Date: _________________

To Whom It May Concern,

Good Day! I, _________________ with policy number

___________ ,

would like to request for a hard copy of my Policy Contract to be delivered at _______________

_____________________________________________________________________________.

Kindly contact me upon delivery of the policy hard copy at ________________________ for
the

location guide if necessary.

I am aware that there is already an “E-Policy”of my contract available for downloading

or

viewing in “My Axa App”or “Axa Website”but still want the Official Hard Copy from your
good

office.

Hoping for your kind consideration on my request.

Thank you!

Sincerely,

_______________________
Policy Owner/Insured

Public