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  • Name of The Proposer Application No. Male/female Product Client DOB S.A Term Application Sign Date Mode of Payment Modal Premium

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    rajushukla
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    The document appears to list details of insurance policy applications, including applicant names, application numbers, gender, products, dates of birth, application dates, payment modes, premium amounts, and policy terms. There are 11 applications listed with details for each such as the applicant's name, application number, gender, date of birth, application sign date, payment mode, premium amount, and policy term. The total premium amount for all 11 applications is Rs. 109,000.

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    The document appears to list details of insurance policy applications, including applicant names, application numbers, gender, products, dates of birth, application dates, payment modes, premium amounts, and policy terms. There are 11 applications listed with details for each such as the applicant's name, application number, gender, date of birth, application sign date, payment mode, premium amount, and policy term. The total premium amount for all 11 applications is Rs. 109,000.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    5 views2 pages

    Name of The Proposer Application No. Male/female Product Client DOB S.A Term Application Sign Date Mode of Payment Modal Premium

    Uploaded by

    rajushukla
    The document appears to list details of insurance policy applications, including applicant names, application numbers, gender, products, dates of birth, application dates, payment modes, premium amounts, and policy terms. There are 11 applications listed with details for each such as the applicant's name, application number, gender, date of birth, application sign date, payment mode, premium amount, and policy term. The total premium amount for all 11 applications is Rs. 109,000.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 2

    S.

    Application Mode of Modal


    No.
    Name of the proposer Application No. Male/female Product Client DOB sign date payment premium S.A Term

    1 LAXMI NARAYAN CHAUHAN OT000252971 MALE TSG 6/4/1978 25-Mar-11 ANNUAL 12000 N.A. 20
    2 DINESH KUMAR CHAUHAN OT000252950 MALE TSG 9/28/1985 25-Mar-11 ANNUAL 12000 N.A. 20
    3 JAWAHAR LAL OT000347790 MALE TSG 6/8/1971 25-Mar-11 ANNUAL 10000 N.A. 20
    4 MAINMATI BHARATDWAJ OT000347756 FEMALE TSG 1/1/1953 25-Mar-11 ANNUAL 15000 N.A. 20
    5 PURNIMA DEVI CHANDRA OT000244758 FEMALE TSG ANNUAL 10000 N.A.
    6 RAMUNA MADHUKAR OT000244711 FEMALE TSG 4/10/1978 ANNUAL 10000 N.A.
    7 VINAY KUMAR VISHWAKARMA OT000244720 MALE TSG ANNUAL 10000 N.A.
    8 DHANA RAM KASHYAP OT000244721 MALE TSG ANNUAL 10000 N.A.
    9 GOPAL PRASAD OT000244713 MALE TSG ANNUAL 10000 N.A.
    10 LACHH RAM CHANDRA OT000244712 MALE TSG ANNUAL 10000 M
    11
    TOTAL 109000

    [
    Cash/Ch
    Rank Code No. Mob.No. eque Location

    INS CG000104000029 9098165249 CASH KORBA


    SO CG000103000052 8103595856 CASH KORBA
    CG000305000015 9993827913 CASH KORBA
    FO CG000202000481 99777141547 CASH KORBA
    CG000301000376 9907475693 KORBA
    FO CG000301000027 8435709935 KORBA
    FO CG000301000274 KORBA
    FO CG000302000093 9685247838 KORBA
    ORG CG000303000038 KORBA
    AGNT CG000301000324 9179367284 KORBA

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