LIC OF INDIA
Change of postal address

Dear Sir,

I am Mr Nilesh Patil holdig LIC Policy No:963849645, &963849646.

I would like to change the postal address of my residence for the receipt of annuity payment. The address registered with you is

NILESH JAYWANTRAO PATIL

C/O D.V. TAROLE

GOVT QUARTER TYPE 4/P-1/O1

NR HOTEL COZY COTTAGE

JALGAON 425001

My present address is :-

NILESH JAYWANTRAO PATIL

AT - GARSOLI POST- KUTASA

TQ - AKOT DIST - AKOLA

MAHARASHTRA

MOB NO 9594753463