Agency Commission - Summary

Branch: 928
KUNJAL M SHAH
03197928-24054
10211946 - 21/09/2017

RM NO.5 OM VIJAY LAXMI

NEAR MALHAR BUNGLOW AYRE
ROAD
DOMBIVALI EAST
PIN:400604

Summary of Premium and Commission of 03/2015 (3rd batch) (see annexure-A for details)
Sl.No.

Description

1.
2.
3.
4.

First Premium and Commission

First Year Premium and Commission
Bonus Commission Payable
Total Premium and Commission Payable

Premium

Commission

3,203.00
1,985.00
0.00
5,188.00

800.75
397.00
479.10
1,676.85

Payment

Recovery

800.75
397.00
0.25

0.00
0.00
0.00

Net Payment
1,198.00

1,198.00
1,198.00

Payment / Recovery Details (if any) of 03/2015 (3rd batch)

Sl.No.

Description

1.
2.
3.

Total First Commission

Total First Year Commission
Short Remittance

Grand Total:
Commission Bill Voucher Paid on 31/03/2015

Agency Commission - Details (annexure-A)

Name

Pol. No. Plan

NITIN

884841750 820-15 28-03-2015 28-12-2014 EPS1 25/03/2015

884906329 815-20 28-03-2015 28-03-2015 928
31/03/2015

SANJAY LODAYA

Prem Due Risk Date CBO Adj.Date

Premium
1985.00
3203.00

Commn.
397.00
800.75

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928-03197928-03/2015 (3rd batch)-VR-18090 (11/04/2015 15:30:59)
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