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Branch Code: 71P NO 2/71, SCHOOL STREET,

Agent Name : S. DAMODARAN KILAPPAKKAM VILLAGE, PANDUR POST


Agent Code : LIC0361571P THIRUKALIKUNDRAM TALUK
Leader Code : 1269071 Pin Code : 603109

Agency Commission - Summary

Summary of Premium and Commission of 03/2022(1st batch) (see annexure-A for details)
Sl.No Description Premium Commission
1 First Year Premium and Commission 236.00 59.00
2 Bonus Commission 0 23.60
3 Total Premium and Commission 236.00 82.60

Payment / Recovery Details (if any) of 03/2022(1st batch )


Sl.No Description Payment Recovery
1 First Year Comm Participating 59.00 0
2 Net Payable (From Comm. Suspense A/c) 0 59.00
Grand Total 59.00 59.00

Commission Bill Voucher Processed on 18/03/2022

Agency Commission - Details (annexure-A)


S.No PH Name PolicyNo Pln/Tm DueDt Risk Date CBO Adj.Date Premium Commn.
1 VIJAYAKUMAR 324772674 943-20 28/02/2022 28/12/2021 B071 28/02/2022 236.00 59.00
Page Total Premium : 236.00 Commission : 59.00

Grand Total Premium : 236.00 Commission : 59.00


( Page No : 1 | 71P | LIC0361971P | 16476079425017) Batch : 1st of 03/2022

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