ICICI Prulife Insurance Co. Ltd
Non Refund of License Renewal Fees

20.08.2009

The Branch Manager

I.C.I.C.I. Pru Life Insurance Co. Ltd.

Model Town-III

New Delhi-110009

Ref: Agent Code : 00120787

Sub: Application for Refund Renewal Fees

Dear Sir

I was the agent of your Esteem Organization with the above mentioned Code Since January. I had applied to your organization for renewal of my above mentioned license with the deposit of License Fees of Rs. 1, 000/- (Rupees One Thousand Only) vide Receipt no.-73150915 dated 09/05 (Copy Enclosed) for a period of further 3 years. Since I came to know that I am not eligible for the agent ship with your organization. I request you to please refund my Fees of Rs. 1, 000/- (Rupees One thousand only) at the earliest.

Thanking You

(Raman Kwatra)

Agent Code : 00120787

Address: BF-23, SFS Flats,

Shalimar Bagh (East)

Delhi-110088

Contact No.- 9868356474, 9311004503

Company: ICICI Prulife Insurance Co. Ltd
Country: India

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