District Insurance Office :CHITTOOR

Financial Year : 2023-2024

Policy Number :14811641
Employee Name :SHALI MANNURU
Designation :VRO

S.NO Month Year Premium Amount (Rs.) Loan Amount (Rs.)

1 April 2023 800 0

2 May 2023 800 0
3 June 2023 800 0
4 July 2023 800 0
5 August 2023 800 0
6 September 2023 0 0
7 October 2023 0 0
8 November 2023 0 0
9 December 2023 0 0
10 January 2024 0 0
11 February 2024 0 0
12 March 2024 0 0

Total credits received during the year : 4000 0

Opening Balance :6250

Current Year Premium Amount :4000
Total Balance :10250

District Insurance Officer

CHITTOOR

Note: This is a Computer Generated Report.

The credits shown are only to the extent of Schedules received from DTOs and posted.
1. This Statement of account is subject to E&OE
2. The subscriber is requested to satisfy himself/herself as to the correctness of thestatement and to bring errors,if
any, to the notice of this office within one month from the date of issue with the details of Vr.no.,amount of
voucher,copy of schedule (voucher) under attestation by the DDO concerned.
3. Please quote correct Policy Number in the Schedule (Voucher) and avoid missing credits.
4. In case of transfer, the information may please be informed to District Insurance Office.
5. Proposal Form is compulsory every time whenever the APGLI subscription is increased to obtain additional policies.
6. Proposal forms have to be submitted before (55) years of age to obtain first or subsequent policiesotherwise,excess
premium, if any paid, will be treated as unauthorized amount.

Report Date :26/09/2023