Ujjivan Small Finance Bank Limited

VANIAMBADI Page 1 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0087 - 05 CRS Name : Sivanandham S Emp ID : UJJ21373 Disb. Date : 04/Apr/2018

IA IS Total

1152203251 MEENACHI 115279900000020 Yes Fresh/GLS051 - Cash 20,000 / 0 20,000 145 176 321
JAYAKUMAR Education Core
Loans Monthly 1
Year 16000-30000

Total 145 176 321

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0087 - 05 : 1 20,000 / 0 20,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 2 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0255 - 05 CRS Name : GAYATHRI K Emp ID : UJJ00769 Disb. Date : 04/Apr/2018

IA PF Total

1152006703 RAJESWARI 115281000000361 Yes Repeat/GLS054 - Cash P 40,000 / 0 40,000 483 472 955
Group Agriculture
Loan Monthly - 18
months

Total 483 472 955

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0255 - 05 : 1 40,000 / 0 40,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 3 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0321 - 04 CRS Name : K Rajesh Emp ID : UJJ23743 Disb. Date : 04/Apr/2018

IA IS PF Total

1152010952 JAYANTHI 115281000000357 Yes Repeat/GLS054 - Cash P 40,000 / 0 40,000 483 588 472 1,543
SHANKAR Group Agriculture
Loan Monthly - 18
months

Total 483 588 472 1,543

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0321 - 04 : 1 40,000 / 0 40,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 4 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0376 - 04 CRS Name : M Mahalakshmi Emp ID : UJJ15371 Disb. Date : 04/Apr/2018

IA IS PF Total

1152014469 MEHARUNNISA 115280900000422 Yes Repeat/GLS052 - Cash P 32,000 / 0 32,000 483 588 378 1,449
Family Loan
Monthly - 18
months

Total 483 588 378 1,449

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0376 - 04 : 1 32,000 / 0 32,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 5 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0419 - 01 CRS Name : Uma R Emp ID : UJJ07673 Disb. Date : 04/Apr/2018

IA IS PF Total

1152200637 KALA 115280900000430 Yes Repeat/GLS052 - Cash P 27,000 / 0 27,000 290 353 319 962
KRISHNAMOORTH Family Loan
Y KALAVATHI Monthly - 18
months

Total 290 353 319 962

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0419 - 01 : 1 27,000 / 0 27,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 6 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0419 - 08 CRS Name : Uma R Emp ID : UJJ07673 Disb. Date : 04/Apr/2018

IA IS PF Total

1152013747 NAGARATHINAM 115281000000363 Yes Repeat/GLS054 - Cash P 40,000 / 0 40,000 483 588 472 1,543
AMBOORAN Group Agriculture
Loan Monthly - 18
months

Total 483 588 472 1,543

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0419 - 08 : 1 40,000 / 0 40,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 7 of 7

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-04/Apr/2018 To Date-04/Apr/2018 Status-Pending

Customer ID Customer Name Loan ID UID LendingType/ Repay Pre- Disb Net Disb CRS/Cashier Customer Sign <--------------------------------- Fee Detail ---------------------->
Product ID Mode approved Amount/ Amt to Sign with ID (Loan
Insurance Customer Agreement)

Center - Group : 0496 - 03 CRS Name : Mohana Priya K Emp ID : UJJ16199 Disb. Date : 04/Apr/2018

IA IS Total

1152016194 kavitha perumal 115272400001881 Yes Repeat/GLS010 - Cash 10,000 / 0 10,000 97 118 215
Education Loans
Monthly

Total 97 118 215

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge
Total For Group 0496 - 03 : 1 10,000 / 0 10,000

Total For Date 04/04/2018 : 7 209,000 / 0 209,000 Total Disbusement Amount and Rebate : 209,000

Grand Total : 7 209,000 / 0 209,000 Total Disbusement Amount and Rebate : 209,000

Printed By : Prepared by : ______________________ Verified by : ______________________

Print Date : 04/Apr/2018 9:13:50AM
Working Date : Working Date :