District Insurance Office :PRAKASAM
Financial Year : 2022-2023
Policy Number :2217255
Employee Name :K. SITAMAHA LAKSHMI
Designation :S N
S.NO Month Year Premium Amount (Rs.) Loan Amount (Rs.)
1 April 2022 15000 495
2 May 2022 0 0
3 June 2022 15000 3208
4 July 2022 5000 3208
5 August 2022 5000 3208
6 September 2022 5000 3208
7 October 2022 5000 3208
8 November 2022 5000 3208
9 December 2022 8000 3208
10 January 2023 8000 3208
11 February 2023 8000 3208
12 March 2023 8000 3208
Total credits received during the year : 87000 32575
Opening Balance :327950
Current Year Premium Amount :87000
Total Balance :414950
District Insurance Officer
PRAKASAM
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 :06/05/2024
