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<input type="text" name="puser_name" id="puser_name"

value="shripal.rathod1901@general.bajajallianz.co.in">

<table cellspacing="1" width="100%" height="25" border="0" bgcolor="#ffffff">


<tr>
<td width="100%" height="20" colspan="7" align="center"><b><font size="4">
Bajaj Allianz General Insurance Company Ltd.</b></td>
</tr>
<tr>
<td width="100%" height="20" colspan="7" align="center">
<b>
<font size="3">Agent Float Statement From
01/10/2023
To
31/10/2023
</b>
</td>
</tr>
<tr>
<td width="100%" height="20" colspan="5">
<b>
Agent Id :
10043256
,
RATHOD SHRIPAL RAMESH
</b>
</td>
<td width="100%" height="20" colspan="2">
<b>
Report Date :
04/11/2023
</b>
</td>
</tr>
<tr>
<td width="100%" height="20" colspan="6" align="right"><b>Opening Balance
</b></td>
<td width="100%" height="20" colspan="1" align="right">
<b>
0
</b>
</td>
</tr>
</table>
<table cellspacing="1" width="100%" height="25" border="1" bgcolor="#ffffff">
<tr>
<th>Transaction Date</th>
<th>Transaction Detail</th>
<th>Receipt/Payment No</th>
<th>Policy No</th>
<th>Endorsement No</th>
<th>Cheque No</th>
<th>Customer Name</th>
<th>Debit</th>
<th>Credit</th>
<th>Business Channel</th>
<th>Engine No</th>
<th>Chassis No</th>
<th>User ID</th>
</tr>

</table>
<table cellspacing="1" width="100%" height="25" border="0" bgcolor="#ffffff">
<tr>
<td width="100%" height="20" colspan="5" align="right">
<td><b>Total</b></td>
<td width="100%" height="20" colspan="1" align="right">
<td>
<b>
0
</b>
</td>
<td width="100%" height="20" colspan="1" align="right">
<b>
0
</b>
</td>
</tr>
<tr>
<td width="100%" height="20" colspan="6" align="right"><b>Closing Balance
</b></td>
<td width="100%" height="20" colspan="1" align="right">
<td>
<b>
0
</b>
</td>
</tr>
<tr>
<td width="100%" height="20" colspan="6" align="right"><b>Block
Balance</b></td>
<td width="100%" height="20" colspan="1" align="right">
<td>
<b>
7428
</b>
</td>
</tr>
<tr>
<td width="100%" height="20" colspan="6" align="right"><b>Unblock
Balance</b></td>
<td width="100%" height="20" colspan="1" align="right">
<td>
<b>
-7428
</b>
</td>
</tr>
</table>
<td><b>Details of Blocked Balance</b></td>
<table width="100%" height="25" border="1" bgcolor="#ffffff" align="center">
<tr>
<th height="15" nowrap>Receipt No</th>
<th height="15" nowrap>Scrutiny No</th>
<th height="15" nowrap>Blocked Amt</th>
<th height="15" nowrap>Scrutiny Status</th>
<!--41924975-->
</tr>

<tr>
<td height="15" nowrap >
1901-01574912
</td>
<td height="15" nowrap>
75684893
</td>
<td height="15" nowrap>
1857
</td>
<td height="15" nowrap>
DISPATCHED
</td>
<!--41924975-->
</tr>

<tr>
<td height="15" nowrap >
1901-01637773
</td>
<td height="15" nowrap>
75684893
</td>
<td height="15" nowrap>
5527
</td>
<td height="15" nowrap>
DISPATCHED
</td>
<!--41924975-->
</tr>

<tr>
<td height="15" nowrap >
1901-01684960
</td>
<td height="15" nowrap>
106238241
</td>
<td height="15" nowrap>
44
</td>
<td height="15" nowrap>
PRINTED
</td>
<!--41924975-->
</tr>

<tr>
</tr>
<tr>
<th height="15" colspan="3" align="center">NF Unsettled Amount 01-Apr-2012
onwards</th>
<th height="15" nowrap>
0
</th>
</tr>
<tr>
<th height="15" colspan="3" align="center">Old Agent Balance</th>
<th height="15" nowrap>
0
</th>
</tr>
<tr>
<th height="15" colspan="3" align="center">Refund Amount</th>
<th height="15" nowrap>
0
</th>
</tr>
</table>

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