15-May-2023

To,
MR. SOURISH KANTI KONER
Toonbarie Tea Garden Staff Lin Jalpaiguri Mal
Toonbarie Tea Garden Staff Lin Jalpaiguri
West Bengal-735221
Mobile No: 7363878891
Agent Code: KLI60972295

Dear MR. SOURISH KANTI KONER,

Sub: Your appointment as a Life Advisor for Kotak Mahindra Life Insurance Company
Limited:

Ref: Agent Code: KLI60972295

We welcome you to the Kotak Life Insurance family. We are pleased to inform you that your Life
Advisor application has been accepted by the Company and you are hereby appointed as an Insurance
Agent (Life Advisor) for the Company initially at Kotak Life, 1st Floor, 1, Shakespeare Sarani, Air-
conditioned Market, Kolkata West Bengal 700071.

Subsequently, depending on the requirements of the Company your agency may be attached to any
other branch of the Company. The Agent Code allotted to you is indicated above.

Please find attached your Life Advisor ID Card along with this letter.

Your appointment as a Life Advisor shall be governed by the applicable laws and the terms and
conditions prescribed by the Company from time-to-time. The terms & conditions of the appointment
have already been explained to, and acknowledged by, you. These Terms & Conditions may be varied
by the Company from time to time and the revised Terms & Conditions, if any, shall be duly published
on the Life Advisor's web-portal maintained by the Company and the same shall be deemed to be
communicated to you on the date of its publication on the Life Advisor's web-portal. You are requested
to keep yourself updated on this count.

We look forward to you having along, successful and fulfilling career as a Life Advisor with us.

Yours sincerely,
For Kotak Mahindra Life Insurance Company Limited

Authorized Signatory
 Life Advisor Identification Card

Agent Code KLI60972295

MR. SOURISH KANTI
Name
KONER
Gender MALE
Date of Birth 11-Sep-1998

Signature

Applicant Signature

The holder of this card is authorized to sell Insurance Products of Kotak Mahindra Life Insurance
Company Limited as per the Product features and terms & conditions prescribed by the Company.

Appointed On: 13-May-2023

Re-instated On: NA
Vishwas Choube
ID Card Updated On: 15-May-2023 Vice President
Kotak Life Insurance

Insurer Details
Address* : Kotak Mahindra Life Insurance Company Limited, 7th Floor, Kotak Tower, Building No 21,
Infinity IT Park, Off Western Express Highway, General A.K Vaidya Marg, Malad (East)

City: Mumbai Pin Code: 400097 State: Maharashtra

*For any issues concerning the Life Insurance Policies sold by the holder of this Card, the Insurer may
be contacted at the above mentioned address.

Life Advisor Details

Address*: Toonbarie Tea Garden Staff Lin Jalpaiguri Mal,Toonbarie Tea Garden Staff Lin
Jalpaiguri,West Bengal-735221

Phone No: 7363878891

This is Life Advisor e-ID card and can be verified through the Kotak Life Insurance website. Visit
www.insurance.kotak.com to verify this e-ID card.