Branch Code: 37H WARD NO-6 PURANI BASTI

Agent Name : NISHEVITA NAMDEO KOTMA

Agent Code : LIC0624237H DT-ANUPPUR

Premium Due List For The Agent LIC0624237H For 03/2024

S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

1 384932933 MANKESHWAR 25/07/2023 914/19 Qly 10/2023 FY 1998.00 2 180.00 4176 999.00
2 369607934 CHAKRAVATI SINGH 28/10/2021 914/19 Qly 10/2023 ST 1384.00 2 62.00 2830 207.60
3 384933498 ARYAN NAMDEO 28/09/2023 936/25 Qly 12/2023 FY 2292.00 2 206.00 4790 1146.00
4 384933665 KIRAN BHARIYA 04/10/2023 920/20 Qly 01/2024 FY 2026.00 1 91.00 2117 405.20
5 368053231 DINESH SINGH 18/01/2021 943/19 Yly 01/2024 2933.00 1 66.00 2999 146.65
6 368053234 DINESH SINGH 18/01/2021 943/20 Yly 01/2024 2742.00 1 62.00 2804 137.10
7 384934078 MD BASEER ANSARI 23/10/2023 914/30 Qly 01/2024 FY 891.00 1 40.00 931 222.75
8 367985734 MOHAN DAS MANIKPURI 02/11/2020 943/18 Qly 02/2024 869.00 1 20.00 889 43.45
9 369610887 SOHAN SINGH 03/02/2022 936/21 Yly 02/2024 ST 11148.00 1 251.00 11399 836.10
10 368826743 MAMTA 05/07/2021 936/25 Mly 02/2024 ST 800.00 2 36.00 1636 120.00
11 367985810 PREMBATI KEWAT 06/11/2020 914/17 Qly 02/2024 1905.00 1 43.00 1948 95.25
12 374694330 MEENA BAI SHYAM 13/02/2023 914/20 Yly 02/2024 ST 5269.00 1 119.00 5388 395.18
13 374694300 KUBER SINGH 20/02/2023 920/20 Yly 02/2024 ST 8249.00 1 186.00 8435 618.67
14 369608639 MRATTUNJAY NAMDEO 28/11/2021 914/24 Mly 02/2024 ST 383.00 2 17.00 783 57.46
15 384935439 RAMLAL SINGH 05/01/2024 920/20 Mly 03/2024 FY 678.00 1 31.00 709 135.60
16 375968152 ARJUN SINGH 07/03/2023 914/27 Yly 03/2024 ST 3785.00 1 85.00 3870 283.88
17 384932186 DEEPAK KUMAR NAMDEO 07/07/2023 933/21 Mly 03/2024 FY 658.00 1 30.00 688 164.50
18 369654887 SANTOSH KUMAR PAW 08/06/2022 945/49 Mly 03/2024 ST 3067.00 1 69.00 3136 230.03
19 369652601 PUSHPA SINGH 11/03/2022 914/16 Yly 03/2024 ST 8900.00 1 200.00 9100 667.50
20 384935781 LOVEKESH SINGH 15/01/2024 933/18 Mly 03/2024 FY 1167.00 1 53.00 1220 291.75
21 374692165 RAGINI NAMDEO 18/11/2022 914/15 Mly 03/2024 ST 732.00 1 17.00 749 54.90
22 368055628 JEEVAN SINGH 22/03/2021 943/15 Yly 03/2024 4010.00 1 90.00 4100 200.50
23 368055696 SANTOSH KUMAR HARIJAN 24/03/2021 943/16 Yly 03/2024 4088.00 1 92.00 4180 204.40
24 369609535 RANI NAMDEV 27/12/2021 944/15 Qly 03/2024 ST 1340.00 1 30.00 1370 100.50
25 369609536 MAMTA NAMDEV 27/12/2021 944/15 Qly 03/2024 ST 1056.00 1 24.00 1080 79.20

Page Total Premium : 81327 G S T : 2100 Estimated Comn : 7843.17

Grand Total Premium : 81327 G S T : 2100 Estimated Comn : 7843.17

FY - First year Prem. ST-> 2nd,3rd Year Prem. LP : Last Premium. MT : Matures after this due.

( Page No : 1 | 37H | LIC0624837H | 17093654845731 | Due : 3-2024 )