Insurer: Date:
  (Rs in Lakhs)  
Sl No. Particulars Opening Balance * Additions  Complaints Resolved Complaints Pending
Fully Accepted Partial Accepted Rejected
1 Complaints made by customers 0 0       0
a) Sales Related           0
b) Policy Administration Related           0
c) Insurance Policy Coverage related            
d) Claims related            
e) others            
d) Total Number 0 0 0     0
2 Duration wise Pending Status Complaints made by customers Complaints made by intermediaries Total      
a) Less than 15 days     0      
b) Greater than 15 days     0      
  Total Number 0 0 0      
* Opening balance should tally with the closing balance of the previous financial year.