Date Requested	Requested By	Sche or Memb	#Documents	Description	Date Produced	Status	Actions

ID	Batch Name	Record Type	Status	Created	Last Updated
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ID	Batch Name	Record Type	Status	Created	Last Updated
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Create New Batch of PRB Members to Add

Work Tracking Details

Work Item No. associated with adding this applicant

Midas No:

Batch Name

Batch Name:

Input File Type

Input File Type:

Scheme number to which PRB is to be added Scheme No:	Percentage of Investment amount payable to Agent by way of commission Commission Rate:	Investment Terms applicable to Bond Terms:
Agent for the Bond holder. Agent:	Should 12 month risk be applied to all members in this batch Is 12 month risk applicable to this bulk case?: No Yes

Agent Contact Title

Agent Contact Title:

Agent Contact First Name

Agent First Name:

Agent Contact Last Name

Agent Last Name: