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To, KL001495, THE MARKETING DEPARTMENT, Comtrust Charitable Trust Eye Hospital, Mini Bye Road, Puthiyara Calicut

-673004, Kerala Dear Sir, Sub: Renewal of the agreement dated 4/1/2012(Agreement) between Comtrust Charitable Trust Eye Hospital and ICICI Prudential Life Insurance Company Limited We refer to the agreement dated 4/1/2009 executed between Comtrust Charitable Trust Eye Hospital and ICICI Prudential Life Insurance Company Limited (The Agreement). The Agreement is valid till 4/1/2012. The parties to the Agreement on mutual understanding wish to renew /extend the Agreement and according have agreed to modify the clause no.6 of the Agreement. The clause no. 6 of the Agreement is replaced with the following clause: The Agreement shall remain in force and effect, unless any of the Parties to the Agreement give thirty (30) days written notice to the other Party for termination of the Agreement without any cause. In case of any observed malpractice by either party the arrangement shall be terminated with immediate effect. However, the obligations of confidentiality and exclusivity shall survive the termination of this agreement till the information has commercial value. ICICI Prudential Life Insurance Company Limited and Comtrust Charitable Trust Eye Hospital agree and confirm that, all the other terms and conditions of the Agreement remain unchanged. The agreement shall remain in full force and effect and shall be read in conjunction with these presents and be enforced as if all the provisions of these presents were incorporated therein by way of additions. Kindly return the duplicate copy of this letter duly signed by your authorized official evidencing the acceptance of the contents of the letter. Yours faithfully, For and on behalf of: ICICI Prudential Life Insurance Company Limited, By Name: ____________________________________ Accepted and confirmed for and behalf of: Comtrust Charitable Trust Eye Hospital By Name: ________________________________ Designation:____________________________ Date:_____________________ Witness: Name: Signature:

To, KL004213, THE MARKETING DEPARTMENT, Asha Hospital, Nh Bye Pass Road, Vadakara, 683104-, Kerala Dear Sir, Sub: Renewal of the agreement dated 4/1/2012(Agreement) between Asha Hospital and ICICI Prudential Life Insurance Company Limited We refer to the agreement dated 4/1/2009 executed between Asha Hospital and ICICI Prudential Life Insurance Company Limited (The Agreement). The Agreement is valid till 4/1/2012. The parties to the Agreement on mutual understanding wish to renew /extend the Agreement and according have agreed to modify the clause no.6 of the Agreement. The clause no. 6 of the Agreement is replaced with the following clause: The Agreement shall remain in force and effect, unless any of the Parties to the Agreement give thirty (30) days written notice to the other Party for termination of the Agreement without any cause. In case of any observed malpractice by either party the arrangement shall be terminated with immediate effect. However, the obligations of confidentiality and exclusivity shall survive the termination of this agreement till the information has commercial value. ICICI Prudential Life Insurance Company Limited and Asha Hospital agree and confirm that, all the other terms and conditions of the Agreement remain unchanged. The agreement shall remain in full force and effect and shall be read in conjunction with these presents and be enforced as if all the provisions of these presents were incorporated therein by way of additions. Kindly return the duplicate copy of this letter duly signed by your authorized official evidencing the acceptance of the contents of the letter. Yours faithfully, For and on behalf of: ICICI Prudential Life Insurance Company Limited, By Name: ____________________________________ Accepted and confirmed for and behalf of: Asha Hospital By Name: ________________________________ Designation:____________________________ Date:_____________________ Witness: Name: Signature: