Commission Statement

Commission Bill for the Period From Date : 11-MAR-24 To Date : 20-MAR-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
0550627313 MR LIFE 10 Yearly 03-Mar-2024 03-Mar-2023 2 76781 1536
KAUSHLEN GUARANTEE
DRA D INCOME
MISHRA GOAL
Total 1536
 Summary

Earnings Amount Deductions Amount

Total First Year Commission 0 Income Tax Deducted 77

Earned

Second Year Onwards 1,536 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 1,536 Total Deductions 77

Net Amount 1,459