Branch: 1041 S/O SH RAJENDER PRASAD

MANISH KUMAR 448 W.NO.5 NR SHIV MANDIR SHIV

COLONY
Agent : LIC114851041 SOHNA GURUGRAM HARYANA
Leader :M00221041 PIN:122103

114851041 Premium due & Default List for the Month of 03/2019 Page : 1

Sl. Policy Policy Holder Name D.o.C. Plan - M F.U.P. Instlmnt D G S T Total Estm.
No. Number Term od Premium ue Premium Comn
1 118557143 PREM SINGH 10/10/2018 833-18 Q 01/2019 3408 1 153.00 3561 852
2 118557145 YOGINDER SINGH 10/10/2018 834-25 Q 01/2019 2202 1 99.00 2301 551
3 118556842 DAKASH 15/09/2018 834-25 M 02/2019 1792 2 161.00 3745 896
4 118556844 NIKHIL KUMAR 15/09/2018 834-22 M 02/2019 1296 2 117.00 2709 648
5 118556076 DEV 15/07/2018 834-23 M 03/2019 1993 1 90.00 2083 498
6 118556668 MANOJ KUMAR 07/04/2018 833-25 M 03/2019 3675 1 165.00 3840 919
7 118556792 RAHUL 11/09/2018 833-25 Q 03/2019 5549 1 250.00 5799 1387
8 118556845 DENI BADWAL 15/09/2018 834-23 M 03/2019 1245 1 56.00 1301 311
9 118557389 NAVEEN KUMAR 28/09/2018 833-25 H 03/2019 6883 1 310.00 7193 1721

Page Totals : Premium : 28043.00 G S T : 1401.00 Commission : 7783.00

Grand Totals : Premium : 28043.00 G S T : 1401.00 Commission : 7783.00

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1041-114861041 - (08/03/2019 16:29:18)