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Agency Commission - Summary

Branch: 86R LIG-540, BLOCK NO:235,


RASMIKANTA PANDA ROOM NO: 2004,G.H.B.,
LIC4091086R-3090 PANDESARA, SURAT
2445267 - 11/06/2015 PIN:394221

Summary of Premium and Commission of 07/2017 (1st batch) (see annexure-A for details)

Sl.No. Description Premium Commission


1. First Premium and Commission 5,731.00 1,432.75
2. First Year Premium and Commission 8,412.00 1,986.37
3. Second Year Premium and Commission 113,829.00 8,537.21
4. Subsequent Year Premium and Commission 116,444.00 5,792.20
5. Bonus Commission Payable 0.00 1,367.64
6. Total Premium and Commission Payable 244,416.00 19,116.17

Payment / Recovery Details (if any) of 07/2017 (1st batch)

Sl.No. Description Payment Recovery


1. Total First Commission 1,432.75 0.00
2. Total First Year Commission 1,986.37 0.00
3. Total Renewal Commission 14,329.41 0.00
4. Income-Tax 0.00 887.00
5. FestivalAdvance 0.00 1,500.00
6. GTS Premium 0.00 3,540.00
7. Short Remittance 0.47 0.00
Net Payment 11,822.00
Grand Total: 17,749.00 17,749.00

Commission Bill Voucher Paid on 04/08/2017

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86R-4091086R-07/2017 (1st batch)-VR-2094 (04/08/2017 17:29:02) Page : 1
Agency Commission - Details (annexure-A)

Name Pol. No. Plan Prem Due Risk Date CBO Adj.Date Premium Commn.
N SAHOO 572332638 014-21 18-05-2017 18-05-2012 480 06/07/2017 775.00 38.75
D A MOHANTY 864102224 191-17 29-07-2017 29-09-2008 B083 31/07/2017 1000.00 20.00
M DASH 864105731 165-15 22-06-2017 22-12-2008 CBK1 10/07/2017 1225.00 61.25
R PANDA 864993185 014-34 28-06-2017 28-03-2009 86R 28/07/2017 964.00 48.20
R PANDA 864993187 088-29 28-06-2017 28-03-2009 86R 28/07/2017 1396.00 69.80
SP PADHI 865010540 165-20 23-01-2017 23-01-2010 CBK1 19/07/2017 60050.00 3002.50
R.B.BHARTI 865012321 165-21 19-06-2017 19-03-2010 86R 07/07/2017 1578.00 78.90
A.RAJENDRAPRASAD 865015619 165-22 28-07-2017 28-03-2010 B083 31/07/2017 766.00 38.30
K.C.PRADHAN 865020764 165-21 26-07-2017 26-07-2010 CBK1 20/07/2017 1531.00 76.55
PP RATHOD 865021155 165-20 28-07-2017 28-07-2010 CBK1 31/07/2017 3639.00 181.95
B.P.RATHOD 865021158 165-25 28-07-2017 28-07-2010 CBK1 31/07/2017 2426.00 121.30
S PRADHAN 865039632 165-21 27-06-2017 27-07-2011 B083 30/06/2017 1021.00 51.05
S PRADHAN 865039632 165-21 27-07-2017 27-07-2011 B083 31/07/2017 1021.00 51.05
PRABHAKAR 865703523 807-16 28-06-2017 28-01-2012 B083 30/06/2017 463.00 23.15
PRABHAKAR 865703523 807-16 28-07-2017 28-01-2012 B083 31/07/2017 463.00 23.15
R MAHAPATRA 865703631 178-20 28-04-2017 28-01-2012 CBK1 01/07/2017 1312.00 65.60
B.N.MAHAPATRA 865703719 178-20 28-04-2017 28-01-2012 CBK1 01/07/2017 1287.00 64.35
S MAHAPATRA 865703720 178-20 28-01-2017 28-01-2012 CBK1 01/07/2017 1312.00 65.60
S MAHAPATRA 865703720 178-20 28-04-2017 28-01-2012 CBK1 28/07/2017 1312.00 65.60
B PANDA 865707361 014-25 21-06-2017 21-03-2012 86R 28/07/2017 1075.00 53.75
P N ROUT 865708850 807-18 28-06-2017 28-03-2012 86R 06/07/2017 1277.00 63.85
C.K.PANDA 865709570 014-25 28-06-2017 28-03-2012 86R 28/07/2017 529.00 26.45
P.G.MAHARANA 865712284 178-20 19-04-2017 19-04-2012 86R 15/07/2017 2817.00 140.85
P.G.MAHARANA 865712284 178-20 19-07-2017 19-04-2012 86R 15/07/2017 2817.00 140.85
B PANDA 865715818 014-21 04-07-2017 04-07-2012 CBK1 26/07/2017 611.00 30.55
R PANDA 865722876 005-25 09-07-2017 09-10-2012 B083 19/07/2017 412.00 20.60
NNT 865728295 014-21 15-10-2016 15-01-2013 86R 28/07/2017 763.00 38.15
NNT 865728295 014-21 15-01-2017 15-01-2013 86R 28/07/2017 763.00 38.15
NNT 865728295 014-21 15-04-2017 15-01-2013 86R 28/07/2017 763.00 38.15
NNT 865728295 014-21 15-07-2017 15-01-2013 86R 28/07/2017 763.00 38.15
PATEL JD 865730834 014-29 28-07-2017 28-01-2013 86R 30/06/2017 1181.00 59.05
PATEL MJ 865730835 014-42 28-07-2017 28-01-2013 86R 30/06/2017 374.00 18.70
M BEHERA 865733506 159-17 19-06-2017 19-03-2013 CBK1 13/07/2017 2047.00 102.35
D BEHERA 865733507 005-25 19-06-2017 19-03-2013 CBK1 13/07/2017 850.00 42.50
R PANDA 865734321 149-30 23-06-2017 23-03-2013 86R 28/07/2017 1077.00 53.85
B PANDA 865734323 179-20 23-06-2017 23-03-2013 86R 28/07/2017 597.00 29.85
A DASH 865741187 091-25 20-06-2017 20-06-2013 58T 04/07/2017 1735.00 86.75
R PRAJAPATI 866966519 178-20 11-07-2017 11-11-2013 B083 19/07/2017 480.00 24.00
A PRAJAPATI 866966520 005-20 11-07-2017 11-11-2013 B083 19/07/2017 274.00 13.70
A PRAJAPATI 866966521 178-20 11-07-2017 11-11-2013 B083 19/07/2017 437.00 21.85
A PRAJAPATI 866966522 149-21 11-07-2017 11-11-2013 B083 19/07/2017 448.00 22.40
K PRAJAPATI 866966996 178-20 23-06-2017 23-11-2013 B083 01/07/2017 854.00 42.70
K PRAJAPATI 866966996 178-20 23-07-2017 23-11-2013 B083 31/07/2017 854.00 42.70
M NAYAK 866971664 178-20 28-06-2017 28-12-2013 CBK1 17/07/2017 2599.00 129.95
STP 866975269 102-31 28-06-2017 28-12-2013 86R 28/07/2017 802.00 40.10
J SAHU 866979023 814-20 12-07-2017 12-07-2014 86R 11/07/2017 5704.00 285.20
MJ VADI 866990750 834-20 28-06-2017 28-06-2015 86R 28/07/2017 8619.00 646.43
CK PANDA 866995059 814-35 15-06-2017 15-12-2015 86R 28/07/2017 1381.00 103.58
M PRAJAPATI 867588455 815-22 28-06-2017 28-05-2016 B083 01/07/2017 867.00 65.03
M PRAJAPATI 867588455 815-22 28-07-2017 28-05-2016 B083 31/07/2017 867.00 65.03
PN KHATUA 867591556 815-25 27-07-2017 27-09-2016 PCMC 31/07/2017 422.00 105.50

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86R-4091086R-07/2017 (1st batch)-VR-2094 (04/08/2017 17:29:02) Page : 2
Agency Commission - Details (annexure-A)

Name Pol. No. Plan Prem Due Risk Date CBO Adj.Date Premium Commn.
S ROUT 867593575 827-20 28-06-2017 28-12-2016 86R 06/07/2017 1866.00 349.87
HV SOLANKI 867660975 823-25 15-07-2017 15-07-2016 86R 07/07/2017 10575.00 793.13
HV SOLANKI 867660976 815-21 15-07-2017 15-07-2016 86R 07/07/2017 29458.00 2209.35
HV SOLANKI 867660977 815-25 15-07-2017 15-07-2016 86R 07/07/2017 24436.00 1832.70
HV SOLANKI 867660978 815-30 15-07-2017 15-07-2016 86R 07/07/2017 20197.00 1514.78
HV SOLANKI 867660982 815-35 15-07-2017 15-07-2016 86R 07/07/2017 17429.00 1307.18
B BHOL 867661094 815-21 28-07-2017 28-01-2017 86R 30/06/2017 3102.00 775.50
B BHOL 867661095 814-25 28-07-2017 28-01-2017 86R 30/06/2017 2075.00 518.75
MAHAPATRA 867663399 814-32 28-06-2017 28-03-2017 86R 13/07/2017 947.00 236.75
N R BITLA 867667188 845-25 21-07-2017 21-07-2017 86R 21/07/2017 4154.00 1038.50
R S MAHAPATRA 867667189 814-35 21-07-2017 21-07-2017 86R 21/07/2017 1577.00 394.25

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86R-4091086R-07/2017 (1st batch)-VR-2094 (04/08/2017 17:29:02) Page : 3

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