Badrinath Jalwayu Tower, Sec - 56, Gurgaon, Gurgaon

Haryana 122103 Gurgaon Gurgaon Haryana 122103 NOIDA NO - 23/01/2015 23/01/2015 13/01/2018

9419608 60028347 FGG VISHAL BHATIA 06/02/1979

WARD NO 6, NR GEETA MANDIR INDRI , DISTT KARNAL Karnal

Haryana 132001 Karnal Karnal Haryana 132001 ROHTAK NO - 10/05/2013 10/05/2013 09/05/2016

9419631 60028348 FGG BALRAJ PADIKANTI 07/02/1984

17-2-704/1 MADANAPET SAIDABAD Hyderabad Telangana

500001 Hyderabad Hyderabad Andhra Pradesh 500001 KUKKATPALLY NO - 10/05/2013 10/05/2013 09/05/2016

9419714 60028349 FGG EEDARLA SRIKANTH 04/02/1991

8-2-613/75/1/300 ROAD NO-11,UDAY NAGAR BANJARA HILLS

Hyderabad Telangana 500034 Hyderabad Hyderabad Telangana 500034 KUKKATPALLY NO - 10/05/2013 10/05/2013 09/05/2016

9419772 60028350 FGG K SHASHI KIRAN 05/03/1975

2-3-489/2,PLOT NO -14 M G NAGAR MACHA BOLLARAM

Hyderabad Telangana 500010 Medak Medak Andhra Pradesh 500010 HIMAYATHNAGAR YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 10/05/2013 10/05/2013 09/05/2016

9393772 60028368 FGG RAMESH SURYAVANSHI 01/06/1978

B-5/3 4, PHASE III SHIVSAVLI, SEC 18 NERUL Thane Maharashtra

400706 Thane Thane Maharashtra 400706 VASHI NO - 03/04/2013 03/04/2013 02/04/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9421289 60028378 FGG S. RAJASEKAR 26/06/1986

NATARAJAN SALAI, HIRUMALAI NAGAR,RAMAPURAM CHENNAI

Chennai Tamil Nadu 600089 Kancheepuram Kancheepuram Tamil Nadu 600089 CHENNAI NO - 13/05/2013 13/05/2013 12/05/2016

9421304 60028380 FGG KAVITHA .. 30/06/1978

NO 303, KAVIYARASU KANNADASAN BLOCK 8, Chennai

Tamil Nadu 600118 Chennai Chennai Tamil Nadu 600118 CHENNAI NO - 13/05/2013 13/05/2013 12/05/2016

9421309 60028381 FGG ALLAKANTI UMAMAHESH 31/12/1982

HNO:-7-16/2 MEERPET,MALLAPUR UPPAL Hyderabad

Telangana 500076 Hyderabad Hyderabad Andhra Pradesh 500076 HYDERABAD NO - 13/05/2013 13/05/2013 12/05/2016

9421325 60028385 FGG JYOTHSNA K. 30/09/1983

H NO 5-5-51/6/A,PLOT NO -35 PRAKASH NAGAR KUKATPALLY

Hyderabad Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 HYDERABAD NO - 13/05/2013 13/05/2013 12/05/2016

9421332 60028386 FGG MUKESH .. 16/08/1989

HOUSE NO 502, SECTOR-12/A PANCHKULA AMBALA CITY Ambala

Haryana 134109 Panchkula Panchkula Haryana 134109 CHANDIGARH NO - 13/05/2013 13/05/2013 12/05/2016

4969601 60028390 FGG ARUN SAKHARAM BAVACHE 15/05/1981

277/1, At Post Shendur, Shendur Tal Kagal Kolhapur

Maharashtra 416232 Kolhapur Kolhapur Maharashtra 416216 KOLHAPUR YES

KOTAK MAHINDRA OLD

MUTUAL 27/11/2014 27/11/2014 26/12/2017

9159126 60028392 FGG VEMULA SRINIVASA RAO 10/05/1968

G-3, 9-11-1-/3, MK's Srinivasa Nilayam, Sivajipalem

Visakhapatnam Andhra Pradesh 53--17 Visakhapatnam Visakhapatnam Andhra Pradesh 530017 VIZAG NO - 25/08/2012 25/08/2012 24/08/2015

9421717 60028393 FGG DEEPAK MAINI 01/03/1962

18-1/41/G3 & G2 MES COLONY NARAYANAPURAM,ALWAL

Hyderabad Telangana 500010 Medak Medak Andhra Pradesh 500010 HYDERABAD NO - 14/05/2013 14/05/2013 13/05/2016

9421844 60028395 FGG MAHESHWARAPPA G H. 05/04/1969

# 3/3 A-B C/O UGRAPPA MASTER,6TH CROSS GOWDRA RAMAIAH

L/O,KOGILU,YELAHANKA Bangalore Karnataka 560064 Bangalore Bangalore Karnataka 560064 R.T.NAGAR NO - 14/05/2013 14/05/2013 13/05/2016

9421864 60028396 FGG RANGANATHAN SRIVATSAN PRADEEPK 12/10/1973

21/4, RANGARAO ROAD, SHANKARAPURAM, BANGALORE

Bangalore Karnataka 560004 Bangalore Bangalore Karnataka 560004 BANGALORE NO - 14/05/2013 14/05/2013 13/05/2016

9422456 60028407 FGG SARIKA NAYYAR 14/07/1978

# 27 SAINIK VIHAR JANDALI, AMBALA CITY Ambala

Haryana 133001 Ambala Ambala Haryana 133001 AMBALA NO - 14/05/2013 14/05/2013 13/05/2016

9422473 60028408 FGG AMIT SHARMA 13/07/1981

VILL BOH AMBALA CITY HARYANA Ambala Haryana

133001 Ambala Ambala Haryana 133001 AMBALA NO - 14/05/2013 14/05/2013 13/05/2016

9422487 60028409 FGG CHARU SETIA 12/09/1984

H/NO 66, MODEL TOWN, SAWAN PARK, WARD 27, PANIPAT

Panipat Haryana 132103 Panipat Panipat Haryana 132103 ROHTAK NO - 14/05/2013 14/05/2013 13/05/2016

2783788 60028419 FGG SATVIR SAINI 10/12/1975

WARD 30 GARHI BRAHMAN MEHLANA ROAD SONEPAT NEAR NEW

COURT Sonipat Haryana 131001 Sonipat Sonipat Haryana 131001 ROHTAK YES

LIFE INSURANCE

CORPORATION 15/05/2013 15/05/2013 29/11/2015

9423170 60028423 FGG PARDEEP VERMA 11/11/1987

H/NO 203 SUBASH NAGAR PANIPAT Panipat Haryana

132103 Panipat Panipat Haryana 132103 ROHTAK NO - 15/05/2013 15/05/2013 14/05/2016

9423368 60028424 FGG SACHIN SHARMA 27/07/1975

H NO F/4 Rani Park Near jain school Jammu Jammu Jammu &

Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 15/05/2013 15/05/2013 14/05/2016

3071384 60028426 FGG TRUPTI AMRISHBHAI PARIKH 08/01/1966

105- VRAJBHOOMI APPT, B/H SANJAY APPT, B/H C.N. VIDHALAYA,

AMBAWADI, Ahmadabad Gujarat 380006 Ahmadabad Ahmadabad Gujarat 380006 AHMEDABAD NO - 31/01/2013 31/01/2013 26/02/2016

9425382 60028462 FGG DEMA VIJAYKUMAR 09/06/1986

8-2-455, KATTARAMPOOR KARIMNAGAR Karimnagar

Telangana 505001 Karimnagar Karimnagar Andhra Pradesh 505001 KUKKATPALLY NO - 17/05/2013 17/05/2013 16/05/2016

5515744 60028463 FGG SHIRISHA YADA 05/04/1989

Flat No 45 Plot No 147 Mounika Appts Rockrown Colony L B Nagar

Hyderabad Telangana 500068 HYDERABAD HYDERABAD Andhra Pradesh 500068 KUKKATPALLY YES BIRLA SUN LIFE 17/05/2013 17/05/2013 29/06/2015

9425397 60028464 FGG RAJVEER PANESAR 01/11/1988

226/29, GULABBARI,PAHALWAN HOUSE, AJMER Ajmer Rajasthan

305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

LIFE INSURANCE

CORPORATION OF INDIA 17/05/2013 17/05/2013 16/05/2016

9426253 60028467 FGG PALWINDER KUMAR 12/09/1982

Ward No.1 H No 278 Moh. Marasgarh Tehsil Dasuya Hoshiarpur

Punjab 144105 Hoshiarpur Hoshiarpur Punjab 144105 JALANDHAR NO - 20/05/2013 20/05/2013 19/05/2016

9426317 60028468 FGG PRAVESH KUMAR CHAUDHARY 16/08/1983

H No 78 Dharam Colony Carterpuri Gurgaon Gurgaon Gurgaon

Haryana 121002 Faridabad Faridabad Haryana 121002 CHANDIGARH NO - 20/05/2013 20/05/2013 19/05/2016

9426362 60028469 FGG JITENDRA SINGH PARIHAR 05/01/1982

88 DOCTOR`S COLONY, WARD NO-2 JAIPUR Jaipur

Rajasthan 302012 Jaipur Jaipur Rajasthan 302012 JAIPUR NO - 20/05/2013 20/05/2013 19/05/2016

9426374 60028470 FGG SANTOSH TRIMBAK ANGARKHE 03/03/1983

ROOM NO 634, DATTACHHAYA CHAWL CHAWL NO 5 INDIRA

NAGAR GHATKOPAR W Mumbai Maharashtra 400086 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 20/05/2013 20/05/2013 19/05/2016

9426413 60028472 FGG KAKU SRINIVASA RAO 15/12/1984

32-13-60A, SIDDHARTHA CENTRE MOGALA RAJ PURAM

VIJYAWADA Krishna Andhra Pradesh 520010 Krishna Krishna Andhra Pradesh 520010 VIJAYAVADA NO - 20/05/2013 20/05/2013 19/05/2016

9426432 60028473 FGG AHAMAD PASHA SHAIK 06/02/1977

#42-39-16A ADITH STREET VIJYAWADA Krishna Andhra

Pradesh 520015 Krishna Krishna Andhra Pradesh 520015 VIJAYAVADA NO - 20/05/2013 20/05/2013 19/05/2016

9426440 60028474 FGG NIRAVKUMAR S SHARMA 13/10/1991

VACHLU FALIYU AT & PO PAMOL ANAND Anand Gujarat

388560 Anand Anand Gujarat 388560 ANAND YES

RELIANCE LIFE

INSURANCE 20/05/2013 20/05/2013 19/05/2016

69112 60028475 FGG SAJDA KHATOON 06/06/1971

G-80, NO. 4 ABUL FAZAL ENCLAVE OKHLA, NEW DELHI Delhi

Delhi 110025 South South Delhi 110025 FARIDABAD YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 20/05/2013 20/05/2013 01/02/2016

9426469 60028477 FGG DAULAT SANDU KHADE 05/06/1979

PLOT NO 74, S NO 15, RAJE SAMBHAJI COLONY, JALGAON ROAD,

JADHAVWADI, Aurangabad Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD NO - 20/05/2013 20/05/2013 19/05/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9336267 60028478 FGG NITIN .. 24/08/1987

VPO Rathadana Sonipat Haryana Sonipat Sonipat Sonipat

Haryana 131001 Sonipat Sonipat Haryana 131001 WEST DELHI NO - 25/02/2013 25/02/2013 24/02/2016

9427893 60028485 FGG KRUNALI RAJENDRA GOKANI 18/03/1994

C/30.ATUL APARTMENT,BHADRAN NAGAR,ROAD NO.,OPP.GORAS

WADI, S.V.ROAD, MALAD(W), Mumbai Maharashtra

400064 Mumbai Mumbai Maharashtra 400064 BORIVALI NO - 21/05/2013 21/05/2013 20/05/2016

9428322 60028486 FGG MONIKA BHALLA 10/09/1978

# 104 VPO RAIPUR RANI TEHSIL NARAINGARH Panchkula

Haryana 133302 Panchkula Panchkula Haryana 133302 AMBALA NO - 21/05/2013 21/05/2013 20/05/2016

9428593 60028491 FGG SALURU SANDEEP KUMAR 01/07/1994

55-18-38/1 Rajakaveedhi, H.B. Colony Visakhapatnam

Visakhapatnam Andhra Pradesh 530022 Visakhapatnam Visakhapatnam Andhra Pradesh 530022 VIZAG NO - 21/05/2013 21/05/2013 20/05/2016

9428782 60028493 FGG MALLESH S. 23/02/1994

1275, 1ST A CROSS, J P Nagar 2 phase BANGALORE Bangalore

Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 22/05/2013 22/05/2013 21/05/2016

9428790 60028494 FGG ASMA FATHIMA M. I. 18/11/1978

24/3, Beli Masjid Road, Chikkapet Bangalore Bangalore

Karnataka 560053 Bangalore Bangalore Karnataka 560053 R.T.NAGAR NO - 22/05/2013 22/05/2013 21/05/2016

9428804 60028495 FGG RAJASEKARAN KANNAN 06/05/1981

NO 1 ANNA SILAI STREET NAVAMPATTU THIRUVANNAMALAI

Tiruvannamalai Tamil Nadu 606753 Viluppuram Viluppuram Tamil Nadu 606753 CHENNAI NO - 22/05/2013 22/05/2013 21/05/2016

9428828 60028496 FGG SANTHI SWARUPINI NADAKUDURU 22/05/1991

HNO:-24-49 PLOT NO-170 KAKATIYA NAGAR,ASHOK NAGAR

RAMCHANDRAPURAM Medak Telangana 502032 Medak Medak Andhra Pradesh 502032 HYDERABAD NO - 22/05/2013 22/05/2013 21/05/2016

9245036 60028497 FGG AYUSHIE CHOWDHARY 10/01/1994

58 JESSORE ROAD DIAMOND CITY NORTH,BLOCK-6,FLAT-3E

Kolkata West Bengal 700055 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700055 KOLKATA YES

LIFE INSURANCE

CORPORATION 22/05/2013 22/05/2013 20/11/2015

9428929 60028499 FGG PRANAV DILIP KHANVILKAR 11/10/1976

D-U 26 AGFA COLONY, C-2 AND SURRONDING

LOCALITY,VARDHAMAN NAGAR,Dr.Rajendra marg MULUND

Mumbai Maharashtra 400080 Mumbai Mumbai Maharashtra 400080 THANE NO - 22/05/2013 22/05/2013 21/05/2016

9428957 60028500 FGG SALONI .. 01/01/1983

H/NO 317/1 Sector 19, Part 1, Huda Kaithal Kaithal Haryana

136027 KAITHAL KAITHAL Haryana 136027 ROHTAK NO - 22/05/2013 22/05/2013 21/05/2016

6011230 60028507 FGG SOURAV CHOUDHURY 16/10/1991

RAJGANJ JALPAIGURI JALPAIGURI Jalpaiguri West Bengal

735134 Jalpaiguri Jalpaiguri West Bengal 735134 SILIGURI YES

LIFE INSURANCE

CORPORATION 25/03/2013 25/03/2013 18/01/2016

8354386 60028509 FGG RANJAN SHA 28/03/1986

62/9 B.G.Road, Ward no. 7, Opp. To K.G.School Post:

Mokdumpur Maldah West Bengal 732103 Kolkata Kolkata West Bengal 732103 SILIGURI NO - 23/12/2013 23/12/2013 28/10/2016

9433391 60028547 FGG NEETA YADAV 08/10/1993

Village-Jhund Sarai Post-Patli Station Gurgaon Gurgaon

Haryana 121001 Faridabad Faridabad Haryana 121001 GURGAON NO - 27/05/2013 27/05/2013 26/05/2016

9433413 60028548 FGG S RAGHUVEER PRASAD 08/03/1988

H-5, FLAT NO.6, TNHB THIRUVALLUVAR NAGAR THIRUVANMIYUR

Chennai Tamil Nadu 600041 Kancheepuram Kancheepuram Tamil Nadu 600041 CHENNAI NO - 27/05/2013 27/05/2013 26/05/2016

9433474 60028550 FGG THAKUR RAVI SHANKER 03/05/1973

QNO:-3574,MIG-II BHEL TOWNSHIP VIDHYUTH NAGAR,RC

PURAM Medak Telangana 502032 Medak Medak Andhra Pradesh 502032 HYDERABAD NO - 27/05/2013 27/05/2013 26/05/2016

9182346 60028551 FGG RAMESH KUMAR KORI 12/03/1977

H NO 18-13-74/10/16,KESHOGIRI, BANDLAGUDA, HYDERABAD

Hyderabad Telangana 500005 Rangareddi Rangareddi Andhra Pradesh 500005 HYDERABAD YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 27/05/2013 27/05/2013 14/09/2015

9433527 60028552 FGG MD IMRAN KHAN 10/10/1988

H NO 2303 SECTOR 55 FARIDABAD Faridabad Haryana

121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 27/05/2013 27/05/2013 26/05/2016

9228540 60028553 FGG KANAGANAGAANANTHALAKSHMI P. 23/09/1988

197,VYSIAL STREET COIMBATORE COIMBATORE Coimbatore Tamil

Nadu 641001 Coimbatore Coimbatore Tamil Nadu 641001 COIMBATORE YES

LIFE INSURANCE

CORPORATION 27/05/2013 27/05/2013 30/10/2015

9433821 60028555 FGG BALLA LAKSHMI 28/07/1984

1-6-920 MUSHEERABAD PUBLIC SCHOOL HYDERABAD Hyderabad

Telangana 500020 Hyderabad Hyderabad Andhra Pradesh 500020 KUKKATPALLY NO - 27/05/2013 27/05/2013 26/05/2016

9433876 60028556 FGG PATEL DEEPAK KUMAR 09/06/1988

HNO:-8-3-234/16/2 FLAT NO-8 LAXMINARSIMHA NAGAR

YOUSUFGUDA Hyderabad Telangana 500045 Hyderabad Hyderabad Telangana 500045 HYDERABAD NO - 27/05/2013 27/05/2013 26/05/2016

9436685 60028586 FGG ANURAG SHARMA 28/01/1977 H.NO 392 PLA HISSAR Hisar Haryana 125001 Hisar Hisar Haryana 125001 HISSAR NO - 29/05/2013 29/05/2013 28/05/2016

9436720 60028587 FGG CHERUVARA VADAKATHIL SUNNY GEO 10/10/1981

4-280/1,NAVAJEEVAN NAGAR STREET NO-1 FEROZGUDA

Hyderabad Telangana 500002 Hyderabad Hyderabad Andhra Pradesh 500002 KUKKATPALLY NO - 29/05/2013 29/05/2013 28/05/2016

9302303 60028588 FGG ZAIN IQBAL KHAN 24/11/1986

S. N. Park, B 302, 4th Flr, Belpada, Sector 3, Kharghar, Navi

Mumbai Thane Maharashtra 410210 Mumbai Mumbai Maharashtra 400027 VASHI YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 29/05/2013 29/05/2013 20/01/2016

9144331 60028589 FGG KADAM SUDHAKAR PANDURANG 01/06/1977

LONKAR BB CHAWL,S NO.56 NEAR HADAPSAR RAILWAY STATION

MUNDHWA,PUNE Pune Maharashtra 411036 Pune Pune Maharashtra 411036 PUNE YES

LIFE INSURANCE

CORPORATION 29/05/2013 29/05/2013 08/08/2015

9436803 60028591 FGG ARVINDKUMAR SINGH 05/05/1974

Samtosh bhuvan, Ttanda Pada Gokhinare village Vasai Thane

Maharashtra 401204 Thane Thane Maharashtra 401204 GHATKOPAR NO - 29/05/2013 29/05/2013 28/05/2016

9319511 60028592 FGG DHANRAJ BHOYAR 01/05/1957

7/A/501, Giri darshanChs, Nr Nnp 1&2, New mhada colony

Malad East Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400104 GHATKOPAR YES

SBI LIFE INSURANCE

COMPANY LIMITED 29/05/2013 29/05/2013 05/02/2016

9444708 60028635 FGG B. BALARAJU 06/06/1989

KAPPETA BOOTHPUR MAHBOOBNAGAR Mahbubnagar

Telangana 509001 Hyderabad Hyderabad Andhra Pradesh 500016 HYDERABAD NO - 03/06/2013 03/06/2013 02/06/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9272592 60028639 FGG SAGAR ASHOK SHUKLA 10/06/1989

R 61/62 F W P66 Kantharia Trus Building Maharashtra High Scho

Okale Margdadar Mumbai Maharashtra 400028 Mumbai Mumbai Maharashtra 400028 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 03/06/2013 03/06/2013 19/12/2015

9445142 60028640 FGG MENAKA RANBAHADUR SUNAR 16/10/1980

B-90/504,SUBHANGAN BLBG ,POONAM,, SAGAR COPLEX MIRA

ROAD ( E) Thane Maharashtra 401107 Thane Thane Maharashtra 401107 BORIVALI NO - 03/06/2013 03/06/2013 02/06/2016

9445344 60028644 FGG PRABU .. 05/04/1981

49 Managiri Narth Street Madurai Madurai Tamil Nadu

625020 Madurai Madurai Tamil Nadu 625020 MADURAI NO - 03/06/2013 03/06/2013 02/06/2016

9445345 60028645 FGG K SATHIYA JOTHI 26/10/1988

1/549 Arun Nagar Velliyankadu South Coimbatore Tamil

Nadu 641604 Coimbatore Coimbatore Tamil Nadu 641604 COIMBATORE NO - 03/06/2013 03/06/2013 02/06/2016

9445383 60028646 FGG K. MADHUSUDHANAN 02/06/1979

NO 11/6 VEERANNAN STREET THIRUVALLUR Thiruvallur

Tamil Nadu 602001 Thiruvallur Thiruvallur Tamil Nadu 602001 CHENNAI NO - 03/06/2013 03/06/2013 02/06/2016

9447323 60028658 FGG RAKESH RANJAN PRASAD 07/05/1984 132 Guru Charan Nivas, kadamkua Patna Patna Bihar 800003 Patna Patna Bihar 800003 PATNA NO - 05/06/2013 05/06/2013 04/06/2016

9447991 60028661 FGG R MOHAMED SHAMEER HUSAIN 27/08/1977

01/00 Thiruvaluver street,seshai nagar,kk.nagar Trichy

Thiruvallur Tamil Nadu 620020 Tiruchirappalli Tiruchirappalli Tamil Nadu 620020 TRICHY NO - 05/06/2013 05/06/2013 04/06/2016

1169294 60028669 FGG JITEN PRAVINCHANDRA SOMMANEK 10/06/1982

1 HANSRAJ OPP TULSI JAY BHAVANI KRUPA RAJKOT Rajkot Gujarat

360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

LIFE INSURANCE

CORPORATION 28/05/2013 28/05/2013 26/06/2015

952778 60028670 FGG JATIN KISHORKANT TRIVEDI 13/12/1969

13/4 NEHRU COLONY,NR.COLLEGE Mahuva Bhavnagar

Gujarat 364290 Bhavnagar Bhavnagar Gujarat 364290 BARODA YES

LIFE INSURANCE

CORPORATION 07/01/2015 07/01/2015 29/03/2018

9448964 60028671 FGG PARUL SRIVASTAVA 04/06/1987

10/226 Chak Nan-10 Khalasi Lain Kanpur Kanpur Kanpur Nagar

Uttar Pradesh 208010 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208010 KANPUR NO - 06/06/2013 06/06/2013 05/06/2016

9449143 60028675 FGG PURVISHKUMAR N VAIDYA 28/08/1987

875 Ramarkrishna soc 1 Padra Padra Baroda Vadodara

Gujarat 391440 Vadodara Vadodara Gujarat 391440 BARODA NO - 06/06/2013 06/06/2013 05/06/2016

9449403 60028676 FGG JAISHANKAR .. 04/02/1977

D-281 New Ashok Nagar Vasundhra Enclave, New Delhi Delhi

Delhi 110096 South West South West Delhi 110016 NOIDA YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 06/06/2013 06/06/2013 05/06/2016

9107899 60028687 FGG CHETANKUMAR KARLEKAR 10/01/1984

B/1-61,1st floor Umrwada B. Tenament Ring road .Surat Surat

Gujarat 395002 Surat Surat Gujarat 394101 SURAT YES

LIFE INSURANCE

CORPORATION 06/06/2013 06/06/2013 01/07/2015

9449906 60028688 FGG SARITHA ATUKURI 07/09/1976

CYNDICATE BANK COLONY NEAR POCHANNA TEMPLE

VIVEKANANDA NAGAR DILSUKNAGAR RANGAREDDY Rangareddy

Telangana 500060 Rangareddi Rangareddi Telangana 500060 KUKKATPALLY NO - 06/06/2013 06/06/2013 05/06/2016

9454963 60028759 FGG ANTONY A. J. 21/08/1947

545(41/1411), AMBAZHAKADAN , 3 NEDUPUZHA , THRISSUR

Thrissur Kerala 680015 Thrissur Thrissur Kerala 680015 THRISSUR NO - 11/06/2013 11/06/2013 10/06/2016

4160916 60028774 FGG NEHA JAIN 25/02/1989

3795-A 4,KANHAIYA NAGAR TRI NAGAR,NEW DELHI Delhi Delhi

110035 West West Delhi 110035 WEST DELHI YES

LIFE INSURANCE

CORPORATION 28/03/2014 28/03/2014 28/03/2017

2296432 60028789 FGG GOVINDAN C. 13/07/1970

NO.01, HANUMANAGAR, NEW THIPPASANDRA, Bangalore

Karnataka 560075 Bangalore Bangalore Karnataka 560075 INDIRA NAGAR YES

LIFE INSURANCE

CORPORATION 14/02/2015 14/02/2015 14/02/2018

9457156 60028792 FGG DEEPA K R. 24/05/1990

#50, MUNIYAPPA COMPOUND VIJAYLAKSHMI COLONY,

BRINDAVAN LAYOUT, KADUGODI BANGALORE Bangalore

Karnataka 560067 Bangalore Bangalore Karnataka 560067 INDIRA NAGAR NO - 12/06/2013 12/06/2013 11/06/2016

9457173 60028793 FGG BASAVARAJ B NAGANUR 10/07/1982

H No 503, PANT NAGAR PANT BALEKUNDRI BELGAUM Belgaum

Karnataka 591103 Belgaum Belgaum Karnataka 591103 BANGALORE NO - 12/06/2013 12/06/2013 11/06/2016

9457201 60028794 FGG SAFEER AHMED 10/04/1980

#18,1ST MAIN,2ND CROSS,LALJINAGAR, LAKKASANDRA POST,

BANGALORE Bangalore Karnataka 560030 Bangalore Bangalore Karnataka 560030 BANGALORE NO - 12/06/2013 12/06/2013 11/06/2016

9457493 60028800 FGG MEGHA S TAPASHETTI 01/07/1982

SHIVAKRUPA , 2911/8 KUMBAKONAM PLOTS , BAILAPPANAVAR

NAGAR HUBLI Dharwad Karnataka 580029 Dharwad Dharwad Karnataka 580029 HUBLI NO - 12/06/2013 12/06/2013 11/06/2016

9457656 60028801 FGG RACHANNA V BABLESHWAR 03/08/1969

6/2 , MAIN ROAD DESHPANDE NAGAR HUBLI Dharwad

Karnataka 580029 Dharwad Dharwad Karnataka 580029 HUBLI NO - 12/06/2013 12/06/2013 11/06/2016

9457725 60028802 FGG SHASHANK VARDHAN SINGH 18/05/1989

A/302, Lakhani Sarovar, Plot 72, Sec-18/A, Nerul, Navi Mumbai

Thane Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI NO - 12/06/2013 12/06/2013 11/06/2016

9457816 60028803 FGG ROHIT PRABHAKAR KAKDE 25/09/1991

Ap/Bijorse Tal Baglan Dist Nasik Nashik Maharashtra

423301 Nashik Nashik Maharashtra 423301 NASHIK NO - 12/06/2013 12/06/2013 11/06/2016

9458292 60028806 FGG SWATI NARESH MHATRE 25/07/1978

701, DOLPHIN CHS, BLDG NO-30, CHATRAPATI SHIVAJI RAJE

COMPLEX, KANDIVALI, (W), Mumbai Maharashtra

400067 Mumbai Mumbai Maharashtra 400067 GHATKOPAR NO - 12/06/2013 12/06/2013 11/06/2016

9458330 60028809 FGG BANSH GOPAL PATHAK 08/06/1974

CIDAMBARA TRADER CO G E ROAD, RAIPUR Raipur

Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 12/06/2013 12/06/2013 11/06/2016

9458462 60028810 FGG NAYAN MOTWANI 04/06/1991

JAY AMBAYPARA KHAMTARAI RAIPUR Raipur Chattisgarh

492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 12/06/2013 12/06/2013 11/06/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8316682 60028825 FGG DIVYA DIPESH BHAGAT 16/09/1976

B/501,5th floor,Shreepati Annex-II August Kranti Marg, Grant Rd

West Mumbai Mumbai Maharashtra 400034 Mumbai Mumbai Maharashtra 400034 ANDHERI NO - 23/09/2013 23/09/2013 03/10/2016

4602298 60028832 FGG SWATIBEN SANGHAVI 01/01/1971

8 Station Plot OPP Nagar Palika Gondal Rajkot Gujarat

360001 Rajkot Rajkot Gujarat 360001 RAJKOT YES

METLIFE INDIA

INSURANCE CO. PVT. LTD 29/10/2014 29/10/2014 16/09/2017

9461687 60028834 FGG B. S. K. CHAKRAVARTHI 10/07/1970

9-147/5/1 VENKATESWANAGAR NEAR BALAJI FUNCTION HALL

MALKAJGIRI Hyderabad Telangana 500047 Rangareddi Rangareddi Andhra Pradesh 500047 HYDERABAD NO - 14/06/2013 14/06/2013 13/06/2016

9461742 60028835 FGG M. NAGARAJAN 27/05/1980

OLD NO315,NEW NO2/125 RAJAMBADI PALKALAI NAGER

VADAPALANJI Madurai Tamil Nadu 625021 Madurai Madurai Tamil Nadu 625021 MADURAI NO - 14/06/2013 14/06/2013 13/06/2016

8343361 60028836 FGG NIKITA SURESH JASWANEY 29/03/1986

Flat No 3 Jolly Bhavan Dr Ambedkar Road Khar Mumbai

Maharashtra 400052 Mumbai Mumbai Maharashtra 400052 FORT NO - 02/08/2013 02/08/2013 22/10/2016

1759846 60028846 FGG MASRANI KANAN 27/07/1984

Ground Floor Office No 19 Akshar Diamond Market Mini Bazaar

Varachcha Road Surat Gujarat 395006 Surat Surat Gujarat 395006 SURAT YES

HDFC STD LIFE

INSURANCE CO. LTD. 19/07/2013 19/07/2013 10/08/2016

9462870 60028847 FGG SHRUTI GHAI 07/03/1978 F 43, Mansarover Garden, Delhi Delhi Delhi 110015 West West Delhi 110015 FARIDABAD NO - 14/06/2013 14/06/2013 13/06/2016

8219853 60028848 FGG PRATIKKUMAR MUKUNDBHAI PANCHAL 11/10/1988

NEETA ENTERPRISE OPP. SHITAL AGENCY, MAROLI CHAR RASTA,

MAROLI Navsari Gujarat 396445 Navsari Navsari Gujarat 396445 BHARUCH NO - 17/10/2013 17/10/2013 09/08/2016

9469278 60028868 FGG SUMIT KUMAR DAS 29/01/1977

P P Compound Main Road Ranchi Ranchi Jharkhand

834002 Ranchi Ranchi Jharkhand 834002 RANCHI YES

STAR UNION DAI ICHI

LIFE INSURANCE CO. LTD 18/06/2013 18/06/2013 17/06/2016

9472515 60028893 FGG NAMAN JAIN 20/01/1987

HOUSE NO.56/57NAGORI GATE NAGORI GATE HISSAR Hisar

Haryana 125001 Hisar Hisar Haryana 125001 ROHTAK NO - 19/06/2013 19/06/2013 18/06/2016

9356271 60028894 FGG SANDEEP KUMAR 01/02/1990

112 Vpo Jakhodkhera Teh Adampur Hissar Hisar Haryana

125053 Fatehabad Fatehabad Haryana 125053 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/06/2013 19/06/2013 11/03/2016

9472612 60028895 FGG AMAR .. 11/11/1984

NEAR SHIV PARK SHIV NAGAR MILL GATE HISSAR Hisar Haryana

125001 Hisar Hisar Haryana 125001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/06/2013 19/06/2013 18/06/2016

9472652 60028896 FGG ATUL M SHROFF 03/06/1966

141,SHROFF BLDG DAFTARY ROAD MALAD ( E ) Mumbai

Maharashtra 400064 Mumbai Mumbai Maharashtra 400064 BORIVALI NO - 19/06/2013 19/06/2013 18/06/2016

9472688 60028897 FGG MONIKA CHAWLA 23/09/1981 N-19, MUKHARJEE NAGAR, DELHI Delhi Delhi 110009 North West North West Delhi 110009 WEST DELHI NO - 19/06/2013 19/06/2013 18/06/2016

9472726 60028898 FGG PRATHI TEJA PRAKASH 31/05/1977

PLOT NO-19/B,MALLIKARJUNA NAGAR CHINTAL,FANTOOSH

SHOWROOM LANE NEAR SIDHARDA SCHOOL,JEEDIMETLA

Hyderabad Telangana 500054 Rangareddi Rangareddi Andhra Pradesh 500054 HIMAYATHNAGAR NO - 19/06/2013 19/06/2013 18/06/2016

9473695 60028910 FGG N. N. REDDY 14/05/1983

1-68,HYDERSHAKOTE RAJENDRANAGAR RANGA REDDY

Rangareddy Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 20/06/2013 20/06/2013 19/06/2016

9473731 60028911 FGG BHEEMIDI LAVANYA 29/06/1989

1-95 BADANGPET RANGAREDDY RANGAREDDY Rangareddy

Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 20/06/2013 20/06/2013 19/06/2016

9475122 60028915 FGG DASARI SUDHAKAR 26/06/1984

H NO 2-77/B, KOLAGANIVARIPALEM DHULIPUDI,NAGARAM

Guntur Andhra Pradesh 522258 Guntur Guntur Andhra Pradesh 522258 HYDERABAD NO - 20/06/2013 20/06/2013 19/06/2016

9476823 60028925 FGG HARDIK KUMAR B PADSALA 15/08/1992

221, NIRMAL NAGAR SOCIETY NR SARTHANA SURAT Surat

Gujarat 394101 Surat Surat Gujarat 394101 SURAT NO - 21/06/2013 21/06/2013 20/06/2016

9476837 60028927 FGG SANGHANI VIJAY KUMAR C. 05/06/1982

36, KRISHNA NAGAR, KATARGAM SURAT Surat Gujarat

395004 Surat Surat Gujarat 395004 SURAT NO - 21/06/2013 21/06/2013 20/06/2016

9035155 60028929 FGG PRAJAPATI CHETANKUMAR 20/05/1990 RAJPUTFALIYA MOTASANJA JAGHADIA Bharuch Gujarat 393110 Bharuch Bharuch Gujarat 393110 ANKLESHWAR YES

LIFE INSURANCE

CORPORATION 21/06/2013 21/06/2013 26/03/2015

1006292 60028930 FGG KANTIBHAI L. CHHABHAYA 29/12/1965

G-61 Ravu Complex, Opp GIDC Bus Depo Ankleshwar Bharuch

Gujarat 393002 Bharuch Bharuch Gujarat 393002 ANKLESHWAR YES

LIFE INSURANCE

CORPORATION 09/01/2015 09/01/2015 29/01/2018

9476960 60028931 FGG DEEPAK DOGRA 28/07/1985

H.No.11136 Santosh Nagar Ludhiana Ludhiana Ludhiana

Punjab 141001 Ludhiana Ludhiana Punjab 141001 JALANDHAR NO - 21/06/2013 21/06/2013 20/06/2016

9476977 60028932 FGG POOJA AERY 11/04/1981

Vill Parsowal Tehsil Garshanker Dist. Hoshiarpur Dist. Hoshiarpur

Hoshiarpur Punjab 146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR NO - 21/06/2013 21/06/2013 20/06/2016

9478565 60028943 FGG PARMOD KUMAR 14/10/1981

H NO 341, SECTOR-29/A CHANDIGARH Chandigarh

Chandigarh 160030 Chandigarh Chandigarh Chandigarh 160030 CHANDIGARH NO - 21/06/2013 21/06/2013 20/06/2016

9478642 60028944 FGG ILAVARASAN K. 03/06/1987

No 42, Ward 3, Sempalani, Kallar Street, Valadi, Lalgudi

Thiruvallur Tamil Nadu 621218 Tiruchirappalli Tiruchirappalli Tamil Nadu 621218 TRICHY NO - 21/06/2013 21/06/2013 20/06/2016

9482107 60028953 FGG AVINASH PRAKASH PATIL 06/07/1987

34, SANIBABA NAGAR, 1 TO 795, BAMROLI, SURAT Surat Gujarat

394220 Surat Surat Gujarat 394220 SURAT NO - 24/06/2013 24/06/2013 23/06/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9482166 60028955 FGG PRERNA N PATIL 27/05/1992

A/001 royal palace MIDC road near ganaga nagar miraroad

miraroad thane Thane Thane Maharashtra 401104 Thane Thane Maharashtra 401104 BORIVALI NO - 24/06/2013 24/06/2013 23/06/2016

9482181 60028956 FGG SANJAY COLACO 03/01/1984

H. No 2226 Gokhiware Vasai THANE Thane Maharashtra

401202 Thane Thane Maharashtra 401202 BORIVALI NO - 24/06/2013 24/06/2013 23/06/2016

9482202 60028957 FGG CHINTAPALLI ARUNA KUMARI 26/01/1975

HOUSE NO 6-50, INDIRA NAGAR COLONY, BALAGA

Visakhapatnam Andhra Pradesh 532001 Srikakulam Srikakulam Andhra Pradesh 532001 VIZAG NO - 24/06/2013 24/06/2013 23/06/2016

9482216 60028958 FGG MUHAMMAD DANISH GHORI 18/12/1991

303 Panchsheel chs ltd 1st Hasnabad Lane Santacruz West

Mumbai Maharashtra 400054 Mumbai Mumbai Maharashtra 400054 PRABHADEVI NO - 24/06/2013 24/06/2013 23/06/2016

9482557 60028961 FGG SHRINARAYAN PANDEY 16/11/1992

Row House No 3, Gr Floor, Kasturi Garden, Plot No 25, Sector 8,

Airoli Thane Maharashtra 400708 Thane Thane Maharashtra 400708 VASHI NO - 24/06/2013 24/06/2013 23/06/2016

9482618 60028962 FGG SANDIP VITTHAL UNDE 05/01/1993

FL G/304, SATYAKUNJ COMPLEX, OT 41 42 SEC 36, KAMOTHE

Thane Maharashtra 410209 Raigarh Raigarh Maharashtra 410209 VASHI NO - 24/06/2013 24/06/2013 23/06/2016

3006519 60028963 FGG VIDYA TUKARAM POWAR 04/07/1985

1973 D WARD SHANIWAR PETH GAVAT GALLI KOLHAPUR

Kolhapur Maharashtra 416002 Kolhapur Kolhapur Maharashtra 416002 KOLHAPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 24/06/2013 24/06/2013 08/02/2016

8581654 60028967 FGG SHRADDHA SHEKHAR MORE 01/01/1983

A 002,SANJWAI SOCIETY E24 VIDYAMANDIR ROAD VASAI

ROAD(W) Thane Maharashtra 401202 Thane Thane Maharashtra 401202 BORIVALI YES

LIFE INSURANCE

CORPORATION 28/03/2014 28/03/2014 06/04/2017

9484082 60028968 FGG TUSHAR D PRABHULKAR 03/03/1990

CGS Colony,Bldg No 208, Room No 2691,Kane Nagar Sector 6

,Koliwada ,Sion Mumbai Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 BORIVALI NO - 24/06/2013 24/06/2013 23/06/2016

9485430 60028975 FGG HATIM MAHESH YASHWANT 22/04/1983

SA-95,RAMNAGAR C.H.S RAJAWADI 7tH ROAD , RAJAWADI

GHATKOPAR (E) Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 25/06/2013 25/06/2013 24/06/2016

9485641 60028976 FGG KAMAL KUMAR 25/08/1982

S/O SHIV KUMAR, BEGU ROAD GALI NO. 2 KIRTI NAGAR Sirsa

Haryana 125055 Sirsa Sirsa Haryana 125055 HISSAR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 25/06/2013 25/06/2013 24/06/2016

9485672 60028977 FGG KAILAS APAPA GORE 10/05/1983

157 Daigavahan Tq. Dist. Aurangabad Aurangabad Aurangabad

Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD NO - 25/06/2013 25/06/2013 24/06/2016

9154792 60028979 FGG KAMBLE ANAND 08/05/1977

H NO 4 9 1141 BUDDH NAGAR JAWAHAR COLONY AURANGABAD

Aurangabad Maharashtra 413207 Bid Bid Maharashtra 413207 AURANGABAD YES

LIFE INSURANCE

CORPORATION 25/06/2013 25/06/2013 21/08/2015

9486010 60028980 FGG ARUN .. 20/04/1991

VARUVILAKATTU VEEDU MALAYAN KIL0 TRIVANDRUM

Thiruvananthapuram Kerala 695571 Thiruvananthapuram ThiruvananthapuramKerala 695571 TRIVANDRAM NO - 25/06/2013 25/06/2013 24/06/2016

9486072 60028981 FGG RAJIV KALRA 12/09/1974

H NO 4178/2, STREET NO 4, DURGAPURI, HAIBOWAL KALAN

WARD 2, LUDHIANA Ludhiana Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 25/06/2013 25/06/2013 24/06/2016

9486101 60028982 FGG KHUSHIBEN SHREYASKAR 06/07/1980

B/5 Akhand Anand Park, Opp Labh Hospital, Nr Raneshwar Petrol

Pumb, Vasna Road , Vadodara Vadodara Gujarat

390016 Vadodara Vadodara Gujarat 390016 BARODA NO - 25/06/2013 25/06/2013 24/06/2016

5615643 60028985 FGG RAMESH UNDKODU 02/01/1988 44-824 TROOP BAZAR HYDERABAD Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD YES BIRLA SUN LIFE 25/06/2013 25/06/2013 28/07/2015

9486719 60028988 FGG PRAKASH NARAYAN RATHI 03/03/1964

HNO:-3-2-409, CHAPPAL BAZAR KACHIGUDA Hyderabad

Telangana 500027 Hyderabad Hyderabad Andhra Pradesh 500027 HYDERABAD NO - 25/06/2013 25/06/2013 24/06/2016

9486816 60028990 FGG PRANAY KUMAR BOMMAGANI 20/02/1989

HNO-10-74,REBARTI, BLOCK NO-10&11 WARANGAL Warangal

Telangana 506367 Warangal Warangal Andhra Pradesh 506367 HYDERABAD NO - 25/06/2013 25/06/2013 24/06/2016

5382639 60028991 FGG RADHESHYAM PATEL 21/03/1973

VILL-SURGAONJOSHI - DIST-KHANDWA East Nimar Madhya

Pradesh 450001 East Nimar East Nimar Madhya Pradesh 450001 INDORE YES

LIFE INSURANCE

CORPORATION 25/06/2013 25/06/2013 13/05/2015

9487518 60028994 FGG GURMOHAN SINGH 14/11/1967

A-59 GALI NO 10 KRISHNA PARK EXTENTION NEW DELHI NEW

DELHI Delhi Delhi 110018 West West Delhi 110018 CONNAUGHT PLACENO - 25/06/2013 25/06/2013 24/06/2016

3128447 60028995 FGG DEV ANAND SHARMA 01/11/1986

AMAR COMPEX ,TOP FLOOR MALL ROAD SOLAN Solan Himachal

Pradesh 173212 Solan Solan Himachal Pradesh173212 CHANDIGARH YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 25/06/2013 25/06/2013 12/03/2016

9457294 60028998 FGG SNEHALATA S PUTHANE 26/09/1974

2 , VIDYARANYA HIGH SCHOOL ROAD , WEST WING VIDYARANYA

HIGH SCHOOL DHARWAD Dharwad Karnataka 580001 Dharwad Dharwad Karnataka 580001 HUBLI NO - 12/06/2013 12/06/2013 11/06/2016

9489053 60029002 FGG BALIVADA NIROSHA 07/04/1990

FLAT NO-202 HNO-1-8-52 SRI RAJA RAJESHWARI APARTMENTS

TEMPLE ALWAL SECUNDERABAD Hyderabad Telangana

500010 Medak Medak Andhra Pradesh 500010 KUKKATPALLY NO - 26/06/2013 26/06/2013 25/06/2016

9489322 60029005 FGG SAMUDRALA SOMARAJU 21/12/1988

19, MUTCHARLA ANANDAPURAM VIZAF Visakhapatnam Andhra

Pradesh 531173 Visakhapatnam Visakhapatnam Andhra Pradesh 531173 VIZAG NO - 26/06/2013 26/06/2013 25/06/2016

134802 60029012 FGG KULWANT KOUR 12/11/1972

C/O RULDA SINGH R/O CHAK RAMCHAND TEH SAMBA Jammu

Jammu & Kashmir 184121 Jammu Jammu Jammu & Kashmir184121 JAMMU YES

LIFE INSURANCE

CORPORATION 25/06/2013 25/06/2013 04/06/2016

9493919 60029024 FGG RASIL P M. 28/03/1988

PAZHAYANA MENTHAL NADUVATHUR koyilandy Kozhikode

Kerala 673306 Kozhikode Kozhikode Kerala 673306 CALICUT NO - 27/06/2013 27/06/2013 26/06/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9494127 60029026 FGG SAJAR P T. 01/11/1976

9/37 pocku house calicut1 calicut calicut Kozhikode Kerala

673001 Kozhikode Kozhikode Kerala 673001 CALICUT NO - 27/06/2013 27/06/2013 26/06/2016

9494790 60029027 FGG PRABHAKAR MISHRA 12/11/1982

H. no 04 Suraj Kunj Infront of Avinash nagar kalibari road Bhopal

Bhopal Madhya Pradesh 462021 Bhopal Bhopal Madhya Pradesh 462021 BHOPAL NO - 27/06/2013 27/06/2013 26/06/2016

9495694 60029030 FGG MOHAN KUMAR B N. 22/12/1986

#7613 10TH MAIN VENKATAPPA LAYOUT HOSAKEREHALLI BSK

3RD STAGE BANGALORE Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 INDIRA NAGAR NO - 27/06/2013 27/06/2013 26/06/2016

9495844 60029031 FGG PRAVEENA LEKKALAPUDI 17/08/1985

NO7/8, 1ST FLOOR, 23RD A MAIN JP NAGAR 5TH PHASE

BANGALORE Bangalore Karnataka 560078 Bangalore Bangalore Karnataka 560078 INDIRA NAGAR YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 27/06/2013 27/06/2013 26/06/2016

9495965 60029032 FGG SANDEEP DUA 20/08/1975

76 Kalyan Colony, Malviya Nagar Jaipur Jaipur Rajasthan

302017 Jaipur Jaipur Rajasthan 302017 JAIPUR NO - 27/06/2013 27/06/2013 26/06/2016

9426390 60029034 FGG VIRAL MUKESH KUVADIA 14/06/1961

170/1, Shiv Smriti, Road No 24, Jain Seesa Sion Mumbai

Maharashtra 400001 Mumbai Mumbai Maharashtra 400001 ANDHERI NO - 20/05/2013 20/05/2013 19/05/2016

9268774 60029040 FGG S. SRILAKSHMI 01/02/1982

D NO 5 120 RATHICHEARUVU PENDU VISAKHAPATNAM

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 531173 Visakhapatnam Visakhapatnam Andhra Pradesh 531173 VIZAG YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/06/2013 28/06/2013 16/12/2015

9497551 60029044 FGG JASPREET SINGH 24/07/1986

H NO 217, Bank Colony Ward no 9,Anguran Wala Bagh Pathankot

Pathankot Gurdaspur Punjab 145001 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR NO - 28/06/2013 28/06/2013 27/06/2016

9499128 60029045 FGG RAJINDER SAINI 23/12/1984

H No 256, Village Doburji Sham Singh,Tehsil & Distt. Gurdaspur

Gurdaspur Gurdaspur Punjab 143531 Gurdaspur Gurdaspur Punjab 143531 JALANDHAR NO - 28/06/2013 28/06/2013 27/06/2016

9499225 60029047 FGG G SRIDHAR REDDY 10/12/1981

HNO:-4-12-1053,P NO-35 SUSHMA SAI NAGAR,BALAJI TEXTILES

LANE VANASTHALIPURAM,HAYATHNAGAR Rangareddy

Telangana 500070 Hyderabad Hyderabad Andhra Pradesh 500070 HYDERABAD NO - 28/06/2013 28/06/2013 27/06/2016

9499341 60029049 FGG BHARAT BHUSHAN TAGOTRA 13/01/1979

CHANNI RAMA JAMMU JAMMU Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 28/06/2013 28/06/2013 27/06/2016

9499550 60029051 FGG GOURAV SETHI 13/10/1986

H No 235/9, Nanak Nagar Jammu Jammu Jammu & Kashmir

180004 Jammu Jammu Jammu & Kashmir180004 JAMMU NO - 28/06/2013 28/06/2013 27/06/2016

9499601 60029053 FGG LALITA SHANKRAPPA KUMATGI 12/12/1966

BADAMI ROAD, OPP RAILWAY GOODS SHED BAGALKOT

BAGALKOT Bagalkot Karnataka 587101 Bagalkot Bagalkot Karnataka 587101 HUBLI NO - 28/06/2013 28/06/2013 27/06/2016

9499928 60029055 FGG LOYD SERRAO 27/08/1988

SERRAO COMPOUND, NAKRE POST, KARKALA TALUK, UDUPI

Udupi Karnataka 576117 Dakshina Kannada Dakshina Kannada Karnataka 576117 MANGALORE NO - 28/06/2013 28/06/2013 27/06/2016

9509598 60029059 FGG P KAVITHA BHAVANI 13/03/1974

2-2-1105/4/1 INDIRA NAGAR COLONY TILAK NAGAR

NALLAKUNTA Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 01/07/2013 01/07/2013 30/06/2016

9509627 60029060 FGG GUNDRALA SRILATHA 09/01/1987

1-27-112/A BAPUGI NAGAR BOWENPALLY SECUNDERABAD

SECUNDERABAD Hyderabad Telangana 500001 Bowenpally, SecunderabadBowenpally, SecunderabadTelangana 500001 HYDERABAD NO - 01/07/2013 01/07/2013 30/06/2016

9132606 60029077 FGG NILESH RANSING 25/10/1986

SR.NO.20/1 PLOT NO 89 PUNYAI, NAGAR OPP KK MARKET

BHJIVAN, DHANKAWADI PUNE Pune Maharashtra 411043 Pune Pune Maharashtra 411043 PUNE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 01/07/2013 01/07/2013 27/07/2015

9510173 60029086 FGG VIJAYA SATISH SUTAR 18/03/1975

609 B WARD PLOT NO 132/152 OM GANESH COLONY NEAR RACE

COURCE NAKA KOLHAPUR Kolhapur Maharashtra

416012 Kolhapur Kolhapur Maharashtra 416012 KOLHAPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 01/07/2013 01/07/2013 30/06/2016

9216058 60029087 FGG SATYA PRAKASH AGARWAL 05/06/1951

#213, 3-B Main, O.M.B.R. Layout, Kalyan Nagar, BANGALORE

Bangalore Karnataka 560043 Bangalore Bangalore Karnataka 560033 BANGALORE YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 01/07/2013 01/07/2013 17/10/2015

9510476 60029088 FGG SHOBHANA GOVINDAN 05/03/1960

NO 87/A , 6TH CROSS , 4TH MAIN , NAVODAYA NAGAR ,

BANGALORE Bangalore Karnataka 560001 Bangalore Bangalore Karnataka 560001 BANGALORE NO - 01/07/2013 01/07/2013 30/06/2016

9510505 60029089 FGG GOWTHAM GANESH P. 10/01/1989

#113 5th cross, patel muniyappa layout BANGALORE Bangalore

Karnataka 560032 Bangalore Bangalore Karnataka 560032 BANGALORE NO - 01/07/2013 01/07/2013 30/06/2016

9510521 60029090 FGG BIJU T A. 04/04/1979

G-4, R A REGENCY, THIMMAREDDY LYT CV RAMANA

KAGADASAPURA MAIN ROAD Bangalore Karnataka

560093 BANGALORE Bangalore Karnataka 560093 BANGALORE NO - 01/07/2013 01/07/2013 30/06/2016

9511078 60029097 FGG MIRYALA SRUJANA 01/02/1991

7-1-396/2/A/214 SURYA APT, ROAD, BALKAMPET S R NAGAR

Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 KUKKATPALLY NO - 02/07/2013 02/07/2013 01/07/2016

9511139 60029100 FGG STALIN BABU BADDAM 11/03/1975

FNO:-301,SAI CHANDRA NIVAS NEAR RED BUILDING

BAGHAMBERPET Hyderabad Telangana 500013 Hyderabad Hyderabad Andhra Pradesh 500013 HYDERABAD NO - 02/07/2013 02/07/2013 01/07/2016

9511178 60029103 FGG APPALANAIDU GORLE 28/06/1981

D No 3-123, Gorlee Veedhi, M Boorjavalasar, Bobili,

Vizianagaram Andhra Pradesh 535558 Vizianagaram Vizianagaram Andhra Pradesh 535558 VIZAG NO - 02/07/2013 02/07/2013 01/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8960989 60029104 FGG KANKATALA MV PRABHU 27/07/1992

9-15-2/2,FLATNO.3,CBM COMPOUND,VISAKHAPATNAM 69E-

14867 8109876740 Visakhapatnam Andhra Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG YES

LIFE INSURANCE

CORPORATION 10/03/2015 10/03/2015 21/12/2017

9511306 60029107 FGG HARISHKUMAR SHORILAL NANDRAJOG 24/11/1969

6/B FLAT NO 42. 4TH FLOOR, SS NAGAR SION EAST Mumbai

Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI NO - 02/07/2013 02/07/2013 01/07/2016

9512334 60029116 FGG SALEHA KHATOON 31/12/1994

New Millat colony, Phase -2, Near quazi Nagar, Phulwarisarif

Patna Bihar 801505 Patna Patna Bihar 801505 PATNA NO - 02/07/2013 02/07/2013 01/07/2016

9509958 60029119 FGG M ARUN JYOTHI 26/04/1985

H NO 12-11-730 WARASIGUDA SEETHAPHALMANDI Hyderabad

Telangana 500061 Hyderabad Hyderabad Andhra Pradesh 500061 HYDERABAD NO - 01/07/2013 01/07/2013 30/06/2016

9513910 60029125 FGG PRUTHVIRAJ J S. 01/06/1992

#111A JAGADENAHALLI MALUR TALUK KOLAR DISTRICT

JAGADENAHALLI Kolar Karnataka 561206 Kolar Kolar Karnataka 561206 INDIRA NAGAR NO - 03/07/2013 03/07/2013 02/07/2016

9513621 60029126 FGG SANJEEV KUMAR UPADHAYAY 04/01/1976

H NO 62, VILL CHANDWA, PO CHANDWA, DIST LATEHAR LATEHAR

Latehar Jharkhand 829203 Palamu Palamu Jharkhand 829203 RANCHI NO - 03/07/2013 03/07/2013 02/07/2016

9260132 60029127 FGG SUNIL GULAB BHOR 26/02/1971

DATTA MANDIR ROAD, JYOTIRLING NAGAR, SONAPUR,

MANKHURD MUMBAI Mumbai Maharashtra 400043 Mumbai Mumbai Maharashtra 400043 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 04/07/2013 04/07/2013 05/12/2015

8977677 60029128 FGG SHRIRAM SHANKAR NAWKAR 17/08/1947

FLAT NO.403,4TH FLR,TRIKAL, PANTNAGAR 90FIT ROAD,

GHATKOPAR (E) Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 GHATKOPAR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 13/12/2014 13/12/2014 11/01/2018

9136117 60029129 FGG N ASWANI KUMAR 29/05/1973

58, RADHA SWAMY COLONY,SECTOR-C, SIKH ROAD Hyderabad

Telangana 500009 Rangareddi Rangareddi Andhra Pradesh 500003 HIMAYATHNAGAR YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 04/07/2013 04/07/2013 30/07/2015

9514515 60029131 FGG SULEJANANDA DAIMARI 11/05/1981

W/N 2, NALBARI UDALGURI, BTAD UDALGURI Udalguri (BTAD)

Assam 784509 Darrang Darrang Assam 784509 GUWAHATI NO - 04/07/2013 04/07/2013 03/07/2016

9515709 60029143 FGG NANDAKUMAR P N. 20/05/1970

POZHATHU HOUSE PANDIN NAGATH , THRIKKUR P.O. THRISSUR

Thrissur Kerala 680314 Thrissur Thrissur Kerala 680314 THRISSUR NO - 04/07/2013 04/07/2013 03/07/2016

9515935 60029145 FGG MD SOHAIL MAFIZ 07/03/1992

VILL & PO - PANERIHAT UDALGURI UDALGURI Udalguri (BTAD)

Assam 784509 Darrang Darrang Assam 784509 GUWAHATI NO - 04/07/2013 04/07/2013 03/07/2016

316273 60029152 FGG SANJAY SHUKLA 27/07/1976

D K 2 343, DANISH KUNJ KOLAR ROAD BHOPAL Bhopal

Madhya Pradesh 460001 Betul Betul Madhya Pradesh 460001 BHOPAL YES

LIFE INSURANCE

CORPORATION 31/10/2013 31/10/2013 04/01/2017

447463 60029154 FGG MEGH SINGH 07/02/1959

H.NO. 3371 SECTOR 23-D CHANDIGARH Chandigarh

Chandigarh 110001 New Delhi New Delhi Delhi 110001 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 08/04/2014 08/04/2014 14/04/2017

1800730 60029156 FGG ABHAY KUMAR 08/01/1970

Ghugharitand, Town/Vill. Gaya, Anchal- Nagar Gaya OPP.RAJ

PATHOLOGY,GAYA Gaya Bihar 823001 Gaya Gaya Bihar 823001 RANCHI YES

LIFE INSURANCE

CORPORATION 04/09/2013 04/09/2013 07/11/2016

9516584 60029157 FGG SAMAR JYOTI TALUKDAR 01/01/1980

VILL & PO - KARARA BAIHATA CHARIALI KAMRUP Kamrup

Assam 781382 Kamrup Kamrup Assam 781382 GUWAHATI NO - 05/07/2013 05/07/2013 04/07/2016

9516620 60029158 FGG HIRAMANI BARUAH 01/01/1991

VILL - BAMUNJHAR PO-ANDHERIGHAT SIPAJHAR DARRANG

Darrang Assam 784148 Darrang Darrang Assam 784148 GUWAHATI NO - 05/07/2013 05/07/2013 04/07/2016

9516892 60029165 FGG MONIKA LAMBA 17/10/1981 15/19 ASHOK NAGAR New Delhi Delhi Delhi 110018 West West Delhi 110018 WEST DELHI NO - 05/07/2013 05/07/2013 04/07/2016

9516981 60029166 FGG JITENDER YADAV 20/08/1985

2328 SECTOR-28/C CHANDIGARH Chandigarh Chandigarh

160001 Chandigarh Chandigarh Chandigarh 160001 CHANDIGARH NO - 05/07/2013 05/07/2013 04/07/2016

9229005 60029171 FGG SUDHAKARA G R. 17/01/1984

# 66, UTHINAKERE ARISKERE TALUK ARANAHALLI

POST,Annaikanahalli Annaikanahalli Hassan Karnataka 573103 Hassan Hassan Karnataka 573122 BANGALORE YES

BHARTI AXA LIFE

INSURANCE 05/07/2013 05/07/2013 30/10/2015

9517023 60029172 FGG ANINDYA CHAKRABORTY 08/06/1964

Thana Makuya Madhya Lichubagan 45 Howrah Municipal Corp

Sankrail Haora West Bengal 711109 Haora Haora West Bengal 711109 KOLKATA NO - 05/07/2013 05/07/2013 04/07/2016

9517787 60029173 FGG VINAY G HOMBAL 01/03/1983

OPP HERALAGI CHAWL BIJAPUR BIJAPUR Bijapur Karnataka

586101 Bijapur Bijapur Karnataka 586101 HUBLI NO - 05/07/2013 05/07/2013 04/07/2016

9519499 60029183 FGG ANAND ULAVAPPA SAMPAGAON 18/12/1981

733/C/B1 MAHADEV SWAMI MATHAD ROAD, BASAVNAGAR, 1ST

CROSS BHL, 704-733/10B1/2 BAILHONGAL Belgaum

Karnataka 591102 Belgaum Belgaum Karnataka 591102 HUBLI NO - 08/07/2013 08/07/2013 07/07/2016

1591931 60029192 FGG BANDINI N MAISHERI 25/11/1977

E-2/301, HIGHLAND PARK, AMAR NAGAR, MULUND COLONY

ROAD, MULUND WEST, Mumbai Maharashtra 400082 Mumbai Mumbai Maharashtra 400082 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 19/02/2013 19/02/2013 11/02/2016

9520347 60029194 FGG RAVI P MEHARWADE 15/04/1985

SHRI TULAJABHAVANI KRUPA GURUDATTA COLONY, SHIRUR

PARK, VIDYANAGAR HUBLI Dharwad Karnataka 580031 Dharwad Dharwad Karnataka 580031 HUBLI NO - 08/07/2013 08/07/2013 07/07/2016

9406747 60029195 FGG DOMADIA NAMAN ASHWIN 04/06/1993

A/304, SAFALYA MAHAVIR NAGAR, KANDIVALI(W) Mumbai

Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI YES

LIFE INSURANCE

CORPORATION 08/07/2013 08/07/2013 22/04/2016

9520429 60029197 FGG DEEPAK S. 05/08/1985

NO-6, 2nd block magadi road police colony Bangalore

Karnataka 560023 Bangalore Bangalore Karnataka 560023 BANGALORE NO - 08/07/2013 08/07/2013 07/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

5856202 60029198 FGG BIPINCHANDRA NAGINDAS VORA 16/09/1976

1/2 USHAKUNJ SAHAKAR ROAD JOGESHWARI WEST, Mumbai

Maharashtra 400102 Mumbai Mumbai Maharashtra 400102 ANDHERI YES

MAX NEW YORK LIFE

INSURANCE 08/07/2013 08/07/2013 27/10/2015

9520549 60029199 FGG MANIK VITTHAL TEMKAR 16/06/1984

SWAMI SAMARTH NIWAS SBI COLONY SHIRUR DIST PUNE SHIRUR

PUNE Pune Maharashtra 412210 Pune Pune Maharashtra 412210 AHMEDNAGAR NO - 08/07/2013 08/07/2013 07/07/2016

9520585 60029200 FGG THETE GIRISH KISAN 16/04/1984

Fl No.16 Rohini Apt Gangapur Road Nasik Nashik

Maharashtra 422005 Nashik Nashik Maharashtra 422005 NASHIK NO - 08/07/2013 08/07/2013 07/07/2016

9520603 60029201 FGG ROHINI HEMENT PATIL 22/12/1989

NDCC Bank Colony Ganesh Nagar Kalwan Nashik

Maharashtra 423501 Nashik Nashik Maharashtra 423501 NASHIK NO - 08/07/2013 08/07/2013 07/07/2016

9525266 60029235 FGG PRAVEEN KUMAR 24/08/1990 chhaproli banger Dadri Delhi Delhi Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 NOIDA NO - 11/07/2013 11/07/2013 10/07/2016

9525280 60029236 FGG MIRZA SAFI UR RAHMAN 01/01/1978

A/P DHANDE GALI DIST BEED BEED BEED Beed Maharashtra

431122 BEED BEED Maharashtra 431122 AHMEDNAGAR NO - 11/07/2013 11/07/2013 10/07/2016

9525305 60029237 FGG J KRISHNA REDDY 01/07/1985

1-35/A, Saraswathi colony, Near East Club, Uppal Hyderabad

Telangana 500039 Rangareddi Rangareddi Telangana 500039 HIMAYATHNAGAR NO - 11/07/2013 11/07/2013 10/07/2016

9525362 60029238 FGG GISHA BONNY 31/05/1977

61 F (1139) , KANJIRAPARAMBIL HOUSE NELLIKKUNNU ,

NADATHARA G.P. THRISSUR Thrissur Kerala 680751 Thrissur Thrissur Kerala 680751 THRISSUR NO - 11/07/2013 11/07/2013 10/07/2016

9525411 60029239 FGG MEDI UPENDER KIRAN MAYE 26/04/1978

10-363/1/22 SATTI REDDY NAGAR COLONY BESIDE ST DUKE'S HIGH

SCHOOL MALKAJGIRI HYDERABAD Hyderabad Telangana

500047 Rangareddi Rangareddi Andhra Pradesh 500047 HYDERABAD NO - 11/07/2013 11/07/2013 10/07/2016

9525563 60029240 FGG YOGESHWAR S SONKHEDKAR 26/01/1982

N 2 BH/1/8 Thakare Nagar Cidco Aurangabad Cidco Aurangabad

Aurangabad Maharashtra 431001 Aurangabad Aurangabad Maharashtra 431001 AURANGABAD NO - 11/07/2013 11/07/2013 10/07/2016

9525593 60029241 FGG M. V. MANJUNATHA 15/06/1978 Malapalli Chinthamani Kolar Kolar Karnataka 563125 Kolar Kolar Karnataka 563125 BANGALORE NO - 11/07/2013 11/07/2013 10/07/2016

9528258 60029275 FGG SANJEEV KUMAR 14/02/1991 84 VPO BRARA BRARAR Ambala Haryana 133001 Ambala Ambala Haryana 133001 AMBALA NO - 12/07/2013 12/07/2013 11/07/2016

9529852 60029276 FGG RAJKUMAR .. 17/12/1989 480 WARD NO. 2 JHAJJER Rohtak Haryana 124103 Jhajjar Jhajjar Haryana 124103 ROHTAK NO - 15/07/2013 15/07/2013 14/07/2016

9192727 60029277 FGG PARAG SHARMA 02/12/1980

NO 90 MANDI CHOB AMROHA Jyotiba Phule Ngar Uttar Pradesh

244221 Jyotiba Phule Nagar Jyotiba Phule NagarUttar Pradesh 244221 NOIDA YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 15/07/2013 15/07/2013 25/09/2015

9529860 60029279 FGG SHRUTI SHARMA 03/07/1988

167, jaora compound Indore Indore Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 BHOPAL NO - 15/07/2013 15/07/2013 14/07/2016

9355174 60029280 FGG DIPESH NAYAK 28/02/1990

B2 FLAT NO 6GROUND FLOOR P&T SOCIETY TARUN BHARAT

CHAKALA Mumbai Maharashtra 400099 Mumbai Mumbai Maharashtra 400099 ANDHERI YES

RELIANCE LIFE

INSURANCE 15/07/2013 15/07/2013 10/03/2016

9529908 60029282 FGG DEEPANSHU JAIN 01/06/1995

H NO-1-53/C,Street No-11, Brahampuri shadra Delhi Delhi Delhi

110053 North East North East Delhi 110053 CONNAUGHT PLACENO - 15/07/2013 15/07/2013 14/07/2016

9529918 60029283 FGG JAI LALITA 07/10/1988

H no-22,adhav Enclave, Khaira Road,Najafgarh New Delhi Delhi

Delhi 110043 South West South West Delhi 110043 CONNAUGHT PLACENO - 15/07/2013 15/07/2013 14/07/2016

9529933 60029285 FGG THALLAPALLY RAMESH 15/06/1987

29-1458/1 KAKATHIYA NAGAR NEREDMAT RANGAREDDY

Rangareddy Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 HYDERABAD NO - 15/07/2013 15/07/2013 14/07/2016

9529992 60029286 FGG VINOD KUMAR 01/08/1976

H NO-336 MANDHAWLI BALLABGARH Faridabad Haryana

121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 15/07/2013 15/07/2013 14/07/2016

9530060 60029287 FGG PATIL VIJAY VASANT 28/03/1986

H NO 17, CHAITRABAN COLONY, NEAR MAHABAL STOP JALGAON

Jalgaon Maharashtra 425002 Jalgaon Jalgaon Maharashtra 425002 JALGAON NO - 15/07/2013 15/07/2013 14/07/2016

1658372 60029288 FGG JAGDISH KHUMAN SINGH 07/11/1958

H NO 143/7, MUNDI WARD 2, PART 1, KHARAR DIST SAS NAGAR

MOHALI Rupnagar Punjab 160055 MOHALI MOHALI Punjab 160055 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 15/07/2013 15/07/2013 30/03/2016

9530104 60029289 FGG SHIVAKUMAR MAHESHWARAPPA SHEEL 19/06/1965

H NO-33 RAMAKRISHNA COLONY, SHIRUR PARK , VIDYANAGAR

HUBLI Dharwad Karnataka 580031 Dharwad Dharwad Karnataka 580031 HUBLI NO - 15/07/2013 15/07/2013 14/07/2016

9530200 60029290 FGG CHALAPALA SEKHAR 14/06/1986

NELLA REDDY PALLI(VILL) KORRA PADDU(POST)

BUKKARAYASAMUDRAM(M) ANANTAPUR Anantapur

Andhra Pradesh 515701 Anantapur Anantapur Andhra Pradesh 515701 DILSUKHNAGAR NO - 15/07/2013 15/07/2013 14/07/2016

9530267 60029291 FGG MAHENDRA S PAGARE 27/01/1978

A/102, Blue Chip CHS, Dindayal Cross Road, Thakur Wadi, Opp

Gokul Hospital, Dombivli (West) Thane Maharashtra 421202 Thane Thane Maharashtra 421202 ANDHERI NO - 15/07/2013 15/07/2013 14/07/2016

9530381 60029293 FGG PRAMILA JAIN 18/08/1982

31, New Ahinsapuri, Fatehpura, Udaipur Udaipur Rajasthan

313002 UDAIPUR UDAIPUR Rajasthan 313002 UDAIPUR NO - 15/07/2013 15/07/2013 14/07/2016

8089995 60029294 FGG RAJINDER KOUR 02/04/1982

H. NO.718,WARD NO-12 WARD NO-12 SONEPAT Sonipat

Haryana 131001 Panipat Panipat Haryana 132103 ROHTAK YES

HDFC STD LIFE

INSURANCE CO. LTD. 15/07/2013 15/07/2013 17/05/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9530460 60029295 FGG GIRI MADAMAINA 05/10/1983

5-24-700/1/A/16 CHANFRAGIRI NAGAR SRINIVASA NAGAR

RANGAREDDY Rangareddy Telangana 500015 Rangareddi Rangareddi Andhra Pradesh 500015 HYDERABAD NO - 15/07/2013 15/07/2013 14/07/2016

9530476 60029298 FGG PADMA RAO KATAPALLY 01/02/1987

16-11-345 MOOSARAMBAGH MALAKPET HYDERABAD

HYDERABAD Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD NO - 15/07/2013 15/07/2013 14/07/2016

9532100 60029311 FGG HIMANSHU CHAWLA 21/07/1988

168, GREEN PARK TEHSIL CAMP PANIPAT Panipat Haryana

132103 Panipat Panipat Haryana 132103 ROHTAK NO - 15/07/2013 15/07/2013 14/07/2016

9380964 60029312 FGG HARIKRUSHNA SAHU 10/07/1985

Plot No 401, Jayalaxmi Apts,Jaya Nagar New Bowenpally

Landmark Near Narayana Junior College Hyderabad Hyderabad

Telangana 500011 Rangareddi Rangareddi Andhra Pradesh 500011 HYDERABAD YES

IDBI Federal Life

Insurance Co. Ltd 15/07/2013 15/07/2013 25/03/2016

9532329 60029324 FGG MINAL SAMEER RAIZADA 17/04/1979

Ashish 21, Vallabh Ngr soc, N S rd no4, JVPD scheme Vile Parle

West Mumbai Maharashtra 400056 Mumbai Mumbai Maharashtra 400056 GHATKOPAR NO - 16/07/2013 16/07/2013 15/07/2016

9532535 60029329 FGG GANESH BABU UTLA 20/06/1967

4-2-323/1 MOTI SINGH LANE BADICHOWDI HYDERABAD

Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HYDERABAD YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 16/07/2013 16/07/2013 15/07/2016

9532849 60029332 FGG SANJAY SAHU 14/03/1985

65, near ram mandir teelajamalpura bhopal Bhopal

Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL NO - 16/07/2013 16/07/2013 15/07/2016

8427100 60029333 FGG SABARI GIRISH J. 28/01/1980

H No 942 1 36 942 1 Puthan Veed 36 Perunrhani Trivandrum

Thiruvananthapuram Kerala 695008 Thiruvananthapuram ThiruvananthapuramKerala 695008 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 24/03/2014 24/03/2014 20/12/2016

9377691 60029334 FGG SHESHNATH GIRI 20/12/1972

MOTIKHAVDI, RPL SIDE, JAMNAGAR Jamnagar Gujarat

361140 Jamnagar Jamnagar Gujarat 361140 AHMEDABAD YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 16/07/2013 16/07/2013 24/03/2016

9532965 60029335 FGG R. SURESH 21/10/1966

21 CHENGALVARAYAN STREET SHENOY NAGER Chennai

Tamil Nadu 600030 Chennai Chennai Tamil Nadu 600030 CHENNAI NO - 16/07/2013 16/07/2013 15/07/2016

8965083 60029336 FGG SHAILENDRA SINGH 02/06/1988

C/67 RAMESHWAR RESIDENCY SINGARWA KATHWADA RAOD

AHMEDABAD Ahmadabad Gujarat 382430 Ahmadabad Ahmadabad Gujarat 382430 MANINAGAR YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 18/02/2015 18/02/2015 26/12/2017

9534416 60029342 FGG NIRMAL CHANDRA PRADHAN 18/05/1969

Plot No-241/2384/3302 Bairagi Nagar,Jharpada,Po-

Budheswari,Bhubaneswar-6 Bhubaneswar Khordha Odisha

752018 Nayagarh Nayagarh Odisha 752018 BHUBANESWAR NO - 16/07/2013 16/07/2013 15/07/2016

9410080 60029344 FGG V S SIREESHA KARIGIRI 20/05/1983

11-61/1,OPP PYDITALLAMMA GUDI, KOTHAVEEDHI,

SIMHACHALAM , VSP 671-61767 9948547307 Visakhapatnam

Andhra Pradesh 530028 Visakhapatnam Visakhapatnam Andhra Pradesh 530028 VIZAG YES

LIFE INSURANCE

CORPORATION 16/07/2013 16/07/2013 26/04/2016

9534528 60029346 FGG VENKATA RAVI KUMAR GURRALA 30/06/1972

DNO:18-19 NORTH EXTENSION,SEETHAMMADHARA

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 16/07/2013 16/07/2013 15/07/2016

9534548 60029347 FGG KURUHURI GOVINDA RAO 02/06/1976

DNO:57-6-7 MALLASURI ST,KANCHARAPALEM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530008 Visakhapatnam Visakhapatnam Andhra Pradesh 530008 VIZAG NO - 16/07/2013 16/07/2013 15/07/2016

9534718 60029351 FGG SHABANA NAQVI 28/02/1975

414, SINDHI MOHALLA,MOCHI MOHALLA,AJMER Ajmer Ajmer

Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 17/07/2013 17/07/2013 16/07/2016

9534781 60029353 FGG MARIDUL SHARMA 05/04/1990

H No. 17-b Ram Vihar Basti Danish manda Jalandhar Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 17/07/2013 17/07/2013 16/07/2016

9354320 60029355 FGG RAGAM SAIKIRAN 11/08/1989

5-17, Marutinagar Near Govt School Kothapet Saroor Nagar

Delsukh Nagar Ranga Reddy District Hyderabad Telangana

500036 Rangareddi Rangareddi Andhra Pradesh 500036 HIMAYATHNAGAR YES

KOTAK MAHINDRA OLD

MUTUAL 17/07/2013 17/07/2013 10/03/2016

9534810 60029356 FGG KULWINDER SINGH 19/02/1979

VPO Mullanpur Dist Ludhiana Ludhiana Ludhiana Punjab

140802 Patiala Patiala Punjab 140802 LUDHIANA NO - 17/07/2013 17/07/2013 16/07/2016

9534842 60029357 FGG JARNAIL SINGH BAINS 02/06/1952

H NO 61-A, Village Chuharpur Ludhiana Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 17/07/2013 17/07/2013 16/07/2016

9534927 60029361 FGG KAMAL JIT KAUR 19/05/1982

H NO 110, Village Talwandi Salan Tehsil Dasuya Hoshiarpur

Hoshiarpur Punjab 144203 Hoshiarpur Hoshiarpur Punjab 144203 JALANDHAR NO - 17/07/2013 17/07/2013 16/07/2016

9534951 60029364 FGG GIRISH KUMAR K. 22/12/1964

1952(17/2214) KOVOOR KOZHIKODE Kozhikode Kerala

673017 Kozhikode Kozhikode Kerala 673017 CALICUT NO - 17/07/2013 17/07/2013 16/07/2016

9535050 60029366 FGG PRASANTH P P. 27/03/1987

PUTHENPARAMBIL ANAPPALLAM , LONTREE P.O. , UPPUTHARA ,

LONETREE IDUKKI Idukki Kerala 685505 Idukki Idukki Kerala 685505 THRISSUR NO - 17/07/2013 17/07/2013 16/07/2016

3497208 60029370 FGG HEENABEN TUSHARBHAI DAVE 09/08/1980

Revandas Ni Khadki B/h. Swaminarayan Temple, Anand, Anand

Gujarat 388001 Anand Anand Gujarat 388001 ANAND NO - 22/07/2013 22/07/2013 06/08/2016

9535534 60029375 FGG SUNEETHA JUVVA 14/07/1980

LIG-158 PHASE-7 KPHB COLONY KUKATPALLY HYDERABAD

HYDERABAD Hyderabad Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 HYDERABAD NO - 17/07/2013 17/07/2013 16/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9076423 60029401 FGG CHANDNIWALA M SHAHID M YAMIN 24/09/1992

AT - 6/5-, LIMDAWALI FALI, MOTI VAOHORVAD, HIMATNAGAR,

Ahmadabad Gujarat 383--1 Sabar Kantha Sabar Kantha Gujarat 383001 AHMEDABAD NO - 31/05/2012 31/05/2012 30/05/2015

8259101 60029402 FGG HARSHA PARAGBHAI THAKER 29/11/1972

42 ALKA SOCIETY NEW JUNCTION ROAD OPP ALKA BHUVAN

Surendranagar Gujarat 363001 Surendranagar Surendranagar Gujarat 363001 SURENDRANAGAR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 31/08/2013 31/08/2013 30/08/2016

5070217 60029403 FGG JYOTINDRA PATEL 29/05/1948 S-15 CITY POINT PATAN Patan Gujarat 384265 Ahmedabad Ahmedabad Gujarat 384256 AHMEDABAD NO - 28/01/2015 28/01/2015 22/01/2018

9538894 60029414 FGG NIDHI KALRA 24/11/1984

HNO-1256 MAHI WALA KHOOH, TARN TARAN ROAD, NAGAR

COUNSIL JANDIALA GURU AMRITSAR Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 19/07/2013 19/07/2013 18/07/2016

9445202 60029417 FGG SONU KUMAR 05/03/1992

H NO 949, Vpo Dobhi Teh Hisar Dist Hissar Hisar Haryana

125001 Hisar Hisar Haryana 125001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 22/07/2013 22/07/2013 02/06/2016

9542694 60029418 FGG INDERJIT SINGH 28/06/1979

H NO 7 STREET NO NO-27,ANAND NAGAR B, PATIALA Patiala

Punjab 147001 Patiala Patiala Punjab 147001 PATIALA NO - 22/07/2013 22/07/2013 21/07/2016

9437975 60029419 FGG SHEETAL SINHA 29/03/1990 H No 818 Sector 113 Tal Dist Hisar Hisar Haryana 125001 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 22/07/2013 22/07/2013 28/05/2016

9542812 60029420 FGG K. RAMESHWARI 16/07/1982

8-3-211/1 SECOND BAZAR SECUNDERABAD SECUNDERABAD

SECUNDERABAD Hyderabad Telangana 500003 Rangareddi Rangareddi Andhra Pradesh 500003 DILSUKHNAGAR NO - 22/07/2013 22/07/2013 21/07/2016

9542916 60029421 FGG SUMIT MAHAJAN 29/09/1984

VPO MAHANPUR TEH BASOHLI DIST KATHUA Jammu Jammu &

Kashmir 184202 Kathua Kathua Jammu & Kashmir184202 JAMMU NO - 22/07/2013 22/07/2013 21/07/2016

9542984 60029422 FGG VARUN SINGLA 21/12/1988

1014/11, Waraich Colony, Samana, Patiala Patiala Punjab

147001 Patiala Patiala Punjab 147001 PATIALA NO - 22/07/2013 22/07/2013 21/07/2016

9543248 60029423 FGG NANCY SASHIDHAR NAIR 24/08/1984

Room No C-60/A S.M. Rd, M.N. Nagar, Wardaraj Nagar, Sion

Koliwada Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI NO - 22/07/2013 22/07/2013 21/07/2016

9543299 60029424 FGG GURWINDER SINGH 04/01/1990

VILL-MANGWAL DISTT-SANGRUR SANGRUR Sangrur Punjab

148001 Sangrur Sangrur Punjab 148001 PATIALA NO - 22/07/2013 22/07/2013 21/07/2016

9543365 60029425 FGG ANAND B S. 20/07/1971

14, GANDALAHALLI, SRINIVASPURA TALUQ, KOLAR

GANDALAHALLI KOLAR Kolar Karnataka 563131 Kolar Kolar Karnataka 563131 BANGALORE NO - 22/07/2013 22/07/2013 21/07/2016

9126543 60029467 FGG PRATHIBHA K. 25/05/1969

KARIPPURATH (H) MEENCHANTHA (P.O) NEAR ARTS & SCIENCE

COLLEGE , CALICUT Kozhikode Kerala 673018 Kozhikode Kozhikode Kerala 673018 CALICUT YES

MAX NEW YORK LIFE

INSURANCE 24/07/2013 24/07/2013 23/07/2015

9217289 60029468 FGG CHARLES JOSON T. J. 12/06/1970 2069F(47/2024) REVERA 3 KOZHIKODE Kozhikode Kerala 673011 Kozhikode Kozhikode Kerala 673315 CALICUT YES

MAX NEW YORK LIFE

INSURANCE 24/07/2013 24/07/2013 18/10/2015

9550052 60029469 FGG DINEESH K P. 01/06/1981

Vadakkayil Meethal 21/64 PO G A College, Calicut Kozhikode

Kerala 673014 Kozhikode Kozhikode Kerala 673014 CALICUT NO - 24/07/2013 24/07/2013 23/07/2016

9550074 60029470 FGG BEENA .. 31/05/1974

KORAPPAMKANDY ODUMBRA KOZHIKODE Kozhikode Kerala

673019 Kozhikode Kozhikode Kerala 673019 CALICUT NO - 24/07/2013 24/07/2013 23/07/2016

9550093 60029474 FGG RAJEEV SHARMA 19/02/1974

232/2 Buttan Wali Gali,Nangal Kotli Gurdaspur Gurdaspur

Punjab 143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR NO - 24/07/2013 24/07/2013 23/07/2016

9550122 60029477 FGG AJAY KUMAR 30/09/1972

Vill Sehowal P.o Shahkot Dist.Jalandhar Jalandhar Jalandhar

Punjab 144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 24/07/2013 24/07/2013 23/07/2016

9550240 60029479 FGG PANKAJ KUMAR TYAGI 02/08/1978

H/NO 58/11 HUDA COLONY, SECTOR 11, PANIPAT Panipat

Haryana 132103 Panipat Panipat Haryana 132103 ROHTAK NO - 24/07/2013 24/07/2013 23/07/2016

9551356 60029488 FGG PRADEEP KUMAR B R. 10/04/1990

S/O RAMAMURTHY B.P., # 57/B, 5th CROSS, 2nd C MAIN, BAPUJI

NAGAR, MYSORE ROAD, BANGALORE Bangalore Karnataka

560026 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 25/07/2013 25/07/2013 24/07/2016

2612851 60029490 FGG RAKESH MISHRA 03/10/1968

B-29, AADITYA VILLA SOC NEAR PRABHUTA HALL,RAMAKAKA

ROAD CHHANI BEHIND SBI BANK Vadodara Gujarat 391740 Vadodara Vadodara Gujarat 390007 BARODA YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 25/07/2013 25/07/2013 21/09/2015

9551517 60029498 FGG YADAVALI VEERA BABU 01/06/1984

SRI-302 JAWAHAR NAGAR ASHOK NAGAR CHIKADPALLY

HYDERABAD Hyderabad Telangana 500020 Hyderabad Hyderabad Andhra Pradesh 500020 DILSUKHNAGAR NO - 25/07/2013 25/07/2013 24/07/2016

9551528 60029500 FGG HARISH PRANJIVAN SHAH 23/01/1951

C-106.THE KUKREJA PALACE CHS LTD VALLABHBAUG LANE EXTN,

GHATKOPAR EAST Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 FORT NO - 25/07/2013 25/07/2013 24/07/2016

9551570 60029501 FGG ISHRAT IMRAN SHAIKH 06/03/1990

701 raimbo plaza nearmahavir petrol pump, IBS ROAD KURLA

WEST Mumbai Maharashtra 400070 Mumbai Mumbai Maharashtra 400070 BORIVALI NO - 25/07/2013 25/07/2013 24/07/2016

9551635 60029502 FGG GOPISHETTY SWATHI 05/05/1987

10-1-99/2/3 ROAD NO-4 BHGAYA NAGAR COLONY LINGOJIGUDA

Hyderabad Telangana 500035 Rangareddi Rangareddi Andhra Pradesh 500035 HYDERABAD NO - 25/07/2013 25/07/2013 24/07/2016

9551662 60029505 FGG SUMANT SHIVALING WADER 14/02/1969

8/1506 SHAHAPUR PLOT NO 6 MAHALAXMI BUILDING ARMAI

ROAD ICHALKARANJI Kolhapur Maharashtra 416012 Kolhapur Kolhapur Maharashtra 416012 KOLHAPUR NO - 25/07/2013 25/07/2013 24/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9552816 60029516 FGG MANJEET SINGH 15/08/1988

H/NO 751 VILL AJAIB THE MEHAM Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK NO - 25/07/2013 25/07/2013 24/07/2016

9552867 60029518 FGG DHARMARAJ D. 19/02/1971

#12, 4TH cROSS, vENKATESHWARA LAYOUT, s. g. pALYA, drc pOST,

BANGALORE Bangalore Karnataka 560029 Bangalore Bangalore Karnataka 560029 BANGALORE NO - 25/07/2013 25/07/2013 24/07/2016

9552870 60029519 FGG SHASHI C N. 01/06/1989

#152 1st Main, 1st Floor, Rajkumar Building, Dattatruyanagar, BSK

3rd Stage, BANGALORE Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 25/07/2013 25/07/2013 24/07/2016

9552950 60029522 FGG SUMITA KOUL 10/10/1984

Koul House, Khanpur, Nagrota Jammu Jammu & Kashmir

181221 Jammu Jammu Jammu & Kashmir181221 JAMMU NO - 25/07/2013 25/07/2013 24/07/2016

5893440 60029523 FGG PATEL MAHESHBHAI BHAGVANDAS 18/12/1981

AT & PO- THUWAVI SOJITRA FALIYA DABHOI Vadodara Gujarat

391107 Vadodara Vadodara Gujarat 391107 BARODA YES

LIFE INSURANCE

CORPORATION 25/07/2013 25/07/2013 16/11/2015

8044656 60029526 FGG HEMANT A TRIVEDI 02/08/1979

D/302,SHIV NIKETAN APPT, PRAMUKH SWAMI NAGAR B/H AIMS

OXYGEN, AKOTA VADODARA Vadodara Gujarat 388710 Old Padra Rd Baroda,VadodaraOld Padra Rd Baroda,VadodaraGujarat 390020 BARODA YES

BaJAJ ALLIANZ LIFE

INSURANCE 11/02/2013 11/02/2013 28/03/2016

3790248 60029554 FGG SANGEETA GOEL 01/03/1968

445/22 SHIVIJI PARK GURGAON HARYANA Gurgaon

Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON YES

RELIANCE LIFE

INSURANCE 20/05/2014 20/05/2014 02/12/2016

9559954 60029559 FGG POONAM SHIVNANI 01/10/1982

62, T/F, LIG FLAT POCKET GH-3 PASCHIM VIHAR, NEAR WHITE

HOUSE Delhi Delhi 110063 West West Delhi 110063 CONNAUGHT PLACENO - 29/07/2013 29/07/2013 28/07/2016

8984634 60029561 FGG DHANANJAY SINHA 27/09/1969

397 C Nyay Khandd Vditeey Indirapuram Ghaziabad Dist

Ghaziabad Ghaziabad Uttar Pradesh 201014 GHAZIABAD GHAZIABAD Uttar Pradesh 201014 CONNAUGHT PLACEYES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/02/2015 16/02/2015 22/01/2018

8614902 60029585 FGG DHAVAL RAMNIKLAL MANIAR 15/03/1980

8-2-18 VAISHALI SOCIETY, GHRANGAGHRA, DHRANGADHRA,

Surendranagar Gujarat 363310 Surendranagar Surendranagar Gujarat 363310 AHMEDABAD YES

RELIANCE LIFE

INSURANCE CO. LTD. 01/09/2014 01/09/2014 18/05/2017

1781501 60029598 FGG SANGEETA MOHANTY 05/01/1972

plot no- 1,brahmeswar Bag Tankapani road Bhubaneswar

BHUBANESHWAR Odisha 751001 Khordha Khordha Odisha 751001 CUTTACK NO - 14/08/2013 14/08/2013 08/09/2016

3146173 60029600 FGG PRADEEP TANAJI KHOCHARE 01/01/1981

AT/POST NARSOBAWADI TALUK SHIROL KOLHAPUR Kolhapur

Maharashtra 416001 Sangli Sangli Maharashtra 416104 KOLHAPUR YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 30/07/2013 30/07/2013 19/03/2016

8742803 60029602 FGG NIDHI AGARWAL 17/01/1979

G-10, MEGHAL IND. EST. DEVIDYALA RD. MULUND(W) Mumbai

Maharashtra 400070 Mumbai Mumbai Maharashtra 400070 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 16/09/2014 16/09/2014 03/08/2017

9563982 60029605 FGG BADAL KUMARI SINGH 03/01/1988

171/0/4, ROAD NO-6, ADITYAPUR, SARAIKELLA, KHARSAWAN,

JAMSHEDPUR Purbi Singhbhum Jharkhand 831013 Pashchimi Singhbhum Pashchimi SinghbhumJharkhand 831013 JAMSHEDPUR NO - 30/07/2013 30/07/2013 29/07/2016

9564119 60029609 FGG AMARNATH .. 13/03/1993

H. No. 208 Lehada-3 Pharenda Mahrajganj Uttar Pradesh

273004 Gorakhpur Gorakhpur Uttar Pradesh 273004 GURGAON NO - 30/07/2013 30/07/2013 29/07/2016

9564344 60029618 FGG K. AMRITA 18/08/1991

NO 16, NANDANAM EXTN 4TH STREET THOUSAND LIGHTS

Chennai Tamil Nadu 600035 Chennai Chennai Tamil Nadu 600035 ANNA NAGAR NO - 30/07/2013 30/07/2013 29/07/2016

9565663 60029623 FGG RUPESH SHINDE 26/05/1992

hari E1/A-404, shivshakti chs santoshi mata mandir rd, vaishet

pada no-1 kurar village, Malad (e) Mumbai Maharashtra

400097 Mumbai Mumbai Maharashtra 400097 GHATKOPAR NO - 30/07/2013 30/07/2013 29/07/2016

9566049 60029624 FGG N. SUJITHRAJ 20/05/1981

NADUVATHEZHATH HOUSE POOTHOTHA PO ERNAKULAM

Ernakulam Kerala 682307 Ernakulam Ernakulam Kerala 682307 COCHIN NO - 30/07/2013 30/07/2013 29/07/2016

9566196 60029625 FGG SUDHA CHAWLA 15/08/1972

208 A,2nd FLOOR VINOBA PURI LAJPAT NAGAR Delhi Delhi

110024 South South Delhi 110024 GURGAON NO - 30/07/2013 30/07/2013 29/07/2016

9566273 60029626 FGG THAVRANI KEENA DHIRAJ 29/07/1973

Sheenathjee society GODHRA GODHRA Panch Mahals Gujarat

389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 BARODA NO - 30/07/2013 30/07/2013 29/07/2016

9566318 60029627 FGG SHAILESH KAJAVE 12/10/1987

268/ AAZAD NAGAR A- WARD CENTRAL RAILWAY LINE MATUNGA

, MUMBAI Mumbai Maharashtra 400019 Mumbai Mumbai Maharashtra 400019 ANDHERI NO - 30/07/2013 30/07/2013 29/07/2016

8671301 60029628 FGG SHREYAS MEHADIA 18/08/1992

JODHRAJ BHAVAN,OPP. ANAND TA, SITABULDI, NAGPUR Nagpur

Maharashtra 440001 Nagpur Nagpur Maharashtra 440001 NAGPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 18/11/2014 18/11/2014 26/06/2017

9566424 60029630 FGG NISHA MALIK 26/09/1985

8/1 HARIJAN COLONT BHALASWA VILLAGE DELHI Delhi Delhi

110033 North North Delhi 110033 WEST DELHI NO - 30/07/2013 30/07/2013 29/07/2016

9566581 60029631 FGG SHAH CHANDNI YATITKUMAR 14/10/1989

21, Maruti Nandan Society, GIDC, Jaldhara Chokdi Ankleshwar

BHARUCH Bharuch Gujarat 393002 Bharuch Bharuch Gujarat 393002 ANKLESHWAR YES

HDFC STANDARD LIFE

INSURANCE CO LTD 30/07/2013 30/07/2013 29/07/2016

9566656 60029633 FGG DINESH KAUSHIK 17/02/1986

745-B1 RATHPUR COLONY PINJORE Panchkula Haryana

134102 Panchkula Panchkula Haryana 134102 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 30/07/2013 30/07/2013 29/07/2016

9566735 60029634 FGG PRASHANT SRIVASTAVA 20/01/1982

J.C. Road, Burdwan Compound, Po. & PS. Lalpur Ranchi Ranchi

Jharkhand 834001 Ranchi Ranchi Jharkhand 834001 RANCHI NO - 30/07/2013 30/07/2013 29/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9566807 60029635 FGG RENU SINHA 04/02/1969

A/5 SAKET VIHAR HARMU Ranchi Ranchi Jharkhand

829205 Ranchi Ranchi Jharkhand 829205 RANCHI YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED

30/07/2013 30/07/2013 29/07/2016

9566838 60029636 FGG KAMAL .. 23/01/1989

576A GALI NO-6 AMBEDKAR NAGAR HAIDAR PUR DELHI Delhi

Delhi 110085 North West North West Delhi 110085 WEST DELHI NO - 30/07/2013 30/07/2013 29/07/2016

9568508 60029645 FGG VINAY KUMAR 01/12/1963

A-5, HARMU SAKET NAGAR PO HARMU RANCHI Ranchi

Jharkhand 834020 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 31/07/2013 31/07/2013 30/07/2016

9568577 60029646 FGG SHAJITHA .. 01/05/1971

MELEDATH KANDY THURUTHIYAD BALUSSERY KOZHIKODE

Kozhikode Kerala 673612 Kozhikode Kozhikode Kerala 673612 CALICUT NO - 31/07/2013 31/07/2013 30/07/2016

9568622 60029647 FGG SRIDEVI B. 20/07/1978

# 160 ,12th A MAIN, 8TH CROSS, HAL 2nd stage, INDIRANAGAR

BANGALORE Bangalore Karnataka 560008 Bangalore Bangalore Karnataka 560008 BANGALORE NO - 31/07/2013 31/07/2013 30/07/2016

9575234 60029681 FGG SATHU GARI RAVI 14/03/1982

HNO-8-3-228/678/1009/98 BHAMHA SHANKAR NAGAR SPR HILL

KARMIKA NAGAR YOUSAF GUDA HYDERABAD Hyderabad

Telangana 500002 Hyderabad Hyderabad Andhra Pradesh 500002 DILSUKHNAGAR NO - 02/08/2013 02/08/2013 01/08/2016

9580034 60029703 FGG RAJESH SINGH 27/05/1975

72, LANGATH PO NANAK CHAK TEH SAMBA Jammu Jammu &

Kashmir 184121 Jammu Jammu Jammu & Kashmir184121 JAMMU NO - 06/08/2013 06/08/2013 05/08/2016

9580106 60029704 FGG ABHISHEK MANHAS 27/12/1992

45, Mahaveer Basti Gho Manasa Domana Jammu Jammu &

Kashmir 180009 Jammu Jammu Jammu & Kashmir180009 JAMMU NO - 06/08/2013 06/08/2013 05/08/2016

9580199 60029706 FGG HAROON MOHAMMED RASHED 13/12/1990

6-3-252/2 IIPM TOWERS 4TH FLOOR ERRAMANZIL BANJARA HILLS

HYDERABAD Hyderabad Telangana 500082 Hyderabad Hyderabad Andhra Pradesh 500082 HYDERABAD NO - 06/08/2013 06/08/2013 05/08/2016

9581325 60029738 FGG PRAKHAR SHARMA 28/05/1991

557/11 AOM NAGAR ITAUNJA LUCKNOW Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 07/08/2013 07/08/2013 06/08/2016

9581562 60029743 FGG RAJESH KUMAR 23/12/1976 31 Mithapur, Jakkanpur Patna Patna Bihar 800001 Patna Patna Bihar 800001 PATNA NO - 07/08/2013 07/08/2013 06/08/2016

9581626 60029744 FGG B. J RUDRAPRAKASH 01/06/1967

3/1, CHATHRA VILLAGE,KASABA HOBLI,THUNGANI POST

KANAKAPURA RAMNAGAR Bangalore Karnataka

562117 Bangalore Rural Bangalore Rural Karnataka 562117 BANGALORE NO - 07/08/2013 07/08/2013 06/08/2016

9075568 60029745 FGG TEJ SINGH MUNDA 05/03/1977 Mahuadih Po Ulidih Ps Tamar Ranchi Ranchi Jharkhand 835225 Ranchi Ranchi Jharkhand 835225 RANCHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/08/2013 07/08/2013 30/05/2015

6048645 60029749 FGG HIMANSHU BHALCHANDRA SHUKLA 15/09/1963

7/D ASHIYANA APT , KAPADIYA COMPOUND SUMUL DAIRY ROAD

Surat Gujarat 395008 Surat Surat Gujarat 395008 SURAT YES

SHRIRAM LIFE

INSURANCE COMPANY

LTD 07/08/2013 07/08/2013 04/02/2016

9581889 60029750 FGG SHIVKUMAR PILLAI 27/02/1991

33 / 260 , SANT TUKARAM NAGAR PIMPRI PUNE Pune

Maharashtra 411018 Pune Pune Maharashtra 411018 PUNE NO - 07/08/2013 07/08/2013 06/08/2016

9581908 60029751 FGG SHWETHA KUMARI 03/05/1990

3-87/3, MAROLI, ALANGAR KULUSHEKAR POST MANGALORE

MANGALORE Mangalore Karnataka 575005 Dakshina Kannada Dakshina Kannada Karnataka 575005 MANGALORE NO - 07/08/2013 07/08/2013 06/08/2016

9142430 60029752 FGG PRINCE C T. 30/11/1970

CHALISSERY VALAPPILA KIZHAPURAM , ARANATTUKARA P.O. ,

THRISSUR Thrissur Kerala 680618 Thrissur Thrissur Kerala 680551 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/08/2013 07/08/2013 06/08/2015

9273816 60029753 FGG MOHANAN C. V. 29/11/1956

C V Mohanan Chirayinmel House Po Avittathur Thrissur Kerala

680683 Thrissur Thrissur Kerala 680683 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/08/2013 07/08/2013 20/12/2015

9415239 60029755 FGG VIJAYA KUMAR E. 30/11/1955

THALAPPILLI HOUSE EDAKULAM , ARIPALAM P.O. THRISSUR

Thrissur Kerala 680688 Thrissur Thrissur Kerala 680688 THRISSUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/08/2013 07/08/2013 01/05/2016

9582305 60029757 FGG RUBY SHARMA 26/07/1982 127-B INDRAJ COLONY, BAWANA Delhi Delhi 110039 North West North West Delhi 110039 WEST DELHI NO - 07/08/2013 07/08/2013 06/08/2016

9582399 60029760 FGG SWATI BAKSHI 14/10/1986 15-WZ TIHAR VILLAGE TIHAR VILLAGE DELHI Delhi Delhi 110058 West West Delhi 110058 WEST DELHI YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 07/08/2013 07/08/2013 06/08/2016

740342 60029787 FGG ARCHANA A PANDYA 14/07/1974

C-45, madhuram Residency Next to Riyarevti, Sama Savli Road

vemali Vadodara Gujarat 390024 Vadodara Vadodara Gujarat 390008 BARODA YES

KOTAK MAHINDRA OLD

MUTUAL 19/08/2014 19/08/2014 16/09/2017

9368872 60029789 FGG AMITABEN D. PATEL 16/12/1983

G/F-7, LAVKUSH COMPLEX, NR. ANAND CHOKDI BUS STAND ROAD

ANAND Anand Gujarat 388001 Anand Anand Gujarat 388001 ANAND YES

RELIANCE LIFE

INSURANCE 08/08/2013 08/08/2013 19/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9423310 60029791 FGG GAURANG BHUPENDRA PUROHIT 21/01/1969

22 KASTURBA MAHILA SOC B/H IN TEKRAWALA SCHOOL

PALANPUR PATIYA RANDER ROAD Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

RELIANCE LIFE

INSURANCE 08/08/2013 08/08/2013 14/05/2016

1186101 60029792 FGG R. H. SHESHADRI 01/07/1974

2, GANGAIAH LAYOUT KEREBUDDA HALLI CHICKBALLAPUR POS

Bangalore Karnataka 560090 Bangalore Bangalore Karnataka 560090 BANGALORE YES

LIFE INSURANCE

CORPORATION 06/08/2013 06/08/2013 20/06/2015

863209 60029863 FGG MANOJ KUMAR 06/01/1978

VPO.SAHPUR BRAMAN AMBALA Ambala Haryana

133001 Ambala Ambala Haryana 133001 AMBALA YES

LIFE INSURANCE

CORPORATION 06/09/2014 06/09/2014 21/11/2017

9592796 60029868 FGG RIJARANI LIPIKA DAS 03/06/1984

Plot No-120 Santoshi Vihar,Laxmisagar,Bhubaneswar

Bhubaneswar BHUBANESHWAR Odisha 751006 Khordha Khordha Odisha 751006 BHUBANESWAR NO - 14/08/2013 14/08/2013 13/08/2016

9592826 60029869 FGG NALINI PRAVA BARAL 17/04/1971

Dimirisena,Brahmagiri Puri Bhubaneswar BHUBANESHWAR

Odisha 752011 Puri Puri Odisha 752011 BHUBANESWAR NO - 14/08/2013 14/08/2013 13/08/2016

9592842 60029870 FGG NIHAR NALINI PRADHAN 07/07/1976

Chandramapatapur,Golabaishasan Khurda Bhubaneswar

BHUBANESHWAR Odisha 752021 Nayagarh Nayagarh Odisha 752021 BHUBANESWAR NO - 14/08/2013 14/08/2013 13/08/2016

9593176 60029874 FGG KERAPPA DAGDU MANE 01/06/1980

SAI SHRADHA CHS, CHANDIVLI FARM RD SANGHARSH NGR

SAKINAKA Mumbai Maharashtra 400001 Mumbai Mumbai Maharashtra 400072 ANDHERI NO - 14/08/2013 14/08/2013 13/08/2016

9593221 60029875 FGG FRED JUSTIN 18/11/1983

MALIAKKAL HOUSE, EDAVANAKAD PO ERNAKULAM Ernakulam

Kerala 682502 Ernakulam Ernakulam Kerala 682502 COCHIN NO - 14/08/2013 14/08/2013 13/08/2016

9126755 60029879 FGG PUSHPALATHA .. 10/05/1967

H No 1/823 Happy Villa Koppam Vithura Thiruvananthapuram

Kerala 695551 Thiruvananthapuram ThiruvananthapuramKerala 695551 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 14/08/2013 14/08/2013 23/07/2015

9593671 60029880 FGG RAGHAV PRATAP SINGH 09/05/1991 R-51, SEC-15 NOIDA Meerut Uttar Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 FARIDABAD NO - 14/08/2013 14/08/2013 13/08/2016

9593731 60029881 FGG MAMTA AGARWAL 30/11/1983

11/04/13 PANNA PURI HAPUR HAPUR Ghaziabad Uttar

Pradesh 201010 Ghaziabad Ghaziabad Uttar Pradesh 201010 FARIDABAD NO - 14/08/2013 14/08/2013 13/08/2016

9593850 60029882 FGG BTS KUMAR 03/01/1989

# 11-18-11,patha basthi poola Bavi Street vijayawada Krishna

Andhra Pradesh 520001 Krishna Krishna Andhra Pradesh 520001 VIJAYAVADA NO - 14/08/2013 14/08/2013 13/08/2016

9593939 60029883 FGG P. V. S. R. A. SHARMA 06/06/1970

D No 23 51/5, Nehru Nagar, Nr Balaji Temple, Nandigama Krishna

Krishna Andhra Pradesh 521185 Krishna Krishna Andhra Pradesh 521185 VIJAYAVADA NO - 14/08/2013 14/08/2013 13/08/2016

9594124 60029884 FGG ABBAS HASAN SAYED 13/05/1978

ASMITA REVEIRA, VII, VIII, & ix CHS LTD, NARAYAN PATIL MARG,

ASMITA ENCLAVE PHASE III NR.N.H SCHOOL, MIRA ROAD EAST

THANE Thane Maharashtra 401107 Thane Thane Maharashtra 401107 BORIVALI NO - 14/08/2013 14/08/2013 13/08/2016

8693492 60029887 FGG PRITESH ANIL PATIL 11/09/1991

AT-DEHARJE POST-BANDHAN TAL-VIKRAMGAD Thane

Maharashtra 401403 Thane Thane Maharashtra 401403 NASHIK YES

LIFE INSURANCE

CORPORATION 11/07/2014 11/07/2014 08/07/2017

9594345 60029891 FGG RAMYA .. 18/07/1989

57/30, NARAYANA NAGAR, 4TH STREET SALEM Salem Tamil

Nadu 636015 Salem Salem Tamil Nadu 636015 SALEM NO - 14/08/2013 14/08/2013 13/08/2016

9595392 60029912 FGG SOWMYA D. 30/01/1991

#18, Nagayanapalya, M. S. Nagar BANGALORE Bangalore

Karnataka 560033 Bangalore Bangalore Karnataka 560033 BANGALORE NO - 16/08/2013 16/08/2013 15/08/2016

9426116 60029913 FGG SUMAN KHANNA 23/02/1981

638 BHIRHA BAZAR KATRA KHAZANA GATE NAZO DHARMSHALA

GALI SUTHRA WALI AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

MAX NEW YORK LIFE

INSURANCE 16/08/2013 16/08/2013 19/05/2016

3173862 60029914 FGG SAMIR KUMAR SHARMA 05/06/1973

H.NO. 262 PARTAP NAGAR G.T. ROAD Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR YES

BaJAJ ALLIANZ LIFE

INSURANCE 16/08/2013 16/08/2013 23/03/2016

9595381 60029915 FGG SONU MAHAJAN 15/04/1979

H No 97 Ward No. 9 Dinanagar Gurdaspur Punjab

143531 Gurdaspur Gurdaspur Punjab 143531 JALANDHAR NO - 16/08/2013 16/08/2013 15/08/2016

9595379 60029916 FGG PARMINDER SINGH 29/05/1981

Village Sudhar Tehsil raikot Ludhiana Ludhiana Punjab

141104 Ludhiana Ludhiana Punjab 141104 LUDHIANA NO - 16/08/2013 16/08/2013 15/08/2016

9595373 60029917 FGG MANDEEP PURI 10/07/1978

H.No-30 new H.No 951 Sahnewal Kalan Ludhiana Punjab

141120 Ludhiana Ludhiana Punjab 141120 LUDHIANA NO - 16/08/2013 16/08/2013 15/08/2016

9595363 60029918 FGG ASHIK REHMAN 16/01/1994

D No 2-172/B Asheek Towers kavoor post Mangalore

Karnataka 575001 Dakshina Kannada Dakshina Kannada Karnataka 575001 MANGALORE NO - 16/08/2013 16/08/2013 15/08/2016

9413266 60029919 FGG SHASHUL HAMEED 01/06/1990

SHIVAGIRI NAGAR KASHIPATNA BELTHANGADY,Dakshin Kannad

Dakshin Kannad Dakshina Kannada Karnataka 574236 Dakshina Kannada Dakshina Kannada Karnataka 574236 MANGALORE YES

BHARTI AXA LIFE

INSURANCE 16/08/2013 16/08/2013 29/04/2016

9595360 60029920 FGG GORAKSHA RAMDAS PADOLE 24/12/1962

33, PADOLE CHAL, TILAK ROAD TAL NAGAR Ahmadnagar

Maharashtra 414001 AHMEDNAGAR AHMEDNAGAR Maharashtra 414001 AHMEDNAGAR NO - 16/08/2013 16/08/2013 15/08/2016

9595357 60029921 FGG GUNDA MADHAVI 25/06/1980

PLOT NO 41 PRAGATHI NAGAR BACHUPALLY HYDERABAD

HYDERABAD Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 HIMAYATHNAGAR NO - 16/08/2013 16/08/2013 15/08/2016

9414692 60029922 FGG K. VIVEKANANDA 06/03/1983

8 9 40 40 SRI DATTA NAGAR MIDHANI KARMANGHAT

SAROORNAGAR HYDERABAD Rangareddy Telangana 500058 Hyderabad Hyderabad Andhra Pradesh 500058 HYDERABAD YES

AEGON RELIGARE LIFE

INSURANCE CO. LTD 16/08/2013 16/08/2013 01/05/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9593069 60029924 FGG JAYA RAME GOWDA 14/07/1970

C/O LATHA JAYARAM,OPP TO RELIANCE TOWER,BEHIND SBM

BANK, SPG COLONY TAVEREKERE, MAGADI ROAD, BANGALORE

Bangalore Karnataka 562130 Bangalore Rural Bangalore Rural Karnataka 562130 INDIRA NAGAR NO - 14/08/2013 14/08/2013 13/08/2016

9595326 60029925 FGG CH SATISHKUMAR 15/07/1974

MIG 2/2 3RD PHASE KPHB COLONY KUKATPALLY HYDERABAD

Hyderabad Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 HYDERABAD NO - 16/08/2013 16/08/2013 15/08/2016

9595321 60029926 FGG ANUPAMA SHAILESH SHETTY 28/04/1978

A/31, Sagar Sameep, Near Good Shepherd Church, N Dutta Marg,

4 Bunglows, Andheri (West) Mumbai Maharashtra

400053 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 16/08/2013 16/08/2013 15/08/2016

2228475 60029927 FGG TIWARI MANOJ T. 01/01/1981

GULABI TIWARI NIWAS ANAND GADH PARK SITE VIKHROLI (W)

Mumbai Maharashtra 400079 Mumbai Mumbai Maharashtra 400079 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 22/11/2014 22/11/2014 23/12/2017

5744933 60029928 FGG MANJEET SINGH 15/10/1985

145 Tilak Nagar Mill Gate Near Balak Nath Mandir Hisar Hisar

Haryana 125001 Hisar Hisar Haryana 125001 ROHTAK YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 16/08/2013 16/08/2013 10/09/2015

9596334 60029929 FGG SANTHOSH KUMAR B. 30/05/1980

THEKKEDATHU HOUSE CHERANALOOR ERANAKULAM Ernakulam

Kerala 682034 Ernakulam Ernakulam Kerala 682034 COCHIN NO - 16/08/2013 16/08/2013 15/08/2016

9596390 60029930 FGG ANIL KUMAR SAH 01/06/1989

Ram Krishna Nagar, Sorangpur, Phulwarisarif Patna Patna Bihar

801505 Patna Patna Bihar 801505 PATNA NO - 16/08/2013 16/08/2013 15/08/2016

9596442 60029931 FGG PRIYANKA WARSI 31/01/1986

New colony chitragupt nagar behind vaidhyaniwas kankarbagh

patna patna Patna Bihar 800020 Patna Patna Bihar 800020 PATNA NO - 16/08/2013 16/08/2013 15/08/2016

9596610 60029934 FGG P. KALAISELVAN 15/05/1986

1-86K, 1, Gurukkal Thoppu, Lalgudi Thiruvallur Tamil Nadu

621216 Tiruchirappalli Tiruchirappalli Tamil Nadu 621216 TRICHY NO - 16/08/2013 16/08/2013 15/08/2016

9596608 60029935 FGG POOLOGARAMAN K. 17/10/1984

Old No-5/58, N No-5/62 , Trichy Kudiyana Street Gundur

Tiruchirapalli Tamil Nadu 620007 Tiruchirappalli Tiruchirappalli Tamil Nadu 620007 TRICHY NO - 16/08/2013 16/08/2013 15/08/2016

9596615 60029936 FGG JITENDRA SUMANTLAL MEHTA 14/02/1961

25,AKAKSHGANGA SOC.SEWASHARAM ROAD,BHRUCH

TOWN,BHARUCH NR SWEVASHRAM ROAD BHARUCH Bharuch

Gujarat 392001 Bharuch Bharuch Gujarat 392001 SURAT NO - 16/08/2013 16/08/2013 15/08/2016

9596622 60029937 FGG ANANTH PATNAYAK MAHESH 28/08/1990

10-71,B C COLONY , PENDURTHY VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 531173 Visakhapatnam Visakhapatnam Andhra Pradesh 531173 VIZAG NO - 16/08/2013 16/08/2013 15/08/2016

9596636 60029938 FGG DHARM PAL 01/01/1976

VILL-DHURA,THE-DHURI, DISTT-SANGRUR DHURI Sangrur

Punjab 148101 Sangrur Sangrur Punjab 148101 PATIALA NO - 16/08/2013 16/08/2013 15/08/2016

9596635 60029939 FGG SUNITA .. 13/05/1983

H NO 50, VILL SHAHPUR MEHLANWALI TEH JAGADHARI DIST

YAMUNANAGAR Yamunanagar Haryana 133103 Yamunanagar Yamunanagar Haryana 133103 PATIALA NO - 16/08/2013 16/08/2013 15/08/2016

9596668 60029941 FGG ARTI GOEL 20/08/1984

HOUSE NO 415 PHASE-2, RAMDARBAR COLONY CHANDIGARH

Chandigarh Chandigarh 160002 Chandigarh Chandigarh Chandigarh 160002 CHANDIGARH NO - 16/08/2013 16/08/2013 15/08/2016

9596733 60029942 FGG PUJA GARG 15/01/1978

Flat No 5180/2 Modern housing complex mani majra Chandigarh

Chandigarh 160001 Chandigarh Chandigarh Chandigarh 160001 CHANDIGARH NO - 16/08/2013 16/08/2013 15/08/2016

9602635 60029955 FGG UDAYAKUMAR A. 15/05/1976

NO.136,RUKMANI NAGAR,1st STREET, MADURAVOYAL CHENNAI

Chennai Tamil Nadu 600009 Chennai Chennai Tamil Nadu 600009 CHENNAI NO - 20/08/2013 20/08/2013 19/08/2016

8719007 60029960 FGG MANOHAR KHAIRE 17/02/1979

KADAM VASTI, LONI KALBHOR TAL-HAVELI PUNE Pune

Maharashtra 412201 Pune Pune Maharashtra 412201 PUNE NO - 29/09/2014 29/09/2014 24/07/2017

4515027 60029962 FGG VAIBHAV DHUMANE 24/02/1972

`Pearl`, Ashram Road Uruli kanchan, TQ. Haveli Pune Pune

Maharashtra 412202 Pune Pune Maharashtra 412202 PUNE NO - 19/08/2014 19/08/2014 21/08/2017

8588561 60029964 FGG RADHA T. SHANKARRAOTATAVARTI 09/10/1969

D 401, Satellite Garden Adj to vageshwari Mandir off film city rd,

Goregao (E) Mumbai Maharashtra 400001 Mumbai Mumbai Maharashtra 400001 ANDHERI NO - 01/08/2014 01/08/2014 17/04/2017

5394239 60029965 FGG LOKESH V. P. 30/07/1982

25 MARUTHI NILAYA 5TH CROSS 2ND MAIN SUDHAMA NAGAR

Bangalore Karnataka 560027 Bangalore Bangalore Karnataka 560027 BANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/05/2012 19/05/2012 19/05/2015

9617187 60029968 FGG PRAVEEN V KALAGOUDAR 30/05/1978

13 , DEVA SADAN SHETTAR COLONY , NEAR SHANKAR MATH

DHARWAD Dharwad Karnataka 580004 Dharwad Dharwad Karnataka 580004 HUBLI NO - 27/08/2013 27/08/2013 26/08/2016

9617206 60029969 FGG ANANDTEERTH K GUDI 01/06/1955

# D -45 KUMAR PARK , GOKUL ROAD HUBLI Dharwad

Karnataka 580030 Dharwad Dharwad Karnataka 580030 HUBLI NO - 27/08/2013 27/08/2013 26/08/2016

9617508 60029970 FGG AMIT SHARMA 26/12/1979

6, Tope Sher Khania Partly PO Paloura, PS Bakshi Nagar Jammu

Jammu & Kashmir 180002 Jammu Jammu Jammu & Kashmir180002 JAMMU NO - 27/08/2013 27/08/2013 26/08/2016

9620112 60029971 FGG RAJESH DEVI 15/07/1976

H.NO.19 RAM NAGAR POST-OGIPUR ALIGARH Aligarh Uttar

Pradesh 202001 Aligarh Aligarh Uttar Pradesh 202001 LUCKNOW NO - 28/08/2013 28/08/2013 27/08/2016

9618588 60029972 FGG SUNIL DNYANESHWAR BHOSALE 06/05/1987

Room No 43,4th Floor,Pragati CHS , S G Barve Marg, Chembur

Mumbai Mumbai Maharashtra 400071 Mumbai Mumbai Maharashtra 400071 ANDHERI NO - 27/08/2013 27/08/2013 26/08/2016

9620151 60029976 FGG NEENA SHARMA 05/07/1986 Dugo chack Jammu Jammu Jammu Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 28/08/2013 28/08/2013 27/08/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9618697 60029977 FGG JAYADEV V HIREMATH 22/07/1973

H NO 367 MIG, 17TH CROSS, NAVA NAGAR, OPP.GOVERNMENT

HIGH SCHOOL HUBLI Dharwad Karnataka 580025 Dharwad Dharwad Karnataka 580025 HUBLI YES

LIFE INSURANCE

CORPORATION 27/08/2013 27/08/2013 26/08/2016

9620155 60029978 FGG URVI H DALAL 19/06/1993

FLAT NO. 903 9TH FLOOR OMKARSHREE CHS PLOT NO 8 SECTOR

2 CHARKOP KANDIVALI WEST Mumbai Maharashtra

400067 Mumbai Mumbai Maharashtra 400067 PRABHADEVI NO - 28/08/2013 28/08/2013 27/08/2016

9618731 60029979 FGG CHETAN M BEVINAGIDAD 16/07/1982

1ST CROSS VIDYANAGAR BAILHONGAL Belgaum Karnataka

591102 Belgaum Belgaum Karnataka 591102 HUBLI NO - 27/08/2013 27/08/2013 26/08/2016

9620114 60029980 FGG SREEKANTHA REDDY K. R. 25/12/1985

21,2ND ROAD LINGAYITH'S KERI,KALAJANAL VILLAGE & POST,

BHADRAVATHI Shimoga Karnataka 577115 Shimoga Shimoga Karnataka 577115 BANGALORE NO - 28/08/2013 28/08/2013 27/08/2016

9417705 60029981 FGG MILIND RETHAREKAR 10/08/1973

1694/23,OMKAR CHS ABHYUDAYA NAGAR KALACHOWKI

Mumbai Maharashtra 400033 Mumbai Mumbai Maharashtra 400033 ANDHERI YES

LIFE INSURANCE

CORPORATION 28/08/2013 28/08/2013 06/05/2016

9620117 60029982 FGG SRILATHA H B 24/10/1982

970/100 HIG, A K H B COLONY KENGERI SATELLITE TOWN

BANGALORE Bangalore Karnataka 560060 Bangalore Bangalore Karnataka 560060 BANGALORE NO - 28/08/2013 28/08/2013 27/08/2016

9618737 60029983 FGG SATISH KUMAR KADALI 05/04/1990

4-103 VISWESWARAYAPURAM MALIKIPURAM EAST GODAVARI

East Godavari Andhra Pradesh 531111 Visakhapatnam Visakhapatnam Andhra Pradesh 531111 HYDERABAD NO - 27/08/2013 27/08/2013 26/08/2016

9620121 60029984 FGG GANGOTREE SAMANTARAY 28/06/1988

Bhoi Nagar,Kharavela Nagar Bhubaneswar Khurda

BHUBANESHWAR Odisha 751001 Khordha Khordha Odisha 751001 BHUBANESWAR NO - 28/08/2013 28/08/2013 27/08/2016

9618738 60029985 FGG VIJAY KUMAR G. 05/05/1975

S/O GOVINDA SWAMY V, #5, 4TH MAIN ROAD, MARUTHI LAYOUT,

BANGALORE Bangalore Karnataka 560021 Bangalore Bangalore Karnataka 560021 BANGALORE NO - 27/08/2013 27/08/2013 26/08/2016

9620124 60029986 FGG VIJAY SINGH 19/06/1974

H NO 2785, JAWAHAR COLONY VILL-SARAN Faridabad

Haryana 121005 Faridabad Faridabad Haryana 121005 CONNAUGHT PLACENO - 28/08/2013 28/08/2013 27/08/2016

9620172 60029987 FGG MUNISH SHARMA 29/07/1981

H NO 709, WARD NO 59, SURAKSHA VIHAR PALOURA Jammu

Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 28/08/2013 28/08/2013 27/08/2016

9043638 60029988 FGG SUBHASH CHANDER 11/09/1952

G-1/197 A, BLOCK-G1 GOVARDHAN PARK Uttam Nagar Delhi Delhi

110059 West West Delhi 110059 GURGAON YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 28/08/2013 28/08/2013 08/04/2015

9620176 60029989 FGG RASHIDA Z TASKIN 29/08/1984

701, 7th Flr, Crystal Apt 1st Cross Marine Lane Dhobi Talav, Near

Metro Cinema Mumbai Maharashtra 400002 Mumbai Mumbai Maharashtra 400002 FORT NO - 28/08/2013 28/08/2013 27/08/2016

9618740 60029990 FGG VENKATESHWARLU MASHETTY 10/07/1965

5-45 CHANDANAGAR BESIDE MADHURI NURSING HOME

SERILINGAMPALLY LINGAMPALLI K V RANGAREDDY Rangareddy

Telangana 500019 Rangareddi Rangareddi Andhra Pradesh 500019 HYDERABAD NO - 27/08/2013 27/08/2013 26/08/2016

9620131 60029991 FGG MAKSOOD ALI 10/04/1987 # 162 Ward No 11 Pataudi Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 28/08/2013 28/08/2013 27/08/2016

9620134 60029992 FGG RAJNISH SHARMA 15/03/1980

HOUSE NO 237, NR PAHALWAN DI HATTI, LOWER MAST GARH,

LINK ROAD JAMMU Jammu Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 28/08/2013 28/08/2013 27/08/2016

9619901 60029993 FGG RAGHAVENDRA R. 11/02/1981

#64, 8th A Cross, Anjaneya Temple Street, Ittamadagu, BSK 2nd

stage Bangalore Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 28/08/2013 28/08/2013 27/08/2016

3978911 60029994 FGG CHHAGAN LAL 20/07/1989

Chhagan Lal Kesum Blapana Bandena Jodhpur Rajasthan

342005 Jodhpur Jodhpur Rajasthan 342005 JODHPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 19/03/2014 19/03/2014 30/01/2017

9619904 60029995 FGG K L. SAKTHIPRIYA 08/05/1983

4 first Floor A.A.Road CMR Road Near TKD Mahal Madurai

Madurai Tamil Nadu 625001 Madurai Madurai Tamil Nadu 625001 MADURAI NO - 28/08/2013 28/08/2013 27/08/2016

9620212 60029997 FGG ABHISHEK NAGPAL 15/01/1991 271/2 Maya Nagar Ludhiana Ludhiana Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 28/08/2013 28/08/2013 27/08/2016

9519636 60029999 FGG GURPREET SINGH BANGAR 11/05/1994

H No B33 2140 1No 2 New Aman Nagar Jal Bye Pass Ludhiana

Ludhiana Punjab 141008 Ludhiana Ludhiana Punjab 141008 LUDHIANA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/08/2013 28/08/2013 07/07/2016

9620140 60030000 FGG S RAJENDRAN 03/02/1956

N NO 1 17-11-F7, DEPUTY COLLECTORS QUARTERS ROAD

SANKARI TK Salem Tamil Nadu 637301 Salem Salem Tamil Nadu 637301 SALEM NO - 28/08/2013 28/08/2013 27/08/2016

9618797 60030001 FGG CHETHAN M R. 25/10/1987

#52, 14th CROSS, PIPELINE ROAD, SRINIVAS NAGAR, MAGADI

MAIN ROAD, SUNKADAKATTE, BANGALORE Bangalore

Karnataka 560091 Bangalore Bangalore Karnataka 560091 BANGALORE NO - 27/08/2013 27/08/2013 26/08/2016

9620103 60030002 FGG RAMESH EGGETI 12/08/1986

H NO- 4-41/4 JAMMIKUNTA MANDAL MADIPALLI KARIMNAGAR

Karimnagar Telangana 505122 Karimnagar Karimnagar Andhra Pradesh 505122 HYDERABAD NO - 28/08/2013 28/08/2013 27/08/2016

4836694 60030003 FGG M. KARTHIKEYAN 05/05/1973

2,3,79 KARAYANPATTI WARD 2 ALAGAPURI Madurai Tamil

Nadu 625501 Madurai Madurai Tamil Nadu 625501 MADURAI YES

LIFE INSURANCE

CORPORATION 17/12/2014 17/12/2014 17/11/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8493434 60030004 FGG RAMESH BHAGCHANDANI 25/05/1977

3-K-16, MADHUVAN HOU BOARD, JODHPUR Jodhpur

Rajasthan 342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 14/03/2014 14/03/2014 01/02/2017

9620073 60030005 FGG PARTHA BANDOPADHYAY 15/11/1974

VILL ICHAPUR, PO GOPINAGAR PS DHANIAKHALI DIST HOOGHLY

Hugli West Bengal 712402 Hugli Hugli West Bengal 712402 DURGAPUR NO - 28/08/2013 28/08/2013 27/08/2016

9619940 60030006 FGG PARTH VINOD THAKKAR 18/02/1995

B-601 Pratik Corner, Plot No.49 Sector # 8/A, Airoli, Navi Mumbai

Thane Maharashtra 400708 Thane Thane Maharashtra 400708 FORT NO - 28/08/2013 28/08/2013 27/08/2016

9619954 60030007 FGG SNIGDHA PAUL 07/04/1982

SUBHASH PALLY, BUDBUD, BURDWAN Burdwan West

Bengal 713403 Barddhaman Barddhaman West Bengal 713403 DURGAPUR NO - 28/08/2013 28/08/2013 27/08/2016

9423558 60030008 FGG PARDEEP KUMAR 05/09/1990

VPO DAHAR TEH. PANIPAT DISTT. PANIPAT Panipat Haryana

132103 Panipat Panipat Haryana 132103 ROHTAK YES

RELIANCE LIFE

INSURANCE 28/08/2013 28/08/2013 14/05/2016

8056509 60030009 FGG YOGESH GHANSHYAM GACHKESHWAR 27/11/1975

309-A Prem Trade Centar Indore Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452009 INDORE YES BIRLA SUN LIFE 28/08/2013 28/08/2013 11/04/2016

9620048 60030011 FGG RAMAKRISHNA GOMPA 08/08/1985

11-80, GORLIVANIPALEM, SABBAVARAM Visakhapatnam Andhra

Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 28/08/2013 28/08/2013 27/08/2016

9619997 60030013 FGG BADAL CH DAS 16/10/1975

SHRINAGAR PALLY, PO DURGAPUR, DIST BURDWAN Burdwan

West Bengal 713213 Barddhaman Barddhaman West Bengal 713213 DURGAPUR NO - 28/08/2013 28/08/2013 27/08/2016

9620146 60030014 FGG REJIEV C 27/01/1965

THEKKE CHANDUVARATH , MUKKATTUKKARA , P.O. NETHISSERY

THRISSUR Thrissur Kerala 680657 Thrissur Thrissur Kerala 680657 THRISSUR NO - 28/08/2013 28/08/2013 27/08/2016

9620150 60030015 FGG RAVICHANDRAN R 26/05/1970

2/854, MAHALAKSHMI NAGAR, NARANAPURAM, PALLADAM

Coimbatore Tamil Nadu 641664 Coimbatore Coimbatore Tamil Nadu 641664 COIMBATORE NO - 28/08/2013 28/08/2013 27/08/2016

9620178 60030016 FGG RADHIKA PRATIK GORASIYA 15/11/1986

BHARAT SMRUTI 8-RAMKRISHNA NAGAR, NR. VIDYANAGAR ROAD

RAJKOT Rajkot Gujarat 360002 Rajkot Rajkot Gujarat 360002 RAJKOT YES

Edelweiss Tokio Life

Insurance Company

Limited 28/08/2013 28/08/2013 27/08/2016

8261793 60030022 FGG VIVEK KHURANA 12/01/1990

3369 SEC 23 D CHANDIGARH Chandigarh Chandigarh

160023 Chandigarh Chandigarh Chandigarh 160023 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 06/11/2013 06/11/2013 31/08/2016

9618607 60030027 FGG KAMAL SINGH 10/06/1980

VILL GAGORE, PO VIJAYPUR TEH AND DIST SAMBA, JAMMU

Jammu Jammu & Kashmir 184120 Kathua Kathua Jammu & Kashmir184120 JAMMU NO - 27/08/2013 27/08/2013 26/08/2016

5241214 60030048 FGG MANJUNATH CHALLA AMIN 10/01/1969

C/06, 1/3, NEW AUDHUT CHS LTD., SEC-07, SANPADA NAVI

MUMBAI Thane Maharashtra 400705 Thane Thane Maharashtra 400705 GHATKOPAR YES

BaJAJ ALLIANZ LIFE

INSURANCE 04/03/2015 04/03/2015 12/03/2018

8588708 60030049 FGG RATNESH KUMAR JAIN 01/09/1966

HOUSE NO 242/3 YAHIYAGANJ BARTAN BAZAR LUCKNOW

LUCKNOW Lucknow Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 13/05/2014 13/05/2014 18/04/2017

9636740 60030128 FGG OM PRAKASH 07/12/1985

H NO 4/2389, GALI NO 11, BIHARI COLONY, SHADHARA Delhi

Delhi 110032 East East Delhi 110032 CONNAUGHT PLACENO - 03/09/2013 03/09/2013 02/09/2016

9640476 60030179 FGG ANGAD SINGH 02/01/1995

MATHUR BUILDING PANDARIBA, CHARBAGH LUCKNOW Lucknow

Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/09/2013 05/09/2013 04/09/2016

9641093 60030180 FGG G. SARAVANAPANDIAN 25/05/1983

142, SEMPATTY, PATCHMALATANKOTTAI NILAKKOTTAI TK

DINDIGUL DIST Dindigul Tamil Nadu 624001 Dindigul Dindigul Tamil Nadu 624001 MADURAI NO - 06/09/2013 06/09/2013 05/09/2016

9175345 60030181 FGG VENNIGALA AVINASH 06/07/1994

H NO 56 IST B MAIN ROAD YELAHANKA NEW TOWN Bangalore

Karnataka 560064 Bangalore Bangalore Karnataka 560064 R.T.NAGAR YES

LIFE INSURANCE

CORPORATION 06/09/2013 06/09/2013 09/09/2015

9641197 60030182 FGG S MOSES PERRY 01/10/1975

NO 162, INFANT NILAYA VIJANAPURA R R LAYOUT, BAGALORE

EAST, BANGALORE Bangalore Karnataka 560016 Bangalore Bangalore Karnataka 560016 INDIRA NAGAR NO - 06/09/2013 06/09/2013 05/09/2016

9641259 60030183 FGG N. AMBARISH 05/05/1984

S/O NAGARAJ, # 156 VINAYAKA NAGAR IMMADIHALLI,

BANGALORE Bangalore Karnataka 560066 Bangalore Bangalore Karnataka 560066 INDIRA NAGAR NO - 06/09/2013 06/09/2013 05/09/2016

8474409 60030184 FGG NIRMALA M K. 16/04/1984

# 365, 7th CROSS, WEAVERS COLONY, BANNERUGATTA ROAD,

GOTTIGERE (PO), BANGALORE Bangalore Karnataka

560083 Bangalore Bangalore Karnataka 560001 BANGALORE YES

LIFE INSURANCE

CORPORATION 24/09/2014 24/09/2014 20/01/2017

9641401 60030185 FGG SUJATHA A M. 25/06/1986

30, 1ST FLOOR, 2ND MAIN ROAD, KALYAN NAGAR, MOODAPALYA,

BANGALORE Bangalore Karnataka 560072 Bangalore Bangalore Karnataka 560072 R.T.NAGAR NO - 06/09/2013 06/09/2013 05/09/2016

9641500 60030186 FGG GIRISHA K. 16/01/1974

# 8 PRASANNA HEM NIVAS,RAMAIAH LYT, HOYSALA

NAGAR,SECOND MAIN, BANGALORE Bangalore Karnataka

560016 Bangalore Bangalore Karnataka 560016 INDIRA NAGAR YES

LIFE INSURANCE

CORPORATION 06/09/2013 06/09/2013 05/09/2016

9641520 60030187 FGG C. T. MANJUNATH 15/04/1981

# 20-2, 17TH MAIN ROAD, MUNESHAWARA BLOCK BANGALORE

Bangalore Karnataka 560026 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 06/09/2013 06/09/2013 05/09/2016

9489661 60030190 FGG DHANANJAYA B A. 18/06/1982

NO 83, BELAGIHALLI, CHANNARAYANA PATNA TALUK Hassan

Karnataka 573124 Hassan Hassan Karnataka 573124 BANGALORE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 06/09/2013 06/09/2013 25/06/2016

9642010 60030191 FGG DHARMA RAJU GANTANA 08/06/1985

HOUSE NO 2-50-12, KONDA PETA WARD 2 VISHAKHAPATNAM

Visakhapatnam Andhra Pradesh 531162 Visakhapatnam Visakhapatnam Andhra Pradesh 531162 VIZAG NO - 06/09/2013 06/09/2013 05/09/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9642251 60030192 FGG SHYLAJA S L. 10/06/1986

186, 8TH CROSS BASAVANAPURA MAIN ROAD, BACHAPPA

LAYOUT BANGALORE NORTH KRISHNARAJAPURAM Bangalore

Karnataka 560036 Bangalore Bangalore Karnataka 560036 R.T.NAGAR NO - 06/09/2013 06/09/2013 05/09/2016

9642309 60030193 FGG RINKAL .. 04/08/1992

H No 531, Inderpuri Mohalla Palwal Faridabad Haryana

121102 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 06/09/2013 06/09/2013 05/09/2016

9507751 60030194 FGG RAJU RAVINDER 08/05/1985

4-87/56 ALGUNUR THIMMAPUR Karimnagar Telangana

505527 Karimnagar Karimnagar Andhra Pradesh 505527 HYDERABAD YES

SBI LIFE INSURANCE

COMPANY LIMITED 06/09/2013 06/09/2013 29/06/2016

9328564 60030195 FGG M. D. RATHOD 14/05/1989

D.I.J.J.PARK SOCY OPP:S R P CAMP KAPADVANJ RD,NADIAD

Kheda Gujarat 387001 Kheda Kheda Gujarat 387001 NADIAD YES

LIFE INSURANCE

CORPORATION 06/09/2013 06/09/2013 15/02/2016

9306546 60030196 FGG MAHADEO LAXMAN SONONE 30/12/1968

AT POST PAPADE VASTI THURSUNGI TAL HAWELI PUNE Pune

Maharashtra 412308 Pune Pune Maharashtra 412308 PUNE YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 06/09/2013 06/09/2013 23/01/2016

9646785 60030223 FGG HARIDWARI LAL 07/01/1985

KH-8/24 I block Gali no 4 Swaroop Nagar Delhi Delhi Delhi

110002 CENTRAL CENTRAL Delhi 110002 NOIDA NO - 10/09/2013 10/09/2013 09/09/2016

9646801 60030224 FGG ADITYA KUMAR SHARMA 03/08/1981

28 A, India Moon City Anisha Khan II Indirapura Ghaziabad

Uttar Pradesh 201002 Ghaziabad Ghaziabad Uttar Pradesh 201002 NOIDA NO - 10/09/2013 10/09/2013 09/09/2016

8628284 60030252 FGG SHAH ZILMIL PRANAV 07/10/1976

82 Suvarnapuri Soc Jetalpur Road Vadodara Gujarat

390007 Vadodara Vadodara Gujarat 390007 BARODA YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 18/03/2014 18/03/2014 29/05/2017

2551407 60030254 FGG NEENA RANI SHARMA 23/03/1969

H.No. 30, Type 3, Sec. V Naya Nangal, Ropar, Rupnagar Punjab

140126 Rupnagar Rupnagar Punjab 140126 HOSHIARPUR YES

LIFE INSURANCE

CORPORATION 11/09/2013 11/09/2013 23/08/2015

2109778 60030255 FGG RAJESH THAWARMAL JANGID 01/05/1973

55,MANAV MANDIR SOCIETY, B/H VETERNARY

COLLEGE,SEMINARY HILL NAGPUR Nagpur Maharashtra

440013 Nagpur Nagpur Maharashtra 440013 NAGPUR YES

LIFE INSURANCE

CORPORATION 04/07/2014 04/07/2014 22/09/2017

9652752 60030256 FGG HIMRIKA SRINIVASARAO 20/06/1977

53-22-21 CHAITANYA NAGAR, MADDILAPALEM

VISHAKHAPATNAM Visakhapatnam Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 13/09/2013 13/09/2013 12/09/2016

9460525 60030257 FGG MOHMMAD ISHRAK KHAN 30/11/1979

511 Bldg 3 Sra Project At Cts Wo 90 91 96 107 Power Bhandup

Mumbai Maharashtra 400078 Mumbai Mumbai Maharashtra 400078 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/09/2013 13/09/2013 12/06/2016

9451789 60030262 FGG PRAKASH GUPTA 26/08/1984

87-B SHILP COLONY JHOTWARA Jaipur Rajasthan

302012 Jaipur Jaipur Rajasthan 302012 JAIPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 13/09/2013 13/09/2013 07/06/2016

8464031 60030263 FGG TREENA ROY 03/03/1979

201,GAURAV SADAN,1ST CROSS, MANORAYANAPALYA,RT NAGAR,

BANGALORE Bangalore Karnataka 560094 Bangalore Bangalore Karnataka 560094 BANGALORE YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 04/02/2014 04/02/2014 12/01/2017

9653467 60030266 FGG S. BETHARAJA 15/06/1980

5, SARANANA STREET, GANAPATHY NAGAR, VILLAPURAM,

MADURAI Madurai Tamil Nadu 625001 Madurai Madurai Tamil Nadu 625001 MADURAI NO - 13/09/2013 13/09/2013 12/09/2016

9653522 60030267 FGG SURESH M SARVI 04/02/1981

H.NO.29 , VIVEKANAND NAGAR NEAR GOVT SCHOOL NO-16

GADAG Gadag Karnataka 582101 Gadag Gadag Karnataka 582101 HUBLI NO - 13/09/2013 13/09/2013 12/09/2016

9653647 60030269 FGG PANUGULLA MALLESHAM 16/04/1989

HNO-2-30 TAALLA VELLEMLA BCSTHRULU NALGONDA

NALGONDA Nalgonda Telangana 508001 Nalgonda Nalgonda Andhra Pradesh 508001 DILSUKHNAGAR NO - 13/09/2013 13/09/2013 12/09/2016

9653696 60030270 FGG S. BALAVENKATESH 01/05/1975

27-2 VEERAPULAVAR COLONY WARD 6 NAGANKULAM Madurai

Tamil Nadu 625007 Madurai Madurai Tamil Nadu 625007 MADURAI NO - 13/09/2013 13/09/2013 12/09/2016

9653713 60030272 FGG SILAMBARASAN K. 07/02/1986

149 Mettu Theru Bethaniapuram Madurai Madurai Tamil

Nadu 625016 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 13/09/2013 13/09/2013 12/09/2016

9658559 60030307 FGG JAMSHEER .. 15/01/1987

EDAKKAT THAZHE PARAMBA HOUSE KALLAI(PO) KALLAI

Kozhikode Kerala 673011 Kozhikode Kozhikode Kerala 673011 CALICUT NO - 17/09/2013 17/09/2013 16/09/2016

9658646 60030312 FGG T HARI PRASAD 25/11/1972

2-2-647/164/2 CENTRAL EXCISE COLONY BAGH AMBERPET NEW

NALLAKUNTA HYDERABAD Hyderabad Telangana 500013 Hyderabad Hyderabad Andhra Pradesh 500013 HYDERABAD NO - 17/09/2013 17/09/2013 16/09/2016

9658689 60030316 FGG K. CHANDANA 04/03/1989

H No 3-2-41/A/B, Nimboliadda Kachiguda Hyderabad Hyderabad

Telangana 500027 Hyderabad Hyderabad Telangana 500027 HYDERABAD NO - 17/09/2013 17/09/2013 16/09/2016

9658739 60030317 FGG RASHMI .. 10/04/1985

1034/1,13TH A TRUMALAMBA ROAD BASAVANGUDI RURAL

BANGALORE Bangalore Karnataka 560019 Bangalore Bangalore Karnataka 560019 BANGALORE NO - 17/09/2013 17/09/2013 16/09/2016

9661098 60030333 FGG K. PRASAD 11/06/1979

483/2,LAKSHAMAMMA LAYOUT, BANASVADI,WEST RURAL,

BANGALORE Bangalore Karnataka 560043 Bangalore Bangalore Karnataka 560043 BANGALORE NO - 18/09/2013 18/09/2013 17/09/2016

2612218 60030337 FGG MEGHNA TEJAS HAKANI 13/05/1981

604 kasturi apartment Babaubhai vashi road vile parle (w)

Mumbai Mumbai Maharashtra 400056 Mumbai Mumbai Maharashtra 400056 ANDHERI YES

LIFE INSURANCE

CORPORATION 09/10/2012 09/10/2012 20/09/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9663107 60030357 FGG PRAMOD KUMAR L. 18/03/1992

#35, 2nd Main, 7th Cross, Rangappa Layout, Sir M V Nagar, BSK

3rd stage Bangalore Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 19/09/2013 19/09/2013 18/09/2016

9663152 60030358 FGG SHUBHAM MAHAJAN 23/01/1994

H NO 2064, Sector 20-C Chandigarh Chandigarh Chandigarh

160020 Chandigarh Chandigarh Chandigarh 160020 JALANDHAR NO - 19/09/2013 19/09/2013 18/09/2016

9663214 60030361 FGG PARSHANT .. 23/07/1985

Hno. 64/307 Mohalla Gandhi Nagar Wno. 2 Tehsil Pathankot

Gurdaspur Punjab 145001 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR NO - 19/09/2013 19/09/2013 18/09/2016

9663671 60030364 FGG MANOHAR MURTHY NEMMANI 13/05/1973

H NO 4 3 35, QUTHBULLAPUR RANGAREDDY Rangareddy

Telangana 500054 Rangareddi Rangareddi Andhra Pradesh 500054 HYDERABAD NO - 19/09/2013 19/09/2013 18/09/2016

9663955 60030369 FGG SANDEEP C MISHRA 01/06/1984

ROOM NO 4, MISHRA CHAWL, OPP TRIVENI BLDG, RAJENDRA

NAGAR, DATTAPADA ROAD, BORIVALI Mumbai

Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 BORIVALI NO - 19/09/2013 19/09/2013 18/09/2016

9664568 60030372 FGG GANGARAJU N. 30/07/1983

# 65 PEDDATHUNKEPALLI BAGEPALLI, CHIKKABALAPURA

Bangalore Karnataka 561207 Chikkabalapura Bangalore Karnataka 561207 INDIRA NAGAR NO - 19/09/2013 19/09/2013 18/09/2016

9664642 60030376 FGG RASHMI K. 01/11/1987

24/A, 2nd Main, VINAYAKA NAGAR,KAMAKSHIPALYA Bangalore

Bangalore Karnataka 560079 Bangalore Bangalore Karnataka 560079 BANGALORE NO - 19/09/2013 19/09/2013 18/09/2016

9665374 60030384 FGG KANHIYA LAHIRI 01/04/1990 8 FF Khirki Village Delhi Delhi Delhi 110011 New Delhi New Delhi Delhi 110011 NOIDA NO - 20/09/2013 20/09/2013 19/09/2016

9665497 60030386 FGG DHEERAJ BHARGAVA 04/11/1970 861/32 ALWAR GATE AJMER Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 20/09/2013 20/09/2013 19/09/2016

9665551 60030388 FGG LALITHAMMA .. 10/08/1983

15, 4TH CROSS, MUNESHWARA BLOCK P G HALLI BANGALORE

Bangalore Karnataka 560003 Bangalore Rural Bangalore Rural Karnataka 562123 BANGALORE NO - 20/09/2013 20/09/2013 19/09/2016

9665882 60030391 FGG SIKANDER SINGH 05/04/1977

H.No 21 Village Fagla Ludhiana Ludhiana Punjab

142027 Ludhiana Ludhiana Punjab 142027 LUDHIANA NO - 20/09/2013 20/09/2013 19/09/2016

3088304 60030392 FGG SAVITA SRIVASTAVA 24/07/1982

A-283 SARASWATI NAGAR BASNI 1ST PHASE Jodhpur

Rajasthan 342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 20/09/2013 20/09/2013 02/03/2016

3056932 60030394 FGG DAULAT .. 01/07/1983

4 A19 PRATAP NAGAR JODHPUR Jodhpur Rajasthan

342001 Jodhpur Jodhpur Rajasthan 342004 JODHPUR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 20/09/2013 20/09/2013 23/02/2016

9666091 60030396 FGG SUDHEER KUMAR CHENEMILLA 10/07/1973

14-76, P AND T COLONY, DILSUKHNAGAR Rangareddy Telangana

500008 Hyderabad Hyderabad Andhra Pradesh 500008 HIMAYATHNAGAR NO - 20/09/2013 20/09/2013 19/09/2016

9666991 60030399 FGG NADUPARAMBIL GOPINATHAN PRIYAM 30/05/1978

NADUPARAMBIL , KANIMANGALAM , KOORKENCHERY G.P.

THRISSUR Thrissur Kerala 680027 Thrissur Thrissur Kerala 680027 THRISSUR NO - 20/09/2013 20/09/2013 19/09/2016

9667021 60030402 FGG MATHIYAZHAGAN M. 10/07/1977

16 A, MIDDLE STREET, METTUPALAYAM MUSIRI TK TRICHY

Tiruchirapalli Tamil Nadu 621214 Tiruchirappalli Tiruchirappalli Tamil Nadu 621214 TRICHY YES

METLIFE INDIA

INSURANCE CO. PVT. LTD 20/09/2013 20/09/2013 19/09/2016

9671111 60030413 FGG NIKHIL VISWANATH T. 30/05/1985

217 B THIRUVONAM THIRUVONAM Kozhikode Kerala

673002 Kozhikode Kozhikode Kerala 673002 CALICUT NO - 23/09/2013 23/09/2013 22/09/2016

9671593 60030416 FGG BUDHELIYA SANGITA H. 30/10/1982

P. NO. 4830, 328 LIG PRAGATINAGAR, BHARATBAGAR

BHAVNAGAR Bhavnagar Gujarat 364002 Bhavnagar Bhavnagar Gujarat 364002 BHAVNAGAR NO - 23/09/2013 23/09/2013 22/09/2016

9153593 60030418 FGG AKANKSHA GAUR 09/12/1988

1332 Lig Avas Vikas 3 Kalyanpur Kanpur Nagar Uttar Pradesh

208017 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208017 KANPUR YES BIRLA SUN LIFE 23/09/2013 23/09/2013 20/08/2015

9525521 60030420 FGG RATHANCHANDRA .. 07/05/1989

SRIDEVI NILAY KUNDAPUR UDUPI KHOTHAKERI KHONI

KUNDAPUR UDUPI Udupi Karnataka 576101 Bangalore Bangalore Karnataka 560061 BANGALORE YES

LIFE INSURANCE

CORPORATION 23/09/2013 23/09/2013 10/07/2016

8831959 60030423 FGG JYOTI BHATIA 02/05/1982

H.no- 1041 Street no-6, bal singh nagar basti jodhewal Ludhiana

Ludhiana Punjab 141007 Gurdaspur Gurdaspur Punjab 143505 LUDHIANA YES

SBI LIFE INSURANCE

COMPANY LIMITED 13/11/2014 13/11/2014 22/09/2017

9437980 60030425 FGG UMA VIJAYA RAO 12/05/1982

H No 5 11 1953 1Durga House Kambla Cross Kodae Cbail

Mangalore Darshina Kannada Mangalore Karnataka

575003 Dakshina Kannada Dakshina Kannada Karnataka 575003 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/09/2013 23/09/2013 28/05/2016

9531296 60030427 FGG SABEENA .. 01/08/1988

H No 2 73 Parenkly Begthangadi Belthangadi Manglore

Mangalore Karnataka 574224 Dakshina Kannada Dakshina Kannada Karnataka 574224 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/09/2013 23/09/2013 14/07/2016

9671807 60030429 FGG SHAJU K A. 22/02/1986

Kakkatt Adakkaparambil, TANULAR MALAPPUARM Malappuram

Kerala 673314 Malappuram Malappuram Kerala 673314 CALICUT NO - 23/09/2013 23/09/2013 22/09/2016

9673773 60030454 FGG RUCHI BHALLA 20/09/1983

B 47 SECTOR 27 NOIDA GAUTAM BUDH NAGAR Gautam Buddha

Nagar Uttar Pradesh 201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 CONNAUGHT PLACENO - 24/09/2013 24/09/2013 23/09/2016

9674801 60030457 FGG MOOKAN RAVINDRAN 16/10/1985

O no B 41 New no 4/41 kattabomman street dheeran nagar

Trichy Tiruchirapalli Tamil Nadu 620009 Tiruchirappalli Tiruchirappalli Tamil Nadu 620009 TRICHY NO - 24/09/2013 24/09/2013 23/09/2016

3100202 60030458 FGG TILAK RAJ 14/05/1974

GADI GARH, R.S. PURA, JAMMU, Jammu Jammu & Kashmir

181101 Jammu Jammu Jammu & Kashmir181101 JAMMU YES

SBI LIFE INSURANCE

COMPANY LIMITED 24/09/2013 24/09/2013 05/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9675747 60030462 FGG R. SUNDARABHARATHI 04/04/1990

NO 2/31A, KOOLAYAPURAM II STREET MADURAI ROAD Madurai

Tamil Nadu 625706 Madurai Madurai Tamil Nadu 625706 MADURAI NO - 25/09/2013 25/09/2013 24/09/2016

9675886 60030464 FGG RAJAMOHAN M R S. 02/07/1975

N no 1/343 Seegampatti bhrathiyar nagar seegampatti

manaparai TRICHY Tiruchirapalli Tamil Nadu 621312 Pudukkottai Pudukkottai Tamil Nadu 621312 TRICHY NO - 25/09/2013 25/09/2013 24/09/2016

9675998 60030465 FGG CHELLIAH BAULDURAI 21/01/1966

421, MAIN ROAD ITTAMOZHY PUTHUR NANGUNERI Tirunelveli

Tamil Nadu 627652 Tirunelveli Tirunelveli Tamil Nadu 627356 MADURAI NO - 25/09/2013 25/09/2013 24/09/2016

9676079 60030466 FGG SIDDHARTH SHROFF 30/01/1976

14, SEAVIEW CHS, 5TH FLOOR, 185, DOONGERSHI ROAD, MALBAR

HILL Mumbai Maharashtra 400006 Mumbai Mumbai Maharashtra 400006 FORT YES

HDFC STD LIFE

INSURANCE CO. LTD. 25/09/2013 25/09/2013 24/09/2016

9676143 60030467 FGG MANU MEHTA 25/03/1986

117, CHETAK CIRCLE, UDAIPUR Udaipur Rajasthan

313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 25/09/2013 25/09/2013 24/09/2016

5591424 60030483 FGG SONIA .. 12/09/1983 20 CHANDER LANE ROAD HISAR Hisar Haryana 125001 Hisar Hisar Haryana 125001 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/09/2013 26/09/2013 22/07/2015

6053008 60030485 FGG NAMDEV SUDAM JAGTAP 17/05/1984

A/P, dhalewadi tal-purandhar dist.pune PUNE Pune

Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE YES

LIFE INSURANCE

CORPORATION 26/09/2013 26/09/2013 11/02/2016

9679498 60030486 FGG BHAVINKUMAR N PATEL 31/08/1990

26, Gayatri Krupa Society, Opp Vallabh Nagar Nadiad Nadiad

Kheda Gujarat 387002 Kheda Kheda Gujarat 387002 NADIAD NO - 26/09/2013 26/09/2013 25/09/2016

2414899 60030487 FGG PREM KUMAR 01/04/1984

A-BLOCK, Q. NO-6 REFUJI COLONY JAMSHEDPUR Purbi Singhbhum

Jharkhand 831001 Purbi Singhbhum Purbi Singhbhum Jharkhand 831001 JAMSHEDPUR YES

LIFE INSURANCE

CORPORATION 26/09/2013 26/09/2013 15/05/2015

9436276 60030489 FGG AMRATH C RAO P. 26/03/1989

H No 1 86 Shree Devi Basavanagudi Belthangady Dakshina

Kannada Karnataka 574233 Dakshina Kannada Dakshina Kannada Karnataka 574233 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/09/2013 26/09/2013 27/05/2016

9679719 60030490 FGG RAJ KAMAL 07/12/1992

218, VILL INDACHHOI, TEH TOHANA FATEHABAD Fatehabad

Haryana 125120 Fatehabad Fatehabad Haryana 125120 ROHTAK NO - 26/09/2013 26/09/2013 25/09/2016

9679790 60030492 FGG RAMESH KUMAR 25/07/1991 VPO Juglan, Hissar Hissar Hisar Haryana 125001 Hisar Hisar Haryana 125001 ROHTAK NO - 26/09/2013 26/09/2013 25/09/2016

9679973 60030494 FGG VIVEK KUMAR SINGH 24/02/1994

Falt No 3, Old D/s Flat, Cable Town, Jamshedpur Golmuri Purbi

Singhbhum Jharkhand 831003 Purbi Singhbhum Purbi Singhbhum Jharkhand 831003 JAMSHEDPUR NO - 26/09/2013 26/09/2013 25/09/2016

9395715 60030495 FGG AJAY MAHAJAN 06/03/1970 H. NO.-2032 RANI BAGH DELHI Delhi Delhi 110034 North West North West Delhi 110034 WEST DELHI YES

LIFE INSURANCE

CORPORATION 26/09/2013 26/09/2013 05/04/2016

9680085 60030496 FGG H. M. SHALINI 19/05/1975

#193 4TH CROSS,7TH MAIN,RPC LAYOUT, VIJAYANAGAR 2ND

STAGE Bangalore Karnataka 560040 Bangalore Bangalore Karnataka 560040 BANGALORE NO - 26/09/2013 26/09/2013 25/09/2016

9682371 60030498 FGG DINAKAR .. 17/03/1980

#498, 4TH MAIN,4TH CROSS,2ND STAGE,9TH BLOCK

NAGARABHAVI Bangalore Karnataka 560072 Bangalore Bangalore Karnataka 560072 BANGALORE NO - 27/09/2013 27/09/2013 26/09/2016

9680156 60030499 FGG DEVENDRA .. 05/09/1986

D-158, Ganga Vihar, Near Ganga Public School, Delhi Delhi Delhi

110094 North East North East Delhi 110094 WEST DELHI NO - 26/09/2013 26/09/2013 25/09/2016

9682318 60030509 FGG PREETI PATIL 16/08/1980

#02/64/08 15TH B CROSS,MUTHYAL NAGAR,OPP J P PARK BACK

GATE BANGALORE Bangalore Karnataka 560054 Bangalore Bangalore Karnataka 560054 BANGALORE NO - 27/09/2013 27/09/2013 26/09/2016

9682356 60030510 FGG SHIVA KIRAN 03/01/1973

39/46 4TH BLOCK,4TH STAGE,2ND MAIN, AD DASARAHALLI

Bangalore Karnataka 560079 Bangalore Bangalore Karnataka 560079 BANGALORE NO - 27/09/2013 27/09/2013 26/09/2016

9489406 60030513 FGG AMJAD BAIG MOGAL 19/04/1985

H NO-8-1-143/1/C, HAKEEMSHA COLONY, HYDERABAD

Hyderabad Telangana 500028 Hyderabad Hyderabad Andhra Pradesh 500028 HYDERABAD YES BIRLA SUN LIFE 27/09/2013 27/09/2013 25/06/2016

9682599 60030514 FGG NANDINI MADAAN 26/02/1980

HNO-64 NIRANKARI COLONY F G C ROAD AMRITSAR Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 27/09/2013 27/09/2013 26/09/2016

9670607 60030515 FGG SANDEEP VARMA 27/06/1976

106 B GUNROCK ENCLAVE SECUNDERABAD SECUNDERABAD

Hyderabad Telangana 500009 Hyderabad Hyderabad Andhra Pradesh 500009 CHENNAI NO - 23/09/2013 23/09/2013 22/09/2016

8877825 60030522 FGG ASHOK BABU SANDIPAMU 02/05/1982

PLOT NO-18, MASEED BANDA, NEAR UNIVERSAL MOTERS,

KONDAPUR, RANGAREDDY. Rangareddy Telangana 501401 Rangareddi Rangareddi Andhra Pradesh 501401 HYDERABAD YES

LIFE INSURANCE

CORPORATION 14/08/2014 14/08/2014 13/10/2017

9685274 60030523 FGG RAMYA SANTHANAM 22/08/1980

C-13,VEMBULI APRTS OLD NO.10, NEW NO.43, SOUTH LOCK

STREET KOTTUR Chennai Tamil Nadu 600085 Chennai Chennai Tamil Nadu 600085 CHENNAI NO - 27/09/2013 27/09/2013 26/09/2016

9685358 60030526 FGG NILIMA ARVIND RASKAR 09/03/1978

26 Sai Plaza Khandala Village Satara Satara Maharashtra

412802 Pune Pune Maharashtra 412802 PUNE NO - 27/09/2013 27/09/2013 26/09/2016

9685408 60030528 FGG RINISH M. 28/01/1986

PAYANGARAMAD HOUSE, PO PUTHUT PALLIKKAL

THENHIPPALAM VIA Malappuram Kerala 673636 Malappuram Malappuram Kerala 673636 CALICUT NO - 27/09/2013 27/09/2013 26/09/2016

9691987 60030539 FGG ROHIT RASTOGI 12/01/1985

402, PREM APARTMENT, J P ROAD, 7 BUBNGLOWS, ANDHERI

WEST Mumbai Maharashtra 400061 Mumbai Mumbai Maharashtra 400061 ANDHERI YES

LIFE INSURANCE

CORPORATION 30/09/2013 30/09/2013 29/09/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9692175 60030542 FGG AVINDERKAUR VIJ 22/11/1988

100 CHAMBHARNALAL GURUNAKRUPA Nagpur

Maharashtra 440017 Nagpur Nagpur Maharashtra 440017 NAGPUR NO - 30/09/2013 30/09/2013 29/09/2016

9693254 60030545 FGG BHUPATHI RAJU ADDEPALLICHENCHU 27/02/1988

H NO- 69-17, RAYACHOTI, WARD NO 66 TO 69, RAYACHOTI(MD),

KADAPA(DIST) Hyderabad Telangana 500002 Hyderabad Hyderabad Andhra Pradesh 500002 HYDERABAD NO - 30/09/2013 30/09/2013 29/09/2016

9693512 60030546 FGG BHUPENDRA SINGH 20/12/1979

32, Malasadar School ke Samne ki Basti, Ward 24, Teh

Jhalrapatan, Dist Jhalawar Jhalawar Rajasthan 326001 Jhalawar Jhalawar Rajasthan 326001 AJMER NO - 30/09/2013 30/09/2013 29/09/2016

9693788 60030550 FGG PATEL NILESHKUMAR V 01/01/1973

42 GANDHI GUNJ AT & TAL BORSAD BORSAD Anand Gujarat

388540 Anand Anand Gujarat 388540 ANAND NO - 30/09/2013 30/09/2013 29/09/2016

9693869 60030554 FGG RAMESH BAJANTHRI 30/06/1984

S/O SANGANNA MUDDEBIHAL BIJAPUR Bijapur Karnataka

586101 Bijapur Bijapur Karnataka 586101 BANGALORE NO - 30/09/2013 30/09/2013 29/09/2016

9694500 60030555 FGG MANI P. 04/03/1980

NO 11 100FEET ROAD BSK 3RD STAGE BANGALORE Bangalore

Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 30/09/2013 30/09/2013 29/09/2016

9699280 60030593 FGG TELLAKUNTLA RADHIKA 06/11/1986

H NO- 7-1-71, BRAHMANAWADA, SAI NAGAR, BALASAMUDRAM,

HANUMA KONDA, WARANGAL. Warangal Telangana 506001 Warangal Warangal Andhra Pradesh 506001 DILSUKHNAGAR NO - 04/10/2013 04/10/2013 03/10/2016

9694538 60030594 FGG NITESH MOHAN BANSAL 02/09/1984 B9/90, SECTOR 4, ROHINI, NEW DELHI Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI NO - 30/09/2013 30/09/2013 29/09/2016

9699466 60030599 FGG SHASHI GUPTA 31/01/1951

85/3, JDA COLONY, UPPER ROAD NAGAR JAMMU Jammu Jammu

& Kashmir 180013 Jammu Jammu Jammu & Kashmir180013 JAMMU NO - 04/10/2013 04/10/2013 03/10/2016

9705873 60030677 FGG PANHALE SMITA DILEEP 10/08/1992

A/P Nahavi Sandas Po Pimpri Sandas Pune Pune

Maharashtra 411017 Pune Pune Maharashtra 411017 PUNE NO - 10/10/2013 10/10/2013 09/10/2016

9705993 60030682 FGG NARINDER KUMAR BATHLA 11/10/1957

H NO 45, AJAY ENCLAVE EXTN, NEAR RADHASWAMI SATSANG

GHAR Delhi Delhi 110018 West West Delhi 110018 WEST DELHI NO - 10/10/2013 10/10/2013 09/10/2016

9705901 60030683 FGG AHAMED ANSAR V. 05/01/1986

532,VALOOR,6,THALAKKAD PANCHAYATH TIRUR MALAPPURAM

Malappuram Kerala 676551 Malappuram Malappuram Kerala 676551 CALICUT NO - 10/10/2013 10/10/2013 09/10/2016

9706034 60030686 FGG SADIQ M J. 03/03/1990

#17 Kempaiah block, 3rd A main road, J C Nagar BANGALORE

Bangalore Karnataka 560006 Bangalore Bangalore Karnataka 560006 BANGALORE NO - 10/10/2013 10/10/2013 09/10/2016

9699595 60030688 FGG SHREYA SANDEEP KULKARNI 12/09/1979 HOUSE NO 2-9, NYALKAL MEDAK Medak Telangana 502256 Medak Medak Andhra Pradesh 502256 NAGPUR NO - 04/10/2013 04/10/2013 03/10/2016

9706200 60030692 FGG SANJAY RUPANI 15/11/1972

H NO-1, ROAD NO-7, SARITA VIHAR, SONARI, JAMSHEDPUR EAST

SINGHBHUM Purbi Singhbhum Jharkhand 831011 Purbi Singhbhum Purbi Singhbhum Jharkhand 831011 JAMSHEDPUR YES

SBI LIFE INSURANCE

COMPANY LIMITED 10/10/2013 10/10/2013 09/10/2016

9706325 60030695 FGG LENKA SHANKARA RAO 10/05/1992

19, MUTCHERLA ANANDAPURAM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 531173 Visakhapatnam Visakhapatnam Andhra Pradesh 531173 VIZAG NO - 10/10/2013 10/10/2013 09/10/2016

9706488 60030696 FGG VASUDHA TYAGI 11/11/1981 # 175 Sec 15 Jharsha Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 10/10/2013 10/10/2013 09/10/2016

1226398 60030701 FGG S. K. HOSATTI 21/07/1979

MALLAMMA NAGAR MUDHOL BAGALKOT Bagalkot Karnataka

587313 Bagalkot Bagalkot Karnataka 587313 HUBLI YES

LIFE INSURANCE

CORPORATION 08/10/2013 08/10/2013 13/06/2015

557324 60030708 FGG J.SRINIVASA RAO 18/01/1972

plot no 85 saikrupa enclave near satyanarayana colony

ranganreddy Rangareddy Telangana 500008 Hyderabad Hyderabad Andhra Pradesh 500008 SECUNDERABAD YES

LIFE INSURANCE

CORPORATION 30/05/2014 30/05/2014 22/07/2017

1988683 60030709 FGG SUNDEEP KATYAL 12/12/1972

4759 LAPDE SHAW CHOWK JARGOAN LUDHIANA Ludhiana

Punjab 141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 25/04/2014 25/04/2014 29/05/2017

9710237 60030748 FGG T. K. LATHA 20/02/1981

OLD.NO.8, NEW.NO.4 VEERAPANDI NAGAR CHOOLAIMEDU

Chennai Tamil Nadu 600094 Chennai Chennai Tamil Nadu 600094 CHENNAI NO - 14/10/2013 14/10/2013 13/10/2016

9710271 60030749 FGG P. MAHESH 09/05/1983

O.NO.1211, N.NO.6 DTP COLONY,KARUKKU MAIN ROAD

AMBATTUR Chennai Tamil Nadu 600053 CHENNAI CHENNAI Tamil Nadu 600053 CHENNAI NO - 14/10/2013 14/10/2013 13/10/2016

9710425 60030751 FGG GOVIND KUMAR 27/10/1974

S/O POLE KODANDA RAO CMC ROAD TUMKUMAR Tumkur

Karnataka 572101 Tumkur Tumkur Karnataka 572101 BANGALORE NO - 14/10/2013 14/10/2013 13/10/2016

9202732 60030759 FGG FOKRUL ISLAM 01/06/1980

VILL KORDOIGURI PO SUKANPUKHURI SIVASAGAR Sivasagar Assam

785640 Sibsagar Sibsagar Assam 785640 JORHAT YES

SBI LIFE INSURANCE

COMPANY LIMITED 14/10/2013 14/10/2013 02/10/2015

4976674 60030763 FGG HITESH CHANGKAKOTY 01/05/1969

GANAKPATTY PO SIVASAGAR SIVSAGAR Sivasagar Assam

785640 Sibsagar Sibsagar Assam 785640 JORHAT YES

SBI LIFE INSURANCE

COMPANY LIMITED 08/01/2015 08/01/2015 28/12/2017

9710893 60030765 FGG VIJAYA RAMA RAJU G. 29/08/1982

18-493 CO-OP COLONY CHODAVARAM Visakhapatnam Andhra

Pradesh 531036 Visakhapatnam Visakhapatnam Andhra Pradesh 531036 VIZAG NO - 14/10/2013 14/10/2013 13/10/2016

9710898 60030766 FGG CHAITANYA MARUVADA 06/06/1990

D.NO:10-2-1/6,KINGS COURT APARTS SIRIPURAM JN

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 530003 Visakhapatnam Visakhapatnam Andhra Pradesh 530003 VIZAG NO - 14/10/2013 14/10/2013 13/10/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9711063 60030768 FGG RAVAL GITA DIPENDRABHAI 08/06/1977

Morbi Road Opp. Jakat Naka RAJKOT Rajkot Gujarat

360002 Rajkot Rajkot Gujarat 360002 RAJKOT NO - 15/10/2013 15/10/2013 14/10/2016

9710983 60030771 FGG PIYUSH JAIN 26/07/1982

1174, Near Saraswati Hospital, University Road, Udaipur Udaipur

Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 15/10/2013 15/10/2013 14/10/2016

9710231 60030772 FGG AMARJIT SINGH 23/02/1975

1866/B-2, WARD NO.11 CHAUNA CHOWK VILL-PINJORE

Panchkula Haryana 134102 Panchkula Panchkula Haryana 134102 CHANDIGARH NO - 14/10/2013 14/10/2013 13/10/2016

9711152 60030774 FGG DARA JYOTHI 23/11/1970

H NO 3-41-393. PLOT NO-5 LAXMINAGAR COLONY NEAR AOC

GATE PICKET SECUNDERABAD Hyderabad Telangana

500026 Hyderabad Hyderabad Andhra Pradesh 500026 HYDERABAD NO - 15/10/2013 15/10/2013 14/10/2016

9711303 60030775 FGG GAUTAM KUMAR DEKA 10/12/1977

KAHITALI, PO - ANDHERIGHAT PS- SIPAJHAR SIPAJHAR Darrang

Assam 784148 Darrang Darrang Assam 784148 GUWAHATI NO - 15/10/2013 15/10/2013 14/10/2016

9711360 60030776 FGG NILOTPAL DUTTA 20/07/1989

NO. 2 JYOTINAGAR VILL - BARUABARI SONAPUR Kamrup

Assam 782402 KAMRUP KAMRUP Assam 782402 GUWAHATI NO - 15/10/2013 15/10/2013 14/10/2016

9711388 60030778 FGG SUSHIL KUMAR BHAGABATI 01/01/1982

KAITHALKUCHI PO - KAITHALKUCHI PS - BELSAR NALBARI Nalbari

Assam 781370 Nalbari Nalbari Assam 781370 GUWAHATI NO - 15/10/2013 15/10/2013 14/10/2016

9711429 60030781 FGG ANJALI SHARMA 11/08/1985 # 324-A Gali no -6 A Mahipalpur Extn Delhi Delhi 110037 South West South West Delhi 110037 GURGAON NO - 15/10/2013 15/10/2013 14/10/2016

9711487 60030782 FGG JITUMONI HAZARIKA 05/06/1988

HPC QTR # A/54/2, KAGAJNAGAR SONAKUCHI JAGIROAD

Morigaon Assam 782410 Marigaon Marigaon Assam 782410 GUWAHATI NO - 15/10/2013 15/10/2013 14/10/2016

9711542 60030784 FGG NIRANJAN THAKURIA 01/01/1986

C/O RAMESH THAKURIA, CHITRACHAL TEMPLE ROAD SILPUKHURI

GUWAHATI Kamrup Assam 781003 Kamrup Kamrup Assam 781003 GUWAHATI NO - 15/10/2013 15/10/2013 14/10/2016

5265964 60030785 FGG RUPAK KUMAR BORDOLOI 01/05/1974

HABIBARANGABARI MORIGAON MORIGAON Morigaon Assam

782103 Nagaon Nagaon Assam 782103 GUWAHATI YES

LIFE INSURANCE

CORPORATION 24/02/2015 24/02/2015 18/03/2018

9713149 60030804 FGG FRANCIS WILLIAM 07/11/1983

25/E, Fathima nagar, Krishngiri Krishngiri Krishnagiri Tamil

Nadu 635001 Dharmapuri Dharmapuri Tamil Nadu 635001 SALEM NO - 16/10/2013 16/10/2013 15/10/2016

9172106 60030810 FGG YASH PAL SINGH 01/07/1976 H No 88 Tilakram Colony Loni Ghaziabad Uttar Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/09/2013 19/09/2013 04/09/2015

9715052 60030816 FGG R. KARUPPASAMY 20/05/1975

53-KRAMASAMY COMPOUND PONMENI MAIN ROAD Madurai

Madurai Tamil Nadu 625011 Madurai Madurai Tamil Nadu 625011 MADURAI NO - 18/10/2013 18/10/2013 17/10/2016

9715074 60030817 FGG GANTAVATHARAM VASANTHARAMA 12/02/1973

D No 12 THANTHAI PERIYAR NAGAR MADAKULAM Madurai

Tamil Nadu 625003 Madurai Madurai Tamil Nadu 625003 MADURAI NO - 18/10/2013 18/10/2013 17/10/2016

9438192 60030818 FGG SUDHAKAR RAJEURS 20/08/1982

No 339, Near Bhuvaneshwari Temple, Bangalore South

Subramanyapura Bangalore Karnataka 560061 Bangalore Bangalore Karnataka 560068 MANGALORE YES

KOTAK MAHINDRA OLD

MUTUAL 18/10/2013 18/10/2013 29/05/2016

3125689 60030819 FGG R. KALIYAMURTHY 24/03/1973

1/1544 SUBHASREE NAGAR 3RD EXTN MUGALIVAKKAM PORUR

Chennai Tamil Nadu 600116 Thiruvallur Thiruvallur Tamil Nadu 600116 ANNA NAGAR YES

METLIFE INDIA

INSURANCE CO. PVT. LTD 18/10/2013 18/10/2013 11/03/2016

9715160 60030821 FGG M. K. SANDHYAMOLE 08/03/1980

12-13-146-G2,STYLE HOME APTS, STREET NO-3,TARNAKA,

HYDERABAD Hyderabad Telangana 500001 Hyderabad Hyderabad Andhra Pradesh 500001 DILSUKHNAGAR YES

AEGON RELIGARE LIFE

INSURANCE CO. LTD 18/10/2013 18/10/2013 17/10/2016

9715338 60030822 FGG SANKAR T. 20/04/1985

4/228 Dabethar santhai, Thenur Madurai Madurai Tamil

Nadu 625217 Madurai Madurai Tamil Nadu 625017 MADURAI NO - 18/10/2013 18/10/2013 17/10/2016

9715478 60030823 FGG BHATTI IMRAN R 01/11/1982

NAVI NAGRI AT & POST VASTIKHANDALI , TAL VAGRA DIST

BHARUCH BHARUCH Bharuch Gujarat 392140 Bharuch Bharuch Gujarat 392140 BHARUCH YES

LIFE INSURANCE

CORPORATION 18/10/2013 18/10/2013 17/10/2016

9715598 60030826 FGG H. MALLEGOWDA 15/05/1980

SIT 1/5 NE MAIN ROAD DODDACHAMUNDI UTHAP TUMKUR

Tumkur Karnataka 572102 Tumkur Tumkur Karnataka 572102 BANGALORE NO - 18/10/2013 18/10/2013 17/10/2016

9715610 60030827 FGG A GAUTHAM KOUSHIK 09/04/1990

NO 2, ROSHNBAGH ROAD V V PURAM Bangalore Karnataka

560004 Bangalore Bangalore Karnataka 560004 BANGALORE NO - 18/10/2013 18/10/2013 17/10/2016

9715619 60030828 FGG VIDUSHI CHHABRA 09/08/1995

C-473/E INDIRANAGAR, OPP H.A.L LUCKNOW Lucknow

Uttar Pradesh 226016 Lucknow Lucknow Uttar Pradesh 226016 LUCKNOW NO - 18/10/2013 18/10/2013 17/10/2016

9715633 60030845 FGG P KRISHNA MURTHY 22/08/1971

NO 13/2 2ND MAIN SAKAMMA GARDEN Bangalore

Karnataka 560038 Bangalore Bangalore Karnataka 560038 BANGALORE NO - 18/10/2013 18/10/2013 17/10/2016

9717347 60030846 FGG ANILKUMAR D. M. 22/04/1984

NO 113 2 DEGGANNHALLI TIPPUR KR NAGAR Mysore

Karnataka 571187 Mysore Mysore Karnataka 571187 BANGALORE NO - 21/10/2013 21/10/2013 20/10/2016

9718841 60030861 FGG KANITI DANDURAJU 12/02/1986

9-73, Ramjeenagar Kothavalasa Vizianagaram Vizianagaram

Andhra Pradesh 535183 Vizianagaram Vizianagaram Andhra Pradesh 535183 VIZAG NO - 21/10/2013 21/10/2013 20/10/2016

9719213 60030877 FGG RUBI .. 11/12/1993 A-24 Rajendra Park Gurgaon Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 22/10/2013 22/10/2013 21/10/2016

9721632 60030901 FGG M. SRINIVAS 01/06/1967

PLOT NO-198, VN COLONY, APHB COLONY, MOULALI Hyderabad

Telangana 500040 Rangareddi Rangareddi Andhra Pradesh 500040 HYDERABAD NO - 23/10/2013 23/10/2013 22/10/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9209242 60030902 FGG SREEDHARA GOPALA KRISHNA MURTH 07/09/1947

FLAT NO 201, ANAND VILLA APPARTMENTS 6-3-608/107, ANAND

NAGAR Khairatabad,Anandnagar Hyderabad Telangana 500004 Hyderabad Hyderabad Andhra Pradesh 500004 HYDERABAD YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 23/10/2013 23/10/2013 10/10/2015

9721893 60030908 FGG SUJAI K. 25/05/1978

1/3 A, SAYOOJYAM, PUNNANKOTH KUNNU GA COLLEGE

Kozhikode Kerala 673014 Kozhikode Kozhikode Kerala 673014 CALICUT NO - 23/10/2013 23/10/2013 22/10/2016

9722195 60030915 FGG MOHAN Y. 10/02/1980

# 182, Gattahalli huskur post, Anekal TQ BANGALORE Bangalore

Karnataka 560099 Muthanallur Muthanallur KARNATAKA 560099 BANGALORE NO - 23/10/2013 23/10/2013 22/10/2016

9723043 60030916 FGG SHIVAKUMAR KRISHNAPPA 06/05/1972

NO 7, CHOKI TANDA CHITTAPURA Gulbarga Karnataka

585211 Gulbarga Gulbarga Karnataka 585211 BANGALORE NO - 23/10/2013 23/10/2013 22/10/2016

9723165 60030917 FGG SAGAR V. 06/04/1987

#357 8th Cross, Kittur rani Chennamma, K. G. Nagar, BANGALORE

Bangalore Karnataka 560019 Bangalore Bangalore Karnataka 560019 BANGALORE NO - 23/10/2013 23/10/2013 22/10/2016

9723214 60030918 FGG P. V.S. SREERAMAMURTY 01/08/1970

DNO:36-93-373/18 KANCHARAPALEM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530008 Visakhapatnam Visakhapatnam Andhra Pradesh 530008 VIZAG NO - 23/10/2013 23/10/2013 22/10/2016

9723297 60030919 FGG VINDHYA NIRANJAN BASAVANAL 11/07/1984

AT POST-NARAGUND DIST-GADAG DIST-GADAG Gadag Karnataka

582207 Gadag Gadag Karnataka 582207 HUBLI NO - 23/10/2013 23/10/2013 22/10/2016

9723386 60030920 FGG NAVINCHANDRA KANTILAL BHAVSAR 28/12/1948

23 Shubham Society , Vaniavad, College Road Nadiad Kheda

Gujarat 387001 Kheda Kheda Gujarat 387001 NADIAD NO - 23/10/2013 23/10/2013 22/10/2016

9724153 60030933 FGG GURPREET SINGH 14/07/1984

VILL JAGOWAL, TEH MALERKOTLA DIST SANGRUR Sangrur

Punjab 147204 Patiala Patiala Punjab 147204 LUDHIANA NO - 24/10/2013 24/10/2013 23/10/2016

9724471 60030934 FGG MUSHTI KRISHNA CHAITANYA 13/01/1989

D.NO:9-6-81 SIVAJIPALEM VISAKHAPATNAM Visakhapatnam

Andhra Pradesh 530017 Visakhapatnam Visakhapatnam Andhra Pradesh 530017 VIZAG NO - 24/10/2013 24/10/2013 23/10/2016

9724523 60030936 FGG RAKESH KUMAR 06/08/1987

ward no. 1 rajiv nagar samalkha PANIPAT Panipat Haryana

132101 Panipat Panipat Haryana 132101 ROHTAK NO - 24/10/2013 24/10/2013 23/10/2016

9724622 60030937 FGG GOVINDA PRASAD SAHU 21/05/1989 Harmu Ranchi Ranchi Ranchi Jharkhand 834020 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 24/10/2013 24/10/2013 23/10/2016

9724710 60030938 FGG PRAFULLA RAI JOJOWAR 10/09/1989

D-134 Harmu Housing Colony Ranchi Ranchi Jharkhand

834002 Ranchi Ranchi Jharkhand 834002 RANCHI NO - 24/10/2013 24/10/2013 23/10/2016

9473857 60030939 FGG SWANAM P NAIR 30/07/1992

Pichilakkattu House Vendoor Alagappanagar Po Thrissur

Kerala 680302 Thrissur Thrissur Kerala 680302 THRISSUR YES BIRLA SUN LIFE 24/10/2013 24/10/2013 19/06/2016

9724875 60030941 FGG BABY TABASSUM 25/12/1976

RM NO-04 GRD FLR NL 4 BLDG 33 SECTOR 11 NERUL Thane

Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI NO - 24/10/2013 24/10/2013 23/10/2016

9725303 60030943 FGG NITHYANANTHAN B. 10/05/1986

161, B/1-99, KULATHUPUDUR ANDIPALAYAN MANGALAM ROAD

Coimbatore Tamil Nadu 641001 Coimbatore Coimbatore Tamil Nadu 641001 SALEM NO - 24/10/2013 24/10/2013 23/10/2016

9137737 60030944 FGG ANSHUMAN SHARMA 06/01/1983 0 VILL KHADAGAL JAMMU Jammu Jammu & Kashmir 181133 Jammu Jammu Jammu & Kashmir181133 JAMMU YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 24/10/2013 24/10/2013 30/07/2015

9128382 60030951 FGG SANDEEP KUMAR SHUKLA 01/01/1985

1323 KHAIRABAD SHASTRINAGAR UP Sultanpur Uttar Pradesh

222101 Jaunpur Jaunpur Uttar Pradesh 222101 LUCKNOW YES

LIFE INSURANCE

CORPORATION 26/07/2012 26/07/2012 25/07/2015

9725925 60030953 FGG W. MERCY 19/11/1973

3/1017, Kalaizagagar Mottamalai,Vallacheri Madurai Madurai

Tamil Nadu 625006 Madurai Madurai Tamil Nadu 625006 MADURAI NO - 25/10/2013 25/10/2013 24/10/2016

9725989 60030954 FGG ANITA PIYUSH JAIN 09/11/1961

F-15 Swapna Villa, Shaswat Tenament, Nr Jai Vishal Society ,

Dahej By pass Road, Bharuch Bharuch Bharuch Gujarat

392001 Bharuch Bharuch Gujarat 392001 BARODA NO - 25/10/2013 25/10/2013 24/10/2016

9726815 60030960 FGG BRIJIN THARAMMAL 11/12/1980

THARAMMAL HOUSE PUTHIYANGADI CALICUT Kozhikode

Kerala 673021 Kozhikode Kozhikode Kerala 673021 CALICUT NO - 25/10/2013 25/10/2013 24/10/2016

9727014 60030964 FGG S. MANJUNATHA 05/02/1990

29/3,LALBHGH ROAD, 4TH CROSS, AMMACHAMMA GARDEN

BANGALURU Bangalore Karnataka 560027 Bangalore Bangalore Karnataka 560027 BANGALORE NO - 25/10/2013 25/10/2013 24/10/2016

9727101 60030965 FGG ANISH JAIN 10/06/1995

FLAT NO E 25&26 TVH PARK ROZALIA ,NO 24 ANANDA NAGAR

MAIN ROAD THORAIPAKKAM Chennai Tamil Nadu

600096 Kancheepuram Kancheepuram Tamil Nadu 600096 CHENNAI NO - 25/10/2013 25/10/2013 24/10/2016

9727197 60030967 FGG SHANMUGARAJ .. 01/03/1978

NO.3 ANNAI SATHYA NAGAR 1ST STREET RAMAPURAM Chennai

Tamil Nadu 600089 Kancheepuram Kancheepuram Tamil Nadu 600089 CHENNAI NO - 25/10/2013 25/10/2013 24/10/2016

9727218 60030968 FGG PAMU LAKSHMI SANTHOSHI 07/06/1980

H NO 2-4, STREET 1, VANI NAGAR, MALKAJGIRI RANGAREDDY

Rangareddy Telangana 500047 Rangareddi Rangareddi Andhra Pradesh 500047 HYDERABAD NO - 25/10/2013 25/10/2013 24/10/2016

9727229 60030969 FGG SRIRAM YASHWANT GAWAS 11/08/1983

DURGA SEVA SANGH, JIJAMATA MARG PUMP HOUSE, ANDHERI

EAST Mumbai Maharashtra 400093 Mumbai Mumbai Maharashtra 400093 ANDHERI NO - 25/10/2013 25/10/2013 24/10/2016

9727292 60030971 FGG PRASHANT GUPTA 22/01/1995 27a gali no-11 molarband extn badarpur Delhi Delhi 110044 SOUTH SOUTH Delhi 110044 WEST DELHI NO - 25/10/2013 25/10/2013 24/10/2016

9727328 60030972 FGG ANIL .. 16/04/1992

H NO 17, Block No 1, anchara kalan teh-safidon dist-jind Jind

Haryana 126101 Jind Jind Haryana 126101 WEST DELHI NO - 25/10/2013 25/10/2013 24/10/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

4691942 60030981 FGG SUKHDEV SINGH MANHAS 24/11/1960

VILL DEHRIAN UPRLIAN PO HAMIRPUR SIDHAR TEH AKHNOOR

JAMMU Jammu Jammu & Kashmir 181209 Jammu Jammu Jammu & Kashmir181209 JAMMU YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 13/11/2014 13/11/2014 08/10/2017

9729929 60030993 FGG MALATESH G A. 12/07/1977

# 255, NAVULE ROAD LEFT SIDE NAVULE, NAVULE SHIMOGA

Shimoga Karnataka 577201 Shimoga Shimoga Karnataka 577201 BANGALORE NO - 28/10/2013 28/10/2013 27/10/2016

9730032 60030996 FGG SARANYA SAGISH 10/07/1986

159B (1/280) SIVASAKTHI KADUNGAMANGALAM CHOTTANIKARA

PANCHAYAT Ernakulam Kerala 682305 Ernakulam Ernakulam Kerala 682305 COCHIN NO - 28/10/2013 28/10/2013 27/10/2016

9730120 60030997 FGG SHINOJ .. 13/07/1982

ANATTIL HOUSE CHOWARA P O COCHIN Ernakulam Kerala

683571 Ernakulam Ernakulam Kerala 683571 COCHIN NO - 28/10/2013 28/10/2013 27/10/2016

9730189 60030998 FGG FANSIA .. 05/07/1989

464(5/309) KOLLAMKUDI 3 CHUNGAMVELY EDATHALA GRAMA

PANCHAYATH Ernakulam Kerala 683564 Ernakulam Ernakulam Kerala 683564 COCHIN NO - 28/10/2013 28/10/2013 27/10/2016

9639223 60031014 FGG SHIVAM GAUTAM 07/10/1993

10/8, GULMOHAR ROAD SHIPRA SUNCITY INDIRAPURAM,

GHAZIABAD Ghaziabad Uttar Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA YES

LIFE INSURANCE

CORPORATION 29/10/2013 29/10/2013 04/09/2016

9732678 60031015 FGG MEENAMBIKAI M. 16/12/1988

9-A/6, ALWARPURAM, MADURAI MADURAI Madurai Tamil

Nadu 625002 Madurai Madurai Tamil Nadu 625002 MADURAI NO - 29/10/2013 29/10/2013 28/10/2016

9732791 60031017 FGG SANDEEP RAKWAL 09/10/1981

H NO 60 RESHAM GHAR COLONY JAMMU JAMMU Jammu

Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 29/10/2013 29/10/2013 28/10/2016

9732820 60031018 FGG SATISH KUMAR 20/09/1982

R/O SHAHZAD PUR P/O RAMGARH SAMBA SAMBA SAMBA

Jammu Jammu & Kashmir 181141 Jammu Jammu Jammu & Kashmir181141 JAMMU NO - 29/10/2013 29/10/2013 28/10/2016

4403702 60031019 FGG BHASKARA RAO PITCHIKA 06/06/1974

D.NO.45-32-4/A, LIC AGENT NEAR SNAGAM

OFFICE,AKKAYYAPALEM VISAKHAPATNAM Visakhapatnam

Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG YES

LIFE INSURANCE

CORPORATION 05/07/2014 05/07/2014 21/07/2017

9732948 60031020 FGG RAJIREDDY P. 02/02/1978

H NO 8-49/9, RAGHU RAM NAGAR, DAMMAIGUDA, R R DIST.

Rangareddy Telangana 500083 HYDERABAD HYDERABAD Andhra Pradesh 500083 HYDERABAD YES

LIFE INSURANCE

CORPORATION 29/10/2013 29/10/2013 28/10/2016

9733019 60031021 FGG SANDHYA A SRINIVASAN 28/12/1993

NO.40/2, MUNIAPPAN MUDALI STREET,1ST FLOOR KODITHOPE

Chennai Tamil Nadu 600078 Chennai Chennai Tamil Nadu 600078 CHENNAI NO - 29/10/2013 29/10/2013 28/10/2016

9733512 60031028 FGG R. MUTHUKUMARAN 04/06/1977

1/66 Anaikulam,Chithalankudi,VadipattiTK Madurai Madurai

Tamil Nadu 625221 Madurai Madurai Tamil Nadu 625012 MADURAI NO - 29/10/2013 29/10/2013 28/10/2016

9131788 60031029 FGG S. KRISHNAKUMAR 13/04/1977 59, Narasingapuram Street Gugai Salem Tamil Nadu 636006 Salem Salem Tamil Nadu 636006 SALEM YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 29/10/2013 29/10/2013 27/07/2015

9253725 60031033 FGG ATUL KUMAR PANDEY 05/12/1983

H.NO-8/682 SECTOR-8 VIKAS NAGAR LUCKNOW Lucknow Uttar

Pradesh 226--1 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 29/11/2012 29/11/2012 28/11/2015

9100077 60031036 FGG RAPANI RAMESH 24/01/1984

HNO-12-15-47-/A/25, MANIKESHWARI NAGAR O U CAMPUS

Hyderabad Telangana 5----7 Hyderabad Hyderabad Andhra Pradesh 500007 HYDERABAD NO - 27/06/2012 27/06/2012 26/06/2015

177817 60031040 FGG INDRAJEET SINGH 03/11/1964

10/43 bahar sahara stet lucknow Lucknow Uttar Pradesh

226021 LUCKNOW LUCKNOW Uttar Pradesh 226021 LUCKNOW YES

LIFE INSURANCE

CORPORATION 30/10/2013 30/10/2013 28/09/2016

9736783 60031050 FGG NILESH B BONGIRWAR 22/08/1979

AT.121 NAIK MANDIR AREA VILL 132 GADCHANDUR Chandrapur

Maharashtra 442908 Chandrapur Chandrapur Maharashtra 442908 CHANDRAPUR NO - 30/10/2013 30/10/2013 29/10/2016

9736972 60031052 FGG PRIYA .. 14/04/1982

125, GANDHI ROAD THIRUPPATTUR Vellore Tamil Nadu

635601 Vellore Vellore Tamil Nadu 635601 SALEM NO - 30/10/2013 30/10/2013 29/10/2016

9737420 60031055 FGG HARPALE VIJAY DNYANOBA 13/06/1973

sr.no.166/1,gajanan nagar om kailash building, at & post:

phursungi,tal:haveli Pune Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE NO - 30/10/2013 30/10/2013 29/10/2016

9737529 60031056 FGG CHAND SHARMA 10/03/1995

BHOUR CAMP, NR GOVT GIRLS HIGH SCHOOL, JAMMU Jammu

Jammu & Kashmir 180009 Jammu Jammu Jammu & Kashmir180009 JAMMU NO - 30/10/2013 30/10/2013 29/10/2016

9739797 60031089 FGG JAMES ANTHONY CARDOZO 11/05/1965

VRINDA CHS, FLAT NO 2 15 PODDAR ROAD SANTACRUZ WEST

Mumbai Maharashtra 400054 Mumbai Mumbai Maharashtra 400054 ANDHERI NO - 31/10/2013 31/10/2013 30/10/2016

9743729 60031122 FGG RAVI SHRIRAM JAISWAL 28/07/1985

11, AMRUT NIWAS, S V ROAD BORIVALI WEST Mumbai

Maharashtra 400092 MUMBAI Mumbai Maharashtra 400092 BORIVALI NO - 06/11/2013 06/11/2013 05/11/2016

5445327 60031129 FGG BAJRANG LAL GOEL 18/02/1969 A-2/23 MODEL TOWN DELHI Delhi Delhi - New Delhi New Delhi Delhi 110011 CONNAUGHT PLACENO - 08/08/2013 08/08/2013 08/06/2015

9141101 60031130 FGG ABDUL RAHEEM T. 21/09/1957

Shahina Manzil Navaikulam Po Trivandrum Thiruvananthapuram

Kerala 695603 Thiruvananthapuram ThiruvananthapuramKerala 695603 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 07/11/2013 07/11/2013 05/08/2015

1327614 60031143 FGG PRASANTA MAJUMDER 16/01/1972

44 SUBHAS COLONY PO-NONA CHANDANPUKUR,BARRACKPUR

North Twenty Four Parganas West Bengal 700122 KOLKATA KOLKATA West Bengal 700122 KOLKATA YES

LIFE INSURANCE

CORPORATION 08/10/2013 08/10/2013 30/09/2015

74591 60031154 FGG ANITA KAILASH GONDALIA 28/02/1961

11/12 GOPALJI BLDG. VIRJI MADANJI WADI TILAK ROAD

GHATKOPAR [EAST] Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 06/11/2013 06/11/2013 12/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9747902 60031172 FGG RAMACHANDRA MANJUNATH 27/04/1979

#10 TCH ROAD, HARINAGAR,TCH ROAD END Bangalore

Karnataka 560062 Bangalore Bangalore Karnataka 560062 BANGALORE NO - 11/11/2013 11/11/2013 10/11/2016

9748290 60031176 FGG ANUJ SARRAF 15/08/1991

C/o moti tractors guna naka shivpuri Shivpuri Madhya

Pradesh 473551 Shivpuri Shivpuri Madhya Pradesh 473551 BHOPAL NO - 11/11/2013 11/11/2013 10/11/2016

9748302 60031177 FGG PREM NATH 15/04/1962

H no 97,Barota R s pura Jammu Jammu Jammu & Kashmir

181102 Jammu Jammu Jammu & Kashmir181102 JAMMU NO - 11/11/2013 11/11/2013 10/11/2016

9075255 60031178 FGG BALAJI SANJIT V. 24/07/1986

NO 146, GANESHA PURAM, KE.JI.EPHA, BANGARPET Kolar

Karnataka 563122 Kolar Kolar Karnataka 563122 INDIRA NAGAR YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 11/11/2013 11/11/2013 29/05/2015

9748439 60031180 FGG SALMAN PASHA A. K. 10/05/1993

NO 534/9 21ST CROSS 17TH MAIN DEVARAH ARAS NAGAR

Bangalore Karnataka 560026 Bangalore Bangalore Karnataka 560026 BANGALORE NO - 11/11/2013 11/11/2013 10/11/2016

9590248 60031221 FGG T. N. KARTHIKKUMAR 16/06/1985

2579 TIRUMALE NEYIGE STREET MAGADI BANGALORE Bangalore

Karnataka 560021 Bangalore Rural Bangalore Rural Karnataka 562120 R.T.NAGAR YES

HDFC STD LIFE

INSURANCE CO. LTD. 14/11/2013 14/11/2013 12/08/2016

9754018 60031222 FGG MAHENDRA SHARMA 20/02/1979

607, Devi Nagar, Ward No 5, Jaipur Jaipur Jaipur Rajasthan

302016 Jaipur Jaipur Rajasthan 302016 JAIPUR NO - 14/11/2013 14/11/2013 13/11/2016

9754048 60031223 FGG RAJ KUMAR K. 31/03/1972

NO 74/2 RAMACHANDRAPPA LYT KARIYAN PALYA Bangalore

Karnataka 560084 Bangalore Bangalore Karnataka 560084 BANGALORE NO - 14/11/2013 14/11/2013 13/11/2016

9754064 60031224 FGG SUPREETH S. B. 22/07/1984

#387, 1STFLOOR ,42ND CROSS, JAYNAGAR 8 TH BLOCK,

BANGALORE Bangalore Karnataka 560082 Bangalore Bangalore Karnataka 560082 BANGALORE NO - 14/11/2013 14/11/2013 13/11/2016

9113746 60031234 FGG SADANAND SINGH 17/08/1979

215/2/5 G H Colony Chhota Govindpur Jamshedpur Purbi

Singhbhum Jharkhand 831015 Purbi Singhbhum Purbi Singhbhum Jharkhand 831015 JAMSHEDPUR YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 30/10/2013 30/10/2013 09/07/2015

9755400 60031238 FGG SANJIV N KOTIA 19/02/1977

Flat No.E-79/80, Shiv Kirti Chs Ltd, Chincholi Bunder Road, Opp

Infant Jesus School, Malad West, Mumbai Maharashtra

400064 Mumbai Mumbai Maharashtra 400064 BORIVALI NO - 15/11/2013 15/11/2013 14/11/2016

9755414 60031239 FGG SAYALI SANJAY MORE 25/08/1971

103, Jeevan Veena Chs, Plot No 41, Sec 2, Kandivali West Mumbai

Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BORIVALI NO - 15/11/2013 15/11/2013 14/11/2016

9755438 60031240 FGG BHASKRA SAVTRI KANWAL 24/03/1974 786 jheel khurenja Delhi Delhi Delhi 110031 East East Delhi 110031 CONNAUGHT PLACENO - 15/11/2013 15/11/2013 14/11/2016

9755458 60031241 FGG VIJEETH K VIJAYAN 08/08/1985

KODAKKATTIL HOUSE KURUMPILAVU P.O. THRISSUR Thrissur

Kerala 680564 Thrissur Thrissur Kerala 680564 THRISSUR NO - 15/11/2013 15/11/2013 14/11/2016

9755469 60031242 FGG SANEESH A. S. 11/12/1986

AMBATTU HOUSE , H.NO. 35/2284(44/2244A) PALARIVATTOM ,

ERNAKULAM Ernakulam Kerala 682025 Ernakulam Ernakulam Kerala 682025 THRISSUR NO - 15/11/2013 15/11/2013 14/11/2016

9755472 60031243 FGG SUKANTA BHATTACHARYA 05/12/1975

SUHRIDAPADA, BARDDHAMAN, BURDWAN Burdwan West

Bengal 713103 Barddhaman Barddhaman West Bengal 713103 DURGAPUR NO - 15/11/2013 15/11/2013 14/11/2016

9755480 60031244 FGG SHILA GORAI 15/07/1976

RAJBANDH AMLAJORA KANKAS BURDWAN BURDWAN Burdwan

West Bengal 713212 Barddhaman Barddhaman West Bengal 713212 DURGAPUR NO - 15/11/2013 15/11/2013 14/11/2016

9755511 60031245 FGG SUNIL KUMAR H. P. 30/07/1992

#1, 17th cross, near jss school, konanakunte, BANGALORE

Bangalore Karnataka 560062 Bangalore Bangalore Karnataka 560062 BANGALORE NO - 15/11/2013 15/11/2013 14/11/2016

9755578 60031247 FGG K PRADEEP KUMAR 01/08/1983

1/C, B W S S B, QUARTERS, 39TH A CROSS, 7TH MAIN, 5TH BLOCK,

JAYANAGAR Bangalore Karnataka 560041 Bangalore Bangalore Karnataka 560041 BANGALORE NO - 15/11/2013 15/11/2013 14/11/2016

9675900 60031249 FGG AMBIKA B. 05/05/1983

431 T V PURAM PONNERI POST TALUK Thiruvallur Tamil

Nadu 601204 Tirunelveli Tirunelveli Tamil Nadu 627001 CHENNAI YES

BaJAJ ALLIANZ LIFE

INSURANCE 15/11/2013 15/11/2013 24/09/2016

9755635 60031253 FGG P. SUBASH 06/06/1980

O NO 1, N NO 6 ABC AVENUE, MARKET LANE KALADIPET Chennai

Tamil Nadu 600019 Thiruvallur Thiruvallur Tamil Nadu 600019 CHENNAI NO - 15/11/2013 15/11/2013 14/11/2016

9591712 60031296 FGG ABDUL HASEEB KHAN 21/05/1977

H NO 404, ROHIWALA WINDSOR HILLFORT ROAD, ADARSH NAGAR

Anandnagar, Khairatabad Hyderabad Telangana 500004 Hyderabad Hyderabad Andhra Pradesh 500004 HYDERABAD YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 19/11/2013 19/11/2013 12/08/2016

9758871 60031297 FGG RAHUL SHARMA 15/01/1984 137, DASGAL PO AKHNOOR Jammu Jammu & Kashmir 180002 Jammu Jammu Jammu & Kashmir180002 JAMMU NO - 19/11/2013 19/11/2013 18/11/2016

9537575 60031298 FGG PRIYANKA GUPTA 28/10/1991

HOUSE NO. 602 SEC. E, SAINIK COLONY JAMMU Jammu Jammu

& Kashmir 180004 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 19/11/2013 19/11/2013 17/07/2016

9758976 60031300 FGG CHANDA JAISWAL 01/01/1978

Vill Madri Post Amoli Fatehpur Fatehpur Uttar Pradesh

212601 Fatehpur Fatehpur Uttar Pradesh 212601 KANPUR NO - 19/11/2013 19/11/2013 18/11/2016

9759023 60031305 FGG ROHIT BAGRI 05/09/1991 E-66, Vishwas Park, Uttam Nagar West Delhi Delhi Delhi 110059 West West Delhi 110059 WEST DELHI NO - 19/11/2013 19/11/2013 18/11/2016

3093548 60031324 FGG KANAVI C H. 19/09/1968

NO 101 MAYUR NAGAR ANAND NAGAR OLD HUBLI Dharwad

Karnataka 580024 Dharwad Dharwad Karnataka 580024 HUBLI YES

ING VYSYA LIFE

INSURANCE CO. PVT. LTD 19/11/2013 19/11/2013 04/03/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

1076011 60031375 FGG ATUL BHATIA 14/10/1973

B-2/5, AVTAR COMPLEX, 3RD FLOR, OPP. CBI, AZAD CHOWK

JABALPUR Jabalpur Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR YES

LIFE INSURANCE

CORPORATION 04/03/2015 04/03/2015 06/03/2018

9759406 60031376 FGG AKKALA RAVI 10/06/1988

5-143, CHINTAPALLY, DANDEPALLY. Adilabad Telangana

504215 Karimnagar Karimnagar Andhra Pradesh 504215 HYDERABAD NO - 19/11/2013 19/11/2013 18/11/2016

9412618 60031377 FGG ASHUTOSH PANCHOLY 26/08/1981

129 PHASE 1 BHAWANI DHAM BHOPAL TEHSIL HUZUR BHOPAL

Bhopal Madhya Pradesh 462023 Bhopal Bhopal Madhya Pradesh 462023 BHOPAL YES

AEGON RELIGARE LIFE

INSURANCE CO. LTD 19/11/2013 19/11/2013 29/04/2016

9759583 60031379 FGG CH SAIKHANNA 15/06/1984

4-1-119, RAMAIAH BOULI, MAHABUBNAGAR MANDAL

Mahbubnagar Telangana 509001 Mahbubnagar Mahbubnagar Andhra Pradesh 509001 HYDERABAD NO - 19/11/2013 19/11/2013 18/11/2016

9549223 60031382 FGG SUDHARSHANA KOTE 14/06/1986

4-54 Block No 4,5 RotarIipuram(Village and Post) Anantapur

Andhra Pradesh 515701 Anantapur Anantapur Andhra Pradesh 515701 DILSUKHNAGAR YES

HDFC STD LIFE

INSURANCE CO. LTD. 19/11/2013 19/11/2013 23/07/2016

9154602 60031384 FGG BILAL A. 12/06/1980

16,19/1, PERIYANNAN NAGAR M NALLUR TK Tiruchirapalli Tamil

Nadu 620006 Tiruchirappalli Tiruchirappalli Tamil Nadu 620006 TRICHY YES

LIFE INSURANCE

CORPORATION 19/11/2013 19/11/2013 21/08/2015

9679583 60031385 FGG SUNIL BLESIOUS SERAO 14/12/1985

H No 3 70 Ujire Belthangady T9 Dakshina Kannada Dist Dakshina

Kannada Karnataka 574240 Dakshina Kannada Dakshina Kannada Karnataka 574240 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/11/2013 19/11/2013 25/09/2016

9759904 60031386 FGG NISHA NAZEER 15/03/1980

NANGALI PARAMBU HOUSE, ECOOKKARA MUPPATHADAM PO

Ernakulam Kerala 683110 Ernakulam Ernakulam Kerala 683110 COCHIN NO - 19/11/2013 19/11/2013 18/11/2016

9759923 60031388 FGG RVSN RAJU 27/05/1984

44-27-31/1 SIVALAYAM BACK SIDE RLY NEW COLONY

Visakhapatnam Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 19/11/2013 19/11/2013 18/11/2016

9646615 60031390 FGG SANDESH .. 23/03/1988

C/O Sudhakara Acharya New Highway By As Road Kabettu

Karkala Chikmagalur Karnataka 574104 Udupi Udupi Karnataka 574104 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/11/2013 19/11/2013 09/09/2016

9760002 60031391 FGG ASHUTOSH RAJENDRA BACHHAV 12/07/1985

F N 4 Champanagri Dasak Jail Road Nashik Road Nashik Nashik

Maharashtra 422101 Nashik Nashik Maharashtra 422101 NASHIK NO - 19/11/2013 19/11/2013 18/11/2016

9766010 60031450 FGG VENUGOPALA M. 08/07/1981

NO 1066, K K PET, OPP DCC BANK ROAD, SHIDLAGHATTA, KOLAR

DIST 562105 SHIDLAGHATTA Kolar Karnataka 562105 Kolar Kolar Karnataka 562105 INDIRA NAGAR NO - 22/11/2013 22/11/2013 21/11/2016

9766044 60031451 FGG SARDAR KALEEMULLAH KHAN 19/03/1973

NO 11/07, BORE BANK ROAD BENSON TOWN BANGALORE

Bangalore Karnataka 560046 Bangalore Bangalore Karnataka 560046 INDIRA NAGAR NO - 22/11/2013 22/11/2013 21/11/2016

9766047 60031452 FGG SHASHI KANT 19/09/1971

H NO 4581 A, SECTOR 70 MIG SAS NAGAR Chandigarh

Chandigarh 160071 Mohali Mohali Punjab 160071 PANCHKULA YES

LIFE INSURANCE

CORPORATION 22/11/2013 22/11/2013 21/11/2016

9766121 60031453 FGG PATEL SHWETA S. 21/10/1988

A-1 VALMIKI SOCIETY, VRUNDAVAN BUS STOP, WAGHODIYA

ROAD BARODA Vadodara Gujarat 390001 Vadodara Vadodara Gujarat 390001 BARODA NO - 22/11/2013 22/11/2013 21/11/2016

9768713 60031464 FGG HARPREET KAUR 23/01/1984

H.No-7074 b4/3 Haibowal kalan ludhiana Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 25/11/2013 25/11/2013 24/11/2016

9768812 60031465 FGG PREETI .. 03/03/1979

H.no- 4164 durgapuri Haibowal kalan Ludhiana Punjab

141001 Ludhiana Ludhiana Punjab 141001 LUDHIANA NO - 25/11/2013 25/11/2013 24/11/2016

9768859 60031468 FGG JATINDER SINGH RAINA 26/09/1969

86, MOHALLA DALPATIAN JAMMU Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 25/11/2013 25/11/2013 24/11/2016

8639798 60031470 FGG SURESH KUMAR 25/03/1982

WARD NO 10, VPO ARNIA RS PURA JAMMU Jammu Jammu &

Kashmir 181131 Jammu Jammu Jammu & Kashmir181131 JAMMU YES

BaJAJ ALLIANZ LIFE

INSURANCE 21/06/2014 21/06/2014 05/06/2017

9160168 60031477 FGG DADASAHEB MENGADE 20/01/1985 At Po Nimgaon Chobha Tal Ashti Beed Beed Maharashtra 414208 Bid Bid Maharashtra 414208 AHMEDNAGAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 25/11/2013 25/11/2013 26/08/2015

9769721 60031486 FGG MANOJ KUMAR BHAGAT 16/05/1975

Mohanpur Deoghar Deoghar Deoghar Jharkhand

814112 Deoghar Deoghar Jharkhand 814112 DEOGHAR NO - 25/11/2013 25/11/2013 24/11/2016

9769836 60031487 FGG BANDANA DEVI 10/06/1988

AT Jasidih Deoghar Deoghar Deoghar Jharkhand

814142 Deoghar Deoghar Jharkhand 814142 DEOGHAR NO - 25/11/2013 25/11/2013 24/11/2016

9771174 60031503 FGG MANISH KUMAR SHARMA 20/08/1990

32 SANTPURAM TAKROHI CHINHUT LUCKNOW LUCKNOW

Lucknow Uttar Pradesh 226016 Lucknow Lucknow Uttar Pradesh 226016 LUCKNOW NO - 26/11/2013 26/11/2013 25/11/2016

9771208 60031504 FGG ADITYA AGARWAL 16/07/1995

417/347 NIWAJ GANJ LUCKNOW LUCKNOW Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 26/11/2013 26/11/2013 25/11/2016

9773429 60031522 FGG NAYNABEN KISHORBHAI TRADA 08/03/1977

SR NO 477, PLOT NO 303 1ST FLR, AMBICA V 2, KATARGAM

ROAD, Surat Gujarat 395007 Surat Surat Gujarat 395007 SURAT NO - 27/11/2013 27/11/2013 26/11/2016

9769903 60031525 FGG FAIZAL ADALOOTTIL 01/05/1974

ADALOTTIL HOUSE PARAVANNA POST TIRUR Malappuram

Kerala 676502 Malappuram Malappuram Kerala 676502 CALICUT NO - 25/11/2013 25/11/2013 24/11/2016

9773831 60031527 FGG SATINDER KAUR 20/05/1986

# 114 VILL SONDA AMBALA CITY Ambala Haryana

134003 Ambala Ambala Haryana 134003 AMBALA NO - 27/11/2013 27/11/2013 26/11/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9776005 60031564 FGG P. MADHURI 05/12/1988

H NO: 12-1-343/6, ASIF NAGAR, HYDERABAD Hyderabad

Telangana 500001 Hyderabad Hyderabad Telangana 500001 DILSUKHNAGAR NO - 28/11/2013 28/11/2013 27/11/2016

9779145 60031565 FGG S. SIRAJUDEEN 20/10/1980

214/7-B, MARRIYAMMAN KOVIL 2ND STREET, KASAKKARANOOR

SALEM Salem Tamil Nadu 636005 Salem Salem Tamil Nadu 636005 SALEM NO - 29/11/2013 29/11/2013 28/11/2016

9779231 60031568 FGG VISHAL MALIK 05/10/1966 D-6/6141/1, Vasant Kunj, New Delhi Delhi Delhi 110070 South West South West Delhi 110070 NOIDA NO - 29/11/2013 29/11/2013 28/11/2016

9779574 60031570 FGG SUNIL KUMAR GUPTA 09/01/1965 112 A sarojni park Shastri Nagar Delhi Delhi Delhi 110091 East East Delhi 110091 CONNAUGHT PLACENO - 29/11/2013 29/11/2013 28/11/2016

9512550 60031571 FGG MRINAL KUMAR SAIKIA 21/02/1977

H/NO 11, JAGARAM PATH, BIKASH NAGAR BHETAPARA

GUWAHATI 29 Kamrup Assam 781001 Kamrup Kamrup Assam 781001 GUWAHATI YES

LIFE INSURANCE

CORPORATION 29/11/2013 29/11/2013 02/07/2016

9536762 60031573 FGG ASHUTOSH .. 02/08/1991

H No 142 A R K Colony Atehabad Hissar Hisar Haryana

125050 Fatehabad Fatehabad Haryana 125050 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/11/2013 29/11/2013 16/07/2016

9779757 60031574 FGG V. BASKARAN 15/05/1967

4 M.G.R.Nagar Thiruppuvanam Sivaganga Tamil Nadu

630611 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 29/11/2013 29/11/2013 28/11/2016

9779806 60031575 FGG NAGARAJU K. 14/04/1984

1-61A, KOKAPET, RAJINDRA NAGAR, R R DIST. Rangareddy

Telangana 500028 Hyderabad Hyderabad Andhra Pradesh 500028 HYDERABAD NO - 29/11/2013 29/11/2013 28/11/2016

9726229 60031577 FGG ARUN MAHADEV JAGTAP 07/04/1989

T 506 Ahmed Chawl Rajendra Nagar Datta Pada Road Borivali

East Mumbai Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 ANDHERI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/11/2013 29/11/2013 24/10/2016

9780394 60031578 FGG VINODHKUMAR R. 16/06/1978

NO1/63A N . NO1/71 PILLAYAR KOIL STREET

VADAPERUMBAKKAM Chennai Tamil Nadu 600052 Thiruvallur Thiruvallur Tamil Nadu 600052 CHENNAI NO - 29/11/2013 29/11/2013 28/11/2016

9780532 60031579 FGG P. SIVAM 01/11/1979

No-3/18A REC Qtrs Thuvakudi, Trichy Thiruvallur Tamil Nadu

620015 Tiruchirappalli Tiruchirappalli Tamil Nadu 620015 TRICHY NO - 29/11/2013 29/11/2013 28/11/2016

9605146 60031580 FGG NARENDER KUMAR 09/09/1990

H No 874 A Ward 13 Shiv Nagar Hisar Hisar Haryana

125001 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/11/2013 29/11/2013 21/08/2016

9471578 60031583 FGG ASHOK KUMAR 25/05/1960 H No 212 Ward 27 Sector 16 Hisar Hisar Haryana 125005 Hisar Hisar Haryana 125005 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/11/2013 29/11/2013 18/06/2016

9780812 60031584 FGG R VIJAY ANAND 25/04/1979

No-37 Blak No-18, 5th cross Balaji Avenue,, Mela chinthamani

chinthamani Thiruvallur Tamil Nadu 620002 Tiruchirappalli Tiruchirappalli Tamil Nadu 620002 TRICHY NO - 29/11/2013 29/11/2013 28/11/2016

9780883 60031586 FGG ABRAHAM SATHYA SEELAN M 20/03/1977

NO 7/D7 12TH CROSS STREET, ANNA NAGAR CHENGALPATTU

Thiruvallur Tamil Nadu 603001 Kancheepuram Kancheepuram Tamil Nadu 603001 CHENNAI NO - 29/11/2013 29/11/2013 28/11/2016

9620977 60031590 FGG MAHAVIRA G B SAHOO 14/04/1966

H NO- 241, GALI NO-3 RAJIV NAGAR, WEST GUGAON GURGAON

Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON YES

LIFE INSURANCE

CORPORATION 29/11/2013 29/11/2013 27/08/2016

9781477 60031595 FGG MUKESH JAIN 23/12/1992

C-104,UIT colony, Pratap Nagar Jodhpur Jodhpur Rajasthan

342004 Jodhpur Jodhpur Rajasthan 342004 JODHPUR NO - 29/11/2013 29/11/2013 28/11/2016

9781495 60031596 FGG D. S. NARAYANA 20/08/1977

HNO:1-49,SARIPALLE PENDURTHI VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 531173 Visakhapatnam Visakhapatnam Andhra Pradesh 531173 VIZAG NO - 29/11/2013 29/11/2013 28/11/2016

9786537 60031639 FGG RAKH SHIVAJI TUKARAM 25/02/1982

R/O THERAL TQ PATODA DIST BEED Beed Maharashtra

414204 Bid Bid Maharashtra 414204 AHMEDNAGAR NO - 03/12/2013 03/12/2013 02/12/2016

9786560 60031640 FGG SATNAM SINGH 07/03/1976

139/B/1, R P COLONY PO AGRICO, EAST SINGHBHUM Purbi

Singhbhum Jharkhand 831009 Purbi Singhbhum Purbi Singhbhum Jharkhand 831009 JAMSHEDPUR NO - 03/12/2013 03/12/2013 02/12/2016

9786654 60031642 FGG SUMITA SAHA 21/07/1987

2/27, DHANDABAG SUKANT PALLI AMRAI DURGAPUR BURDWAN

Burdwan West Bengal 713203 Barddhaman Barddhaman West Bengal 713203 DURGAPUR NO - 03/12/2013 03/12/2013 02/12/2016

9786695 60031643 FGG ROHIT SRIVASTAVA 11/10/1987 MAHAVIR NAGAR SAICHAK ANISHABAD Patna Bihar 800002 Patna Patna Bihar 800002 PATNA NO - 03/12/2013 03/12/2013 02/12/2016

9786715 60031645 FGG B. KISHORE 20/06/1977

#17/15-4/5, LAKSHMI VARAPETA, ELURU, West Godavari

Andhra Pradesh 534001 West Godavari West Godavari Andhra Pradesh 534001 VIJAYAVADA NO - 03/12/2013 03/12/2013 02/12/2016

9786782 60031647 FGG VENKATA SWATHI SANAKKAYALA 23/07/1988

#13-10-1, AYYANNA NAIDU STREET, DUGAPURAM, VIJAYAWADA

KRISHNA Krishna Andhra Pradesh 520002 Krishna Krishna Andhra Pradesh 520002 VIJAYAVADA NO - 03/12/2013 03/12/2013 02/12/2016

9786903 60031650 FGG HARINDER NAGAR 10/07/1991

F 116, DALTA 1 GAUTAM BUDH NAGAR Gautam Buddha Nagar

Uttar Pradesh 201306 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201306 CONNAUGHT PLACENO - 03/12/2013 03/12/2013 02/12/2016

9786928 60031651 FGG RANJEET KUMAR MADDHESHIA 30/01/1983

1090, SHIV MANDIR WALI GALI VILLAGE KAPASHERA NEW DELHI

Delhi Delhi 110037 South West South West Delhi 110037 GURGAON NO - 03/12/2013 03/12/2013 02/12/2016

9644891 60031658 FGG ANANT MOHANKA 26/10/1991

MOHANKA NIWAS MARWARI PARA ROAD, JUGSALAI

JAMSHEDPUR Purbi Singhbhum Jharkhand 831006 Purbi Singhbhum Purbi Singhbhum Jharkhand 831006 JAMSHEDPUR YES

KOTAK MAHINDRA OLD

MUTUAL 03/12/2013 03/12/2013 09/09/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

2445602 60031661 FGG URVASHI VIPULKUMAR PATEL 05/12/1968

C/O. DIVYA AGARBATTI, KANTHARIA CHAKLA, NADIAD. Kheda

Gujarat 387001 Kheda Kheda Gujarat 387001 NADIAD YES

LIFE INSURANCE

CORPORATION 03/12/2013 03/12/2013 11/06/2015

9652020 60031667 FGG PATHAN JAHIDRAZAKHAN IRFANALIK 10/07/1994

B-1,A- KUMBHARCHAL B/H NAVAYARD CHHANI ROAD VADODARA

Vadodara Gujarat 390002 Vadodara Vadodara Gujarat 390002 BARODA YES

LIFE INSURANCE

CORPORATION 04/12/2013 04/12/2013 12/09/2016

9787690 60031668 FGG SONIBEN CHHELABHAI MALI 27/08/1984

704/A Fertilizer Nagar , GSFC Baroda Vadodara Gujarat

391750 Vadodara Vadodara Gujarat 391750 BARODA NO - 04/12/2013 04/12/2013 03/12/2016

9787719 60031670 FGG RAULJI YOGESH R. 10/12/1977

1-A Marvtidham Row House, Zadeshwar Road, B/H N K

Petrolpump Bharuch Bharuch Gujarat 392011 Bharuch Bharuch Gujarat 392011 ANKLESHWAR YES BIRLA SUN LIFE 04/12/2013 04/12/2013 03/12/2016

9787751 60031671 FGG ANKLESHWARIYA RAHUL DILIPKUMAR 23/07/1988

KANUGA FALIA ANKLESHWAR ANKLESHWAR Bharuch

Gujarat 393001 Bharuch Bharuch Gujarat 393001 ANKLESHWAR NO - 04/12/2013 04/12/2013 03/12/2016

9787848 60031675 FGG MAHESH RAMDAS KUTE 22/02/1979

Flat No-6 Pawan Society Near K J Mehata Digaon Nashik Road

Nashik Maharashtra 422101 Nashik Nashik Maharashtra 422101 NASHIK NO - 04/12/2013 04/12/2013 03/12/2016

9787915 60031676 FGG RITU .. 16/03/1990

120 GUMASTA NAGAR Indore Indore Madhya Pradesh

452005 Indore Indore Madhya Pradesh 452005 INDORE NO - 04/12/2013 04/12/2013 03/12/2016

9787983 60031678 FGG RAJESH ANNASAHEB BORASTE 12/08/1976

E-9-6 Pimpalas Sugar Factory Tal-Niphad Nashik

Maharashtra 422301 Nashik Nashik Maharashtra 422101 NASHIK NO - 04/12/2013 04/12/2013 03/12/2016

9788141 60031681 FGG T. SRINIVASAN 11/05/1991

NO 13 MADAM STREET KANNAGAPET THIRU PORUR

CHENGELPATTU Thiruvallur Tamil Nadu 603110 Kancheepuram Kancheepuram Tamil Nadu 603110 CHENNAI NO - 04/12/2013 04/12/2013 03/12/2016

9788175 60031682 FGG JYOTI .. 29/01/1986 H NO 143, Multani Colony, Sirsa Sirsa Haryana 125054 Sirsa Sirsa Haryana 125054 HISSAR NO - 04/12/2013 04/12/2013 03/12/2016

9788202 60031683 FGG S. RENUKA 02/04/1989

21/9, PALANI ANDAVAR KOIL STREET PERAMBUR Chennai

Tamil Nadu 600011 Chennai Chennai Tamil Nadu 600011 ANNA NAGAR NO - 04/12/2013 04/12/2013 03/12/2016

9403032 60031701 FGG BHAVANA NIKHIL PARMAR 12/10/1983

306, HILL VIEW GARDEN CHS. LTD., SUHASINI PAWASKAR ROAD,

LAST STOP OF VAISHALI NAGAR, DAHISAR EAST, Mumbai

Maharashtra 400068 Mumbai Mumbai Maharashtra 400068 BORIVALI YES

SBI LIFE INSURANCE

COMPANY LIMITED 05/12/2013 05/12/2013 16/04/2016

5714717 60031702 FGG MUKESH .. 09/11/1979 113 D MALL COLONY KAMRI ROAD HISAR Hisar Haryana 125001 Hisar Hisar Haryana 125001 HISSAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/12/2013 05/12/2013 27/08/2015

9565581 60031703 FGG DEEPAK DESHMUKH 05/06/1964

House G 2231 Bldg 81 Kannamwar Nagar 2 Vikhroli East Mumbai

Maharashtra 400043 Mumbai Mumbai Maharashtra 400043 GHATKOPAR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/12/2013 05/12/2013 29/07/2016

9790160 60031704 FGG APARNA CHANDRAKANT DALVI 14/11/1979

FLAT NO.01 , SNEH SAGAR GULMOHAR CROSS ROAD NO.12, JUHU

SCHEME MUMBAI Mumbai Maharashtra 400049 Mumbai Mumbai Maharashtra 400049 VASHI NO - 06/12/2013 06/12/2013 05/12/2016

9790263 60031706 FGG NATARAJ M S. 11/07/1979

781 9TH MAIN 3RD STAGEC BLOCK VIJAYANAGAR MYSORE

Mysore Karnataka 570017 Mysore Mysore Karnataka 570017 R.T.NAGAR NO - 06/12/2013 06/12/2013 05/12/2016

9790300 60031707 FGG GAURAV NARULA 26/09/1985 395A WZ 169 Chand Nagar Delhi Delhi 110018 West West Delhi 110018 GURGAON NO - 06/12/2013 06/12/2013 05/12/2016

9790307 60031708 FGG D. MAHENDER 12/01/1984

H NO 5-24, M P PATEL GUDA, IBRAHIMPATNAM, MANGALPALLI

Rangareddy Telangana 501510 Rangareddi Rangareddi Andhra Pradesh 501510 HYDERABAD NO - 06/12/2013 06/12/2013 05/12/2016

9790344 60031720 FGG VISWANATHAN .. 19/10/1969

DOOR NO 123 SOUTH WEST BOAG ROAD T.NAGAR Chennai

Tamil Nadu 600017 Chennai Chennai Tamil Nadu 600017 CHENNAI NO - 06/12/2013 06/12/2013 05/12/2016

9791143 60031721 FGG P. MANICKARAJ 20/03/1975

37 nethaji nagar, nanjundapuram , coimbatore Coimbatore

Tamil Nadu 641018 Coimbatore Coimbatore Tamil Nadu 641018 COIMBATORE NO - 06/12/2013 06/12/2013 05/12/2016

9028554 60031722 FGG LATABEN K SAMNANI 17/08/1984

BLOCK NO 30, ROOM NO 68 1ST BUS STOP, ANAND NAGAR

BHAVNAGAR Bhavnagar Gujarat 364002 Bhavnagar Bhavnagar Gujarat 364005 BHAVNAGAR YES

LIFE INSURANCE

CORPORATION 06/12/2013 06/12/2013 19/03/2015

9791269 60031724 FGG AMIT BANSAL 27/08/1989

HO.NO.2 SARVODAY COLONY RAIPUR Raipur Chattisgarh

492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 06/12/2013 06/12/2013 05/12/2016

9791419 60031727 FGG SADHANA DEBATA 05/07/1976

# 01 ,NAIDU BUILD,POST OFFICE ROAD RAMAKRISHNA LAYOUT,

RAMMURTHY NAGAR, BANGALORE Bangalore Karnataka

560016 Bangalore Bangalore Karnataka 560016 BANGALORE NO - 06/12/2013 06/12/2013 05/12/2016

9791435 60031728 FGG RUPAL NATVARLAL AGRAVAT 03/06/1982

D/203,SIDHHIVINAYAK APARTMENT PALANPUR PATIA SURAT

Surat Gujarat 395005 Surat Surat Gujarat 395005 SURAT NO - 06/12/2013 06/12/2013 05/12/2016

9624985 60031729 FGG NILESHKUMAR POPATLAL CHAVDA 10/08/1980

225/1 F WARD KUBERNAGAR NR. SINDHI DHARMSALA NARODA

AHMEDABAD Ahmadabad Gujarat 382340 Gandhinagar Gandhinagar Gujarat 382340 MANINAGAR YES

MAX NEW YORK LIFE

INSURANCE CO.LTD. 06/12/2013 06/12/2013 28/08/2016

9791455 60031731 FGG ANUPA GANGADHAR NEELAGAR 10/06/1990

# 776 DHAMMANAGI GALLI BAILHONGAL Belgaum

Karnataka 591102 Belgaum Belgaum Karnataka 591102 HUBLI NO - 06/12/2013 06/12/2013 05/12/2016

8749896 60031762 FGG PARESH BHIKHADIA 30/10/1978

B/18, CHITRAKUT SOC VARACHHA SURAT Surat Gujarat

395006 Surat Surat Gujarat 395006 SURAT NO - 07/08/2014 07/08/2014 08/08/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9466542 60031769 FGG JIGNESH MAHENDERAKUMAR MODI 28/04/1981

C/184 MANALAM SOC GHODASAR,GHODASAR Ahmedabad

Ahmadabad Gujarat 380050 Ahmadabad Ahmadabad Gujarat 380050 MANINAGAR YES

DLF PRAMERICA LIFE

INSURANCE CO. LTD 10/12/2013 10/12/2013 16/06/2016

619615 60031772 FGG KRISHNA PAL TIWARI 10/04/1974

00 VILL & PO DHAURAHRA TAH- AMARPATAN Satna Madhya

Pradesh 485001 Satna Satna Madhya Pradesh 485001 BHOPAL YES

LIFE INSURANCE

CORPORATION 26/06/2014 26/06/2014 16/08/2017

9597556 60031774 FGG E.VEERANJI REDDY 05/08/1988

H NO: 11-6-19/4, NAVODAYA NAGAR, NARSARAO PET

KHAIRATABAD Guntur Andhra Pradesh 522001 Guntur Guntur Andhra Pradesh 522001 DILSUKHNAGAR YES

LIFE INSURANCE

CORPORATION 10/12/2013 10/12/2013 16/08/2016

9795147 60031776 FGG M. NAGADEVI 23/03/1987

32/10B METTUR MAIN ROAD PODANUR Coimbatore Tamil

Nadu 641023 Coimbatore Coimbatore Tamil Nadu 641023 CHENNAI NO - 10/12/2013 10/12/2013 09/12/2016

9795212 60031777 FGG RANGARAJU .. 10/02/1972

NO 1353/1,2ND STAGE,WOC ROAD,NAGAPURA MN ROAD, C/O

CHINNU TRAVELS, MAHALAKSHMIPURAM BANGALORE Bangalore

Karnataka 560086 Bangalore Bangalore Karnataka 560086 INDIRA NAGAR NO - 10/12/2013 10/12/2013 09/12/2016

9795267 60031778 FGG M. P. RANGANATH 20/04/1967

NO 12, 16TH CROSS, MUNESHWARA NAGAR, ULLAL

ROAD,MALLATHAHALLI BANGALORE Bangalore Karnataka

560056 Bangalore Bangalore Karnataka 560056 INDIRA NAGAR NO - 10/12/2013 10/12/2013 09/12/2016

9795329 60031779 FGG NILOFAR NASWALE 29/10/1989

NO 4/4/220 WARD NO 04 BLOCK NO 01, KOPPAL TQ & DIST

KOPPAL KOPPAL Koppal Karnataka 583231 Koppal Koppal Karnataka 583231 INDIRA NAGAR NO - 10/12/2013 10/12/2013 09/12/2016

9806836 60031856 FGG BRIJESH YADAV 25/06/1982

P 42 gaura bagh kurshi road opp St Marry Hospital Lucknow

Lucknow Uttar Pradesh 226026 LUCKNOW LUCKNOW Uttar Pradesh 226026 LUCKNOW NO - 16/12/2013 16/12/2013 15/12/2016

800741 60031868 FGG RAKSHA VIJAY JANI 24/09/1960

1/11 VYAS WADI DADABHAI ROAD, VILE PARLE (WEST). Mumbai

Maharashtra 400056 Mumbai Mumbai Maharashtra 400056 FORT YES

LIFE INSURANCE

CORPORATION 29/10/2014 29/10/2014 31/12/2017

8510035 60031877 FGG VIRAL HIRABHAI GAJJAR 13/09/1979

B/2 - 5TH/FLR/502, PUSHKAR RESIDENCY NR. SATADHAR

TENAMENTS, B/H. ANNAPURNA HOTEL JASHODANAGAR

Ahmadabad Gujarat 382445 Gandhinagar Gandhinagar Gujarat 382445 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 09/02/2015 09/02/2015 14/02/2017

9809895 60031880 FGG MADHUSUDHAN REDDY CHALLA 14/11/1987

2-97, REBARTHY POST, MADDUR MANDAL, WARANGAL DIST.

Warangal Telangana 506367 Warangal Warangal Andhra Pradesh 506367 KUKKATPALLY NO - 18/12/2013 18/12/2013 17/12/2016

9809924 60031881 FGG PARAS BHUPATRAI SHAH 12/12/1971

A-5, ARIHANT APPT DERI ROAD, KRISHNANAGAR BHAVNAGAR

Bhavnagar Gujarat 364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 18/12/2013 18/12/2013 17/12/2016

9809962 60031882 FGG PRAVEEN R. P. 16/03/1984

244(322A) RAYAROTH POYIL, PERAMBRA Ernakulam Kerala

680689 Thrissur Thrissur Kerala 680689 CALICUT NO - 18/12/2013 18/12/2013 17/12/2016

9810041 60031883 FGG M. S. RAHAMAN 21/07/1967

No.2, BDA SHOPPING COMPLEX, INDIRANAGAR ROAD.

BANGALORE Bangalore Karnataka 560038 Bangalore Bangalore Karnataka 560038 BANGALORE NO - 18/12/2013 18/12/2013 17/12/2016

9810237 60031884 FGG JUDE ALPHONSE 21/02/1966

489 A PUTHENVEETTIL HOUSE KUMBALANGY Ernakulam

Kerala 682007 Ernakulam Ernakulam Kerala 682007 COCHIN NO - 18/12/2013 18/12/2013 17/12/2016

9810333 60031885 FGG BINDU VARGHESE 30/12/1971

PAYYAMPILLI T K S ROAD MARADU P O Ernakulam Kerala

682304 Ernakulam Ernakulam Kerala 682304 COCHIN NO - 18/12/2013 18/12/2013 17/12/2016

9810599 60031886 FGG AJAY SINGLA 16/12/1969

H.No. 2726/A Sector - 22 C Chandigarh Chandigarh

Chandigarh 160022 Chandigarh Chandigarh Chandigarh 160022 PANCHKULA NO - 18/12/2013 18/12/2013 17/12/2016

9810710 60031888 FGG ANITA SHARMA 27/01/1975

1/4 paras bhawan railway station gram gaddha BHOPAL Bhopal

Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL NO - 18/12/2013 18/12/2013 17/12/2016

9810768 60031890 FGG SHAMIL T. 05/05/1983

Resmi Nivas Nallalam Kozhikode Kozhikode Kerala

673027 Kozhikode Kozhikode Kerala 673027 CALICUT NO - 18/12/2013 18/12/2013 17/12/2016

9811159 60031893 FGG PRAVEEN BHARTI 29/08/1983 Keshwana Keshwana Jalore Jalor Rajasthan 307029 Jalor Jalor Rajasthan 307029 JODHPUR NO - 18/12/2013 18/12/2013 17/12/2016

9811188 60031896 FGG JAGBIR SINGH 13/09/1968 450 R/o Madina Rohtak Rohtak Haryana 124001 Rohtak Rohtak Haryana 124001 ROHTAK NO - 18/12/2013 18/12/2013 17/12/2016

9811318 60031898 FGG MAHENDER SINGH 07/07/1988

vpo shardhana teh Ganuar Sonepat Sonipat Haryana

131101 Sonipat Sonipat Haryana 131101 ROHTAK NO - 18/12/2013 18/12/2013 17/12/2016

9810929 60031914 FGG J SRINIVAS RAO 01/01/1967

5-5-7/34/c/1, NEW DEVI NAGAR, STREET.NO-2,KUKATPALLY,

RANGAREDDY Rangareddy Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 KUKKATPALLY NO - 18/12/2013 18/12/2013 17/12/2016

924737 60031932 FGG BAJRANGBALI RAMDULAR GUPTA 16/04/1968

C-5/72, B-WING, 3RD FLOOR SAHYADRI NAGAR CHARKOP,

KANDIVLI (W) Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 ANDHERI YES

LIFE INSURANCE

CORPORATION 27/11/2014 27/11/2014 10/01/2018

9812986 60031936 FGG SHIVAKUMAR S. V. 18/07/1977

NO 6 6TH CROSS SBM COLONY,BRINDAVAN NAGAR MATHIKERE,

BANGALORE Bangalore Karnataka 560054 Bangalore Bangalore Karnataka 560054 HUBLI NO - 19/12/2013 19/12/2013 18/12/2016

9813007 60031937 FGG G. KRISHNAPPA 10/05/1978

NO 4, 12TH CROSS GANGANAGAR NORTH H A FARM Bangalore

Karnataka 560024 Bangalore Bangalore Karnataka 560024 BANGALORE NO - 19/12/2013 19/12/2013 18/12/2016

9813026 60031942 FGG NITIN KUMAR 13/04/1990

HOUSE NO 22/400 GALI NO-7 NEHRU PARK, BAHADURGARH

Jhajjar Haryana 124507 Jhajjar Jhajjar Haryana 124507 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 19/12/2013 19/12/2013 18/12/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9813250 60031945 FGG DILEEP VARMA NADIMPALLI 13/08/1990

6-23/4 PENDURTHI (M) SUJATHA NAGAR Visakhapatnam

Andhra Pradesh 531173 Visakhapatnam Visakhapatnam Andhra Pradesh 531173 VIZAG NO - 19/12/2013 19/12/2013 18/12/2016

9135064 60031946 FGG SANDEEP KUMAR 17/08/1987 Hno 1389 Vpo Bupania Teh Bhadurgarh Jhajjar Haryana 124507 Jhajjar Jhajjar Haryana 124507 ROHTAK YES BIRLA SUN LIFE 19/12/2013 19/12/2013 29/07/2015

9813665 60031947 FGG VIJAY D MAHESHKAR 23/06/1978

AT.THE PRINICIPAL CFRC QTR.NO.CB/8 CHANDRAPUR

Chandrapur Maharashtra 442401 Chandrapur Chandrapur Maharashtra 442401 CHANDRAPUR NO - 19/12/2013 19/12/2013 18/12/2016

9813957 60031951 FGG MANISH SHARMA 24/06/1993

H Sec 4, H No 288, Chankyapuri Udaipur Udaipur Rajasthan

305922 Ajmer Ajmer Rajasthan 305922 UDAIPUR NO - 19/12/2013 19/12/2013 18/12/2016

9813991 60031952 FGG BHEEM SINGH YADAV 25/10/1987

DHANI BERALA, TEH VIRAT NAGAR KAIRLI, JAIPUR Jaipur

Rajasthan 303119 Jaipur Jaipur Rajasthan 303119 JAIPUR NO - 19/12/2013 19/12/2013 18/12/2016

9814067 60031953 FGG GOVIND KUMAR TELI 05/03/1981

VILL BUJHADA, TEH GIRWA, UDAIPUR Udaipur Rajasthan

305921 Ajmer Ajmer Rajasthan 305921 UDAIPUR NO - 19/12/2013 19/12/2013 18/12/2016

9492543 60031958 FGG PATEL KETAN PRAVINBHAI 12/05/1986

B-114 BHAGYALAXMI SOC. SAMTA ROAD SHUBHANPURA

VADODARA Vadodara Gujarat 390023 VADODARA VADODARA Gujarat 390023 BARODA YES

LIFE INSURANCE

CORPORATION 19/12/2013 19/12/2013 26/06/2016

9814329 60031959 FGG KIRAN DAREKAR 15/01/1987

RN 11, Hafiz Manzil St Paul Street, Dadar, Mumbai Mumbai

Maharashtra 400014 Mumbai Mumbai Maharashtra 400014 GHATKOPAR NO - 19/12/2013 19/12/2013 18/12/2016

9815071 60031962 FGG MANOJ KUMAR JANGID 28/04/1978

25/26 KACHOLIYA ROAD NEELKAND VIHAR Jaipur

Rajasthan 303802 Dausa Dausa Rajasthan 303802 JAIPUR NO - 20/12/2013 20/12/2013 19/12/2016

9815110 60031963 FGG RAJESH .. 20/05/1975 # 114 Duma Gurgaon Gurgaon Haryana 122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 20/12/2013 20/12/2013 19/12/2016

9815342 60031971 FGG MOHIT BHALLA 18/06/1980

BHALLA RICE MILL , NARAIN GARH G T ROAD, CHHEHRATA ,

Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 20/12/2013 20/12/2013 19/12/2016

9120299 60031972 FGG SUDHARMMA DEVI R. 01/05/1960

164 6/202 Achus 11 Vazhuthoor Neyyattinkara Muncipality

Thiruvananthapuram Kerala 695121 Thiruvananthapuram ThiruvananthapuramKerala 695121 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/12/2013 20/12/2013 16/07/2015

9815443 60031975 FGG KAKADE UDAYSINH VIJAYSINH 15/07/1985

118 BORKHED TAL BEED DIST BEED Beed Maharashtra

431122 BEED BEED Maharashtra 431122 AHMEDNAGAR NO - 20/12/2013 20/12/2013 19/12/2016

9712886 60031977 FGG B. RAVI .. 07/02/1965

S/O Mallappa Yamuna Dandakeri Yeyyadi Mangalore

Karnataka 575006 Dakshina Kannada Dakshina Kannada Karnataka 575006 MANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 20/12/2013 20/12/2013 15/10/2016

9816349 60031978 FGG NIRAVKUMAR KRISHNAKANTBHAI PAT 15/03/1982

Navi Pansarawad Punji Chowk Nr Old Vegetable Market , Padra

Vadodara Vadodara Gujarat 391440 Vadodara Vadodara Gujarat 391440 BARODA NO - 20/12/2013 20/12/2013 19/12/2016

9819678 60031993 FGG MEENU NAGPAL 02/08/1973

H No 105, Purani Mandi Jammu Jammu Jammu & Kashmir

180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 23/12/2013 23/12/2013 22/12/2016

9819820 60031994 FGG SAMSON JACOB KHETRE 01/10/1969

Bunglow no-28/b Mission compound chawani chawani

Aurangabad Aurangabad Maharashtra 431002 Aurangabad Aurangabad Maharashtra 431002 AURANGABAD NO - 23/12/2013 23/12/2013 22/12/2016

9819848 60031995 FGG POOJA KASHYAP 15/01/1989 46 Shri krisna Colony SURAKHPUR ROAD Delhi Delhi 110043 South West South West Delhi 110043 CONNAUGHT PLACEYES

TATA AIA LIFE

INSURANCE COMPANY

LTD 23/12/2013 23/12/2013 22/12/2016

9820203 60031997 FGG BHANUPRATAP SINGH SAMBYAL 15/06/1979

140 TOPE SHER KHANIA PARTLY PO PALOURA PS BAKHSHI NAGAR

Jammu Jammu & Kashmir 181124 Jammu Jammu Jammu & Kashmir181124 JAMMU NO - 23/12/2013 23/12/2013 22/12/2016

9820655 60032003 FGG MANOJ SINGH 06/07/1981

H.no 375 Nagariya Parikshit THE Bareilly Bareilly Uttar

Pradesh 243001 Bareilly Bareilly Uttar Pradesh 243001 HALDWANI NO - 23/12/2013 23/12/2013 22/12/2016

9820697 60032006 FGG ANUP KUMAR 23/03/1983

259 damuaadhuga khan Jawahar, Kathgodam Nanital Nanital

Uttarakhand 263126 Nainital Nainital Uttaranchal 263126 HALDWANI NO - 23/12/2013 23/12/2013 22/12/2016

9821201 60032010 FGG CHETAN CHAWLA 29/12/1987

A-23-D SHIVANGI KUNJ PASCHIM VIHAR DELHI Delhi Delhi

110063 West West Delhi 110063 WEST DELHI NO - 23/12/2013 23/12/2013 22/12/2016

9668367 60032011 FGG PRASHANT V NAPHADE 22/05/1984

H No 12 Bs No 32 Hardik Colony Bh Vidyut Ngr Amravati Amravati

Amravati Maharashtra 444604 Amravati Amravati Maharashtra 444604 AKOLA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/12/2013 23/12/2013 20/09/2016

3498745 60032014 FGG MANPREET SINGH CHAWLA 30/08/1983

HOUSE NO 121 PHASE 4 MOHALI Sahibzada Ajit Singh Nagar

Punjab 160059 Chandigarh Chandigarh Chandigarh 160059 CHANDIGARH YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 23/12/2013 23/12/2013 07/08/2016

9821301 60032016 FGG SUDEEP VARGESE 29/05/1978

AMBATTU HOUSE KARUKKUTTY PO ANGAMALY Ernakulam

Kerala 683576 Ernakulam Ernakulam Kerala 683576 COCHIN NO - 23/12/2013 23/12/2013 22/12/2016

8594726 60032042 FGG KHUSHWANT RAI SEHTYA 27/02/1948

37-B KRISHNA SQUARE 1 AMRITSAR Amritsar Punjab

143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 31/12/2013 31/12/2013 25/04/2017

9825851 60032048 FGG T. SIVAKUMAR 02/06/1979

28/45 SOWRASTRA NAGAR 9TH STREET CHOOLAIMEDU Chennai

Tamil Nadu 600094 Chennai Chennai Tamil Nadu 600094 CHENNAI NO - 26/12/2013 26/12/2013 25/12/2016

9825886 60032049 FGG NIRAV A CHOKSHI 09/09/1978

Mehta pole, nr Govardhan Naihji Temple. Baroda Vadodara

Gujarat 390006 Vadodara Vadodara Gujarat 390006 BARODA NO - 26/12/2013 26/12/2013 25/12/2016

9706408 60032050 FGG INTIYAZ SIDDIQY 11/05/1990 H.N.-1039,K BLOCK JAHANGIR PURI DELHI Delhi Delhi 110033 North North Delhi 110033 NOIDA YES

LIFE INSURANCE

CORPORATION 26/12/2013 26/12/2013 09/10/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9826000 60032052 FGG JIGNASHA DEVENBHAI MEHTA 28/02/1981

309 Prayag Post Channi Baroda Vadodara Gujarat

393105 Bharuch Bharuch Gujarat 393105 BARODA NO - 26/12/2013 26/12/2013 25/12/2016

1508640 60032056 FGG NIDHI NAGPAL 28/05/1970 F-14/11 SECTOR-15 ROHINI Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI YES

ICICI PRUDENTIAL LIFE

INS CO. LTD. 26/12/2013 26/12/2013 08/12/2015

9281483 60032057 FGG AFROZE KHAN 18/10/1983

NO.285, MAHALINGESHWARA LAYOUT ADUGODI BANGALORE

Bangalore Karnataka 560030 Bangalore Bangalore Karnataka 560030 BANGALORE YES SBI LIFE INS. CO. 26/12/2013 26/12/2013 27/12/2015

9826343 60032059 FGG MANOHAR KOGGANNA RAO 31/12/1952

FLAT NO 4B/31,AMRUT YOG CHS KALWA THANE Thane

Maharashtra 400605 Thane Thane Maharashtra 400605 ANDHERI NO - 26/12/2013 26/12/2013 25/12/2016

9826366 60032062 FGG ARJUN PARVINDER BEDI 22/08/1988

604/F6, w.o.p b6 Tiranga CHS, KOKARI AGAR ANTOP HILL,

MUMBAI Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 ANDHERI NO - 26/12/2013 26/12/2013 25/12/2016

9826397 60032063 FGG SUNIL K. 11/05/1993

#697, 16TH Cross, Sanjeevinagara sahakaranagar Post

BANGALORE Bangalore Karnataka 560092 Bangalore Bangalore Karnataka 560092 BANGALORE NO - 26/12/2013 26/12/2013 25/12/2016

9826499 60032064 FGG VIJAY LAXMAN DURGUDE 06/02/1974

FLAT NO,6 CHOURANG RESIDENCY 13/3B, SATAV WADI

HADAPSAR PUNE Pune Maharashtra 411028 Pune Pune Maharashtra 411028 PUNE NO - 26/12/2013 26/12/2013 25/12/2016

9826526 60032065 FGG SWATI PRASHANT KHOPATIKAR 29/11/1970

PLOT NO-33 SAI RESIDANCE AHILYANAGARI PAIPLIN ROAD

AHMEDNAGAR Ahmadnagar Maharashtra 414003 Ahmadnagar Ahmadnagar Maharashtra 414003 AHMEDNAGAR NO - 26/12/2013 26/12/2013 25/12/2016

9826571 60032066 FGG N. ROOPA 02/06/1984

27/4, THIYASI KUMARAN STREET THANEER PANDHAL

Coimbatore Tamil Nadu 641004 Coimbatore Coimbatore Tamil Nadu 641004 COIMBATORE NO - 26/12/2013 26/12/2013 25/12/2016

9826597 60032067 FGG DINESH KUMAR BENIWAL 15/05/1983

1113, KRASHI MANDI ROAD , PANCHAYAN SAMITI KVARTARS TH

DEGANA DIST NAGAUR Nagaur Rajasthan 341001 Nagaur Nagaur Rajasthan 341001 AJMER NO - 26/12/2013 26/12/2013 25/12/2016

9826786 60032069 FGG MANISHA VINOD CHANDIRAMANI 14/09/1979

SAI HARI DARSHAN APT, FLAT 503, NEAR POST OFFICE

ULHASNAGAR Thane Maharashtra 421001 Thane Thane Maharashtra 421001 ANDHERI NO - 26/12/2013 26/12/2013 25/12/2016

9834866 60032132 FGG VINAY KUMAR VERMA 07/12/1977

H NO 4723/80, JAWAHAR NAGAR ADHARTAL Jabalpur

Madhya Pradesh 480001 Chhindwara Chhindwara Madhya Pradesh 480001 JABALPUR NO - 30/12/2013 30/12/2013 29/12/2016

9834952 60032133 FGG RIPU DAMAN SHARMA 01/01/1981

H NO 205/2 SHIVALIK PURAM JANIPUR JAMMU JAMMU Jammu

Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU NO - 30/12/2013 30/12/2013 29/12/2016

9835039 60032134 FGG BHAVIKA K B BHATT 09/11/1983

B/903,RAJHANS WINGS.Nr.L.P SAVANI SCHOOL ADAJAN SURAT

Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT NO - 30/12/2013 30/12/2013 29/12/2016

5287293 60032135 FGG SHAH KINJALKUMAR 06/06/1978

82,SAIRACHNA SOC., L.P.SAVANI ROAD,ADAJAN, SURAT. Surat

Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

LIFE INSURANCE

CORPORATION 02/03/2015 02/03/2015 23/03/2018

9835071 60032136 FGG MAHENDRA R RANA 30/09/1978

29,LALIMA NAGAR,UDHNA UDHNA SURAT Surat Gujarat

394210 Surat Surat Gujarat 394210 SURAT NO - 30/12/2013 30/12/2013 29/12/2016

5930324 60032137 FGG ARUNA SOMANI 28/02/1980

B-9,PAVITRA APPTT B/H LOTUS SCHOOL ISANPUR ROAD

Ahmadabad Gujarat 382443 Gandhinagar Gandhinagar Gujarat 382443 MANINAGAR YES

LIFE INSURANCE

CORPORATION 30/12/2013 30/12/2013 03/12/2015

9056028 60032148 FGG TARUNDEEP KAUR 30/12/1976

VPO BALACHAUR BALACHAUR NAWANSHAR Nawanshahr Punjab

1445-1 Nawanshahr Nawanshahr Punjab 144501 JALANDHAR NO - 05/05/2012 05/05/2012 04/05/2015

1939435 60032166 FGG KRISHAN MURARI 05/12/1976

40A, IIND FLOOR KOTLA MARKET MAYUR VIHAR PH.-I Delhi Delhi

110091 East East Delhi 110091 WEST DELHI YES

LIFE INSURANCE

CORPORATION 26/03/2014 26/03/2014 22/03/2017

9842302 60032168 FGG MADHU .. 20/06/1982

C/O NANSJAI SHETTY BASARALU MANDYA Mandya

Karnataka 571401 Mandya Mandya Karnataka 571401 BANGALORE NO - 03/01/2014 03/01/2014 02/01/2017

9842307 60032169 FGG NAGENDRA .. 01/06/1980

NO 276/A VENKATAIAH CHATRA CHAMARAJ NAGAR

Chamarajanagar Karnataka 571109 Chamarajanagar Chamarajanagar Karnataka 571109 BANGALORE NO - 03/01/2014 03/01/2014 02/01/2017

9842348 60032171 FGG MEENAKSHI GOVINDAIAH 24/05/1970

S/O GOVINDAIAH , THARABANA HALLI HESRAGHATTA

UTHARAHALLI TALUK Bangalore RURAL Bangalore Rural

Karnataka 562123 Bangalore Rural Bangalore Rural Karnataka 562123 BANGALORE NO - 03/01/2014 03/01/2014 02/01/2017

9842367 60032173 FGG ANEETA KHOSLA 03/06/1953

34, DHARAM CHAND MANSION 4, INNER CIRCLE ROAD

JAMSHEDPUR Purbi Singhbhum Jharkhand 831001 Purbi Singhbhum Purbi Singhbhum Jharkhand 831001 JAMSHEDPUR NO - 03/01/2014 03/01/2014 02/01/2017

5525387 60032174 FGG ARCHANA PATIL 21/01/1976

SAMARTH, A/2, PL.NO.7 & 8 HANUMAN NAGAR, UJALAIWADI TAL

KARVEER DIST KOLHAPUR Kolhapur Maharashtra 416004 Kolhapur Kolhapur Maharashtra 416004 KOLHAPUR YES

LIFE INSURANCE

CORPORATION OF INDIA 03/01/2014 03/01/2014 01/07/2015

9842454 60032175 FGG NIRAJ S DHANURDHARI 10/06/1987

E-95, AMRAPALI TOWSHIP,BH MAKARPURA RAILWAY STATION

MANEJA. Baroda Vadodara Gujarat 390013 Vadodara Vadodara Gujarat 390013 BARODA NO - 03/01/2014 03/01/2014 02/01/2017

2030607 60032176 FGG ASHITA MEHTA 13/01/1984

314,Akash Ganga,III Block IV Flr,Kilpauk Garden , Chennai

Chennai Tamil Nadu 600010 Chennai Chennai Tamil Nadu 600010 CHENNAI YES

KOTAK MAHINDRA OLD

MUTUAL 19/05/2014 19/05/2014 12/07/2017

9842985 60032187 FGG FARZANA YASMIN 16/12/1987

MIG 28, TNHB COLONY, LAL BAGADUR SASTRI NAGAR PETTAI

TIRUNELVELI Tirunelveli Tamil Nadu 627010 Tirunelveli Tirunelveli Tamil Nadu 627010 MADURAI NO - 03/01/2014 03/01/2014 02/01/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9278975 60032188 FGG DANDU SURESH KUMAR 01/01/1980

27-12-61 SUNDARAIAH COLONY NADUPURU POST GAJUWAKA

Visakhapatnam Andhra Pradesh 530044 Visakhapatnam Visakhapatnam Andhra Pradesh 530044 VIZAG YES

HDFC STANDARD LIFE

INSURANCE CO LTD 03/01/2014 03/01/2014 26/12/2015

87231 60032215 FGG SHRI PRAKASH PANDEY 09/12/1974

VILL-MADHAVPUR ACHARYA PO-AGAI Sultanpur Uttar

Pradesh 228001 Sultanpur Sultanpur Uttar Pradesh 228001 LUCKNOW YES

LIFE INSURANCE

CORPORATION 01/11/2013 01/11/2013 30/01/2016

8873783 60032219 FGG MONIKA NARULA 23/04/1978

B/252 B BLOCK JHILMIL COLONY, VIVEK VIHAR Delhi Delhi

110001 New Delhi New Delhi Delhi 110001 WEST DELHI NO - 08/09/2014 08/09/2014 12/10/2017

8985353 60032220 FGG SUNITA CHOUDHARY 11/12/1989

VILLAGE-MURADPUR SINGHANA JHUBJHUNU Jhunjhunun

Rajasthan 331025 JAIPUR JAIPUR Rajasthan 302039 JAIPUR NO - 28/01/2015 28/01/2015 23/01/2018

4394491 60032223 FGG SARGARA KAMLESH KUNAJI 13/03/1990

G-5 Madhav Compex, Nr Green Chokdi, Nr Greenland Anand,

Anand Gujarat 388001 Anand Anand Gujarat 388001 ANAND NO - 05/06/2014 05/06/2014 18/07/2017

9850720 60032256 FGG PARAG BHASIN 01/09/1995

H NO 86 D NARMADA ROAD, JABALPUR Jabalpur Madhya

Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 10/01/2014 10/01/2014 09/01/2017

5919100 60032262 FGG MSVSN RAVIKUMAR RAJU 25/01/1983

6-94/49/2/1, LIG-95 HUDA Colony Chandanagar Hyderabad

Telangana 500050 Rangareddi Rangareddi Andhra Pradesh 500050 KUKKATPALLY YES

LIFE INSURANCE

CORPORATION OF INDIA 17/06/2014 17/06/2014 29/11/2015

9851927 60032263 FGG RITU SANDHA 04/10/1971

26-f/101 Shivam Puri Indore Indore Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 13/01/2014 13/01/2014 12/01/2017

9603357 60032264 FGG SARIKA SONI 17/07/1991

H No 1280/4 Jaiprakas Nagar Adhartal Jabalpur Jabalpur

Jabalpur Madhya Pradesh 482002 Jabalpur Jabalpur Madhya Pradesh 482002 JABALPUR YES

IDBI Federal Life

Insurance Co. Ltd 13/01/2014 13/01/2014 20/08/2016

9852014 60032266 FGG P. MANJUNATH 26/10/1969

#100, Manjunath Nilaya, 6th Cross R K Colony,2nd Phase J P

nagar Bangalore Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 13/01/2014 13/01/2014 12/01/2017

9852028 60032267 FGG SWAPNIL SHARMA 09/05/1991

23 K, SINGHPUR, NARSINGHPUR NARSINGHPUR Narsimhapur

Madhya Pradesh 487001 Narsimhapur Narsimhapur Madhya Pradesh 487001 JABALPUR NO - 13/01/2014 13/01/2014 12/01/2017

9852071 60032269 FGG M. REVATHI 27/05/1983

377-3 D 18, KATTUVALAVU MANICKAVASAGAR STREET SALEM

Salem Tamil Nadu 636005 Salem Salem Tamil Nadu 636005 SALEM NO - 13/01/2014 13/01/2014 12/01/2017

9148742 60032313 FGG PARAG SHAH 02/03/1964

R No 17, Plot No 8 Road No 1 Swastik Society Swastik Bldg Vile

Parle West Mumbai Maharashtra 400056 Mumbai Mumbai Maharashtra 400056 ANDHERI YES

KOTAK MAHINDRA OLD

MUTUAL LIFE

INSURANCE LIMITED 14/01/2014 14/01/2014 13/08/2015

9853399 60032315 FGG GURPREET KAUR 24/08/1995

B-22, St. No 7, Tagore Nagar Khawash Pur Hoshiarpur

Hoshiarpur Punjab 146001 Hoshiarpur Hoshiarpur Punjab 146001 HOSHIARPUR NO - 14/01/2014 14/01/2014 13/01/2017

9853436 60032316 FGG RAJESH KUMAR 22/06/1977

D-21 Sai Kunj New Palam Vihar,Phase-3 Gurgaon Haryana

122001 Gurgaon Gurgaon Haryana 122001 GURGAON NO - 14/01/2014 14/01/2014 13/01/2017

9853441 60032317 FGG AKSHAY KUMAR SEHGAL 19/02/1991 G-23, Bali Nagar Ramesh Nagar HO Delhi Delhi 110015 West West Delhi 110015 WEST DELHI NO - 14/01/2014 14/01/2014 13/01/2017

9853444 60032318 FGG DEEPAK SATYAPATHI 02/12/1987

B-97 NAND GRAM GHAZIABAD GHAZIABAD Ghaziabad

Uttar Pradesh 201001 Ghaziabad Ghaziabad Uttar Pradesh 201001 NOIDA NO - 14/01/2014 14/01/2014 13/01/2017

9853508 60032319 FGG A. KUMAR 30/12/1956

A-140 SECTOR-26 NOIDA Gautam Buddha Nagar Uttar Pradesh

201301 Gautam Buddha Nagar Gautam Buddha NagarUttar Pradesh 201301 CONNAUGHT PLACENO - 14/01/2014 14/01/2014 13/01/2017

9853536 60032320 FGG PRATIK R RAJEPANDHARE 27/08/1987

8/A KASTURI NAGAR,BH,SHREYAS SCHOOL MANJALPUR Baroda

Vadodara Gujarat 390011 Vadodara Vadodara Gujarat 390011 BARODA NO - 14/01/2014 14/01/2014 13/01/2017

9853539 60032321 FGG JYOTI DEVI 25/09/1984

WARD NO 6, JIA POTHA AKHNOOR Jammu Jammu & Kashmir

180002 Jammu Jammu Jammu & Kashmir180002 JAMMU NO - 14/01/2014 14/01/2014 13/01/2017

9853735 60032327 FGG ARVINDER SINGH 28/07/1991

F 56 SHASTRI NAGAR JAMMU Jammu Jammu & Kashmir

180004 Jammu Jammu Jammu & Kashmir180004 JAMMU NO - 15/01/2014 15/01/2014 14/01/2017

9856824 60032348 FGG HARVINDER SINGH 13/02/1982

# 49 PRITAM VIHAR COLONY, JALBHERA ROAD AMBALA CITY

Ambala Haryana 134003 Ambala Ambala Haryana 134003 AMBALA NO - 17/01/2014 17/01/2014 16/01/2017

9856974 60032349 FGG RUPALI RAVINDRA SAVANT 19/08/1974

2-B-13, Rustom colony, Bijali Nagar Road, Behind Jain School,

Chinchwad Gaon, Pune Maharashtra 411033 Pune Pune Maharashtra 411033 ANDHERI NO - 17/01/2014 17/01/2014 16/01/2017

9857184 60032350 FGG CHETAN RAJARAM GADHAVE 30/10/1982

SR NO 47, DATTAPRASAD HOUSING SOC. GANESHNAGAR,

VADGAON SHERI, PUNE Pune Maharashtra 411014 Pune Pune Maharashtra 411014 PUNE NO - 17/01/2014 17/01/2014 16/01/2017

9857275 60032351 FGG SUJIT CHANDA 15/06/1987

68, Sukanta Pally PO Rabindra Nagar Dum Dum North 24

Parganas Kolkata West Bengal 700065 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700065 KOLKATA NO - 17/01/2014 17/01/2014 16/01/2017

9857398 60032352 FGG MUKESH HARICHANDRA DHIRADE 26/06/1980

8 JAR GALLI, NATH GALLI PAITHAN Aurangabad

Maharashtra 431107 Aurangabad Aurangabad Maharashtra 431107 AURANGABAD NO - 17/01/2014 17/01/2014 16/01/2017

9857425 60032353 FGG JUNED AHMED KHAN 15/08/1981

29, ALI COLONY, KHAJRANA Indore Madhya Pradesh

452016 BAOLIAKHURD BAOLIAKHURD Madhya Pradesh 452016 INDORE YES

MAX LIFE INSURANCE

CO.LTD. 17/01/2014 17/01/2014 16/01/2017

9863403 60032426 FGG D. SUDHA 12/12/1983

40/16, New Colony Ist Street, Perumal Koil Street, Nerkundram

Chennai Tamil Nadu 600107 Chennai Chennai Tamil Nadu 600107 ANNA NAGAR NO - 22/01/2014 22/01/2014 21/01/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9736944 60032445 FGG PRAKASH .. 02/07/1977

13 1 MUNESHUARA BLOCK DODDABOMMASANDRA

VIDYARANYAPURA BANGALORE RURAL Bangalore Karnataka

560097 Bangalore Bangalore Karnataka 560097 BANGALORE YES

EXIDE LIFE INSURANCE

COMPANY LIMITED 23/01/2014 23/01/2014 29/10/2016

9864925 60032447 FGG PUNEET SINGH 14/04/1978

Village Barnala Tehsil Gurdaspur Gurdaspur Gurdaspur

Punjab 143521 Gurdaspur Gurdaspur Punjab 143521 JALANDHAR NO - 23/01/2014 23/01/2014 22/01/2017

9864961 60032448 FGG RAHUL SHARMA 08/07/1993

H NO 191, WARD NO 4, KRISHNA COLONY, PALWAL Faridabad

Haryana 121102 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 23/01/2014 23/01/2014 22/01/2017

9865047 60032449 FGG PINTU KUMAR SINGH 01/01/1981

FLAT NO 209, 2ND FLOOR, MADHUSUDAN PLAZA, DIMNA ROAD,

MANGO JAMSHEDPUR Purbi Singhbhum Jharkhand

831012 Purbi Singhbhum Purbi Singhbhum Jharkhand 831012 JAMSHEDPUR NO - 23/01/2014 23/01/2014 22/01/2017

9721715 60032451 FGG MURUGESAN T. 09/04/1988

44 KAKKAN NAGAR 4TH STREET SANKARAN KOVIL SANKARAN

KOVIL Tirunelveli Tamil Nadu 627756 Kancheepuram Kancheepuram Tamil Nadu 600100 CHENNAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/01/2014 23/01/2014 22/10/2016

9865231 60032452 FGG RAJ KISHOR CHANDAK 15/02/1991

262 Daga Chowk ward No 31 Bikaner Rajasthan

334001 Bikaner Bikaner Rajasthan 334001 JODHPUR NO - 23/01/2014 23/01/2014 22/01/2017

9865852 60032455 FGG PARVEEN DEV SINGH 05/02/1987

R/O SUNAIL T/H AKHNOOR JAMMU DISTT JAMMU, Jammu

Jammu & Kashmir 181201 Jammu Jammu Jammu & Kashmir181201 JAMMU NO - 23/01/2014 23/01/2014 22/01/2017

9865889 60032457 FGG NIBEDITA ROUTRAY 25/05/1983 Vill Bilimantry Sahi Bilipada Banki Cuttack Odisha 754007 Cuttack Cuttack Odisha 754007 BHUBANESWAR NO - 23/01/2014 23/01/2014 22/01/2017

9865902 60032459 FGG S. ANANDAN 28/01/1986

5/10, Seven Wells Street, St.Thomas mount Chennai Tamil

Nadu 600016 Chennai Chennai Tamil Nadu 600016 ANNA NAGAR NO - 23/01/2014 23/01/2014 22/01/2017

9865955 60032460 FGG P. RAJKUMAR 12/05/1974

No-303 Vellalar Veethi,Kamaraj Nagar Madurai Madurai

Tamil Nadu 625002 Madurai Madurai Tamil Nadu 625002 TRICHY NO - 23/01/2014 23/01/2014 22/01/2017

417821 60032491 FGG JITENDER KUMAR 11/08/1979 CC-83-C,SHALIMAR BAGH NEW DELHI ND Delhi Delhi 0 North West North West Delhi 110088 WEST DELHI YES

LIFE INSURANCE

CORPORATION OF INDIA 02/06/2014 02/06/2014 06/02/2017

9871131 60032527 FGG S V SENTHIL KUMAR 24/06/1977

OLD NO,NEW NO78 MITHRA CG1 AGRINI APPARTMENT,T P K

MAIN ROAD,ANDAL PURAM, Madurai Tamil Nadu

625001 Madurai Madurai Tamil Nadu 625001 MADURAI NO - 27/01/2014 27/01/2014 26/01/2017

9874111 60032561 FGG RASHI KEJRIWAL 06/11/1992

21 BARANASHI GHOSH STREET KOLKATA MUNICIPAL CRP

KOLKATA Kolkata West Bengal 700007 Kolkata Kolkata West Bengal 700007 KOLKATA NO - 28/01/2014 28/01/2014 27/01/2017

9874814 60032565 FGG KANAKALA SATTI BABU 10/07/1987

#53-30-3/6 K.R.M. Colony Arban (M) Visakhapatnam

Visakhapatnam Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 29/01/2014 29/01/2014 28/01/2017

9874970 60032566 FGG JASMEET KAUR 16/10/1970

Vpo Kotli Shah Daula R s pura Jammu Jammu Jammu & Kashmir

181102 Jammu Jammu Jammu & Kashmir181102 JAMMU NO - 29/01/2014 29/01/2014 28/01/2017

9875038 60032567 FGG RASHMI .. 28/04/1990

25, #8/4 , 2main road 2nd block shamanna layout GG Palya

bangalore Bangalore Karnataka 560022 Bangalore Bangalore Karnataka 560022 R.T.NAGAR NO - 29/01/2014 29/01/2014 28/01/2017

9485374 60032568 FGG SRI VANI GOTTIPATI 08/03/1973

50-121-54/27 F No 9, Sai Laxmi Apartment B S Layout,

Seethammadhara Visakhapatnam Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530007 VIZAG YES

MAX LIFE INSURANCE

CO.LTD. 29/01/2014 29/01/2014 24/06/2016

9875163 60032569 FGG DHRUV PARING 06/09/1992

BHAVANI NAGAR BAMROLI ROAK, AT GODHRA PANCHMAHAL

Panch Mahals Gujarat 389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA NO - 29/01/2014 29/01/2014 28/01/2017

2195185 60032570 FGG PADHIYAR BHARATKUMAR 01/04/1985 - AT.PO.PIPLOD, TA.DEVGADHBARIA Dohad Gujarat 389130 Dohad Dohad Gujarat 389130 GODHRA YES

LIFE INSURANCE

CORPORATION 10/11/2014 10/11/2014 30/11/2017

9875235 60032571 FGG BHAVISHA KIRITKUMAR SHAH 06/12/1983

Mahavir Jain Society Godhra, Panchmahal Godhra Panch Mahals

Gujarat 389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA NO - 29/01/2014 29/01/2014 28/01/2017

625824 60032574 FGG K.APPALA RAJU 05/06/1978

LIC AGENT [710]D.NO.9-264/1, NARASIMHA NAGAR GOPALA

PATNAM, VIZAG Visakhapatnam Andhra Pradesh 530027 Visakhapatnam Visakhapatnam Andhra Pradesh 530027 VIZAG YES

LIFE INSURANCE

CORPORATION 02/07/2014 02/07/2014 15/07/2017

9875382 60032575 FGG SMITA PRAKASH JADHAV 31/05/1988

NO 306/A, 15TH CROSS, NAVANAGAR HUBLI Dharwad

Karnataka 580025 Dharwad Dharwad Karnataka 580025 HUBLI NO - 29/01/2014 29/01/2014 28/01/2017

9875697 60032578 FGG PRASANTHI BOJJA 11/04/1972

FLAT:203,DNO:54-11-11/9 AISH RESIDENCY ISUKATHOTA

Visakhapatnam Andhra Pradesh 530022 Visakhapatnam Visakhapatnam Andhra Pradesh 530022 VIZAG NO - 29/01/2014 29/01/2014 28/01/2017

9875732 60032579 FGG MUVVALA KANAKESWARA RAO 16/01/1974

DNO:14-22-2,RAMAJOGIPETA NR BHARATHI HOSPITAL

MAHARANIPETA Visakhapatnam Andhra Pradesh 530002 Visakhapatnam Visakhapatnam Andhra Pradesh 530002 VIZAG NO - 29/01/2014 29/01/2014 28/01/2017

9875791 60032580 FGG CHINNI RAMESH 03/03/1976

DNO:45-38-57,JAGANNADHAPURAM AKKAYYAPALEM

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG NO - 29/01/2014 29/01/2014 28/01/2017

9876173 60032582 FGG ROSA MARIA JOSE 16/07/1991

74/40A, Chetty Street, Ayanavaram Chennai Tamil Nadu

600023 Chennai Chennai Tamil Nadu 600023 ANNA NAGAR NO - 29/01/2014 29/01/2014 28/01/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9876279 60032583 FGG SURENDRA SINGH 07/09/1987

L- 1/72, Extention housing board colony Laharpur Bhopal Bhopal

Madhya Pradesh 462001 Bhopal Bhopal Madhya Pradesh 462001 BHOPAL NO - 29/01/2014 29/01/2014 28/01/2017

9876606 60032595 FGG ASHOK GEHLOT 26/06/1983

147, Polo -II Paota 'c' Road Jodhpur Jodhpur Rajasthan

306001 Pali Pali Rajasthan 306001 JODHPUR NO - 29/01/2014 29/01/2014 28/01/2017

9876636 60032596 FGG GHEWAR CHAND 13/05/1984

323,LOHIDI, BHUKA BHAGATSINGH TEHSIL GUDAMALANI Barmer

Rajasthan 344031 Barmer Barmer Rajasthan 344031 JODHPUR NO - 29/01/2014 29/01/2014 28/01/2017

9876657 60032597 FGG DEEPALI VISHAL PATEL 22/02/1984

882-A Mahila Collage Bhavnagar Bhavnagar Gujarat

364001 Bhavnagar Bhavnagar Gujarat 364001 BARODA NO - 29/01/2014 29/01/2014 28/01/2017

9876689 60032598 FGG RAJAN .. 11/10/1972

9 ANMBAL NAGAR STREET, MGR NAGAR CHENNAI Chennai

Tamil Nadu 600078 Chennai Chennai Tamil Nadu 600078 CHENNAI YES

LIFE INSURANCE

CORPORATION OF INDIA 29/01/2014 29/01/2014 28/01/2017

9853711 60032626 FGG BALWINDER SINGH 21/02/1989

46 VILL BASRAKE , THE & DISTT AMRITSAR AMRITSAR Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 15/01/2014 15/01/2014 14/01/2017

9882482 60032666 FGG DEVEM ARORA 14/11/1995

# 378 SECTOR-9, SADAR BAZAAR KARNAL Karnal Haryana

132001 Karnal Karnal Haryana 132001 AMBALA NO - 31/01/2014 31/01/2014 30/01/2017

9885653 60032670 FGG BRAHMANAND PATEL 13/06/1990

64 JUNAVANI KALA GRAM JUNAVANI KALA TEH SIHORA Jabalpur

Madhya Pradesh 482001 Jabalpur Jabalpur Madhya Pradesh 482001 JABALPUR NO - 04/02/2014 04/02/2014 03/02/2017

9887018 60032687 FGG VIDIT YAGNESHBHAI VAHALIA 24/09/1986

Flat No 402 Narayan Square, Nr HDFC Bank, Link Road Bharuch

Bharuch Gujarat 392001 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 04/02/2014 04/02/2014 03/02/2017

2445065 60032697 FGG PRANAY TULSYAN 15/01/1982

602 6TH FLR BLDG NO-1 FLOWER VALLEY COMPLEX OPP EASTERN

EXP HIGHWAY BATA COMPOUND THANE(W) Thane Maharashtra

400601 Thane Thane Maharashtra 400601 THANE YES

ICICI PRUDENTIAL LIFE

INSURANCE 12/07/2012 12/07/2012 11/06/2015

9885710 60032702 FGG D. RAJENDRAN 08/05/1952

Divakara Villai Pazhayakunnumel Kilimannoor

Thiruvananthapuram Kerala 695601 Thiruvananthapuram ThiruvananthapuramKerala 695601 TRIVANDRAM NO - 04/02/2014 04/02/2014 03/02/2017

9887526 60032704 FGG DHANANJAY SINGH BAGHEL 15/04/1983

675-BAGHELAN TOLA GARHI TOLA, TEH- RAGHURAJ NAGAR,

SATNA Satna Madhya Pradesh 485881 Satna Satna Madhya Pradesh 485881 JABALPUR NO - 05/02/2014 05/02/2014 04/02/2017

9887552 60032706 FGG SHYNI .. 24/07/1984

588 (38/324) THITTAYIL PADINJATTHIL, 12 KOLLAM Kollam

Kerala 691001 Kollam Kollam Kerala 691001 TRIVANDRAM NO - 05/02/2014 05/02/2014 04/02/2017

445140 60032708 FGG KG NARAYANAN MENON 07/03/1965

`SHEETHAL`, PO, TIRUVANNUR NADA CALICUT Kozhikode

Kerala 673029 Kozhikode Kozhikode Kerala 673029 CALICUT YES

RELIANCE LIFE

INSURANCE 28/02/2014 28/02/2014 22/02/2017

9889957 60032733 FGG DAYANANAD ATMARAM PURI 25/06/1976

Puri Niwas, S.T colony, Ganesh nagar,Discal Road Kalamd Dist

osmanabad Osmanabad Maharashtra 413507 Osmanabad Osmanabad Maharashtra 413507 AURANGABAD NO - 06/02/2014 06/02/2014 05/02/2017

1794581 60032752 FGG SHAH VISHAL PARAS 05/04/1970

146/4, JAIN SOCIETY, SION (WEST) Mumbai Maharashtra

400022 Mumbai Mumbai Maharashtra 400022 ANDHERI NO - 05/09/2013 05/09/2013 21/09/2016

9631947 60032773 FGG NAGARJUNA V. 24/08/1987

DNO:49-45-9 N T COLLEGE RD AKKAYYAPALEM VISAKHAPATNAM

Visakhapatnam Andhra Pradesh 530016 Visakhapatnam Visakhapatnam Andhra Pradesh 530016 VIZAG YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 10/02/2014 10/02/2014 30/08/2016

9894158 60032776 FGG RIJEESH T. 01/05/1979

PULARI HOUSE, VATAKARA CALICUT Kozhikode Kerala

673509 Kozhikode Kozhikode Kerala 673509 CALICUT NO - 10/02/2014 10/02/2014 09/02/2017

9894352 60032777 FGG JALADI VENKATA SIVA RAMA KRISH 18/02/1977

# 39-15-7, GROUND FLOOR, TENTU GOWRAIAH STREET,OPP

HOTAL GATE WAY LANE, LABBIEPET, VIJAYAWADA KRISHNA

Krishna Andhra Pradesh 520010 Krishna Krishna Andhra Pradesh 520010 VIJAYAVADA NO - 10/02/2014 10/02/2014 09/02/2017

9894366 60032779 FGG GUDIBANDLA DORABABU 15/05/1969

D NO: 34-3-11, library STREET,KASTURI BAI PET, VIJAYAWADA

KRISHNA Krishna Andhra Pradesh 520010 Krishna Krishna Andhra Pradesh 520010 VIJAYAVADA NO - 10/02/2014 10/02/2014 09/02/2017

9894446 60032782 FGG DEVARAJ JITHENDAR 13/04/1981

B-221, KRANTHI HILL COLONY, VANASTHLIPURAM, HYDERABAD

Hyderabad Telangana 500070 Hyderabad Hyderabad Andhra Pradesh 500070 VIJAYAVADA NO - 10/02/2014 10/02/2014 09/02/2017

9897263 60032818 FGG MOPIDEVI SRINIVAS 10/07/1975

77-31-8, SANTHI NAGAR, PAYAKAPURAM, VIJYAWADA KRISHNA

Krishna Andhra Pradesh 520015 Krishna Krishna Andhra Pradesh 520015 VIJAYAVADA NO - 12/02/2014 12/02/2014 11/02/2017

9897480 60032824 FGG PATIVADA MANOJ KUMAR 25/06/1991

D.NO:2-9 PEDDA SANKILI SRIKAKULAM Srikakulam Andhra

Pradesh 532459 Srikakulam Srikakulam Andhra Pradesh 532459 VIZAG NO - 12/02/2014 12/02/2014 11/02/2017

9897616 60032825 FGG SANKARA RAO MAJJI 24/07/1990

DNO:11-10-6 SIMHAGIRI COLONY GAJUWAKA Visakhapatnam

Andhra Pradesh 530026 Visakhapatnam Visakhapatnam Andhra Pradesh 530026 VIZAG NO - 12/02/2014 12/02/2014 11/02/2017

9897707 60032826 FGG B. V. S. MALLIKARJUN 26/11/1985

DNO:50-28-20/1,S-2 SRIKOTLA RESIDENCY TPT COLONY,S DHARA

Visakhapatnam Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 12/02/2014 12/02/2014 11/02/2017

9551686 60032830 FGG JIA SINGH 21/03/1982

A 504 Vinay Hermitage Mira Bha Bhyander Road Opp Sk Stone

Mira Road Thane Maharashtra 401107 Thane Thane Maharashtra 401107 BORIVALI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/02/2014 12/02/2014 24/07/2016

9534007 60032840 FGG SK SHELARBIBI 03/04/1980

#26-14-380 Wood Yard Street Town Kotha Road One Town

Visakhapatnam Andhra Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG YES BIRLA SUN LIFE 13/02/2014 13/02/2014 15/07/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9898752 60032841 FGG GANTLA RAMADEVI 01/04/1985

D.NO:6-233 RAJIV NAGAR SIMHACHALAM Visakhapatnam

Andhra Pradesh 530026 Visakhapatnam Visakhapatnam Andhra Pradesh 530026 VIZAG NO - 13/02/2014 13/02/2014 12/02/2017

9899277 60032842 FGG BAGANNAGARI BHARATH REDDY 21/11/1983

F NO 104, SHIVA SAI HARI PRIYA RESIDENCY, HARI PRIYA NAGAR,

NEAR MRO OFFICE, SIDDIPET, MEDHAK Medak Telangana

502001 Medak Medak Andhra Pradesh 502001 DILSUKHNAGAR NO - 13/02/2014 13/02/2014 12/02/2017

9899606 60032846 FGG PRIYA DAS S V. 27/04/1985

568(17/598), Madathuvilakathu Veedu, 2 Madathuvilakom

Vattiyoorkavu Thiruvananthapuram Kerala 695013 Thiruvananthapuram ThiruvananthapuramKerala 695013 TRIVANDRAM NO - 13/02/2014 13/02/2014 12/02/2017

395234 60032857 FGG APURVA ARORA 23/11/1973

14 VEDANT BUNGLOW 1 VASNA BHAYALI ROAD BEHIND BRIGHT

DAY SCHOOL Vadodara Gujarat 390016 Vadodara Vadodara Gujarat 390016 BARODA YES

ICICI PRUDENTIAL LIFE

INSURANCE 14/02/2014 14/02/2014 21/01/2017

9900817 60032870 FGG AKSHAY SARRAF 10/11/1992

Sarawaji Mohalla Moti marketing society Sheopurkalan Betul

Madhya Pradesh 460001 Betul Betul Madhya Pradesh 460001 BHOPAL NO - 14/02/2014 14/02/2014 13/02/2017

9901353 60032871 FGG DOSHI NIYATIBEN V. 12/09/1983

PLOT NO 2128, DHIRAJ APPARTMENT, FLAT NO. 101 ATABHAI

ROAD BHAVNAGAR Bhavnagar Gujarat 364001 Bhavnagar Bhavnagar Gujarat 364001 BHAVNAGAR NO - 14/02/2014 14/02/2014 13/02/2017

9901407 60032873 FGG NARASIMHAN ARVIND KRISHNAN 20/06/1995

62, THIRUVALLUVAR PURAM 1ST STREET, CHOOLAIMEDU

Chennai Tamil Nadu 600094 Chennai Chennai Tamil Nadu 600094 ANNA NAGAR NO - 14/02/2014 14/02/2014 13/02/2017

9901423 60032876 FGG RAHUL KUMAR 05/09/1986 413, BAHRALA PANA, BIJWASAN Delhi Delhi 110045 West West Delhi 110045 GURGAON NO - 14/02/2014 14/02/2014 13/02/2017

9901554 60032879 FGG VIPUL KISHORBHAI SAKHIYA 07/08/1983

F-F 107 SORATH PLAZA BHAKTINAGAR STATION PLOT RAJKOT

Rajkot Gujarat 360005 Rajkot Rajkot Gujarat 360005 RAJKOT NO - 14/02/2014 14/02/2014 13/02/2017

9901594 60032882 FGG BODDAPATI SS RAMA SARMA 24/05/1969

#8-99 LAKSHMI PURAM SAI SOWDA NAGAR-II Visakhapatnam

Andhra Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 14/02/2014 14/02/2014 13/02/2017

9903075 60032903 FGG MANISH KUMAR JOSHI 27/06/1974

Behind sales tax office Gandhi mohalla Itarsi Hoshangabad

Madhya Pradesh 461001 Hoshangabad Hoshangabad Madhya Pradesh 461001 BHOPAL NO - 17/02/2014 17/02/2014 16/02/2017

9903098 60032904 FGG ASHISH AKHILESH CHAUHAN 06/06/1974

102 30-A VANDANA NAGAR Indore Indore Madhya

Pradesh 450001 East Nimar East Nimar Madhya Pradesh 450001 INDORE NO - 17/02/2014 17/02/2014 16/02/2017

9903161 60032906 FGG DABBIRSIVAKUAR PATNAIK 17/03/1980

#58-9-39 NEW KARASA KARASA Visakhapatnam Andhra Pradesh

530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 17/02/2014 17/02/2014 16/02/2017

9903217 60032908 FGG GOVINDASWAMY RAJASEKARAN 07/04/1958

RBS Illam,11 Ashoknagar 3rd street visalam,Kochadai Madurai

Madurai Tamil Nadu 625016 Madurai Madurai Tamil Nadu 625016 MADURAI NO - 17/02/2014 17/02/2014 16/02/2017

9903416 60032910 FGG NAGAMOHAN KUMAR 24/05/1988

NO 239, A NARAYANAPURA DOORAVANI NAGAR POST

BANGALORE Bangalore Karnataka 560016 Bangalore Bangalore Karnataka 560016 INDIRA NAGAR NO - 17/02/2014 17/02/2014 16/02/2017

9903432 60032913 FGG SALMA GUL 23/02/1990

NO 279, CHIKKABANASAWADI MAIN ROAD SUBBAYANAPALYA

BANGALORE Bangalore Karnataka 560033 Bangalore Bangalore Karnataka 560033 INDIRA NAGAR NO - 17/02/2014 17/02/2014 16/02/2017

9909404 60032952 FGG MATHA SANTHOSHKUMAR 03/07/1990

Seethampeta Vill Kothavalasa MD Vizinagaram Vizianagaram

Andhra Pradesh 535183 Vizianagaram Vizianagaram Andhra Pradesh 535183 VIZAG NO - 20/02/2014 20/02/2014 19/02/2017

9909471 60032953 FGG SANTHOSH MEDAPUREDDI 06/08/1991

Cheedivalasa Vill Kothavalasa MD Devada PO Vizianagaram

Andhra Pradesh 535183 Vizianagaram Vizianagaram Andhra Pradesh 535183 VIZAG NO - 20/02/2014 20/02/2014 19/02/2017

9912622 60032981 FGG VINOD RAJ 15/04/1994

#76 17th Main, J C Nagar, Mahalakshmipuram Layout, Bangalore

North BANGALORE Bangalore Karnataka 560086 Bangalore Bangalore Karnataka 560086 BANGALORE NO - 21/02/2014 21/02/2014 20/02/2017

3101522 60032982 FGG DEVENDRAPPA H. B. 18/09/1979

NO.92, I MAIN, V CROSS, HANUMANTHA NAGAR, Bangalore

Karnataka 560019 Bangalore Bangalore Karnataka 560019 BANGALORE YES

LIFE INSURANCE

CORPORATION 21/02/2014 21/02/2014 05/03/2016

9912688 60032984 FGG SWATI VISHNU NEVREKAR 25/05/1981

403/ C- Wing, Hira Complex, Ambika Nagar, Majas Road,

Jogeshwari East, Mumbai Maharashtra 400060 Mumbai Mumbai Maharashtra 400060 GHATKOPAR NO - 21/02/2014 21/02/2014 20/02/2017

9916483 60033003 FGG DHARMENDAR SINGH 13/03/1988

NO 166, BANNERGMATTA VILLAGE AND POST JIGANI HOBLI

ANEKAL TALUK BANGALORE Bangalore Karnataka

560083 Bangalore Bangalore Karnataka 560083 BANGALORE NO - 24/02/2014 24/02/2014 23/02/2017

9917606 60033033 FGG A. JOHN ROBY 08/03/1979

D.NO.78, KANNAYAN STREET THIRUNAGAR COLONY ERODE

Erode Tamil Nadu 638003 Erode Erode Tamil Nadu 638003 COIMBATORE NO - 25/02/2014 25/02/2014 24/02/2017

9918076 60033035 FGG IDRISH KHAN 17/03/1994

H no 36 jawahar nagar ward N 3 Lalkuan Nanital

Uttarakhand 262402 Pithoragarh Pithoragarh Uttaranchal 262402 HALDWANI NO - 25/02/2014 25/02/2014 24/02/2017

9919057 60033036 FGG HIMANSHU SINDHANI 15/04/1984

VILL PINANGWAN PUNHAN PINANGWAN Gurgaon Haryana

121001 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 25/02/2014 25/02/2014 24/02/2017

9919179 60033037 FGG AMIT CHIKANE 01/11/1981

E-20/2:10 Suryodaya chs. sector 48, Nerul Navi Mumbai Thane

Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI NO - 25/02/2014 25/02/2014 24/02/2017

9919299 60033040 FGG GOTIVADA NIRMALA 03/06/1983

36-99-7/1 RAMJI ESTATE, KANCHARAPALEM Visakhapatnam

Andhra Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 25/02/2014 25/02/2014 24/02/2017

9920794 60033059 FGG RAHUL SUBHASH SAHU 12/06/1982

FL NO 303,SAI BALAJI ENCLAVE-II, TARADATTA COLONY, BT

KAWADE ROAD, PUNE Pune Maharashtra 411036 Pune Pune Maharashtra 411036 PUNE NO - 26/02/2014 26/02/2014 25/02/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9919963 60033070 FGG DINESH KUMAR 03/12/1990

NO-55 South Street, Pandaravadai Mayiladudurai Nagapattinam

Tamil Nadu 609001 Nagapattinam Nagapattinam Tamil Nadu 609001 TRICHY NO - 25/02/2014 25/02/2014 24/02/2017

9922383 60033074 FGG SARAVANAKUMAR .. 03/04/1990

No-31 Othaivarakara Theru Thanjavur Thanjavur Tamil

Nadu 613001 Thanjavur Thanjavur Tamil Nadu 613001 TRICHY NO - 26/02/2014 26/02/2014 25/02/2017

9924118 60033087 FGG RISHIKANT DUBEY 24/09/1994

Prem Prakash Municipal Colony Pathankot Pathankot Gurdaspur

Punjab 145001 Gurdaspur Gurdaspur Punjab 145001 JALANDHAR NO - 27/02/2014 27/02/2014 26/02/2017

9924259 60033088 FGG NILAM PIYUSH PATEL 31/05/1983

7, GURUKRUPA RAW HOUSE, PART 3 OPP KHODIYAR TEMPLE,

ADAJAN GAM ADAJAN Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT NO - 27/02/2014 27/02/2014 26/02/2017

9924318 60033089 FGG SMIT S KINKHABWALA 05/06/1991

32, SUNDARAM TOWER SOMESHWAR - 1 SATELLITE Ahmadabad

Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380015 AHMEDABAD NO - 27/02/2014 27/02/2014 26/02/2017

9657434 60033090 FGG NIRAV KIRITBHAI RAMI 11/10/1983

7 Satyakam Apartment 2 Majura Gate Sagrampura Surat Surat

Gujarat 395002 Surat Surat Gujarat 395002 SURAT YES BIRLA SUN LIFE 27/02/2014 27/02/2014 15/09/2016

9924950 60033095 FGG RAKESH SARMA S. 17/11/1985

TC-28/2666(2), SOORYA, THODIYIL LANE CHETTIKULANGARA, GPO

TRIVANDRUM Thiruvananthapuram Kerala 695002 Thiruvananthapuram ThiruvananthapuramKerala 695002 TRIVANDRAM NO - 27/02/2014 27/02/2014 26/02/2017

9925039 60033101 FGG LILADHAR .. 01/09/1990

HARIRAMPURA NAPASAR BIKANER Bikaner Rajasthan

334001 Bikaner Bikaner Rajasthan 334001 BIKANER NO - 27/02/2014 27/02/2014 26/02/2017

9925166 60033104 FGG BASNIWAL TUSHAR K. 14/01/1988

H NO 5/14/22, Mama Chowk, Near Sai Baba Temple, Padampura

Aurangabad Aurangabad Maharashtra 431005 Aurangabad Aurangabad Maharashtra 431005 AURANGABAD NO - 27/02/2014 27/02/2014 26/02/2017

9595390 60033106 FGG VIBHUTI ARORA 16/01/1991 43-A, W. P. -BLOCK PITAMPURA DELHI Delhi Delhi 110088 North West North West Delhi 110088 WEST DELHI YES

LIFE INSURANCE

CORPORATION 27/02/2014 27/02/2014 15/08/2016

1252340 60033107 FGG V. PREMA 10/11/1979

FLAT NO.364, 6TH CROSS, III MAIN, 6TH PHASE,

RAMAKRISHNANAGAR,JP NAGAR PO,B`LORE Bangalore Karnataka

560078 Bangalore Bangalore Karnataka 560078 BANGALORE YES

LIFE INSURANCE

CORPORATION OF INDIA 25/02/2014 25/02/2014 29/06/2015

5398021 60033130 FGG RAJESH KUMAR 05/06/1972 338, VILL BAKHTAWAR PUR DELHI Delhi Delhi 110036 North West North West Delhi 110036 WEST DELHI YES

ICICI PRUDENTIAL LIFE

INSURANCE 28/02/2014 28/02/2014 21/05/2015

9928664 60033131 FGG RAVINDRA RAM 14/02/1992

C-34, NAHAR PUR VILLAGE SEC 7, ROHINI DELHI Delhi Delhi

110085 North West North West Delhi 110085 WEST DELHI NO - 28/02/2014 28/02/2014 27/02/2017

9516119 60033132 FGG YOGESH KUMAR SINGH 05/01/1987

H NO- 430, LONG STREET MAIN BUS STAND, SHAHBAD

DAULATPUR DELHI Delhi Delhi 110042 North West North West Delhi 110042 WEST DELHI YES

LIFE INSURANCE

CORPORATION 28/02/2014 28/02/2014 04/07/2016

9791035 60033133 FGG PARVEEN KUMAR 22/06/1987 H.NO. 53 POONTH KAKAN DELHI Delhi Delhi 110086 DELHI DELHI Delhi 110086 WEST DELHI YES

LIFE INSURANCE

CORPORATION 28/02/2014 28/02/2014 05/12/2016

9928975 60033135 FGG RAJ KUMAR MEHRA 21/09/1973 29/16, EAST PATEL NAGAR NEW DELHI DELHI Delhi Delhi 110001 New Delhi New Delhi Delhi 110001 WEST DELHI NO - 28/02/2014 28/02/2014 27/02/2017

8817185 60033159 FGG INDRA KARIWAL 17/01/1982 F-182,AA 1ST FLOOR, ROAD NO.1 NEW DELHI Delhi Delhi 110092 East East Delhi 110092 CONNAUGHT PLACENO - 08/10/2014 08/10/2014 15/09/2017

9931983 60033163 FGG PATEL RASHMIKA MAYURBHAI 09/02/1985

A/204, SILVER CITY APPT ALTHAN NAHER BHATAR SURAT Surat

Gujarat 395007 Surat Surat Gujarat 395007 SURAT NO - 03/03/2014 03/03/2014 02/03/2017

9932007 60033164 FGG RAMESHBHAI G PATEL 31/07/1982

4-4,VERAIMATA FALIYU,JUNA BORBHATHA BET-2 BORBHATHABET,

TA-ANKLESHWAR, DIST-BHARUCH. Bharuch Gujarat

393001 Bharuch Bharuch Gujarat 393001 BHARUCH NO - 03/03/2014 03/03/2014 02/03/2017

9932055 60033165 FGG NEETA N NIRMAL 28/03/1976

14 Rajwadi Jamnigali S v road,Borivali west, Mumbai Mumbai

Maharashtra 400092 MUMBAI Mumbai Maharashtra 400092 BORIVALI NO - 03/03/2014 03/03/2014 02/03/2017

9939042 60033228 FGG SHIVASHETTY SAI CHARAN 17/05/1992

8-4-373/64/A, SASTRY NAGAR, ERRAGADDA, HYDERABAD

Hyderabad Telangana 500018 Rangareddi Rangareddi Andhra Pradesh 500018 HYDERABAD NO - 07/03/2014 07/03/2014 06/03/2017

9944931 60033278 FGG REKHABEN NITINKUMAR JAIN 03/06/1985

11, J T NAGAR, AI MATA ROAD, BOMBAY TO PUNA ROAD,

CHORYASI, SURAT Surat Gujarat 395010 Surat Surat Gujarat 395010 SURAT NO - 11/03/2014 11/03/2014 10/03/2017

9944980 60033280 FGG PUSHPA VERMA 02/05/1983

NEAR TIWARI KIRANA STORE AMANAKA MAHOBA BAZAR RAIPUR

Raipur Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 11/03/2014 11/03/2014 10/03/2017

9945009 60033281 FGG KARTHIKA K. 26/11/1987

2/24-1, Vadivel Nagar, 5th Street Woraiyur Tiruchirapalli

Tamil Nadu 620003 Tiruchirappalli Tiruchirappalli Tamil Nadu 620003 TRICHY NO - 11/03/2014 11/03/2014 10/03/2017

9945036 60033282 FGG HEENA DEEPAK PATEL 30/08/1984

Flat No A 502, Plot 133-134 Sector 28 Vashi, Navi Mumbai Thane

Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI NO - 11/03/2014 11/03/2014 10/03/2017

8879934 60033285 FGG INDRAJIT MANE 21/06/1982

404 PRACHI VILLA SEC22 TURBHE NAVI MUMBAI Thane

Maharashtra 400705 Mumbai Mumbai Maharashtra 400001 VASHI YES

LIFE INSURANCE

CORPORATION 14/02/2015 14/02/2015 14/10/2017

9847369 60033286 FGG DUTTAROY SAIKAT 09/08/1980

201, VIJAYA CASTLE PLOT-159 , SECT-12 VASHI , NAVI MUMBAI

Thane Maharashtra 400703 Thane Thane Maharashtra 400703 VASHI YES

LIFE INSURANCE

CORPORATION 11/03/2014 11/03/2014 07/01/2017

5834230 60033287 FGG NEHA SINGH 18/11/1986 69/6 DANAKHORI KANPUR Kanpur Nagar Uttar Pradesh 208001 Kanpur Nagar Kanpur Nagar Uttar Pradesh 208001 KANPUR YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 11/03/2014 11/03/2014 13/10/2015

9945534 60033288 FGG MANMEET SINGH 24/07/1984

# 490 ASHOK VIHAR, MAHESH NAGAR AMBALA CANTT Ambala

Haryana 133001 Ambala Ambala Haryana 133001 AMBALA NO - 11/03/2014 11/03/2014 10/03/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

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agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

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Details of Individual Agents of the Company as on 31st March 2015

9565626 60033289 FGG PATEL LAVKUMAR RAKESHBHAI 14/07/1993

AT.HARIPURA, PO. LADVI, TAL. PALSANA, SURAT. Surat Gujarat

394325 Surat Surat Gujarat 394325 SURAT YES

LIFE INSURANCE

CORPORATION 11/03/2014 11/03/2014 29/07/2016

3756897 60033290 FGG MANJULA J. 09/06/1965

H NO 77 NAIDU STREET KARUPPATTI SHOLAVANDAN Madurai

Tamil Nadu 625205 Madurai Madurai Tamil Nadu 625005 MADURAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 11/03/2014 11/03/2014 23/11/2016

9507454 60033291 FGG VIREN SHAH 26/02/1977

13 GAURAV SOCIETY, PANIGATE, VADODARA Vadodara

Gujarat 390006 Vadodara Vadodara Gujarat 390006 BARODA YES

ICICI PRUDENTIAL LIFE

INSURANCE 11/03/2014 11/03/2014 29/06/2016

9957145 60033362 FGG VIJAY BALVANTSINH SOLANKI 14/05/1979

128 Jain Samrat Society, Bhuravan GODHRA Panch Mahals

Gujarat 389001 PANCH MAHALS PANCH MAHALS Gujarat 389001 GODHRA NO - 18/03/2014 18/03/2014 17/03/2017

9958844 60033377 FGG BHAGI RATH DUDI 01/12/1970

ROAD NO 8 RANI BAZAR INDUSTRIAL AREA RIICCO SARASWATI

NAGAR BIKANER Bikaner Rajasthan 334001 Bikaner Bikaner Rajasthan 334001 BIKANER NO - 19/03/2014 19/03/2014 18/03/2017

9958851 60033378 FGG P. NATARAJAN 04/06/1985

5/2b kannakar street, seedamangalam, namakkal dist Namakkal

Tamil Nadu 637409 Namakkal Namakkal Tamil Nadu 637409 COIMBATORE NO - 19/03/2014 19/03/2014 18/03/2017

516710 60033494 FGG CHANDRU HARIRAM RAMCHANDANI 23/03/1958

FLAT 2203-2204, BUTTER CUP BLDG HIRANANDANI MEADOWS

OFF POKHRAN ROAD NO 2 THANE WEST Thane Maharashtra

400610 THANE THANE Maharashtra 400610 THANE NO - 28/03/2014 28/03/2014 08/04/2017

9975712 60033496 FGG VIKASH KUMAR MISHRA 03/05/1985

KADHAN KESARIYA PURWI CHAMPARAN Purba Champaran

Bihar 845434 Purba Champaran Purba Champaran Bihar 845434 MUZAFFARPUR NO - 26/03/2014 26/03/2014 25/03/2017

9975905 60033497 FGG NEETU DUBEY 22/11/1994

H NO 426, SECTOR 18, FARIDABAD Faridabad Haryana

121002 Faridabad Faridabad Haryana 121002 FARIDABAD NO - 26/03/2014 26/03/2014 25/03/2017

9976125 60033498 FGG AMIT KUMAR 31/07/1994 E-1377 Dabua Colony NIT Faridabad Haryana 121001 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 26/03/2014 26/03/2014 25/03/2017

9976203 60033499 FGG SHAKIR HUSSAIN 05/01/1979

29 van bjool pura nai basti ward 19 Haldwani Nanital

Uttarakhand 263139 Nainital Nainital Uttaranchal 263139 HALDWANI NO - 26/03/2014 26/03/2014 25/03/2017

9976317 60033500 FGG RAGHU PRASHANTHA M RAMACHANDRA28/06/1977

# 160 ,12th A MAIN,3rd Cross,Nr. Hotel Ganesh Bhavan,

Hanumantha Nagar BANGALORE Bangalore Karnataka

560019 Bangalore Bangalore Karnataka 560019 BANGALORE NO - 26/03/2014 26/03/2014 25/03/2017

9806117 60033501 FGG DHEERAJ VERMA 21/01/1977

H No 3 Shiv Colony Haryana Tube Company Hisar Hisar Haryana

125005 Hisar Hisar Haryana 125005 ROHTAK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/03/2014 26/03/2014 15/12/2016

9976456 60033502 FGG MANJULA G. 07/05/1971

# 201-1 ,20 TH CROSS,6 TH MAIN ROAD, BHUVANESHWARI

NAGAR RURAL BANGALROE BANGALORE Bangalore

Karnataka 560023 Bangalore Bangalore Karnataka 560023 BANGALORE NO - 26/03/2014 26/03/2014 25/03/2017

9977276 60033504 FGG MAITHILI PRAVIN KHANGAN 30/03/1981

G-10-The Mahul Sec Breeze chs. Bahari Nagar Chembur Mumbai

Maharashtra 400074 Mumbai Mumbai Maharashtra 400074 VASHI NO - 26/03/2014 26/03/2014 25/03/2017

1438219 60033505 FGG PANDIRIPALLI VENKATA RAO 16/06/1968

D.NO:31-7-133 BANGARAMMA METTA ALLIPURAM

Visakhapatnam Andhra Pradesh 530004 Visakhapatnam Visakhapatnam Andhra Pradesh 530004 VIZAG YES

LIFE INSURANCE

CORPORATION OF INDIA 26/03/2014 26/03/2014 19/10/2015

9977349 60033506 FGG RAGHVENDRA PRATAP SINGH 19/07/1992

P-17,SHAKTI NAGAR,NR BRC UDHNA SURAT Surat Gujarat

394210 Surat Surat Gujarat 394210 SURAT NO - 26/03/2014 26/03/2014 25/03/2017

9977371 60033507 FGG AVINASH P KALE 10/07/1984

AT.JHANSI RANI CHOWK YASHWANT NAGAR,NAGAJI COLONY

HINGANGHAT Wardha Maharashtra 442301 Wardha Wardha Maharashtra 442301 CHANDRAPUR NO - 26/03/2014 26/03/2014 25/03/2017

9978401 60033514 FGG AMBATI SHIVAKRISHNA 10/08/1990

SRT-1011, SIVAJI NAGAR, SANATH NAGAR, HYDERABAD

Hyderabad Telangana 500018 Rangareddi Rangareddi Andhra Pradesh 500018 HYDERABAD NO - 27/03/2014 27/03/2014 26/03/2017

9390527 60033516 FGG B. SHIVA KUMAR 09/01/1983

51 VENKAT SAI HOMES DEVELOPERS RANGAREDDI Rangareddy

Telangana 500072 KUKATPALLY KUKATPALLY Andhra Pradesh 500072 HYDERABAD YES

BaJAJ ALLIANZ LIFE

INSURANCE 27/03/2014 27/03/2014 29/03/2016

9448848 60033524 FGG RAGHAVENDRA PAPANNA 08/03/1982

#A 3/3, K P W D QRTS JEEVAN BHIMANAGAR H A L 3 STAGE

Bangalore Karnataka 560075 Bangalore Bangalore Karnataka 560075 INDIRA NAGAR YES

LIFE INSURANCE

CORPORATION 27/03/2014 27/03/2014 05/06/2016

9789320 60033541 FGG VIJAY PAL 16/08/1990

358 THAKUR JI KA MANDIR RIDI SRIDUNGARGARH Bikaner

Rajasthan 334001 Bikaner Bikaner Rajasthan 334001 BIKANER YES

LIFE INSURANCE

CORPORATION 28/03/2014 28/03/2014 04/12/2016

9981750 60033542 FGG VANZARA UMESHBHAI LAXMANBHAI 01/06/1993

247 Dungari Fazhiya , Panchala I , Tal Devgadh DAHOD Dohad

Gujarat 389130 Dohad Dohad Gujarat 389130 GODHRA NO - 28/03/2014 28/03/2014 27/03/2017

1838712 60033543 FGG VIJAY B. HENDRE 16/08/1958

MARWAD PETH BEHIND BALAJI MANDIR BARAMATI, PUNE Pune

Maharashtra 413102 Pune Pune Maharashtra 413102 BARAMATI YES

BaJAJ ALLIANZ LIFE

INSURANCE 28/03/2014 28/03/2014 21/11/2016

9378419 60033544 FGG FATIMA MEHATA 01/07/1968

A/p 171/10b Gokul Vadi Baramati Tal Baramati Dist Pune Pune

Maharashtra 413102 Pune Pune Maharashtra 413102 BARAMATI YES BIRLA SUN LIFE 28/03/2014 28/03/2014 24/03/2016

8292392 60033545 FGG PRIYA JAIN 05/03/1992

2/4, SECTOR-2 HOUSING BOARD BEAWAR Ajmer Rajasthan

305901 Ajmer Ajmer Rajasthan 305901 AJMER YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 28/03/2014 28/03/2014 20/09/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9982385 60033546 FGG KOMAL CHAVAN 12/05/1993

Vishal sahyadari CHS Ltd, Building no C3 Charkop Sahaydari Nagar

Kandivali West Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 BARAMATI NO - 28/03/2014 28/03/2014 27/03/2017

9214469 60033551 FGG VISHAL BADRU 13/08/1981 NA BIRBAL MEDICAL HALL SANOUR PATIALA Patiala Punjab 1475-6 Patiala Patiala Punjab 147103 CHANDIGARH NO - 17/10/2012 17/10/2012 16/10/2015

9983577 60033553 FGG GUNJIT JAGGI 19/09/1994 BS124 SHALIMAR BAGH NEW DELHI Delhi Delhi 110088 North West North West Delhi 110088 WEST DELHI NO - 28/03/2014 28/03/2014 27/03/2017

9983618 60033554 FGG ROHAN TANDON 06/08/1992

M-39 A FF, M BLOCK RAJOURI GARDEN NEW DELHI Delhi Delhi

110027 West West Delhi 110027 WEST DELHI NO - 28/03/2014 28/03/2014 27/03/2017

9983672 60033555 FGG SAPNA ANAND NANDANI 09/02/1983

B-103 Samarpan society, behind Raneshwar Temple, Vasna Road

Vadodara Vadodara Gujarat 390020 Vadodara Vadodara Gujarat 390020 BARODA NO - 28/03/2014 28/03/2014 27/03/2017

9983704 60033556 FGG CHANDNI CHHABRIA 23/06/1990

402-A,383/84 Khatiwala tank Indore Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 28/03/2014 28/03/2014 27/03/2017

2839441 60033588 FGG SANJIVANI NITIN GOJUR 23/04/1968

191 SHRAMA SAFAYLA DAND PADA KHAR DANDA KHAR MUMBAI

Mumbai Maharashtra 400052 Mumbai Mumbai Maharashtra 400052 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 18/09/2012 18/09/2012 17/12/2015

9988833 60033589 FGG SUMITRA SHETTY 02/11/1982

B33 Uday Niwas, Military Road, Marol, Andheri East Mumbai

Maharashtra 400059 Mumbai Mumbai Maharashtra 400059 ANDHERI NO - 31/03/2014 31/03/2014 30/03/2017

9988845 60033590 FGG RAJESH JAJOO 11/11/1966

2/4, SECTOR-2 HOUSING BOARD BEAWAR Ajmer Rajasthan

305901 Ajmer Ajmer Rajasthan 305901 JAIPUR NO - 31/03/2014 31/03/2014 30/03/2017

9988860 60033591 FGG JADHAV RACHNA ANIL 18/08/1989

FF 406 Prem Smruti Appt , B/H Bank Of Baroda, R V Desai Road

VADODARA Vadodara Gujarat 390001 Vadodara Vadodara Gujarat 390001 BARODA NO - 31/03/2014 31/03/2014 30/03/2017

9989192 60033592 FGG MANJUNATH S. 22/09/1965

#1187, 3rd cross, vivekananda layout, near kallamma temple, T.

Dasarahalli Bangalore Karnataka 560057 Bangalore Bangalore Karnataka 560057 BANGALORE NO - 31/03/2014 31/03/2014 30/03/2017

1171076 60033614 FGG SHASHI BAGHEL 06/06/1972 2 C, 67 B 1st Floor, NIT Faridabad Haryana 121--2 Faridabad Faridabad Haryana 121002 FARIDABAD NO - 29/03/2012 29/03/2012 04/05/2015

9329748 60033669 FGG MRINAL KUMAR KARN 06/07/1979

QTR NO 4, ROAD NO-1 ADARSH COLONY,NAMDA BASTI ,

JAMSHEDPUR Purbi Singhbhum Jharkhand 831001 Purbi Singhbhum Purbi Singhbhum Jharkhand 831001 JAMSHEDPUR YES

LIFE INSURANCE

CORPORATION 08/04/2014 08/04/2014 17/02/2016

9996742 60033688 FGG ANUJ RAJGARHIA 08/11/1992

AMBIKA GARDENS FLAT NO 4C 23 RAJA SANTOSH ROAD PO

ALIPORE Kolkata West Bengal 700027 Kolkata Kolkata West Bengal 700027 KOLKATA NO - 10/04/2014 10/04/2014 09/04/2017

9996914 60033692 FGG ELISETTI MADHU 12/12/1984

#3-56 Krishna Street, P. Vemavaram Samarlakota East Godavari

Andhra Pradesh 533434 East Godavari East Godavari Andhra Pradesh 533434 VIZAG NO - 10/04/2014 10/04/2014 09/04/2017

9996929 60033693 FGG KUSH THAKKAR 29/09/1994

B-203 ANAND SARITA CHS, ANAND NAGAR MG ROAD KANDIVALI

WEST Mumbai Maharashtra 400067 Mumbai Mumbai Maharashtra 400067 VASHI NO - 10/04/2014 10/04/2014 09/04/2017

9327176 60033694 FGG KARTHIKEYAN V. 29/11/1982

G2 A BLOCK 14/7 KADAMBADI AMAN KOIL STREET CHENNAI

Chennai Tamil Nadu 600087 Thiruvallur Thiruvallur Tamil Nadu 600087 CHENNAI YES

BaJAJ ALLIANZ LIFE

INSURANCE 10/04/2014 10/04/2014 13/02/2016

9998455 60033713 FGG ANAND K. 07/04/1981

12/2 2nd b cross chinnamma layout BANGALORE Bangalore

Karnataka 560068 Bangalore Bangalore Karnataka 560068 BANGALORE NO - 11/04/2014 11/04/2014 10/04/2017

8084244 60033736 FGG MAHESH A JHAVERI 02/05/1944

A 28 Nilkanth Co Op Soc Gadapura Baroda Vadodara

Gujarat 390007 Vadodara Vadodara Gujarat 390007 GODHRA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 15/04/2014 15/04/2014 11/05/2016

10001043 60033756 FGG JAGDEEP KAUR 16/08/1979

# 30-A GOBIND NAGAR AMBALA CANTT Ambala Haryana

133001 Ambala Ambala Haryana 133001 AMBALA NO - 15/04/2014 15/04/2014 14/04/2017

10001051 60033757 FGG PARVEEN KUMAR CHOUDHARY 19/08/1989

MCF-29, WARD NO 32 NEAR SARASWATI SCHOOL BHATIYA

COLONY, BALLABGARH Faridabad Haryana 121001 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 15/04/2014 15/04/2014 14/04/2017

10001068 60033758 FGG MANPRIT KAUR KHURANA 12/02/1978

B/5, 302, MANGAL ORCHID, YARI ROAD, OPP D MART, VERSOVA

ANDHERI WEST Mumbai Maharashtra 400061 Mumbai Mumbai Maharashtra 400061 ANDHERI NO - 15/04/2014 15/04/2014 14/04/2017

4895829 60033780 FGG SHALINI SINGH 12/03/1984

K-53/149 Madhyameshwar VARANASI Varanasi Uttar

Pradesh 221001 Varanasi Varanasi Uttar Pradesh 221001 VARANASI YES BIRLA SUN LIFE 22/12/2014 22/12/2014 03/12/2017

10001912 60033781 FGG VIBHA KUMARI 20/01/1979

C-14/166 KAJEEPURA KHUDRAAAN VARANASI Varanasi

Uttar Pradesh 221010 Varanasi Varanasi Uttar Pradesh 221010 VARANASI NO - 16/04/2014 16/04/2014 15/04/2017

10001913 60033782 FGG NAVEEN KUMAR CHAURASIA 09/08/1984

K-56/52 AUSANGANJ ISHWARGANGI VARANASI Varanasi

Uttar Pradesh 221010 Varanasi Varanasi Uttar Pradesh 221010 VARANASI NO - 16/04/2014 16/04/2014 15/04/2017

1985 60033795 FGG BHANUMATI CHAMPAKLAL NANAVATI 14/11/1934

C-1002, VALENCIA TOWERS,"C" WING, 10TH FLOOR, TUKARAM

JAVJI MARG, NEAR BHATIA HOSPITAL, MUMBAI Mumbai

Maharashtra 400007 Mumbai Mumbai Maharashtra 400007 FORT YES

LIFE INSURANCE

CORPORATION 17/04/2014 17/04/2014 07/10/2015

9731556 60033809 FGG AMITKUMAR N SHAH 25/11/1968

3, Gulabchand Park Ambalal Park Road Ambe Mata Mandir

Karelibaug Vadodara Gujarat 390018 Vadodara Vadodara Gujarat 390018 BARODA YES

KOTAK MAHINDRA OLD

MUTUAL 18/04/2014 18/04/2014 28/10/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10007476 60033855 FGG SANJAY KUMAR MISHRA 10/04/1983 A-4/28 Block A- 4 New kondli Delhi Delhi 110096 East East Delhi 110096 NOIDA NO - 23/04/2014 23/04/2014 22/04/2017

9817153 60033873 FGG SHIFALI MATHUR 23/09/1986

B-1298,2ND FLOOR GATE NO-15 GREEN FIELD COLONY Faridabad

Haryana 121003 Faridabad Faridabad Haryana 121003 FARIDABAD YES

LIFE INSURANCE

CORPORATION 25/04/2014 25/04/2014 20/12/2016

10009521 60033876 FGG AVUSULA RAVI KIRAN 22/06/1984

H NO 2-4-123/27/A, SWAROOP NAGAR, OPP GMR RESEARCH

FOUNDATION, UPPAL, K V RANGAREDDY, HYDERABAD

Hyderabad Telangana 500039 Rangareddi Rangareddi Andhra Pradesh 500039 HYDERABAD NO - 25/04/2014 25/04/2014 24/04/2017

5713015 60033877 FGG MANGESH M NARKAR 27/05/1979

B/809, SHITLADEVI CO-OP HSG SOC., LINK RD., OPP. INDIAN OIL

NGR., ANDHERI (W) Mumbai Maharashtra 400053 Mumbai Mumbai Maharashtra 400053 GHATKOPAR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 25/04/2014 25/04/2014 27/08/2015

5869181 60033880 FGG AMIT GHANEKAR 25/11/1979

R.NO-02, DHIRENJYOT CHS., MHATRE NGR., RAJAJI RD.,

DOMBIVALI (E) Thane Maharashtra 421201 Thane Thane Maharashtra 421201 GHATKOPAR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 25/04/2014 25/04/2014 02/11/2015

10012867 60033903 FGG KUSUM WALIA 03/11/1973

D-36 DAYAL BAGH, NEAR HANUMAN MANDIR MAHESH NAGAR,

AMBALA CANTT Ambala Haryana 133001 Ambala Ambala Haryana 133001 AMBALA NO - 28/04/2014 28/04/2014 27/04/2017

10013207 60033904 FGG RAMESH CHAND AGARWAL 18/07/1952

11/24,SARVADHRAM MANDIR KE PICHE VAISHALI NAGAR Ajmer

Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 28/04/2014 28/04/2014 27/04/2017

10013273 60033905 FGG TRILOK SARASWAT 04/07/1985

HANUMAN COLONY, MANDORE ROAD, JODHPUR Jodhpur

Rajasthan 342007 Jodhpur Jodhpur Rajasthan 342007 JODHPUR NO - 28/04/2014 28/04/2014 27/04/2017

10013305 60033906 FGG VIRMA RAM GUJAR 15/08/1971

DALPAT GARH, THE.ROHAT , DIST PALI. Pali Rajasthan

306421 Pali Pali Rajasthan 306421 JODHPUR NO - 28/04/2014 28/04/2014 27/04/2017

10013316 60033907 FGG P. M. CHAKOCHAN 22/04/1965

457 , PELLISSERY , MULAMGUNATHUKAVU GRAMA PANCHAYATH

THRISSUR Thrissur Kerala 680581 Thrissur Thrissur Kerala 680581 THRISSUR NO - 28/04/2014 28/04/2014 27/04/2017

10015999 60033938 FGG AJITH RAJ 29/05/1991

3(28/71) KARAMKUNNATH 28 PALLAPRAM PONNANI

Malappuram Kerala 679577 Malappuram Malappuram Kerala 679577 THRISSUR NO - 30/04/2014 30/04/2014 29/04/2017

5633046 60033939 FGG NAVEEN KUMAR SINGH 01/07/1970

106 MAGRAHA UTTARI CHUNAR MIRZAPUR Mirzapur Uttar

Pradesh 231001 Mirzapur Mirzapur Uttar Pradesh 231306 VARANASI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 30/04/2014 30/04/2014 02/08/2015

1168633 60033940 FGG PRASHANT MODAK 20/10/1968

A /14 OM SHREE MANGALMURTI PH NO 207, GYMKHANA ROAD

DOMBIVALI EAST Thane Maharashtra 421203 Thane Thane Maharashtra 421203 ANDHERI YES

HDFC STANDARD LIFE

INSURANCE CO LTD 30/04/2014 30/04/2014 01/05/2015

10016367 60033943 FGG S KHAJA VALI 10/05/1985

16-7-714, AZAMPURA, CHADARGHAT, HYD Hyderabad

Telangana 500024 Hyderabad Hyderabad Andhra Pradesh 500024 HYDERABAD NO - 30/04/2014 30/04/2014 29/04/2017

8601921 60034009 FGG THAKKAR GAUTAM JAGDISH 24/08/1991

228/ B/2, NEELDHARA R.B.MEHTA MARG, GHATKOPAR (EAST)

Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 GHATKOPAR NO - 10/03/2014 10/03/2014 03/05/2017

8647203 60034034 FGG ANSHU JAIN 20/02/1979

H.No.11 Upper Mohalla Kalka Panchkula Haryana

133302 Panchkula Panchkula Haryana 133302 CHANDIGARH NO - 26/05/2014 26/05/2014 12/06/2017

10023681 60034087 FGG SEEMA RANI 30/09/1982

#789, WARD 18 KRISHNA GALI, KALAL MAJRI AMBALA CITY

Ambala Haryana 134003 Ambala Ambala Haryana 134003 AMBALA YES

ICICI PRUDENTIAL LIFE

INSURANCE 09/05/2014 09/05/2014 08/05/2017

8893880 60034175 FGG NARINDER SHARMA 10/01/1962

House No 129, Sector 27 A, Chandigarh Chandigarh

Chandigarh 160001 Chandigarh Chandigarh Chandigarh 160001 PANCHKULA NO - 01/10/2014 01/10/2014 23/10/2017

8591072 60034223 FGG SARITA KERABA PATIL 19/06/1992

SIDDHI APARTMENT ROOM NO 201 B WING 2ND FLOOR NEAR

KRISH COLONY N R NAGAR DIVA ROAD DIVA THANE Thane

Maharashtra 421502 Thane Thane Maharashtra 421502 GHATKOPAR NO - 12/05/2014 12/05/2014 20/04/2017

10029530 60034226 FGG ALAN ABRAHAM 15/05/1994

KADOOPARAMBIL HOUSE SANTHI NAGAR PALIPARAMBU KAVU

ROAD Ernakulam Kerala 682301 Ernakulam Ernakulam Kerala 682301 COCHIN NO - 16/05/2014 16/05/2014 15/05/2017

9679578 60034229 FGG RENU DEVI SWAMI 15/07/1975

30/F MC SOLAN W.N.G. B.NO. 17 SOLAN Solan Himachal Pradesh

173212 Solan Solan Himachal Pradesh173212 CHANDIGARH YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 16/05/2014 16/05/2014 25/09/2016

10031490 60034262 FGG SANCHITA GUPTA 18/01/1983

H,No 241/2 Begum Bagh Meerut lal Kurti Meerut Up 250001

Meerut Uttar Pradesh 250001 Meerut Meerut Uttar Pradesh 250001 FARIDABAD NO - 19/05/2014 19/05/2014 18/05/2017

3667630 60034392 FGG JAYDEEP SONI 13/11/1980

11 VEJA MAISUR CHAWL KHOT DONGRI RANI SATI MARG MALAD

EAST Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 BORIVALI YES

LIFE INSURANCE

CORPORATION 25/10/2013 25/10/2013 23/10/2016

10041310 60034415 FGG BITRA THULASI DEVI 04/04/1980

25 #8/4 , 2main road R T Nagar Bangalore Bangalore

Karnataka 560022 Bangalore Bangalore Karnataka 560022 R.T.NAGAR NO - 27/05/2014 27/05/2014 26/05/2017

10041575 60034420 FGG MOHAMMAD ISHRAFIL 28/05/1986

Near State Bank Of India, Mahagama Post Mahagama, Thana

Mahagama Godda Godda Jharkhand 814154 Godda Godda Jharkhand 814154 DEOGHAR NO - 27/05/2014 27/05/2014 26/05/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10041630 60034421 FGG LINI JAIN 29/06/1993

A-49 Jamuna Dham mathura Mathura Mathura Uttar

Pradesh 281003 Mathura Mathura Uttar Pradesh 281003 FARIDABAD NO - 27/05/2014 27/05/2014 26/05/2017

10042160 60034426 FGG POONAM SAHNI 30/11/1972 A-2/445 Block A Pkt 2 Rohini Delhi Delhi Delhi 110036 North West North West Delhi 110036 FARIDABAD NO - 27/05/2014 27/05/2014 26/05/2017

10042259 60034427 FGG SUKHBEER SINGH 16/04/1961

70 KOT KARNAIL SINGH SULTANWIND ROAD AMRITSAR Amritsar

Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 27/05/2014 27/05/2014 26/05/2017

2579593 60034430 FGG DEEPAK MUNJAL 13/11/1979

68/8 NEW COLONY,PALWAL FARIDABAD Faridabad Haryana

121102 Faridabad Faridabad Haryana 121102 FARIDABAD YES

RELIANCE LIFE

INSURANCE CO.LTD. 27/05/2014 27/05/2014 07/09/2015

10042409 60034431 FGG RAJESHWARI .. 20/02/1977

11-35, POTHIREDDYPALLY, HOUSING BOARD COLONY, PHASE-2,

SANGAREDDY, MEDAK Medak Telangana 502001 Medak Medak Andhra Pradesh 502001 KUKKATPALLY NO - 27/05/2014 27/05/2014 26/05/2017

9608124 60034475 FGG MAHNAZ KHAN 10/09/1980

W/O AFTAB ALAM KHAN VILLAGE DHANURI street Jhunjhunun

Rajasthan 333011 Jhunjhunun Jhunjhunun Rajasthan 333011 JAIPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 29/05/2014 29/05/2014 22/08/2016

10046816 60034479 FGG RAHUL GUPTA 26/07/1983

57 DIAMOND HARBOUR ROAD EKBALPORE KOLKATA KOLKATA

Kolkata West Bengal 700023 Kolkata Kolkata West Bengal 700023 KOLKATA NO - 29/05/2014 29/05/2014 28/05/2017

9842256 60034483 FGG DERRICK HUBERT PINTO 17/04/1978

2-10/V-1, Pinto Villa Amruthnagar Ist Cross Vamanjoor

Mangalore Dakshina Kannada Karnataka 575008 Dakshina Kannada Dakshina Kannada Karnataka 575008 MANGALORE YES

KOTAK MAHINDRA OLD

MUTUAL 29/05/2014 29/05/2014 02/01/2017

10047903 60034499 FGG SOURABH SHARMA 04/06/1995

H.NO-13/2 VILLAGE BALAUNI THE- BHARARI BILASPUR BILASPUR

Bilaspur Himachal Pradesh 174001 Bilaspur Bilaspur Himachal Pradesh174001 JALANDHAR NO - 30/05/2014 30/05/2014 29/05/2017

10048566 60034501 FGG VIJAY KUMAR AGARWAL 19/12/1990

14-2-398-7, RAZAKPURA, GOSHA MAHAL, HYDERABAD

Hyderabad Telangana 500012 Hyderabad Hyderabad Andhra Pradesh 500012 HYDERABAD NO - 30/05/2014 30/05/2014 29/05/2017

10048728 60034502 FGG AKASH LAWRENCE CUTINHA 01/07/1983

17-6-328/1 ST. JOSEPH NAGAR, JEPPU MANGALORE Dakshina

Kannada Karnataka 575002 Dakshina Kannada Dakshina Kannada Karnataka 575002 MANGALORE NO - 30/05/2014 30/05/2014 29/05/2017

10048801 60034512 FGG ARPIT SHASHIKANT DOSHI 10/03/1990

A/10 GEETA APT CHANDAVARKAR LANE BORIVALI WEST Mumbai

Maharashtra 400092 MUMBAI Mumbai Maharashtra 400092 ANDHERI NO - 30/05/2014 30/05/2014 29/05/2017

10048820 60034513 FGG RUCHA PURI 19/10/1979

A/101, Orchid Prestige Residency Society, Waghbil Naka,

Godbunder Road, Thane (W) Thane Maharashtra 400607 Thane Thane Maharashtra 400607 ANDHERI NO - 30/05/2014 30/05/2014 29/05/2017

9948370 60034514 FGG JENIL ANIL SHAH 01/08/1993

INDRAPRASTHA 1 B 108 jitendra raod malad Mumbai

Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 BORIVALI YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 30/05/2014 30/05/2014 11/03/2017

8814617 60034577 FGG SATISH BABBAR 13/12/1980

h no 1048/65 jawahar nagae palwal Faridabad Haryana

121102 Faridabad Faridabad Haryana 121102 FARIDABAD YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 01/09/2014 01/09/2014 14/09/2017

4267350 60034578 FGG PRAHLAD .. 07/01/1979 382 KANUGOYAN PALWAL Faridabad Haryana 121102 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 21/07/2014 21/07/2014 30/05/2017

5792789 60034579 FGG SACHIN GROVER 01/09/1990

VILLAGE+POST CHIRAWATA PALWAL PALWAL Faridabad Haryana

121--1 Palwal Palwal Haryana 121102 FARIDABAD NO - 18/09/2012 18/09/2012 28/09/2015

9203963 60034580 FGG YASH PAL 01/12/1984 VILL ALAWALPUR PALWAL PALWAL Faridabad Haryana 121102 Faridabad Faridabad Haryana 121102 FARIDABAD YES

LIFE INSURANCE

CORPORATION 04/10/2012 04/10/2012 03/10/2015

9160104 60034581 FGG RANBIR SINGH DAGAR 05/05/1968 VILL KHATELA PALWAL HARYANA Faridabad Haryana 121--1 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 27/08/2012 27/08/2012 26/08/2015

9223188 60034582 FGG DINESH KUMAR 15/07/1984 DB-43 SHIV COLONY PALWAL PALWAL Faridabad Haryana 1211-2 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 26/10/2012 26/10/2012 25/10/2015

9223184 60034583 FGG TARUN KUMAR 26/05/1988

1/1 JAWAHAR NAGAR PALWAL PALWAL Faridabad Haryana 1211-

2 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 26/10/2012 26/10/2012 25/10/2015

9123416 60034584 FGG MOOL CHAND 01/02/1986

Adarsh Colony Palwal Dist Faridabad Palwal Faridabad Haryana

121102 Faridabad Faridabad Haryana 121102 FARIDABAD YES

FUTURE GENERALI LIFE

INSURANCE 20/07/2012 20/07/2012 19/07/2015

9779262 60034585 FGG GEETA RANI 10/05/1995

H NO 81 VILL REHRANA PALWAL Faridabad Haryana

121102 Faridabad Faridabad Haryana 121102 FARIDABAD NO - 29/11/2013 29/11/2013 28/11/2016

9816230 60034587 FGG HIMANSHU ARORA 09/07/1985 H NO 2K/9 NIT FARIDABAD Faridabad Haryana 121001 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 20/12/2013 20/12/2013 19/12/2016

5251753 60034588 FGG HEMANT KUMAR 12/07/1987

HOUSE NO-B-526, DABUA COLONY, NIT FARIDABAD Faridabad

Haryana 121001 Faridabad Faridabad Haryana 121001 FARIDABAD NO - 02/02/2015 02/02/2015 15/03/2018

10016412 60034589 FGG SATYA PRAKASH 17/09/1983

R/O HATHIN TEHSIL HATHIN NUH Faridabad Haryana

121103 Faridabad Faridabad Haryana 121103 FARIDABAD NO - 30/04/2014 30/04/2014 29/04/2017

9379115 60034590 FGG ROHTASH .. 02/04/1984

VILL MOHNA BALLABGARH BALLABGARH Faridabad

Haryana 121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 25/03/2013 25/03/2013 24/03/2016

10054239 60034598 FGG VANDANA MAKKAR 24/12/1986

27 SRI RAM SINGH RANA NAGAR VIDYAPITH VARANASI Varanasi

Uttar Pradesh 221001 Varanasi Varanasi Uttar Pradesh 221001 VARANASI NO - 05/06/2014 05/06/2014 04/06/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10054450 60034601 FGG RAM AVTAR 23/11/1988

730, SHRI RAM VIHAR COLONY JAMDOLI JAIPIR Jaipur

Rajasthan 302001 Jaipur Jaipur Rajasthan 302001 JAIPUR NO - 05/06/2014 05/06/2014 04/06/2017

10054465 60034605 FGG MIRIYALA PRASHANTH 22/05/1986

H NO 3-1-225/1, SOWBHAGYA NAGAR COLONY, DAIRAMALAL

GUDA, SAROOR NAGAR, RANGA REDDY Rangareddy Telangana

500060 Rangareddi Rangareddi Andhra Pradesh 500060 HYDERABAD NO - 05/06/2014 05/06/2014 04/06/2017

9758399 60034608 FGG SANJAY KUMAR 01/01/1972

At Bhadaus Vill Bhadaus Anchal Ghatakusumbha Dist Sheikhpura,

Shekhpura Patna Bihar 811107 Sheikhpura Sheikhpura Bihar 811107 PATNA YES BIRLA SUN LIFE 05/06/2014 05/06/2014 17/11/2016

10054482 60034610 FGG PRATIK ARVIND THUBE 10/02/1996

manda niwas asha cottage perira wadi sakinaka Mumbai

Maharashtra 400072 Mumbai Mumbai Maharashtra 400072 GHATKOPAR NO - 05/06/2014 05/06/2014 04/06/2017

10054500 60034611 FGG NEELAM BATRA 24/01/1981

97,SINDHI COLONY, NR.MEDICAL COLLEGE Jodhpur Jodhpur

Rajasthan 342001 Jodhpur Jodhpur Rajasthan 342001 JODHPUR NO - 05/06/2014 05/06/2014 04/06/2017

10054504 60034612 FGG ABUTHAHIR S. 20/02/1984

247 PULIKULAM ROAD, COIMBATORE Coimbatore Tamil

Nadu 641045 Coimbatore Coimbatore Tamil Nadu 641045 COIMBATORE NO - 05/06/2014 05/06/2014 04/06/2017

8656903 60034616 FGG HEMALIBEN UMESHBHAI TANK 28/07/1984

"UMESH" 3-ALKA SOCIETY MAVDI Rajkot Gujarat

360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 16/06/2014 16/06/2014 17/06/2017

4348004 60034617 FGG GEETA MITTAL 01/03/1974 G-20/269 Sector-7, Rohini, Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI NO - 23/06/2014 23/06/2014 29/06/2017

9418605 60034619 FGG MONICA VIREN SHAH 31/01/1977

B Himatlal & Co. B28, Asvani Building, Gokhale Road, Mumbai

Maharashtra 400028 Mumbai Mumbai Maharashtra 400028 ANDHERI NO - 09/05/2013 09/05/2013 08/05/2016

9171570 60034713 FGG JEEVAN SHRIKANT BAGUL 16/09/1975

983/1 AISHWARYA APT. SHUKRAWAR PETH OPP NEHRU STADIUM

Pune Maharashtra 41-3-1 Pune Pune Maharashtra 410301 CHINCHWAD NO - 05/09/2012 05/09/2012 04/09/2015

10063045 60034778 FGG YOGESH KUMAR 26/01/1983

H NO 44 RAV COLONY BALLABGARH Faridabad Haryana

121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 13/06/2014 13/06/2014 12/06/2017

10066274 60034800 FGG SYED M JEHANGIR BASHA 05/05/1988

D.NO.4-448 VEPAGUNTA CHEEMALAPALLE Visakhapatnam

Andhra Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 17/06/2014 17/06/2014 16/06/2017

10066457 60034801 FGG JOYNA VARGHESE 17/08/1990

800, 17 POOJAPURA TRIVANDRUM Thiruvananthapuram

Kerala 695012 Thiruvananthapuram ThiruvananthapuramKerala 695012 TRIVANDRAM NO - 17/06/2014 17/06/2014 16/06/2017

10066477 60034802 FGG MARY ELIZABETH 16/05/1988

NO.06,ANNAIAH REDDY CROSS,1STCROSS, HALASURU,

BANGALORE Bangalore Karnataka 560008 Bangalore Bangalore Karnataka 560008 BANGALORE NO - 17/06/2014 17/06/2014 16/06/2017

9170652 60034803 FGG PARAMESH KUNDURU 01/06/1988

H NO 17-19, JYOYHI NAGAR, NARTHLAL GUDA, THUKARAMGATE,

NEAR SAI BABA TEMPLE, HYDERABAD Hyderabad Telangana

500017 Hyderabad Hyderabad Telangana 500017 DILSUKHNAGAR YES

LIFE INSURANCE

CORPORATION OF INDIA 17/06/2014 17/06/2014 03/09/2015

10066566 60034804 FGG NASRULLA NAWAZ 18/02/1980

#05, VATTAL NAGARAJ ROAD,1ST MAIN ROAD, NEAR SHNAKAR

LINGAM PANDIAN HOTEL OKALIPURAM Bangalore

Karnataka 560021 Bangalore Bangalore Karnataka 560021 BANGALORE NO - 17/06/2014 17/06/2014 16/06/2017

10066610 60034805 FGG RUCHA JAGDISHCHANDRA THAKKAR 02/10/1989

Plot no 969/2, sector 2/C Gandhinagar Gandhinagar Gujarat

382007 Gandhinagar Gandhinagar Gujarat 382007 BARODA NO - 17/06/2014 17/06/2014 16/06/2017

10066662 60034806 FGG PRAMOD .. 18/05/1985

TC- 19/2043, Sreyas Vaniath Lane Poojapura

Thiruvananthapuram Kerala 695012 Thiruvananthapuram ThiruvananthapuramKerala 695012 TRIVANDRAM NO - 17/06/2014 17/06/2014 16/06/2017

10066698 60034807 FGG KONDERU MURALI 10/04/1977

1-310/133, SRI RAM NAGAR, KAPRA, KEESARA, RANGAREDDY

RANGAREDDY Rangareddy Telangana 500008 Hyderabad Hyderabad Telangana 500008 HYDERABAD NO - 17/06/2014 17/06/2014 16/06/2017

10066748 60034828 FGG S. KARPAGAM 12/08/1984

12/NA MARUTHAM NAGAR SUBRAMANIYA PALAIYAM

Coimbatore Tamil Nadu 641029 Coimbatore Coimbatore Tamil Nadu 641029 COIMBATORE NO - 17/06/2014 17/06/2014 16/06/2017

9033606 60034872 FGG SANDEEP KUMAR 12/11/1983

Vill Jhaguri , P.O. Baindi Haryana Yamunanagar Yamunanagar

Haryana 135--3 Yamunanagar Yamunanagar Haryana 135003 CHANDIGARH NO - 26/03/2012 26/03/2012 25/03/2015

10071161 60034916 FGG R. DHANABALAN 12/11/1993

NO 31/31, UPPILIYER STREET SINGANALLUR COIMBATORE

Coimbatore Tamil Nadu 641005 Coimbatore Coimbatore Tamil Nadu 641005 COIMBATORE NO - 20/06/2014 20/06/2014 19/06/2017

10071304 60034917 FGG K MAHESH KUMAR 17/02/1984

H NO 7-562/C, OPP VAISHNAVI GARDENS, IBRAHIMPATNAM,

Rangareddy Telangana 501510 Rangareddi Rangareddi Telangana 501510 DILSUKHNAGAR NO - 20/06/2014 20/06/2014 19/06/2017

1399036 60034984 FGG DATTATRAY NARAYAN JOGE 27/02/1954

B/303, CHAITANYA APPTS OPP. NAVAPURA POLICE STATION

BARODA Vadodara Gujarat 390001 Vadodara Vadodara Gujarat 390001 BARODA YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 03/09/2012 03/09/2012 17/09/2015

10081432 60035048 FGG SHALINI CHOUDHRY 31/10/1974

Flat No 404, GH 104 I Sector 20, Panchkula Panchkula

Haryana 134112 Panchkula Panchkula Haryana 134112 CHANDIGARH NO - 26/06/2014 26/06/2014 25/06/2017

10081448 60035049 FGG NEELAM .. 15/03/1976

Vill. Attal Garh, P.O. Bassi Gulam Hussain Hoshiarpur Hoshiarpur

Punjab 146111 Hoshiarpur Hoshiarpur Punjab 146111 HOSHIARPUR NO - 26/06/2014 26/06/2014 25/06/2017

10081451 60035050 FGG SENTHILKUMAR THANGAVEL 25/03/1984

117/3, Molasi PO Tiruchiwadi Namakkal Tamil Nadu

637201 Namakkal Namakkal Tamil Nadu 637201 SALEM NO - 26/06/2014 26/06/2014 25/06/2017

10081559 60035051 FGG SACHIN VERMA 07/10/1985 17 Shivaji Nagar Indore Indore Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 26/06/2014 26/06/2014 25/06/2017

10081577 60035053 FGG KARANVIR SINGH 26/02/1993

H NO 25, VILL. HIMMATGARH TEHSIL DERA BASSI DISTT SAS

NAGAR Sahibzada Ajit Singh Nagar Punjab 160055 MOHALI MOHALI Punjab 160055 PANCHKULA NO - 26/06/2014 26/06/2014 25/06/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10081584 60035056 FGG S MADHUSUDHAN 31/08/1979

60-125 Kandasamy Street Coimbatore Managaratchi Coimbatore

Tamil Nadu 641027 Coimbatore Coimbatore Tamil Nadu 641027 COIMBATORE NO - 26/06/2014 26/06/2014 25/06/2017

10081404 60035058 FGG LAKSHMISHA B C ... 15/07/1982

VIJAYAPURA MAIN ROAD NEAR OLD POST OFFICE CHICKMAGLUR

Chikmagalur Karnataka 577101 Chikmagalur Chikmagalur Karnataka 577101 MANGALORE NO - 26/06/2014 26/06/2014 25/06/2017

10081610 60035059 FGG GANDASIRI UPENDER 08/08/1992

KOTHAPET X RAOD, KOTHAPET, SAROOR NAGAR, HYDERABAD

Hyderabad Telangana 500035 Rangareddi Rangareddi Telangana 500035 DILSUKHNAGAR NO - 26/06/2014 26/06/2014 25/06/2017

10081401 60035060 FGG CHINTADA PRABHAKARA RAO 01/07/1991

15,RAGHAVENDRA APARTS MANGAPURAM COLONY

MADDILAPALEM Visakhapatnam Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 26/06/2014 26/06/2014 25/06/2017

9814503 60035061 FGG K P PADMANABHAN NAIR 11/03/1952

ANUPAM ARIKERE, MULUHITHLU, BOLAR MANGALORE Dakshina

Kannada Karnataka 575001 Dakshina Kannada Dakshina Kannada Karnataka 575001 MANGALORE YES

KOTAK MAHINDRA OLD

MUTUAL 26/06/2014 26/06/2014 19/12/2016

8149406 60035062 FGG VINEY KUMAR 10/12/1984

245 V.P.O. SUNDER PUR ROHTAK Rohtak Haryana

124001 Rohtak Rohtak Haryana 124001 ROHTAK YES

SBI LIFE INSURANCE

COMPANY LIMITED 26/06/2014 26/06/2014 27/06/2016

1188556 60035125 FGG INCHIPARAMBAN TERESA STEPHEN 27/05/1970

NANDADEEP BLDG,NO 25 R.NO.1635,NANDADEEPS KHER

NGR,BANDRA EAST Mumbai Maharashtra 400051 Mumbai Mumbai Maharashtra 400051 ANDHERI YES

LIFE INSURANCE

CORPORATION 14/05/2012 14/05/2012 16/05/2015

10089532 60035127 FGG SANJAY V S .. 28/01/1988

LIG 305, GANDHINAGAR KADAVANTHRA P O Ernakulam

Kerala 682020 Ernakulam Ernakulam Kerala 682020 COCHIN NO - 30/06/2014 30/06/2014 29/06/2017

948473 60035140 FGG UGAMRAJ BHAGCHAND JAIN 25/10/1953

804-A, SANDY FLAMA, DOSTI FLAMINGO, T. J. ROAD, CHINA MILL

COMP., SEWREE, MUMBAI Mumbai Maharashtra

400015 Mumbai Mumbai Maharashtra 400015 VASHI YES

LIFE INSURANCE

CORPORATION 18/10/2014 18/10/2014 05/02/2018

1335684 60035164 FGG AJAY KUMAR 05/12/1976

Anandanagar Dakshin, Chakpara, Liluah LILUAH HOWRAH Haora

West Bengal 711203 Haora Haora West Bengal 711205 KOLKATA YES

LIFE INSURANCE

CORPORATION OF INDIA 26/06/2014 26/06/2014 10/08/2015

2197325 60035208 FGG KEYUR JEEVAN MEHTA 25/02/1980

G-917 Ashirwad Park Opp Petrol Pump City Light Surat Surat

Gujarat 395009 Surat Surat Gujarat 395007 SURAT YES

KOTAK MAHINDRA OLD

MUTUAL 23/12/2014 23/12/2014 02/12/2017

9986041 60035233 FGG E MERCY ANGELA 07/12/1972

NO 39 VOC STREET KAMARAJAPURAM ABBATHUR CHENNAI

Chennai Tamil Nadu 600053 CHENNAI CHENNAI Tamil Nadu 600053 ANNA NAGAR YES

EXIDE LIFE INSURANCE

COMPANY LIMITED 08/07/2014 08/07/2014 28/03/2017

10100980 60035240 FGG KRISITAA R K. 16/09/1992

Y 23, OLD NO 229, 6TH MAIN ROAD AYYAPAN TEMPLE ROAD

ANNA NAGAR Chennai Tamil Nadu 600040 Chennai Chennai Tamil Nadu 600040 ANNA NAGAR NO - 08/07/2014 08/07/2014 07/07/2017

10101023 60035242 FGG PANKAJ SAHU 17/07/1984

H .NO C -18 KAILASH PURI LUCKNOW LUCKNOW Lucknow

Uttar Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 08/07/2014 08/07/2014 07/07/2017

10101194 60035244 FGG RAMANDEEP KAUR 10/04/1993

VILL ADALTI WALA, NARAINGARH BARSAVA, DISTT-PATIALA

Patiala Punjab 147001 Patiala Patiala Punjab 147001 PATIALA NO - 08/07/2014 08/07/2014 07/07/2017

10101820 60035256 FGG SHINGALA RAJESH NALINBHAI 08/01/1977

163 Shiv Shakti Colony University Road Rajkot Rajkot

Gujarat 360005 Rajkot Rajkot Gujarat 360005 RAJKOT NO - 09/07/2014 09/07/2014 08/07/2017

10102609 60035267 FGG RAKHI GUPTA 01/11/1985 610 Chhawliyan gali Najaf garh south west Delhi Delhi 110042 North West North West Delhi 110042 CONNAUGHT PLACENO - 09/07/2014 09/07/2014 08/07/2017

10102895 60035268 FGG RAJNI SACHDEVA 15/09/1975

38/1, Shastri colony Old faridabad Faridabad Haryana

121002 Faridabad Faridabad Haryana 121002 CONNAUGHT PLACENO - 09/07/2014 09/07/2014 08/07/2017

10102931 60035270 FGG DARSHAN KUMAR 23/08/1991

H NO F-4 GURUKUL COLONY SECTOR -1 Panchkula Haryana

134108 Panchkula Panchkula Haryana 134108 PANCHKULA NO - 09/07/2014 09/07/2014 08/07/2017

10103457 60035280 FGG KIRAN AGGARWAL 06/07/1989

H NO 3348 MALOYA COLONY SEC10 KHARAR Chandigarh

Chandigarh 160001 Chandigarh Chandigarh Chandigarh 160001 CHANDIGARH NO - 10/07/2014 10/07/2014 09/07/2017

10103478 60035281 FGG MANPREET SINGH 08/09/1986

H NO 114/2 DEEP NAGAR SEC10 KHARAR Fatehgarh Sahib

Punjab 140301 Rupnagar Rupnagar Punjab 140301 CHANDIGARH NO - 10/07/2014 10/07/2014 09/07/2017

10037718 60035282 FGG AKASHDEEP SHARMA 04/06/1992

1396/12 PH XI MOHALI Sahibzada Ajit Singh Nagar Punjab

160055 MOHALI MOHALI Punjab 160055 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 10/07/2014 10/07/2014 22/05/2017

9554553 60035302 FGG MANISH MARKANDEY OJHA 07/04/1982

203 A Amber Joyth Gaon Devi Mandir Opp Rati Bandar Dombivali

West Thane Maharashtra 421202 Thane Thane Maharashtra 421202 GHATKOPAR YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 11/07/2014 11/07/2014 25/07/2016

10105162 60035303 FGG DIVYA D KAMATH 19/01/1978

D NO 1-127/2, SHRI DURGAMBA VAIDYANATH NAGAR

PACHANADY VILLAGE PADAVINANGADY KONCHADY POST

Dakshina Kannada Karnataka 575008 Dakshina Kannada Dakshina Kannada Karnataka 575008 MANGALORE NO - 11/07/2014 11/07/2014 10/07/2017

5357294 60035304 FGG VIKAS KASURDE 20/11/1976

4A/304, ASHOK NGR., KALYAN RD., BHIWANDI Thane Maharashtra

421302 Thane Thane Maharashtra 421302 GHATKOPAR YES

BAJAJ ALLIANZ LIFE

INSURANCE COMPANY

LIMITED 11/07/2014 11/07/2014 28/04/2015

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10105271 60035305 FGG PRAGNESH PATEL 01/11/1978

CELLAR - 24, ANKUR COMMERCIAL CENTRE ANKUR CROSS ROAD

NARANPURA Ahmadabad Gujarat 380013 Ahmadabad Ahmadabad Gujarat 380013 AHMEDABAD NO - 11/07/2014 11/07/2014 10/07/2017

10105306 60035306 FGG BIJU JOSE 01/05/1968

PARATHATTAL HOUSE PURAPPUZHA P O VAZHITHALA Idukki

Kerala 685583 Idukki Idukki Kerala 685583 COCHIN NO - 11/07/2014 11/07/2014 10/07/2017

9647927 60035307 FGG BHOPALE VAISHALI MAHENDRA 14/05/1988

NR.MARATHI SCHOOL A/P-DORLEWADI TAL=BARAMATI Pune

Maharashtra 413102 Pune Pune Maharashtra 413102 BARAMATI YES

LIFE INSURANCE

CORPORATION 11/07/2014 11/07/2014 10/09/2016

10109137 60035363 FGG SANA SIDDIQUI 30/09/1984

120/90 BELDARI LANE LALBAGH Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 15/07/2014 15/07/2014 14/07/2017

10109325 60035364 FGG YASHASWI RAKESH 31/12/1994

B-37/54-28 GIRINAGAR BIRDHPUR CHHITUPUR VARANASI

Varanasi Uttar Pradesh 221010 Varanasi Varanasi Uttar Pradesh 221010 VARANASI NO - 15/07/2014 15/07/2014 14/07/2017

9171220 60035411 FGG SANJIV SRIKRISHNA KHANNA 27/07/1960

10 Bhagwan Mansion Behind Metro Cinema Cinema Lane Mumbai

Maharashtra 400020 Mumbai Mumbai Maharashtra 400020 FORT YES BIRLA SUN LIFE 16/07/2014 16/07/2014 03/09/2015

2309527 60035412 FGG PRAKASH MANATHANATH KOLESSERI 15/05/1960

1/3676 NARAYANA NIVAS ERANHIPALAM PO EAST HILL

Kozhikode Kerala 673006 Kozhikode Kozhikode Kerala 673006 CALICUT YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 16/12/2014 16/12/2014 22/02/2018

10056419 60035413 FGG BHASKARA REDDY J. 10/05/1983

#34 2ND FLOOR 5TH CROSS CHIKKASANDRA Bangalore

Karnataka 560057 Bangalore Bangalore Karnataka 560057 BANGALORE YES

SBI LIFE INSURANCE

COMPANY LIMITED 16/07/2014 16/07/2014 08/06/2017

10111931 60035416 FGG K. B. MADHUSOODANAN 28/04/1970

KALLADA, HOUSE PULLATHARA, KARALAM.P.O KARALAM

Thrissur Kerala 680711 Thrissur Thrissur Kerala 680711 THRISSUR NO - 16/07/2014 16/07/2014 15/07/2017

10112234 60035432 FGG CHAVAN DHAIRYASHIL JAYSING 21/11/1985

AP-Sansar, Tal-Indapur, Dist-Pune Pune Maharashtra

413106 Pune Pune Maharashtra 413106 BARAMATI NO - 16/07/2014 16/07/2014 15/07/2017

10112489 60035433 FGG M. SATHISHWARAN 07/01/1985

O No 53, N No 86, West Street No 1, Kumarasamypatty Salem

Tamil Nadu 636007 Salem Salem Tamil Nadu 636007 SALEM NO - 17/07/2014 17/07/2014 16/07/2017

10112699 60035434 FGG JAMUNA A. 15/04/1982

NO 2/24ANNAIVELANKANNI NAGAR, GANAPATHY MANAGAR ,

COIMBATORE Coimbatore Tamil Nadu 641006 Coimbatore Coimbatore Tamil Nadu 641006 COIMBATORE NO - 17/07/2014 17/07/2014 16/07/2017

10112747 60035435 FGG GAGANDEEP SINGH 30/01/1982

512 Preet Nagar JALANDHAR Jalandhar Punjab

144004 Jalandhar Jalandhar Punjab 144004 JALANDHAR NO - 17/07/2014 17/07/2014 16/07/2017

10112769 60035436 FGG JAYANT RAGHUNATH LASHKARE 29/06/1962

B-6, AVISHKAR GARDEN, NR. NINE GREEN PARK SAHAKARNAGAR

NO 2 PUNE CITY Pune Maharashtra 411009 Pune Pune Maharashtra 411009 CHINCHWAD NO - 17/07/2014 17/07/2014 16/07/2017

10112948 60035437 FGG RAHUL ASHOK SHIKARE 30/07/1983

SATYAM SOC 4TH FLOOR KALINA SANTACRUZ EAST Mumbai

Maharashtra 400055 Mumbai Mumbai Maharashtra 400055 GHATKOPAR NO - 17/07/2014 17/07/2014 16/07/2017

10112964 60035438 FGG SHARAD BHAVSAR 23/10/1961

Flat 23, Bldg 4/B, 6th Flr Veena Apts, Naadbrahma Co Op Hsg Ltd

Warje Pune Maharashtra 411058 PUNE Pune Maharashtra 411058 CHINCHWAD NO - 17/07/2014 17/07/2014 16/07/2017

8625153 60035439 FGG S. VARATHARAJAN 09/06/1978

4/27 Radha Illam 5th street East Nehru nagar Civil Aerodrome

post Coimbatore Tamil Nadu 641014 Coimbatore Coimbatore Tamil Nadu 641014 COIMBATORE YES

LIFE INSURANCE

CORPORATION 17/07/2014 17/07/2014 26/05/2017

2778759 60035449 FGG KOKILABEN KANUBHAI SANGHVI 21/09/1943

27, PRAMUKH VANDANA TENAMENT B/H JEET TENAMENT,

DARBAR CHOWKNI MANJALPUR Vadodara Gujarat 39--11 Vadodara Vadodara Gujarat 390011 BARODA NO - 30/11/2012 30/11/2012 28/11/2015

9363956 60035451 FGG VIPIN MADAAN 20/07/1974

VILL - BASI AKBARPUR AKBARPUR KARNAL Karnal Haryana

132001 Karnal Karnal Haryana 132001 WEST DELHI NO - 18/03/2013 18/03/2013 17/03/2016

9901690 60035452 FGG SHRUTI AGARWAL 13/11/1984

25 BANGUR AVENUE 2ND FLOOR,BLOCK C KOLKATA Kolkata

West Bengal 700055 North Twenty Four ParganasNorth Twenty Four ParganasWest Bengal 700055 KOLKATA NO - 14/02/2014 14/02/2014 13/02/2017

9373069 60035495 FGG VIJAY SHIVAJI KUMBHAR 17/10/1987

14, MUKTA DEVI SOC, RANGARI CHAWL NO. 5, OPP MSEB

COLONY, SION CHUNABHATTI Mumbai Maharashtra

400022 Mumbai Mumbai Maharashtra 400022 ANDHERI YES

LIFE INSURANCE

CORPORATION 21/07/2014 21/07/2014 21/03/2016

3760723 60035500 FGG PRAKASH CHANDRA CHOPRA 22/08/1953

12, Rajput Boarding Colony, Nr BSNL Office, Ratlam Ratlam

Madhya Pradesh 457001 Ratlam Ratlam Madhya Pradesh 457001 RATLAM YES

BaJAJ ALLIANZ LIFE

INSURANCE 21/07/2014 21/07/2014 25/11/2016

10118533 60035502 FGG AVINASH .. 16/07/1982 1475 RANI BAGH DELHI Delhi Delhi 110034 North West North West Delhi 110034 WEST DELHI NO - 21/07/2014 21/07/2014 20/07/2017

10118585 60035503 FGG MOHAK KHANDELWAL 25/04/1993

FLAT NO-701 , PRABHU APARTMENTS SECTOR-21D FARIDABAD

Faridabad Haryana 121001 Faridabad Faridabad Haryana 121001 CONNAUGHT PLACENO - 21/07/2014 21/07/2014 20/07/2017

9569402 60035504 FGG VERSHA RANI 10/02/1982

H.NO.218 B, KASBA WARD NO-1, HODAL Faridabad Haryana

121106 Faridabad Faridabad Haryana 121106 FARIDABAD YES

ICICI PRUDENTIAL LIFE

INSURANCE 21/07/2014 21/07/2014 30/07/2016

10118617 60035506 FGG V MAHESH KUMAR 08/07/1957

MARS VILLA, OPP CASCIA HIGH SCHOOL JEPPU MANGALORE

Dakshina Kannada Karnataka 575001 Dakshina Kannada Dakshina Kannada Karnataka 575001 MANGALORE NO - 21/07/2014 21/07/2014 20/07/2017

9782091 60035528 FGG MANISHA JAYESH THAKKAR 30/10/1975

B 85 Shri Sahas Park Kamlanagar Ajwa Road Bapod Vadodara

Gujarat 390019 Vadodara Vadodara Gujarat 390019 BARODA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 22/07/2014 22/07/2014 29/11/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10120190 60035532 FGG ANISHA DOSHI 24/10/1990

B-208,390 S.N ROY ROAD NEW ALIPORE KOLKATA Kolkata

West Bengal 700038 Kolkata Kolkata West Bengal 700038 KOLKATA NO - 22/07/2014 22/07/2014 21/07/2017

10120548 60035533 FGG KOLAPARTHI VENKATA SIVA SOWJAN 26/08/1987

4, SAI KUTTER BBMP, 543 GROUN FLOOR, 12TH CROSS, KUVEMPU

ROAD, VIGNANA NAGAR, BANGLORE Bangalore Karnataka

560075 Bangalore Bangalore Karnataka 560075 HYDERABAD NO - 22/07/2014 22/07/2014 21/07/2017

9086727 60035537 FGG MANJARI A VAIDYA 01/06/1975

F-21 Vrajvadi Complex, Nr Utkarsh School, Gadapura , Vadodara

VADODARA Vadodara Gujarat 390016 Vadodara Vadodara Gujarat 390016 BARODA YES

ICICI PRUDENTIAL LIFE

INSURANCE 22/07/2014 22/07/2014 13/06/2015

8340993 60035538 FGG RAVI SHETTY 06/01/1976

FLAT NO.82, DATTA HOUSE, SECTOR 1, PLOT NO.397, GHANSOLI,

NAVI MUMBAI Thane Maharashtra 400601 Thane Thane Maharashtra 400601 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 22/07/2014 22/07/2014 20/10/2016

10121102 60035539 FGG CHOWDHARY SAIRUCHITA RAKESH 27/09/1994

B 21 IKENO MIDORI KASTURI HSG SOC NDA ROAD BAVDHAN

PUNE Pune Maharashtra 411021 PUNE Pune Maharashtra 411021 PUNE NO - 22/07/2014 22/07/2014 21/07/2017

10127198 60035600 FGG MOHAMMED ALI SIDDIQUE 26/06/1993

D NO 8 1 142/1, JOGAVANIPALEM HIGH SCHOOL ROAD

GAJUWAKA Visakhapatnam Andhra Pradesh 530026 Visakhapatnam Visakhapatnam Andhra Pradesh 530026 VIZAG NO - 25/07/2014 25/07/2014 24/07/2017

10127295 60035601 FGG POOJA GUPTA 12/10/1987

278 WARD NO 33, JHAJJAR ROAD, KATHMANDI ROHTAK Rohtak

Haryana 124001 Rohtak Rohtak Haryana 124001 AMBALA NO - 25/07/2014 25/07/2014 24/07/2017

10127392 60035602 FGG KULDEEP KUMAR 27/07/1981

110 Ekta Nagar Rama Mandi JALANDHAR Jalandhar Punjab

144001 Jalandhar Jalandhar Punjab 144001 JALANDHAR NO - 25/07/2014 25/07/2014 24/07/2017

10127417 60035604 FGG S. R. RAGHU 01/07/1984

#120, Ponnampete, Gonikopparasthe Balabagh, Ponnamepete,

Virajpet Kodagu Kodagu Karnataka 571216 Kodagu Kodagu Karnataka 571216 BANGALORE NO - 25/07/2014 25/07/2014 24/07/2017

9040706 60035622 FGG NEELAM CHAWLA 10/01/1958

H.No. 44 Bank Enclave lambda Jalandhar Punjab

144003 Jalandhar Jalandhar Punjab 144003 JALANDHAR NO - 30/03/2012 30/03/2012 29/03/2015

5060993 60035623 FGG RAJKUMARI VERMA 12/04/1950

NISHAAT GANJ, 8TH LANE, LUCKNOW, Lucknow Uttar

Pradesh 209506 Unnao Unnao Uttar Pradesh 209506 LUCKNOW NO - 28/01/2015 28/01/2015 19/01/2018

10140018 60035676 FGG HETAL SARANG 15/12/1989

101,Aniket Building,Road no 8, Daulat Nagar, Borivali east,

Mumbai Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 BORIVALI NO - 31/07/2014 31/07/2014 30/07/2017

9349687 60035715 FGG VEENA SHETTY 17/07/1976

198/5, 1ST MAIN, 4TH CROSS, 3 RD PHASE MANJUNATHA NAGAR,

RAJAJINAGAR BANGALORE Bangalore Karnataka

574104 Udupi Udupi Karnataka 574104 BANGALORE YES

LIFE INSURANCE

CORPORATION 04/08/2014 04/08/2014 05/03/2016

10144424 60035716 FGG LAKSHAY SINGLA 27/01/1996

HOUSE NO 3199 SECTOR-15-D CHANDIGARH Chandigarh

Chandigarh 160015 Chandigarh Chandigarh Chandigarh 160015 CHANDIGARH NO - 04/08/2014 04/08/2014 03/08/2017

8648313 60035717 FGG ANAND AGRAWAL 17/10/1976

G-1, AAYUSHI APPTT. 37, SAJAN NAGAR INDORE Indore

Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE YES

LIFE INSURANCE

CORPORATION 04/08/2014 04/08/2014 12/06/2017

10144444 60035718 FGG VIJAYATHA RAGHAVAN 22/07/1983

VIDYA BHAVAN KAKKAD ROAD CIVIL STATION P O Kannur

Kerala 670002 Kannur Kannur Kerala 670002 COCHIN NO - 04/08/2014 04/08/2014 03/08/2017

9518480 60035723 FGG TRUPESH N. GONDALIYA 01/06/1986

B/10 SARGAM SOCIETY, NR. MATRUSHAKTI SOCIETY, PUNAGAM,

SURAT Surat Gujarat 395010 Surat Surat Gujarat 395010 SURAT YES

LIFE INSURANCE

CORPORATION 04/08/2014 04/08/2014 05/07/2016

8410536 60035768 FGG PIYUSH KEJRIWAL 04/06/1985

DR. B C ROY SARANI, RAIGANJ, NORTH DINAJPUR, RAIGUNJ

UTTAR DINAJPUR West Dinajpur West Bengal 733123 Raiganj Raiganj West Bengal 733123 SILIGURI NO - 31/03/2014 31/03/2014 08/12/2016

8262868 60035769 FGG KEWAL KUMAR SAHDEV 07/01/1983 S-25 S BLOCK VISHVASH PARK EXTN DELHI Delhi Delhi 110018 West West Delhi 110018 WEST DELHI YES

LIFE INSURANCE

CORPORATION 05/08/2013 05/08/2013 01/09/2016

10149651 60035770 FGG ANOOP JAIN 12/01/1976

C-6A, FLAT NO.G-1 PANCHSHEEL COLONY AJMER ROAD Jaipur

Rajasthan 302019 Jaipur Jaipur Rajasthan 302019 JAIPUR NO - 07/08/2014 07/08/2014 06/08/2017

10149696 60035771 FGG LAKHANI NAILA 16/10/1991

FLAT NO C1103, NANDANAM APPARTMENTS, FATHE SULTAN

LANE, CHIRAGALI LANE, NAMPALLY Anantapur Andhra

Pradesh 515002 Anantapur Anantapur Andhra Pradesh 515002 HYDERABAD NO - 07/08/2014 07/08/2014 06/08/2017

10149745 60035778 FGG N. GANESH 11/07/1989

PLOT NO 8, S NO 30/3, 3 AND 4 SAGAR RING ROAD, NR HP

PETROL PUMP HASTINAPURAM Y.S.R. Andhra Pradesh

516002 Cuddapah Cuddapah Andhra Pradesh 516002 HYDERABAD NO - 07/08/2014 07/08/2014 06/08/2017

10150022 60035779 FGG ADDULA BHANUPRIYA 05/12/1986

FLAT NO 406, C BLOCK, 10 A PHASE-2, JANAPRIYA APPARTMENTS,

MIYAPUR, SERILINGAMPALLY Hyderabad Telangana 500001 Hyderabad Hyderabad Telangana 500001 HYDERABAD NO - 07/08/2014 07/08/2014 06/08/2017

10150049 60035783 FGG KARATI SRINITHYA 20/08/1995

H NO 8-7-171/69/72, MYTRIVANAM COLONY, OLD BOWENPALLY,

HYDERABD Y.S.R. Andhra Pradesh 516002 Cuddapah Cuddapah Andhra Pradesh 516002 HYDERABAD NO - 07/08/2014 07/08/2014 06/08/2017

10150189 60035785 FGG CHETAN SHARMA 20/08/1987 I 55, Krishan Vihar Delhi Delhi Delhi Delhi 110041 North West North West Delhi 110041 WEST DELHI NO - 07/08/2014 07/08/2014 06/08/2017

3463276 60035788 FGG MURALI KUMAR Y. 17/02/1968

#2A HANUMAGIRI CHIKKALASANDRA NEAR SHAKTHI TEMPLE

Bangalore Karnataka 560061 Bangalore Bangalore Karnataka 560061 BANGALORE YES

LIFE INSURANCE

CORPORATION 07/08/2014 07/08/2014 23/07/2016

9973996 60035791 FGG YERRAM PADMAJA 02/06/1986

3-13-142/169176/304, GOKUL NAGAR, MALLAPUR, UPPAL,

HYDERABAD Hyderabad Telangana 500076 Hyderabad Hyderabad Telangana 500076 HYDERABAD YES

Edelweiss Tokio Life

Insurance Company

Limited 07/08/2014 07/08/2014 24/03/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

8466550 60035792 FGG B VENKATA SUBBA RAO 01/06/1974

1-7-1/200 REDDY ENCLAVE, TEMPLE ALWAL SECUNDERABAD

Hyderabad Telangana 500010 Medak Medak Telangana 500010 HYDERABAD YES

MAX LIFE INSURANCE

CO.LTD. 07/08/2014 07/08/2014 13/01/2017

10047701 60035793 FGG VULLI SURESH 22/05/1965

D.NO 18-93/2,NEAR SUB REGISTER OFFICE MADHURUWADA

VISAKHAPATNAM Visakhapatnam Andhra Pradesh 530048 VISAKHAPATNAM VISAKHAPATNAM Andhra Pradesh 530048 VIZAG YES

LIFE INSURANCE

CORPORATION 07/08/2014 07/08/2014 29/05/2017

8503762 60035866 FGG BHARAT ADLAKHA 12/03/1988 E140 BLOCK E PRASHANT VIHAR DELHI Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI YES

HDFC STD LIFE

INSURANCE CO. LTD. 12/08/2014 12/08/2014 09/02/2017

5321878 60035869 FGG SANTHOSH SHARMA 20/06/1982

PUSHPASHRI DOOR NO 1 N 9-541/8 1 Adityanagar Kotekani 1ST

CROSS Dakshina Kannada Karnataka 575006 Dakshina Kannada Dakshina Kannada Karnataka 575006 MANGALORE YES BIRLA SUN LIFE 12/08/2014 12/08/2014 01/04/2015

8654425 60035872 FGG ANOOP KUMAR KOTWAL 18/03/1978

H No 425, Shopping Complex, Bakshi Nagar Jammu Jammu

Jammu & Kashmir 180001 Jammu Jammu Jammu & Kashmir180001 JAMMU YES

LIFE INSURANCE

CORPORATION 12/08/2014 12/08/2014 16/06/2017

10156003 60035873 FGG SUCHETA .. 17/09/1985

Melenium public school, Azad nagar Hissar Hisar Haryana

125001 Hisar Hisar Haryana 125001 CONNAUGHT PLACENO - 12/08/2014 12/08/2014 11/08/2017

8162597 60035875 FGG AMOL SURESH GHEWDE 28/10/1987

ROOM NO 1 SAI KRUPA CHAWL AIROLI NAVI MUMBAI Thane

Maharashtra 400708 Thane Thane Maharashtra 400708 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 12/08/2014 12/08/2014 06/07/2016

9216375 60035877 FGG T. RAMESH 07/07/1971 75-20 PUDOOR MEDCHAL Rangareddy Telangana 501401 Rangareddi Rangareddi Telangana 501401 HYDERABAD YES

LIFE INSURANCE

CORPORATION 12/08/2014 12/08/2014 17/10/2015

8454696 60035887 FGG BHARAT AGGRWAL 28/10/1972

Birring Road, Near Sonu Atta Chakki, Deep Nagar Jalandhar Cantt

Jalandhar Punjab 144005 Jalandhar Jalandhar Punjab 144005 JALANDHAR YES

SBI LIFE INSURANCE

COMPANY LIMITED 13/08/2014 13/08/2014 05/01/2017

10157339 60035888 FGG ARUN KUMAR J. 21/02/1980

#20 2ND CROSS THIRUMENALLIMA MAIN ROAD AGRAHARA

LAYOUT YELAHANKA Bangalore Karnataka 560064 Bangalore Bangalore Karnataka 560064 BANGALORE NO - 13/08/2014 13/08/2014 12/08/2017

10157376 60035889 FGG VIJAL VELJI SHAH 28/05/1976

B-201, Mantri Pride, N M joshi Marg, Subhash ngr Chinchpokli

West Mumbai Maharashtra 400011 Mumbai Mumbai Maharashtra 400011 GHATKOPAR NO - 13/08/2014 13/08/2014 12/08/2017

10158088 60035897 FGG RAJITHA GOVU 07/11/1984

32-67-85/2, R K PURAM, NEAR R K PURAM RAILWAY STATION,

SANTOSH COLONY, MALKAJGIRI, HYDERABAD Hyderabad

Telangana 500094 Rangareddi Rangareddi Telangana 500094 HYDERABAD NO - 13/08/2014 13/08/2014 12/08/2017

9887020 60035898 FGG SATISH B SANKPAL 15/09/1980

H No A 2 Room No 219 Sector 20 Turbhe Navi Mumbai Landmark

Near Turbhe Railway S Thane Maharashtra 400705 Thane Thane Maharashtra 400705 VASHI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 13/08/2014 13/08/2014 03/02/2017

10166886 60035974 FGG AJITH P CHANDRAN 02/05/1990

PADINJARAYIL HOUSE KUDAYATHOOR P O MUTTOM Idukki

Kerala 685590 Idukki Idukki Kerala 685590 COCHIN NO - 21/08/2014 21/08/2014 20/08/2017

8388954 60035976 FGG NIPUL JAYKANT SHAH 21/05/1970

A7 / 11 Devas Apartments Near Gupta Nagar Vasna Ahmadabad

Gujarat 380007 Ahmadabad Ahmadabad Gujarat 380007 AHMEDABAD NO - 01/09/2014 01/09/2014 24/11/2016

9862742 60035980 FGG KSHAMA RAJIV TRIVEDI 09/04/1987

A 303 Poonam Aradhana Soc. Virar Thane Maharashtra

401303 Thane Thane Maharashtra 401303 GHATKOPAR YES

Edelweiss Tokio Life

Insurance 21/08/2014 21/08/2014 20/01/2017

10167092 60035983 FGG KAVYASHREE A C. 12/07/1987

12 2nd floor , kodeghalli BANGALORE Bangalore Karnataka

560072 Bangalore Bangalore Karnataka 560072 R.T.NAGAR NO - 21/08/2014 21/08/2014 20/08/2017

10167170 60035985 FGG SURJEET KUMAR 03/11/1983

HOUSE NO. -91 VILL -BERKHERI NARAINGARH Ambala

Haryana 134203 AMBALA AMBALA Haryana 134203 CHANDIGARH NO - 21/08/2014 21/08/2014 20/08/2017

10020694 60035986 FGG E. PARTHIBAN 27/01/1989

H No 2 658 Akataiyar Salai Nakkirar Street Mugappair East

Ambattur Chennai Tamil Nadu 600037 Thiruvallur Thiruvallur Tamil Nadu 600037 CHENNAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 21/08/2014 21/08/2014 05/05/2017

10167408 60035987 FGG BHAGYA .. 16/09/1991

KALANAKERE DWARANAHALLI POST , KASABA HOBLI, TURUVEKERE

TALUK TUMKUR TUMKUR Tumkur Karnataka 572227 Tumkur Tumkur Karnataka 572227 BANGALORE NO - 21/08/2014 21/08/2014 20/08/2017

10167841 60035995 FGG S AMOS PRABHAKAR 21/11/1995

NO 21, SURESH NAGAR, 2ND STREET VALASARAVAKKAM

CHENNAI Chennai Tamil Nadu 600087 Thiruvallur Thiruvallur Tamil Nadu 600087 CHENNAI NO - 22/08/2014 22/08/2014 21/08/2017

10168003 60036001 FGG ATUL PURI 10/08/1964

HNO-123, ANAND AVENUE , N/R MANAV PUBLIC SCHOOL ,

AMRITSAR AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 22/08/2014 22/08/2014 21/08/2017

10168798 60036003 FGG S MAHENDRA KUMAR 30/05/1981

No 37 Sarojininaidu Street New Siddhapudur Coimbatore

Tamil Nadu 641044 Coimbatore Coimbatore Tamil Nadu 641044 COIMBATORE NO - 22/08/2014 22/08/2014 21/08/2017

9241112 60036029 FGG SHAH TEJAS H. 12/03/1993

A/8-DHANURDHAR FLATS B/D.MANAV KALYAN ASHRAM

MANINAGAR Ahmedabad Gujarat 380008 Ahmadabad Ahmadabad Gujarat 380008 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 25/08/2014 25/08/2014 15/11/2015

9431748 60036031 FGG ASIFKHAN PATHAN 27/03/1971

3219 CHARAWAT, ABDUL RAZAR ROZAS, DARIAPUR Ahmadabad

Gujarat 380001 Ahmadabad Ahmadabad Gujarat 380001 AHMEDABAD YES

ICICI PRUDENTIAL LIFE

INSURANCE 25/08/2014 25/08/2014 23/05/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

2347427 60036035 FGG PRAMILA G SANGAYYA 30/11/1980

122,vishal residency office no 03 pant nagar ghatkopar (east)

Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 ANDHERI YES

LIFE INSURANCE

CORPORATION 10/03/2015 10/03/2015 17/03/2018

9064877 60036037 FGG NAGESWARA RAO V V. 15/08/1975

#12-2-417/1 GUDIMALKAPUR SARADANAGAR Hyderabad

Telangana 500067 GUDIMALKAPUR SARADANAGAR Telangana 500067 HYDERABAD YES

MAX LIFE INSURANCE

CO.LTD. 25/08/2014 25/08/2014 20/05/2015

10171718 60036038 FGG MARTIN JOY 28/04/1993

VANNIAMPARAMBIL HOUSE MUTHALAKODAM THODUPUZHA

EAST P O Idukki Kerala 685585 Idukki Idukki Kerala 685585 COCHIN NO - 25/08/2014 25/08/2014 24/08/2017

10174051 60036069 FGG HEMANTH KUMAR J. 02/05/1991

#255/1 3RD CROSS OM SHIVASHAKTH NAGAR CHUCHANGHATTA

MAIN ROAD Bangalore Karnataka 560062 Bangalore Bangalore Karnataka 560062 BANGALORE NO - 26/08/2014 26/08/2014 25/08/2017

10178359 60036090 FGG FAIZAL HASMAT GHANCHI 25/08/1990

Super Auto Services Pvt Ltd Jayawant Sawant rd HT desai cmpd nr

Happy Home Society Dahisar W Mumbai Maharashtra

400092 MUMBAI Mumbai Maharashtra 400092 BORIVALI NO - 28/08/2014 28/08/2014 27/08/2017

10178403 60036091 FGG DEEPIKA JAIN 11/04/1984

A- 185 Mahesh Nagar, Lal Kothi Jaipur Jaipur Rajasthan

302015 Jaipur Jaipur Rajasthan 302015 JAIPUR NO - 28/08/2014 28/08/2014 27/08/2017

9313436 60036103 FGG LATA C ARORA 19/10/1975

Bldg No 7/225, Kopri Colony Thane East Thane Maharashtra

400603 Thane Thane Maharashtra 400603 ANDHERI NO - 30/01/2013 30/01/2013 29/01/2016

8520828 60036137 FGG MOHIT MAHESHWARI 14/11/1992

LG 7 1/1, Plasia Tower, Plasia Indore, New Plasia, Indore

Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452009 INDORE YES

LIFE INSURANCE

CORPORATION 13/03/2014 13/03/2014 22/02/2017

10186676 60036140 FGG MANOJ DASHRATHLAL MEHTA 01/01/1948 146, Pritam Society, Bharuch Bharuch Gujarat 392001 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 02/09/2014 02/09/2014 01/09/2017

10186783 60036142 FGG KEYURBHAI B PATEL 19/02/1978

18, KRISHNA PARK JITODIA ROAD AT ANAND Anand Gujarat

388001 Anand Anand Gujarat 388001 ANAND NO - 02/09/2014 02/09/2014 01/09/2017

10133485 60036143 FGG MAHIPAL REDDY R. 20/08/1987

H NO:2-87,SINGAPUR SHANKARPALLY SHANKARPALLY

Rangareddy Telangana 501203 Rangareddi Rangareddi Telangana 501203 HYDERABAD YES

SBI LIFE INSURANCE

COMPANY LIMITED 02/09/2014 02/09/2014 28/07/2017

10186867 60036144 FGG MOHMED NAZEEMUDDIN 08/10/1987

1, Natraj Colony Sindhanur Raichur Raichur Karnataka

584128 Raichur Raichur Karnataka 584128 BANGALORE NO - 02/09/2014 02/09/2014 01/09/2017

10186882 60036146 FGG YOGIRAJSINH GOHIL 12/07/1988

BLOCK NO 106/C GIDC QUARTER, CHITRA BHAVNAGAR

Bhavnagar Gujarat 364004 Bhavnagar Bhavnagar Gujarat 364004 BHAVNAGAR NO - 02/09/2014 02/09/2014 01/09/2017

10081458 60036150 FGG PURVINDER SINGH 27/09/1957

H.No.-15/30 Mayo Link Road, Ward.-35 Ajmer Ajmer Rajasthan

305001 Ajmer Ajmer Rajasthan 305001 AJMER NO - 26/06/2014 26/06/2014 25/06/2017

2135298 60036156 FGG ASHOK KUMAR 20/05/1969

NEAR GOYAL COLD STORE Barara, Ambaca RAILWAY STATION

Ambala Haryana 133201 Ambala Ambala Haryana 133201 CHANDIGARH YES BIRLA SUN LIFE 16/09/2014 16/09/2014 03/10/2017

224447 60036183 FGG KANCHAN S DIGEKAR 06/11/1953

11,SAPALYA, SHRADHANAND ROAD, VILE PARLE(EAST) Greater

Bombay Maharashtra 0 Mumbai Mumbai Maharashtra 400076 FORT NO - 07/06/2013 07/06/2013 16/07/2016

10194013 60036238 FGG MANISHA GIRISH NANDRAJOG 17/11/1995

FLAT NO. 603 TRISHUL APTS BUILDING-A, SINDHI SOCIETY

CHEMBUR Mumbai Maharashtra 400071 Mumbai Mumbai Maharashtra 400071 ANDHERI NO - 09/09/2014 09/09/2014 08/09/2017

10194153 60036239 FGG GAURAV AGRAWAL 11/07/1991

Ward No 17 Banjara Hills Civil lines Hoshangabad Hoshangabad

Madhya Pradesh 461001 Hoshangabad Hoshangabad Madhya Pradesh 461001 BHOPAL NO - 09/09/2014 09/09/2014 08/09/2017

10194271 60036240 FGG ANJU .. 25/10/1984

H NO 1753 MUJESAR SECTOR 23 A Faridabad Haryana

121004 Faridabad Faridabad Haryana 121004 FARIDABAD NO - 09/09/2014 09/09/2014 08/09/2017

10194302 60036241 FGG RUPA KUMARI 15/10/1987

H No 72, Vill Murhu, PS Murhu Dist Khunti Gumla Jharkhand

835216 Ranchi Ranchi Jharkhand 835216 RANCHI NO - 09/09/2014 09/09/2014 08/09/2017

10194386 60036244 FGG RAKESH GOYAL 07/05/1986

H.NO.190 DASHMESH ENCLAVE HIMATHGARH DHAKOLA

Fatehgarh Sahib Punjab 140603 BALTANA BALTANA Punjab 140603 PANCHKULA NO - 09/09/2014 09/09/2014 08/09/2017

10194526 60036245 FGG JINAL DESAI 11/03/1983

Flat No 1 Amrut bldg Tilak nagar Bhayender Mumbai

Maharashtra 400089 Mumbai Mumbai Maharashtra 400089 BORIVALI NO - 09/09/2014 09/09/2014 08/09/2017

10194575 60036246 FGG RAJEEV KUMAR THAKUR 22/07/1975

104/E RAJA DINENDRA ST KOLKATA Kolkata West Bengal

700004 Kolkata Kolkata West Bengal 700004 KOLKATA NO - 09/09/2014 09/09/2014 08/09/2017

9313280 60036248 FGG SHEETAL KANJIBHAI GAJERA 09/03/1986

Jay AMBE, 4-New Shakti Cociety Sant Kabir Rd - Rajkot

Gujarat 360003 Rajkot Rajkot Gujarat 360003 RAJKOT YES

Edelweiss Tokio Life

Insurance Company

Limited 09/09/2014 09/09/2014 29/01/2016

10203418 60036381 FGG AKSHATHA P. 13/05/1992

4-82, PALIGE HOUSE, BANTWAL D.K. KARNATAKA BANTWAL

DAKSHINA KANNADA Dakshina Kannada Karnataka 574279 Dakshina Kannada Dakshina Kannada Karnataka 574279 MANGALORE NO - 15/09/2014 15/09/2014 14/09/2017

10203462 60036382 FGG DHEERENDER .. 02/06/1989

h.no.303 Rattanpota old Bazaar Vpo. Jakhauli Sonipat

Haryana 131023 Sonipat Sonipat Haryana 131023 ROHTAK NO - 15/09/2014 15/09/2014 14/09/2017

10203479 60036385 FGG TASNIMABANU ZAHEER AHMED LAKDA 12/06/1987

PLOT NO 19 HUSENIYA NAGAR-2 NR,SHAK MARKET BHARUCH

Bharuch Gujarat 392001 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 15/09/2014 15/09/2014 14/09/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10203501 60036387 FGG PRAVEEN KUMAR 08/03/1969

Gayatri mandir bye pass road Vill Sudana, ps medaninagar

daltonganj Kodarma Jharkhand 822102 Palamu Palamu Jharkhand 822102 RANCHI NO - 15/09/2014 15/09/2014 14/09/2017

10203575 60036390 FGG UMESH M SHEKHVA 15/12/1986

Sarvoday Society Street No.2 Block No.A/1 Amreli Amreli

Gujarat 365601 Amreli Amreli Gujarat 365601 RAJKOT NO - 15/09/2014 15/09/2014 14/09/2017

10206713 60036447 FGG RITESH SHARMA 25/10/1984

MSC-213 Mohalla Yogmaya pahar Ganj Swami Ram Tirth Nagar

New Delhi Delhi Delhi 110055 Central Central Delhi 110055 CONNAUGHT PLACENO - 17/09/2014 17/09/2014 16/09/2017

10206802 60036448 FGG MOHD ARSHAD JAMAL 16/05/1989

H NO 3-3-87, SAVARAN STREET, KARIMNAGAR Karimnagar

Telangana 505001 Karimnagar Karimnagar Telangana 505001 KARIMNAGAR NO - 17/09/2014 17/09/2014 16/09/2017

10206884 60036451 FGG GADHAM RAKESH 09/02/1990

3-9-205/2, REDDY COLONY, HANMAKONDA, WARANGAL

Warangal Telangana 506002 Warangal Warangal Telangana 506002 KARIMNAGAR NO - 17/09/2014 17/09/2014 16/09/2017

10206886 60036452 FGG BALJINDER SINGH 25/09/1978

H No 110, Basi Badiya Ward N 12 Tah Rajpura Patiala

Punjab 140401 Patiala Patiala Punjab 140401 CHANDIGARH NO - 17/09/2014 17/09/2014 16/09/2017

10212253 60036525 FGG MOHAN .. 08/10/1985

#55 2ND MAIN ROAD, 2ND CROSS BEHIND AYISHA MASJID ROAD

, MANGAMMANA PALYA , BOMMANAHALLI POST Bangalore

Karnataka 560068 Bangalore Bangalore Karnataka 560068 BANGALORE NO - 22/09/2014 22/09/2014 21/09/2017

9137877 60036563 FGG ARUN KUMAR 21/04/1986 Ward No 5 vpo JOH the AMB Una Himachal Pradesh 177204 Chandigarh Chandigarh Punjab 177204 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 23/09/2014 23/09/2014 30/07/2015

10215047 60036565 FGG ANITHAKUMARI N. 25/06/1971

PADINJAREKUTTU KIDANGOOR KOTTAYAM Kottayam Kerala

686572 Kottayam Kottayam Kerala 686572 KOTTAYAM NO - 23/09/2014 23/09/2014 22/09/2017

10215088 60036566 FGG HIMA UPRETI 12/12/1982

H NO 89A, JAI DEVPUR KUSUMKHERA HARIPUR NAYAK

HALDWANI Nainital Uttar Pradesh 263139 Nainital Nainital Uttaranchal 263139 HALDWANI NO - 23/09/2014 23/09/2014 22/09/2017

5832736 60036598 FGG JEYANTHI S. 31/05/1976

37, American Mission, Church Street, Madurai Tamil Nadu 625--

1 Madurai Madurai Tamil Nadu 625001 MADURAI NO - 15/10/2012 15/10/2012 13/10/2015

5288683 60036604 FGG RAMA KUMAR YAGNAVAJJALA VS 15/12/1975

5-2-122/203, RAVI SHANKAR APRTMENTS HB COLONY, TIRUMALA

NAGAR, MOULALI HYDERABAD Hyderabad Telangana

500040 Rangareddi Rangareddi Telangana 500040 SECUNDERABAD YES

LIFE INSURANCE

CORPORATION 05/03/2015 05/03/2015 24/03/2018

1828381 60036606 FGG MANOJ KUMAR SINHA 28/02/1978 24,CIVIL LINE, BUXAR BIHAR Bhojpur Bihar 802101 Buxar Buxar Bihar 802101 PATNA YES

LIFE INSURANCE

CORPORATION 18/09/2014 18/09/2014 03/12/2016

9042545 60036612 FGG JETHVA NIRAV J. 21/07/1991 GUJ HOU BOARD SOC AT DHORAJI DHORAJI Rajkot Gujarat Dhoraji Rajkot Gujarat 360410 RAJKOT NO - 03/04/2012 03/04/2012 02/04/2015

8954085 60036614 FGG POONAM SHIV BENDE 11/09/1983

432, Near Dharmadhikari Clinic, Sangh Building Mahal, Nagpur

Nagpur Maharashtra 440032 Nagpur Nagpur Maharashtra 440032 NAGPUR NO - 01/12/2014 01/12/2014 12/12/2017

10220312 60036635 FGG RITESH K DUDAKIYA 25/10/1979

Vatsalya 12/13, Saurshtra Kala Kendra Society, Nirmala Convent

Road, Rajkot Rajkot Gujarat 360007 RAJKOT RAJKOT Gujarat 360007 RAJKOT YES

LIFE INSURANCE

CORPORATION 26/09/2014 26/09/2014 25/09/2017

10220398 60036638 FGG VIDHYA KANTH 04/04/1969

#06/18/817 Srinidhi, Near Sanghanikethan, Prartapnagar,

mannagudda Mangalore Dakshina Kannada Karnataka

575003 Dakshina Kannada Dakshina Kannada Karnataka 575003 MANGALORE NO - 26/09/2014 26/09/2014 25/09/2017

10220488 60036639 FGG DHANASHREE SHANTARAM PATIL 16/11/1985

near Sai leela building,Shantaram Patil House, Vashi Village,Mahul

Road, Chembur, Mumbai Maharashtra 400074 Mumbai Mumbai Maharashtra 400074 ANDHERI NO - 26/09/2014 26/09/2014 25/09/2017

10220858 60036642 FGG DEEPAK R. 01/08/1983

Sreeradha Erayamkode Cheriyakonni PO Thiruvananthapuram

Kerala 695013 Thiruvananthapuram ThiruvananthapuramKerala 695013 TRIVANDRAM NO - 26/09/2014 26/09/2014 25/09/2017

10220944 60036643 FGG AMARJIT SINGH MAGHU 03/01/1947 1B/41 2nd FLOOR RAMESH NAGAR Delhi Delhi 110015 West West Delhi 110015 WEST DELHI NO - 26/09/2014 26/09/2014 25/09/2017

10221198 60036644 FGG GAURANG HARIBHAI PATEL 26/09/1966

A 203, YOGESHWAR A B ADAJAN SURAT Surat Gujarat

395009 Surat Surat Gujarat 395009 SURAT NO - 26/09/2014 26/09/2014 25/09/2017

10221300 60036646 FGG DHANSUKHBHAI B AVAIYA 08/10/1989

402, VARSHA SOCIETY 1 L H ROAD, NR MATAWADI SURAT Surat

Gujarat 395010 Surat Surat Gujarat 395010 SURAT NO - 26/09/2014 26/09/2014 25/09/2017

9834185 60036649 FGG YASHKUMAR B BRAHMABHATT 06/08/1995

BHINGRAD TQ : LATHI VIA : DAMNAGAR Amreli Gujarat

365220 Amreli Amreli Gujarat 365220 SURAT YES

LIFE INSURANCE

CORPORATION 26/09/2014 26/09/2014 29/12/2016

10221803 60036657 FGG KALATHIYA MEHULKUMAR H. 16/05/1986

NEHA F1, SUNLIGHT COMPLEX, B/H BHULAKA BHAVAN ANAND

MAHAL ROAD Surat Gujarat 395009 Surat Surat Gujarat 395009 SURAT NO - 26/09/2014 26/09/2014 25/09/2017

5496645 60036658 FGG DHARMESHBHAI M SHETA 06/08/1979

AT/PO:EKLERA. TQ:CHORYASI, DIST:SURAT. Surat Gujarat

394530 CHORYASI Surat Gujarat 394530 SURAT YES

LIFE INSURANCE

CORPORATION OF INDIA 26/09/2014 26/09/2014 24/06/2015

10081427 60036681 FGG NIJO JOHN 07/07/1988

KIZHAKKUMKARA HOUSE CHEMPILAVU PO KIDANGOOR

Kottayam Kerala 686584 Kottayam Kottayam Kerala 686584 KOTTAYAM NO - 26/06/2014 26/06/2014 25/06/2017

10226835 60036707 FGG VIJAY NAGJIBHAI GAJERA 02/08/1994

A-303 SHUKAN RESIDENCY, NR TIRUPATI SOC, YOGI CHOWK

SURAT Surat Gujarat 395010 Surat Surat Gujarat 395010 ANKLESHWAR NO - 29/09/2014 29/09/2014 28/09/2017

10227047 60036708 FGG BANGARAPPA L PUJERI 05/01/1979

1696/E21, AT POST; VIJAYANAGAR, TQ;CHIKODI VIJAYANAGAR

Belgaum Karnataka 591222 Belgaum Belgaum Karnataka 591222 HUBLI NO - 29/09/2014 29/09/2014 28/09/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10227149 60036713 FGG BABU JOHN 29/05/1971

VELLANKAL HOUSE MADHURAVANAM ROAD PO CIVIL STATION

Kannur Kerala 673020 Kozhikode Kozhikode Kerala 673020 CALICUT NO - 29/09/2014 29/09/2014 28/09/2017

10227220 60036715 FGG ZOLEKAR SUVARNA DILIP 01/07/1990

d/15 /11 sahyadri chs sector 9 sanpada navi mumbai Thane

Maharashtra 400705 Thane Thane Maharashtra 400705 VASHI NO - 29/09/2014 29/09/2014 28/09/2017

39424 60036755 FGG HARVIND PAHWA 23/05/1963

FLAT NO G 02, TOWER C 11 THE PRANAYAM SECTOR 82

FARIDABAD Faridabad Haryana 121004 FARIDABAD FARIDABAD Haryana 121004 FARIDABAD YES

LIFE INSURANCE

CORPORATION 30/09/2014 30/09/2014 31/08/2015

10238605 60036847 FGG ANUJ KUMAR 09/05/1986

Vill Lajhyani, PO Nagrota Gazian Thesil Bhoranj Dist Hamirpur

Hamirpur Himachal Pradesh 176045 Hamirpur Hamirpur Himachal Pradesh176045 CHANDIGARH NO - 10/10/2014 10/10/2014 09/10/2017

4657772 60036863 FGG MADHU BALA JAIN 10/05/1966

H.No-218 Lokashah Nagar, Beawar Dist.- Ajmer Beawar Ajmer

Rajasthan 305901 Pali Pali Rajasthan 306307 AJMER YES BIRLA SUN LIFE 27/10/2014 27/10/2014 28/09/2017

9372057 60036872 FGG LALTU GHOSHAL 31/03/1989

H NO B-199 TEACHERS COLONY DAKRA KHALARI,Teachers colony

Teachers colony Ranchi Jharkhand 829205 Ranchi Ranchi Jharkhand 829205 RANCHI YES

BAHRATI AXA LIFE

INSURANCE 13/10/2014 13/10/2014 20/03/2016

10241588 60036884 FGG MANOJ P THOMAS 11/05/1973

Parayil House Pallom P.O Kottayam Kottayam Kerala

686001 Kottayam Kottayam Kerala 686001 KOTTAYAM NO - 13/10/2014 13/10/2014 12/10/2017

9269733 60036908 FGG MAHJABEEN DILAWARSAHAB SAYYAD 26/12/1987 B 20 17 A QUEENS GARDEN Pune Pune Maharashtra 411001 Pune Pune Maharashtra 411001 PUNE YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 14/10/2014 14/10/2014 17/12/2015

10243358 60036911 FGG MEENA SASIDHARAN NAIR 20/11/1967

A/303 , Mulund Siddhi CHS LTD, Off Eastern Express highway

Mulund Mumbai Maharashtra 400081 Mumbai Mumbai Maharashtra 400081 GHATKOPAR NO - 14/10/2014 14/10/2014 13/10/2017

10245422 60036932 FGG AMOD BHIMRAJ KAMBLE 15/10/1990

SS-3 SECTOR 8 NR. KOPERKHAIRANE RAILWAY STATION Thane

Maharashtra 400709 Thane Thane Maharashtra 400709 VASHI NO - 16/10/2014 16/10/2014 15/10/2017

10245521 60036934 FGG ANIL KUMAR VISHWAKARMA 04/02/1975

H NO 43, Belabagan PO Deoghar PS Deoghar Deoghar Deoghar

Jharkhand 814113 Deoghar Deoghar Jharkhand 814113 DEOGHAR NO - 16/10/2014 16/10/2014 15/10/2017

9418501 60036935 FGG MAYUR K CHAVDA 08/06/1981

A/106 DHARTI TENM NEW SAMA ROAD VADODARA Vadodara

Gujarat 390008 Vadodara Vadodara Gujarat 390008 AHMEDABAD YES

RELIANCE LIFE

INSURANCE 16/10/2014 16/10/2014 07/05/2016

10245563 60036936 FGG VADHVANA MEGHAL R. 13/01/1993

203, SUJAL APPT PATEL VAS ISANPUR Ahmadabad Gujarat

382443 Gandhinagar Gandhinagar Gujarat 382443 MANINAGAR NO - 16/10/2014 16/10/2014 15/10/2017

10245709 60036941 FGG PATEL ALPESH G. 13/05/1980

30 MORAR BAG SOCIETY AT AND PO. PADRA Vadodara

Gujarat 391440 Vadodara Vadodara Gujarat 391440 BARODA NO - 16/10/2014 16/10/2014 15/10/2017

1227141 60036942 FGG GOURAV MAHAJAN 14/01/1982

House No 10 Lane No 23, Greater Kailash, Sainik Colony JAMMU

Jammu Jammu & Kashmir 180011 JAMMU JAMMU Jammu & Kashmir 180011 JAMMU YES

LIFE INSURANCE

CORPORATION OF INDIA 03/07/2012 03/07/2012 28/06/2015

10247209 60036958 FGG RAM KISHOR JYOTISHI 21/11/1986

E 247 INDRA GANDHI NAGAR JAGATPURA Jaipur Rajasthan

302025 Jaipur Jaipur Rajasthan 302017 JAIPUR NO - 17/10/2014 17/10/2014 16/10/2017

10250305 60036986 FGG HITESH BATRA 26/05/1982

17 B MATA KAULAN MARG, KASHMIR AVENUE , AMRITSAR

AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 20/10/2014 20/10/2014 19/10/2017

10250344 60036988 FGG RAJSHEKHARAYYA HIREMATH 15/06/1981

VEERBHADRESHWAR KRUPA OPP RAJLAXMI FABRICATIONS

GACHINKATTI COLONY Bijapur Karnataka 586101 Bijapur Bijapur Karnataka 586101 HUBLI NO - 20/10/2014 20/10/2014 19/10/2017

10250370 60036990 FGG CHANDAN MISHRA 07/08/1988

99/5 99/5 Marwari gali ganeshganj Lucknow Uttar Pradesh

226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 20/10/2014 20/10/2014 19/10/2017

10250374 60036991 FGG KARANVEER SINGH 01/06/1994

Village IRAK Takhran Ludhiana Ludhiana Punjab

141115 Ludhiana Ludhiana Punjab 141115 LUDHIANA NO - 20/10/2014 20/10/2014 19/10/2017

10251338 60036997 FGG REEYA KUMARI 12/12/1994

At Ratu Road Near Axis Bank Ranchi Ranchi Jharkhand

834001 Ranchi Ranchi Jharkhand 834001 RANCHI NO - 21/10/2014 21/10/2014 20/10/2017

10251644 60037002 FGG BINU S. 30/05/1981

Keezhathil Veedu Pulluvila P O TRIVANDRUM

Thiruvananthapuram Kerala 695526 Thiruvananthapuram ThiruvananthapuramKerala 695526 TRIVANDRAM NO - 21/10/2014 21/10/2014 20/10/2017

10251671 60037003 FGG PARASMAL MAHAVEER 09/03/1975

#31/5 N N PLAZA , VANIVILLAS ROAD BASAWANAGUDI

Bangalore Karnataka 560004 Bangalore Bangalore Karnataka 560004 BANGALORE NO - 21/10/2014 21/10/2014 20/10/2017

9637089 60037004 FGG PAWAN KUMAR 11/07/1990

HNO 1324/22 PHASE II LIG MOHALI Sahibzada Ajit Singh Nagar

Punjab 140103 Rupnagar Rupnagar Punjab 140103 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 21/10/2014 21/10/2014 03/09/2016

10251821 60037005 FGG JAIRAJ JAYAN 09/12/1995

PAMPURATHU HOUSE MADAKKATHANAM P O VAZHAKKULAM

Ernakulam Kerala 686670 Ernakulam Ernakulam Kerala 686670 COCHIN NO - 21/10/2014 21/10/2014 20/10/2017

10251859 60037006 FGG ASHOK CHUNILAL SHAH 24/04/1952

6 Dilkush 353/34 b baug lane ghatkopar east Mumbai

Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 ANDHERI NO - 21/10/2014 21/10/2014 20/10/2017

9324027 60037025 FGG PRASAD VANKANI 21/08/1989

2-1-320 7,MAMATHANAGAR NAGOLE , UPPAL Hyderabad

Telangana 500001 Hyderabad Hyderabad Telangana 500001 HYDERABAD YES

LIFE INSURANCE

CORPORATION 22/10/2014 22/10/2014 11/02/2016

10253875 60037029 FGG ISHITA NIRAV KOTHARI 22/03/1996

161/10,Laxmi Palace,5th Floor R.B.Mehta Marg Ghatkopar East

Mumbai Maharashtra 400077 Mumbai Mumbai Maharashtra 400077 ANDHERI NO - 22/10/2014 22/10/2014 21/10/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10253883 60037033 FGG NILAM JAYESH PRAJAPATI 25/06/1986

A-10 Paritosh Appt, Nr Ami Colocy GIDC, Ankleshwar Bharuch

Gujarat 391810 Vadodara Vadodara Gujarat 391810 ANKLESHWAR NO - 22/10/2014 22/10/2014 21/10/2017

10253899 60037034 FGG MANJUNATHA P S. 15/05/1982

80, GANDHI NAGAR SHIDLAGHATTA, CHIKBALLAPUR Bangalore

Karnataka 562105 Kolar Kolar Karnataka 562105 BANGALORE NO - 22/10/2014 22/10/2014 21/10/2017

745405 60037060 FGG POONAM JAIN 04/09/1966 A-2/131-132 TOP FLOOR SECTOR 16 ROHINI Delhi Delhi 110089 ROHINI ROHINI Delhi 110089 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 18/11/2014 18/11/2014 29/09/2017

10259406 60037075 FGG MOBEEN FAROOK SHAIKH 10/05/1985

BATUL AYSHA DICK DAN ROW HOUSE 3 AYAPPPA MANDIR ROAD

VASAI Thane Maharashtra 401202 Thane Thane Maharashtra 401202 GHATKOPAR NO - 28/10/2014 28/10/2014 27/10/2017

9349177 60037083 FGG RAGHUNATH K. P. 02/12/1962

KULANGARAYIL HOUSE KOLAPRA KUDAYATHOOR P O Idukki

Kerala 685590 Idukki Idukki Kerala 685590 COCHIN YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 29/10/2014 29/10/2014 04/03/2016

10260891 60037084 FGG BINU JOHN T. J. 20/04/1978

ATHIRA NIVAS, LOURDEPURAM KANJIRAMKULAM-P.O,

Thiruvananthapuram Kerala 695524 Thiruvananthapuram ThiruvananthapuramKerala 695524 TRIVANDRAM NO - 29/10/2014 29/10/2014 28/10/2017

10261023 60037085 FGG NISARG N SHAH 05/04/1991

08,Tulsi Vihar Daulat Nagar,Rd.No.8, Borivali East Mumbai

Maharashtra 400066 Mumbai Mumbai Maharashtra 400066 ANDHERI NO - 29/10/2014 29/10/2014 28/10/2017

10261126 60037086 FGG PRIYANKA B AMMINABHAVI 05/05/1984

NO:182 , TOWN VILLAGE , YEREBIDIHAL , KUNDAGOL , DHARWAD

Dharwad Karnataka 581117 Dharwad Dharwad Karnataka 581117 BANGALORE NO - 29/10/2014 29/10/2014 28/10/2017

10261196 60037087 FGG VIRENDER KUMAR KOHLI 04/05/1969

RZ 674/1, GALI NO 18E SADH NAGAR, PALAM COLONY NEW

DELHI Delhi Delhi 110044 SOUTH SOUTH Delhi 110044 WEST DELHI NO - 29/10/2014 29/10/2014 28/10/2017

10261242 60037088 FGG KIRAN .. 23/09/1986

#117 1st stage, 3rd block, Nagar Bhavi, Ring Road BANGALORE

Bangalore Karnataka 560072 Bangalore Bangalore Karnataka 560072 BANGALORE NO - 29/10/2014 29/10/2014 28/10/2017

10261392 60037090 FGG CHANDRAMOHAN O SHARMA 28/01/1977

10 Govind Nagar Malad (East) Mumbai Maharashtra

400097 Mumbai Mumbai Maharashtra 400097 ANDHERI NO - 29/10/2014 29/10/2014 28/10/2017

10262462 60037100 FGG GIBRAN KHAN 26/02/1989

NO 5 1ST FLOOR CENTRAL CROSS STREET NEELASANDRA

BANGALORE Bangalore Karnataka 560047 Bangalore Bangalore Karnataka 560047 INDIRA NAGAR NO - 30/10/2014 30/10/2014 29/10/2017

9825542 60037101 FGG AMIT KAUSHIK 26/10/1993

V.P.O. : JHARONTH, SONIPAT ROAD, TEH. KHARKHODA, Sonipat

Haryana 131402 Sonipat Sonipat Haryana 131402 ROHTAK YES

LIFE INSURANCE

CORPORATION 30/10/2014 30/10/2014 25/12/2016

10262641 60037103 FGG SHASHI BHUSHAN SAHU 12/07/1985

18 Sch No 78 Part 2 Vijay Nagar Indore Indore Madhya

Pradesh 452010 Indore Indore Madhya Pradesh 452010 INDORE NO - 30/10/2014 30/10/2014 29/10/2017

9971116 60037104 FGG PURVI BHARATKUMAR KOTECHA 14/07/1994

. Court Street Near Darbargadh Dhrol Jamnagar Jamnagar

Gujarat 361210 Jamnagar Jamnagar Gujarat 361210 RAJKOT YES

KOTAK MAHINDRA OLD

MUTUAL 30/10/2014 30/10/2014 24/03/2017

10263044 60037106 FGG SONAL G. 24/02/1991

4A/9 3DR MAUN ROAD BASAPPA LAYOUT, HANUMANTHANAGAR

Bangalore Karnataka 560019 Bangalore Bangalore Karnataka 560019 BANGALORE NO - 30/10/2014 30/10/2014 29/10/2017

10263078 60037107 FGG PRIYANKA .. 07/10/1993

SI 64 C BLOCK AGRASEN WARD NO 15 CHURU Churu Churu

Rajasthan 331002 Churu Churu Rajasthan 331023 JAIPUR NO - 30/10/2014 30/10/2014 29/10/2017

8165827 60037160 FGG JAYAMALA .. 06/04/1978

58/1, 13 HN 9TH BLOCK JP NAGAR BANGALORE Bangalore

Karnataka 560001 Bangalore Bangalore Karnataka 560001 BANGALORE YES

LIFE INSURANCE

CORPORATION 05/11/2014 05/11/2014 07/07/2016

10270516 60037161 FGG GHANSHYAM INDRASINH BAROT 12/02/1956

103 DEDIYAPADA NETRANG ROAD VISTAR , AT AND POST

NETRANG NETRANG Bharuch Gujarat 393130 Bharuch Bharuch Gujarat 393130 BARODA NO - 05/11/2014 05/11/2014 04/11/2017

9246913 60037162 FGG DESETTI SAMPATH VIJAYA KUMAR 19/02/1978

H NO 36-91-51 RAVINDRA NAGAR

VISAKHAPATNAM,Visakhapatanam Andhra Pradesh 530008 Visakhapatanam Visakhapatanam Andhra Pradesh 530008 VIZAG YES

BHARTI AXA LIFE

INSURANCE COMPANY

LTD. 05/11/2014 05/11/2014 22/11/2015

10112925 60037167 FGG HIRENKUMAR KANANI 07/09/1988

B-I, 1st FLOOR, FLAT NO.4, JANTA NAGAR SOCIETY, L.H

ROAD,VARACHHA, SURAT. Surat Gujarat 394101 Surat Surat Gujarat 394101 SURAT YES

LIFE INSURANCE

CORPORATION 06/11/2014 06/11/2014 16/07/2017

10273686 60037206 FGG BURGA KHAJA HUSSAIN 01/06/1989

45-24-59K-1, 45/204 TO 45/292, 45, NARASIMHA REDDY NAGAR

KURNOOL Kurnool Andhra Pradesh 518001 Kurnool Kurnool Andhra Pradesh 518001 DILSUKHNAGAR NO - 10/11/2014 10/11/2014 09/11/2017

10091565 60037216 FGG ASHA V SASI 20/04/1984

Valiyaparambil Bonganthanam Po Vakathanam Thottackadu

Kottayam Kerala 686539 Kottayam Kottayam Kerala 686539 KOTTAYAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/11/2014 10/11/2014 29/06/2017

222440 60037217 FGG GIRISHKUMAR K PATEL 30/01/1960

FLAT-02 PLOT-33 SECTOR-12 VASHI NAVIMUMBAI Thane

Maharashtra 400705 Thane Thane Maharashtra 400705 VASHI YES

LIFE INSURANCE

CORPORATION 02/08/2013 02/08/2013 21/09/2016

10275101 60037235 FGG AMRITA AGGARWAL 11/11/1991 122 CHANDER ENCLAVE , PITAM PURA DELHI Delhi Delhi 110034 North West North West Delhi 110034 WEST DELHI NO - 10/11/2014 10/11/2014 09/11/2017

5298365 60037244 FGG JAWAHAR LAL JAT 01/01/1985

398 D, SANJAY NAGAR D KALWAR ROAD, JOSHI MARG

JHOTWARA, JAIPUR Jaipur Rajasthan 3-2-12 JHOTWARA Jaipur Rajasthan 302012 JAIPUR NO - 27/02/2012 27/02/2012 25/03/2015

10098044 60037245 FGG ANCYMOL M. 10/01/1987

Nirapath 7 Sajivothamapuram Kurichi Kottayam Kerala

686532 Kottayam Kottayam Kerala 686532 KOTTAYAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 12/11/2014 12/11/2014 06/07/2017

10279406 60037261 FGG UMESH K. 15/08/1979

#18 2ND B MAIN ROAD,2ND BLOCK RAJAJINAGAR Bangalore

Karnataka 560010 Bangalore Bangalore Karnataka 560010 BANGALORE NO - 13/11/2014 13/11/2014 12/11/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10279417 60037264 FGG P. KARNA 24/04/1985

4-47, 4th WARD, CHINNA JONNAVARAM, RAJUPALEMCUDDAPAH

CUDDAPAH CUDDAPAH Y.S.R. Andhra Pradesh 516359 Cuddapah Cuddapah Andhra Pradesh 516359 KUKKATPALLY NO - 13/11/2014 13/11/2014 12/11/2017

10280105 60037269 FGG DINESH CHANDRA KATARA 10/09/1988

HOSPITAL ROAD,POOJA SURJIACAL KE PASS NR. B.ED COLLAGE

DUNGARPUR Dungarpur Rajasthan 314001 Dungarpur Dungarpur Rajasthan 314001 UDAIPUR NO - 14/11/2014 14/11/2014 13/11/2017

10280133 60037270 FGG HARDEV SINGH 16/10/1967

HNO-109, I/S SANDHU BHAWAN, NEW AZAD , NAGAR, AMRITSAR

Amritsar Punjab 143002 Amritsar Amritsar Punjab 143002 AMRITSAR NO - 14/11/2014 14/11/2014 13/11/2017

10280148 60037271 FGG ALLITA PEREIRA 23/04/1993

H. NO. 229/1 PACHECO WADDO MAJORDA South Goa Goa

403713 South Goa South Goa Goa 403713 MARGAO NO - 14/11/2014 14/11/2014 13/11/2017

6005339 60037272 FGG SANTANO BARBOSA 13/06/1979 95/B SODOVIM VERNA-SALCETE South Goa Goa 403722 South Goa South Goa Goa 403722 MARGAO YES

LIFE INSURANCE

CORPORATION 14/11/2014 14/11/2014 14/01/2016

10280404 60037274 FGG SANA VENKATA LAKSHMI 16/06/1975

44-14-22 GAVARA TADICHETLAPALEM TADICHETLAPALEM

Visakhapatnam Andhra Pradesh 530001 Visakhapatnam Visakhapatnam Andhra Pradesh 530001 VIZAG NO - 14/11/2014 14/11/2014 13/11/2017

10280543 60037275 FGG AMOL BHAUSAHEB AHER 12/08/1984

H no 18 Naydongari Nandgaon Nasik Nashik Maharashtra

424109 Nashik Nashik Maharashtra 424109 PUNE NO - 14/11/2014 14/11/2014 13/11/2017

10282010 60037304 FGG PATEL FALGUNI SNEHALKUMAR 26/09/1982

B/18 Krishna Valley Duplex, Opp Jay Ambe School, Nr Amitnagar

Circle, VIP Road Vadodara Vadodara Gujarat 390022 Vadodara Vadodara Gujarat 390022 GODHRA NO - 17/11/2014 17/11/2014 16/11/2017

10286691 60037338 FGG SHAH NISHIT KETANBHAI 24/11/1984

103/A Vibhuti Appt , B/h Star India Bazar , Jodhpur Char Rasta ,

Satellite Ahmedabad Ahmadabad Gujarat 380015 Ahmadabad Ahmadabad Gujarat 380015 BARODA NO - 19/11/2014 19/11/2014 18/11/2017

10287119 60037341 FGG ARJUN BHARTI 10/10/1951

C-284,kendriya vihar, sec-56, Gurgaon Gurgaon Haryana

122002 Gurgaon Gurgaon Haryana 122002 CONNAUGHT PLACENO - 19/11/2014 19/11/2014 18/11/2017

9849716 60037363 FGG DISHITA SHAH 10/10/1992

109/5 Laxmi Bhuvan 2nd Floor B Wing Near S I E S College ., Sion

West Mumbai Maharashtra 400022 Mumbai Mumbai Maharashtra 400022 ANDHERI YES BIRLA SUN LIFE 20/11/2014 20/11/2014 09/01/2017

10288932 60037367 FGG MEENAKSHI .. 03/02/1982 13/149 BLOCK-13 GEETACOLONY DELHI Delhi Delhi 110031 Delhi Delhi Delhi 110031 NOIDA NO - 20/11/2014 20/11/2014 19/11/2017

10289423 60037376 FGG ANKIT JAIN 04/02/1990 2/8/4 Katara Bazar - Lalitpur Uttar Pradesh 284403 Lalitpur Lalitpur Uttar Pradesh 284403 PUNE NO - 21/11/2014 21/11/2014 20/11/2017

5737837 60037377 FGG ASHISHBHAI DWARKADAS ABHANI 10/02/1980

Heera-Pannna Complex, 315,rd Floor, Yagnik Road RAJKOT

Rajkot Gujrat 360001 RAJKOT RAJKOT Gujarat 360001 RAJKOT YES

SBI LIFE INSURANCE

COMPANY LIMITED 21/11/2014 21/11/2014 07/09/2015

10289578 60037381 FGG SINDKAR RAJESH BABURAO 24/05/1983

S.NO.168/8/1, SHREENATH COLONY RAMKUND Satara

Maharashtra 415001 Satara Satara Maharashtra 415001 SATARA NO - 21/11/2014 21/11/2014 20/11/2017

10290177 60037384 FGG PREETI VISHAL SINGH 04/03/1991

162,Bhadehari Kerkat Bhadehari Kerkat Jaunpur Uttar

Pradesh 222142 Jaunpur Jaunpur Uttar Pradesh 222142 ANDHERI NO - 21/11/2014 21/11/2014 20/11/2017

10290213 60037386 FGG HARSHITA SINGH 10/08/1988

B-1804 Gardenia Square Ghaziabad Ghaziabad Uttar

Pradesh 201009 Ghaziabad Ghaziabad Uttar Pradesh 201009 NOIDA NO - 21/11/2014 21/11/2014 20/11/2017

10290244 60037387 FGG PAVAN V LANDGE 30/04/1975

HOUSE NO. 253, GOND PLOT, SUBHASH CHOWK, NR.SUBHASH

CHANDRA BOSH PUTLA, WARDHA Wardha Maharashtra

442001 Wardha Wardha Maharashtra 442001 NAGPUR NO - 21/11/2014 21/11/2014 20/11/2017

10290278 60037388 FGG SATYA DEV 01/04/1993

B-1/44 BUDH VIHAR-II, SHARMA COLONY NEW DELHI Delhi Delhi

110086 DELHI DELHI Delhi 110086 CONNAUGHT PLACENO - 21/11/2014 21/11/2014 20/11/2017

10290319 60037389 FGG AFTAB ALAM 05/07/1986

49, GANV KHARAGADIHA THANA KHARAGDIHA GIRIDH Giridh

Jharkhand 815314 Giridih Giridih Jharkhand 815314 RANCHI NO - 21/11/2014 21/11/2014 20/11/2017

10169460 60037390 FGG ADITYA .. 03/04/1990

H NO 1399 7 PHASE 11 SAS NAGAR TEH SAS NAGAR MOHALI

Sahibzada Ajit Singh Nagar Punjab 160055 MOHALI MOHALI Punjab 160055 CHANDIGARH YES

EXIDE LIFE INSURANCE

COMPANY LIMITED 21/11/2014 21/11/2014 21/08/2017

10298180 60037434 FGG CHHEEMA DEVI 16/05/1988

# 16 VPO BERTHALI, TEHSIL SHAHBAD KURUKSHETRA

Kurukshetra Haryana 136135 CHADUNI JATTAN CHADUNI JATTAN Haryana 136135 AMBALA NO - 26/11/2014 26/11/2014 25/11/2017

10299056 60037440 FGG K R VINAY PRASAD 23/05/1977

#17 Sri Gurunarasimha Nilaya, D Block, Gopala Gowd Ext

Mangalore Mangalore Karnataka 574108 Udupi Udupi Karnataka 574108 MANGALORE NO - 27/11/2014 27/11/2014 26/11/2017

10299108 60037441 FGG DHOLIYA KAMLESHBHAI BHARATBHAI 01/10/1991 AT & POST KAMREJ, SURAT SURAT Surat Gujarat 395006 Surat Surat Gujarat 395006 SURAT NO - 27/11/2014 27/11/2014 26/11/2017

10299164 60037442 FGG DAYANAND PRAVEEN 26/02/1978

#81/9, 80 feet, Kathriguppe Road, Vivekananda Nagar, BSK 3rd

stage, BANGALORE Bangalore Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 27/11/2014 27/11/2014 26/11/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10307273 60037481 FGG PARIKH RADHIKA TEJAS 19/10/1978

2101/01, E WARD SHRI RAMDHAM BUILDING LAXMINAGAR OLD

P B ROAD Kolhapur Maharashtra 416005 Kolhapur Kolhapur Maharashtra 416005 KOLHAPUR NO - 01/12/2014 01/12/2014 30/11/2017

10307599 60037488 FGG ANANDA .. 17/06/1976

#43, 4th Main Road, 5th Cross Ittumadu Naidu Layout

Kakathiyanagar BSK 3rd stage Bangalore Karnataka

560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 01/12/2014 01/12/2014 30/11/2017

9954714 60037492 FGG SUBHASH KUMAR MEHTA 23/01/1954

H NO 273 SECTOR 5 Gurgaon Gurgaon Haryana

122001 Gurgaon Gurgaon Haryana 122001 WEST DELHI YES BIRLA SUN LIFE 01/12/2014 01/12/2014 14/03/2017

10308305 60037509 FGG SHARANJEET KAUR 28/09/1968 c-58/7a 803 swaatam a sec 62 Delhi Delhi 110002 CENTRAL CENTRAL Delhi 110002 NOIDA NO - 02/12/2014 02/12/2014 01/12/2017

10308320 60037510 FGG VAIBHAVI VINOD SHINDE 21/11/1995

D/O VINOD B.E.S.T DEPOT 116/3358 KANNAMWAR NAGAR NO 2

VIKHROLI TAGORE NAGAR MUMBAI Mumbai Maharashtra

400083 Mumbai Mumbai Maharashtra 400083 VASHI NO - 02/12/2014 02/12/2014 01/12/2017

10067866 60037514 FGG SUMAN DEBNATH 01/02/1990

STATE BANK COLONY MANAB KALYAN ROAD TINSUKIA Tinsukia

Assam 786125 Tinsukia Tinsukia Assam 786125 GUWAHATI YES

RELIANCE LIFE

INSURANCE 02/12/2014 02/12/2014 16/06/2017

10098389 60037515 FGG RADHAKRISHNAN K. S. 19/02/1952

Sreesai Mundayil 24/17 A 24/21 Varkala Po Trivandrum

Trivandrum Thiruvananthapuram Kerala 695141 Thiruvananthapuram ThiruvananthapuramKerala 695141 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 02/12/2014 02/12/2014 06/07/2017

10309384 60037523 FGG SHAH JIGNESH KIRITKUMAR 27/12/1976

RUXMANI BHAVAN, OPP. MUNICIPAL QUARTERS MANINAGAR

EAST MANINAGAR Ahmadabad Gujarat 380008 Ahmadabad Ahmadabad Gujarat 380008 MANINAGAR NO - 03/12/2014 03/12/2014 02/12/2017

10309391 60037524 FGG ARSHI ZUBAIR KHAN 16/02/1994

501, A WING, ORCHID APARTMENT, BELLASIS ROAD, CITY CENTER

MALL, MUMBAI CENTRAL Mumbai Maharashtra

400008 Mumbai Mumbai Maharashtra 400008 FORT NO - 03/12/2014 03/12/2014 02/12/2017

8489335 60037525 FGG ROHIT VERMA 06/04/1986 Y-1/47 BUDH VIHAR PH-I DELHI Delhi Delhi 110063 West West Delhi 110063 WEST DELHI YES

LIFE INSURANCE

CORPORATION 03/12/2014 03/12/2014 30/01/2017

10309421 60037526 FGG TARSEM LAL 22/12/1975

Vill.Mugal Pura P.o Kakkon Hoshiarpur Hoshiarpur Hoshiarpur

Punjab 144601 Kapurthala Kapurthala Punjab 144601 JALANDHAR NO - 03/12/2014 03/12/2014 02/12/2017

9052039 60037528 FGG TAKTE DURGESH PRAMOD 14/10/1989

2387 Tikal Maidan, Ap Yeola, Nashik, Nashik Maharashtra 4234-

1 Yeola Nasik Maharashtra 423401 NASHIK NO - 28/04/2012 28/04/2012 27/04/2015

10310843 60037537 FGG SACHIN SURESH RENUSE 08/03/1978

FL 703, Wing B, Kapil Upvan S No 662/1 2 & 65 A Bibwewadi

Pune Maharashtra 411037 Pune Pune Maharashtra 411037 PUNE NO - 04/12/2014 04/12/2014 03/12/2017

10310923 60037539 FGG SHANTANU RAJENDRA JADHAO 30/01/1990

HOUSE NO. 100/201, Nr. CP BANGALOW, AMRAVATI AMRAVATI

Amravati Maharashtra 444601 Amravati Amravati Maharashtra 444601 NAGPUR NO - 04/12/2014 04/12/2014 03/12/2017

1505711 60037540 FGG REKHA KHATRI 03/06/1980

HOUSE NO 432, SUBHASH NAGAR PAL ROAD Jodhpur Rajasthan

342001 JODHPUR JODHPUR Rajasthan 342001 JODHPUR YES

LIFE INSURANCE

CORPORATION 04/12/2014 04/12/2014 07/12/2015

10311024 60037544 FGG SUBHASH CHANDER GOYAL 18/08/1975

WARD NO 32, NAI MANDI HANUMANGARH TOWN,

HANUMANGARH Hanumangarh Rajasthan 335513 Hanumangarh Hanumangarh Rajasthan 335513 AJMER NO - 04/12/2014 04/12/2014 03/12/2017

10311391 60037548 FGG BALLA BHASKARAO 13/03/1990

H NO 4-7-54, Niriyala Colony 1, Near N T R Statue, Anakapalli

Mandalam Visakhapatnam Andhra Pradesh 531001 Visakhapatnam Visakhapatnam Andhra Pradesh 531001 RAJAHMUNDRY NO - 04/12/2014 04/12/2014 03/12/2017

9654134 60037549 FGG RAKESH B K. 15/02/1979

158/1 BIDRAHALLI VILLAGE, MUDIGERETALLUK, MUDIGERE

Chikmagalur Karnataka 577132 Chikmagalur Chikmagalur Karnataka 577132 BANGALORE YES

STAR UNION DAI ICHI

LIFE INSURANCE CO. LTD 04/12/2014 04/12/2014 12/09/2016

10312270 60037557 FGG PREETI GUMBER 20/01/1979

32 e,8/849 ward no -6 Sant singh cheema nagar,Kakowal

road,Noorwala Ludhiana Ludhiana Punjab 141007 Ludhiana Ludhiana Punjab 141007 LUDHIANA NO - 05/12/2014 05/12/2014 04/12/2017

9837479 60037561 FGG SACHIN BABULAL BURAD 02/07/1981

LAKE TOWN CO OP HSG SOCY LTD BLD 8 FLAT NO 101 SN 11

KATRAJ Pune Maharashtra 411046 Pune Pune Maharashtra 411046 PUNE YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 05/12/2014 05/12/2014 30/12/2016

10312443 60037562 FGG GAURAV SRIVASTAVA 07/10/1984

H NO 206283, Gandhi Nagar PS Kotvali Teh & Dis Basti Basti

Uttar Pradesh 272001 Basti Basti Uttar Pradesh 272001 LUCKNOW NO - 05/12/2014 05/12/2014 04/12/2017

4426200 60037563 FGG PRADEEP KUMAR 25/01/1976 16 Block 5, Gali No 2, Geeta Colony, DELHI Delhi Delhi 110031 East East Delhi 110031 CONNAUGHT PLACENO - 16/02/2015 16/02/2015 28/07/2017

8896664 60037564 FGG VIVEK JAGANNATH RASTE 03/12/1980

FL-C-101 SHREE SAISADAN CHS PLOT A-1 SEC 7 NEW PANVEL(W)

Raigarh Maharashtra 410206 Raigarh Raigarh Maharashtra 410206 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 08/01/2015 08/01/2015 24/10/2017

397208 60037565 FGG ASHOKKUMAR G OZA 16/07/1971

B-104, SHIV DARSHAN PLAZA, PATEL FALIYA, B/H: MAHADEV

MANDIR, UDHNA GAM, UDHNA, SURAT. Surat Gujarat

394210 Surat Surat Gujarat 394210 SURAT YES

LIFE INSURANCE

CORPORATION 03/12/2014 03/12/2014 28/03/2017

517138 60037625 FGG AMIT SHARMA 25/03/1973

60/154 Heera Path, Mansarovar, Jaipur Jaipur Rajasthan

302020 Jaipur Jaipur Rajasthan 302020 JAIPUR NO - 29/03/2014 29/03/2014 03/04/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

1708523 60037629 FGG SWAPNIL GAWALI 29/11/1985

Jayram Nagar Near BAMS college washim rd Pusad Yavatmal

Maharashtra 445204 Yavatmal Yavatmal Maharashtra 445204 NAGPUR NO - 22/10/2013 22/10/2013 09/06/2016

8918872 60037631 FGG AKSHATA A. NAIK 24/02/1989

NO 45 B TYPE, SHANTINIKETAN COLONY BKT ROAD, BIJAPUR,

Bijapur Karnataka 586101 Bijapur Bijapur Karnataka 586101 HUBLI NO - 09/12/2014 09/12/2014 10/11/2017

9611683 60037634 FGG KARDILE RAJASHRI ARUN 19/03/1987

3188,Lav-Kush Bunglow, Birbal Akhad Chk, Mardai, Nashik

Maharashtra 422010 Nashik Nashik Maharashtra 422010 NASHIK NO - 24/08/2013 24/08/2013 23/08/2016

8412520 60037635 FGG GANDHI RUSHIT DILIPBHAI 12/10/1988

C13 SATISH PARK SOC GIDC ROAD MANJALPUR Vadodara

Gujarat 390010 Vadodara Vadodara Gujarat 390010 BARODA YES

LIFE INSURANCE

CORPORATION 14/11/2013 14/11/2013 09/12/2016

9262795 60037641 FGG RAMAN VATS 07/01/1968 119- SECTOR 4 PANCHKULA Panchkula Haryana 134112 PANCHKULA PANCHKULA Haryana 134112 CHANDIGARH NO - 11/12/2012 11/12/2012 10/12/2015

8684934 60037657 FGG PANKAJ KUMAR 15/06/1976

h.no-45a,ismailchak,bajitpur,vaishali h.no-

45a,ismailchak,bajitpur,vaishali patna Patna Bihar 800001 Patna Patna Bihar 800001 PATNA NO - 14/01/2015 14/01/2015 03/07/2017

669982 60037658 FGG NITIN KUMAR PATNI 29/08/1980

936 SUDAMA NAGAR INDORE Indore Madhya Pradesh

452009 Indore Indore Madhya Pradesh 452009 INDORE YES

LIFE INSURANCE

CORPORATION 31/12/2014 31/12/2014 01/08/2017

10322557 60037676 FGG MANDHARE RAVIKIRAN NAMDEO 01/02/1978

CHINTAMANI SWAROOP, FLAT 103 BEHIND CHINTAMANI

VIDYAPITH AMBEGAON PATHAR DHANKWADI Pune

Maharashtra 411046 Pune Pune Maharashtra 411046 PUNE NO - 12/12/2014 12/12/2014 11/12/2017

10268766 60037713 FGG MOHAMMED RIZWAN 19/08/1983

GALI NO.2 LAXMI NAGAR BEHIND GOLDEN MARBLE RAIPUR

Raipur Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR YES

SBI LIFE INSURANCE

COMPANY LIMITED 16/12/2014 16/12/2014 03/11/2017

10326209 60037715 FGG RUSHABH N SHETH 28/09/1971

# 53, nagarbhavi 2nd stage 12th Block BANGALORE Bangalore

Karnataka 560072 Bangalore Bangalore Karnataka 560072 BANGALORE NO - 16/12/2014 16/12/2014 15/12/2017

10326261 60037718 FGG GUNDELLI NAVEEN KUMAR 13/08/1987

6-49/101, JAWAHAR NAGAR COLONY, NEAR SANGHAM,

KAMAREDDY, ADLOOR, NIZAMABAD, Nizamabad Telangana

503001 Nizamabad Nizamabad Telangana 503001 HYDERABAD NO - 16/12/2014 16/12/2014 15/12/2017

10326276 60037719 FGG C.M. SUDHEER 12/01/1986

97, 3RD CROSS PAI LAYOUT HULLIMAVU Bangalore

Karnataka 560076 Bangalore Bangalore Karnataka 560076 BANGALORE NO - 16/12/2014 16/12/2014 15/12/2017

10326364 60037720 FGG HARISH PATEL 24/12/1961

7 RAJRATHNA SOC, OPP POLO GROUND Vadodara Vadodara

Gujarat 390001 Vadodara Vadodara Gujarat 390001 BARODA NO - 16/12/2014 16/12/2014 15/12/2017

10326368 60037721 FGG HIMANSHU .. 27/07/1987

736/16 NEAR POLICE CHOWNKI, HOSUING BOARD COLONY

AMBALA CANTT Ambala Haryana 133001 Ambala Ambala Haryana 133001 AMBALA NO - 16/12/2014 16/12/2014 15/12/2017

9194379 60037725 FGG AMIT JAGDISHBHAI SONI 04/02/1980

NR GANESH TEMPLE NANI CHHIPWAD ,GANESH CHOWK

Vadodara Vadodara Gujarat 390006 Vadodara Vadodara Gujarat 390006 GODHRA YES

Edelweiss Tokio Life

Insurance Company

Limited 16/12/2014 16/12/2014 26/09/2015

10326803 60037727 FGG TUSHAR .. 27/01/1994

188 POLICE LINE SECTOR 30 FARIDABAD Faridabad Haryana

121002 Faridabad Faridabad Haryana 121002 FARIDABAD NO - 16/12/2014 16/12/2014 15/12/2017

10326873 60037730 FGG NITIN DEOLGAONKAR 25/06/1981

12 State Bank Colony Sundar Nagar Raipur Raipur

Chattisgarh 492001 Raipur Raipur Chhattisgarh 492001 RAIPUR NO - 16/12/2014 16/12/2014 15/12/2017

109437 60037735 FGG VANITA JAIN 15/01/1969 3/24 VIJAY NAGAR 00 Indore Madhya Pradesh 452010 Indore Indore Madhya Pradesh 452010 INDORE YES

LIFE INSURANCE

CORPORATION 05/12/2014 05/12/2014 18/04/2016

10331968 60037771 FGG SHIVANI .. 25/10/1984

HNO - M3/938 LAKSHMI AVENUE , N/R BANK , BHAGTAN WALA

ROAD AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 19/12/2014 19/12/2014 18/12/2017

3914315 60037782 FGG MAITRI BALDEVBHAI PATEL 30/09/1986

PLOT NO. 1228/2 SECTOR -2A GANDHINGAR Gandhinagar

Gujarat 382006 Gandhinagar Gandhinagar Gujarat 382006 BARODA NO - 15/01/2015 15/01/2015 04/01/2017

9276014 60037824 FGG PRABHU KUMAR 04/02/1970 2066, Sector 12 D Sector 12 Bokaro Bokaro Jharkhand 825102 Bokaro Bokaro Jharkhand 825102 RANCHI YES

Edelweiss Tokio Life

Insurance Company

Limited 23/12/2014 23/12/2014 23/12/2015

10337908 60037825 FGG PUJA AGRAWAL 07/12/1987

53/1, CHANDRAVANSHI TOLA DALTONGANZ COLLEGE BARATOLA

Giridh Jharkhand 822101 Palamu Palamu Jharkhand 822101 RANCHI NO - 23/12/2014 23/12/2014 22/12/2017

10340839 60037832 FGG RAMANI BHAVIK BACHUBHAI 15/01/1991

3 SAHAJNAND PARK SOC,OPP SARASWATI SCHOOL,NIKOL GAM

ROAD TB NAGAR AHMEDABAD Ahmadabad Gujarat

382350 AHMEDABAD AHMEDABAD Gujarat 382350 SURAT NO - 24/12/2014 24/12/2014 23/12/2017

133492 60037889 FGG J. G. SHASTRI 15/11/1969

69-A, MOTINAGAR-2 SUSEN TARSALI ROAD TARSALI Vadodara

Gujarat 390001 Vadodara Vadodara Gujarat 390001 BARODA YES

LIFE INSURANCE

CORPORATION 17/12/2014 17/12/2014 16/07/2016

9675930 60037890 FGG SHISHIR GUPTA 27/08/1988 0 SHAKTI NAGAR AJMER Ajmer Rajasthan 305001 Ajmer Ajmer Rajasthan 305001 AJMER YES

BaJAJ ALLIANZ LIFE

INSURANCE 30/12/2014 30/12/2014 24/09/2016

10349970 60037914 FGG ABHIMANU SINGH 20/05/1977

Kathotar talab, Durgabadi colony gaya gaya gaya Gaya

Bihar 823001 Gaya Gaya Bihar 823001 PATNA NO - 30/12/2014 30/12/2014 29/12/2017

9816260 60037926 FGG KARUNA AVADHUT LANDGE 26/07/1984

105, PLOT NO. 109, SHREE RAJIV CHS, RSC-37, GORAI: 2

BORIWALI (W) Mumbai Maharashtra 400092 MUMBAI Mumbai Maharashtra 400092 BORIVALI YES

LIFE INSURANCE

CORPORATION 31/12/2014 31/12/2014 19/12/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10188865 60037927 FGG RAJA DEVADIGA 07/04/1964

1-17-411, Jai Sai Nivas 2nd Main 2nd Cross Land Links Town Ship

Derebail Mangalore Dakshina Kannada Karnataka 575008 Dakshina Kannada Dakshina Kannada Karnataka 575008 MANGALORE YES

KOTAK MAHINDRA OLD

MUTUAL 31/12/2014 31/12/2014 03/09/2017

10352304 60037928 FGG PREMANSHI ANTONY 30/07/1983 F.530 SARITA VIHAR DELHI Delhi Delhi 110076 MADANPUR KHADAR MADANPUR KHADARDelhi 110076 WEST DELHI NO - 31/12/2014 31/12/2014 30/12/2017

10352451 60037930 FGG NIRMALANANDAN K. 22/03/1949

VP10/1003 MULLANCHANI TRIVANDRUM Thiruvananthapuram

Kerala 695013 Thiruvananthapuram ThiruvananthapuramKerala 695013 TRIVANDRAM NO - 31/12/2014 31/12/2014 30/12/2017

10352517 60037932 FGG H. R. RAGHAVENDRA 03/02/1978

211-2/1, Sarakki Main Road 1st phase J P Nagar Bangalore

Karnataka 560078 Bangalore Bangalore Karnataka 560078 BANGALORE NO - 31/12/2014 31/12/2014 30/12/2017

10352682 60037933 FGG CHANDRASHEKHAR RAJENDRA KHOLAP 27/02/1990

NEAR HANUMAN MANDIR, GALLI NO.2 RAVI NAGAR, DASARA

GROUND ROAD, AMRAVATI Amravati Maharashtra

444605 Amravati Amravati Maharashtra 444605 NAGPUR NO - 31/12/2014 31/12/2014 30/12/2017

1296242 60037987 FGG S. Y. DHAVALE 06/08/1954 C - 2/ 37 C, KESHAV PURAM DELHI Delhi 11--35 Delhi Delhi Delhi 110035 CONNAUGHT PLACENO - 29/05/2012 29/05/2012 15/07/2015

5590967 60037988 FGG AKSHAR GUPTA 24/01/1987

2/3 BORLA SOCIETY C.G. ROAD CHEMBUR Mumbai Maharashtra

400074 Mumbai Mumbai Maharashtra 400074 ANDHERI YES

LIFE INSURANCE

CORPORATION 01/08/2012 01/08/2012 22/07/2015

10356435 60037989 FGG KAMAL KUMAR 22/10/1982

H.N0-34/16 WARD NO-16,ANAJ MANDI,PEHOWA,DISTT-KUK

PEHOWA Kurukshetra Haryana 136128 KURUKSHETRA KURUKSHETRA Haryana 136128 PATIALA NO - 05/01/2015 05/01/2015 04/01/2018

9135230 60037990 FGG UDAY CHANDRAKANT THALE 08/07/1975

AT PO NANDGAON MURUD RAIGAD Raigarh Maharashtra

402204 MURUD RAIGAD Maharashtra 402204 PEN YES

RELIANCE LIFE

INSURANCE 05/01/2015 05/01/2015 29/07/2015

10010231 60037991 FGG PATEL JIGNESH VASANT 21/03/1980

ROOM NO 611, TALAV MOHALLO ICH CHHAPORE SURAT Surat

Gujarat 395007 Surat Surat Gujarat 395007 VASHI YES

LIFE INSURANCE

CORPORATION 05/01/2015 05/01/2015 24/04/2017

10144991 60037992 FGG SIJI JOSEPH 16/03/1972

Panaickathara House Kumarakom P O Kumarakom South

Kottayam Kottayam Kerala 686563 Kottayam Kottayam Kerala 686563 KOTTAYAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 05/01/2015 05/01/2015 03/08/2017

10356793 60037993 FGG YATIN GUPTA 09/03/1996

B-39,Ram dutt enclave uttam nagr, New delhi DELHI Delhi Delhi

110059 West West Delhi 110059 CONNAUGHT PLACENO - 05/01/2015 05/01/2015 04/01/2018

10356967 60037998 FGG AJAY ANAND 22/03/1965

53-b, pocket-1,mayur vihar,phase-1, DELHI DELHI Delhi Delhi

110089 ROHINI ROHINI Delhi 110089 CONNAUGHT PLACENO - 05/01/2015 05/01/2015 04/01/2018

10357460 60038013 FGG NAMAN NASHINE 12/09/1994

VAISHALINAGAR KAMLA COLLEGE ROAD DIST RAJNANDGAON

Rajnandgaon Chattisgarh 491441 Rajnandgaon Rajnandgaon Chhattisgarh 491441 RAIPUR NO - 06/01/2015 06/01/2015 05/01/2018

10359595 60038030 FGG SANTOSH ADITYAA 23/04/1976

12 b.s v reddy layout yerraiahna palya ramurthy nagar

BANGALORE Bangalore Karnataka 560016 Bangalore Bangalore Karnataka 560016 R.T.NAGAR NO - 07/01/2015 07/01/2015 06/01/2018

10359896 60038036 FGG R. HARIKA 09/04/1986

202 B RAMARAO LAYOUT BSK 3RD STAGE BANGALORE Bangalore

Karnataka 560085 Bangalore Bangalore Karnataka 560085 BANGALORE NO - 07/01/2015 07/01/2015 06/01/2018

10359978 60038037 FGG SACHIN PATEL 05/06/1984

134 Gram Ambamoliya The Indore Indore Indore Indore

Madhya Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 07/01/2015 07/01/2015 06/01/2018

10360009 60038038 FGG DHAVAL MINESH PATEL 14/03/1996

21/23, LAXMI NIWAS (VASANT NIWAS), 1ST FLOOR 2ND

PARSIWADA, V P ROAD, GIRGAON Mumbai Maharashtra

400004 Mumbai Mumbai Maharashtra 400004 FORT NO - 07/01/2015 07/01/2015 06/01/2018

10360945 60038051 FGG HARISCHANDRA M KASAR 01/06/1963

OMKARESHWAR ASHISH 12/2 ANANT NAGAR GAONDEVI ROAD

KULGAON BADLAPUR E Thane Maharashtra 421503 Thane Thane Maharashtra 421503 FORT NO - 08/01/2015 08/01/2015 07/01/2018

10360969 60038052 FGG SANCHITA AGRAWAL 16/08/1992

39/2, PARSI MOHALLA INDORE INDORE Indore Madhya

Pradesh 452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 08/01/2015 08/01/2015 07/01/2018

10049562 60038053 FGG POORNIMA MURTHY 13/05/1988

H No 54 3Rd Main Samrat Layout Arakere Bg Road Banglore

Bangalore Karnataka 560076 Bangalore Bangalore Karnataka 560076 BANGALORE YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 08/01/2015 08/01/2015 30/05/2017

10361019 60038056 FGG KEYUR BHARATKUMAR CHODVADIYA 24/04/1996

B - 102, CHANDRAGUPT RESI, NR. HINGLAJ MATA MANDIR INDIA

COLONY ROAD THAKKARBAPANAGAR Ahmadabad Gujarat

382350 AHMEDABAD AHMEDABAD Gujarat 382350 MANINAGAR NO - 08/01/2015 08/01/2015 07/01/2018

10186125 60038058 FGG ASHU SETHI 23/04/1981 H NO 160 161 RAM NAGAR KRISHAN NAGAR Delhi Delhi 110051 East East Delhi 110051 NOIDA YES

Edelweiss Tokio Life

Insurance Company

Limited 08/01/2015 08/01/2015 01/09/2017

10361063 60038060 FGG AMALKUMAR N K. 10/05/1973

Kaniyamkunnel House Karapuzha P O Kottayam Kottayam

Kerala 686003 Kottayam Kottayam Kerala 686003 KOTTAYAM NO - 08/01/2015 08/01/2015 07/01/2018

9724828 60038061 FGG SUDARSHAN P. KUSHWAHA 05/03/1978 RZ-37 RAGHU NAGAR DELHI Delhi Delhi 110045 West West Delhi 110045 WEST DELHI YES

LIFE INSURANCE

CORPORATION 08/01/2015 08/01/2015 23/10/2016

10361237 60038062 FGG MUKESH MADHUSUDAN KOTAK 10/05/1965

75-B, MIRAMAR SOCIETY, 3, NEPEANSEA ROAD, MUMBAI

Mumbai Maharashtra 400037 Mumbai Mumbai Maharashtra 400037 FORT NO - 08/01/2015 08/01/2015 07/01/2018

2028439 60038066 FGG DIPALI SHAH 25/09/1980

A/404 VEST APT. BLDG. NO.2 PANT NAGAR 90 FEET ROAD

GHATKOPAR (E) Mumbai Maharashtra 400075 Mumbai Mumbai Maharashtra 400075 GHATKOPAR YES

ICICI PRUDENTIAL LIFE

INSURANCE 08/01/2015 08/01/2015 11/07/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10361762 60038067 FGG MOHD KALEEM KHAN 15/07/1996

Rn 29 Garib Hatav Chawl Lal Bahadur shahtri Marg Ghatkopar

Mumbai Maharashtra 400086 Mumbai Mumbai Maharashtra 400086 GHATKOPAR NO - 08/01/2015 08/01/2015 07/01/2018

10363435 60038096 FGG SRINIVASA M. K. 23/06/1974

NO 03 J BLOCK 1ST MAIN ROAD SHESHADRPURAM BANGALORE

Bangalore Karnataka 560020 Bangalore Bangalore Karnataka 560020 BANGALORE NO - 09/01/2015 09/01/2015 08/01/2018

10365039 60038097 FGG PALAK AGGARWAL 28/12/1992

S-76 INDUSTRIAL AREA JALANDHAR Jalandhar Punjab

144004 Jalandhar Jalandhar Punjab 144004 JALANDHAR NO - 12/01/2015 12/01/2015 11/01/2018

10365054 60038098 FGG BHAVNA KALPESH SONI 09/01/1986

A-104 Shanti apartment,mahakali nagar vidhyalay marg mulund

(east) Mumbai Maharashtra 400081 Mumbai Mumbai Maharashtra 400081 ANDHERI NO - 12/01/2015 12/01/2015 11/01/2018

10365057 60038099 FGG PRITY VERMA 25/09/1980

49, PURALIA ROAD KUNHAR TOLI RANCHI Ranchi

Jharkhand 834001 Ranchi Ranchi Jharkhand 834001 RANCHI NO - 12/01/2015 12/01/2015 11/01/2018

10365062 60038100 FGG SANTOSH S. 24/06/1985

344/8, BHOVIPALYA ANTHARASANAHALLI TUMKUR TQ DIST

NIRANJANA M D S Tumkur Karnataka 561203 Bangalore Rural Bangalore Rural Karnataka 561203 BANGALORE NO - 12/01/2015 12/01/2015 11/01/2018

10365066 60038101 FGG SAFWAN AHMED KEDMOOLE 23/08/1996

6-97/B, KEDAMOOLE HOUSE, MANGALAPADAVU, NEAR MADA

TEMPLE, VITTLA KASABA VITTLA DAKSHINA KANNADA Dakshina

Kannada Karnataka 574243 Dakshina Kannada Dakshina Kannada Karnataka 574243 MANGALORE NO - 12/01/2015 12/01/2015 11/01/2018

10265496 60038102 FGG SONAM MAHAVIR PARAKH 14/01/1992

Shop No 58, Vishal Resi Hanuman Col Kasarwadi Pune

Maharashtra 411034 Pune Pune Maharashtra 411034 PUNE YES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 12/01/2015 12/01/2015 30/10/2017

2006633 60038103 FGG JAYASHRI KHALATE 30/10/1974

NANDANVAH CO-OP HSG SOC BLDG E-2 ROOM NO 1 SEC 25 JUI

NAGAR NAVI MUMBAI Thane Maharashtra 400706 Thane Thane Maharashtra 400706 VASHI YES

LIFE INSURANCE

CORPORATION 12/01/2015 12/01/2015 17/06/2017

10365143 60038104 FGG ZAINAB M HAQUE 15/08/1974

8, Tapalinofra, Dr Homibaba Road Navy Nagar Mumbai

Maharashtra 400005 Mumbai Mumbai Maharashtra 400005 FORT NO - 12/01/2015 12/01/2015 11/01/2018

9875924 60038106 FGG GUNEET KAUR 30/11/1994

E-403 IVORY TOWER SEC 70 Sahibzada Ajit Singh Nagar Punjab

140103 Rupnagar Rupnagar Punjab 140103 CHANDIGARH YES

LIFE INSURANCE

CORPORATION 12/01/2015 12/01/2015 28/01/2017

10365168 60038107 FGG U. BHASKER 17/06/1981

P NO 55, RTC COLONY, TIRUMALGERRY, SECUNDERABAD

Hyderabad Telangana 500015 Rangareddi Rangareddi Telangana 500015 HYDERABAD NO - 12/01/2015 12/01/2015 11/01/2018

10365179 60038108 FGG PRIYANKA KUMARI 02/02/1988

FLAT NO-663 GH-II, BAGBAN APPARTMENT Sector-28, Rohini

Delhi Delhi 110085 North West North West Delhi 110085 CONNAUGHT PLACENO - 12/01/2015 12/01/2015 11/01/2018

10365193 60038109 FGG JAI PARKASH 08/03/1982

29/14, GALI NO 13 VISHWAS NAGAR SHAHDRA Delhi Delhi

110032 East East Delhi 110032 NOIDA NO - 12/01/2015 12/01/2015 11/01/2018

10368045 60038137 FGG SUMER SINGH TANWAR 03/08/1974 E460 PHASE II NANGLOI Delhi Delhi 110041 North West North West Delhi 110041 WEST DELHI NO - 14/01/2015 14/01/2015 13/01/2018

10368075 60038138 FGG SHAILLEY HARIT 28/03/1984

RZ B-1, Raghu Nagar Street No.6, sharma Lane New Delhi Delhi

Delhi 110045 West West Delhi 110045 CONNAUGHT PLACENO - 14/01/2015 14/01/2015 13/01/2018

10368110 60038139 FGG NAVEEN K M. 22/06/1986

KIZHAKKANCHERI MANNIL CALICUT CALICUT Kozhikode

Kerala 673611 Kozhikode Kozhikode Kerala 673611 CALICUT NO - 14/01/2015 14/01/2015 13/01/2018

9105504 60038142 FGG VINEETA AGGARWAL 10/04/1964

A-104, VISHAL ENCLAVE, OPP RAJAURI GARDEN NEW DELHI Delhi

110027 Delhi Delhi Delhi 110027 CONNAUGHT PLACEYES

HDFC STD LIFE

INSURANCE CO. LTD. 14/01/2015 14/01/2015 29/06/2015

10368188 60038143 FGG JITENDER SHARMA 09/10/1981 E-27, STREET 3 PANDAV NAGAR DELHI Delhi Delhi 110091 East East Delhi 110091 WEST DELHI NO - 14/01/2015 14/01/2015 13/01/2018

10368266 60038144 FGG SUDESH SONI 15/03/1980

HNO -339 , GALI NO - 12, NEW JAWAHAR NAGAR, BATALA ROAD,

AMRITSAR AMRITSAR Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 14/01/2015 14/01/2015 13/01/2018

10241864 60038145 FGG DEEPIKA GARG 29/09/1988

3072/A PALSANIYA ROAD NASIRABAD Ajmer Rajasthan

305601 Ajmer Ajmer Rajasthan 305601 AJMER YES

HDFC STD LIFE

INSURANCE CO. LTD. 14/01/2015 14/01/2015 13/10/2017

674848 60038200 FGG GOPAL SHARMA 14/03/1979

HOUSE NO 37, D BLOCK, PHASE 1 BUDH VIHAR SULTANPURI C

BLOCK Delhi Delhi 110086 DELHI DELHI Delhi 110086 WEST DELHI YES

LIFE INSURANCE

CORPORATION 21/07/2014 21/07/2014 12/08/2017

3569083 60038303 FGG AJITKUMAAR GUPTAA 01/12/1952

B/803, REDWOOD BLDG, EVERSHINE GREENS, NEW LINK ROAD,

OSHIWARA, ANDHERI (W), Mumbai Maharashtra

400102 Mumbai Mumbai Maharashtra 400102 ANDHERI NO - 27/09/2013 27/09/2013 12/09/2016

9492538 60038304 FGG SWAPNIL GANDHI 12/06/1993

170 Suhagpura TEH Pipalkhut Pratapgarh Chittorgarh Udaipur

Rajasthan 313001 Udaipur Udaipur Rajasthan 313001 UDAIPUR NO - 27/06/2013 27/06/2013 26/06/2016

10383183 60038305 FGG TANVI JAGGI 07/09/1996 F-14/17 krishna nagar Ghaziabad Delhi Delhi 110051 East East Delhi 110051 NOIDA NO - 27/01/2015 27/01/2015 26/01/2018

10383219 60038306 FGG VOHRA SALIMMOHAMMED AHMEDHUSEN06/07/1993

Asoj Navi Nagri , Waghodiya Waghodiya Vadodara Gujarat

390019 Vadodara Vadodara Gujarat 390019 BARODA NO - 27/01/2015 27/01/2015 26/01/2018

10384694 60038310 FGG DINESH GOWDRU H S 05/10/1980

NO 59, HOSAKERE KUNIGAL TQ TUMKUMR TUMKUR Tumkur

Karnataka 572111 Tumkur Tumkur Karnataka 572111 BANGALORE NO - 28/01/2015 28/01/2015 27/01/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

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which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10384807 60038311 FGG PRIYANK D JAIN 29/09/1989

96/98 S P Apts 1st floor Manav Mandir Road Malbar Hill

Mumbai Maharashtra 400006 Mumbai Mumbai Maharashtra 400006 VASHI NO - 28/01/2015 28/01/2015 27/01/2018

10384868 60038312 FGG DEVENDRA KISHOR DESHMUKH 09/11/1981

Bngl At Mayureshwar Soc. Shivaji Chowk Rd Nhavipada Badlapur

Thane Maharashtra 421503 Thane Thane Maharashtra 421503 VASHI NO - 28/01/2015 28/01/2015 27/01/2018

9829648 60038313 FGG KUSHAL MANIKANT KHETAN 23/06/1986

503 DIVANI MAHAL GULMOHAR ROAD VILE PARLE WEST

Mumbai Maharashtra 400049 Mumbai Mumbai Maharashtra 400049 ANDHERI YES

BaJAJ ALLIANZ LIFE

INSURANCE 28/01/2015 28/01/2015 26/12/2016

10385092 60038314 FGG K. GEETHA 20/08/1981

No.5/20, 3rd street, Main road Workers Estate, Neelangarai,

Chennai Tamil Nadu 600041 Kancheepuram Kancheepuram Tamil Nadu 600041 CHENNAI NO - 28/01/2015 28/01/2015 27/01/2018

8837299 60038315 FGG VIJAYKUMAR NAVINCHANDRA PATEL 14/06/1969 AT &POST SITHAN TA. OLPAD, SURAT Surat Gujarat 394130 Surat Surat Gujarat 394130 SURAT YES

LIFE INSURANCE

CORPORATION 28/01/2015 28/01/2015 25/09/2017

10385129 60038316 FGG SANJAY SHARMA 10/07/1970

30 Co Operative Colony Bokaro Steel City Bokaro Bokaro

Jharkhand 827001 Bokaro Bokaro Jharkhand 827001 RANCHI NO - 28/01/2015 28/01/2015 27/01/2018

10385798 60038320 FGG AVINASH DORA 10/08/1989

55 SOBARA,JAJPUR ROAD,JAJPUR JAJPUR Jajapur Odisha

755050 Jajapur Jajapur Odisha 755050 CUTTACK NO - 28/01/2015 28/01/2015 27/01/2018

10385879 60038322 FGG SMITA SNIGDHA SAHOO 15/05/1994

22 QRT.NO.TB4/11,C/O-SURATI BISWAL,JAGATPUR,CUTTACK

CUTTACK Cuttack Odisha 754200 Cuttack Cuttack Odisha 754200 CUTTACK NO - 28/01/2015 28/01/2015 27/01/2018

8094204 60038326 FGG BUDDHADEV DE 01/05/1987

Vill and PO Gopinathpur PS Bhagwanpur Dist Midnapur East

Midnapur Midnapur Medinipur West Bengal 721633 Medinipur Medinipur West Bengal 721633 KOLKATA YES

BAJAJ ALLIANZ LIFE

INSURANCE 28/01/2015 28/01/2015 20/05/2016

10386314 60038328 FGG MEHTA MITAL CHIMANLAL 28/05/1985

JALJIT SOCIETY STREET NO 6, B/H. GOKULDHAM RAJKOT Rajkot

Gujarat 360001 Rajkot Rajkot Gujarat 360001 RAJKOT NO - 28/01/2015 28/01/2015 27/01/2018

9323778 60038329 FGG BISWA RANJAN MOHANTY 10/05/1977

High Court Lane Mathasahi Lane Deulasahi Lalbag Cuttack City

Cuttack Odisha 753002 Cuttack Cuttack Odisha 753002 CUTTACK YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 28/01/2015 28/01/2015 10/02/2016

10386333 60038330 FGG PRAGYA AGARWAL 14/02/1996

17/B, Manek L D Ruparel Marg, Malabar Hill Mumbai Mumbai

Maharashtra 400006 Mumbai Mumbai Maharashtra 400006 FORT NO - 28/01/2015 28/01/2015 27/01/2018

10386356 60038331 FGG ASHISH BHAURAO WASULE 28/01/1979

WARD NO 14 NEAR N.P. GARDEN AT POST NARKHED NAGPUR

Nagpur Maharashtra 441304 Nagpur Nagpur Maharashtra 441304 NAGPUR NO - 28/01/2015 28/01/2015 27/01/2018

10387431 60038333 FGG SURESHA A H. 25/05/1995

19, Mutthinamma Devasthana Ambale Chikamgalure TQ

Chikmagalur Karnataka 577101 Chikmagalur Chikmagalur Karnataka 577101 BANGALORE NO - 29/01/2015 29/01/2015 28/01/2018

10387442 60038334 FGG ALKA KANWAR 08/03/1984

KANWAR BUILDING TARADEVI SHIMLA Shimla Himachal

Pradesh 171010 Shimla Shimla Himachal Pradesh171010 CHANDIGARH NO - 29/01/2015 29/01/2015 28/01/2018

10387533 60038335 FGG TUSHAR KANTI KAR 18/01/1951

FLOOR NO GR BLOCK NO -E SHANTI KUTIR KOLKATA Kolkata

West Bengal 700094 KOLKATA KOLKATA WEST BENGAL 700094 KOLKATA NO - 29/01/2015 29/01/2015 28/01/2018

10387598 60038336 FGG RIYA PANKAJ KUDALE 06/10/1996

Flat No 51 Pold D S no 82/2 Sawant Vihar Katraj Pune

Maharashtra 411046 Pune Pune Maharashtra 411046 PUNE NO - 29/01/2015 29/01/2015 28/01/2018

10387688 60038340 FGG DEVENDRA KUMAR VERMA 19/05/1955 5912,Jogiwara,Ballimaran, DELHI, DELHI, Delhi Delhi 110006 Central Central Delhi 110006 CONNAUGHT PLACENO - 29/01/2015 29/01/2015 28/01/2018

10387806 60038341 FGG BHARAT LALCHANDANI 18/01/1985

602, Sterling Tower, 6th Flr 3rd Cross Lane Rd Lokhandwala

Complex Andheri West Mumbai Maharashtra 400053 Mumbai Mumbai Maharashtra 400053 ANDHERI NO - 29/01/2015 29/01/2015 28/01/2018

9378212 60038342 FGG JISA RICHARD 17/11/1980

B/2, R.NO.37, SHRI MAHESH CHS LTD, DEVI CHOWK, SHASTRI

NAGAR, DOMBIVALI(W) THANE Thane Maharashtra 421202 Thane Thane Maharashtra 421202 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 29/01/2015 29/01/2015 24/03/2016

10388066 60038343 FGG S V NAGASAMPAGI 23/09/1966

VITTALACHARYA 122 SUDHANVA HOYSAL NAGAR DHARWAD

Dharwad Karnataka 580003 Dharwad Dharwad Karnataka 580003 HUBLI NO - 29/01/2015 29/01/2015 28/01/2018

10388106 60038344 FGG DEEPANSHU KAPOOR 27/02/1990

c-4/9,b lawrance road,keshav puram, New Delhi Delhi Delhi

Delhi 110035 West West Delhi 110035 CONNAUGHT PLACENO - 29/01/2015 29/01/2015 28/01/2018

10388457 60038346 FGG K. SATHEESHKUMAR 28/11/1990

29/10 Sakthivinayagarkovil 2nd Street.New Pankajam Colony

Madurai Madurai Tamil Nadu 625009 Madurai Madurai Tamil Nadu 625009 MADURAI NO - 29/01/2015 29/01/2015 28/01/2018

10388819 60038351 FGG SURESH ACHCHALLI 27/05/1982

140, SRI BASAVA NILAYA JANATHA COLONY GADAGA Gadag

Karnataka 582205 Gadag Gadag Karnataka 582205 BANGALORE NO - 29/01/2015 29/01/2015 28/01/2018

10388823 60038352 FGG TARANNUM RIZWAN A SHAIKH 02/02/1987

C/711 GANGA APTMTS JANGID COMPLEX NEAR SILVER PARK

MIRA ROAD THANE Thane Maharashtra 401107 Thane Thane Maharashtra 401107 VASHI NO - 29/01/2015 29/01/2015 28/01/2018

2162001 60038353 FGG SWEETY LODHA 28/10/1977

3- E -173 Kalptaru Aura r-city mall LBS MARG ghatkopar west

Mumbai Maharashtra 400086 Mumbai Mumbai Maharashtra 400070 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 29/01/2015 29/01/2015 30/10/2017

10389060 60038355 FGG SOMA BHATTACHARJEE 07/10/1980

54/6 BLOCK APC SARANI, DESHBANDHUPARA SILIGURI Darjiling

West Bengal 734401 Jalpaiguri Jalpaiguri West Bengal 734401 SILIGURI NO - 29/01/2015 29/01/2015 28/01/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

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Date Of

Birth Address Town/City District State Pin code

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agent is

Is

Comp

osite

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License

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Expiry

Date

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10391972 60038385 FGG NILMA SAKIB SHAIKH 30/05/1985

House No 3-4 Gulsan Apartment, New Kon Brige Kon Tari Kon

Kalyan Bhiwandi Thane Maharashtra 421311 Thane Thane Maharashtra 421311 THANE NO - 30/01/2015 30/01/2015 29/01/2018

9569484 60038419 FGG RAJESH KUMAR AGARWAL 05/10/1982

C/o Universal Gopal Bhavan Church Road 2nd Floor Opp Neh

Building Darjiling West Bengal 734001 SILIGURI SILIGURI West Bengal 734001 SILIGURI YES BIRLA SUN LIFE 03/02/2015 03/02/2015 30/07/2016

10268419 60038424 FGG SHEETAL VERMA 06/01/1980

WO PRAMOD KUMAR VERMA TEA GARDEN NAMKUM RANCHI

Ranchi Jharkhand 834010 Ranchi Ranchi Jharkhand 834010 RANCHI YES

RELIANCE LIFE

INSURANCE 03/02/2015 03/02/2015 02/11/2017

10104023 60038426 FGG RAJENDRA KUMAR SONI 10/07/1968

144 GANGA SAGAR B NEAR LAXMINARAYAN MANDIR VAISHALI

NAGAR Jaipur Rajasthan 302021 Alwar Alwar Rajasthan 302021 JAIPUR YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 03/02/2015 03/02/2015 09/07/2017

10397261 60038427 FGG TAJANPURE ABHIJEET A 07/03/1994

Tajanpure Mala Nr Zakat Naka Chhedi Bu Nashik Road Nasik

Nashik Maharashtra 422101 Nashik Nashik Maharashtra 422101 NASHIK NO - 03/02/2015 03/02/2015 02/02/2018

10397265 60038430 FGG BHAGYASHREE TONAPE 14/02/1989

A/P H NO 840, S NO 58/2, BHIMASHANKAR COLONY, VARALE

ROAD TALEGAON STN TAL MAVAL Pune Maharashtra

410506 Pune Pune Maharashtra 410506 CHINCHWAD NO - 03/02/2015 03/02/2015 02/02/2018

10397278 60038434 FGG SACHINDRA KUMAR KAMAL 15/11/1991

AT ETWARPUR SISAULA PO MANIKPUR PAKRI PS LALGANJ

Vaishali Bihar 844121 Vaishali Vaishali Bihar 844121 NOIDA NO - 03/02/2015 03/02/2015 02/02/2018

10397281 60038438 FGG DIVYA P. 27/04/1981

DIVYASREE, KARUVISSERY, KARAPARAMBA Kozhikode

Kerala 673010 Kozhikode Kozhikode Kerala 673010 CALICUT NO - 03/02/2015 03/02/2015 02/02/2018

10397310 60038441 FGG SHASHI VARDHAMAN PATEL 19/09/1956

PLOT NO.29,FLAT NO.301,3RD FLOOR, PRATIBHA ENCLAVE APPT,

BHAGWAGAR LAYOUT,DHARAMPETH, NAGPUR Nagpur

Maharashtra 440012 Nagpur Nagpur Maharashtra 440012 NAGPUR NO - 03/02/2015 03/02/2015 02/02/2018

8626677 60038444 FGG BINA KEJIWAL 16/10/1973

WORD NO 9 ASHOK KEJIWAL SILIGURI Darjiling West Bengal

734001 SILIGURI SILIGURI West Bengal 734001 SILIGURI YES

LIFE INSURANCE

CORPORATION 03/02/2015 03/02/2015 27/05/2017

4923123 60038445 FGG MANISHABEN PATEL 19/10/1983

G/203, AKSHARDHAM RESIDENCY NEW NARODA

THAKKARBAPANAGAR Ahmadabad Gujarat 382350 AHMEDABAD AHMEDABAD Gujarat 382350 MANINAGAR YES

LIFE INSURANCE

CORPORATION 03/02/2015 03/02/2015 16/12/2017

10397335 60038446 FGG SOUGATA MODAK 26/01/1982

BAGHAJATIN COLONY PRADHAN NAGAR SILIGURI Darjiling

West Bengal 734003 SILIGURI SILIGURI West Bengal 734003 SILIGURI NO - 03/02/2015 03/02/2015 02/02/2018

10397339 60038447 FGG YAINDRILA DUTTA 09/10/1989

AUROBINDA PALLY D C SEN ROAD SILIGURI Darjiling West

Bengal 734006 SILIGURI SILIGURI WEST BENGAL 734006 SILIGURI NO - 03/02/2015 03/02/2015 02/02/2018

10397793 60038453 FGG SHILPI JAIN 07/05/1987 5/85 , GAJJU KATRA SHAHDARA DELHI Delhi Delhi 110032 East East Delhi 110032 CONNAUGHT PLACENO - 04/02/2015 04/02/2015 03/02/2018

10398144 60038455 FGG SWAPNIL RAMESHRAO SONTAKKE 18/04/1988

258, HANUMAN MANDIR AT POST DELANVADI WARD TAH

BRAMHAPURI Chandrapur Maharashtra 441206 Chandrapur Chandrapur Maharashtra 441206 NAGPUR NO - 04/02/2015 04/02/2015 03/02/2018

10398204 60038456 FGG ASHWIN JAYGOPAL JAISWAL 05/08/1986

PLOT NO. 190, FLAT NO 102, WASIM PRIDE RING ROAD

ARADHANA NAGAR, DIGHORI HANUMAN NAGAR Nagpur

Maharashtra 440009 Nagpur Nagpur Maharashtra 440009 NAGPUR NO - 04/02/2015 04/02/2015 03/02/2018

10398292 60038458 FGG MEET DEVENDRA PANDYA 05/11/1996

38, YASHKUNJ SOCIETY PRABHAT CHOWK GHATLODIYA

Ahmadabad Gujarat 380061 Ahmadabad Ahmadabad Gujarat 380061 AHMEDABAD NO - 04/02/2015 04/02/2015 03/02/2018

10398589 60038459 FGG HIMANSHU GUPTA 23/04/1991

A-199,Ist Floor, Ekta Enclave Peeragarhi New Delhi Delhi Delhi

110085 North West North West Delhi 110085 CONNAUGHT PLACENO - 04/02/2015 04/02/2015 03/02/2018

10398649 60038460 FGG ANITHA .. 26/05/1984

POURNAMY THIRUNAKKARA NORTH GATE PROFT T R S IYER ROAD

KOTTAYAM Kottayam Kerala 686001 Kottayam Kottayam Kerala 686001 KOTTAYAM NO - 04/02/2015 04/02/2015 03/02/2018

10083668 60038462 FGG REKHA .. 08/10/1994

V-9 Old Nangal Village Delhi Cantt South West Delhi,New Delhi

Delhi Delhi 110010 South West South West Delhi 110010 CONNAUGHT PLACEYES

AVIVA LIFE INSURANCE

COMPANY INDIA LTD. 04/02/2015 04/02/2015 26/06/2017

10398689 60038463 FGG MADHU AGGARWAL 25/12/1982

C-15, BLOCK-C, 2FLOOR MAHAVIR ENCLAVE NEW DELHI Delhi

Delhi 110045 West West Delhi 110045 CONNAUGHT PLACENO - 04/02/2015 04/02/2015 03/02/2018

141125 60038478 FGG ARUN KUMAR BARANWAL 12/03/1973

100 BANKA ROAD, AT / POST KATORIYA BANKA Bhagalpur

Bihar 813106 Banka Banka Bihar 813106 DEOGHAR YES

LIFE INSURANCE

CORPORATION 28/01/2015 28/01/2015 21/05/2016

10400469 60038488 FGG MAMITA PANDA 10/07/1983

Plot No-386/2215,Lingaraj Nagar,Old town Bhubaneswar Khurda

BHUBANESHWAR Odisha 751002 Khordha Khordha Odisha 751002 BHUBANESWAR NO - 06/02/2015 06/02/2015 05/02/2018

10400584 60038489 FGG VIJAYA K POSREKAR 01/10/1979

D-302, HEERA COMPLEX, MAJAS ROAD, AMBIKA NAGAR

JOGESHWARI EAST Mumbai Maharashtra 400060 Mumbai Mumbai Maharashtra 400060 FORT NO - 06/02/2015 06/02/2015 05/02/2018

10401123 60038494 FGG KAWALJEET SINGH 06/02/1981

H.no- 101 Ambedkar nagar Ludhiana Ludhiana Punjab

141002 Ludhiana Ludhiana Punjab 141002 LUDHIANA NO - 06/02/2015 06/02/2015 05/02/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

9446229 60038520 FGG RAJNI .. 04/01/1983

RZF-1/317A G NO. 2 MAHAVIR ENCL PALAMCOLONY Delhi Delhi

110045 West West Delhi 110045 CONNAUGHT PLACEYES

RELIANCE LIFE

INSURANCE 04/06/2013 04/06/2013 03/06/2016

10113468 60038547 FGG VIDYA RAVINDRA WAIDANDE 07/02/1980

DEVDATTA APPTT. FLAT NO.3, VISAVAPARK SATARA Satara

Maharashtra 415002 Satara Satara Maharashtra 415002 SATARA YES

LIFE INSURANCE

CORPORATION 11/02/2015 11/02/2015 16/07/2017

10409881 60038579 FGG SAYED SHAMIM AHMAD 01/11/1982

H.No-244/12 1st floor Gali No-3 School Block mandawali

Fazalpur Delhi Delhi 110092 East East Delhi 110092 CONNAUGHT PLACENO - 13/02/2015 13/02/2015 12/02/2018

8676522 60038630 FGG RAMESH POOJARI 30/08/1959

H NO 16-9-583/4 QUIET CORNER APARTMENT NEAR

YMCA,BALMATTA Balmatta Mangalore Karnataka

575002 Dakshina Kannada Dakshina Kannada Karnataka 575002 MANGALORE YES

BAHRATI AXA LIFE

INSURANCE 12/06/2014 12/06/2014 28/06/2017

10413515 60038646 FGG S K JAIN 04/08/1975 CU151 PRITAMPURA NEW DELHI Delhi Delhi 110034 North West North West Delhi 110034 WEST DELHI NO - 17/02/2015 17/02/2015 16/02/2018

10413524 60038647 FGG SAURAV GUPTA 01/10/1983 24/90, WEST PATEL NAGAR NEW DELHI Delhi Delhi 110008 West West Delhi 110008 CONNAUGHT PLACENO - 17/02/2015 17/02/2015 16/02/2018

10413595 60038649 FGG MANMEET KAUR ARORA 29/10/1990

FLAT NO 22 PLOT NO 398 TPS II 15TH ROAD KHAR 52 AS NEAR

KHAR GYMKHANA Mumbai Maharashtra 400052 Mumbai Mumbai Maharashtra 400052 ANDHERI NO - 17/02/2015 17/02/2015 16/02/2018

10413905 60038654 FGG BABITA .. 09/05/1981

Sehatpur Surya vihar House no-118A Faridabad Haryana

121001 Faridabad Faridabad Haryana 121001 NOIDA NO - 17/02/2015 17/02/2015 16/02/2018

10413908 60038655 FGG POOJA NITIN SONI 29/11/1985

HOUSE NO-9 NEAR LOKHANDI POOL PARAG PARCK MALHAR

CHOUK STATION ROAD AHMEDNAGAR Ahmadnagar

Maharashtra 414001 AHMEDNAGAR AHMEDNAGAR Maharashtra 414001 AHMEDNAGAR NO - 17/02/2015 17/02/2015 16/02/2018

10413911 60038656 FGG P MURALI KRISHNA YADAV 11/07/1974

135/A, JAGADGIRI GUTTA ALLWIN COLONY SETHINGAMPALLY

Rangareddy Telangana 500037 Rangareddi Rangareddi Telangana 500037 DILSUKHNAGAR NO - 17/02/2015 17/02/2015 16/02/2018

10186189 60038669 FGG HARPINDER SINGH 11/09/1980

H NO. 3107 SECTOR-32-D CHANDIGARH Chandigarh

Chandigarh 160001 Chandigarh Chandigarh Chandigarh 160001 CHANDIGARH YES

SBI LIFE INSURANCE

COMPANY LIMITED 17/02/2015 17/02/2015 01/09/2017

10414392 60038670 FGG JOSSETTA PINTO 02/11/1994

B/703, SHREE RAM TOWER CHS MTNL ROAD BEHIND DCB BANK

SHANTI PARK MIRA ROAD EAST Thane Maharashtra 401107 Thane Thane Maharashtra 401107 FORT NO - 17/02/2015 17/02/2015 16/02/2018

10415065 60038676 FGG R SHEEBA KENNET 01/06/1981

NO 176-2-1 MEENAKSHI AMMAN NAGAR RATION STORE NAGAR

SURYA NAGAR MADURAI Madurai Tamil Nadu 625007 Madurai Madurai Tamil Nadu 625007 MADURAI NO - 18/02/2015 18/02/2015 17/02/2018

10415199 60038677 FGG NARENDRA SAINI 05/04/1983

116 VIVEK VIHAR NEW SANGANER ROAD SODALA JAIPUR Jaipur

Rajasthan 302019 Jaipur Jaipur Rajasthan 302019 JAIPUR NO - 18/02/2015 18/02/2015 17/02/2018

10415239 60038678 FGG ADARSH SHETTY A 10/07/1996

4301, Nandi Deepa Apartments Near Meenakshi Temple

Kammanahalli Main Road B G Road Bangalore Karnataka

560076 Bangalore Bangalore Karnataka 560076 BANGALORE NO - 18/02/2015 18/02/2015 17/02/2018

10416663 60038716 FGG ABHIJIT NATH 05/06/1993

INDIRA NAGAR, BASISTHA, GUWAHATI Kamrup Assam

781029 BASISTHA BASISTHA Assam 781029 GUWAHATI NO - 19/02/2015 19/02/2015 18/02/2018

8996485 60038739 FGG RADADIYA DHARMESH H 14/12/1993

B/29,MAHESH NAGAR OPP.TORRENT POWER HOUSE NIKOL ROAD

Ahmadabad Gujarat 382350 AHMEDABAD AHMEDABAD Gujarat 382350 AHMEDABAD YES

LIFE INSURANCE

CORPORATION 19/02/2015 19/02/2015 06/02/2015

10416816 60038742 FGG SHRUTHI T NARAYAN 19/05/1988

#219 OUT HOUSE , MARKET ROAD , V.V.PURAM Bangalore

Karnataka 560003 Bangalore Bangalore Karnataka 560003 BANGALORE NO - 19/02/2015 19/02/2015 18/02/2018

10239078 60038765 FGG DINESH KUMAR 19/03/1986

F.NO-2 P.NO-E-212 RAM NAGAR VISTAR NEAR K.S FORD

SHOWROOM NEW SANGANER ROAD SHYAM NAGAR Jaipur

Rajasthan 301001 Alwar Alwar Rajasthan 301001 JAIPUR YES

SBI LIFE INSURANCE

COMPANY LIMITED 23/02/2015 23/02/2015 09/10/2017

862570 60038767 FGG MOSES LAWRENNCE GOMES 30/07/1966

80/A, KAWLI WADI S K BOLE ROAD DADAR, MUMBAI. Mumbai

Maharashtra 400028 Mumbai Mumbai Maharashtra 400028 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 23/02/2015 23/02/2015 20/11/2017

5990794 60038775 FGG SAGAYARAJ BENEDICT 29/07/1961

C 101 MINI AYODHYA APARTMENT, 1ST MAIN ROAD,

RAMALINGA NAGAR Tiruchirapalli Tamil Nadu 620003 Tiruchirappalli Tiruchirappalli Tamil Nadu 620003 TRICHY YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 23/02/2015 23/02/2015 04/01/2016

10421937 60038778 FGG MAMTA YADAV 20/08/1979

1133 B NEMI NAGAR VAISHALI NAGAR WARD NO 3 Jaipur

Rajasthan 302021 Alwar Alwar Rajasthan 302021 JAIPUR NO - 23/02/2015 23/02/2015 22/02/2018

9489348 60038803 FGG SUNANDA ASHOKAN 14/05/1975

224/5198 EDAKOOTAPARAMBIL CHERTHALA Alappuzha Kerala

688570 Alappuzha Alappuzha Kerala 688570 COCHIN NO - 26/06/2013 26/06/2013 25/06/2016

10424649 60038804 FGG BHARATHI C R. 01/01/1972

6th Cross, Maruthi Layout, Bhuvaneshwari Nagar, Dasarahlli Main

Road Hebbala, Kempapura Bangalore Karnataka

560024 Bangalore Bangalore Karnataka 560024 R.T.NAGAR NO - 24/02/2015 24/02/2015 23/02/2018

10424783 60038805 FGG SREEJA G. 05/08/1987

Sreenivas House Avalookkunnu P.O Alappuzha Alappuzha Kerala

688013 Alappuzha Alappuzha Kerala 688013 KOTTAYAM NO - 24/02/2015 24/02/2015 23/02/2018

9586914 60038816 FGG SYED ASLAM HUSSAIN 19/07/1967

H. NO.-54 IIRD FLOOR, BLOCK-E-1 ESEC-12, ROHINI Delhi Delhi

110085 North West North West Delhi 110085 CONNAUGHT PLACEYES

LIFE INSURANCE

CORPORATION 25/02/2015 25/02/2015 11/08/2016

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10426263 60038820 FGG SURESH D. V. 11/07/1970

#2 GOVERNMENT SCHOOCLE ROAD IN FRONT HOUSE

DODDANEKKNUDI Bangalore Karnataka 560037 Bangalore Bangalore Karnataka 560037 BANGALORE NO - 25/02/2015 25/02/2015 24/02/2018

10426316 60038821 FGG NIMESH SHASTRI 11/02/1977

B-203, Parvati Chember , Opp Apsara Cinema , B/h Andhra Bank,

Pratap Nagar Vadodara Vadodara Gujarat 390004 Vadodara Vadodara Gujarat 390004 ANAND NO - 25/02/2015 25/02/2015 24/02/2018

474622 60038822 FGG TUSHAR MANUBHAI VAGHELA 06/11/1980 58, VISHAL NAGAR TARSALI Vadodara Gujarat 390009 Vadodara Vadodara Gujarat 390009 BARODA YES

LIFE INSURANCE

CORPORATION 25/02/2015 25/02/2015 13/03/2017

8641630 60038823 FGG K.VIJAY BABU 04/12/1974

flat no. 105,plot no. 24, Old safilguda, Geeta nagar, Secunderabad

Hyderabad Hyderabad Telangana 500001 Hyderabad Hyderabad Telangana 500001 HYDERABAD YES

LIFE INSURANCE

CORPORATION 25/02/2015 25/02/2015 07/06/2017

10426690 60038824 FGG NANDINI K. R. 24/05/1988

35/32, 1st Main Road, 2nd Cross Nanjundeshwaranagar

Nandinin Layout Bangalore Karnataka 560096 Bangalore Bangalore Karnataka 560096 BANGALORE NO - 25/02/2015 25/02/2015 24/02/2018

10426868 60038825 FGG MEENAKSHI .. 01/04/1982

652 11th Street Thendral Nagar Oddanchatram Dindigul

Tamil Nadu 624004 Dindigul Dindigul Tamil Nadu 624004 COIMBATORE NO - 25/02/2015 25/02/2015 24/02/2018

10426916 60038827 FGG SHEKH SUMAIYA MOHAMADJAVED 27/07/1990

1073 Kavat Road , Naswadi Chhotaudepur Vadodara Gujarat

391150 Vadodara Vadodara Gujarat 391150 BARODA NO - 25/02/2015 25/02/2015 24/02/2018

1012224 60038829 FGG SACHIN S. SUTAR 01/06/1979

A-02 Jay anand Dham Soc Dindayal Raod, Dombivali West Thane

Maharashtra 402201 Thane Thane Maharashtra 421202 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 25/02/2015 25/02/2015 31/01/2018

4912232 60038830 FGG RUPALI HEMANTKUMAR JADHAV 02/01/1980 86 Kesarkar Peth SATARA Satara Maharashtra 415002 Satara Satara Maharashtra 415002 SATARA YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 25/02/2015 25/02/2015 12/12/2017

10427516 60038840 FGG CHACKO MATHEW 21/05/1972

33 3999, THAZHATHEKUDI MANNATHUKANDI TEMPLE ROAD

CHEVAYOOR Kozhikode Kerala 673009 Kozhikode Kozhikode Kerala 673009 CALICUT NO - 25/02/2015 25/02/2015 24/02/2018

3979213 60038841 FGG ASHA SANDELYA 25/01/1980

2068 G.F Sainik Colony Sec-49 Faridabad NIT Faridabad

Haryana 121001 Faridabad Faridabad Haryana 121001 GURGAON YES

KOTAK MAHINDRA OLD

MUTUAL 26/02/2015 26/02/2015 30/01/2017

9076107 60038857 FGG MATHEW A. THANIKAL 08/03/1954

NEW 18 OLD 15 6TH STREET MADAMBAKKAM CHENNAI Chennai

Tamil Nadu 600073 MADAMBAKKAM CHENNAI Tamil Nadu 600073 CHENNAI YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/02/2015 26/02/2015 30/05/2015

1786954 60038868 FGG AMIT VERMA 18/06/1979 W 2-206, G-Block, Hari Nagar, New Delhi, Delhi Delhi 110058 West West Delhi 110058 CONNAUGHT PLACENO - 22/10/2013 22/10/2013 14/09/2016

10432030 60038869 FGG BHOSALE DYANESH PRALHAD 12/07/1977

F NO 67 C WING ADARSH PRIDE PIRWADI NH 4 HIGHWAY Satara

Maharashtra 415001 Satara Satara Maharashtra 415001 KOLHAPUR NO - 27/02/2015 27/02/2015 26/02/2018

10432178 60038871 FGG SANJIVANI VAISNO 30/04/1994

NAGAR PARISHAD MO KAMA WARD NO 7 TOWIN VILL MOKAMA

ANCHAL MOKAMA Patna Bihar 803302 Patna Patna Bihar 803302 CONNAUGHT PLACENO - 27/02/2015 27/02/2015 26/02/2018

10319337 60038873 FGG MANISHA BADAYA 28/02/1980

4B1 GOVERNMENT MULTI STORY FLATS GANDHI NAGAR LAL

KOTHI Jaipur Rajasthan 302015 Jaipur Jaipur Rajasthan 302015 JAIPUR YES

HDFC STD LIFE

INSURANCE CO. LTD. 27/02/2015 27/02/2015 09/12/2017

10432545 60038874 FGG ROHIT ASHOK BONDRE 19/04/1995

BONDRE VASTI NIMSAKHAR INDAPUR Pune Maharashtra

413114 Solapur Solapur Maharashtra 413114 CHINCHWAD NO - 27/02/2015 27/02/2015 26/02/2018

10432738 60038878 FGG BHAVESH MADHAVJI BHANUSHALI 30/01/1984

ROOM NO 7 /8 sachin apartment bldg tisgaon naka road, Kalyan

East Thane Maharashtra 421306 Thane Thane Maharashtra 421306 VASHI NO - 27/02/2015 27/02/2015 26/02/2018

10400638 60038892 FGG JASWINDER SINGH 23/01/1964

KOTHI NO - 7 SADAR BAZAR CANTT AMRITSAR AMRITSAR

Amritsar Punjab 143001 Amritsar Amritsar Punjab 143001 AMRITSAR NO - 06/02/2015 06/02/2015 05/02/2018

8904375 60039007 FGG SUSMITA KOLEY 18/04/1991

VILL+P.O-JANAI(NAHABAT KHANA), P.S-CHANDITALA,

CHANDITALA, Hugli West Bengal 712304 Hugli Hugli West Bengal 712304 HOWRAH NO - 27/02/2015 27/02/2015 30/10/2017

10442956 60039033 FGG RAJITHKUMARA K. L. 20/04/1986

140 9TH MAIN J C NAGAR BANGALORE Bangalore

Karnataka 560086 Bangalore Bangalore Karnataka 560086 BANGALORE NO - 10/03/2015 10/03/2015 09/03/2018

10442993 60039035 FGG GURPREET SINGH CHHABRA 04/10/1983

304 Vishnupuri NX Indore Indore Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 10/03/2015 10/03/2015 09/03/2018

9386341 60039040 FGG HEENABEN PRATIK GANDHI 26/07/1984

B/403 SARGAM APT., OPP BHULKABHAVAN SCHOOL, SURAT.

Surat Gujarat 395010 Surat Surat Gujarat 395010 SURAT YES

LIFE INSURANCE

CORPORATION 10/03/2015 10/03/2015 28/03/2016

10443433 60039052 FGG PERIASAMY KARTHIKMADHAN 12/09/1981

1336 / 5/553 - A Nehru Street Kamaraj Nagar Salem Tamil Nadu

636005 Salem Salem Tamil Nadu 636005 SALEM NO - 10/03/2015 10/03/2015 09/03/2018

10443526 60039056 FGG JATINKUMAR HASMUKHLAL SHAH 24/11/1976

B-156 Rangkutir Bunglow At & Post Bholav Bharuch Gujarat

392001 Bharuch Bharuch Gujarat 392001 BHARUCH NO - 10/03/2015 10/03/2015 09/03/2018

10443591 60039058 FGG SHIKHA .. 28/01/1980 B-9/231-232 SECTOR 3 ROHINI Delhi Delhi 110085 North West North West Delhi 110085 WEST DELHI NO - 10/03/2015 10/03/2015 09/03/2018

10443803 60039060 FGG MUKESH KUMAR THAKUR 22/08/1986

11/13 j e PGI Campus sector 12 Chandigarh Chandigarh

160012 Chandigarh Chandigarh Chandigarh 160012 CHANDIGARH NO - 10/03/2015 10/03/2015 09/03/2018

10339758 60039061 FGG MATHAIKUTTY THOMAS 24/11/1955

10/6 1 Malayil House Thoppil Nagar Lane 3 Mannanthala Po

Thiruvananthapuram Kerala 695015 Thiruvananthapuram ThiruvananthapuramKerala 695015 TRIVANDRAM YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 10/03/2015 10/03/2015 23/12/2017

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10360594 60039063 FGG NISHA SUNIL 21/03/1971

NIRMALAYAM, GRA 218/8 ETTAVIKONAM KURUVIKKODE,

TRIVANDRUM TRIVNADRUM TRIVNADRUM Thiruvananthapuram

Kerala 695618 Thiruvananthapuram ThiruvananthapuramKerala 695618 TRIVANDRAM YES

METLIFE INDIA

INSURANCE 10/03/2015 10/03/2015 06/01/2018

9864416 60039177 FGG SEEMA BHATIA 29/11/1971 WB-89 B Block WB Shankarpur Delhi 110092 Delhi Delhi Delhi 110092 NOIDA NO - 23/01/2014 23/01/2014 22/01/2017

10457287 60039178 FGG NAREWADIKAR SHRIPAD P. 30/12/1984

Shreehari, Plot No.-797,Shivraj Gruhnirman Soc., Koyna Vasahat,

Malkapur Tal-Karad Satara Maharashtra 415110 Satara Satara Maharashtra 415110 SATARA NO - 18/03/2015 18/03/2015 17/03/2018

10457834 60039192 FGG ANKITA PRIYA 10/05/1995

H NO-118, LINE NO-6, BLOCK-1, SHASTRINAGAR, PS-KADMA,

JAMSHEDPUR Purbi Singhbhum Jharkhand 831005 Purbi Singhbhum Purbi Singhbhum Jharkhand 831005 JAMSHEDPUR NO - 19/03/2015 19/03/2015 18/03/2018

10457836 60039193 FGG SIMMI BHATIA 20/12/1992

H NO-3/2, SONARI JAMSHEDPUR, JAMSHEDPUR Purbi

Singhbhum Jharkhand 831011 Purbi Singhbhum Purbi Singhbhum Jharkhand 831011 JAMSHEDPUR NO - 19/03/2015 19/03/2015 18/03/2018

10457835 60039194 FGG UDAY PRATAP SINGH 01/03/1985

H NO 113, ROAD NO-4, GOUR BASTI, PO - MANGO, DIMNA ROAD,

JAMSHEDPUR Purbi Singhbhum Jharkhand 831012 Purbi Singhbhum Purbi Singhbhum Jharkhand 831012 JAMSHEDPUR NO - 19/03/2015 19/03/2015 18/03/2018

10457841 60039195 FGG WADHWANI PRAVEEN 21/05/1994

48 Katju Colony Indore Indore Indore Madhya Pradesh

452001 Indore Indore Madhya Pradesh 452001 INDORE NO - 19/03/2015 19/03/2015 18/03/2018

10461402 60039222 FGG R SATHISH KUMAR 30/11/1987 6/189 Indira Nagar Omalur Salem Tamil Nadu 636455 Salem Salem Tamil Nadu 636455 SALEM NO - 20/03/2015 20/03/2015 19/03/2018

9215945 60039247 FGG VIJAYBHAI BHAURAOBHAI MORE 18/11/1978

F2/12, HOUSING BOARD, GUJARAT GAS CIRCLE, SURAT Surat

Gujarat 395009 Surat Surat Gujarat 395009 SURAT YES

MAX NEW YORK LIFE

INSURANCE 23/03/2015 23/03/2015 17/10/2015

9631507 60039250 FGG SURESH PRABHUNATH SINGH 24/11/1975

RM NO 9, ALIYAR SINGH CHAWL, SHIVAJI NAGAR, KURAR

VILLAGE, MALAD (E), Mumbai Maharashtra 400097 Mumbai Mumbai Maharashtra 400097 GHATKOPAR YES

LIFE INSURANCE

CORPORATION 23/03/2015 23/03/2015 30/08/2016

10467411 60039270 FGG VINOD RAGHUVANSHI 13/07/1992

222 Laxmanpura Colony Nera Sangam nagar Indore Indore

Madhya Pradesh 452010 Indore Indore Madhya Pradesh 452010 INDORE NO - 24/03/2015 24/03/2015 23/03/2018

10465457 60039274 FGG YAMALA GAYATHRI 31/12/1992

53-16-22/2 ATCHIVARI STREET VISAKHAPATNAM Visakhapatnam

Andhra Pradesh 530013 Visakhapatnam Visakhapatnam Andhra Pradesh 530013 VIZAG NO - 23/03/2015 23/03/2015 22/03/2018

10346041 60039279 FGG CHANDRASHEKAR .. 30/04/1992

HOUSE NO 108 108 PUNYABOOMI LAYOUT KALKERE Bangalore

Karnataka 560043 Bangalore Bangalore Karnataka 560043 BANGALORE YES

TATA AIA LIFE

INSURANCE COMPANY

LTD 24/03/2015 24/03/2015 28/12/2017

10469691 60039288 FGG BHATT JALPABEN ASHWINBHAI 27/08/1985

SAI KRUPA, B/h GIDC-41 Chandreshnagar Sanala Road Morbi

Rajkot Rajkot Gujarat 363641 Rajkot Rajkot Gujarat 363641 RAJKOT NO - 25/03/2015 25/03/2015 24/03/2018

10469885 60039290 FGG MOHANKUMAR KALAPALLY 21/10/1983

ROOM NO 43 PLOT NO 42 NEW COLLECTOR COMPOUND NEAR 50

MASJID GATE 7 MALWANI MALAD WEST KHAROD Mumbai

Maharashtra 400095 Mumbai Mumbai Maharashtra 400095 ANDHERI NO - 25/03/2015 25/03/2015 24/03/2018

785467 60039291 FGG SMT BEENA JAIN 07/06/1967

MADHUBAN NIWAS BENGALI COLONY ROAD CHHAWANI,KOTA

Kota Rajasthan 324007 Kota Kota Rajasthan 324007 KOTA YES

LIFE INSURANCE

CORPORATION 25/03/2015 25/03/2015 10/10/2017

10471140 60039301 FGG ROHITASHWA SHARMA 01/09/1972

H NO 9 Nagar Morena Morena Madhya Pradesh

476001 Morena Morena Madhya Pradesh 476001 BHOPAL NO - 25/03/2015 25/03/2015 24/03/2018

10472496 60039305 FGG AYAN PANDEY 25/01/1996

Flat no 1, Goyal Nikunj Professor colony Bhopal Bhopal

Madhya Pradesh 462002 Bhopal Bhopal Madhya Pradesh 462002 BHOPAL NO - 26/03/2015 26/03/2015 25/03/2018

10354537 60039307 FGG SONU SAHU 30/01/1984

H No 1224 A Gas Rahat Colony Karod Kala Rusalli Ward 70

Bhopal Madhya Pradesh 462010 Bhopal Bhopal Madhya Pradesh 462010 BHOPAL YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 26/03/2015 26/03/2015 30/12/2017

10472865 60039308 FGG CHAITALI CHANDRASHEKHAR SALVI 01/06/1986

PLOT NO 106,HARISHCHANDRA APT-03,1ST FLOOR,D-WING,

COLONY ROAD DIVA THANE Thane Maharashtra 400612 Thane Thane Maharashtra 400612 VASHI NO - 26/03/2015 26/03/2015 25/03/2018

10472902 60039309 FGG PRAVINDRA PRASAD 04/06/1989

13 PAYMENTAL GARDEN LANE KMC KOLKATA Kolkata West

Bengal 700015 Kolkata Kolkata West Bengal 700015 HOWRAH NO - 26/03/2015 26/03/2015 25/03/2018

10473425 60039311 FGG ANIL KUMAR AGARWAL 02/10/1967

Agrasen Colony, Bargama Road Hindaun City Karauli

Rajasthan 322230 Karauli Karauli Rajasthan 322230 KOTA NO - 26/03/2015 26/03/2015 25/03/2018

10473501 60039312 FGG JADHAV SACHIN BAPURAV 12/06/1986

NEAR MANAS SAROVAR DIGHI ROAD BHOSARI Pune

Maharashtra 411039 Pune Pune Maharashtra 411039 CHINCHWAD NO - 26/03/2015 26/03/2015 25/03/2018

10475699 60039317 FGG GAURAV VIJAY KATARPAWAR 02/03/1992

DAL OLI NO.2, TILAK NAGAR TAH KAMPTEE, DIST NAGPUR

NAGPUR Nagpur Maharashtra 441002 Parbhani Parbhani Maharashtra 441002 NAGPUR NO - 27/03/2015 27/03/2015 26/03/2018

10475737 60039318 FGG HARSHAL GANGADHAR GULHANE 12/06/1986

H NO 129/A NEW SHUKRAWARI NAGPUR Nagpur

Maharashtra 440009 Nagpur Nagpur Maharashtra 440009 NAGPUR NO - 27/03/2015 27/03/2015 26/03/2018

4648097 60039321 FGG SATENDER SINGH 04/02/1977

Sh-62, Shastri Nagar, Ghaziabad, Ghaziabad Uttar Pradesh

201010 Ghaziabad Ghaziabad Uttar Pradesh 201010 NOIDA YES

FUTURE GENERALI LIFE

INSURANCE CO.LTD 27/03/2015 27/03/2015 25/09/2017

10476323 60039322 FGG B V ROOPA 03/05/1985

NO 160 MALLATHALLI KONAGUNTE I T I COLONY BANGALORE

Bangalore Karnataka 560047 Bangalore Bangalore Karnataka 560047 INDIRA NAGAR NO - 27/03/2015 27/03/2015 26/03/2018

FUTURE GENERALI INDIA INSURANCE COMPANY LIMITED

License

No.

Insurer

Agent code DP ID Agent Name

Date Of

Birth Address Town/City District State Pin code

Insurer’s

Branch to

which the

agent is

Is

Comp

osite

If Composite

Name of other

Insurer

License

issued on

Licensed

valid from

Expiry

Date

Details of Individual Agents of the Company as on 31st March 2015

10480549 60039324 FGG ALOK DUBEY 16-08-1980

92, KANYAKUBJ NAGAR NEAR VIDHYA DHAM TEMPLE AIRPORT

ROAD Indore Madhya Pradesh 452--1 Indore Indore Madhya Pradesh 452001 INDORE NO - 30/03/2015 30/03/2015 29/03/2018

10480611 60039325 FGG JANAK RAMESH BHANUSHALI 15/06/1984

15/7 Navjiwan Chawl Tagore Nagar, Vikhroli Mumbai Mumbai

Maharashtra 400083 Mumbai Mumbai Maharashtra 400083 VASHI NO - 30/03/2015 30/03/2015 29/03/2018

10480668 60039326 FGG JAI KUMAR V. 24/12/1994

548, 9th Cross, Vivears Colony Bangalore Bangalore

Karnataka 560083 Bangalore Bangalore Karnataka 560083 BANGALORE NO - 30/03/2015 30/03/2015 29/03/2018

10480699 60039327 FGG SWAPNIL SRIVASTAVA 02/10/1978

344/181 BHAWANIGANJ HAIDERGANJ Lucknow Uttar

Pradesh 226001 Lucknow Lucknow Uttar Pradesh 226001 LUCKNOW NO - 30/03/2015 30/03/2015 29/03/2018

10480823 60039328 FGG PATEL NIKHILKUMAR D. 26/11/1974

209, 211 , 212 Phonix Complex , Sayajigunj Vadodara Vadodara

Gujarat 388710 Anand Anand Gujarat 388710 BARODA NO - 30/03/2015 30/03/2015 29/03/2018

10480916 60039329 FGG JIBAN JYOTI SARMAH 20/03/1992

BAHBARI GAON NEW DEVELOPMENT TINSUKIA Tinsukia

Assam 786125 Tinsukia Tinsukia Assam 786125 JORHAT NO - 30/03/2015 30/03/2015 29/03/2018

9187290 60039374 FGG ANUJ .. 31/03/1992 WZ-84-, WZ-BLOCK NARAINA VILLAGE NEW DELHI Delhi 11--28 Delhi Delhi Delhi 110028 CONNAUGHT PLACENO - 21/09/2012 21/09/2012 20/09/2015

5488617 60039376 FGG TANIA PARASNANI 30/07/1987

BLOCK NO.L.G.-34, SHANTI NAGAR- HOUSING BOARD COLONY,

SHANTI NAGAR, NAGPUR. Nagpur Maharashtra 440002 Nagpur Nagpur Maharashtra 440002 NAGPUR YES

LIFE INSURANCE

CORPORATION 23/06/2012 23/06/2012 22/06/2015

9107507 60039377 FGG JITENDRA R. SACHDE 19-09-1965

PLOT NO 4-3 FLOOR 4 SARWNJAY APT A/2 DAHISAR MUMBAI

Mumbai Maharashtra 40001 Mumbai Mumbai Maharashtra 400001 ANDHERI NO - 02/07/2012 02/07/2012 01/07/2015

8620303 60039378 FGG SHETH T. A. 16/08/1980

4/1946 SVASTIKA CHAMBERS BEGAMPURA SURAT Surat Gujarat

395003 Surat Surat Gujarat 395003 SURAT YES

INDIA FIRST LIFE

INSURANCE 31/03/2015 31/03/2015 23/05/2017

10485302 60039379 FGG SUMEET PARSAI 06/02/1980

85, SHRINATH COLONY TEH KHARGONE DISTKHARGONE Indore

Madhya Pradesh 451001 West Nimar West Nimar Madhya Pradesh 451001 INDORE NO - 31/03/2015 31/03/2015 30/03/2018

10485462 60039380 FGG INA JINDAL 23/10/1994

H.N0-230,WARD N0-5,INDRA BAST,RAM NAGAR SUNAM DISTT-

SANGRUR Sangrur Punjab 148028 Sangrur Sangrur Punjab 148028 PATIALA NO - 31/03/2015 31/03/2015 30/03/2018

10485516 60039381 FGG RAJESHWARI MALU 10/06/1993

16-2-741/26/A, ANDRA BANK COLONY, KONARK DIAGNOSTIC

CENTER, MOOSARAM BAGH, HYDERABAD Hyderabad

Telangana 500001 Hyderabad Hyderabad Telangana 500001 HYDERABAD NO - 31/03/2015 31/03/2015 30/03/2018

9611180 60039382 FGG ANUP JYOTI BORA 01/03/1986

. Cheuniali Podumoni Kotohaboria Gaon Jorhat Assam

785010 Jorhat Jorhat Assam 785010 JORHAT NO

KOTAK MAHINDRA OLD

MUTUAL 31/03/2015 31/03/2015 23/08/2016

10485696 60039383 FGG NAWAIDUL JAHAN HAZARIKA 05/05/1976

JENGANIKATIA CHARIALI SIVSAGAR P.O.- SIVSAGAR Sivasagar

Assam 785640 Sibsagar Sibsagar Assam 785640 JORHAT NO - 31/03/2015 31/03/2015 30/03/2018