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Branch: 11K 1091, LODHI ROAD COMPLEX,

LODHI ROAD
VISHAL GABA CENTRAL DELHI
Agent : LIC0279311K DELHI
Leader :5324011 PIN:110003

0279311K Premium due & Default List for the Month of 01/2020 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 129851360 MANJU GABA 17/08/2019 814-16 M 12/2019 611 2 55.00 1277 306
2 129851853 HARSH SHARMA 09/09/2019 836-21 Q 12/2019 20344 1 916.00 21260 5086

Page Totals : Premium : 20955.00 G S T : 971.00 Commission : 5392.00


Grand Totals : Premium : 20955.00 G S T : 971.00 Commission : 5392.00

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11K-0279411K - (09/12/2019 16:59:43)

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