Commission Statement

Commission Bill for the Period From Date : 21-FEB-24 To Date : 29-FEB-24

Agent Code 1003257515 Paid Flag Yes

Agent Name MANSI GOLA Credit Date --

Reporting Manager Code 1500131001 Unique ID:

Reporting Manager Name ANKUR PRATAP SINGH Bank Code UNION BANK OF INDIA

Branch Code D31 Bank Acc No. 131222010000707

Unit Code D3106 IFSC UBIN0913120

PAN No. DIBPG7056J License Start Date 29-Dec-2022

License No AGQ1B19857 License End Date 31-Dec-2024

Commission Earned

Policy Ref Policy Holder Product Name Premium Booking Effective Date Issued Date Policy Premium Commission
Term Frequency Year
0550580211 MRS JYOTI FUTURE 5 Yearly 23-Feb-2024 24-Feb-2023 2 50000 1000
SEHGAL WEALTH
GAIN
0548327337 MR SIYA LIFE 10 Half Yearly 15-Feb-2024 15-Feb-2023 2 23924 478
RAM PAL GUARANTEE
D INCOME
GOAL
0550105874 MR PUNEET LIFE 10 Yearly 23-Feb-2024 24-Feb-2023 2 71770 1435
KOCHAR GUARANTEE
D INCOME
GOAL
0551124037 MR LIFE 10 Yearly 27-Feb-2024 27-Feb-2023 2 47847 957
SUBHAY GUARANTEE
NARAIN D INCOME
GOAL
0551184907 MR LIFE FLEXI 20 Yearly 28-Feb-2024 28-Feb-2023 2 200016 10001
KANWAL INCOME
PREET GOAL
SINGH
Total 13871
 Summary

Earnings Amount Deductions Amount

Total First Year Commission 0 Income Tax Deducted 694

Earned

Second Year Onwards 13,871 Service Tax Deducted 0

Renewal Commission

Additional First Year(Bonus) 0 Free Look Cancellations 0

Total Top up Commission 0 Previous Due(C/F) 0

ICC Related Fees 0 Other Deduction 0

Competition Amount 0 Runner Deductions 0

Profession Tax
DD Refund 0 0
Deducted/Recovered

Other Payout 0 - 0

Total Earnings 13,871 Total Deductions 694

Net Amount 13,177