Branch: 330 PLOT NO 20 SURAJ NAGAR

SH SUNIL KUMAR PAREEK NEAR SEC 17E C.H.B.

Agent : LIC02748330 PO-JODHPUR
Leader :0000464 PIN:342011

02748330 Premium due & Default List for the Month of 10/2017 Page : 1

Sl. Policy Policy Holder Name D.o.C. Plan - M F.U.P. Instlmnt D G S T Total Estm.
No. Number Term od Premium ue Premium Comn
1 104375244 SANTOSH KANWAR 23/05/2009 093-25 Y 05/2017 10315 1 0.00 10315 619
2 104383690 SHILPI PAREEK 26/11/2009 165-20 H 05/2017 3032 1 0.00 3032 152
3 107624770 KALU RAM 24/05/2011 179-20 Y 05/2017 2471 1 0.00 2471 124
4 109066536 SHYAM LAL 23/06/2014 815-21 H 06/2017 8538 1 192.00 8730 427
5 108249039 URMILA CHOUDHARY 06/02/2012 165-15 H 08/2017 3032 1 0.00 3032 152
6 103756249 GULSHAN KUMAR MOSALPURIYA 28/03/2007 179-20 H 09/2017 1822 1 0.00 1822 91
7 103759164 RAGHUVEER SINGH SOLANKI 28/03/2007 179-20 H 09/2017 1772 1 0.00 1772 89
8 104373577 SOM PRAKASH SHARMA 28/03/2009 149-51 H 09/2017 8757 1 0.00 8757 438
9 107611436 NANAK MEGHWAL 15/09/2010 014-21 Y 09/2017 4541 1 0.00 4541 227
10 108256241 AKANKSHA PAREEK 14/09/2012 159-25 Y 09/2017 11947 1 0.00 11947 597
11 103767711 LAKHA RAM SARAN 26/10/2007 075-20 H 10/2017 3417 1 0.00 3417 205
12 103777868 RAVI SHANKAR PAREEK 21/04/2008 133-21 H 10/2017 1362 1 0.00 1362 68
13 109056403 UTTAM SINGH 24/10/2013 178-96 Y 10/2017 6561 1 0.00 6561 328
14 109066373 PUNEET PARIHAR 28/04/2014 814-21 H 10/2017 4711 1 106.00 4817 236

Page Totals : Premium : 72278.00 G S T : 298.00 Commission : 3753.00

Grand Totals : Premium : 72278.00 G S T : 298.00 Commission : 3753.00

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330-02762330 - (11/10/2017 19:17:20)