6th July 2022

30696639-GOUTREQ-0000001

MR. VIVEKANANDA A/L BIDDUT BUSHAN NATH

6707 BLOK B
TAMAN MAK MANDIN
13400 BUTTERWORTH
PENANG

Dear Valued Policy Owner,

POLICY NUMBER : 30696639

LIFE ASSURED : MR. VIVEKANANDA A/L BIDDUT BUSHAN NATH
PROPOSER : MR. VIVEKANANDA A/L BIDDUT BUSHAN NATH

Outstanding Requirement(s)

With reference to your application, we would appreciate it if you could furnish us with the following
requirement(s):-

Life Assured:

Change of Credit Card Details

• Photocopy of the Identity Card
Please submit a copy of the Cardholder's NRIC or Passport if the Cardholder is
not the Policy Owner / Life Assured.

We seek your kind understanding that medical expenses will be borned by policy owner (if applicable).

We would appreciate if you could submit the above to us within 2 weeks from the date of this letter.

We thank you for your continuous support and we look forward to be of service to you. Please email us at
customercare@tokiomarinelife.com.my or contact our Customer Service at 03-26033999 should you required
further clarification.

Thank you.

Customer Service Department

This is a computer generated letter and no signature is required.

Cc Agent: PUSHPAKUMAR A/L KANAPATHY 728682

P2 BUTTERWORTH