Sr.

No

Zone 523 North 575 North

Reporting Location Id User Chandigarh Chandigarh IN007388 IN012330

Process Date Receipt Date Rcpt_time 22/05/2012 19:27 22/05/2012 26/05/2012 16:00 26/05/2012

App No

Receipt Number 32584536 32584588

19:47 A46172346 16:35 A46866240

709 North

Chandigarh

IN026017

##########

8/6/2012

15:52 A45648329

34544758

753 North

Chandigarh

IN026017

14/06/2012 16:42 14/06/2012

16:53 A46866126

34544924

764 North

Chandigarh

IN056107

15/06/2012 15:52 15/06/2012

16:53 M4170297

27726146

798 North

Chandigarh

IN056107

20/06/2012 16:27 20/06/2012

17:06 A46717264

27726265

800 North

Chandigarh

IN026017

20/06/2012 16:55 20/06/2012

17:09 M4056915

27726267

801 North

Chandigarh

IN056107

20/06/2012 16:32 20/06/2012

17:08 A46717263

27726266

807 North Chandigarh IN056107 21/06/2012 16:08 21/06/2012 16:13 A46872503 27726288 869 North Chandigarh IN056107 26/06/2012 14:40 26/06/2012 16:35 A46174708 27726414 .

886 North Chandigarh IN007012 28/06/2012 13:27 28/06/2012 13:29 A46369371 34049128 .

897 North 898 North Chandigarh Chandigarh IN056107 IN026017 30/06/2012 11:09 30/06/2012 30/06/2012 21:34 30/06/2012 12:02 A46176254 22:01 A46839075 34545008 34545038 901 North 914 North Chandigarh Chandigarh IN020268 IN026017 30/06/2012 16:52 30/06/2012 30/06/2012 19:59 30/06/2012 16:59 A46866182 20:05 A46194218 30755277 34545036 .

918 North 932 North 936 North 940 North 941 North 949 North 951 North

Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh

IN026017 IN051634 IN008703 IN056107 IN052805 IN026017 IN026017

30/06/2012 16:59 30/06/2012 ########## ########## ########## ########## ########## ########## 5/7/2012 5/7/2012 5/7/2012 5/7/2012 6/7/2012 6/7/2012

17:14 A46872342 17:58 M4056839 17:23 A46374106 16:15 A46176151 16:05 A46862963 16:54 M4056918 17:06 A46390386

34545029 31476520 21813270 34545130 34545128 34545149 34545155

955 North 959 North 960 North 963 North 966 North

Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh

IN026017 IN018185 IN056107 IN018185 IN014013

########## ########## ########## ########## ##########

6/7/2012 7/7/2012 9/7/2012 NA 9/7/2012 10/7/2012

16:57 A46174775 14:04 A46855450 A46839203 12:52 A46855459 16:08 A46319816

34545150 19817494 19817499 32141463

969 North 970 North

Chandigarh Chandigarh

IN056107 IN026017

########## ##########

10/7/2012 10/7/2012

16:56 A46872597 17:06 A46866925

34545234 34545239

975 North 976 North 977 North 979 983 984 985 986 North North North North North

Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh

IN026017 IN007012 IN056107 IN056107 IN056107 IN033196 IN056107 IN033196

########## ########## ########## ########## ########## ########## ########## ##########

10/7/2012 11/7/2012 11/7/2012 11/7/2012 12/7/2012 12/7/2012 12/7/2012 12/7/2012

17:04 A46839013 11:33 M4065756 11:51 A46841840 11:47 16:42 16:08 17:12 16:05 A46872513 A46839046 A46440673 A46855401 A46457645

34545238 34049368 34545252 34545250 34545293 31926582 34545295 31926581

987 North 988 North 989 North 990 North 992 North 993 North 994 North 996 North 997 North 998 North 999 North 1000 North 1002 North 1003 North 1004 North 1005 North 1006 North 1007 North 1008 North 1009 North 1010 North 1 North Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh IN056107 IN033196 IN056107 IN026017 IN056107 IN026017 IN026017 IN026017 IN056107 IN026017 IN012330 IN026017 IN012330 IN019766 IN026017 IN026017 IN026017 IN026017 IN026017 IN026017 IN018185 IN012330 ########## ########## 12/7/2012 12/7/2012 16:10 A46872482 16:11 A46440672 14:08 A46174772 17:14 A45648039 NA 12:21 A46839051 A46866231 16:03 A46174773 17:25 A46096718 12:23 A46839043 17:24 A46118298 16:57 A46866220 16:06 A46170666 16:55 A46866205 12:29 A46250417 17:22 A46118297 15:59 A46390366 16:04 A46174771 14:11 A46174768 12:19 A46866919 16:46 A46194207 14:18 M4136318 17:24 A46866218 34545290 31926583 34545344 34545358 34545337 34545350 34545362 34545338 34545361 32585124 34545352 32585123 31736697 34545360 34545349 34545351 34545345 34545336 34545355 19817528 32585142 14/07/2012 12:04 14/07/2012 14/07/2012 17:05 14/07/2012 14/07/2012 12:03 14/07/2012 14/07/2012 00:00 14/07/2012 14/07/2012 15:15 14/07/2012 14/07/2012 16:52 14/07/2012 14/07/2012 11:50 14/07/2012 14/07/2012 17:01 14/07/2012 14/07/2012 16:05 14/07/2012 14/07/2012 15:22 14/07/2012 14/07/2012 15:59 14/07/2012 14/07/2012 11:52 14/07/2012 14/07/2012 16:57 14/07/2012 14/07/2012 15:29 14/07/2012 14/07/2012 15:06 14/07/2012 14/07/2012 12:06 14/07/2012 14/07/2012 12:05 14/07/2012 14/07/2012 16:34 14/07/2012 14/07/2012 14:16 14/07/2012 16/07/2012 17:19 16/07/2012 .

2 3 4 5 6 7 8 9 10 11 North North North North North North North North North North Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh IN026017 IN019766 IN056107 IN026017 IN026017 IN056107 IN018185 IN018185 IN056107 IN033196 16/07/2012 16:48 16/07/2012 16/07/2012 14:38 16/07/2012 16/07/2012 16:03 16/07/2012 16/07/2012 16:41 16/07/2012 16/07/2012 00:00 16/07/2012 16/07/2012 16:06 16/07/2012 16/07/2012 15:44 16/07/2012 16/07/2012 13:59 16/07/2012 16/07/2012 16:31 16/07/2012 16/07/2012 15:36 16/07/2012 17:01 16:01 16:16 16:57 NA 16:13 15:49 15:55 16:59 15:38 M4065878 A46910562 A46398890 A46839052 A46383646 A46398889 A46999559 A46999558 A46841856 A46457644 34545396 31736718 34545392 34545394 34545391 19817539 19817540 34545395 31926617 .

Client Name Owner Name Plan Premium Paying Term Benefit Term Premium Mode asic SumAssured B Enhanced SA.Sum Assured 20 15 20 Annual 81 Annual 1263000 385500 0 0 1263000 385500 MANISH PARMANAND PARMA NAND BSLI BACHAT PLAN Gurleen Kaur Surinder Singh Sethi BSLI Vision Plan BACHI RAM BACHI RAM BSLI BACHAT PLAN 13 38 Annual 102700 0 102700 .

MEGHNA SHARMA BHARDWAJ BACHAT PLAN USHA BSLI 20 20 Annual 147060 0 147060 JHANVI JOSHI PURSHOTTAM DUTT JOSHI BSLI Vision Plan 18 93 Annual 3537880 0 3537880 .

KIRAN GROVER KIRAN GROVER Classic Life BSLI 17 47 Annual 1555554 0 1555554 APARAM SINGH GURCHARANBSLI Vision Plan SINGH KHARA 20 90 Annual 591150 0 591150 KIRAN GROVER KIRAN GROVER BACHAT PLAN BSLI 20 20 Annual 2337960 0 2337960 .

VIKAS PARASHARLAL SHARMA Vision Plan RUP BSLI 18 61 Annual 1045000 0 1045000 SHASHI KUMAR SHASHI KUMAR BACHAT PLAN BSLI 20 20 Annual 252600 0 252600 .

DEVKI BHOJ RAJ BSLI Vision Plan 13 37 Annual 204000 0 204000 .

VIVEK K SINGH VIVEK K SINGH Protector Plus BSLI RITU SINGH SURINDER KAUR BACHAT PLAN BSLI 25 20 25 Annual 20 Annual 20000000 505200 0 0 20000000 505200 VINOD KUMARINOD KUMARSLI BACHAT PLAN V B GURSHARANGURSHARANBSLI BACHAT PLAN SINGH SINGH 20 20 20 Semi Annual 20 Annual 791760 1515600 0 0 791760 1515600 .

LAXMAN SINGH LAXMAN SINGH BACHAT PLAN BSLI PURUJIT VIJ KISHORE CHAND VIJ BSLI Vision Plan BHAG SINGHBHAG SINGHBSLI Vision Plan ANILA KATYLANILA KATYLBSLI Vision Plan AJAY JERYAL AJAY JERYAL BSLI Protector Plus APRAM SINGH URCHARANBSLI Vision Plan G SINGH KHARA MOHAN SINGH NACHHATTAR KAUR BSLI Vision Plan 20 18 11 10 30 20 18 20 Semi Annual 88 Annual 36 Annual 35 Annual 30 Annual 90 Annual 69 Annual 148500 419300 139000 326760 7500000 492625 1969770 0 0 0 0 0 0 0 148500 419300 139000 326760 7500000 492625 1969770 .

SATWANT KAUR RAMJIT SINGH RATTAN Plan BSLI Vision MANI RAM RANA RAM RANA Vision Plan MANI BSLI KETAN JERATH JAGAT MOHAN JERATH Plan BSLI Vision PRADEEP KUMAR SHARMA PRADEEP KUMAR Vision Plan BSLI SHARMA PUSHPA GUPTA PUSHPA GUPTA Vision Plan BSLI 13 10 20 15 11 39 Annual 59 Annual 72 Annual 42 Annual 36 Annual 1100000 310593 728770 416160 290621 0 0 0 0 0 1100000 310593 728770 416160 290621 .

AMRIT PAL SINGH PAL SINGHVision Plan AMRIT BSLI NAVNEET JASWANT SINGH Vision Plan BSLI 20 15 78 Annual 59 Annual 1127600 429500 0 0 1127600 429500 SATVIR SINGHHHAJA SINGH Vision Plan C BSLI NEEHARIKA CHAUHAN CHAUHAN NEEHARIKA BSLI BACHAT PLAN PARVEEN KUMAR PARVEEN KUMAR Vision Plan BSLI JATINDER SINGH GURSHARANBSLI BACHAT PLAN SINGH IMANDEEP SINGH INDERJIT KAUR BACHAT PLAN BSLI PREM LAL PREM LAL BSLI Bachat Child VARUN DHAWAN JAGDISH KUMAR DHAWAN PLAN BSLI BACHAT PREM LAL PREM LAL BSLI Bachat Child 15 20 15 20 20 20 20 20 78 Annual 20 Semi Annual 47 Annual 20 20 20 20 20 Annual Annual Annual Annual Annual 1925400 371160 235795 1868760 606240 432180 454680 432180 0 0 0 0 0 0 0 0 1925400 371160 235795 1868760 606240 432180 454680 432180 .

SURJIT SINGHURJIT SINGHSLI BACHAT PLAN S B PREM LAL PREM LAL BSLI Bachat Child SAMYUT SINGH MANGAT BSLI Vision Plan HARMOHINDER SINGH KUNAL VERMA KRISHAN CHAND BACHAT PLAN BSLI CIMIR SINGHMANJIT KAUR BAINS BSLI BACHAT PLAN REKHA DEVI KAMAL SINGH BSLI BACHAT PLAN SAMYUT SINGH MANGAT BSLI BACHAT PLAN HARMOHINDER SINGH RAJ RANI RAJ RANI BSLI BACHAT PLAN SUDEEP SAINI SURINDER KAUR BACHAT PLAN BSLI KRISHAN CHAND KRISHAN CHAND BACHAT PLAN BSLI JOGINDER PAUL JOGINDER PAUL Vision Plan BSLI ANILA KATYAL ANILA KATYAL BSLI Vision Plan JOGINDER PAUL JOGINDER PAUL Vision Plan BSLI TEJPAL SINGH TEJPAL SINGH BSLI Vision Plan SAVEENA VERMA KRISHAN CHAND BACHAT PLAN BSLI VINOD KUMAR MITTAL VINOD KUMAR MITTAL BSLI BACHAT PLAN NAUNIDH SINGH HARMOHINDER SINGH BSLI BACHAT PLAN NAUNIDH SINGH HARMOHINDER SINGH Plan BSLI Vision AMARJOT MOKHA DAVINDER SINGH Vision Plan BSLI VISHAL SHARMA YOGESHWAR SHARMA BSLI BACHAT PLAN HARDIK THAKUR LAL BSLI BACHAT PLAN ROOP LOVENISH KHANNA CHAND KHANNA KISHAN BSLI Vision Plan 20 20 15 20 20 20 20 20 20 20 20 10 20 15 20 20 20 15 15 20 20 20 20 Annual 20 Annual 73 Annual 20 Annual 20 Annual 20 Annual 20 Annual 20 Annual 20 Annual 20 Monthly 53 Semi Annual 35 Annual 53 Semi Annual 53 Annual 20 Annual 20 Annual 20 Annual 81 Annual 66 Annual 20 Annual 20 Annual 59 Annual 378900 432180 1640000 1515600 318240 807000 1894500 505200 1515600 505200 233000 162320 233000 325416 2997000 126300 1894500 1676300 286940 385920 454680 163500 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 378900 432180 1640000 1515600 318240 807000 1894500 505200 1515600 505200 233000 162320 233000 325416 2997000 126300 1894500 1676300 286940 385920 454680 163500 .

SHIVANSH BANSAL CHAND AGGARWAL PLAN PREM BSLI BACHAT PREETI JAIN PREETI JAIN BSLI BACHAT PLAN MAJOR AMRINDER SINGH BSLI Vision Plan RATTANJIT SINGH PUNEET DHILLON RAGHBIR SINGH DHILLON PLAN BSLI BACHAT NEHA YADAVVIJAI SINGH YADAV BSLI BACHAT PLAN MAJOR AMRINDER SINGH BSLI Vision Plan RATTANJIT SINGH NARVADA DEVI KRISHAN LAL VERMA Plan BSLI Vision KRISHAN LAL VERMA LAL VERMA Plan KRISHAN BSLI Vision JATINDER MOHAN SINGH BSLI Vision Plan DEVINDER SINGH HARMEET SINGH VIRDI SINGH VIRDI Plan HARMEET BSLI Vision 20 20 18 20 20 18 15 15 15 15 20 20 66 20 20 66 51 46 60 63 Semi Annual Annual Annual Annual Annual Annual Annual Annual Annual Annual 371160 252600 4639750 1010400 318600 2319870 343535 1076340 452350 494400 0 0 0 0 0 0 0 0 0 0 371160 252600 4639750 1010400 318600 2319870 343535 1076340 452350 494400 .

Enhanced SA Rider Prem. Adjusted Annual Premium 121248 28988 0 0 0 0 121248 28988 126300 28988 0 0 0 0 126300 28988 126300 28988 11517. premium Modal Modal Prem. Modal Basic Prem.12 0 0 11517. Annual Premium Prem. Enhanced SA Rider Prem.Modal Basic Prem.12 11997 0 0 11997 11997 .

88 0 0 9314.88 9703 0 0 9703 9703 199991 0 0 199991 199991 0 0 199991 199991 .9314.

222222 0 0 222222 222222 0 0 222222 222222 30000 0 0 30000 30000 0 0 30000 30000 444248.64 462759 0 0 462759 462759 .64 0 0 444248.

08 49998 0 0 49998 49998 .08 0 0 47998.69992 0 0 69992 69992 0 0 69992 69992 47998.

25000 0 0 25000 25000 0 0 25000 25000 .

16 0 0 0 0 38796.08 45674 49998 0 0 0 0 45674 49998 45674 49998 38796.08 0 0 0 0 45674 47998.24 95996.16 79176 99996 0 0 0 0 79176 99996 79176 99996 .24 95996.45674 47998.

4851 25002 19700 49999 30618 25000 124998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4851 25002 19700 49999 30618 25000 124998 9900 25002 19700 49999 30618 25000 124998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9900 25002 19700 49999 30618 25000 124998 9900 25002 19700 49999 30618 25000 124998 .

124488 40000 39877 40000 40000 0 0 0 0 0 0 0 0 0 0 124488 40000 39877 40000 40000 124488 40000 39877 40000 40000 0 0 0 0 0 0 0 0 0 0 124488 40000 39877 40000 40000 124488 40000 39877 40000 40000 .

52 28799.04 27659.08 27659.52 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144497 12250 21900 118364.16 38398.16 38398.08 27659.52 28799.59998 34995 0 0 0 0 59998 34995 59998 34995 0 0 0 0 59998 34995 59998 34995 144497 12250 21900 118364.04 27659.52 144497 25000 21900 123296 39998 28812 29999 28812 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 144497 25000 21900 123296 39998 28812 29999 28812 144497 25000 21900 123296 39998 28812 29999 28812 .

16 20157.04 119995.16 95996.16 20157.04 9998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 23999.04 119995.2 124998 22900 12476.2 95996.6 23999.16 28799.52 124997 95996.2 124998 22900 12476.2 95996.96667 7493 25000 7493 30000 189825.52 124997 95996.04 9998 24999 28812 124997 99996 20997 79866 124995 99996 99996 99996 14986 25000 14986 30000 197735 24999 124995 124998 22900 12996 29999 9998 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24999 28812 124997 99996 20997 79866 124995 99996 99996 99996 14986 25000 14986 30000 197735 24999 124995 124998 22900 12996 29999 9998 24999 28812 124997 99996 20997 79866 124995 99996 99996 99996 14986 25000 14986 30000 197735 24999 124995 124998 22900 12996 29999 9998 .6 23999.16 8332.23999.12 76671.04 27659.16 95996.36 119995.04 27659.12 76671.16 8332.36 119995.16 28799.96667 7493 25000 7493 30000 189825.

2 149999 30000 100000 37399 40001 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 12124.12124.56 48000 299998 95996.16 20179.16 20179.56 48000 299998 95996.2 149999 30000 100000 37399 40001 24744 50000 299998 99996 21020 149999 30000 100000 37399 40001 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24744 50000 299998 99996 21020 149999 30000 100000 37399 40001 24744 50000 299998 99996 21020 149999 30000 100000 37399 40001 .

Z00000 BROKER 1639 Snowtex Investment Ltd ALTERNATE.Agent Code Agent Name Agent Information LG CodeTPD LG Name TPD TPD Branch Code Branch Name TPD Customer ID Unit MGR Code No Sales Person Z00000 No Sales Person Z00000 No Sales Person No Sales Person 0 IO4918 0 IO4918 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.Z00000 BROKER 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.SNO016 CORPORATE Ratri Raha Roy 00000 Z No Sales Person Z00000 IO6541 .

SNO016 CORPORATE Ratri Raha Roy 00000 Z No Sales Person Z00000 IO6541 .Borivali Aditya Birla Money Insurance Advisory Se BSM280 IO3096 1639 Snowtex Investment Ltd ALTERNATE.1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Mumbai .

SIP004 BROKER Neha Pruthi Z00000 No Sales Person Z00000 IO3928 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3928 .BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Mumbai .1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3928 2440 Sridhar Insurance Brokers Pvt Ltd ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Mumbai .

SNO016 CORPORATE Ratri Raha Roy 00000 Z No Sales Person Z00000 IO6541 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Mumbai .1639 Snowtex Investment Ltd ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO6414 .

1639 Snowtex Investment Ltd ALTERNATE. .Z00000 CORPORATE Sales Person No DSW008 Panipat Snowtex InvestmentIO6895 Z00000 Ltd.

BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Mumbai .Z00000 BROKER No Sales Person Z00000 No Sales Person Z00000 IO6414 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 2504 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.Z00000 BROKER No Sales Person Z00000 No Sales Person WC0647 No Sales Person Z00000 IO6933 IO6775 .2456 NJ Insurance Brokers Pvt Ltd ALTERNATE.

Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO2124 .BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 2504 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person Mumbai .SNO016 CORPORATE Ratri Raha Roy 00000 Z 2504 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person 2440 Sridhar Insurance Brokers Pvt Ltd ALTERNATE.1639 Snowtex Investment Ltd ALTERNATE.SIP004 BROKER Haider Aqeel Z00000 No Sales Person Z00000 Neha Pruthi Z00000 No Sales Person Z00000 No Sales Person WC0649 No Sales Person No Sales Person Z00000 No Sales Person Z000000 No Sales Person Z000000 IO3928 IO7517 IO1785 IO2124 IO3928 IO6775 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.SIP003 BROKER 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.Z00000 BROKER 2440 Sridhar Insurance Brokers Pvt Ltd ALTERNATE.

IO6852 Mumbai .SNO001 CORPORATE SOMNATH MODAK DSW074 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406144 IO6414 Delhi D2C Snowtex Investment Ltd. IO6852 No Sales Person AB0111 IO6895 .SNO001 CORPORATE SOMNATH MODAK DSW074 2504 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person No Sales Person Z000000 IO2124 Delhi D2C Snowtex Investment Ltd.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 1639 Snowtex Investment Ltd ALTERNATE.Z00000 BROKER No Sales Person Z00000 1639 Snowtex Investment Ltd ALTERNATE.1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.

Z00000 BROKER No Sales Person Z00000 Mumbai .Z00000 BROKER No Sales Person Z00000 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Z00000 BROKER 1922 1016 1639 1016 1639 No Sales Person Z00000 Endeavour Insurance Broking Pvt Ltd ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Snowtex Investment Ltd ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406144 IO6414 No Sales Person Z00000 IO6414 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.Z00000 CORPORATE Sales Person No DSW074 No Sales Person Z00000 No Sales Person WC0685 No Sales Person Z000000 IO6414 IO6894 IO6414 No Sales Person Z00000 IO6414 Mumbai .Z00000 BROKER No Sales Person Z00000 2504 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE. SNO001 IO7517 .BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Snowtex Investment Ltd ALTERNATE.1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE. SN0001 IO7517 Mumbai .BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.Z00000 CORPORATE Sales Person No DSW074 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 Delhi D2C Snowtex Investment Ltd.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 Delhi D2C Snowtex Investment Ltd.

BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 1639 Snowtex Investment Ltd ALTERNATE.1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.SNO016 CORPORATE Ratri Raha Roy 00000 Z 2452 Netambit Insurance Broking Z00000 ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 NetAmbit Insurance Patiala Netambit Insurance Broking India Ltd Z00000 IO4918 No Sales Person Z00000 No Sales Person Z00000 No Sales Person Z000000 No Sales Person Z00000 No Sales Person Z00000 No Sales Person Z000000 No Sales Person Z00000 No Sales Person Z00000 No Sales Person Z00000 No Sales Person Z00000 IO2124 IO6541 IO6541 IO2124 IO6128 IO6541 IO6775 IO2124 IO2124 IO2124 Mumbai .Z00000 CORPORATE Sales Person No DSW074 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 1639 Snowtex Investment Ltd ALTERNATE.Z00000 BROKER No Sales Person Z00000 No Sales Person Z00000 No Sales Person Z00000 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.SNO001 CORPORATE SOMNATH MODAK DSW074 2452 Netambit Insurance Broking Z00000 ALTERNATE.SNO016 CORPORATE Ratri Raha Roy 00000 Z 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406144 IO6414 Delhi D2C Snowtex Investment Ltd.India Ltd BROKER 2469 Uniwealth Insurance BrokersUIB003 ALTERNATE.Z00000 BROKER No Sales Person Z00000 1639 Snowtex Investment Ltd ALTERNATE.Z00000 BROKER No Sales Person Z00000 1639 Snowtex Investment Ltd ALTERNATE. SN0001 IO6069 No Sales Person Z00000 No Sales Person Z000000 IO2124 IO6541 Mumbai .Borivali Aditya Birla Money Insurance Advisory Se 7405913 IO3928 Delhi D2C Snowtex Investment Ltd.Z00000 BROKER 2452 Netambit Insurance Broking Z00000 ALTERNATE.Z00000 BROKER 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.India Ltd BROKER 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 2452 Netambit Insurance Broking Z00000 ALTERNATE.SNO016 CORPORATE Ratri Raha Roy 00000 Z 1016 Aditya Birla Money InsuranceCORPORATE ALTERNATE.SNO016 CORPORATE Ratri Raha Roy 00000 Z 2504 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.BROKER Pvt Ltd No Sales Person NAN021 No Sales Person Z00000 No Sales Person NAN021 Lokesh Rai Z00000 Mumbai .India Ltd BROKER No Sales Person NAN021 Mumbai .BSM143 Services Limited ABM002 Advisory Priyanka Bhalla 1639 Snowtex Investment Ltd ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 NetAmbit Insurance Patiala Netambit Insurance Broking India Ltd BN352612 IO4918 NetAmbit Insurance Patiala Netambit Insurance Broking India Ltd BN471632 IO4918 1639 Snowtex Investment Ltd ALTERNATE. IO6852 NetAmbit Insurance Patiala Netambit Insurance Broking India Ltd BN20NA980156 IO4918 .Z00000 BROKER 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.India Ltd BROKER No Sales Person NAN021 1922 Endeavour Insurance Broking Pvt Ltd ALTERNATE.

Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 No Sales Person Z00000 IO6775 Delhi D2C Snowtex Investment Ltd. IO6852 No Sales Person Z00000 IO2124 Delhi D2C Snowtex Investment Ltd. IO6852 Delhi D2C Snowtex Investment Ltd.SNO001 CORPORATE SOMNATH MODAK DSW074 Snowtex Investment Ltd ALTERNATE.2504 2452 2504 1016 1016 2504 1639 1639 1922 1639 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person Netambit Insurance Broking Z00000 ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Aditya Birla Money InsuranceCORPORATE ALTERNATE. SN0001 IO6069 .SNO001 CORPORATE SOMNATH MODAK DSW074 Endeavour Insurance Broking Pvt Ltd ALTERNATE.Borivali Aditya Birla Money Insurance Advisory Se 7406327 IO3096 Mumbai .Z00000 CORPORATE Sales Person No DSW074 No Sales Person Z00000 IO6775 NetAmbit Insurance Karnal Netambit Insurance Broking India Ltd Z00000 IO6128 No Sales Person Z00000 IO6775 Mumbai .Z00000 BROKER No Sales Person Z00000 Snowtex Investment Ltd ALTERNATE.India Ltd BROKER No Sales Person NAN008 Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person Aditya Birla Money InsuranceCORPORATE ALTERNATE.BSM143 Services Limited ABM002 Advisory Priyanka Bhalla Ganapati Enterprises ALTERNATE-DISTANCE MARKETING Z00000 Z00000 No Sales Person Snowtex Investment Ltd ALTERNATE.

Unit MGR Name Sales MGR Code MGR Name Sales MGR Code MGR Name MGR Code Name Sales Area Area Sales Zonal Sales ZSM_RH Receipting Location Application Status (RWS) Gaurav Kumar Z40153 Gaurav Kumar Z40153 Punit Sharma Z05175 Punit Sharma Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaPATIALA Vikas SharmaPATIALA RECEIPT ISSUED RECEIPT ISSUED Vinod Kumar Thakur Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED .

Ankush Dhir Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vinod Kumar Thakur Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED .

Rajesh Bansal Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Rajesh Bansal Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Rajesh Bansal Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED .

Vinod Kumar Thakur Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Sanjeev Kumar Z40153 Punit Sharma Z05175 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED .

Nikhil Garg Z09506 Vikas SharmaZ05175 Mudit Kapur Z05211 Vikas SharmaPANIPAT RECEIPT ISSUED .

Sanjeev Kumar Z40153 Ankush Dhir Z40153 Punit Sharma Z05175 Punit Sharma Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Parveen Kumar Z09506 Ramesh Thakur Z40153 Vikas SharmaZ05175 Punit Sharma Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaYAMUNANAGAR RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED .

Rajesh Bansal Z40153 Hitesh Kumar Z14952 Purnima Chaudhary Z09506 Puneet Uppal Z40153 Puneet Uppal Z40153 Rajesh Bansal Z40153 Ramesh Thakur Z40153 Punit Sharma Z05175 Prafull Dhayani Z05175 Vikas SharmaZ05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaSOLAN Vikas SharmaAMBALA RECEIPT ISSUED RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED .

Puneet Uppal Z40153 Sampuran Singh Z14952 Sanjeev Kumar Z40153 Sampuran Singh Z14952 Nikhil Garg Z09506 Punit Sharma Z05175 Prafull Dhayani Z05175 Punit Sharma Z05175 Prafull Dhayani Z05175 Vikas SharmaZ05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaMANDI RECEIPT ISSUED Vikas SharmaChandigarh1 TRANSFER Vikas SharmaMANDI Vikas SharmaKARNAL RECEIPT ISSUED RECEIPT ISSUED .

Sanjeev Kumar Z40153 Sanjeev Kumar Z40153 Punit Sharma Z05175 Punit Sharma Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Sanjeev Kumar Z40153 Priyash GuptaZ09506 Sanjeev Kumar Z40153 Sanjeev Kumar Z40153 Ankush Dhir Z40153 Hitesh Kumar Z14952 Ankush Dhir Z40153 Hitesh Kumar Z14952 Punit Sharma Z05175 Vikas SharmaZ05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Prafull Dhayani Z05175 Punit Sharma Z05175 Prafull Dhayani Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Z05211 Z05211 Z05211 Z05211 Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaPANIPAT RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 Vikas SharmaChandigarh1 Vikas SharmaSHIMLA Vikas SharmaChandigarh1 Vikas SharmaSHIMLA RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED .

Rajesh Bansal Z40153 Kumar Raj Z14952 Puneet Uppal Z40153 Vinod Kumar Thakur Z40153 Ankush Dhir Z40153 Gaurav Kumar Z40153 Puneet Uppal Z40153 Vinod Kumar Thakur Z40153 Ankush Dhir Z40153 Vinod Kumar Thakur Z40153 Gaurav Kumar Z40153 Puneet Uppal Z40153 Gaurav Kumar Z40153 Kumar Naveen Z09506 Vinod Kumar Thakur Z40153 Ramesh Thakur Z40153 Puneet Uppal Z40153 Puneet Uppal Z40153 Puneet Uppal Z40153 Sanjeev Kumar Z40153 Sampuran Singh Z14952 Gaurav Kumar Z40153 Punit Sharma Z05175 Prafull Dhayani Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Vikas SharmaZ05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Prafull Dhayani Z05175 Punit Sharma Z05175 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Mudit Kapur Z05211 Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaSHIMLA RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 TRANSFER Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaPATIALA Vikas SharmaPATIALA Vikas SharmaSONIPAT RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaChandigarh1 RECEIPT ISSUED Vikas SharmaMANDI Vikas SharmaPATIALA RECEIPT ISSUED RECEIPT ISSUED .

Ramesh Thakur Z40153 Kumar Naveen Z09506 Ramesh Thakur Z40153 Ankush Dhir Z40153 Ankush Dhir Z40153 Ramesh Thakur Z40153 Sampuran Singh Z14952 Sampuran Singh Z14952 Puneet Uppal Z40153 Kumar Raj Z14952 Punit Sharma Z05175 Vikas SharmaZ05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Punit Sharma Z05175 Prafull Dhayani Z05175 Prafull Dhayani Z05175 Punit Sharma Z05175 Prafull Dhayani Z05175 Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Mudit Kapur Z05211 Z05211 Z05211 Z05211 Z05211 Z05211 Z05211 Z05211 Z05211 Z05211 Vikas SharmaChandigarh1 Vikas SharmaSONIPAT Vikas SharmaChandigarh1 Vikas SharmaChandigarh1 Vikas SharmaChandigarh1 Vikas SharmaChandigarh1 Vikas SharmaMANDI Vikas SharmaMANDI Vikas SharmaChandigarh1 Vikas SharmaSHIMLA RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED TRANSFER RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED .

2881. Policy Status (Ingenium) Issue Date RequirementsMonth DMFlag Tele Caller Code Verifier Code New CA Reference 5590128 Pending 5595208 Pending PIVC PIVC May May 5612457 Pending Consent letter and extra premium ACCEPT LIFE AT 27.09 %] DULY SIGNED BY LI June . 87/A [ INCLUSI VE OF SERVICE TAX I.22/10 00 IN VIEW OF PERSON AL MEDICAL HISTORY WITH EXACT EXTRA RS.Policy No.E3.

HENCE SELF DECLAR ATION NOT ACCEPTE D. WE REQUIRE ADDRES S PROOF AS THE SAME IS NOT SUBMITT ED WITH THE APPLICA TION June FJ STATING PARENT'S SOURCE OF INCOME . REQUIRE STD AGE PROOF. June 7406327 5622805 Pending .LIABILITIES & NEED FOR HIGH COVER.ASSETS .5620398 Pending LIFE ASSURE D IS POST GRAD.ACTUAL INCOME .

5628631 Pending 5628711 Pending 5628630 Pending Consent letter and extra premium ACCEPT LIFE AT 7.59/M IN V/O TMT FINDING S& CHARGE EXTRA RS.55 7.43/M IN V/O TMT FINDING S& CHARGE EXTRA RS11.09% SERVICE TAX June BSM280 BSM280 .77/YR June special report from Rel MGR/Bra nch Head Consent June letter and extra premium ACCEPT LIFE AT 8.2070 3.64/YR INCLUDI NG 3.

HBA1C .5630289 Pending Income Proof RECENT YEAR ITR /SALARY SLIPS .SPECIM EN SIGNATU RE IN DIFFERE NT STYLES June Diabetes Question naire.FB S.FMR IN V/O PREVIOU S POLICY MEDICAL FINDING S June 5639297 Pending .

as there is mismatc h in the details of sum assured mention ed in applicati on and illustrati on..Fres h Illustrati on along with client consent letter required. as there is June .5641229 Pending Fresh Illustrati on along with client consent letter required.

KYC Income Proof June ZT1133 ZV0016 .PROF IT SHARIN G SCHEDU LE OF M/S ALL KIND HEALTH CARE SHOWIN G ASSURE DS PERCENT AGE SHARE June June BSM280 5647812 Pending 5648558 Pending C/F CLARIFI CATION FOR TWO DIFF PAN NOS MENTIO NED ON ITRS SUBMITT ED DULY SIGNED BY CLIENT June PIVC.5647166 Pending 5648910 Pending INDIVID UAL ITR WITH COMPUT ATION OF INCOME SHEET OF LIFE INSURE D (DULY SIGNED) FOR AY 1213.

5647486 5659465 5659112 5657955 5659741 5660717 5660426 Pending Pending Pending Pending Pending Pending Pending Recd REQUIRE SPECIME N SIGNATU RE IN ALL FORMS IN V/O SIGNATU RE MISMAT CH ON APPLICA TION AND TRF.ACCEPT LIFE AT July BSM280 special report from Rel MGR/Branch Head July KYC Income Proof ZT0723 July ZV0016 .Financial justication endorsed by RM .FIQ.ECG.FMR July Income Proof required. POLICY WILL BE RATED UP FOR OCCUPA June No Obejection Certifcate from Parents July FMR July BSL11.CBC.

PROOF OF DOCUME NTARY EVIDENC E OF EXISTIN G COVER OF THE INSURE D'S July Credit Pending FMR IN V/O APPLICATION INFORMATION July July 5663033 Pending 5663768 Pending 5665126 Pending Recd KYC Income Proof.CBC.ECG.BSL11.ECG.5660394 Pending 5662329 Pending PIVC.COPY OF THE BANK STATEM ENT FOR THE PAST 6 MONTHS . AND THE RENTAL INCOME OF THE LIFE ASSURE D.FMR July BSL11.CBC.PR OOF OF PENSION INCOME OF THE SPOUSE.FMR July ZT1133 ZV0016 .

KY C Income Proof July July July 5666493 Pending 5666504 Pending 5667704 5667863 5667708 5667865 Pending Pending Pending Pending FMR-Full Medical Report July PIVC.5664963 Pending 5664961 Pending REQUIRE PROOF OF RENTAL INCOME OF LI.REQUI RE DETAILS OF PARENTS INSURA NCE AND INCOME DETAILS July PIVC BSD383 5664664 Pending 5666211 Pending PIVC.KYC Income Proof July PIVC July PIVC July PIVC.special report from Rel MGR/Branch Head July PIVC July BSM280 BSM280 .

5667713 Pending 5667862 Pending KYC Identific ation Proof. July PIVC PIVC PIVC PIVC July July July July July July PIVC PIVC Credit Pending Credit Pending PIVC PIVC PIVC PIVC PIVC PIVC PIVC July July July July July July July July July July July July July July ZT0727 ZV0069 BSL11.CBC.ECG.OR IGINAL CANCELL ED CHEQUE REQUIRE D AS NOT SUBMITT ED WITH THE MANDAT E FORM .FMR July BSD383 5671046 Pending 5671030 Pending 5671162 Pending 5671546 Pending BSM280 5671047 5671036 5671527 5671038 5671543 5671042 5671539 5672331 5671037 5671061 5671045 5671044 5671551 5671049 5671613 RECEIPT ISSUED Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending BSM280 BSD383 .ORIGIN AL MANDAT E FORM REQUIRE D AS NOT SUBMITT ED WITH THE APPLICA TION FORM.

RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED RECEIPT ISSUED Pending Pending Pending Pending Pending Pending Pending Pending Pending Pending July July July July July July July July July July ZT1243 ZT0727 ZV0068 ZV0069 BSM280 ZT0727 ZV0069 .

New CA Reference .