Branch: 147 INDERJEET THAKUR

INDERJEET THAKUR H.NO.182 MCH MALMIK

GOBINDGARH
Agent : LIC10001147 BAHADURPUR NR CIA STAFF.
Leader :2950013 PIN:146001

10001147 Premium due & Default List for the Month of 11/2020 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 102136260 NAV PARKASH MUKHIA [A] 18/06/2018 832-19 H 06/2020 3146 1 71.00 3217 236
2 132918728 SEEMA DEVI 10/06/2009 075-20 H 06/2020 1700 1 0.00 1700 102
3 129511182 DEV CHANDRA CHOUPAL 15/01/2020 814-16 H 07/2020 3602 1 162.00 3764 901
4 132920805 LAXMI KUMAR SAHU 14/07/2009 075-20 Q 07/2020 845 2 0.00 1690 101
5 133115613 SANTOSH KUMAR SAHU 22/01/2010 165-15 H 07/2020 1563 1 0.00 1563 78
6 133391235 RAJA RAM SAH 19/07/2011 075-20 H 07/2020 1672 1 0.00 1672 100
7 133684231 DAYA RAM SAHU 13/07/2012 165-16 Y 07/2020 4804 1 0.00 4804 240
8 133693733 RAMESH PATHAK 28/01/2013 075-20 H 07/2020 1686 1 0.00 1686 101
9 134161914 DAKSHIT KUMAR [A] 18/07/2016 834-25 H 07/2020 1775 1 40.00 1815 89
10 131765749 SRI MOHAN LAL 28/05/2003 075-20 Q 08/2020 1671 2 0.00 3342 201
11 133392966 VISHESHA DEVI 26/08/2011 075-20 Q 08/2020 1001 2 0.00 2002 120
12 133685961 SUMAN 18/08/2012 107-20 Y 08/2020 5119 1 0.00 5119 307
13 102136569 SUDHA DEVI 28/06/2018 827-20 Q 09/2020 810 1 18.00 828 45
14 102136570 ROPAM RANI 28/06/2018 844-20 Q 09/2020 704 1 16.00 720 53
15 102136572 SHIVAM KUMAR 28/06/2018 827-20 Q 09/2020 676 1 15.00 691 37
16 129508521 LAKSHMI SHAH 18/09/2019 836-21 Y 09/2020 11001 1 248.00 11249 825
ANIL KUMAR JHA S/O SRI VIMAL KANT
17 131762351 28/03/2003 075-20 Q 09/2020 824 1 0.00 824 49
18 131762926 SRI SANJEEV KUMAR JHA [A] 28/03/2003 014-20 Q 09/2020 315 1 0.00 315 16
19 132117051 DILIP JHA 28/03/2006 093-25 Q 09/2020 697 1 0.00 697 42
20 133200224 SHIKANDER PASWAN 28/03/2010 075-20 Q 09/2020 924 1 0.00 924 55
21 133677150 VANDANA KUMARI 02/03/2012 093-25 H 09/2020 1335 1 0.00 1335 80
22 133677917 FUL DEVI 19/03/2012 179-20 H 09/2020 1306 1 0.00 1306 65
23 133678890 BABITA 28/03/2012 179-16 H 09/2020 1457 1 0.00 1457 73
24 133687483 NAV NITA [A] 15/09/2012 102-23 Y 09/2020 2991 1 0.00 2991 150
25 133930438 ANU KUMARI 16/09/2013 179-20 H 09/2020 1045 1 0.00 1045 52
26 133931343 AYUSH KUMAR MISHRA 28/09/2013 102-20 Q 09/2020 614 1 0.00 614 31
27 133931344 RAGHBINDER MISHRA 28/09/2013 149-66 Y 09/2020 7013 1 0.00 7013 351
28 133934313 SHIVAM KUMAR [A] 16/12/2013 075-20 Q 09/2020 812 1 0.00 812 49
29 133934314 SHIKANDER PASWAN 16/12/2013 149-71 Q 09/2020 1295 1 0.00 1295 65
30 133934316 SUDHA KUMARI 16/12/2013 149-54 Q 09/2020 1322 1 0.00 1322 66
31 133942233 LAXMI KUMAR GUPTA 18/09/2014 814-20 H 09/2020 2664 1 60.00 2724 133
32 133946072 SHANKAR SAHNI 11/03/2015 820-20 Q 09/2020 2175 1 49.00 2224 109
33 133946574 CHANDESARI DEVI 27/03/2015 814-15 H 09/2020 3694 1 83.00 3777 185
34 133950232 PARMILA DEVI 14/09/2015 827-16 H 09/2020 2486 1 56.00 2542 93
35 133950233 RAMESH PATHAK 14/09/2015 814-19 Y 09/2020 5524 1 124.00 5648 276
36 134219136 AMARJIT SAHNI [A] 22/03/2017 832-16 H 09/2020 3695 1 83.00 3778 185
37 102136783 BHARAT KUMAR 13/07/2018 843-16 Q 10/2020 944 1 21.00 965 71
38 102138643 GAURI SHANKAR SAHU 08/10/2018 820-20 H 10/2020 4045 1 91.00 4136 303
39 102140464 GOPAL KUMAR 21/01/2019 843-16 Q 10/2020 3604 1 81.00 3685 270
40 129507042 GOPAL KUMAR 05/07/2019 836-16 Q 10/2020 4332 1 98.00 4430 325
41 129509358 RAJ KISHOR SAHU 28/10/2019 836-21 Y 10/2020 11020 1 248.00 11268 827
SH. SUNIL KUMAR JHA S/O VIMAL KANT
42 131942232 06/10/2004 075-20 Q 10/2020 829 1 0.00 829 50

Page Totals : Premium : 108737.00 G S T : 1564.00 Commission : 7507.00

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147-10001147 - (01/10/2020 16:22:40)
10001147 Premium due & Default List for the Month of 11/2020 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 131944479 SANGEETA 15/01/2005 102-17 Q 10/2020 739 1 0.00 739 37
44 132111458 TRILOK NATH MISHRA 26/10/2005 093-25 Y 10/2020 5413 1 0.00 5413 325
45 132829785 TIRLOK NATH MISHRA 03/01/2009 103-18 Q 10/2020 1637 1 0.00 1637 98
46 132877145 RAJU DEVI 28/01/2009 075-20 Q 10/2020 884 1 0.00 884 53
47 133394998 NEELAM DEVI 18/10/2011 179-20 H 10/2020 1134 1 0.00 1134 57
48 133680415 CHANDER JHA 21/04/2012 091-16 H 10/2020 1805 1 0.00 1805 90
49 133680549 RITU KUMARI 25/04/2012 179-20 H 10/2020 1050 1 0.00 1050 53
50 133688479 KARUNA DEVI 04/10/2012 179-20 H 10/2020 1097 1 0.00 1097 55
51 133689018 DHERAJ KUMAR 17/10/2012 179-20 Y 10/2020 2052 1 0.00 2052 103
52 133932633 DAVESH KUMAR 28/10/2013 149-73 Y 10/2020 4962 1 0.00 4962 248
53 133944880 SUMAN KUMAR THAKUR 19/01/2015 820-20 Q 10/2020 1979 1 45.00 2024 99
54 133951037 MANDEEP PASWAN [A] 15/10/2015 832-18 H 10/2020 3205 1 72.00 3277 160
55 134215566 MEHAK SAHOTA [A] 03/10/2016 841-16 H 10/2020 4379 1 99.00 4478 219
56 134215997 MEENA KUMARI 28/10/2016 841-24 H 10/2020 3255 1 73.00 3328 163
57 134224534 PATAMBAR PASWAN 13/10/2017 843-16 H 10/2020 2017 1 45.00 2062 101
58 102135848 RAJ KISHORE JHA 22/05/2018 843-16 H 11/2020 2790 1 63.00 2853 209
59 102139425 BADALU CHAUPAL 20/11/2018 820-20 Q 11/2020 2026 1 46.00 2072 152
60 129509677 RUSTAM PASWAN [A] 11/11/2019 832-22 Q 11/2020 1324 1 30.00 1354 99
61 129513051 SHIVAM KUMAR 18/05/2020 933-25 H 11/2020 2213 1 100.00 2313 553
62 129513052 SHIVAM KUMAR 18/05/2020 904-58 H 11/2020 979 1 176.00 1155 245
63 129514661 MANDEEP KUMAR 13/08/2020 936-16 Q 11/2020 4342 1 195.00 4537 868
64 131768582 SH BISHNU KUMAR SHARMA 28/08/2003 075-20 Q 11/2020 803 1 0.00 803 48
SRI SANJAY SAHU S/O SRI PAWAN SAHU
65 131770623 15/11/2003 075-20 H 11/2020 1669 1 0.00 1669 100
66 132819299 BISHNU KUMAR SHARMA 23/08/2008 093-25 Q 11/2020 690 1 0.00 690 41
67 133396064 SHIVANI DEVI 11/11/2011 179-20 H 11/2020 1190 1 0.00 1190 60
68 133396065 SUMAN 11/11/2011 179-20 H 11/2020 1174 1 0.00 1174 59
69 133676256 RAJAESH KUAMR MISHRA 17/02/2012 075-20 Q 11/2020 870 1 0.00 870 52
70 133685293 AKASH DEEP [A] 06/08/2012 102-15 Q 11/2020 849 1 0.00 849 42
71 133932832 BALVIR KAUR 07/11/2013 149-61 Y 11/2020 6237 1 0.00 6237 312
72 133933283 CHHAVI KUMARI [A] 21/11/2013 102-22 H 11/2020 1597 1 0.00 1597 80
73 133943801 BULBUL DEVI 26/11/2014 814-15 H 11/2020 3664 1 82.00 3746 183
74 133949658 BHARTI DEVI 18/08/2015 820-20 Q 11/2020 1985 1 45.00 2030 99
75 134220936 VARINDER 11/05/2017 843-15 H 11/2020 3416 1 77.00 3493 171
76 134221256 INDERJEET THAKUR 25/05/2017 845-52 H 11/2020 5822 1 131.00 5953 291

Page Totals : Premium : 79248.00 G S T : 1279.00 Commission : 5525.00

Grand Totals : Premium : 187985.00 G S T : 2843.00 Commission : 13032.00

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147-10002147 - (01/10/2020 16:22:40)