Branch: 578 VILL.

-JAGATPUR(EAST)
JHANTU MANNA P.O.-BRINDABONPUR
Agent : LIC02375578 DIST.- HOWRAH
Leader :0049043 PIN:711316

02375578 Premium due & Default List for the Month of 08/2019 Page : 1

Sl. Policy Policy Holder Name D.o.C. Plan - M F.U.P. Instlmnt D G S T Total Estm.
No. Number Term od Premium ue Premium Comn
1 135373432 SAILEN MANNA 14/09/2016 814-16 Q 03/2019 1707 2 77.00 3491 256
2 136196304 ARUNITA PARAMANIK [LA] 28/03/2017 834-22 Q 03/2019 1461 2 66.00 2988 219
3 496455239 SAMARESH PARAMANICK 28/03/2011 179-20 Q 03/2019 535 2 0.00 1070 54
4 496948961 RAJANIKANTA MANNA 09/09/2013 014-16 Q 03/2019 1058 2 0.00 2116 106
5 437275369 SK SABUR ALI 28/10/2005 091-23 Q 04/2019 390 2 0.00 780 39
6 496928932 DILIP DAS 22/01/2013 179-20 Q 04/2019 530 2 0.00 1060 53
7 400903738 SARASWATI DAS 24/11/2017 827-16 Q 05/2019 1518 2 68.00 3104 167
8 497600388 RATIKANTA MANNA 27/05/2009 179-20 Q 05/2019 935 2 0.00 1870 94
9 487639694 SUBHANKAR DAS 28/03/2015 827-20 Q 06/2019 900 1 20.00 920 34
10 496934338 TAPAN MANNA 21/03/2013 091-15 Q 06/2019 1033 1 0.00 1033 52
11 137712709 ANKIT PARAL [L.A] 21/07/2017 834-22 Y 07/2019 11034 1 248.00 11282 828
12 405137872 TANAY MONDAL 27/03/2019 820-20 M 07/2019 1061 2 96.00 2218 424
13 435929349 SK AKBAR ALI 28/10/2003 091-18 Q 07/2019 433 1 0.00 433 22
14 436062798 SANDIP PRAMANICK 28/07/2005 150-21 Y 07/2019 1431 1 0.00 1431 86
15 438338056 DIPALI ROY 28/01/2007 179-20 Q 07/2019 601 1 0.00 601 30
16 445875727 MANAS DAS 28/04/2015 827-18 Q 07/2019 790 1 18.00 808 30
17 445878804 NABIN BAG 08/07/2015 814-16 Q 07/2019 2586 1 58.00 2644 129
18 496480904 SK GIYASUDDIN 20/01/2012 179-20 Q 07/2019 565 1 0.00 565 28
19 136122169 APARNA DAS 28/11/2016 827-15 M 08/2019 386 1 9.00 395 21
20 136123459 ANKUSH BOSE(L/A) 26/12/2016 832-24 M 08/2019 807 1 18.00 825 61
21 136125728 SUVANKI DAS [LA[ 28/01/2017 834-25 M 08/2019 2305 1 52.00 2357 173
22 136125730 SNIGDHA MANNA [LA] 28/01/2017 834-22 M 08/2019 2767 1 62.00 2829 208
23 136126759 MANAS DAS 15/02/2017 827-16 Q 08/2019 1779 1 40.00 1819 98
24 136196842 PARESH PARAL 28/03/2017 841-16 M 08/2019 1464 1 33.00 1497 110
25 136273875 TANMAY DAS 22/05/2017 827-16 Q 08/2019 1221 1 28.00 1249 67
26 136274436 TAPAS DAS 28/05/2017 827-12 Q 08/2019 1579 1 36.00 1615 87
27 137713803 MOHAN MONDAL 07/08/2017 833-17 Q 08/2019 2010 1 45.00 2055 151
28 137714311 PRIYANSU DAS [LA] 14/08/2017 834-21 H 08/2019 3117 1 70.00 3187 234
29 400905965 SANTU DAS [LA] 28/12/2017 834-24 M 08/2019 439 1 10.00 449 33
30 401268327 ARPITA GAJ 19/02/2018 814-18 Q 08/2019 1785 1 40.00 1825 134
31 401287507 LIPIKA PARUI 28/02/2018 827-12 H 08/2019 2566 1 58.00 2624 141
32 401861070 BIKRAM PARAMANICK 17/03/2018 827-20 M 08/2019 431 1 10.00 441 24
33 402658501 SUBHAM MANNA [LA] 23/05/2018 827-20 Q 08/2019 707 1 16.00 723 39
34 403141504 PRATIMA DAS 23/07/2018 827-12 M 08/2019 986 1 22.00 1008 54
35 403155729 DITTAM MANNA 13/08/2018 827-16 Y 08/2019 3819 1 86.00 3905 210
36 403156155 SWAPAN MANNA 17/08/2018 827-16 Q 08/2019 1044 1 24.00 1068 57
37 403157144 JAGHABANDHU JANA 28/08/2018 836-21 M 08/2019 933 1 21.00 954 70
38 404625402 PRASANTA DAS 28/01/2019 827-17 M 08/2019 294 1 13.00 307 55
39 404625730 PRIYABRATA MANNA 28/01/2019 836-21 M 08/2019 954 1 43.00 997 239
40 406420854 AATREYEE GHOSH 28/06/2019 832-22 M 08/2019 840 1 38.00 878 210
41 434416969 BIDESH MANNA 27/02/2002 093-25 Q 08/2019 532 1 0.00 532 32
42 434418899 NARESH KUMAR PARAL 28/02/2002 014-21 H 08/2019 713 1 0.00 713 36

Page Totals : Premium : 62046.00 G S T : 1425.00 Commission : 5195.00

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578-02375578 - (16/08/2019 17:23:00)
02375578 Premium due & Default List for the Month of 08/2019 Page : 2

Sl. Policy Policy Holder Name D.o.C. Plan - M F.U.P. Instlmnt D G S T Total Estm.
No. Number Term od Premium ue Premium Comn
43 434822075 SOURAV PARAL 22/08/2002 075-20 Q 08/2019 658 1 0.00 658 39
44 434829571 SANKAR DAS 26/11/2002 075-20 Q 08/2019 660 1 0.00 660 40
45 435941630 ANSAR ALI MOLLA 24/02/2004 091-16 Q 08/2019 507 1 0.00 507 25
46 435942184 KHADIJA BEGAM MOLLA 27/02/2004 090-16 Q 08/2019 489 1 0.00 489 24
47 436040658 KAMAL DAS 25/11/2004 150-21 Q 08/2019 384 1 0.00 384 23
48 436050078 ASIT KUMAR DAS 28/02/2005 091-20 Q 08/2019 419 1 0.00 419 21
49 436064680 SUBHASH MANNA 18/08/2005 091-21 Q 08/2019 496 1 0.00 496 25
50 437287833 ROHAN DAS [L.A] 21/02/2006 102-18 Q 08/2019 1405 1 0.00 1405 70
51 437287835 AMARESH PARAMANICK 21/02/2006 174-20 Q 08/2019 899 1 0.00 899 45
52 437288370 AVIJIT MANNA 27/02/2006 174-20 H 08/2019 1789 1 0.00 1789 89
53 438327116 SHAILEN MANNA 07/11/2006 091-20 Q 08/2019 1107 1 0.00 1107 55
54 438352731 SUJIT PARBAT 28/02/2007 179-20 Q 08/2019 572 1 0.00 572 29
55 438541417 BISWAJIT KANRAR 17/05/2007 091-18 Q 08/2019 811 1 0.00 811 41
56 438541841 SANATAN MANNA 22/05/2007 179-20 Q 08/2019 659 1 0.00 659 33
57 438762715 RAJKUMAR MANNA 11/08/2007 179-20 Y 08/2019 7275 1 0.00 7275 364
58 438772927 PROSENJIT MANNA(L/A) 27/11/2007 179-20 Q 08/2019 509 1 0.00 509 25
59 438773126 PRALAY MANNA(L/A) 28/11/2007 179-20 Q 08/2019 505 1 0.00 505 25
60 438804329 KANAK MANNA 28/05/2008 091-16 Q 08/2019 550 1 0.00 550 28
61 439980932 CHIRASREE MANNA(L/A) 28/11/2008 165-15 Q 08/2019 750 1 0.00 750 38
62 445876410 PRADIP MALICK 26/05/2015 827-16 Q 08/2019 978 1 22.00 1000 37
63 445876412 SAIKAT MANNA 26/05/2015 827-16 Q 08/2019 1447 1 33.00 1480 54
64 487626762 PROSANTA DAS 11/11/2014 820-20 Q 08/2019 2136 1 48.00 2184 107
65 487627293 SURENJIT PARAL 21/11/2014 827-15 Q 08/2019 986 1 22.00 1008 37
66 496450215 PALLAB MANNA 24/02/2011 179-20 Q 08/2019 527 1 0.00 527 26
67 496464104 AMIT DAS 28/05/2011 179-20 Q 08/2019 678 1 0.00 678 34
68 496468270 SUNIL CHAKRABORTY 11/08/2011 165-10 Y 08/2019 4804 1 0.00 4804 240
69 496468895 SWAPAN MANNA 23/08/2011 165-16 Y 08/2019 6005 1 0.00 6005 300
70 496469749 RAJENDRA MANNA 28/08/2011 014-16 Y 08/2019 12963 1 0.00 12963 648
71 496470169 JITEN MANNA 28/08/2011 014-15 Y 08/2019 7193 1 0.00 7193 360
72 496476001 SUKUMAR DAS 23/11/2011 014-16 Q 08/2019 1054 1 0.00 1054 53
73 496483735 PRIYARANJAN MANNA 24/02/2012 103-18 Q 08/2019 1622 1 0.00 1622 97
74 496918618 ATANU JASU 10/08/2012 179-12 Y 08/2019 8268 1 0.00 8268 413
75 496925743 KARNA MANNA 28/11/2012 014-16 Q 08/2019 883 1 0.00 883 44
76 496939962 BINOY MANNA 20/05/2013 179-16 Q 08/2019 853 1 0.00 853 43
77 496941261 VIKURAM DAS 28/05/2013 091-15 Q 08/2019 2117 1 0.00 2117 106
78 497584294 SOUREN DAS [L.A] 24/02/2009 179-20 H 08/2019 1765 1 0.00 1765 88
79 497588772 ANIMA DAS 28/02/2009 165-16 Q 08/2019 766 1 0.00 766 38
80 497600097 AKHIL MONDAL 21/05/2009 165-11 Q 08/2019 1500 1 0.00 1500 75
81 497601412 KAMAL MANNA 28/05/2009 165-11 Q 08/2019 1531 1 0.00 1531 77
82 498129247 VASKAR MANNA [L.A] 20/02/2010 179-20 Q 08/2019 507 1 0.00 507 25
83 498130813 REKHA PARBAT 27/02/2010 048-15 Q 08/2019 2330 1 0.00 2330 117
84 498155105 SUPRIYA PRAMANIK 23/08/2010 165-16 Q 08/2019 766 1 0.00 766 38
85 498162946 SANDIP PARAL 16/11/2010 179-12 Q 08/2019 949 1 0.00 949 47
86 996438855 KHADIJA BEGUM MOLLA 28/08/2015 814-16 H 08/2019 5024 1 113.00 5137 251
87 996439561 SK. AKBAR ALI 28/08/2015 814-16 Q 08/2019 2522 1 57.00 2579 126
88 996439562 RAJIV DAS. 28/08/2015 815-21 Y 08/2019 11043 1 249.00 11292 552
89 996475694 PAPAI KHANRA 09/11/2015 827-11 Q 08/2019 1444 1 33.00 1477 54

Page Totals : Premium : 103105.00 G S T : 577.00 Commission : 5126.00

Grand Totals : Premium : 165151.00 G S T : 2002.00 Commission : 10321.00

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578-02377578 - (16/08/2019 17:23:00)