Branch Code: 699 S/O.

SRINIVASA RAO

Agent Name : ANCHULA.RAMESH D.NO.16-5-52,LALBAHUDUR NAGAR,

Agent Code : LIC04534699 WATER TANK ROAD,OLD GUNTUR,

Premium Due List For The Agent LIC04534699 For 05/2024

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

1 677969702 SHASHI SHARMA 28/08/2017 836/25 Qly 11/2023 6952.00 3 469.00 21325 1042.80
2 677961251 SHAIK ZUBEDA 10/05/2016 836/25 Mly 12/2023 4230.00 6 571.00 25951 1269.00
3 677972972 ADITI KANSAL 28/12/2017 836/25 Hly 12/2023 11435.00 1 257.00 11692 571.75
4 677489337 ANCHULA NAGA LAKSHMI 27/02/2016 836/25 Hly 02/2024 4879.00 1 110.00 4989 243.95
5 677489339 MAVULURU AVINASH REDDY 27/02/2016 836/25 Yly 02/2024 9364.00 1 211.00 9575 468.20
6 678992384 GATTAMANENI KRISHNAVENI 27/02/2023 936/25 Yly 02/2024 ST 14090.00 1 317.00 14407 1056.75
7 678992386 ANCHULA MAHESH BABU 27/02/2023 936/25 Hly 02/2024 ST 7048.00 1 159.00 7207 528.60
8 677489405 ANCHULA RAMESH 28/02/2016 833/25 Hly 02/2024 2359.00 1 53.00 2412 117.95
9 678540457 MERUVA VENKATESH 28/09/2018 836/25 Hly 03/2024 11484.00 1 258.00 11742 574.20
10 678465201 JAYANT KRISHNA MISHRA 17/07/2018 836/25 Qly 04/2024 10395.00 1 234.00 10629 519.75
11 659166410 AYISWARYA MOHAPATRA 20/04/2021 936/25 Qly 04/2024 10429.00 1 235.00 10664 521.45
12 677958917 RAYALA RAVI 28/10/2016 836/25 Hly 04/2024 4704.00 1 106.00 4810 235.20
13 677959855 DODDA HULUGAPPA BARIKARA 28/11/2016 836/25 Hly 05/2024 4714.00 1 106.00 4820 235.70
14 677967341 VARTIKA SOUMYA 28/05/2017 836/25 Hly 05/2024 4694.00 1 106.00 4800 234.70
15 678658791 KAMASALA SRIKANTH 28/11/2019 836/21 Qly 05/2024 9599.00 1 216.00 9815 479.95

Page Total Premium : 154838 G S T : 3408 Estimated Comn : 8099.95

Grand Total Premium : 154838 G S T : 3408 Estimated Comn : 8099.95

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

( Page No : 1 | 699 | LIC04541699 | 17144189336780 | Due : 5-2024 )