075-20
Policy No.150249512 in the name of N. Vaidhyanathan

Mr. S.K. Kaul

Sr. Branch Manager

Lic of India

Branch 11R., 316/325

Agust Kranti Bhawan,

Bhikaiji Cama Place

New Delhi 110066

This has reference to my captioned policy.

This is to inform you that I had submitted my Original Policy Bond and Discharge form duly filled in and signed by me with your office on 29th June’09.

This is bring to your kind notice that till date I have not received both my Original Policy Bond and the cheque for Rs - (Rs Two thousand only) issued in my favour.

You are therefore, requested to send my Original Policy Bond against my captioned policy and the cheque for Rs - at the earliest.

Thanking you,

Yours Faithfully

N. Vaidhyanathan

N-44, Shalimar Housing Complex,

Shalimar Garden,

Sahibabad, District Ghaziabad – 201005

Uttar Pradesh

Cell.9910362710