Branch Code: 686 11-49-16, II FLOOR,F-2,

Agent Name : CHUNDURI KOTESWARA RAO VIJAYA BHANU COMPLEX,

Agent Code : LIC02927686 SIVALAYAM St, V J A

Premium Due List For The Agent LIC02927686 For 07/2024

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

1 677084281 DARISI HARIKRISHNA 28/12/2012 149/67 Yly 12/2023 26555.00 1 0.00 26555 1327.75
2 677538559 ANAGANI YEDUKONDALU 28/03/2016 815/15 Qly 12/2023 3146.00 3 212.00 9650 471.90
3 711122812 TADISETTI GOPI 10/07/2023 921/25 Hly 01/2024 FY 3146.00 2 283.00 6575 865.15
4 677054220 POTHURI SUNITHA 09/05/2011 179/20 Mly 02/2024 518.00 6 0.00 3108 155.40
5 662474392 MAMIDI V.R. VARA PRASAD 10/02/2022 915/21 Yly 02/2024 ST 6426.00 1 145.00 6571 481.95
6 677081599 KATARI DURGA RAO 28/11/2012 179/20 Qly 02/2024 2097.00 2 0.00 4194 209.70
7 671258433 RI PEYYETI GOPALA KRISHNA 28/03/1995 111/30 Yly 03/2024 MT 1273.00 1 0.00 1273 76.38
8 674605147 GUNDAM PRAMEELA 28/03/2006 174/20 Yly 03/2024 4118.00 1 0.00 4118 205.90
9 674633954 NOUVUGOTLA KUMARI 28/03/2007 179/20 Yly 03/2024 3809.00 1 0.00 3809 190.45
10 678311677 KOLANUKONDA SIVA SRINIVAS 01/04/2017 820/20 Yly 04/2024 39745.00 1 894.00 40639 1987.25
11 675712055 SHAIK MASTAN 15/04/2009 179/20 Qly 04/2024 994.00 2 0.00 1988 99.40
12 678893546 KANAKALA ADINARAYANA 15/01/2021 943/15 Qly 04/2024 1146.00 2 52.00 2344 114.60
13 677046752 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1764.00 2 0.00 3528 176.40
14 677046753 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1681.00 2 0.00 3362 168.10
15 677046754 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1550.00 2 0.00 3100 155.00
16 677046755 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1490.00 2 0.00 2980 149.00
17 677046756 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1379.00 2 0.00 2758 137.90
18 677046757 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1334.00 2 0.00 2668 133.40
19 677046758 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1266.00 2 0.00 2532 126.60
20 677046759 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1204.00 2 0.00 2408 120.40
21 677046760 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1148.00 2 0.00 2296 114.80
22 677046761 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1095.00 2 0.00 2190 109.50
23 677046762 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1048.00 2 0.00 2096 104.80
24 677046764 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 1003.00 2 0.00 2006 100.30
25 677046765 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 961.00 2 0.00 1922 96.10
26 677046766 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 924.00 2 0.00 1848 92.40
27 677046767 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 889.00 2 0.00 1778 88.90
28 677046768 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 855.00 2 0.00 1710 85.50
29 677046769 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 825.00 2 0.00 1650 82.50
30 677046770 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 796.00 2 0.00 1592 79.60
31 677046771 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 770.00 2 0.00 1540 77.00
32 677046772 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 745.00 2 0.00 1490 74.50
33 677046773 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 721.00 2 0.00 1442 72.10
34 677046774 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 700.00 2 0.00 1400 70.00
35 677046775 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 680.00 2 0.00 1360 68.00
36 677046776 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 663.00 2 0.00 1326 66.30
37 677046777 SRI MOHAMMED ASLAM 18/10/2010 149/67 Qly 04/2024 645.00 2 0.00 1290 64.50
38 678319155 SABBI SURI BABU 20/07/2018 827/15 Qly 04/2024 1399.00 2 63.00 2861 104.92
39 677072121 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 3980.00 1 0.00 3980 199.00
40 677072122 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 3589.00 1 0.00 3589 179.45
41 677072123 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 3140.00 1 0.00 3140 157.00
42 677072124 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 2816.00 1 0.00 2816 140.80
43 677072125 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 2516.00 1 0.00 2516 125.80
44 677072126 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 2243.00 1 0.00 2243 112.15
45 677072127 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1994.00 1 0.00 1994 99.70
46 677072128 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1837.00 1 0.00 1837 91.85
47 677072129 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1616.00 1 0.00 1616 80.80
48 677072130 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1486.00 1 0.00 1486 74.30

Page Total Premium : 191174 G S T : 1649 Estimated Comn : 10165.2

( Page No : 1 | 686 | LIC02927686 | 17196923045796 | Due Month 07/2024)
S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

49 677072131 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1363.00 1 0.00 1363 68.15
50 677072132 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1314.00 1 0.00 1314 65.70
51 677072133 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1267.00 1 0.00 1267 63.35
52 677072134 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1226.00 1 0.00 1226 61.30
53 677072135 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1186.00 1 0.00 1186 59.30
54 677072136 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1149.00 1 0.00 1149 57.45
55 677072137 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1112.00 1 0.00 1112 55.60
56 677072138 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1080.00 1 0.00 1080 54.00
57 677072139 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1051.00 1 0.00 1051 52.55
58 677072140 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1021.00 1 0.00 1021 51.05
59 677072141 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1044.00 1 0.00 1044 52.20
60 677072142 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 1019.00 1 0.00 1019 50.95
61 677072143 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 997.00 1 0.00 997 49.85
62 677072144 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 975.00 1 0.00 975 48.75
63 677072145 KOPPALA DURGA MALLESH 23/04/2012 149/74 Hly 04/2024 955.00 1 0.00 955 47.75
64 677053839 MOLUGURU V.S.R MANITEJA 28/04/2011 179/16 Yly 04/2024 9378.00 1 0.00 9378 468.90
65 678317430 VADAPARTHI GOWRI VARA LAKSHMI 04/05/2018 820/20 Hly 05/2024 4267.00 1 96.00 4363 213.35
66 678304056 ANNAPARTHI ANITHA 10/02/2017 836/21 Qly 05/2024 2805.00 1 63.00 2868 140.25
67 678304059 PALISETTI PADMAVATHI 10/02/2017 836/21 Qly 05/2024 2835.00 1 64.00 2899 141.75
68 678310723 KOLLA NAGA RAMAKRISHNA 10/11/2017 815/20 Hly 05/2024 18423.00 1 415.00 18838 921.15
69 671998984 SMT.SUNKARA SRIVALLI 11/11/1999 93/25 Qly 05/2024 662.00 1 0.00 662 39.72
70 678317587 SHAIK PARVEEN 14/05/2018 820/20 Qly 05/2024 3064.00 1 69.00 3133 153.20
71 674649845 YADDANAPUDI SAVITRI 24/12/2007 149/60 Mly 05/2024 665.00 3 0.00 1995 99.75
72 675701295 SUVADA DURGARAO 01/01/2009 179/20 Mly 06/2024 515.00 2 0.00 1030 51.50
73 677537416 KILIMI RAMA KRISHNA 04/03/2016 821/25 Qly 06/2024 1526.00 1 34.00 1560 76.30
74 675683020 REDDY VASU 05/06/2008 179/20 Qly 06/2024 1862.00 1 0.00 1862 93.10
75 677529323 NAVIRI SAI SRIPRASANNA 08/06/2015 815/20 Qly 06/2024 2897.00 1 65.00 2962 144.85
76 677508276 PENDYALOA UMA MAHESH 11/12/2013 179/20 Hly 06/2024 1822.00 1 0.00 1822 91.10
77 677520932 RAJYALAKSHMI RISA 12/09/2014 827/20 Qly 06/2024 1386.00 1 31.00 1417 51.97
78 678311667 KOLLA VIKRAM DEVESH (LA) 15/12/2017 836/25 Hly 06/2024 11035.00 1 248.00 11283 551.75
79 673930159 T SAMBASIVA RAO 17/12/2015 815/15 Mly 06/2024 3167.00 2 143.00 6477 316.70
80 678318317 NIMMAGADDA LAKSHMI PADMAVATHI 18/06/2018 844/15 Hly 06/2024 8262.00 1 186.00 8448 413.10
81 677541604 KOTTURI ARUNASRI NIHARIKA(LA) 22/06/2016 836/25 Yly 06/2024 20980.00 1 472.00 21452 1049.00
82 677541606 KOTTURI LAKSHMI VENKATA SATISH KUM 22/06/2016 836/25 Yly 06/2024 14561.00 1 328.00 14889 728.05
83 677055683 NALAM VENKATA UDAYMADHAV(LA) 24/06/2011 179/20 Hly 06/2024 1757.00 1 0.00 1757 87.85
84 671255831 SRI BAGGALAKOTE RAGHAVENDRA RAO 28/09/1994 111/30 Qly 06/2024 MT 232.00 1 0.00 232 13.92
85 674605809 BASAVA SATYANARAYANA 28/03/2006 174/20 Mly 06/2024 303.00 2 0.00 606 30.30
86 674607444 KAJA AMARAIAH 28/03/2006 174/20 Qly 06/2024 1241.00 1 0.00 1241 62.05
87 675692114 KT ACHARI AS KANTI TEJESWARA RAO 28/09/2008 179/20 Qly 06/2024 1050.00 1 0.00 1050 52.50
88 677526757 RISA RAMU 28/03/2015 827/15 Qly 06/2024 1386.00 1 31.00 1417 51.97
89 675728346 PANDI JEEVA RATNAKUMAR 01/01/2010 149/75 Hly 07/2024 10829.00 1 0.00 10829 541.45
90 677078370 GUNJA DURGA 03/10/2012 179/20 Qly 07/2024 1194.00 1 0.00 1194 59.70
91 674599488 BASAVA SAMBASIVA RAO 04/02/2006 174/20 Mly 07/2024 305.00 1 0.00 305 15.25
92 677067028 KILIMI RAMA RAO 05/03/2012 179/16 Mly 07/2024 377.00 1 0.00 377 18.85
93 677523634 AVIDI SATYANARAYANA 05/01/2015 827/19 Qly 07/2024 965.00 1 22.00 987 36.18
94 678894869 KAJA SURYA RAMA TEJA 05/03/2021 921/25 Mly 07/2024 3910.00 1 88.00 3998 195.50
95 677056328 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/16 Hly 07/2024 1651.00 1 0.00 1651 82.55
96 677056329 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/17 Hly 07/2024 1545.00 1 0.00 1545 77.25
97 677056330 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/18 Hly 07/2024 1452.00 1 0.00 1452 72.60
98 677056331 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/19 Hly 07/2024 1368.00 1 0.00 1368 68.40
99 677056332 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/20 Hly 07/2024 1293.00 1 0.00 1293 64.65
100 677056333 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/21 Hly 07/2024 1230.00 1 0.00 1230 61.50
101 677056334 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/22 Hly 07/2024 1172.00 1 0.00 1172 58.60

Page Total Premium : 167801 G S T : 2355 Estimated Comn : 8234.51

( Page No : 2 | 686 | LIC02927686 | 17196923045796 | Due Month 07/2024)
S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

102 677056335 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/23 Hly 07/2024 1119.00 1 0.00 1119 55.95
103 677056336 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/24 Hly 07/2024 1071.00 1 0.00 1071 53.55
104 677056337 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/25 Hly 07/2024 1027.00 1 0.00 1027 51.35
105 677056338 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/26 Hly 07/2024 987.00 1 0.00 987 49.35
106 677056339 GUTHIKONDA GAYATHRI DEVI 06/07/2011 91/27 Hly 07/2024 949.00 1 0.00 949 47.45
107 711122708 KONGARA INDUMATHI 06/07/2023 944/17 Hly 07/2024 ST 5609.00 1 126.00 5735 420.67
108 677542531 KOTTURI PAVANI PRIYANKA(LA) 07/07/2016 836/21 Yly 07/2024 20221.00 1 455.00 20676 1011.05
109 678603019 ARAVAPALLI RAVI KUMAR 08/07/2019 815/16 Hly 07/2024 11953.00 1 269.00 12222 597.65
110 675743032 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 6840.00 1 0.00 6840 342.00
111 675743033 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 6398.00 1 0.00 6398 319.90
112 675743034 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 6010.00 1 0.00 6010 300.50
113 675743035 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 5666.00 1 0.00 5666 283.30
114 675743036 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 5346.00 1 0.00 5346 267.30
115 675743037 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 5060.00 1 0.00 5060 253.00
116 675743039 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 4798.00 1 0.00 4798 239.90
117 675743040 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 4671.00 1 0.00 4671 233.55
118 675743041 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 4452.00 1 0.00 4452 222.60
119 675743042 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 4249.00 1 0.00 4249 212.45
120 675743043 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 4064.00 1 0.00 4064 203.20
121 675743044 CHUNDURU SOMASEKHAR 09/07/2010 149/67 Yly 07/2024 3890.00 1 0.00 3890 194.50
122 677530206 BASAVA SURYANARAYANA 11/07/2015 827/20 Qly 07/2024 1080.00 1 24.00 1104 40.50
123 678326078 MALAGA RAMAKRISHNA(LA) 11/01/2019 827/18 Qly 07/2024 1019.00 1 23.00 1042 38.21
124 674636454 ARDANI RAMAKRISHNAM RAJU 12/04/2007 179/20 Qly 07/2024 965.00 1 0.00 965 48.25
125 674636606 KUMARASETTY NAGAMALLESWARI 12/04/2007 91/20 Mly 07/2024 288.00 1 0.00 288 14.40
126 675739398 SANKARAMANCHI SRINIVASA SARMA 13/07/2010 179/20 Qly 07/2024 3146.00 1 0.00 3146 157.30
127 678319043 NIMMAGADDA KISHORE BABU 14/07/2018 815/28 Hly 07/2024 9327.00 1 210.00 9537 466.35
128 673693337 CHINTALABOINA SRINIVAS 15/07/2005 149/70 Qly 07/2024 1175.00 1 0.00 1175 58.75
129 674614893 PILLA RAMARAO 15/11/2006 179/20 Mly 07/2024 476.00 1 0.00 476 23.80
130 675711195 DIVVELA RAMESH 15/04/2009 179/20 Qly 07/2024 784.00 1 0.00 784 39.20
131 678305995 AKULA PADMANABHA GUPTA 15/04/2017 814/16 Qly 07/2024 2799.00 1 63.00 2862 139.95
132 675743972 GUTHIKONDA DURGA RAO 17/10/2010 91/16 Qly 07/2024 838.00 1 0.00 838 41.90
133 675743973 GUTHIKONDA DURGA RAO 19/10/2010 91/17 Qly 07/2024 784.00 1 0.00 784 39.20
134 675743974 GUTHIKONDA DURGA RAO 19/10/2010 91/18 Qly 07/2024 737.00 1 0.00 737 36.85
135 675743975 GUTHIKONDA DURGA RAO 19/10/2010 91/19 Qly 07/2024 694.00 1 0.00 694 34.70
136 675743976 GUTHIKONDA DURGA RAO 19/10/2010 91/20 Qly 07/2024 656.00 1 0.00 656 32.80
137 675743977 GUTHIKONDA DURGA RAO 19/10/2010 91/21 Qly 07/2024 624.00 1 0.00 624 31.20
138 675743978 GUTHIKONDA DURGA RAO 19/10/2010 91/22 Qly 07/2024 595.00 1 0.00 595 29.75
139 675743979 GUTHIKONDA DURGA RAO 19/10/2010 91/23 Qly 07/2024 568.00 1 0.00 568 28.40
140 675743980 GUTHIKONDA DURGA RAO 19/10/2010 91/24 Qly 07/2024 544.00 1 0.00 544 27.20
141 675743981 GUTHIKONDA DURGA RAO 19/10/2010 91/25 Qly 07/2024 521.00 1 0.00 521 26.05
142 675743982 GUTHIKONDA DURGA RAO 19/10/2010 91/26 Qly 07/2024 501.00 1 0.00 501 25.05
143 675743983 GUTHIKONDA DURGA RAO 19/10/2010 91/27 Qly 07/2024 482.00 1 0.00 482 24.10
144 678319154 TANGUTURI ROOPASRI THARINI(LA) 20/07/2018 834/24 Yly 07/2024 46294.00 1 1042.00 47336 2314.70
145 675681343 VEMPATI AS CHANDRASEKHAR 21/04/2008 179/20 Qly 07/2024 9025.00 1 0.00 9025 451.25
146 678892524 GUMMADI PRASANNA LAKSHMI 21/01/2021 915/25 Qly 07/2024 5481.00 1 123.00 5604 274.05
147 673264660 SRI DUDEKULA CHINA HUSSAIANAIAH- 23/07/2003 149/72 Yly 07/2024 LP 4991.00 1 0.00 4991 249.55
148 678319219 MOVVA HEMALAKSHMI DURGA 23/07/2018 836/25 Hly 07/2024 11744.00 1 264.00 12008 587.20
149 677081868 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 1191.00 1 0.00 1191 59.55
150 677081869 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 1130.00 1 0.00 1130 56.50
151 677081870 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 1079.00 1 0.00 1079 53.95
152 677081871 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 1027.00 1 0.00 1027 51.35
153 677081872 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 980.00 1 0.00 980 49.00
154 677081873 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 936.00 1 0.00 936 46.80

Page Total Premium : 219460 G S T : 2599 Estimated Comn : 10957.03

( Page No : 3 | 686 | LIC02927686 | 17196923045796 | Due Month 07/2024)
S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

155 677081874 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 895.00 1 0.00 895 44.75
156 677081875 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 857.00 1 0.00 857 42.85
157 677081876 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 822.00 1 0.00 822 41.10
158 677081877 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 790.00 1 0.00 790 39.50
159 677081878 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 760.00 1 0.00 760 38.00
160 677081879 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 731.00 1 0.00 731 36.55
161 677081880 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 705.00 1 0.00 705 35.25
162 677081881 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 680.00 1 0.00 680 34.00
163 677081882 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 657.00 1 0.00 657 32.85
164 677081883 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 635.00 1 0.00 635 31.75
165 677081884 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 615.00 1 0.00 615 30.75
166 677081885 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 596.00 1 0.00 596 29.80
167 677081886 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 579.00 1 0.00 579 28.95
168 677081887 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 561.00 1 0.00 561 28.05
169 677081888 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 546.00 1 0.00 546 27.30
170 677081889 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 532.00 1 0.00 532 26.60
171 677081890 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 519.00 1 0.00 519 25.95
172 677081891 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 506.00 1 0.00 506 25.30
173 677081892 PANDI JEEVARATNA KUMAR 24/10/2012 149/72 Qly 07/2024 495.00 1 0.00 495 24.75
174 677064813 ANNAM LAKSHMIVENKATA VARAPRASAD, 25/01/2012 179/20 Hly 07/2024 6680.00 1 0.00 6680 334.00
175 677054026 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 1006.00 1 0.00 1006 50.30
176 677054027 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 960.00 1 0.00 960 48.00
177 677054028 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 916.00 1 0.00 916 45.80
178 677054029 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 876.00 1 0.00 876 43.80
179 677054030 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 839.00 1 0.00 839 41.95
180 677054031 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 804.00 1 0.00 804 40.20
181 677054032 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 771.00 1 0.00 771 38.55
182 677054033 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 741.00 1 0.00 741 37.05
183 677054034 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 713.00 1 0.00 713 35.65
184 677054035 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 686.00 1 0.00 686 34.30
185 677054036 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 661.00 1 0.00 661 33.05
186 677054037 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 639.00 1 0.00 639 31.95
187 677054038 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 616.00 1 0.00 616 30.80
188 677054039 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 596.00 1 0.00 596 29.80
189 677054040 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 578.00 1 0.00 578 28.90
190 677054041 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 560.00 1 0.00 560 28.00
191 677054042 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 543.00 1 0.00 543 27.15
192 677054043 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 528.00 1 0.00 528 26.40
193 677054044 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 513.00 1 0.00 513 25.65
194 677054045 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 499.00 1 0.00 499 24.95
195 677054046 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 511.00 1 0.00 511 25.55
196 677054047 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 499.00 1 0.00 499 24.95
197 677054048 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 489.00 1 0.00 489 24.45
198 677054049 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 479.00 1 0.00 479 23.95
199 677054050 UPPALAPATI JAYACHAND 26/04/2011 149/75 Qly 07/2024 469.00 1 0.00 469 23.45
200 677057061 PEESA RAVI KUMAR 26/07/2011 179/20 Yly 07/2024 4769.00 1 0.00 4769 238.45
201 677057062 PERLA VENKATA TEJASAI 26/07/2011 179/20 Yly 07/2024 3623.00 1 0.00 3623 181.15
202 674640449 BUSHIRA BEGUM 27/07/2007 179/20 Qly 07/2024 1060.00 1 0.00 1060 53.00
203 677530506 MOHAMMED RAYAAN (LA) 27/07/2015 834/24 Qly 07/2024 2812.00 1 63.00 2875 140.60
204 677530507 MOHAMMED ZAINA FATIMA(LA) 27/07/2015 834/24 Qly 07/2024 2812.00 1 63.00 2875 140.60
205 678731811 VADAPARTHI RAMANA BABU 27/01/2020 843/10 Qly 07/2024 5884.00 1 132.00 6016 294.20
206 678731993 LINGAMBHOTLA V S R PHANEENDRA SARM 27/01/2020 845/66 Hly 07/2024 39648.00 1 892.00 40540 1982.40
207 678731995 LINGAMBHOTLA SRIANAVADYA(LA) 27/01/2020 834/23 Hly 07/2024 25683.00 1 578.00 26261 1284.15

Page Total Premium : 123672 G S T : 1728 Estimated Comn : 6097.2

( Page No : 4 | 686 | LIC02927686 | 17196923045796 | Due Month 07/2024)
S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

208 678731997 LINGAMBHOTLA SATYA SIVA SURENDRA 27/01/2020 815/25 Hly 07/2024 22314.00 1 502.00 22816 1115.70
209 668475606 SIRIVELLA GAYATRI 28/04/2022 915/20 Qly 07/2024 ST 3495.00 1 79.00 3574 262.13
210 672160748 CHUNDURU SRINIVAS 28/07/1999 122/27 Qly 07/2024 889.00 1 0.00 889 44.45
211 672705103 SRI SREERAM DURGA VENKATA PRASAD 28/01/2002 14/25 Hly 07/2024 1903.00 1 0.00 1903 95.15
212 673615707 SRI KANCHETI HARI KRISHNA 28/01/2002 121/25 Mly 07/2024 362.00 1 0.00 362 18.10
213 673828268 H KRISHNA K 28/03/2012 149/63 Mly 07/2024 1592.00 1 0.00 1592 79.60
214 674611313 MALLELA KALYANA SRINIVASACHAKRADHA 28/07/2006 14/20 Hly 07/2024 7645.00 1 0.00 7645 382.25
215 675687700 PANDI JEEVARATNA KUMAR 28/07/2008 179/20 Yly 07/2024 6942.00 1 0.00 6942 347.10

Page Total Premium : 45723 G S T : 581 Estimated Comn : 2344.48

Grand Total Premium : 747830 G S T : 8912 Estimated Comn : 37798.42

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

( Page No : 5 | 686 | LIC02957686 | 17196923045796 | Due : 7-2024 )