PDIL
Address Change

TO FROM

BRANCH MANAGER Mr PRAVEEN KUMAR YADAV

LIC OF INDIA FLAT NO 32-A, PLOT NO :-B-09 / 8

SRIJAN APTT P.D.I.L HOUSING SOCIETY

SEC.-62 NOIDA (U.P) 201307

SUB:-REGARDING CORRECTION OF RESIDENTIAL ADDRESS

SIR,

I HAVE AN INSURANCE POLICY IN YOUR BRANCH WITH FOLLOWING DETAILS

NAME :-PRAVEEN KUMAR YADAV

POLICY NO :-112258077

DATE OF COMMENSEMENT :-24-02-1998

DATE OF MATURITY :-24-02

TABLE NO :-88-20-(20)

I REQUEST YOU TO KINDLY CORRECT MY RESIDENTIAL ADDRESS AS MENTIONED BELOW AND RESEND THE UPDATED POLICY FORM RECIEPT.

THANKING YOU

RES.ADD.

YOUR’S FAITHFULLY

NAME:- PRAVEEN KUMAR YADAV PRAVEEN KUMAR YADAV

ADDRESS:- FLAT NO 32-A, PLOT NO- B-09/8

SRIJAN APTT.P.D.I.L HOUSING SOCIETY SEC.-62

NOIDA (U.P) 201307

DTD 12-03-09