Full Surrender Policy Number Surrendering of the Policy holder’s Name Policy Address of Policyholder Contact Number Email ID I hereby submit that I am the holder of an insurance ...
Filetype PDF | Posted on 17 Aug 2022 | 2 years ago
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...Full surrender policy number surrendering of the holder s name address policyholder contact email id i hereby submit that am an insurance no with max life co ltd would like to voluntarily and terminate aforesaid request you please process my pay applicable value if any after adjusting charges understand results in termination cover benefits secured under postal where cheque be dispatched incase is different from proof mandatory disclaimer shall not held responsible for delay or non receipt case incomplete incorrect company record mr mrs miss o d w aged resident do declare affirm details provided this form are correct accurate agree receive fund payable terms conditions deduction further confirm information by me herein true stand indemnity towards wrongful refund obtained signature date dd mm yyyy place vernacular declaration filled customer has signed language other than english affixed thumb impression have explained contents letter ms presence fully understanding thereof declarant e...