Dated: 09th July 2020

To

Life Insurance CompanY Limited

lndia
Kolkata

TO WHOM IT MAY CONCERN

This is to authorise my husband Francis Das, who is also the nominee in my lnsurance policy no:

426423268... to claim the amount of maturity of the policy and sign all relevant documents on my
behalf as I am currently out of country due unfortunate situation of COVID 19.

to release the payment of maturity upon my husband signing

I hereby request your kind authorities
the documents on my behalf. Your assistance, on the same is highly appreciated'

Thank you,

With best regards,

Hema Das