To,

The Branch Maneger,

AVIVA Life Insurence,
Barasat Branch,
Barasat, North 24 Porgonas.
Subject: Requesting for changing address.
Sir,
I do hereby inform you that I am Nandita Sen, a policy holder of AVIVA
Life Insurence, my policy no. TDW3150474. I would like to change my present
adderss which is my present residencial address, i.e, C/O TAMAL SEN, 41/4 BI
STU BOSE LANE, P.O. & P.S.- RANAGHAT, DT.- NADIA, PIN741201(WB).
Please take necessary action as earlyas possible. Thanking in anticipation.
Your Faithfully,

(Nandita Sen)

Date: 25/06/2012