Sr. No. Date Payment Receive Time Agent I'd/Employee I'D/Mobile No.

1 15/01/2023 17:09:20 AGI54876231

2 16/01/2023 10:15:15 AGI869574632
3 15/01/2023 15:30:35 VSP68953210
4 14/01/2023 18:45:50 9876352410
5 14/01/2023 10:18:25 7485961230
6 13/01/2023 19:54:30 7698543210
7 10/1/2023 19:54:30 VSP20135568
8 02/01/2023 22:41:15 VSP00225789
9 12/1/2023 15:15:18 AGI556698420
10 13/01/2023 13:10:28 AGI487559600
10 13/01/2023 13:10:28 AGI3001578965
11 11/1/2023 14:12:29 6321547890
Registration Number Customer Name Product Class Product Type
RJ23SG0796 KAILASH CHANDRA MOTOR BIKE
RJ23DS8154 MAHENDRA SINGH MOTOR BIKE
RJ09CA4706 RAJ DAN MOTOR CAR
RJ10GB5181 JAGMAL MOTOR LCV
RJ18GA4198 VIJAY SINGH MOTOR LCV
RJ10RC7217 MUKESH SINGH MOTOR TRACTOR
RJ10RB3597 KHEMA RAM MOTOR TRACTOR
NEW CHIRANJI LAL MOTOR ELECTRIC 3W
RJ10PA6653 INDIAN PUBLIC SCHOOL MOTOR SCHOOL BUS
RJ23TA3137 AYUB ALI MOTOR TAXI CAR
RJ23TA3137 AYUB ALI MOTOR TAXI CAR
RJ23LS1828 HARI RAM CHOUDHARY MOTOR BIKE
Policy Type Premium Amount Transaction ID Policy PDF
TP 843 PDF
PKG 1,703.92 PDF
TP 2855 PDF
TP 18429 PDF
PKG 19339 PDF
PKG 10401 PDF
TP 8900 PDF
PKG 5314 PDF
TP 50547.66 PDF
PKG 30,060.00 PDF
PKG 30,060.00 PDF
OD 253 PDF
Company Name Policy Number Manufacturer Variant
FUTURE GENERALI VB136650 HERO HONDA CD DELUXE
ROYAL SUNDARAM VMPB461524000100 HERO HONDA SPLENDOR PLUS
UNITED INDIA 1418023122P110532069 MARUTI SUZUKI ALTO
HDFC ERGO 23170 2051 7545 0300 000 MAHINDRA MAHINDRA SINGLE - CAB 2WD
UNIVERSAL SOMPO AVO/2374/10421148 MAHINDRA BOLERO PICK
RELIANCE GENERAL 2607 2232 3430 0040 00 Escorts Limited Farmtrac & 60 F2
UNIVERSAL SOMPO AVO/2318/10419026 SWARAJ 744 XT
SHRIRAM 106020/31/23/013065 GODAWARI TECHNO G ONE
GO DIGIT D090504650 / 11012023 SML ISUZU ZT54 E
UNITED INDIA 1418023122P110474351 FORCE MOTORS TRAX TOOFAN
UNITED INDIA 1418023122P110474351 FORCE MOTORS TRAX TOOFAN
ICICI 3005/O/275868463/00/000 HONDA CLIQ
Mfg. Year NCB Zero Dep. OD TP NET KM OD KM TP
2010 0% NO 0 714 714
2017 20% NO 250 1,194.00 1,444.00 15 O
2010 0% NO 0 2,419.00 2,419.00
2006 0% NO 0 16434 16434
2011 0% NO 881 16324 17205
2017 0% NO 1122.4 7692 8814 15 O
2014 0% NO 0 7542 7542
2023 0% NO 1210 3454 4664
2017 0% NO 0 42737 42837
2011 20% NO 1,159.00 24,315.00 25,474.00 15 O
2011 20% NO 1,159.00 24,315.00 25,474.00 2.5 T
2019 25% NO 214 0 0 10 O
KM NET Points OD Points TP Points NET Self Payment Mode
15 N 0 0 107.1 CREDIT CARD
37.5 0 0 CREDIT CARD
15 N 0 0 362.85 CD
20 N 0 0 3286.8 CREDIT CARD
20 N 0 0 3441 CREDIT CARD
168.36 0 0 CREDIT CARD
17 N 0 0 1282.14 CREDIT CARD
20 N 0 0 932.8 CREDIT CARD
30 N 0 0 12851.1 CREDIT CARD
173.85 0 0 CD
0 607.87 0 CD
24.1 0 0 CREDIT CARD
B2C Reward Points
 Agent I'd/Employee
Sr. No. Date Payment Receive Time I'D/Mobile No.
1 15/01/2023 17:09:20 AGI54876231
2 16/01/2023 10:15:15 AGI869574632
3 15/01/2023 15:30:35 VSP68953210
4 14/01/2023 18:45:50 9876352410
5 14/01/2023 10:18:25 7485961230
6 13/01/2023 19:54:30 7698543210
7 10/1/2023 19:54:30 VSP20135568
8 02/01/2023 22:41:15 VSP00225789
9 12/1/2023 15:15:18 AGI556698420
10 13/01/2023 13:10:28 AGI487559600
10 13/01/2023 13:10:28 AGI3001578965
11 11/1/2023 14:12:29 6321547890
 No of Person included in Name of Person Name of Person
Customer Name Policy 1/Relation 2/Relation
KAILASH CHANDRA
MAHENDRA SINGH
RAJ DAN
JAGMAL
VIJAY SINGH
MUKESH SINGH
KHEMA RAM
CHIRANJI LAL
RAJU RAM
AYUB ALI
AYUB ALI
HARI RAM CHOUDHARY
Customer Mobile
No. Location/City Product Class Insured Plan Type
9874563021 Ramgarh/sikar Health
8596741023 Dhadhar/churu Health
8596741023 Rajgarh/Alwar Health
8596741023 Ramgarh/sikar Health
8596741023 Churu/Churu Health
8596741023 Asalkheri/Churu Health
8596741023 Aslu/Churu Health
8596741023 Khetri/Jhunjhunu Health
8596741023 Bissau/Jhunjhunu Health
8596741023 Sardarshahar/Churu Health
8596741023 Taranagarr/Churu Health
8596741023 Rampura Beri/Churu Health
 Insurance
Company Name Product Policy PDF Policy Number
STAR HEALTH
HDFC ERGO
GO DIGIT
UNIVERSAL SOMPO
ICICI HELTH
BAJAJ ALLAIANGE
HDFC ERGO
CARE HEALTH
TATA AIG HEALTH INSURANCE
HDFC ERGO
ICICI HELTH
STAR HEALTH
Premium Amount Policy Terms KM1 KM2
12548 15 15
15874 14 25
10897 25 26
12057 12 23
16085 10 15
20564 15 18
12589 13 20
16085 10 18
13450 10 16
15487 18 19
12036 15 17
19354 5 10
KM3 KM4 Self Payment Mode B2C Reward Point
16 17 NET BANKING 5
27 28 CREDIT CARD 10
28 29 WALLET 12
25 26 DEBIT CARD 20
17 18 NET BANKING 15
20 21 CREDIT CARD 10
22 23 CREDIT CARD 12
20 22 UPI 9
18 20 UPI 11
21 22 NET BANKING 13
18 19 CREDIT CARD 10
15 17 DEBIT CARD 5
Sr. No. Date Payment Date/Time Agent I'd/Employee I'D/Mobile No.
1 15/01/2023 17:09:20 AGI54876231
2 16/01/2023 10:15:15 AGI869574632
3 15/01/2023 15:30:35 VSP68953210
4 14/01/2023 18:45:50 9876352410
5 14/01/2023 10:18:25 7485961230
6 13/01/2023 19:54:30 7698543210
7 10/1/2023 19:54:30 VSP20135568
8 02/01/2023 22:41:15 VSP00225789
9 12/1/2023 15:15:18 AGI556698420
10 13/01/2023 13:10:28 AGI487559600
10 13/01/2023 13:10:28 AGI3001578965
11 11/1/2023 14:12:29 6321547890
Product Class Customer Name Date of Birth Occupation
Life KAILASH CHANDRA 1/2/1997 GRADUATION
Life MAHENDRA SINGH 1/8/1993 POS GRADUATION
Life RAJ DAN 12/7/1995 PROFESSIONAL
Life JAGMAL 13/05/1993 MBA
Life VIJAY SINGH 1/5/1998 B.ED
Life MUKESH SINGH 5/8/1996 GRADUATION
Life KHEMA RAM 5/9/1996 POS GRADUATION
Life CHIRANJI LAL 5/10/1996 PROFESSIONAL
Life RAM PRATAP 5/11/1996 LLB
Life AYUB ALI 5/12/1996 GRADUATION
Life AYUB ALI 5/13/1996 GRADUATION
Life HARI RAM CHOUDHARY 5/14/1996 GRADUATION
Customer Mobile No. Location/City Insured Type Insurance Company
9874563021 Ramgarh/sikar
8596741023 Dhadhar/churu
8596741023 Rajgarh/Alwar
8596741023 Ramgarh/sikar
8596741023 Churu/Churu
8596741023 Asalkheri/Churu
8596741023 Aslu/Churu
8596741023 Khetri/Jhunjhunu
8596741023 Bissau/Jhunjhunu
8596741023 Sardarshahar/Churu
8596741023 Taranagarr/Churu
8596741023 Rampura Beri/Churu
Premium Amount Policy PDF Policy Number NET Premium
12548
15874
10897
12057
16085
20564
12589
16085
13450
15487
12036
19354
Policy Terms KM1 KM2 KM3 KM4
15 15 16 17
14 25 27 28
25 26 28 29
12 23 25 26
10 15 17 18
15 18 20 21
13 20 22 23
10 18 20 22
10 16 18 20
18 19 21 22
15 17 18 19
5 10 15 17
Self Payment Mode B2C Reward Point
NET BANKING 5
CREDIT CARD 10
WALLET 12
DEBIT CARD 20
NET BANKING 15
CREDIT CARD 10
CREDIT CARD 12
UPI 9
UPI 11
NET BANKING 13
CREDIT CARD 10
DEBIT CARD 5
 Agent I'd/Employee
Sr. No. I'D/Mobile No. Date Payment Date/Time Product Type
1 AGI54876231 15/01/2023 17:09:20 NON-MOTOR
2 AGI869574632 16/01/2023 10:15:15 NON-MOTOR
3 VSP68953210 15/01/2023 15:30:35 NON-MOTOR
4 9876352410 14/01/2023 18:45:50 NON-MOTOR
5 7485961230 14/01/2023 10:18:25 NON-MOTOR
6 7698543210 13/01/2023 19:54:30 NON-MOTOR
7 VSP20135568 10/1/2023 19:54:30 NON-MOTOR
8 VSP00225789 02/01/2023 22:41:15 NON-MOTOR
9 AGI556698420 12/1/2023 15:15:18 NON-MOTOR
10 AGI487559600 13/01/2023 13:10:28 NON-MOTOR
10 AGI3001578965 13/01/2023 13:10:28 NON-MOTOR
11 6321547890 11/1/2023 14:12:29 NON-MOTOR
 Risk of Type Cover Proposer's Name Proposer's Mobile No.
Property insurance (Fire and Natural Perils) KAILASH CHANDRA 9874563021
Workers' Compensation Insurance MAHENDRA SINGH 8596741023
Marine insurance RAJ DAN 8596741023
Electronic Equipment Insurance (EEI) JAGMAL 8596741023
Travel insurance VIJAY SINGH 8596741023
Household Comprehensive insurance MUKESH SINGH 8596741023
Product Liability Insurance KHEMA RAM 8596741023
Legal or Public Liability Insurance CHIRANJI LAL 8596741023
Personal Accident Insurance RAKESH CHOUDHAY 8596741023
Money insurance (Cash in Transit and in Safe) AYUB ALI 8596741023
Plate Glass Insurance AYUB ALI 8596741023
Engineering insurance HARI RAM CHOUDHARY 8596741023
Risk Location/City Policy Type Mode of Transit Premium Amount
Ramgarh/sikar Sea 12548
Dhadhar/churu Air 15874
Rajgarh/Alwar Road 10897
Ramgarh/sikar Registrered Post 12057
Churu/Churu Courier 16085
Asalkheri/Churu Sea 20564
Aslu/Churu Air 12589
Khetri/Jhunjhunu Road 16085
Bissau/Jhunjhunu Registrered Post 13450
Sardarshahar/Churu Courier 15487
Taranagarr/Churu Sea 12036
Rampura Beri/Churu Air 19354
Policy PDF Company Name Policy Number NET Premium Terms
KM1 KM2 KM3 KM4 Self Payment Mode
15 16 17 NET BANKING
25 27 28 CREDIT CARD
26 28 29 WALLET
23 25 26 DEBIT CARD
15 17 18 NET BANKING
18 20 21 CREDIT CARD
20 22 23 CREDIT CARD
18 20 22 UPI
16 18 20 UPI
19 21 22 NET BANKING
17 18 19 CREDIT CARD
10 15 17 DEBIT CARD
B2B Reward Points (if
Any)
5
10
12
20
15
10
12
9
11
13
10
5