Premium Due List
Sr FUP Date Client Name Mobile No Policy No DOC Pay Plan Premium Sum Tm/PPT Agency Birth Date
No Mode No Assured Code
Address
58952+1326(2.25%)=60 1240000 24/19 11-04-
1 07-01-2023 Nitisha Badke La 9009491017 374137071 07-01-2022 Yly 934 07599341
278 2020
DO Mr Shailendra Badke Lp, 259-Dkm Sch No-74-C, Vijay Nagar Indore M.P., Pin- 452010
945 51709+1163(2.25%)=52 22-02-
2 07-01-2023 Shresht Chandel La 9200008009 368148793 07-01-2021 Yly 1000000 88/20 07599341
872 2009
SO Mr Ravi Chandel Lp, 701 Goma Ki Phel, Malwa Mill,Indore Mp, Pin- 452003
934 53079+1194(2.25%)=54 12-09-
3 08-01-2023 Manthan Chandel 9200008009 368148819 08-01-2021 Yly 850000 20/15 07599341
273 2015
SO Sri Ravi Chandel La, 691,Goma Ki Phel,Malwa Mill, Indore M.P., Pin- 452001
19-07-
4 10-01-2023 Sanajy Kumar Seth 9893940997 368972952 10-01-2021 Qly 936 3270+74(2.25%)=3344 200000 21/15 07599341 1967
SO Mr Motilal Seth, 204-Radha Apartment, Indore M.P., Pin- 452001
27-01-
5 10-01-2023 Meenu Seth 8827802010 368972950 10-01-2021 Qly 936 2805+63(2.25%)=2868 200000 25/16 07599341 1971
WO Mr Sanjay Seth, 83-Greter Tirupati, Indore M.P., Pin- 452001
19-07-
6 15-01-2023 Hari Prasad Kushwaha 9926668067 346069220 15-01-2010 Qly 165 1225 100000 21/21 07599341 1974
SO Late Sri Babulal Kushwaha, 1477,Nanda Nagar, Indore, Pin- 452011
28-08-
7 15-01-2023 Manoharlal Katariya 9827091719 362318312 15-04-2018 Qly 836 7372+166(2.25%)=7538 300000 16/10 07599341 1960
SO.Harumal Katariya, Fg-35-Sch-54-Vijaynagar, Indore Mp, Pin- 452010
18-11-
8 16-01-2023 Sri Rajesh Kaushal 0000000000 346092509 16-07-2011 Qly 165 1225 100000 25/25 07599341 1973
36,Khatipura Main Road, Sukhaliya, Indore, Pin- 452008
18-11-
9 16-01-2023 Sri Rajesh Kaushal 0000000000 346092511 16-07-2011 Qly 165 919 75000 25/25 07599341 1973
36,Khatipura Main Road, Sukhaliya, Indore, Pin- 452008
18-11-
10 16-01-2023 Sri Rajesh Kaushal 0000000000 346092508 16-07-2011 Qly 165 1225 100000 25/25 07599341 1973
36,Khatipura Main Road, Sukhaliya, Indore, Pin- 452008
18-11-
11 16-01-2023 Sri Rajesh Kaushal 0000000000 346092510 16-07-2011 Qly 165 1225 100000 25/25 07599341 1973
36,Khatipura Main Road, Sukhaliya, Indore, Pin- 452008
18-04-
12 19-01-2023 Aditya Sharma 8319573498 374137601 19-01-2022 Qly 936 3087+69(2.25%)=3156 260000 25/16 07599341 1996
SO Mr Rajesh Sharma, 565 Pardeshipura, Indore M.P., Pin- 452011
Report Prepared by: Shine TAB on date 03/03/2023
50800+1143(2.25%)=51 1000000 23/18 23-05-
13 21-01-2023 Mukund Chandel La 8120123400 368972610 21-01-2021 Yly 934 07599341
943 2018
SO Mr Santosh Chandel Lp, 691 Goma Ki Phel, Malwa Mill,Indore Mp, Pin- 452001
14 21-01-2023 Rudraksh Chandel La 8120123400 368972575 21-01-2021 Yly 934 53079+1194(2.25%)=54 850000 20/15 07599341 17-09-
273 2015
SO Mr Santosh Chandel Lp, 691 Goma Ki Phel, Malwa Mill,Indore Mp, Pin- 452001
16-07-
15 22-01-2023 Ansar Mohammed 0000000000 346082699 22-01-2011 Qly 165 9187 750000 35/35 07599341 1989
90,Magistic Nagar, Khajrana, Indore, Pin- 452000
25-08-
16 22-01-2023 Sri Shailendra Badke 0000000000 346082653 22-01-2011 Qly 165 4594 375000 35/35 07599341 1991
Dkn-259,Sch.No.74, Vijay Nagar, Indore, Pin- 452000
08-08-
17 23-01-2023 Saroj Soni 9926655405 368146628 23-10-2020 Qly 936 6010+135(2.25%)=6145 400000 21/15 07599341 1975
WO Mr Balram Soni, 57-New Anjali Nagar, Indore Mp, Pin- 452001
27-10-
18 24-01-2023 Amol S/O.Gokul More 9826528987 347001996 24-01-2012 Yly 90 14397 250000 17/17 07599341 1979
70-A,Basant Vihar Colony, Ab Road, Indore, Pin- 452006
27-10-
19 24-01-2023 Amol S/O.Gokul More 9826528987 347001998 24-01-2012 Yly 90 18011 400000 21/21 07599341 1979
70-A,Basant Vihar Colony, Ab Road, Indore, Pin- 452006
27-10-
20 24-01-2023 Amol S/O.Gokul More 9826528987 347001997 24-01-2012 Yly 90 2477 50000 20/20 07599341 1979
70-A,Basant Vihar Colony, Ab Road, Indore, Pin- 452006
28-12-
21 24-01-2023 Shreysh S/O.Amol More 0000000000 347002000 24-01-2012 Yly 102 2629 50000 19/19 07599341 2008
70-A,Basant Vihar Colony, Ab Road, Indore, Pin- 452008
28-12-
22 24-01-2023 Shreysh S/O.Amol More 0000000000 347002001 24-01-2012 Yly 102 2795 50000 18/18 07599341 2008
70-A,Basant Vihar Colony, Ab Road, Indore, Pin- 452008
27-10-
23 24-01-2023 Amol S/O.Gokul More 9826528987 347001999 24-01-2012 Yly 164 1906 500000 21/21 07599341 1979
70-A,Basant Vihar Colony, Ab Road, Indore, Pin- 452006
28-07-
24 25-01-2023 Purvy Jain W/O.Bharat 9755936600 348326515 25-01-2017 Hly 815 3670+83(2.25%)=3753 240000 35/35 07599341 1989
384, Clerk Colony, Indore M P, null, Pin- 452011
Sri.Sulabh 01-06-
25 26-01-2023 S/O.Omprakash 0000000000 346089521 26-04-2011 Qly 48 5149 350000 20/15 07599341 1985
Khandelwal
149 B.G. Scheme No.74-C, Vijay Nagar, Indore Mp, Pin- 452010
Sri.Sulabh 01-06-
26 26-01-2023 S/O.Omprakash 0000000000 346089522 26-04-2011 Qly 48 3859 300000 25/15 07599341 1985
Khandelwal
Report Prepared by: Shine TAB on date 03/03/2023
149 B.G. Scheme No.74-C, Vijay Nagar, Indore Mp, Pin- 452010
27 26-01-2023 Sri.Pritesh 10-08-
9425191128 346089517 26-04-2011 Qly 165 3062 250000 35/35 07599341
S/O.Jainarayan Oswal 1990
104910 Nanda Nagar, Indore M.P., null, Pin- 452011
28 26-01-2023 Sri.Pritesh 10-08-
9425191128 346089519 26-04-2011 Qly 165 3062 250000 35/35 07599341
S/O.Jainarayan Oswal 1990
104910 Nanda Nagar, Indore M.P., null, Pin- 452011
15-02-
29 26-01-2023 Sri Sudhir Agrawal 9303575947 346078000 26-10-2010 Qly 165 2297 187500 30/30 07599341 1978
122,Janata Quarter Indore, Indore, null, Pin- 452010
30 26-01-2023 Sri.Pritesh 10-08-
9425191128 346089518 26-04-2011 Qly 165 3062 250000 35/35 07599341
S/O.Jainarayan Oswal 1990
104910 Nanda Nagar, Indore M.P., null, Pin- 452011
08-04-
31 26-01-2023 Sri Rakesh Agrawal 9303575947 346077999 26-10-2010 Qly 165 2297 187500 30/30 07599341 1981
122,Janata Quarter Indore, Indore, null, Pin- 452010
32 26-01-2023 Sri.Pritesh 10-08-
9425191128 346089520 26-04-2011 Qly 165 3062 250000 35/35 07599341
S/O.Jainarayan Oswal 1990
104910 Nanda Nagar, Indore M.P., null, Pin- 452011
12-12-
33 27-01-2023 Nimish Kumawat 9926610356 347026237 27-02-2013 Mly 102 391 100000 21/21 06334341 2012
SO.Sri.Manish Kumawat, B-237, Veena Nagar, Indore M.P, Pin- 452010
17-10-
34 27-01-2023 Sri.Manish Kumawat 9926610356 347026236 27-02-2013 Mly 90 766 200000 21/21 06334341 1987
SO.Sri.Tejkaran Kumawat, B-237, Veena Nagar, Indore M.P, Pin- 452001
814 10871+245(2.25%)=111 12-06-
35 28-01-2023 Iliyas Ahamad 8889909786 366938629 28-10-2019 Qly 650000 16/16 07599341
16 1976
SO Imtiyaz Ahamad, 11541,Nandanagar Main Patnipura, Chouraha,Indore Mp, Pin- 452011
20-09-
36 28-01-2023 Shubham Sharma 0000000000 347003980 28-01-2012 Qly 5 402 50000 63/15 07599341 1994
6120, Nanda Nagar, Patnipura Indore M.P, null, Pin- 452011
01-07-
37 28-01-2023 Ku.Khushi Gugliya 9589589199 347032977 28-04-2013 Qly 102 6067 425000 17/17 07599341 2008
DO Sh Ghanshyam Gugliya, 691 Goma Ki Phel, Indore M.P, Pin- 452003
38 28-01-2023 Chandanbala 05-02-
9425191129 348301559 28-04-2015 Qly 814 6150+138(2.25%)=6288 400000 17/17 07599341
W/O.Neeraj Jain 1981
333-Sundar Nagar Main, Indore M.P., null, Pin- 452010
20-04-
39 28-01-2023 Sri.Sanjay Kumawat 9993133369 346054180 28-07-2009 Qly 5 1386 150000 46/21 07599341 1975
925 Bhagirathpura, Near Arya Samaj Mandir, Indore Madhya Pradesh, Pin- 452001
28-11-
40 28-01-2023 Jaya Sharma 0000000000 347003982 28-01-2012 Qly 5 956 100000 54/15 07599341 1985
291 Chhoti Khajrni, Lig Colony, Indore M.P, null, Pin- 452011
Report Prepared by: Shine TAB on date 03/03/2023
04-06-
41 28-01-2023 Sri.Vijay Kumawat 9131555246 346054182 28-07-2009 Qly 5 1224 150000 51/21 07599341 1980
925 Bhagirathpura, Near Arya Samaj Mandir, Indore Madhya Pradesh, Pin- 452001
42 28-01-2023 Shri.Vijay Birchha 9826065780 346064842 28-01-2010 Qly 5 1540 200000 50/25 07599341 11-05-
1980
35,Shanti Nagar, Manoramaganj, Indore M.P., Pin- 452001
23-10-
43 28-01-2023 Mustaq Ahmad 6263763694 346083814 28-01-2011 Qly 179 7537 500000 16/16 07599341 1971
12,Multani Colony, Indore, null, Pin- 452000
44 28-01-2023 Sri Iftekhar Ahmed 04-08-
6263763694 346084518 28-01-2011 Qly 179 1300 100000 16/16 07599341
Multani 1990
12,Multani Colony, Indore, null, Pin- 452001
45 28-01-2023 Shobhna 07-04-
0000000000 347003425 28-01-2012 Yly 149 18847 200000 43/16 07599341
W/O.Gokul.More 1955
70-A Basant Vihar Colony, Behind Satya Sai School, A.B Road Indore M.P, Pin- 452011
07-04-
46 28-01-2023 Gokul S/O.Uttam More 0000000000 347003384 28-01-2012 Yly 149 33194 300000 39/14 07599341 1951
70-A Basant Vihar Colony, Behind Satya Sai School, A.B Road Indore M.P, Pin- 452011
12-08-
47 28-01-2023 Smt.Sharda Bhatiya 0000000000 347034532 28-04-2013 Qly 149 4350 200000 47/17 07599341 1960
WO Sri Kishan Lal Bhatiya, 43A-Mangal Nagar, Pandit Din Dayal Nagar,Indore.Mp, Pin- 452001
11-05-
48 28-01-2023 Vijay Bircha 9826065780 346064951 28-01-2010 Hly 164 965 500000 25/25 07599341 1980
35,Shanti Nagar, Manormaganj, Indore, Pin- 452001
49 28-01-2023 Shubham S/O.Shrikant 20-09-
0000000000 347003979 28-01-2012 Qly 165 4200 350000 35/35 07599341
Sharma 1994
6120, Nanda Nagar, Patnipura Indore M.P, null, Pin- 452011
28-11-
50 28-01-2023 Jaya Sharma 0000000000 347003981 28-01-2012 Qly 165 3675 300000 25/25 07599341 1985
291 Chhoti Khajrni, Lig Colony, Indore M.P, null, Pin- 452011
05-01-
51 28-01-2023 Champalal Nandwal 6260373348 346063243 28-01-2010 Qly 165 6125 500000 16/16 07599341 1956
539,Nehru Nagar, Indore, null, Pin- 452000
52 28-01-2023 Bhagwanram Jangid 10-01-
8964805546 347011595 28-04-2012 Qly 165 1578 125000 25/25 07599341
Sharma 1979
34-C, Sl-1, Sch-78, Vijay Nagar, Indore M.P, null, Pin- 452001
53 28-01-2023 Sri Ghasiji Ghanshyam 16-08-
0000000000 346083776 28-01-2011 Qly 165 1578 125000 21/21 07599341
Gugliya 1979
69-1, Goma Ki Phel, Road No 1 Indore, Pin- 452000
04-06-
54 28-01-2023 Sri.Vijay Kumawat 9131555246 346054181 28-07-2009 Qly 165 3675 300000 21/21 07599341 1980
925 Bhagirathpura, Near Arya Samaj Mandir, Indore Madhya Pradesh, Pin- 452001
Report Prepared by: Shine TAB on date 03/03/2023
20-04-
55 28-01-2023 Sri.Sanjay Kumawat 9993133369 346054179 28-07-2009 Qly 165 3675 300000 21/21 07599341 1975
925 Bhagirathpura, Near Arya Samaj Mandir, Indore Madhya Pradesh, Pin- 452001
56 28-01-2023 Laxmibai W/O.Champlal 9893877376 346064016 28-01-2010 Qly 165 3062 250000 16/16 07599341 12-08-
Nandwal 1959
539,Nehru Nagar, Indore, null, Pin- 452008
01-08-
57 28-01-2023 Naksh Bansode 8878582975 366942618 28-01-2020 Qly 834 1715+39(2.25%)=1754 110000 21/16 07599341 2015
SO Sri Sanjay Bansode, 52,Goma Ki Phel,Malwa Mill, Indore Mp, Pin- 452003
12-06-
58 28-01-2023 Iliyas Ahamad 8889909786 366938630 28-10-2019 Qly 836 6916+156(2.25%)=7072 550000 25/16 07599341 1976
SO Imtiyaz Ahamad, 11541,Nandanagar Main Patnipura, Chouraha,Indore Mp, Pin- 452011
12-04-
59 28-01-2023 Shahid Ali 9993464678 366942980 28-01-2020 Qly 845 9034+203(2.25%)=9237 450000 83/15 07599341 2003
SO Sri Shakeel Ali, 20,Hajikhudabaksh Colony, Indore Mp, Pin- 452011
01-07-
60 28-01-2023 Lata Khandelwal 9977044441 368146871 28-10-2020 Qly 914 2531+57(2.25%)=2588 150000 17/17 07599341 1973
WO Mr Kailash Chandra Khandelwal, 241 Goma Ki Phel, Malwa Mill,Indore Mp, Pin- 452003
03-12-
61 28-01-2023 Krish Rimjha 9131132699 368980133 28-07-2021 Qly 936 5731+129(2.25%)=5860 270000 16/10 07599341 2009
SO Sri Banwari Rimjha, B208,Gulmohar Complex Near By Sica, In 78,Niranjanpur,Indore Mp, Pin- 452010
25-05-
62 28-01-2023 Krishna Jadon La 9109043370 368972954 28-01-2021 Qly 934 8759+197(2.25%)=8956 760000 25/20 07599341 2020
SO Mr Sachin Jadon Lp, 1011 Nanda Nagar, Indore M.P., Pin- 452011
19-03-
63 28-01-2023 Aarvi Jain La 9770451081 374138027 28-01-2022 Yly 934 6612+149(2.25%)=6761 100000 20/15 07599341 2016
DO Mr Abhishek Jain Lp, 153 Subhash Nagar, Indore M.P., Pin- 452003
12-09-
64 28-01-2023 Deep Chand Khandelwal 9098738170 368146867 28-10-2020 Qly 936 3190+72(2.25%)=3262 200000 21/15 07599341 1969
SO Mr Bansilal Khandelwal, 241 Goma Ki Phel, Malwa Mill,Indore Mp, Pin- 452003
05-01-
65 28-01-2023 Sri Neeraj Kumar Jain 9425191129 344199750 28-01-2006 Yly 149 6373 120000 71/21 06334341 1977
SO Sri Labhmal Jain, 333-B Sundar Nagar Main, Indore, Pin- 452010
Report Prepared by: Shine TAB on date 03/03/2023
