Proposal Form : 100014663 ADAMJEE LIFE ASSURANCE COMPANY LTD.

Proposal To : 100014663 POLICY TRANSACTIONS

Date/Time: 31/08/2016 04:39 PM

Page #: Page 1

Account Description/ Profit Center/Desc. SL Type/Desc. SL Account/Description Cost Center

Narration Paid To Cheque No. Trans. Type /Year Desc. Debit Credit

PROPOSAL NO : 100014663 Darpan Kumar Plan: Save & Assure Fund: Investment Secure Fund (SA) Branch : ALAC-BANCA-MCB-ST-SUK

Sr. # Voucher Date: 18/08/2016 Voucher Type & No. 31-09-01002001001002000210 Voucher No. 31-09-0010042 Currency: 1 PKR Narration: Renewal Premium Allocation for Policy :
100014663

1 406000010001 PREMIUMS RECEIVED IN ADVANCE - PROPOSAL/ POLICY - REGULAR 10000-Individual Life 1040 Policy Ledger MIG-400005077 06S 90,296.00
Premium Allocation Voucher At The Time Of Renewal For Year Sixth Onward 20002-BANCA-MCB BANK

2 407100010006 PREMIUM INDIVIDUAL POLICIES - BASIC PREMIUM - IL POLICIES - SIXTH YEAR & ONWARDS 10000-Individual Life 1040 Policy Ledger MIG-400005077 06S 90,296.00
Premium Allocation Voucher At The Time Of Renewal For Year Sixth Onward 20002-BANCA-MCB BANK

Sr. # Voucher Date: 18/08/2016 Voucher Type & No. 31-16-01002001001002000340 Voucher No. 31-16-0015232 Currency: 1 PKR Narration: Commission adjusted for due date 28/06/16

1 408500010006 COMMISSION INDIVIDUAL POLICIES - DIRECT COMMISSION - SIXTH YEAR & ONWARDS 10000-Individual Life 1030 Agent Ledger 9 06S 2,257.00
Commission Voucher Generated From Receipts, Renewal, Etc. For Year Sixth Onward, Mig-400005077, 20002-BANCA-MCB BANK
Darpan Kumar
2 406200010001 AMOUNTS DUE TO AGENTS - COMMISSION PAYABLE - INDIVIDUAL LIFE 10000-Individual Life 1030 Agent Ledger 9 06S 2,257.00
Commission Voucher Generated From Receipts, Renewal, Etc. For Year Sixth Onward, Mig-400005077, 20002-BANCA-MCB BANK
Darpan Kumar

Sr. # Voucher Date: 27/08/2015 Voucher Type & No. 31-17-01002001001002000001 Voucher No. 31-17-0000072 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 408100010001 CLAIMS - IL POLICIES - CLAIMS UNDER INDIVIDUAL POLICIES - BY DEATH - REGULAR 10000-Individual Life 1040 Policy Ledger MIG-400005077 1,339,360.00
Accidental Death Creating Provisional Liability For Mib, For Policy/Claim # Mig-400005077/201200026, 20002-BANCA-MCB BANK
Beneficiary Name : /D
2 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 1,339,360.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : /D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 27/08/2015 Voucher Type & No. 31-17-01002001001002000002 Voucher No. 31-17-0000073 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 408100010001 CLAIMS - IL POLICIES - CLAIMS UNDER INDIVIDUAL POLICIES - BY DEATH - REGULAR 10000-Individual Life 1040 Policy Ledger MIG-400005077 1,173,848.00
Accidental Death Creating Provisional Liability For Wop Death, For Policy/Claim # Mig-400005077/201200026, 20002-BANCA-MCB BANK
Beneficiary Name : /D
2 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 1,173,848.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : /D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 04/09/2015 Voucher Type & No. 31-17-01002001001002000005 Voucher No. 31-17-0000091 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 21/09/2015 Voucher Type & No. 11-01-01001001001001000483 Voucher No. 11-01-0000697 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT OF DARPAN
KUMAR

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010002 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2641 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002641 00000-GENERAL

Sr. # Voucher Date: 19/10/2015 Voucher Type & No. 31-17-01002001001002000006 Voucher No. 31-17-0000173 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK
 Proposal Form : 100014663 ADAMJEE LIFE ASSURANCE COMPANY LTD.
Proposal To : 100014663 POLICY TRANSACTIONS

Date/Time: 31/08/2016 04:39 PM

Page #: Page 2

Account Description/ Profit Center/Desc. SL Type/Desc. SL Account/Description

Narration Paid To Cheque No. Trans. Type Debit Credit

PROPOSAL NO : 100014663 Darpan Kumar Plan: Save & Assure Fund: Investment Secure Fund (SA) Branch : ALAC-BANCA-MCB-ST-SUK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 19/11/2015 Voucher Type & No. 11-01-01001001001001001418 Voucher No. 11-01-0002551 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT-DARPAN KUMAR

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 21/12/2015 Voucher Type & No. 31-17-01002001001002000014 Voucher No. 31-17-0000347 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 21/12/2015 Voucher Type & No. 31-17-01002001001002000015 Voucher No. 31-17-0000348 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 15/01/2016 Voucher Type & No. 31-17-01002001001002000001 Voucher No. 31-17-0000020 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 19/01/2016 Voucher Type & No. 11-01-01001001001001000183 Voucher No. 11-01-0000366 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT OF DARPAN
KUMAR FMO JAN 16-400005077

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 10/02/2016 Voucher Type & No. 31-17-01002001001002000004 Voucher No. 31-17-0000088 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK
 Proposal Form : 100014663 ADAMJEE LIFE ASSURANCE COMPANY LTD.
Proposal To : 100014663 POLICY TRANSACTIONS

Date/Time: 31/08/2016 04:39 PM

Page #: Page 3

Account Description/ Profit Center/Desc. SL Type/Desc. SL Account/Description

Narration Paid To Cheque No. Trans. Type Debit Credit

PROPOSAL NO : 100014663 Darpan Kumar Plan: Save & Assure Fund: Investment Secure Fund (SA) Branch : ALAC-HO-HO-HO-KHI

Sr. # Voucher Date: 16/02/2016 Voucher Type & No. 11-01-01001001001001000530 Voucher No. 11-01-0001060 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT FMO FEB 16 OF
DARPAN KUMAR-400005077

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 08/03/2016 Voucher Type & No. 31-17-01002001001002000007 Voucher No. 31-17-0000199 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 10/03/2016 Voucher Type & No. 11-01-01001001001001000853 Voucher No. 11-01-0001706 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT OF DARPAN
KUMAR FMO MAR 16 - 400005077

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 10/03/2016 Voucher Type & No. 11-01-01001001001001000854 Voucher No. 11-01-0001708 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT OF DARPAN
KUMAR FMO NOV 15 - 400005077

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 10/03/2016 Voucher Type & No. 11-01-01001001001001000855 Voucher No. 11-01-0001710 Currency: 1 PKR Narration: MONTHLY INCOME BENEFIT OF DARPAN
KUMAR FMO DEC 15 - 400005077

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 01/04/2016 Voucher Type & No. 31-17-01002001001002000012 Voucher No. 31-17-0000269 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

2 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Policy/Claim # Mig-400005077/201200026, Beneficiary Name : Anoosha/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 12/04/2016 Voucher Type & No. 11-01-01001001001001001296 Voucher No. 11-01-0002571 Currency: 1 PKR Narration: MIB FMO APRIL 2016-DARPAN KUMAR-
100014663

1 406100050001 OUTSTANDING CLAIMS - MIB PAYABLE - INDIVIDUAL LIFE - MIB PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 8,000.00
Monthly Income Benefit, For : 201200026 20002-BANCA-MCB BANK
 Proposal Form : 100014663 ADAMJEE LIFE ASSURANCE COMPANY LTD.
Proposal To : 100014663 POLICY TRANSACTIONS

Date/Time: 31/08/2016 04:39 PM

Page #: Page 4

Account Description/ Profit Center/Desc. SL Type/Desc. SL Account/Description

Narration Paid To Cheque No. Trans. Type Debit Credit

PROPOSAL NO : 100014663 Darpan Kumar Plan: Save & Assure Fund: Investment Secure Fund (SA) Branch : ALAC-HO-HO-HO-KHI

2 402110010001 BANK BALANCES - MCB ZAMZAMA - PLS GOLD 365 - 2639 00000-Global 0000 Control Ledger 0 Control Ledger 8,000.00
Payment To Party From Bank Against :442690111002639 00000-GENERAL

Sr. # Voucher Date: 18/08/2016 Voucher Type & No. 31-17-01002001001002000020 Voucher No. 31-17-0000360 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100020001 OUTSTANDING CLAIMS - PROVISION FOR O/S CLAIMS - INDIVIDUAL LIFE - RESERVE 10000-Individual Life 1040 Policy Ledger MIG-400005077 90,296.00
Policy/Claim # Mig-400005077/201200026, Customer Name : Darpan Kumar/D 20002-BANCA-MCB BANK

2 406100040001 OUTSTANDING CLAIMS - WAIVER OF PREMIUM PAYABLE - INDIVIDUAL LIFE - WOP PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 90,296.00
Policy/Claim # Mig-400005077/201200026, Customer Name : Darpan Kumar/D 20002-BANCA-MCB BANK

Sr. # Voucher Date: 18/08/2016 Voucher Type & No. 31-17-01002001001002000021 Voucher No. 31-17-0000361 Currency: 1 PKR Narration: Claim Provisional Voucher for Policy/Claim : MIG-
400005077/201200026

1 406100040001 OUTSTANDING CLAIMS - WAIVER OF PREMIUM PAYABLE - INDIVIDUAL LIFE - WOP PAYABLE 10000-Individual Life 1040 Policy Ledger MIG-400005077 90,296.00
Policy/Claim # Mig-400005077/201200026, Customer Name : Darpan Kumar/D 20002-BANCA-MCB BANK

2 406000010001 PREMIUMS RECEIVED IN ADVANCE - PROPOSAL/ POLICY - REGULAR 10000-Individual Life 1040 Policy Ledger MIG-400005077 90,296.00
Policy/Claim # Mig-400005077/201200026, Customer Name : Darpan Kumar/D 20002-BANCA-MCB BANK