Ujjivan Small Finance Bank Limited

VANIAMBADI Page 1 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0062 - 02 CRS Name : Uma R Emp ID : UJJ07673 Disb. Date : 10/May/2018

IA IS Total

1152203409 GULNARA 115271000008290 Fresh/GLS042 - Cash 22,000 / 0 22,000 145 176 321
Business 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, CB - Credit Bureau Charge
Total For Group 0062 - 02 : 1 22,000 / 0 22,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 2 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0119 - 01 CRS Name : R Vikram Emp ID : UJJ17750 Disb. Date : 10/May/2018

CB IA IS PF Total

1152004879 RAZIYABEGUM 115280900000625 Repeat/GLS052 - Cash P 40,000 / 0 40,000 10 483 588 472 1,553
SYED Family Loan
Monthly - 18
months

Total 10 483 588 472 1,553

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0119 - 01 : 1 40,000 / 0 40,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 3 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0143 - 02 CRS Name : R Dinesh Kumar Emp ID : UJJ19288 Disb. Date : 10/May/2018

IA IS Total

1152203444 CHENNAMMAL 115270300012140 Fresh/GLS043 - Cash 20,000 / 0 20,000 145 176 321
Family 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, CB - Credit Bureau Charge
Total For Group 0143 - 02 : 1 20,000 / 0 20,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 4 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0186 - 07 CRS Name : M Mahalakshmi Emp ID : UJJ15371 Disb. Date : 10/May/2018

CB IA IS PF Total

1152006275 NATHIYA 115280900000610 Repeat/GLS052 - Cash P 40,000 / 0 40,000 10 483 588 472 1,553
MUNIRATHINAM Family Loan
Monthly - 18
months

Total 10 483 588 472 1,553

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0186 - 07 : 1 40,000 / 0 40,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 5 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0348 - 04 CRS Name : Mohana Priya K Emp ID : UJJ16199 Disb. Date : 10/May/2018

CB IA IS PF Total

1152014809 GOWRI 115281000000610 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
Group Agriculture
Loan Monthly - 18
months

1152014819 kavitha 115280800000718 Repeat/GLS053 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
Business Loan
Monthly - 18
months

Total 20 966 1,176 826 2,988

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0348 - 04 : 2 70,000 / 0 70,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 6 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0353 - 01 CRS Name : M Mahalakshmi Emp ID : UJJ15371 Disb. Date : 10/May/2018

CB IA PF Total

1152203417 MALLIGA 115271000008293 Fresh/GLS042 - Cash 26,000 / 0 26,000 10 145 307 462
Business Loans
Monthly 1 Year
16000-30000

Total 10 145 307 462

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0353 - 01 : 1 26,000 / 0 26,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 7 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0364 - 05 CRS Name : R Vikram Emp ID : UJJ17750 Disb. Date : 10/May/2018

CB IA IS PF Total

1152010934 Y MUMTAJ 115280900000618 Repeat/GLS052 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
Family Loan
Monthly - 18
months

Total 10 483 588 413 1,494

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0364 - 05 : 1 35,000 / 0 35,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 8 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0403 - 05 CRS Name : K Rajesh Emp ID : UJJ23743 Disb. Date : 10/May/2018

CB IA IS PF Total

1152200359 SAMPOORNAM M 115281000000595 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 0 413 906
Group Agriculture
Loan Monthly - 18
months

1152200367 SAGUNTHA 115281000000597 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
Group Agriculture
Loan Monthly - 18
months

Total 20 966 588 826 2,400

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0403 - 05 : 2 70,000 / 0 70,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 9 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0404 - 06 CRS Name : S Kishan Emp ID : UJJ23403 Disb. Date : 10/May/2018

CB IA IS PF Total

1152200638 VIJAYA 115281000000611 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
CHENRAYAN Group Agriculture
Loan Monthly - 18
months

1152200639 INDHIRA 115281000000612 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 0 413 906
CHINNATHAMBI Group Agriculture
Loan Monthly - 18
months

1152200640 GOWARI 115281000000613 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
THANGAVEL Group Agriculture
Loan Monthly - 18
months

1152200642 CHINNATHAI RAJA 115281000000614 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
Group Agriculture
Loan Monthly - 18
months

1152200648 LAKSHMI 115281000000615 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
NATARAJAN Group Agriculture
Loan Monthly - 18
months

Total 50 2,415 2,352 2,065 6,882

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0404 - 06 : 5 175,000 / 0 175,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 10 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0512 - 04 CRS Name : R Dinesh Kumar Emp ID : UJJ19288 Disb. Date : 10/May/2018

CB IA IS PF Total

1152014859 GOVINDHAMMA 115281000000603 Repeat/GLS054 - Cash P 40,000 / 0 40,000 10 483 588 472 1,553
SAMIYAR Group Agriculture
Loan Monthly - 18
months

Total 10 483 588 472 1,553

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0512 - 04 : 1 40,000 / 0 40,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 11 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0513 - 02 CRS Name : Mohana Priya K Emp ID : UJJ16199 Disb. Date : 10/May/2018

CB IA IS PF Total

1152200617 CHINNAKUTTI 115281000000607 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
PERUMAL Group Agriculture
Loan Monthly - 18
months

Total 10 483 588 413 1,494

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0513 - 02 : 1 35,000 / 0 35,000
 Ujjivan Small Finance Bank Limited
VANIAMBADI Page 12 of 12

UJJ-DisbursementReport

Branch ID-1152 Scheme ID- All Center ID- All From Date-10/May/2018 To Date-10/May/2018 Status-Pending

Customer ID Customer Name Loan ID 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 : 0513 - 03 CRS Name : Mohana Priya K Emp ID : UJJ16199 Disb. Date : 10/May/2018

CB IA IS PF Total

1152200916 BHARATHI 115281000000606 Repeat/GLS054 - Cash P 35,000 / 0 35,000 10 483 588 413 1,494
SEVATHAN Group Agriculture
Loan Monthly - 18
months

Total 10 483 588 413 1,494

Note : IA - Insurance Applicant , IS - Insurance Spouse , IC - Insurance Coapplicant , IT - Insurance Cattle ,PF - Processing Fee, FC - Franking Charge, CB - Credit Bureau Charge
Total For Group 0513 - 03 : 1 35,000 / 0 35,000

Total For Date 10/05/2018 : 18 608,000 / 0 608,000 Total Disbusement Amount and Rebate : 608,000

Grand Total : 18 608,000 / 0 608,000 Total Disbusement Amount and Rebate : 608,000

Printed By : Prepared by : ______________________ Verified by : ______________________

Print Date : 10/May/2018 9:09:42AM
Working Date : Working Date :