Branch Code: 44C C/O PADMA BOR CHETRI

Agent Name : SITARAM CHETRI VILL MADHAVPUR

Agent Code : LIC0229344C PO PURANI PUKHURI

Premium Due List For The Agent LIC0229344C For 01/2024

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

1 415137131 KIRAN KUMAR PRADHAN 28/12/2020 936/21 Hly 06/2023 ST 8296.00 2 373.00 16965 1037.00
2 494185926 SIDHARTH CHETRY 06/03/2023 934/25 Hly 09/2023 FY 3422.00 1 154.00 3576 855.50
3 504938427 MUNA SAH 27/06/2023 915/15 Mly 09/2023 FY 1971.00 5 444.00 10299 2463.75
4 494187644 SAGAR PRADHAN 28/03/2023 915/15 Hly 09/2023 FY 6167.00 1 278.00 6445 1541.75
5 505893822 REVATI MOHAN CHETRY 28/06/2023 915/20 Qly 09/2023 FY 2942.00 2 265.00 6149 1471.00
6 494185927 BHUBAN TAMANG 06/03/2023 915/16 Mly 10/2023 FY 1254.00 4 226.00 5242 1254.00
7 474719327 ROBIN GURUNG 20/01/2022 934/25 Qly 10/2023 ST 3072.00 2 138.00 6282 460.80
8 504937233 RAJ KUMAR CHETRY 22/05/2023 915/15 Mly 10/2023 FY 3008.00 4 541.00 12573 3008.00
9 505896165 TILAK CHETRY 23/08/2023 915/15 Mly 10/2023 FY 1139.00 4 205.00 4761 1139.00
10 477454648 BISHAL TAMANG 25/07/2022 936/21 Qly 10/2023 ST 3080.00 2 139.00 6299 462.00
11 460299128 PAPPU PRADHAN 28/04/2021 936/21 Hly 10/2023 ST 5833.00 1 131.00 5964 437.48
12 504937006 ANIL CHETRY 12/05/2023 915/15 Qly 11/2023 FY 3970.00 1 179.00 4149 992.50
13 505895660 MANDIRA PRADHAN 14/08/2023 915/15 Qly 11/2023 FY 3402.00 1 153.00 3555 850.50
14 504938428 PREM NEWAR 27/06/2023 915/15 Mly 11/2023 FY 2953.00 3 399.00 9258 2214.75
15 475154841 KISHAN THAPA 28/02/2022 936/21 Mly 11/2023 ST 981.00 3 66.00 3009 220.74
16 505895369 DIPA DEBNATH 09/08/2023 915/15 Mly 12/2023 FY 1244.00 2 112.00 2600 622.00
17 477453965 BIKASH PRADHAN 11/07/2022 936/21 Mly 12/2023 ST 935.00 2 42.00 1912 140.26
18 504937162 ANIMA ROY 19/05/2023 915/15 Mly 12/2023 FY 771.00 2 69.00 1611 385.50
19 494186810 NARAYAN CHETRY 21/03/2023 915/15 Mly 12/2023 FY 1734.00 2 156.00 3624 867.00
20 504936508 DOMBAR THAPA 25/04/2023 915/15 Mly 12/2023 FY 2835.00 2 255.00 5925 1417.50
21 504936509 DHRUBA CHETRY 25/04/2023 915/15 Mly 12/2023 FY 3058.00 2 275.00 6391 1529.00
22 504936574 DAVID BAHADUR THAPA CHETRY 27/04/2023 934/24 Mly 12/2023 FY 1153.00 2 104.00 2410 576.50
23 504938426 DIPALI CHETRY NEWAR 27/06/2023 915/15 Mly 12/2023 FY 1479.00 2 133.00 3091 739.50
24 504938429 KAVYA CHETRY 27/06/2023 934/25 Hly 12/2023 FY 4357.00 1 196.00 4553 1089.25
25 415137615 CHAMPA CHETRI 28/12/2020 915/20 Hly 12/2023 5220.00 1 118.00 5338 261.00
26 460225381 SANE TAMANG 28/03/2021 915/19 Qly 12/2023 ST 1896.00 1 43.00 1939 142.20
27 475984458 RIBOK CHETRY 28/03/2022 936/21 Mly 12/2023 ST 1167.00 2 53.00 2387 175.06
28 479849977 PROSONJIT ROY 28/11/2022 936/21 Mly 12/2023 ST 1493.00 2 67.00 3053 223.96
29 494148790 ACHUYTAM CHETRY 28/12/2022 934/25 Qly 12/2023 ST 3854.00 1 87.00 3941 289.05
30 504935556 GOUTAM DAS 28/03/2023 936/21 Qly 12/2023 FY 6894.00 1 310.00 7204 1723.50
31 504935577 SOM BAHADUR PRADHAN 28/03/2023 915/15 Mly 12/2023 FY 1461.00 2 132.00 3054 730.50
32 505893821 SUJIT KUMAR PRASAD 28/06/2023 915/15 Qly 12/2023 FY 3319.00 1 149.00 3468 829.75
33 505895098 OM NATH CHETRY 28/07/2023 915/15 Mly 12/2023 FY 1506.00 2 136.00 3148 753.00
34 494148891 ADARSH CHETRY 06/01/2023 932/25 Qly 01/2024 ST 12925.00 1 291.00 13216 969.38
35 505894075 SANDEEP NANDI 10/07/2023 936/21 Qly 01/2024 FY 3737.00 1 168.00 3905 934.25
36 505894076 PRATIGYA CHETRY 10/07/2023 932/21 Qly 01/2024 FY 4304.00 1 194.00 4498 1076.00
37 477453963 CHANDRA BAHADUR DAHAL 11/07/2022 915/18 Qly 01/2024 ST 1984.00 1 45.00 2029 148.80
38 477453964 NIKITA CHETRY 11/07/2022 934/22 Hly 01/2024 ST 4292.00 1 97.00 4389 321.90
39 477453966 PUNAM CHETRY 11/07/2022 936/21 Hly 01/2024 ST 5525.00 1 124.00 5649 414.38
40 505894179 MONI KUMAR LIMBO 12/07/2023 936/21 Qly 01/2024 FY 10256.00 1 462.00 10718 2564.00
41 505894180 PRANAB PAUL 12/07/2023 932/24 Qly 01/2024 FY 3691.00 1 166.00 3857 922.75
42 505894181 MAMTA GUPTA 12/07/2023 915/15 Mly 01/2024 FY 1469.00 1 66.00 1535 367.25
43 415138227 NAYON ADHIKARI 15/01/2021 934/20 Yly 01/2024 6034.00 1 136.00 6170 301.70
44 494149152 AYAN SONAR 17/01/2023 934/19 Yly 01/2024 ST 13628.00 1 307.00 13935 1022.10
45 477993126 ANURAG PRADHAN 19/08/2022 934/25 Mly 01/2024 ST 2961.00 1 67.00 3028 222.08
46 474719328 BINA DEVI PRADHAN 20/01/2022 936/21 Mly 01/2024 ST 2737.00 1 62.00 2799 205.28
47 477454580 TANU DAS 20/07/2022 936/21 Qly 01/2024 ST 2790.00 1 63.00 2853 209.25
48 477454605 CHANCHOLA DAS 21/07/2022 936/21 Qly 01/2024 ST 3060.00 1 69.00 3129 229.50

Page Total Premium : 251885 G S T : 8445 Estimated Comn : 40811.92

( Page No : 1 | 44C | LIC0229344C | 17041255852515 | Due Month 01/2024)
S.No PolicyNo Name of Assured D.o.C Pln/Tm Mod FUP Flg InstPrem Due GST TotPrem EstCom

49 477454635 BIKASH LIMBU 22/07/2022 936/21 Hly 01/2024 ST 10222.00 1 230.00 10452 766.65
50 494149665 GOBIN UPADHYAY 25/01/2023 936/21 Yly 01/2024 ST 13800.00 1 311.00 14111 1035.00
51 494149666 RAJ KUMAR NEWAR 25/01/2023 915/16 Qly 01/2024 ST 15340.00 1 345.00 15685 1150.50
52 447394207 LAXMI THAPA 28/01/2021 932/21 Hly 01/2024 4147.00 1 93.00 4240 207.35
53 477992118 NEHA CHETRY 28/07/2022 934/19 Hly 01/2024 ST 5173.00 1 116.00 5289 387.98
54 494149759 SUMAN CHETRY 28/01/2023 936/21 Hly 01/2024 ST 8310.00 1 187.00 8497 623.25
55 504936739 SAGAR CHETRI 28/04/2023 915/15 Qly 01/2024 FY 2992.00 1 135.00 3127 748.00

Page Total Premium : 61401 G S T : 1417 Estimated Comn : 4918.73

Grand Total Premium : 313286 G S T : 9862 Estimated Comn : 45730.65

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

( Page No : 2 | 44C | LIC0229544C | 17041255852515 | Due : 1-2024 )