BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD, [ POLICY NO--06-09-2401-9961-00110872
CLAIM NOT PAID, AFTER 2 YEARS

SIR,

I am golejan bibi, my husband name is SURHAQE KHAN [ vill- po--chanduli, Dt-burdwan, PS-katwa, PIN-713502, ST--west bengal, ] .

SIR I requst to you that my husband was policy holder of BAJAJ ALLIANZ GENERAL INSURANCE COMPANY LTD, [ POLICY NO--06-09-2401-9961-00110872, and CERTIFICATE NO--012777646/ 9080085666. SERIAL NO--1312782 ] but now my hasband was alrady death by snake at home 1:30 PM, ofcours admited in katwa hospital under DRsiddheswar gupta reg no-41026 0fwbmc. my husband was death 5:10 PM at 09/07 at katwa hospital.

I want claim but refused bajaj allianz because [ Bajaj sent to me that " we acknowledge receipt of documents submitted by you. but sorry to inform you that death due to snake bite is not covered under provisos [2] [f] of the policy.

in view of the above we are unable to honor this claim.hence your claim stands repudiated.

This letter is issued without prejudice to our other rights and contentions".31/12/10.]

sir i requst to you that you care this case.

yours faithfully

golenjan bibi

VILL PO--CHANDULI, PS-KATWA,

DT-BURDWAN, PIN-713502

ST-WEST BENGAL.MOB--9674451061

MAIL [email protected].