Bajaj Allianz Family Assure
CORRECTIONS

(1) MISTAKES FOUND IN POLICY NO.0137351051

A. POLICY HOLDER FATHER'S NAME READ: MOOSA ABDUL SALAM

B. READ ADDRESS: TYPE IV 47/2, H.V.F ESTATE- AVADI-CHENNAI600054

C.READ TEL NO.09789972207

D.READ NOMINEE NAME: SHAKERA SHAHEEN

E.POLICY HOLDER HAS TAKEN POLICY THROGH RCM AGENT CODE NO:8496721 REF.DRAFT APPLICATION COPY REQUEST TO DELET SAPPHIRE INSURANCE.

REQUEST TO THE ABOVE AND DO THE NEEDFUL AT THE EARLIEST