3-Jan-09

STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008

Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000275770 ICC Name : SURESH THAKORBHAI PARMAR ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP

0116323311 DAVIBEN BHAGUBHAI PATEL 50000 0 01 0 25000 0 2500 NEW UNITGAIN PLUS - SP 31/12/2008 31/12/2008 2500
ICC Total: 0 25000 0 2500 2500
ICC Code : 1000580234 ICC Name : HARDIK J MEHTA ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/12/2008 02/01/2008 1000

0104305205 HARDIK J MEHTA 100000 3 1 1884 0 0 1884 FAMILY_CAREFIRST 28/07/2008 28/07/2008 1884

0109599383 MUKESH ANSUKHBHAI GHETIYA 600000 20 1 50000 0 0 50000 UNITGAIN PLUS GOLD SIZE ONE 30/09/2008 30/09/2008 50000

0113159500 BHUMIKA D DESAI 200000 20 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 12/11/2008 10/11/2008 10000

0066304273 VIJAY M NAIKAR 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 19/08/2008 14/09/2007 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 13/06/2008 02/01/2008 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/07/2008 02/01/2008 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/10/2008 02/01/2008 1000

0096638774 HARDIK J MEHTA 100000 0 01 0 10000 0 1000 NEW UNITGAIN PLUS - SP 11/04/2008 11/04/2008 1000

0114501052 ALPESH D SARVAIYA 125000 0 01 0 25000 0 2500 CAPITAL SHIELD SINGLE SIZE1 04/12/2008 28/11/2008 2500

0116030360 JAYESH HARIBHAI SHROFF 125000 0 01 0 25000 0 2500 CAPITAL SHIELD SINGLE SIZE1 23/12/2008 23/12/2008 2500

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/05/2008 02/01/2008 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/11/2008 02/01/2008 1000

0066304273 VIJAY M NAIKAR 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 16/07/2008 14/09/2007 1000

0104029818 MAHESHBHAI N DESAI 0 10 2 3000 0 0 6000 FUTURE SECURE SIZE 1 05/08/2008 24/07/2008 3000

0113159500 BHUMIKA D DESAI 200000 20 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 10/11/2008 10/11/2008 10000

0066304273 VIJAY M NAIKAR 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 22/04/2008 14/09/2007 1000

0095429286 HARDIK J MEHTA 250000 0 01 0 25000 0 25000 NEW UNITGAIN PLUS - SP 09/04/2008 31/03/2008 25000

Please Note: Page 1 of 7

1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000580234 ICC Name : HARDIK J MEHTA ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0102272618 KRUNALKUMAR M DESAI 300000 16 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 02/07/2008 02/07/2008 10000

0104312997 LAJJA HARDIK DESAI 100000 3 1 1346 0 0 1346 FAMILY_CAREFIRST 28/07/2008 28/07/2008 1346

0066304273 VIJAY M NAIKAR 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 16/05/2008 14/09/2007 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/09/2008 02/01/2008 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/04/2008 02/01/2008 1000

0114501052 ALPESH D SARVAIYA 125000 0 01 0 25000 0 2500 CAPITAL SHIELD SINGLE SIZE1 28/11/2008 28/11/2008 2500

0066304273 VIJAY M NAIKAR 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 17/06/2008 14/09/2007 1000

0072946196 LAJJA HARDIK MEHTA 240000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/08/2008 02/01/2008 1000

0099085342 KRUNALKUMAR M DESAI 200000 0 01 0 40000 0 4000 NEW UNITGAIN PLUS - SP 20/05/2008 20/05/2008 4000
ICC Total: 86230 150000 14000 294730 137730
ICC Code : 1000580401 ICC Name : ANKUR AJITKUMAR DESAI ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0113424324 BHUMIKA D DESAI 11000 0 01 0 10000 0 1000 NEW UNITGAIN PLUS - SP 17/11/2008 14/11/2008 1000

0113424324 BHUMIKA D DESAI 11000 0 01 0 10000 0 1000 NEW UNITGAIN PLUS - SP 14/11/2008 14/11/2008 1000

0106899525 HARDIKKUMAR R DESAI 500000 20 1 50000 0 0 50000 FORTUNE PLUS SIZE ONE 29/08/2008 29/08/2008 50000

0104306917 ANKUR AJITKUMAR DESAI 100000 3 1 1346 0 0 1346 FAMILY_CAREFIRST 28/07/2008 28/07/2008 1346

0106899525 HARDIKKUMAR R DESAI 500000 20 1 50000 0 0 50000 FORTUNE PLUS SIZE ONE 24/09/2008 29/08/2008 50000
ICC Total: 101346 20000 0 103346 103346
ICC Code : 1000263967 ICC Name : PRITAM CHAMPALAL SHAH ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0069323213 ARVIND BHAI SUKHA BHAI NAYA 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 15/04/2008 05/10/2007 1000

Please Note: Page 2 of 7

1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000263967 ICC Name : PRITAM CHAMPALAL SHAH ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 29/04/2008 30/11/2007 1000

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 26/08/2008 21/01/2008 1500

0085454960 DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 14/08/2008 17/03/2008 1000

0085454960 DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 14/11/2008 17/03/2008 1000

0087202676 SUBHASBHAI BHIKHABHAI CHAU 360000 25 12 0 0 1500 18000 NEW UNITGAIN 20/05/2008 18/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 19/09/2008 18/02/2008 1500

0069308907 IQBAL MUSTAFA SHAIKH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 27/06/2008 26/09/2007 1000

0069308907 IQBAL MUSTAFA SHAIKH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 29/07/2008 26/09/2007 1000

0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 05/05/2008 05/10/2007 1000

0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 29/05/2008 30/11/2007 1000

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 15/04/2008 07/02/2008 1500

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 14/10/2008 07/02/2008 1500

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 22/12/2008 21/01/2008 1500

0085454960 DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 14/05/2008 17/03/2008 1000
0085454960DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 15/09/2008 17/03/2008 1000
0085454960DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 14/10/2008 17/03/2008 1000
0085992884JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 28/11/2008 12/02/2008 1500
0087202676SUBHASBHAI BHIKHABHAI C 360000 25 12 0 0 1500 18000 NEW UNITGAIN 19/06/2008 18/02/2008 1500
0087202676SUBHASBHAI BHIKHABHAI C 360000 25 12 0 0 1500 18000 NEW UNITGAIN 19/11/2008 18/02/2008 1500
0087198285KAUSHLESHKUMAR D MISHR 540000 25 12 0 0 1500 18000 NEW UNITGAIN 21/07/2008 18/02/2008 1500
0087201507SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 19/09/2008 18/02/2008 1500
0087201507SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 19/11/2008 18/02/2008 1500
0106469116DINABEN P DALAL 240000 20 12 0 0 1000 12000 NEW UNITGAIN 24/12/2008 26/08/2008 1000
Please Note: Page 3 of 7

1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000263967 ICC Name : PRITAM CHAMPALAL SHAH ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
 Assured Later Premium Date Date 10%SP
0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 30/12/2008 12/02/2008 1500

0087202676 SUBHASBHAI BHIKHABHAI CHAU 360000 25 12 0 0 1500 18000 NEW UNITGAIN 21/07/2008 18/02/2008 1500

0087202676 SUBHASBHAI BHIKHABHAI CHAU 360000 25 12 0 0 1500 18000 NEW UNITGAIN 19/08/2008 18/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 22/04/2008 18/02/2008 1500

0087201507 SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 20/05/2008 18/02/2008 1500

0069308907 IQBAL MUSTAFA SHAIKH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 29/04/2008 26/09/2007 1000

0110277001 DIVYESH PADYUMAN BHATT 475000 3 1 -95000 0 0 95000 CENTURY PLUS 08/10/2008 07/10/2008 -95000

0112942714 KRUNALKUMAR M DESAI 100000 3 1 1346 0 0 1346 FAMILY_CAREFIRST 06/11/2008 06/11/2008 1346

0069323213 ARVIND BHAI SUKHA BHAI NAYA 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 14/05/2008 05/10/2007 1000

0069323213 ARVIND BHAI SUKHA BHAI NAYA 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 13/06/2008 05/10/2007 1000

0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 30/06/2008 30/11/2007 1000

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 22/04/2008 21/01/2008 1500

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 23/09/2008 21/01/2008 1500

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 22/10/2008 21/01/2008 1500

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 21/11/2008 21/01/2008 1500

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 29/07/2008 12/02/2008 1500

0087202676 SUBHASBHAI BHIKHABHAI CHAU 360000 25 12 0 0 1500 18000 NEW UNITGAIN 19/09/2008 18/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 19/08/2008 18/02/2008 1500

0106469116 DINABEN P DALAL 240000 20 12 0 0 1000 12000 NEW UNITGAIN 24/09/2008 26/08/2008 1000

0106469116 DINABEN P DALAL 240000 20 12 0 0 1000 12000 NEW UNITGAIN 30/10/2008 26/08/2008 1000

0110277001 DIVYESH PADYUMAN BHATT 475000 3 1 95000 0 0 95000 CENTURY PLUS 07/10/2008 07/10/2008 95000

0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 05/09/2008 05/10/2007 1000

0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 -1000 12000 CAPITAL UNIT GAIN SIZE ONE 07/10/2008 05/10/2007 -1000
Please Note: Page 4 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000263967 ICC Name : PRITAM CHAMPALAL SHAH ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 07/07/2008 05/10/2007 1000
0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 -1000 12000 CAPITAL UNIT GAIN SIZE ONE 07/10/2008 05/10/2007 -1000

0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 29/07/2008 30/11/2007 1000

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 13/06/2008 07/02/2008 1500

0085454960 DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 13/06/2008 17/03/2008 1000

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 26/05/2008 12/02/2008 1500

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 26/08/2008 12/02/2008 1500

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 30/09/2008 12/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 20/05/2008 18/02/2008 1500

0087201507 SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 22/04/2008 18/02/2008 1500

0087201507 SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 21/07/2008 18/02/2008 1500

0087201507 SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 19/08/2008 18/02/2008 1500

0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 29/08/2008 30/11/2007 1000

0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 30/10/2008 30/11/2007 1000

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 30/06/2008 12/02/2008 1500

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 31/10/2008 12/02/2008 1500

0087202676 SUBHASBHAI BHIKHABHAI CHAU 360000 25 12 0 0 1500 18000 NEW UNITGAIN 19/12/2008 18/02/2008 1500

0087201507 SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 19/06/2008 18/02/2008 1500

0087201507 SURESHBHAI P PRAJAPATI 540000 20 12 0 0 1500 18000 NEW UNITGAIN 19/12/2008 18/02/2008 1500

0069308907 IQBAL MUSTAFA SHAIKH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 27/08/2008 26/09/2007 1000

0069323213 ARVIND BHAI SUKHA BHAI NAYA 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 15/07/2008 05/10/2007 1000

0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 05/08/2008 05/10/2007 1000

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 14/05/2008 07/02/2008 1500
Please Note: Page 5 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000263967 ICC Name : PRITAM CHAMPALAL SHAH ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 15/07/2008 07/02/2008 1500

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 14/11/2008 07/02/2008 1500

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 15/12/2008 07/02/2008 1500
0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 23/06/2008 21/01/2008 1500

0082645962 SANJAY MOHANLAL PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 22/07/2008 21/01/2008 1500

0082645100 RIMA SANJAY PUNJABI 360000 20 12 0 0 1500 18000 NEW UNITGAIN 14/08/2008 07/02/2008 1500

0085454960 DIVYESH S KOLSAWALA 480000 20 12 0 0 1000 12000 NEW UNITGAIN 08/04/2008 17/03/2008 1000

0085992884 JOSANABEN P RANA 360000 20 12 0 0 1500 18000 NEW UNITGAIN 29/04/2008 12/02/2008 1500

0087202676 SUBHASBHAI BHIKHABHAI CHAU 360000 25 12 0 0 1500 18000 NEW UNITGAIN 22/04/2008 18/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 19/06/2008 18/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 21/10/2008 18/02/2008 1500

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 19/12/2008 18/02/2008 1500

0106469116 DINABEN P DALAL 240000 20 12 1000 0 0 12000 NEW UNITGAIN 26/08/2008 26/08/2008 1000

0069308907 IQBAL MUSTAFA SHAIKH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 27/05/2008 26/09/2007 1000

0069323213 ARVIND BHAI SUKHA BHAI NAYA 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 14/08/2008 05/10/2007 1000

0069323213 ARVIND BHAI SUKHA BHAI NAYA 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 15/09/2008 05/10/2007 1000

0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 05/06/2008 05/10/2007 1000

0069323962 SAMBARIKHATOON M SHAIKH 60000 10 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 08/04/2008 05/10/2007 1000

0072402521 VINODBHAI D SHAH 240000 20 12 0 0 1000 12000 CAPITAL UNIT GAIN SIZE ONE 30/09/2008 30/11/2007 1000

0087198285 KAUSHLESHKUMAR D MISHRA 540000 25 12 0 0 1500 18000 NEW UNITGAIN 19/11/2008 18/02/2008 1500

0106469116 DINABEN P DALAL 240000 20 12 0 0 1000 12000 NEW UNITGAIN 24/11/2008 26/08/2008 1000
ICC Total: 2346 0 113000 1607346 115346
Please Note: Page 6 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000844351 ICC Name : SARIKA SANJAY SHARMA ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/07/2008 07/01/2008 1000

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/08/2008 07/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 19/08/2008 15/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 16/10/2008 15/01/2008 1000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 29/05/2008 23/01/2008 3000

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 13/06/2008 07/02/2008 1500
0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 15/07/2008 07/02/2008 1500

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/04/2008 05/02/2008 1000

0101438496 KOMAL N SANWAL 240000 25 4 3000 0 0 12000 FUTURE SECURE LIFE SIZE 1 23/06/2008 23/06/2008 3000

0109103152 NISHA JIGAR DESAI 120000 20 4 1500 0 0 6000 FUTURE SECURE LIFE SIZE 1 22/09/2008 22/09/2008 1500

0112924134 KRUNALKUMAR M DESAI 300000 20 4 1500 0 0 6000 FUTURE SECURE LIFE SIZE 1 06/11/2008 06/11/2008 1500

0115370791 VIPUL ISHWARBHAI MAHYAVANS 125000 0 01 0 25000 0 2500 CAPITAL SHIELD SINGLE SIZE1 11/12/2008 11/12/2008 2500

0115370791 VIPUL ISHWARBHAI MAHYAVANS 125000 0 01 0 -25000 0 2500 CAPITAL SHIELD SINGLE SIZE1 15/12/2008 11/12/2008 -2500

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 13/06/2008 07/01/2008 1000

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/05/2008 07/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 16/05/2008 15/01/2008 1000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 29/04/2008 23/01/2008 3000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 29/07/2008 23/01/2008 3000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 29/08/2008 23/01/2008 3000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 30/12/2008 23/01/2008 3000

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 08/10/2008 05/02/2008 1000

0101439310 CHANDRAKALA N SANWAL 240000 15 4 3000 0 0 12000 FUTURE SECURE LIFE SIZE 1 23/06/2008 23/06/2008 3000

0109104294 JIGAR VAIKUNTH DESAI 0 20 4 1500 0 0 6000 FUTURE SECURE SIZE 1 25/09/2008 25/09/2008 1500
Please Note: Page 7 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000844351 ICC Name : SARIKA SANJAY SHARMA ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0115718776 SONALBEN MUKESHBHAI BHUVA 100000 3 1 2625 0 0 2625 FAMILY_CAREFIRST 27/12/2008 27/12/2008 2625

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/04/2008 07/01/2008 1000

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/10/2008 07/01/2008 1000

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/12/2008 07/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 28/11/2008 24/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 22/04/2008 15/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 16/07/2008 15/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 18/09/2008 15/01/2008 1000
0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 30/10/2008 23/01/2008 3000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 28/11/2008 23/01/2008 3000

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/05/2008 05/02/2008 1000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 17/12/2008 14/03/2008 3000

0099568157 PARUL VAIKUNTH DESAI 0 0 01 0 50000 0 5000 NEW UG EASY PEN PLUS SINGLE 26/05/2008 26/05/2008 5000

0111841733 RADHIKA A CHANDAK 125000 3 1 25000 0 0 25000 CENTURY PLUS 23/10/2008 23/10/2008 25000

0113151693 MAYURIBEN CHANDRAVADAN JOS 150000 20 1 15000 0 0 15000 UNITGAIN PLUS GOLD SIZE TWO 10/11/2008 10/11/2008 15000

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 15/09/2008 07/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 27/06/2008 24/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 30/10/2008 24/01/2008 1000

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 15/09/2008 07/02/2008 1500

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/08/2008 05/02/2008 1000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 19/08/2008 14/03/2008 3000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 18/09/2008 14/03/2008 3000

0101438421 SONAL N SANWAL 125000 3 1 25000 0 0 25000 CENTURY PLUS 23/06/2008 23/06/2008 25000

0101439067 CHANDRAKALA N SANWAL 125000 3 1 25000 0 0 25000 CENTURY PLUS 23/06/2008 23/06/2008 25000
Please Note: Page 7 of 7

1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000844351 ICC Name : SARIKA SANJAY SHARMA ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0101438496 KOMAL N SANWAL 240000 25 4 0 0 3000 12000 FUTURE SECURE LIFE SIZE 1 30/09/2008 23/06/2008 3000

0113157710 MAYURIBEN CHANDRAVADAN JOS 125000 3 1 25000 0 0 25000 CENTURY PLUS 17/11/2008 17/11/2008 25000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 29/04/2008 24/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 29/07/2008 24/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 17/06/2008 15/01/2008 1000

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 15/04/2008 07/02/2008 1500

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 14/08/2008 07/02/2008 1500

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 14/10/2008 07/02/2008 1500

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 16/05/2008 14/03/2008 3000
0101438154 KOMAL N SANWAL 125000 3 1 25000 0 0 25000 CENTURY PLUS 23/06/2008 23/06/2008 25000

0101439310 CHANDRAKALA N SANWAL 240000 15 4 0 0 3000 12000 FUTURE SECURE LIFE SIZE 1 30/09/2008 23/06/2008 3000

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/08/2008 05/02/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 29/05/2008 24/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 29/08/2008 24/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 30/09/2008 24/01/2008 1000

0082643004 KANAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 30/12/2008 24/01/2008 1000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 27/06/2008 23/01/2008 3000

0083710251 ASHISH PAWANKUMAR AGARWAL 180000 10 12 0 0 3000 36000 CENTURY PLUS 30/09/2008 23/01/2008 3000

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 14/11/2008 07/02/2008 1500

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 15/12/2008 07/02/2008 1500

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 05/09/2008 05/02/2008 1000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 15/04/2008 14/03/2008 3000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 16/07/2008 14/03/2008 3000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 16/10/2008 14/03/2008 3000
Please Note: Page 3 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000844351 ICC Name : SARIKA SANJAY SHARMA ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 17/11/2008 14/03/2008 3000

0081199293 DHRUV MUKESHBHAI BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/11/2008 07/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 17/11/2008 15/01/2008 1000

0082644681 VAIBHAV VINAYKUMAR BAJAJ 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 17/12/2008 15/01/2008 1000

0110275960 PIYUSH KUMAR D DESAI 360000 20 2 6000 0 0 12000 UNITGAIN PLUS GOLD SIZE ONE 07/10/2008 07/10/2008 6000

0083672300 PINKY O AGRAWAL 540000 20 12 0 0 1500 18000 UNITGAIN PLUS GOLD SIZE TWO 14/05/2008 07/02/2008 1500

0085457523 NATASHA C MOHTA 360000 20 12 0 0 1000 12000 UNITGAIN PLUS GOLD SIZE ONE 14/08/2008 05/02/2008 1000

0087022305 PARV M MOR 180000 10 12 0 0 3000 36000 CENTURY PLUS 17/06/2008 14/03/2008 3000

0103166627 VAIKUNTH B DESAI 200000 3 1 10655 0 0 10655 FAMILY_CAREFIRST 08/08/2008 08/08/2008 10655

0109097666 VAIKUNTH B DESAI 0 10 4 1500 0 0 6000 FUTURE SECURE SIZE 1 22/09/2008 23/09/2008 1500
ICC Total: 171280 50000 107500 1465280 283780
ICC Code : 1000253028 ICC Name : GAJENDRA JAYNTILAL JAIN ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0105264972 JASHMIN BHARATBHAI MEHTA 450000 20 1 15000 0 0 15000 UNITGAIN PLUS GOLD SIZE TWO 07/08/2008 07/08/2008 15000

0106238752 AAYUSH VISHAL JARIWALA 375000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE TWO 22/08/2008 22/08/2008 25000

0106227191 ROMALI TARUN JARIWALA 375000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE TWO 22/08/2008 22/08/2008 25000

0115565806 RIKESH SHANTILAL JAIN 1000000 20 1 50000 0 0 50000 UNITGAIN PLUS GOLD SIZE TWO 30/12/2008 30/12/2008 50000

0100404201 PARUL VAIKUNTH DESAI 250000 3 1 50000 0 0 50000 CENTURY PLUS 10/06/2008 10/06/2008 50000

0099890097 PRADIPKUMAR DHANSUKHBHAI V 300000 13 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 29/05/2008 29/05/2008 10000

0100404528 ASHWIN DAMJIBHAI VAGHASIYA 100000 20 1 10000 0 0 10000 NEW UNITGAIN 05/06/2008 05/06/2008 10000

0105540546 NAY PRITESHKUMAR SHAH 500000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE TWO 12/08/2008 12/08/2008 25000

0106250290 KRUNAL DHARMENDRA JARIWAL 375000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE TWO 22/08/2008 22/08/2008 25000
Please Note: Page 3 of 7

1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000253028 ICC Name : GAJENDRA JAYNTILAL JAIN ICC Status : Recruited Allotement Date : Not Alloted
0107501181 KINNARY A SHAH 11000 0 01 0 10000 0 1000 NEW UNITGAIN PLUS - SP 04/09/2008 04/09/2008 1000

0110276974 NAYNABEN RAJESHKUMAR MEHT 475000 3 1 95000 0 0 95000 CENTURY PLUS 07/10/2008 07/10/2008 95000

0115560096 LOKPRAKASH SHANTILAL JAIN 1000000 20 1 50000 0 0 50000 UNITGAIN PLUS GOLD SIZE TWO 15/12/2008 15/12/2008 50000

0097460877 VIKRAMSINH GANPATSINH PARM 0 20 1 400000 0 0 400000 FUTURE SECURE SIZE 2 22/05/2008 22/05/2008 400000

0099568828 JIGAR VAIKUNTH DESAI 300000 22 1 30000 0 0 30000 FUTURE SECURE LIFE SIZE 1 29/05/2008 29/05/2008 30000

0099890200 KRUNALKUMAR M DESAI 0 21 1 10000 0 0 10000 NEW UG EASYPEN PLUS SIZE ONE 30/05/2008 30/05/2008 10000

0115558942 KARTIKEYE BHUPENDRA JAIN 1000000 20 1 50000 0 0 50000 UNITGAIN PLUS GOLD SIZE TWO 17/12/2008 17/12/2008 50000

0104304088 PIYUSH HEMANTBHAI PATEL 100000 3 1 2625 0 0 2625 FAMILY_CAREFIRST 31/07/2008 31/07/2008 2625

0105265035 JASHMIN BHARATBHAI MEHTA 200000 3 1 2098 0 0 2098 FAMILY_CAREFIRST 11/08/2008 11/08/2008 2098

0106241302 PARISHI MUKESH JARIWALA 375000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE TWO 22/08/2008 22/08/2008 25000

0108463992 GEETA PANPALIYA 250000 3 1 50000 0 0 50000 CENTURY PLUS 15/09/2008 15/09/2008 50000

0111951623 KARAN P VANZA 150000 0 01 0 30000 0 3000 NEW UNITGAIN PLUS - SP 24/10/2008 24/10/2008 3000

0100581333 JITENDRA R BHATT 120000 20 4 1500 0 0 6000 FUTURE SECURE LIFE SIZE 1 09/06/2008 09/06/2008 1500

0105267194 SAGAR BHARATBHAI MEHTA 375000 20 1 15000 0 0 15000 UNITGAIN PLUS GOLD SIZE TWO 19/08/2008 19/08/2008 15000
0113908206 BHAVNA CHANDRAKANT SHAH 150000 18 4 2500 0 0 10000 FUTURE SECURE LIFE SIZE 1 20/11/2008 20/11/2008 2500

0100189418 HARDIK J MEHTA 120000 23 1 6000 0 0 6000 FUTURE SECURE LIFE SIZE 1 02/06/2008 02/06/2008 6000

0104854961 CHANDRASHEKHAR B SHAH 200000 3 1 5497 0 0 5497 FAMILY_CAREFIRST 06/08/2008 06/08/2008 5497

0106225968 KHYATI TARUN JARIWALA 375000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE TWO 01/09/2008 01/09/2008 25000

0112915958 AMISH NALINKUMAR SHAH 300000 20 4 1500 0 0 6000 FUTURE SECURE LIFE SIZE 1 06/11/2008 06/11/2008 1500

0114228522 HARISHKUMAR N JOSHINA 120000 10 4 1500 0 0 6000 FUTURE SECURE LIFE SIZE 1 25/11/2008 25/11/2008 1500

0100581372 BHARGAV J DESAI 125000 3 1 25000 0 0 25000 CENTURY PLUS 09/06/2008 09/06/2008 25000

0105265861 GOPALBHAI BHERULAL SHAH(KA 200000 3 1 6095 0 0 6095 FAMILY_CAREFIRST 11/08/2008 11/08/2008 6095

0108464385 JAGDISH PANPALIYA 250000 3 1 50000 0 0 50000 CENTURY PLUS 22/09/2008 22/09/2008 50000

0108465122 PURUSHOTTAM PANPALIYA 250000 3 1 50000 0 0 50000 CENTURY PLUS 15/09/2008 15/09/2008 50000
ICC Total: 1139315 40000 0 1164315 1143315
Please Note: Page 3 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000491020 ICC Name : PINKI MANOJ SONI ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 29/05/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 29/07/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 30/09/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 30/10/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 29/04/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 28/11/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 29/08/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 30/12/2008 25/02/2008 2500

0087720396 TEENA S LADHA 600000 20 12 0 0 2500 30000 UNITGAIN PLUS GOLD SIZE TWO 27/06/2008 25/02/2008 2500
ICC Total: 0 0 22500 270000 22500
ICC Code : 10L0001293 ICC Name : SURESH R.PARIKH ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 14/05/2008 07/01/2008 2500
0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 15/04/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 14/08/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 15/12/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 14/11/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 15/07/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 14/10/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 13/06/2008 07/01/2008 2500

0081051336 SARITA OMPRAKASH AGRAWAL 150000 3 12 0 0 2500 30000 CENTURY PLUS 15/09/2008 07/01/2008 2500
ICC Total: 0 0 22500 270000 22500
Please Note: Page 3 of 7

1. Only polices after date of allotment of an ICC to the STM Unit are considered
2. All First Year Renewals for a policy received up to yesterday are add to the column First Year Later Premuim.

STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008

Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000380669 ICC Name : PAYAL N MALPANI ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP

0095638773 VISHALKUMAR C SONI 250000 19 1 25000 0 0 25000 FUTURE SECURE LIFE SIZE 1 09/04/2008 31/03/2008 25000

0104798466 GEETA PANPALIYA 250000 3 1 50000 0 0 50000 CENTURY PLUS 15/09/2008 15/09/2008 50000

0116400148 JIGAR VAIKUNTH DESAI 300000 22 1 30000 0 0 30000 FUTURE SECURE LIFE SIZE 1 29/05/2008 29/05/2008 30000

0104857105 KRUNALKUMAR M DESAI 0 21 1 10000 0 0 10000 NEW UG EASYPEN PLUS SIZE ONE 30/05/2008 30/05/2008 10000

0105542767 KARTIKEYE BHUPENDRA JAIN 1000000 20 1 50000 0 0 50000 UNITGAIN PLUS GOLD SIZE TWO 17/12/2008 17/12/2008 50000
ICC Total: 165000 0 0 165000 165000
ICC Code : 1000320972 ICC Name : RITESH JAYNTILAL DOSHI ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0104798466 SAURABH U DESAI 125000 3 1 25000 0 0 25000 CENTURY PLUS 04/08/2008 04/08/2008 25000

0104798466 SAURABH U DESAI 125000 3 1 25000 0 0 25000 CENTURY PLUS 08/08/2008 04/08/2008 25000

0116400148 HETA T DESAI 250000 20 1 10000 0 0 10000 NEW UNITGAIN 30/12/2008 30/12/2008 10000

0104857105 DARSH DAXESH DESAI 200000 20 1 10000 0 0 10000 NEW UNITGAIN 04/08/2008 04/08/2008 10000

0105542767 DHARA M THAKKAR 300000 21 1 6000 0 0 6000 FUTURE SECURE LIFE SIZE 1 14/10/2008 11/08/2008 6000

0107426345 RAMGIRI MANCHAGIRI GOSWAM 400000 20 1 20000 0 0 20000 FUTURE SECURE LIFE SIZE 1 01/09/2008 01/09/2008 20000
0110277001 DIVYESH PADYUMAN BHATT 250000 3 1 50000 0 0 50000 CENTURY PLUS 07/10/2008 07/10/2008 50000

0109100687 SALUBHAI P PATEL 250000 3 1 50000 0 0 50000 CENTURY PLUS 07/10/2008 07/10/2008 50000
ICC Total: 196000 0 0 196000 196000
ICC Code : 1000278447 ICC Name : AJAY KAILASHCHANDRA GARG ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0106279113 RAKESHBHAI B ATODARIA 125000 10 1 25000 0 0 25000 CENTURY PLUS 22/08/2008 22/08/2008 25000

Please Note: Page 3 of 7

1. Only policies after date of allotment of an ICC to the STM Unit are considered

2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 1000278447 ICC Name : AJAY KAILASHCHANDRA GARG ICC Status : Recruited Allotement Date : Not Alloted
0109104231 VIKRAMBHAI P PATEL 125000 10 1 25000 0 0 25000 CENTURY PLUS 22/09/2008 22/09/2008 25000

0109100687 SALUBHAI P PATEL 100000 10 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 22/09/2008 23/09/2008 10000

0109104231 HETA T DESAI 250000 20 1 10000 0 0 10000 NEW UNITGAIN 30/12/2008 30/12/2008 10000

0116400148 DARSH DAXESH DESAI 200000 20 1 10000 0 0 10000 NEW UNITGAIN 04/08/2008 04/08/2008 10000

0104857105 HARDIK J MEHTA 600000 20 1 25000 0 0 25000 UNITGAIN PLUS GOLD SIZE ONE 21/10/2008 21/10/2008 25000
ICC Total: 105000 0 0 105000 105000
ICC Code : 10L0086592 ICC Name : GIRISH KANTILAL MODI ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0105542767 DHARA M THAKKAR 300000 21 1 6000 0 0 6000 FUTURE SECURE LIFE SIZE 1 14/10/2008 11/08/2008 6000

0107426345 RAMGIRI MANCHAGIRI GOSWAM 400000 20 1 20000 0 0 20000 FUTURE SECURE LIFE SIZE 1 01/09/2008 01/09/2008 20000
ICC Total: 26000 0 0 26000 26000
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0106279113 RAKESHBHAI B ATODARIA 300000 20 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 22/08/2008 22/08/2008 10000

0109100687 VIKRAMBHAI P PATEL 100000 10 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 22/09/2008 22/09/2008 10000

0109104231 SALUBHAI P PATEL 100000 10 1 10000 0 0 10000 FUTURE SECURE LIFE SIZE 1 22/09/2008 23/09/2008 10000
ICC Total: 30000 0 0 30000 30000
ICC Code : 10L0098739 ICC Name : PRATIK MUKUNDBHAI NAIK ICC Status : Recruited Allotement Date : Not Alloted
Please Note: Page 3 of 7
1. Only policies after date of allotment of an ICC to the STM Unit are considered

2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.

Page 6 of 7
STMwise ICCwise Details FP and SP adjusted from 01-APR-2008 to 31 DEC-2008
Branch Code MG6
STM Code : 1100057235 STM Name : RAKESH MALIRAM SHARMA
ICC Code : 10L0098739 ICC Name : PRATIK MUKUNDBHAI NAIK ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0107956453 KRUNAL BAKULBHAI JADAV 125000 3 1 25000 0 0 25000 CENTURY PLUS 08/09/2008 08/09/2008 25000

0107956453 KRUNAL BAKULBHAI JADAV 125000 3 1 25000 0 0 25000 CENTURY PLUS 11/09/2008 08/09/2008 25000
ICC Total: 50000 0 0 50000 50000
ICC Code : 10L0120392 ICC Name : VAISHALI KALPESHKUMAR ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0111342835 HARDIK J MEHTA 600000 20 1 12000 0 0 12000 UNITGAIN PLUS GOLD SIZE ONE 21/10/2008 21/10/2008 12000

0113194616 BHARATBHAI VASANTBHAI PATE 100000 3 1 3450 0 0 3450 FAMILY_CAREFIRST 15/11/2008 15/11/2008 3450

0113200420 RUPESH C JOGANI 100000 3 1 2625 0 0 2625 FAMILY_CAREFIRST 12/12/2008 12/12/2008 2625
ICC Total: 18075 0 0 18075 18075
ICC Code : 10L0130131 ICC Name : ANIL AGGRWAL ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0113486616 PRAKASHBHAI G VANZA 600000 20 1 50000 0 0 50000 UNITGAIN PLUS GOLD SIZE ONE 14/11/2008 14/11/2008 50000

0114307710 NARESH RADHESHYAM AGRAWAL 500000 10 1 50000 0 0 50000 FUTURE SECURE LIFE SIZE 1 27/11/2008 27/11/2008 50000

0113485044 ANIL AGGARWAL 500000 20 1 50000 0 0 50000 NEW UNITGAIN 19/11/2008 19/11/2008 50000
ICC Total: 150000 0 0 150000 150000
ICC Code : 10L0130221 ICC Name : YOGESHKUMAR DOLATRAI NAIK ICC Status : Recruited Allotement Date : Not Alloted
Policy No Insured Person Sum Term Frequency FP SP First Yr. Annulized Package Collection Adjustment FP+
Assured Later Premium Date Date 10%SP
0114233344 MALTIBEN VINODCHANDRA KAN 300000 3 1 9063 0 0 9063 FAMILY_CAREFIRST 01/12/2008 01/12/2008 9063
ICC Total: 9063 0 0 9063 9063
STM Total: 2249655 285000 279500 5989655 2557655
Page 3 of 7

Please Note:
1. Only policies after date of allotment of an ICC to the STM Unit are considered

2. All First Year Renewals for a policy received upto yesterday are added to the column First Year Later Premium.
2500
137730

103346
115346
283780
1143315

22500
22500
196000

26000

30000
 50000

18075

150000

9063

2180155