CommPaid 6

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Agent/Broker Code : 80107018

Agent/Broker Name: PALAK AGGARWAL


Address :

H NO 9 CHANDER PURI COLONY TAYLOR ROAD OPP GANDHI GROUND


AMRITSAR

Branch :

Amritsar Branch Office

Commission Paid Report for 2nd Cycle of Mar 2016


Policy Number /
Endorsement
Number

Policy Holder Name

Product Name

Policy
Issuance
Date

Policy Start
Date

Net Premuim

1000179892-05

Sanjeev Kumar

Easy Health Floater Standard

22-Mar-2016

30-Mar-2016

12210.66

1770.55

13981.21

15

1831.60

1000180843-05

Poonam

Optima Restore Individual

28-Mar-2016

26-Mar-2016

13832

2005.64

15837.64

15

2074.80

2000050972-05

Raveena Bansal

Standard Variant Base

23-Mar-2016

22-Mar-2016

2992.50

433.91

3426.41

15

448.88

2000051012-05

Gurpuran Bansal

Standard Variant Base

23-Mar-2016

22-Mar-2016

2992.50

433.91

3426.41

15

448.88

AA00195616-01

Ashwani Kumar

Optima Restore Floater

19-Mar-2016

18-Mar-2016

16948

2457.46

19405.46

15

2542.20

AA00198841-01

Rachhpal Singh

Optima Restore Floater

18-Mar-2016

14-Mar-2016

19747

2863.32

22610.32

15

2962.05

AA00383549

Manu Bhalla

Easy Health Floater Standard

16-Mar-2016

14-Mar-2016

12210.66

1770.55

13981.21

15

1831.60

AA00393416

Varinder Singh

Easy Health Floater Standard

28-Mar-2016

28-Mar-2016

17311.76

2510.21

19821.97

15

2596.76

98245.08

14245.55

112490.63

Total

TDS %:

10

Net Commission :

13263.09

Service Tax

Gross Premium Com


m%

Comm
Amount

14736.77

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