NameDate of BirthDesignationGender

: TAMAL SARKAR: 01*ov-1983: Life Advisor: Male

Training Institute Name:c & K MANAGEMENT

S gnatureDP Signature

Advisor Code : 2978504165706Licence No

bhartl Issued onjeevan suraksha ka/ Valid Upto

nazariya

• 10361033• 08-Jan-2015• 07-Jan-2018

Father/ HusbandName

Branch

Address of LA

KUMþR SþRKþR

•Jamshedpur - Bistupur

Chakradharpur

Chakradharpur

Jharkhand

Jharkhand.833102

Address of Regd & Corporate Office:

Bharti AXA life Insurance Company Limited,

Unit 601 & 602, 6th Floor, Raheja Titanium,

Off Western Express Highway, Goregaon (E),

Mumbai - 400 063. Maharastra, Phone No. 022 4030 6300.