Branch Code: 365 S-O.

RATAN SINGH
Agent Name : SH.JAGPAL SINGH TOMAR VPO-BEGMABAD GHADI,
Agent Code : LIC02222365 DISTT BAGHPAT
Leader Code : 25230 Pin Code : 250611

Agency Commission - Summary

Summary of Premium and Commission of 04/2023(1st batch) (see annexure-A for details)
Sl.No Description Premium Commission
1 Subsequent Year Premium and Commission 3,286.00 164.30
2 Total Premium and Commission 3,286.00 164.30

Payment / Recovery Details (if any) of 04/2023(1st batch )

Sl.No Description Payment Recovery
1 Renewal Comm Participating 164.30 0
2 Short Remittance Account 0 0.30
3 Net Payable (From Comm. Suspense A/c) 0 164.00
Grand Total 164.30 164.30

Commission Bill Voucher Processed on 20/04/2023

Agency Commission - Details (annexure-A)

S.No PH Name PolicyNo Pln/Tm DueDt Risk Date CBO Adj.Date Premium Commn.
1 KUMAR 257380119 090-16 28/11/2022 28/05/2012 CBK2 07/04/2023 3286.00 164.30
Page Total Premium : 3,286.00 Commission : 164.30

Grand Total Premium : 3,286.00 Commission : 164.30

( Page No : 1 | 365 | LIC02222365 | 16820811234157) Batch : 1st of 04/2023