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Letter no.

Claiming full benefits due to the


death of the policy holder by the
nominee
………………………………………
……………………………………..,
……………………………………..
………………….
The Manager
…………….. Insurance Ltd,
Main Branch,
M.G.Road,
…………………….
st
1 para
Identity
…..nominee policy holder…
…name ….policy number
Mention the purpose of the letter
- I am the nominee of policy holder shri……………..
- His policy number is……………….
- I regret to inform you about the death of my
father, shri……………, at 5.25pm on 5th June,2014.
- He died of heart attack.
nd
2 para
- His life was insured for Rs.30,00,000 under
Jivan Suraksha policy.
- Premiums are paid up to date
- attached the claim form , giving details about
the deceased
- attached the certified copy from death
register
- I possess original policy document.
rd
3 Para
- Ready to provide any other documents that are
required
• My mobile no…..
• My email address……..
• Could you please inform me the further
procedure.
Yours Sincerely,

( …………………)

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