Branch: 654 H NO.

5-11-301, NEAR HANUMAN

TAMPLE
THAVUDOJU SRIKANTH SHANTHI NAGAR
Agent : LIC04150654 NALGONDA
Leader :M0007654 PIN:508001

04150654 Premium due & Default List for the Month of 08/2020 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 617931940 THAVUDOJU KANAKA CHARY 28/03/2020 943-16 M 05/2020 370 4 67.00 1547 370

Page Totals : Premium : 370.00 G S T : 67.00 Commission : 370.00

Grand Totals : Premium : 370.00 G S T : 67.00 Commission : 370.00

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654-15633654 - (05/08/2020 18:46:06)