[Your Name]

[Your Address]

[City, State, ZIP]

[Email Address]

[Phone Number]

[Date]

The Manager

Life Insurance Corporation of India,

Trade Net Building, 4th Floor, Near Kothari wheels

Wadgaon Sheri, Pune, Maharashtra 411014

Subject: Request for Surrender Value of Policy.

Dear Sir/Ma’am,

I hope this letter finds you in good health and high spirits. I am writing to inquire about the surrender
value of policy with LIC, bearing the policy numbers and details mentioned below. I have been a
policyholder with LIC for several years, and I believe it is the right time for me to consider surrendering
my policy due to personal reasons.

SR Policy No Policy Date of Maturity Policy Yearly Total

No Holder commence Date Term Premium paid
1 993684011 Vishnu 25-09- 25-09- 21 27685 193795
Bajirao 2017 2038
satav
2 956696762 Vishnu 28-12- 28-12- 35 12010 264220
Bajirao 2011 2046
satav
3 956696941 Vishnu 28-12- 28-12- 67 10922 131064
Bajirao 2011 2078
satav

I would also like to request your assistance in understanding the implications of surrendering my policy.
If possible, I would appreciate a meeting or a phone call to discuss this matter in more detail. Your
guidance would be valuable in helping me, and make an informed decision.
Please find enclosed a copy of the policy document for your reference. If there are any additional forms
or documents required, kindly let me know, and I will promptly provide them.

I understand that the surrender value may vary depending on various factors, and I trust that LIC will
calculate it accurately and in accordance with the terms and conditions of the policy.

I would like to express my appreciation for the excellent service I have received from LIC throughout
association as a policyholder. Your prompt attention to this matter would be highly appreciated. I look
forward to your timely response.

Thank you for your attention and cooperation.

Yours sincerely,