agent bill july 2011 60
TRANSCRIPT
Dev Officer Wise Agent Bill
Time run: 8/1/2011 11:46:23 AM
Dev Officer Code - Dev Officer NameOffice Code : 230400Party License Number 932678Party License Expiry Date 8/12/2011Site Code 1D3937822Agent Type AgentAgent Code 1D3935979Agent Name AFROZE PATALWALA
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
11 Fire
23040011110100000825: : Individual 28/07/2011 27/07/2012420 28
23040011110100000826: : Individual 28/07/2011 27/07/2012300 20
23040011110100001002: : Individual 30/07/2011 29/07/2012680 68
11 Fire Total 1400 116
31 Motor
23040031110100013031: : Mr. MR, VIRAF RATAN MESSMAN . Individual 7/7/2011 6/7/2012748 30
23040031110100012840: : FIROZBAHI E. DUMASIA. Individual 8/7/2011 7/7/2012598 22
23040031110100012880: : Mr. MR, DEVANG D KHADEPAV . Individual 19/07/2011 18/07/20120 0
23040031110100013036: : Mr. MR, DEVANG D KHADEPAV . Individual 19/07/2011 18/07/20121063 61
23040031110200013638: : Mr. PUSHKAR H DALAL Individual 20/07/2011 19/07/2012380
23040031110200014964: : Mr. MR, ZARIR S KATPITIA . Individual 21/07/2011 20/07/20121005
23040031110100014339: : HEMANT.S. MARFATIA Individual 23/07/2011 22/07/20120 0
23040031110100014638: : HEMANT.S. MARFATIA Individual 23/07/2011 22/07/2012463 8
23040031110200014961: : Mr. MR, ZARIR S KATPITIA . Individual 26/07/2011 25/07/20123125
23040031110200013815: : Mr. AMEE SATYENBHAI DALAL Individual 28/07/2011 27/07/20121115
23040031110100013400: : PUSHKAR H. DALAL Individual 30/07/2011 29/07/20127575 607
23040031110100016256: : Mr. MR, PRADEEP RATILAL NAVIK . Individual 3/8/2011 2/8/2012504 12
31 Motor Total 16576 740
34 Health Insurance
23040034110100002878: : PILU H RABADI Individual 29/06/2011 28/06/2012702
23040034110100003159: : SUNIL SURESH DHAMANWALA Individual 2/7/2011 1/7/201210431 1565
23040034110100003162: : SATISHKUMAR C MODI Individual 2/7/2011 1/7/201218252 2738
23040034110100003239: : KHUSHRU R KAMAKHAN Individual 5/7/2011 4/7/20123990 599
23040034110100003950: : KAUSHIK S. DALAL Individual 25/07/2011 24/07/201214210 2132
23040034110100003905: : SHANTILAL L DALAL Individual 26/07/2011 25/07/201217037 852
34 Health Insurance Total 63920 8588
162, AASHIYANA, SARJAN SOCIETY ATHWALINES SURAT
46 Traditional Business - Miscellaneous 23040046110100000075: : Mr. MRS.KETY C TODIWALA Individual 30/07/2011 29/07/2012960 144
46 Traditional Business - Miscellaneous Total 960 144
48 Misc - Non Traditional Business 23040048110500000082: : Mr. ADIL M. BARIA . Individual 4/7/2011 3/7/20124596 660
48 Misc - Non Traditional Business Total 4596 660
23040042110100001432: : SATISHKUMAR C MODI Individual 2/7/2011 1/7/20121620 243
23040042110100001434: : MANISH N GANDHI Individual 5/7/2011 4/7/2012392 59
23040036110400000018: : Mr. DR. HOMI DARABSHAH DOODHWALA Individual 19/07/2011 18/07/20121600 240
23040036110400000019: : DR. (MRS) PERSIS HOMI MEWAWALA Individual 19/07/2011 18/07/2012800 120
23040042110100001725: : KAUSHIK S DALAL Individual 20/07/2011 19/07/20120 0
23040042110100001762: : KAUSHIK S DALAL Individual 20/07/2011 19/07/20121422 213
23040042110100001765: : PARMAR MUKESH NATVARBHAI Individual 28/07/2011 27/07/2012203 30
6037 905
Grand Total 93489 11153Party License Number 52650Party License Expiry Date 19/06/2010Site Code 1D3938055Agent Type AgentAgent Code 1D3936212
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100011990: : Individual 1/7/2011 30/06/2012780 33
23040031110100012837: : Mr. SURESHCHANDRA KHAYALILAL SANKHLA Individual 9/7/2011 8/7/20124250 314
31 Motor Total 5030 347
Grand Total 5030 347Party License Number 625696Party License Expiry Date 28/08/2014Site Code 1D4024258Agent Type AgentAgent Code 1D4019280
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110600000526: : Mr. ASHWIN TARACHAND ADANI - Individual 11/7/2011 4/7/20120 0
23040034110100003745: : PAWAR PRAKASH SHANTARAM. Individual 15/07/2011 14/07/20126674 1001
23040034110600000616: : RAJKISHORDAS RAJKISHORDAS Individual 17/07/2011 16/07/20121550 233
23040034110600000617: : CHINTAMANIJI PRANAMI Individual 17/07/2011 16/07/20121800 270
SURESHCHANDRA K SANKHLA
3, MEGHMALHAR, NR. VIDYA BHARTI SCHOOL, BHATAR CHAR RASTA SURAT
Mr. NILESHKUMAR SURESHCHANDRA SANKHLA .
HARIVADAN J HAVELIWALA
301 ORION HOUSE B/H - RESHAM BHAWAN LAL DARWAJA
34 Health Insurance
23040034110100003999: : NIRAV S GOLWALA Individual 21/07/2011 20/07/20123375 506
34 Health Insurance Total 13399 2010
23040042110100001574: : Mr. PARMAR MEHUL DINESHBHAI - Individual 8/7/2011 7/7/2012240 36
23040042110100001580: : PARMAR DINESHBHAI NATVARBHAI Individual 10/7/2011 9/7/2012203 30443 66
Grand Total 13842 2076Party License Number 1223674Party License Expiry Date 7/9/2011Site Code 1D4024260Agent Type AgentAgent Code 1D4019282
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031110100015964: : DIPAKBHAI M. PATEL Individual 31/07/2011 30/07/20125680 442
31 Motor Total 5680 442
Grand Total 5680 442Party License Number 1285066Party License Expiry Date 9/7/2012Site Code 1D4024342Agent Type AgentAgent Code 1D4019364
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110100004094: : GOYAL VINOD SHYAMAL. Individual 27/07/2011 26/07/20128671 1301
23040034110100003894: : DR. KANUGA MAKSUD G. Individual 29/07/2011 28/07/201224660 3699
34 Health Insurance Total 33331 5000
Grand Total 33331 5000Party License Number 1846583Party License Expiry Date 1/12/2013Site Code 1D4024372Agent Type AgentAgent Code 1D4019394Agent Name BEENA RAJESH SHAH
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110600000619: : VISHAL MAFATLAL SHAH. Individual 17/07/2011 16/07/2012700 105
23040034110600000618: : MR. MAFATLAL P. SHAH. Individual 19/07/2011 18/07/20123465 520
34 Health Insurance Total 4165 625
Grand Total 4165 625Party License Number 489926
RAJENDRA M GHEEWALA
18, PATEL NAGAR SOCIETY NO : 1, NR. DARGAH, ADAJAN
KAMLESH ANIRUDDHABHAI BHAHMBHATT
B - 3, NEVIL CHAMBERS, SUNLIGHT COMPLEX, B/H - BHULKA BHAWAN, ANAND MAHAL ROAD ADAJAN
H - 1, 1/528, RAVI PARK APPT. NR. DALICHAND NAGAR ATHWAGATE
Party License Expiry Date 20/03/2011Site Code 1D4024375Agent Type AgentAgent Code 1D4019397
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
11 Fire
23040011110100000908: : MUSKAN TEXTILES Organizational 19/07/2011 18/07/20124533 453
23040011110100000912: : Individual 20/07/2011 19/07/20123176 318
23040011110100000913: : Individual 20/07/2011 19/07/20121825 183
23040011110100000940: : Individual 28/07/2011 27/07/2012475 48
23040011110100000941: : Individual 28/07/2011 27/07/20123135 314
23040011110100000798: : Mr. MR.JITENDRA D CHAMPANERIA Individual 6/7/2011 5/7/20211350 135
11 Fire Total 14494 1451
31 Motor
23040031110200012425: : Mr. PINKIBEN G. CHAUDHARI - Individual 4/7/2011 3/7/2012380
23040031110200012432: : Mr. PARESHBHAI G. BHAKTA - Individual 4/7/2011 3/7/2012925
23040031110200012675: : Mr. NAVINBHAI P. PATEL - Individual 7/7/2011 6/7/2012865
23040031110200013030: : Mr. SIMRITA LAMBA - Individual 7/7/2011 6/7/20121005
23040031110200013186: : Mr. KISHORE KUMAR SHA . Individual 8/7/2011 7/7/20121065
23040031110200013390: : Mr. KAMLESH C PATEL Individual 11/7/2011 10/7/2012865
23040031110200013397: : Mr. PARESHBHAI G SUTHAR . Individual 11/7/2011 10/7/2012380
23040031110200013826: : Mr. JIGARBHAI M PATEL . Individual 13/07/2011 12/7/2012380
23040031110200013827: : Mr. MAHESHBHAI L PATEL . Individual 13/07/2011 12/7/2012380
23040031110200014205: : Mr. AMJADKHAN B PATHAN . Individual 15/07/2011 14/07/2012380
23040031110100014034: : Mr. RAJU SACHDAV .M. Individual 16/07/2011 15/07/20121948 83
23040031110200014794: : Mr. HIREN R PRAJAPATI . Individual 20/07/2011 19/07/2012865
23040031110100014783: : Mr. RAMKRISHNA V. KOPPULA - Individual 21/07/2011 20/07/20122517 145
23040031110200014781: : Mr. NITABEN VINODSINH VANSIYA Individual 21/07/2011 20/07/201210385
23040031110100014456: : Mr. NARENDRA ISHWARSINH ATODARIYA Individual 22/07/2011 21/07/20127985 673
23040031110100014461: : Mr. HEMENDRASINH J VANSADIYA - Individual 23/07/2011 22/07/201215139 1186
23040031110100015484: : Mr. SURESHBHAI VISABHAI PATEL . Individual 25/07/2011 24/07/20123320 221
23040031110200015640: : Mr. ASHISHBHAI J PATEL . Individual 26/07/2011 25/07/2012380
SANDIP VITHALBHAI PATEL
C/102, NAVKARDARSHAN APT BHATAR
31 Motor
23040031110200015433: : Mr. SURENDRA S. PATEL - Individual 27/07/2011 26/07/20121065
23040031110200015435: : Mr. JAYANT N PATEL Individual 27/07/2011 26/07/2012865
23040031110200016044: : Mr. REVABHAI M PATEL . Individual 28/07/2011 27/07/2012380
23040031110100015960: : AMITKUMAR J. PATEL Individual 30/07/2011 29/07/20126308 499
31 Motor Total 57782 2807
34 Health Insurance
23040034110100001935: : PATEL ALPESHKUMAR NAROTTAMBHAI Individual 30/06/2011 1/6/2012248
23040034110600000438: : VITHALBHAI POPATLAL SONI Individual 22/06/2011 21/06/2012185
23040034110100003194: : ATULKUMAR B DADIA Individual 3/7/2011 2/7/201211850 1778
23040034110100003195: : DADIA KAMLESH B. Individual 4/7/2011 3/7/201212262 1839
23040034110100003157: : BABUBHAI GANESHDAS PATEL Individual 5/7/2011 4/7/201211830 1775
23040034110100003250: : GIRISHBHAI L GOYANI Individual 7/7/2011 6/7/20125140 771
23040034110100003651: : JIGNASHA SUNILKUMAR BHAGAT. Individual 11/7/2011 10/7/20125486 823
23040034110100003771: : PANKAJBHAI N CHAUHAN Individual 15/07/2011 14/07/20125140 771
23040034110100003701: : PATEL BHAVINA YATIN Individual 16/07/2011 15/07/20121300 195
23040034110100003803: : HITESH SHASHIKANT JARIWALA. Individual 17/07/2011 16/07/20124910 737
23040034110100003804: : VIPULBHAI GANDUBHAI BHESANIYA Individual 17/07/2011 16/07/20123587 538
23040034110100003820: : ANIL SHASHIKANT JARIWALA. Individual 17/07/2011 16/07/20124938 741
23040034110100003964: : DASHRATHBHAI P. PATEL Individual 19/07/2011 18/07/20128946 1342
23040034110100003979: : PRAHLADBHAI P. PATEL. Individual 19/07/2011 18/07/20129738 1461
23040034110100003968: : NIKUNJ H DESAI Individual 20/07/2011 19/07/20125140 771
23040034110100004128: : MANISH MATADEEN BAJAJ Individual 22/07/2011 21/07/20123587 538
23040034110100004191: : Mr. KAMLESHBHAI BHANUBHAI RAVAL - Individual 25/07/2011 24/07/20123510 527
23040034110100003872: : PRATIK K. SHAH Individual 26/07/2011 25/07/20122340 351
23040034110100004033: : MR. KISHORBHAI DIPCHAND SHAH. Individual 26/07/2011 25/07/20127335 1100
23040034110100004100: : RAJU KWANI Individual 27/07/2011 26/07/20126968 1045
23040034110100004130: : MR. SUMERSINGH SWAMI. Individual 27/07/2011 26/07/20123573 536
23040034110100004296: : CHHAOCHHARIA PRAMOD Individual 30/07/2011 29/07/20125904 886
23040034110100004491: : Mr. SANJAYBHAI PRAHLADBHAI PATEL Individual 30/07/2011 29/07/20124910 737
23040034110100004298: : JAYVADAN RATILAL PATEL Individual 1/8/2011 31/07/20124158 624
23040034110100004443: : KUNDANBHAI JAYANTIBHAI PATEL. Individual 3/8/2011 2/8/20122340 351
34 Health Insurance
23040034110100004446: : MR. JAYANTILAL ISHWARLAL PATEL. Individual 3/8/2011 2/8/20125490 824
34 Health Insurance Total 140382 21494
23040042110100001443: : ATUL B DADIA Individual 3/7/2011 2/7/2012923 138
23040042110100001444: : DADIA KAMLESH B Individual 7/7/2011 6/7/20121432 215
23040042110100001707: : VIPULBHAI GANDUBHAI BHESANIYA Individual 18/07/2011 17/07/20121037 156
23040042110100001926: : PRAMOD CHHAOCHHARTA Individual 30/07/2011 29/07/2012243 36
23040042110100002000: : KUNDANBHAI J. PATEL. Individual 31/07/2011 30/07/2012468 70
23040042110100002001: : PATEL JAYANTILAL I. Individual 31/07/2011 30/07/2012468 70
4571 685
Grand Total 217229 26437Party License Number 602-795168Party License Expiry Date 17/11/2011Site Code 1D4024378Agent Type AgentAgent Code 1D4019400
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
11 Fire 23040011110100000955: : Individual 31/07/2011 30/07/201227584 2758
11 Fire Total 27584 2758
Grand Total 27584 2758Party License Number 602-2078984Party License Expiry Date 22/08/2011Site Code 1D4024379Agent Type AgentAgent Code 1D4019401Agent Name BINA R SHAH
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031110100013078: : Mr. KARANSINGH B DEORA Individual 11/7/2011 10/7/201212687 934
31 Motor Total 12687 934
34 Health Insurance
23040034110100003768: : PARAS PRADEEPBHAI SHETH Individual 16/07/2011 15/07/20124883 732
23040034110100003697: : CHIRAG RAJSANG CHAUDHRY. Individual 25/07/2011 24/07/20124987 748
23040034110100003717: : BHAVIN J. THAKKAR. Individual 27/07/2011 26/07/20126924 346
23040034110100003957: : Mr. RAJESH M PATEL - Individual 28/07/2011 27/07/20126440 966
23040034110100003696: : HEMRAJ RAJSANG CHAUDHRY. Individual 30/07/2011 29/07/20123725 559
RAJENDRA NARSINHBHAI SONDAGAR
1491, ASHAPUR SOCIETY KANAXPUR, GUJ.HSG.BOARD AT: SACHIN, DIST: SURAT
301, SUBHAM APPARTMENT - 1 OPP. - ARIHANT PARK, PARLE POINT AMBICA NIKETAN ROAD, SURAT
34 Health Insurance
23040034110100004318: : NILESH KANTILAL SHAH Individual 2/8/2011 1/8/20129869 1480
34 Health Insurance Total 36828 4831
48 Misc - Non Traditional Business
23040048110500000092: : Individual 26/07/2011 25/07/20123254 488
23040048111000000007: : Mr. BHAVIN J THAKKAR - Individual 26/07/2011 25/07/20121031 155
48 Misc - Non Traditional Business Total 4285 643
Grand Total 53800 6408Party License Number 445108Party License Expiry Date 22/02/2014Site Code 1D4024473Agent Type AgentAgent Code 1D4019495Agent Name SATISH PAREKH
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110200011986: : Mr. AJAY SOHENSINH RAJPUT Individual 3/7/2011 2/7/2012450
23040031110100012846: : Mr. LOKESH TEX TRADE P. LTD. Individual 14/07/2011 13/07/20123223 52
23040031110100014372: : Mr. URVASHI B. PATEL - Individual 23/07/2011 22/07/2012810 36
23040031110100014375: : Mr. BHARATBHAI PATEL - Individual 23/07/2011 22/07/2012758 31
23040031110200014366: : Mr. SUNIL.K ADVANI Individual 23/07/2011 22/07/2012450
23040031110200014369: : Mr. BHARAT F. PATEL Individual 23/07/2011 22/07/2012450
31 Motor Total 6141 119
34 Health Insurance 23040034110100004482: : MR. RASIK V. PATEL. Individual 1/8/2011 31/07/20124455 668
34 Health Insurance Total 4455 668
48 Misc - Non Traditional Business 23040048110600000196: : Mr. SHREENATH FAB Individual 8/7/2011 7/7/20122680 402
48 Misc - Non Traditional Business Total 2680 402
Grand Total 13276 1189Party License Number 644862Party License Expiry Date 24/07/2011Site Code 1D4024482Agent Type AgentAgent Code 1D4019504Agent Name HARESH H AMBALIYA
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
11 Fire 23040011110100000956: : KHODAL BHAVANI ART Individual 25/07/2011 24/07/20121015 87
11 Fire Total 1015 87
31 Motor
23040031110100012473: : VIJAYBHAI S DHAMELIA Individual 6/7/2011 5/7/2012530 15
23040031110100013380: : Mr. LALJIBHAI D DEVGANIA Individual 12/7/2011 11/7/2012594 21
23040031110100013381: : Mrs. REKHABEN JASHMATBHAI VIDIYA Individual 14/07/2011 13/07/2012673 29
23040031110100014376: : RAMESHBHAI. D. KALSARIYA. Individual 20/07/2011 19/07/20123605 235
Mr. MANJULABEN J MASHRU & BHAVIN J THAKKAR
78 , SNEHSMRUTI SOCIETY ADAJAN PATIA RANDER ROAD
A-15 , HARIOM SOCIETY , KATARGAM ROAD SURAT
31 Motor
23040031110100012471: : Mr. BHARATBHAI .P. PATEL Individual 24/07/2011 23/07/20128611 736
23040031110100016241: : Mr. DINESHBHAI D SARVAIYA Individual 3/8/2011 2/8/2012573 19
31 Motor Total 14586 1055
34 Health Insurance
23040034111900000351: : MR. RAJESHBHAI D. SONDAGAR Individual 4/7/2011 3/7/2012548 82
23040034111900000352: : MR. DHANJIBHAI B. SONDAGAR. Individual 4/7/2011 3/7/2012548 82
23040034111900000353: : Mr. PRAKASHBHAI KANTIBHAI MISTRY - Individual 4/7/2011 3/7/2012548 82
23040034111900000354: : Mr. ASWINBHAI HARIBHAI - Individual 4/7/2011 3/7/2012548 82
23040034111900000356: : Mr. AMITBHAI RAMANIKBHAI UNAGAR - Individual 4/7/2011 3/7/2012548 82
23040034110100003331: : Mr. VAKARIYAVRAJLAL DAMJIBHAI - Individual 5/7/2011 4/7/20121300 195
23040034111900000327: : Mr. VINUBHAI HADABHAI VARIYA - Individual 5/7/2011 4/7/2012548 82
23040034111900000328: : Mr. VINODBHAI MERAMANBHAI VARIYA - Individual 5/7/2011 4/7/2012548 82
23040034111900000329: : Mr. BHIKHABHAI M PIPALIYA - Individual 5/7/2011 4/7/2012548 82
23040034111900000330: : Mr. PARESHBHAI JIVRAJBHAI TARSARIYA - Individual 5/7/2011 4/7/2012548 82
23040034111900000331: : Mr. MULAJIBHAI JADAVBHAI UNAGAR - Individual 5/7/2011 4/7/2012548 82
23040034111900000332: : Mr. MEHUL JUGALBHAI VYAS - Individual 5/7/2011 4/7/2012548 82
23040034111900000333: : Mr. PRAVIN VITTHALBHAI RAVAL - Individual 5/7/2011 4/7/2012548 82
23040034111900000334: : Mr. CHETANBHAI KANTIBHAI MISTRY - Individual 5/7/2011 4/7/2012548 82
23040034111900000335: : Mr. RAMESHBHAI VIRAJBHAI KAKLOTTAR - Individual 5/7/2011 4/7/2012730 110
23040034111900000370: : Mr. SONDAGAR ASHOK SHAMBUBHAI - Individual 6/7/2011 5/7/2012548 82
23040034110100003327: : Mr. AMBELIYA DIPAK N - Individual 7/7/2011 6/7/20124834 725
23040034110100003329: : AAMBALIA CHAGANBHAI VITTHALBHAI Individual 7/7/2011 6/7/20127132 1070
23040034110100003330: : AAMBALIA NATWARLAL VITHTHALBHAI Individual 7/7/2011 6/7/20126831 1025
23040034110100003448: : Mr. GABANI ANILBHAI PRASOTTAMBHAI - Individual 7/7/2011 6/7/20121300 195
23040034110100003449: : Mr. GABANI JITESH PARSOTTAMBHAI - Individual 7/7/2011 6/7/20123587 538
23040034111900000350: : VYAS JUGALBHAI MEGHJIBHAI Individual 7/7/2011 6/7/2012548 82
23040034111900000358: : MALANKIA ARVIND HARIBHAI Individual 7/7/2011 6/7/2012548 82
23040034111900000373: : Mr. PRASOTTAMBHAI LAVJIBHAI GABANI - Individual 7/7/2011 6/7/2012548 82
23040034110600000529: : GHANSHYAMBHAI KALUBHAI MALAVIYA Individual 8/7/2011 7/7/20122565 385
23040034110600000530: : JAYANTIBHAI BACHUBHAI MALAVIYA Individual 8/7/2011 7/7/20123315 497
23040034110600000531: : ASHOKBHAI NANUBHAI BHADANI Individual 8/7/2011 7/7/20122700 405
34 Health Insurance
23040034110600000532: : BHAILALBHAI SAVJIBHAI MALAVIYA Individual 8/7/2011 7/7/20121458 219
23040034111900000336: : VALLABHBHAI RAGHAVBHAI KACHARIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000338: : RAVJIBHAI RAMJIBHAI JANJMERA Individual 8/7/2011 7/7/2012548 82
23040034111900000339: : JAYANTIBHAI ZINABHAI VARIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000359: : MANUBHAI KARSANBHAI VYAS Individual 8/7/2011 7/7/2012548 82
23040034111900000360: : RASILABEN JIVANBHAI KALSARIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000362: : MR. MANANBHAI MOHANBHAI VAGHELA Individual 8/7/2011 7/7/2012730 110
23040034111900000367: : SHAMBHUBHAI NANJIBHAI MALAVIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000368: : MADHUBHAI SAVJIBHAI MALAVIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000369: : ASHABEN NATHABHAI SUHAGIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000371: : BHARATBHAI BHIKHABHAI AMBALIYA Individual 8/7/2011 7/7/2012548 82
23040034111900000372: : Mr. PRADEEPBHAI BHARATBHAI AMBALIYA - Individual 8/7/2011 7/7/2012548 82
23040034111900000375: : MR. BAVCHANDBHAI J. VORA Individual 8/7/2011 7/7/2012548 82
23040034111900000341: : KHIMJIBHAI JIVRAJBHAI PATEL. Individual 9/7/2011 8/7/2012548 82
23040034111900000342: : KIRANBHAI KHIMJIBHAI PATEL. Individual 9/7/2011 8/7/2012548 82
23040034111900000343: : DHANSUKHABHAI KHIMJIBHAI PATEL. Individual 9/7/2011 8/7/2012548 82
23040034111900000349: : MR. VIJAYBHAI KANTILAL THAKKAR. Individual 9/7/2011 8/7/2012548 82
23040034111900000355: : HARJIBHAI RAMBHAI KACHRIYA Individual 9/7/2011 8/7/2012548 82
23040034111900000357: : CHHAGANBHAI RAMBHAI KACHRIYA Individual 9/7/2011 8/7/2012548 82
23040034111900000376: : Mr. DEEP FASHION - Individual 11/7/2011 10/7/2012548 82
23040034111900000378: : Mr. PARESHBHAI DINESHBHAI KAKLOTTAR - Individual 12/7/2011 11/7/2012548 82
23040034111900000379: : Mr. DINESHBHAI PARSOTTAMBHAI KAKLOTAR - Individual 12/7/2011 11/7/2012548 82
23040034111900000366: : DILKHUSHBHAI RAMESHBHAI AMBALIYA Individual 13/07/2011 12/7/2012548 82
23040034111900000374: : DHIRUBHAI BHIMJIBHAI GHOGHARI Individual 13/07/2011 12/7/2012548 82
23040034111900000377: : CHHAGANBHAI H. GHOGHARI Individual 13/07/2011 12/7/2012365 55
23040034111900000382: : Mr. ISHVAR B DEVGANIYA - Individual 13/07/2011 12/7/2012365 55
23040034111900000337: : KIRANBHAI GUNVANTBHAI GHOGHARI Individual 14/07/2011 13/07/2012730 110
23040034111900000344: : HITESHBHAI GUNVANTBHAI GHOGHARI Individual 14/07/2011 13/07/2012548 82
23040034111900000345: : MAYURBHAI GUNVANTBHAI GHOGHARI Individual 14/07/2011 13/07/2012548 82
23040034111900000361: : MR. MANSUKHBHAI N AJUGIYA Individual 14/07/2011 13/07/2012548 82
34 Health Insurance
23040034111900000347: : PRAKASHBHAI KURJIBHAI AMBALIYA Individual 15/07/2011 14/07/2012548 82
23040034110100003767: : VIDIYA VINUBHAI NANUBHAI Individual 16/07/2011 15/07/20127830 1175
23040034110100003733: : GABANI RAMESHBHAI THAKARSHIBHAI Individual 18/07/2011 17/07/20122340 351
23040034110600000600: : BHAVNA S. SHROFF Individual 18/07/2011 17/07/20122520 378
23040034111900000387: : Mr. VARIYA DULABHAI MADHUBHAI - Individual 19/07/2011 18/07/2012548 82
23040034111900000388: : Mr. VARIYA RAJANIKANT DULABHAI - Individual 19/07/2011 18/07/2012548 82
23040034111900000389: : Mr. VARIYA NARESHBHAI DULABHAI - Individual 19/07/2011 18/07/2012548 82
23040034111900000390: : Mr. VARIYA MAHESHBHAI DULABHAI - Individual 19/07/2011 18/07/2012548 82
23040034111900000391: : Mr. AMBALIYA AMARSHIBHAI ZINABHAI - Individual 19/07/2011 18/07/2012548 82
23040034110100003731: : MR. KANJIBHAI THAKARSHIBHAI GABANI. Individual 20/07/2011 19/07/20124757 714
23040034110100003732: : GABANI CHETANBHAI THAKARSHIBHAI Individual 20/07/2011 19/07/20124680 702
23040034111900000346: : NITESH UKABHAI VYAS Individual 21/07/2011 20/07/2012548 82
23040034111900000364: : MR. RAVJIBHAI D AMBALIYA Individual 21/07/2011 20/07/2012548 82
23040034111900000365: : MR. RAMESHBHAI D PRAJAPATI Individual 21/07/2011 20/07/2012548 82
23040034111900000348: : RAJNIKANTBHAI K AMBALIYA Individual 22/07/2011 21/07/2012548 82
23040034111900000385: : MR. PRAVINBHAI MEPABHAI PANDAV. Individual 27/07/2011 26/07/2012548 82
23040034111900000386: : MR. KISHORBHAI MEPABHAI PANDAV. Individual 27/07/2011 26/07/2012548 82
23040034111900000340: : GOPALBHAI RAMJIBHAI PRAJAPATI Individual 29/07/2011 28/07/2012548 82
23040034111900000363: : BHARATBHAI P VORA Individual 30/07/2011 29/07/2012548 82
23040034110100004480: : PATEL DIPESH JITENDRABHAI Individual 3/8/2011 2/8/20124895 734
23040034110100004481: : PATEL HEMISH JITENDRABHAI Individual 3/8/2011 2/8/20126470 971
23040034110600000762: : VALLABHBHAI P. DHANDHUKIYA. Individual 3/8/2011 2/8/20125045 757
23040034110600000763: : DILIPBHAI MANSUKHBHAI TARSARIYA Individual 3/8/2011 2/8/20121935 290
23040034110600000764: : ASHOKBHAI MANSUKHBHAI TARASRIYA Individual 3/8/2011 2/8/20121260 189
23040034111900000403: : Mr. MANSUKHABHAI TARSARIYA - Individual 3/8/2011 2/8/2012548 82
23040034111900000404: : MR. DEVSHIBHAI HIRJIBHAI RAVAL Individual 4/8/2011 3/8/2012548 82
34 Health Insurance Total 111458 16711
Grand Total 127059 17853Party License Number IRDA-644862Party License Expiry Date 24/07/2011Site Code 1D4024482Agent Type AgentAgent Code 1D4019504Agent Name HARESH H AMBALIYA
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031100100012749: 23040031110183000113: Mr. HIMMATBHAI J TARSARIYA Individual 5/7/2011 14/10/2011296 28
31 Motor Total 296 28
Grand Total 296 28Party License Number 1719971Party License Expiry Date 23/06/2013Site Code 1D4024519Agent Type AgentAgent Code 1D4019541
Agent Name DINESH CHELDAS PATEL
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110100003370: : PATEL GAUTAMBHAI C. Individual 9/7/2011 8/7/20123587 538
23040034110100003459: : PATEL MAHESHKUMAR DASHARATHBHAI Individual 12/7/2011 11/7/20124680 702
23040034110100003518: : MR. JAYESH HARGOVANDAS PATEL. Individual 16/07/2011 15/07/20125828 874
23040034110100003520: : PATEL SANJAYBHAI HARGOVANDAS Individual 16/07/2011 15/07/20124158 624
23040034110100003235: : PATEL ARVINDBHAI V Individual 20/07/2011 19/07/20127271 1091
23040034110100003628: : PATEL MAHESHBHAI V. Individual 20/07/2011 19/07/20125140 771
23040034110100003630: : PATEL KANUBHAI MANILAL Individual 24/07/2011 23/07/20124680 702
23040034110100004306: : PATEL HARGOVINDBHAI AMTHABHAI Individual 28/07/2011 27/07/20127812 1172
23040034110100004309: : MODI CHANDRESHKUMAR SANMUKHLAL Individual 28/07/2011 27/07/20128019 1203
23040034110100004310: : PUROHIT SURESHBHAI PRATAPMAL Individual 29/07/2011 28/07/20128261 1239
34 Health Insurance Total 59436 8916
Grand Total 59436 8916Party License Number 1372799Party License Expiry Date 1/9/2012Site Code 1D4024526Agent Type AgentAgent Code 1D4019548
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110100003673: : Ms. ASHABEN TALSHIBHAI SUTARIYA - Individual 11/7/2011 10/7/20121300 195
23040034110100003238: : Mr. JAGDISHBHAI NARSHIBHAI MANGUKIYA - Individual 21/07/2011 20/07/20122340 351
A-15 , HARIOM SOCIETY , KATARGAM ROAD SURAT
EC-12-D, SHIV TOWER, PRAMUKH PARK RESIDENT, NR. ITI COLLEGE PANDESARA, BHEDWAD
KETAN BABUBHAI SHIHORA
A-2, GAYATRI PARIWAR -2, KATARGAM ROAD, SURAT.
34 Health Insurance 23040034110600000711: : Mr. RAMESHBHAI BALABHAI MENDAPARA - Individual 23/07/2011 22/07/20122610 392
23040034110600000706: : Mr. BALABHAI NANUBHAI MENDAPARA - Individual 27/07/2011 26/07/20122520 378
23040034110600000712: : Mr. SHAILESH BALABHAI MENDAPARA - Individual 27/07/2011 26/07/20122010 302
34 Health Insurance Total 10780 1618
23040042110100001529: : Mr. RAJESH SAVJIBHAI SUTARIYA - Individual 6/7/2011 5/7/20121539 231
23040042110100001530: : Mr. LALJIBHAI SAVAJIBHAI SUTARIYA - Individual 6/7/2011 5/7/20121539 231
23040042110100001531: : Mr. DHANANJAY LALJIBHAI SUTARIYA - Individual 6/7/2011 5/7/2012900 135
23040042110100001624: : AMIT SHAMBHUBHAI MANIYA Individual 11/7/2011 10/7/2012312 47
23040042110100001625: : MEHUL SHAMBHUBHAI MANIYA Individual 11/7/2011 10/7/2012312 47
23040042110100001626: : ANKIT SHAMBHUBHAI MANIYA Individual 11/7/2011 10/7/2012312 47
4914 738
Grand Total 15694 2356Party License Number 1501494Party License Expiry Date 2/12/2009Site Code 1D4024528Agent Type AgentAgent Code 1D4019550
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100012185: : Mr. PRAVINBHAI .P. SURANI Individual 6/7/2011 5/7/2012641 26
23040031110100013642: : SOHAGIA MAHENDRABHAI MOHANBHAI Individual 18/07/2011 17/07/2012470 9
23040031110200015595: : MANUBHAI PREMJIBHAI VADDORIYA Individual 4/8/2011 3/8/2012380
31 Motor Total 1491 35
34 Health Insurance
23040034110600000546: : LALJIBHAI BHIMJIBHAI KATHIRIYA Individual 9/7/2011 8/7/20122610 392
23040034110300000163: : KAMLESH DHIRUBHAI KHUNT Individual 18/07/2011 17/07/20124542 681
23040034110100003960: : MR. SURESHBHAI BABUBHAI NAKARANI. Individual 24/07/2011 23/07/20125490 824
23040034110100003963: : MR. LALITBHAI N. DOBARIYA. Individual 27/07/2011 26/07/20124938 741
23040034110100004257: : NASIT VINUBHAI POPATBHAI Individual 31/07/2011 30/07/20126831 1025
23040034110100004326: : NILESHBHAI SAVJIBHAI SACHANI Individual 3/8/2011 2/8/20124757 714
23040034110100004333: : SAVJIBHAI NAGJIBHAI SACHANI Individual 3/8/2011 2/8/20126624 994
34 Health Insurance Total 35792 5371
Grand Total 37283 5406Party License Number 1691654Party License Expiry Date 25/05/2013Site Code 1D4024530Agent Type Agent
HIMATLAL MOHANBHAI SOHAGIA
B/203, SARGAM APPARTMENT DOCTOR HOUSE, HIRA BAUGH VARACHHA ROAD
Agent Code 1D4019552
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100014778: : AJMALSINH M. JADAV Individual 24/07/2011 23/07/2012554 17
23040031110100014780: : AJABSINGH M. JADAV Individual 24/07/2011 23/07/2012559 18
23040031110200014777: : AJMALSING Individual 24/07/2011 23/07/2012380
31 Motor Total 1493 35
34 Health Insurance
23040034111900000326: : Mr. PRAKASH GORAKH PATIL - Individual 1/7/2011 30/06/2012548 82
23040034110100004163: : BHAVANIWALA DIPAK D Individual 27/07/2011 26/07/20126831 1025
23040034110100004083: : MR. AMRUT VANAMALI MISTRY. Individual 30/07/2011 29/07/20121850 278
23040034110100004269: : MANISH PRAVINCHANDRA JARIWALA. Individual 30/07/2011 29/07/20125256 788
34 Health Insurance Total 14485 2173
Grand Total 15978 2208Party License Number 1690166Party License Expiry Date 24/05/2013Site Code 1D4024531Agent Type AgentAgent Code 1D4019553
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance 23040034110100003726: : SHANKARBHAI GOPALDAS VADHVANI Individual 19/07/2011 18/07/20123817 573
34 Health Insurance Total 3817 573
Grand Total 3817 573Party License Number 1642017Party License Expiry Date 23/03/2010Site Code 1D4024533Agent Type AgentAgent Code 1D4019555
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100013174: : Mr. KISHORBHAI C. PATEL - Individual 10/7/2011 9/7/2012615 17
23040031110100016101: : NAGINBHAI C PATEL Individual 30/07/2011 29/07/2012607 16
23040031110100016100: : Mr. SHANTANU S. CHANDA - Individual 31/07/2011 30/07/20126793 553
RAJENDRA RAMANLAL JARIWALA
17, SHIVBHAKTIPARK, OPP -SHAKTINAGAR, HARINAGAR -3, UDHNA, SURAT
NILESHKUMAR CHANDRAKANT SAKARSAWALA,
B/3, DARBAR NAGAR SOCIETY VED ROAD, SURAT
RAJESH VINODCHANDRA TAMAKUWALA
1, CHINTAN APPARTMENTS, NR. BHUMI COMPLEX, PATEL PRAGATI WADI ROAD ADAJAN
31 Motor Total 8015 586
34 Health Insurance
23040034110100003334: : PRADEEP MUKUND JOSHI. Individual 6/7/2011 5/7/20129326 1399
23040034110100003488: : SHAILESH V. PATEL. Individual 11/7/2011 10/7/20125250 788
23040034110100003549: : MR. PATIL BHUPENDRA Individual 11/7/2011 10/7/20123740 561
23040034110100003550: : SHASHIKANT V. VANMALI./PATEL Individual 11/7/2011 10/7/20125486 823
23040034110100004172: : MR. NAINESH R. BUTTI. Individual 24/07/2011 23/07/20122595 389
23040034110100004180: : MR. DIVYESH R. BUTTI Individual 24/07/2011 23/07/20122595 389
23040034110100004325: : MR. SHANTANU CHANDA. Individual 27/07/2011 26/07/20125735 860
23040034110100004483: : BHARAT UTTAMBHAI MISTRY. Individual 31/07/2011 30/07/20124757 714
23040034110100004485: : KIRAN KUNDANBHAI VYAS. Individual 7/8/2011 6/8/20121300 195
34 Health Insurance Total 40784 6118
23040042110100001876: : MR. KIRITKUMAR CHHAGANLAL DESAI. Individual 24/07/2011 23/07/2012150 23
23040042110100002016: : KIRAN KUNDANBHAI VYAS. Individual 7/8/2011 6/8/2012400 60550 83
Grand Total 49349 6787Party License Number 109299Party License Expiry Date 7/5/2013Site Code 1D4024760Agent Type AgentAgent Code 1D4019782Agent Name HEMANT KUMAR
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110100004120: : Dr. MUKESH P JAGIWALA Individual 1/6/2011 31/05/201230316 1516
23040034110600000521: : RANJITBHAI CHANDULAL GANJAWALA. Individual 5/7/2011 4/7/20123690 185
23040034110100003622: : MR. NARESH D. GHEEWALA. Individual 20/07/2011 19/07/201216890 2534
23040034110100003624: : FORAM NARESH GHEEWALA. Individual 20/07/2011 19/07/20129936 1490
23040034110100003638: : Mr. JENISH NARESH GHEEWALA - Individual 20/07/2011 19/07/20126516 977
23040034110100003941: : MUKESH DHANSUKHLAL GHEEWALA. Individual 20/07/2011 19/07/201223095 3464
23040034110300000170: : BISHNUKUMAR TULSYAN Individual 20/07/2011 19/07/20125981 897
34 Health Insurance Total 96424 11063
23040042110100001603: : MUKESH DHANSUKHLAL GHEEWALA. Individual 20/07/2011 19/07/20121080 162
23040042110100001605: : NARESH D. GHEEWALA. Individual 20/07/2011 19/07/2012972 146
23040042110100001606: : Mr. JENISH N GHEEWALA - Individual 20/07/2011 19/07/2012702 105
23040042110100001760: : FORAM N. GHEEWALA. Individual 20/07/2011 19/07/2012729 109
3483 522
B-1/68, KAILASH NAGAR SOCIETY SAGRAMPURA SURAT
Grand Total 99907 11585Party License Number 1423124Party License Expiry Date 31/12/2006Site Code 1D4317830Agent Type AgentAgent Code 1D4312663
Agent Name
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100012829: : DAMJIBHAI BECHARBHAI GOYANI Individual 10/7/2011 9/7/2012664 21
23040031110100013640: : SHAILESHBHAI BABUBHAI BORDA Individual 25/07/2011 24/07/2012606 16
23040031110100016095: : RAMESHBHAI B SAVANI Individual 1/8/2011 31/07/2012515 14
31 Motor Total 1785 51
34 Health Insurance
23040034110100003551: : Mr. SAVANI BHARATBHAI VALLABHBHAI - Individual 8/7/2011 7/7/20121300 195
23040034110100003554: : Mr. ANILBHAI VALLABHBHAI SAVANI - Individual 8/7/2011 7/7/20121300 195
23040034110100003556: : Mr. SAVANI LALJIBHAI VALLABHBHAI - Individual 8/7/2011 7/7/20124895 734
23040034110100003967: : Mr. BODAR N KIRITBHAI KANAIYALAL - Individual 20/07/2011 19/07/20124757 714
23040034110100003702: : MANSUKHBHAI V GOYANI Individual 23/07/2011 22/07/20124672 701
23040034110100003714: : NIKUNJKUMAR D SAVANI Individual 25/07/2011 24/07/20122340 351
23040034110100003715: : MANOJKUMAR D SAVANI Individual 25/07/2011 24/07/20124972 746
23040034110100004063: : PARTH L SAVANI Individual 5/8/2011 4/8/20122340 351
23040034110100004067: : DHANJIBHAI RANCHHOD SAVANI. Individual 5/8/2011 4/8/20125598 840
23040034110100004069: : LALJIBHAI RANCHHODBHAI SAVANI. Individual 5/8/2011 4/8/20126768 1015
34 Health Insurance Total 38942 5842
23040042110100001776: : Mr. BODAR KIRITBHAI KANAIYALAL - Individual 19/07/2011 18/07/2012180 27
23040042110100001650: : ALPESH H. PATEL Individual 20/07/2011 19/07/2012180 27
23040042110100001647: : MR.DHANJIBHAI BHAGVANBHAI PRAJAPATI Individual 23/07/2011 22/07/2012180 27
23040042110100001807: : MR.KANUBHAI BECHARBHAI PATEL Individual 23/07/2011 22/07/2012180 27720 108
Grand Total 41447 6001Party License Number 1349985Party License Expiry Date 18/08/2012Site Code SI00001336Agent Type AgentAgent Code AG00000421
Agent Name
BHAVESH HIMATBHAI PATEL
122, VANDANA SOCIETY, VIBHAG-2 NEAR BHID BHANJAN SOC. VIBHAG-2, NANA VARACHHA, SURAT-395 006 69303
Mr. SANJAY SURENDRA ALMAULA
Party Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100013197: : Mr. GULNAZ NAUSHA DALI SAYEED Individual 11/7/2011 10/7/2012697 32
23040031110100014486: : Mr. HARISH D. CHAUHAN - Individual 19/07/2011 18/07/2012588 21
23040031110100015901: : Mr. SEJAL BHADRABAHU SHAH . Individual 28/07/2011 26/07/2012802 35
31 Motor Total 2087 88
34 Health Insurance 23040034110100004431: : Mr. ASHVINKUMAR PARSOTTAMBHAI PATEL Individual 28/07/2011 27/07/20121300 195
34 Health Insurance Total 1300 195
23040042110100001998: : Mr. ASHVINKUMAR PARSOTTAMBHAI PATEL Individual 28/07/2011 27/07/2012180 27180 27
Grand Total 3567 310Party License Number 2440247Party License Expiry Date 6/6/2012Site Code SI00002535Agent Type AgentAgent Code AG00000451
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110600000520: : Mr. ARUN RAMANBHAI PATEL - Individual 1/7/2011 30/06/20121260 189
23040034110100003236: : Ms. PATEL DAMYANTIBEN GUMAN BHAI - Individual 4/7/2011 3/7/20121300 195
23040034110100003309: : PARMAR RAJESHKUMAR DHIRAJLAL Individual 14/07/2011 13/07/20122340 351
23040034110600000549: : AJAYKUMAR TULSIDAS JARIWALA Individual 20/07/2011 19/07/20122565 385
34 Health Insurance Total 7465 1120
Grand Total 7465 1120Party License Number 892374Party License Expiry Date 6/12/2011Site Code SI00021888Agent Type AgentAgent Code AG00010013
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance 23040034110100003988: : KAILASHBHAI BHAGWANBHAI BIRADI Individual 21/07/2011 20/07/201210369 1555
34 Health Insurance Total 10369 1555
23040042110100001785: : KAILASHBHAI BHAGWANBHAI BIRADI Individual 21/07/2011 20/07/20121944 292
23040042110100001786: : JAYESHBHAI DEVIDAS PATIL Individual 24/07/2011 23/07/2012540 81
2484 373
Grand Total 12853 1928Party License Number 2906175Party License Expiry Date 7/1/2013Site Code SI00021990Agent Type AgentAgent Code AG00010101
Agent NameParty Address
Mr. JAYESHKUMAR NATVARLAL RANA
Mr. KAILASH BHAGWAN BIRADI
Mr. JIGNESH MOHANLAL PATEL
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031110200014769: : MR.C. SURENDRAN. Individual 24/07/2011 23/07/2012380
31 Motor Total 380
Grand Total 380Party License Number 3662234Party License Expiry Date 22/10/2013Site Code SI00024645Agent Type AgentAgent Code AG00011175
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031110100013653: : PARITABEN KISHORBHAI MANIYA Individual 13/07/2011 12/7/2012515 14
31 Motor Total 515 14
34 Health Insurance 23040034110100004014: : ASHWIN V SAVANI Individual 23/07/2011 22/07/20124834 725
34 Health Insurance Total 4834 725
Grand Total 5349 739Party License Number 4938703Party License Expiry Date 20/12/2011Site Code SI00023826Agent Type AgentAgent Code AG00011427
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance 23040034110100003409: : Mr. DUMASIA KINTKUMAR NAGINDAS - Individual 19/07/2011 5/7/20122570 386
34 Health Insurance Total 2570 386
Grand Total 2570 386Party License Number 675222Party License Expiry Date 13/09/2011Site Code SI00028861Agent Type AgentAgent Code AG00014088
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031110100013038: : Mr. JUGAL K. SHARMA - Individual 7/7/2011 6/7/2012840 39
31 Motor Total 840 39
34 Health Insurance
23040034110100003639: : Mr. HARISH KUMAR SHARMA - Individual 11/7/2011 10/7/20121300 195
23040034110100003640: : Mr. KISHOR KUMAR N SHARMA - Individual 11/7/2011 10/7/20123725 559
34 Health Insurance Total 5025 754
23040042110100001676: : Mr. NANDLAL SHARMA - Individual 14/07/2011 13/07/2012522 78
23040042110100001677: : Mr. HARISH KUMAR SHARMA - Individual 14/07/2011 13/07/2012396 59918 137
Grand Total 6783 930Party License Number 5700980Party License Expiry Date 25/08/2012Site Code SI00029468
Mr. BRIJESH CHHAGANBHAI VANPARIYA
Mr. SHRINIVAS S AMANCHI
Mr. RAMESH KUMAR SHARMA
Agent Type AgentAgent Code AG00014507
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance 23040034110100003315: : BIPINBHAI VRAJLAL PAREKH Individual 6/7/2011 5/7/20125832 875
34 Health Insurance Total 5832 875
23040042110100001493: : PAREKH BIPINBHAI VRAJLAL Individual 6/7/2011 5/7/2012243 36243 36
Grand Total 6075 911Party License Number 2475254Party License Expiry Date 29/06/2012Site Code SI00029532Agent Type AgentAgent Code AG00014556
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
11 Fire 23040011110100001004: : Mr. NEW VRINDAVAN FASHION Individual 1/8/2011 31/07/20125168 517
11 Fire Total 5168 517
Grand Total 5168 517Party License Number 2642020Party License Expiry Date 28/09/2012Site Code SI00029651Agent Type AgentAgent Code AG00014641
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance
23040034110100003393: : MUKESHBHAI T PANCHAL Individual 23/07/2011 22/07/20125661 849
23040034110300000148: : PIYUSH .R. SAKALSAWALA. Individual 23/07/2011 22/07/20125981 897
23040034110100004294: : Mr. NEEL KEYURBHAI PATEL - Individual 25/07/2011 24/07/20121300 195
23040034110600000653: : RATANLAL CHHOTELALJANGID/SHARMA Individual 26/07/2011 25/07/20123240 486
23040034110100004311: : AMITBHAI I PRAJAPATI Individual 30/07/2011 29/07/20124757 714
34 Health Insurance Total 20939 3141
Grand Total 20939 3141Party License Number 8273277Party License Expiry Date 7/9/2013Site Code SI00032142Agent Type AgentAgent Code AG00016541
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance 23040034110100004278: : Mr. JIVACHHA YOGENDRA MUKHIYA - Individual 25/07/2011 24/07/20121300 195
34 Health Insurance Total 1300 195
Grand Total 1300 195
Mr. HARSHA BIPINBHAI PAREKH
Mrs. MONIKA MUKESH JARIWALA
Mr. PIYUSH RAMESHCHANDRA
Mr. KALPESHKUMAR BHUPENDRABHAI PANDYA
Party License Number 8617802Party License Expiry Date 22/05/2014Site Code SI00035628Agent Type AgentAgent Code AG00019653
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
11 Fire
23040011110100000853: : Individual 14/07/2011 13/07/201239602 3060
23040011110100000851: : Individual 15/07/2011 14/07/20122505 150
23040011110100000852: : Individual 15/07/2011 14/07/20122505 150
11 Fire Total 44612 3360
31 Motor
23040031110100014616: : Mr. HARIBHAI DAHYABHAI AHIR . Individual 20/07/2011 19/07/201214895 860
23040031110200015985: : Mr. VIPAN K KHUTLAR . Individual 28/07/2011 27/07/20122935
31 Motor Total 17830 860
34 Health Insurance
23040034110100003453: : PANCHAL RAJESHBHAI MANSUKHBHAI Individual 10/7/2011 9/7/20121746 262
23040034110100003655: : PATEL VIJAY NATVARLAL Individual 13/07/2011 12/7/20124757 714
23040034110100003609: : MR JAYESHBHAI KHUSHAL BHAI PATEL Individual 21/07/2011 20/07/20124910 737
23040034110100003918: : SUSHILKUMAR MITTAL Individual 22/07/2011 21/07/20125832 875
23040034110100003958: : RAJESH DAHYABHAI PATEL Individual 22/07/2011 21/07/20127266 1090
23040034110100003962: : MAMTABEN RAJESHBHAI PATEL Individual 28/07/2011 27/07/20124469 670
34 Health Insurance Total 28980 4348
23040042110100001494: : Mr. HAMENT KUMAR DHANSUKHBHAI GANTHAI - Individual 23/07/2011 4/7/2012780 117
23040042110100001608: : MR JAYESHBHAI KHUSHAL BHAI PATEL Individual 21/07/2011 20/07/2012486 73
23040042110100001737: : SUSHILKUMAR MITTAL Individual 22/07/2011 21/07/2012405 61
1671 251
Grand Total 93093 8819Party License Number 2436655Party License Expiry Date 3/6/2012Site Code SI00036574Agent Type AgentAgent Code AG00020543
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
34 Health Insurance 23040034110100003535: : Mr. KAILASHCHANDRA BHATTAR - Individual 8/7/2011 7/7/20125486 823
34 Health Insurance Total 5486 823
Grand Total 5486 823Party License Number 4779483Party License Expiry Date 2/11/2011Site Code SI00029295Agent Type AgentAgent Code PO06573051
Mrs. CHHAYA SANJAY SIDDHPURIA
Mr. SHYAMSUNDER BHANWARLAL LADHA
Agent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor 23040031110100012684: : Mr. ARVINDKUMAR SINGH Individual 5/7/2011 4/7/2012923 47
31 Motor Total 923 47
Grand Total 923 47Party License NumberParty License Expiry DateSite CodeAgent Type DirectAgent CodeAgent NameParty Address
Department Policy Number Endorsment Number Insured Name Client Type Effective Start Date Policy Expiry Date Premium Amount Commission
31 Motor
23040031110100012685: : SHIV SHANKAR N GOYAL Individual 6/7/2011 5/7/20122154
23040031110100014209: : SHRI.MITESHKUMAR M .DABHI Individual 15/07/2011 14/07/2012504
31 Motor Total 2658
34 Health Insurance 23040034110600000598: : PERCY JAL SARAI Individual 15/07/2011 14/07/20125383
34 Health Insurance Total 5383Grand Total 8041
Mr. ARVINDKUMAR SINGH