UNIVERSAL SOMPO GENERAL INSURANCE CO.

LTD
ID No. 15100100002395 06
SUSHIL BHUYAN
LAVA INTERNATIONAL LTD.
A ge

65 Years

Emp Code

52034 Relation

Valid From

April-01, 2015

Sex

MALE

FATHER

Emergency No : 1800-102-7477
Please Quote your card number for HELP
- This card is invalid if the policy is cancelled.
- Immediate intimation to Vipul MedCorp TPA is a must in case of
Hospitalisation.- Cashless Hospitalisation in Network Hospitals can be
obtained in conjuction with this card and Authority letter issued by
Vipul MedCorp TPA. - Validity of this card is subject to renewal without
break in coverage an issuance of policy from the same
underwriting office.

Vipul MedCorp TPA Private Limited

515, Udyog Vihar, Phase 5, Gurgaon,Haryana Pin Code: 122 016
E-Mail : info@vipulmedcorp.com Website:
http://www.vipulmedcorp.com
Phones : 0124-4699600,4833900 Fax No : 0124-2438276,469961112 4308211

* This E-C ard is valid only if it is supported by any alternative photo ID proof like Driving License/Passport/PAN
C ard/Election ID C ard/Ration C ard.

UNIVERSAL SOMPO GENERAL INSURANCE CO. LTD

ID No. 15100100002395 07
REBOTI BHUYAN
LAVA INTERNATIONAL LTD.
A ge

57 Years

Emp Code

52034 Relation

Valid From

April-01, 2015

Sex

FEMALE

MOTHER

Emergency No : 1800-102-7477
Please Quote your card number for HELP
- This card is invalid if the policy is cancelled.
- Immediate intimation to Vipul MedCorp TPA is a must in case of
Hospitalisation.- Cashless Hospitalisation in Network Hospitals can be
obtained in conjuction with this card and Authority letter issued by
Vipul MedCorp TPA. - Validity of this card is subject to renewal without
break in coverage an issuance of policy from the same
underwriting office.

Vipul MedCorp TPA Private Limited

515, Udyog Vihar, Phase 5, Gurgaon,Haryana Pin Code: 122 016
E-Mail : info@vipulmedcorp.com Website:
http://www.vipulmedcorp.com
Phones : 0124-4699600,4833900 Fax No : 0124-2438276,469961112 4308211

* This E-C ard is valid only if it is supported by any alternative photo ID proof like Driving License/Passport/PAN
C ard/Election ID C ard/Ration C ard.

UNIVERSAL SOMPO GENERAL INSURANCE CO. LTD

ID No. 15100100002395 26
RAJU BHUYAN
LAVA INTERNATIONAL LTD.
A ge

30 Years

Emp Code

52034 Relation

Valid From

April-01, 2015

Sex

MALE

EMPLOYEE

Emergency No : 1800-102-7477
Please Quote your card number for HELP
- This card is invalid if the policy is cancelled.
- Immediate intimation to Vipul MedCorp TPA is a must in case of
Hospitalisation.- Cashless Hospitalisation in Network Hospitals can be
obtained in conjuction with this card and Authority letter issued by
Vipul MedCorp TPA. - Validity of this card is subject to renewal without
break in coverage an issuance of policy from the same
underwriting office.

Vipul MedCorp TPA Private Limited

515, Udyog Vihar, Phase 5, Gurgaon,Haryana Pin Code: 122 016
E-Mail : info@vipulmedcorp.com Website:
http://www.vipulmedcorp.com
Phones : 0124-4699600,4833900 Fax No : 0124-2438276,469961112 4308211

* This E-C ard is valid only if it is supported by any alternative photo ID proof like Driving License/Passport/PAN
C ard/Election ID C ard/Ration C ard.