ANDHRA PRADESH GOVERNMENT LIFE INSURANCE DEPARTMENT PREMIUM CUM LOAN SCHEDULE Name of the Drawing Officer : Drawing Officer No. ____________________________ Cheque No. ____________________ Date : ____________________ Major Head : __________________________________ Sub Account _________________________ Amount _________________________ Sl.No. Policy No. Name Date of Birth Present Premium Loan Total Remarks Basic Installment Pay 1 2 3 4 5 6 7 8 9 (Rupees _______________________________________________________________________________________________ (only) Note : 1. Details of transfers shall be furnished at remarks column. 2. Details of entire establishment shall be informed in the above proforma which should tally with the pay bills.
