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To

………………………………,

………………………………,

………………………………,

………………………………,

Sub.: Request for cancelation of policy.

Sir/Madam,

I would like to request your good self for cancelling the policy having Policy no 503-9472369 as Bajaj Finance misguided me
for giving a loan against the policy. Please do the needful at an early date.

Hope your kind cooperation will be extended regarding the matter.

Encls.:

1. Self attested xerox copies of PAN card, Aadhaar Card and Voter card.
2. Cancelled cheque.
3. Bank statement showing the premium payment.
4. Duly filled in Payout request form.
With thanks,
Yours faithfully,

………………………………

(ANJAN MUKHERJEE)

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