Branch: 196 S/O SH B.S.

CHOUDHARY
AVINASH CHAUDHARY JAT BALAI,GOVINDPURA
Agent : LIC14052196 WEIR,BHARATPUR
Leader :0815103 PIN:321408

14052196 Premium due & Default List for the Month of 03/2020 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 142728921 RAM MOHAN SINGH 28/11/2019 843-20 M 01/2020 234 3 32.00 734 176
2 142728922 MAHESH KUMAR 28/11/2019 843-20 M 01/2020 233 3 32.00 731 175
3 142728707 VAIBHAV SINGH 28/11/2019 836-21 Q 02/2020 2715 1 122.00 2837 679
4 142730768 VIPIN KUMAR 28/12/2019 843-20 M 02/2020 233 2 21.00 487 117

Page Totals : Premium : 3415.00 G S T : 207.00 Commission : 1147.00

Grand Totals : Premium : 3415.00 G S T : 207.00 Commission : 1147.00

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196-14054196 - (03/02/2020 17:56:38)