Type Education Housing

Bank a/c # 50062265328 with Fort Branch 50053251246 with Fort Branch

Circular No 11692/MKTG Dated 10.06.2011 11328/ MKTG Dated 14.03.2011

Annexure - II
Branch: Details of Loan Accounts Covered under Group Insurance Cover of Kotak Life Branch Code : Under Zonal Office:

Address of the Borrowers Loan A/c No. Loan Amount Tenure of the Loan(in months) Date of Loan Disbursement First Name Surname

Kotak Life Insurance

Address 1 07 , Arya Nagar, Hapur

PIN Code

Contact No.

Gender Male/ Date of Birth Sum Assured * Female MM/DD/YYYY

Cover Date (Value Date of Credit)

Premium Amount

50104835453

400000.00

84

4/30/2012

Vishnu

Sharma

245101

9927148732

male

6/20/1992

400000.00

4/30/2012

4025.00

Vill & PO - Raghunathpur

50094374430 200000.00 84
1/25/2012

Anjali

Sharma

245101 33, Ram Gunj, Opp 245101 Railway Road, Hapur

9359228311

female

9/19/1990

200000.00

1/25/2012

1691.00

50098697797

300000.00

84

3/9/2012

Alankrit

Gupta

7895497870

male

11/13/1993

300000.00

3/9/2012

2277.00

Via e mail kli.allahaba dbank@kot ak.com or By Hard Copy Courier to below mentioned Address KLI Group Operations Allahabad Bank Credit Life Cell Kotak Life Insurance Kotak Infiniti, Zone II, 7th Floor, Bldg no. 21, Infinity Park, Off Western Express Highway, Gen. A.K. Vaidya Marg, Malad (E), Mumbai 400097