Branch Code: 21L

Agent Name : AJEET UPADHYAY

Agent Code : LIC1108121L

Premium Due List For The Agent LIC1108121L For 09/2023

S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

1 258836000 RANJANA TRIPATHI 25/07/2022 945/45 Hly 07/2023 ST 8277.00 1 186.00 8463 620.78
2 248314403 POONAM 28/10/2021 915/26 Qly 07/2023 ST 1462.00 1 33.00 1495 109.65
3 249753791 RAMESH MISHRA 09/05/2022 945/74 Qly 08/2023 ST 8707.00 1 196.00 8903 653.03
4 248316663 DIVYA PRATAP SINGH 10/12/2021 934/25 Qly 09/2023 ST 1498.00 1 34.00 1532 112.35
5 248316664 BRIJESH KUMAR MISRA 10/12/2021 945/47 Qly 09/2023 ST 6195.00 1 139.00 6334 464.63
6 248317085 BRIJESH KUMAR MISHRA 10/12/2021 943/15 Qly 09/2023 ST 2656.00 1 60.00 2716 199.20
7 249004054 POOJA DEVI 14/02/2022 915/25 Mly 09/2023 ST 393.00 1 9.00 402 29.48
8 249458398 PUSHPA MAURYA 15/03/2022 915/25 Qly 09/2023 ST 2936.00 1 66.00 3002 220.20

Page Total Premium : 32847 G S T : 723 Estimated Comn : 2409.32

Grand Total Premium : 32847 G S T : 723 Estimated Comn : 2409.32

FY - First year Prem. ST-> 2nd,3rd Year Prem. LP : Last Premium. MT : Matures after this due.

( Page No : 1 | 21L | LIC1108221L | 16938611638059 | Due : 9-2023 )