MAX NEWYORK LIFE INSURANCE
Lapse of poilicy due to agent negligence

Dear Sir

I, Naveen Kumar Patle, have taken policy from Max Newyork Life insurance (details given below) from dated 27.6.2010 . The Agent Advisor has taken cheque of Rs 2500/- (no 979969 dated 18.6.2010 Uco Bank) and advised me to pay monthly premium from the monthly deduction mode facility from the bank through direct debit (ECS facility). This provision was filled up in the application form and the same was informed by the advisor. But the negligence of the advisor, this facility has not worked and debit was not done by the bank. After 6 months, the advisor has informed me since you are not paying the regular premiums, your policy may be lapsed and now you have to pay all the balance premiums.

I would like to bring your kind notice that due to negligence of advisor, I have lost Rs 2500/- and could not continue this policy. I request you that proper action should be taken from your side otherwise.

Policy Details: Max Newyork Life - Smart Invest Pension Super

(Regular Plan)

Policy no : 780804043

Date of birth : 12.08.1971

Initial amount paid through cheque: Rs 2500/-

(cheque no 979969 dt 18.6.2010)

Agent code : 318181

Thanking you,

Regards

Naveen Kumar Patle