District Insurance Office :KADAPA
Financial Year : 2022-2023
Policy Number                                  :14864306
Employee Name                                  :UDAY PRAKASH REDDY PALLE
Designation                                    :W ADMIN SECY
      S.NO        Month                          Year       Premium Amount (Rs.)               Loan Amount (Rs.)
         1        April                          2022                    0                              0
         2        May                            2022                    0                              0
         3        June                           2022                    0                              0
         4        July                           2022                    0                              0
         5        August                         2022                    0                              0
         6        September                      2022                    0                              0
         7        October                        2022                    0                              0
         8        November                       2022                    0                              0
         9        December                       2022                    0                              0
        10        January                        2023                   800                             0
        11        February                       2023                   800                             0
        12        March                          2023                   800                             0
       Total credits received during the year :                        2400                             0
Opening Balance                                :0
Current Year Premium Amount                   :2400
Total Balance                                  :2400
                                                                                                District Insurance Officer
                                                                                                                 KADAPA
Note: This is a Computer Generated Report.
      The credits shown are only to the extent of Schedules received from DTOs and posted.
1. This Statement of account is subject to E&OE
2. The subscriber is requested to satisfy himself/herself as to the correctness of thestatement and to bring errors,if
any, to the notice of this office within one month from the date of issue with the details of Vr.no.,amount of
voucher,copy of schedule (voucher) under attestation by the DDO concerned.
3. Please quote correct Policy Number in the Schedule (Voucher) and avoid missing credits.
4. In case of transfer, the information may please be informed to District Insurance Office.
5. Proposal Form is compulsory every time whenever the APGLI subscription is increased to obtain additional policies.
6. Proposal forms have to be submitted before (55) years of age to obtain first or subsequent policiesotherwise,excess
premium, if any paid, will be treated as unauthorized amount.
Report Date :26/09/2023