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DATE :
NAME : ____________________________________________________
ADDRESS : ____________________________________________________
____________________________________________________
____________________________________________________
To,
The Branch Manager,
LIC of India, Branch _______,
_________________________.
Dear Sir,
Re : Policy No. ________________________
I hereby authorise the Agent/DO Mr./Ms. ____________________________________________________
Agency Code No. __________________________________________________ to collect the above policy
document on my behalf, whose signature is appended here in below. Please handover the same to him.
Thanking you.
Yours faithfully, Signature of the authorised person
Signature of the Policy holder Agent/ DO code:
*******************************************************************************************
DATE :
NAME : ______________________________________________________
ADDRESS : ______________________________________________________
______________________________________________________
______________________________________________________
To,
The Branch Manager,
LIC of India, Branch _______,
_________________________.
Dear Sir,
I have received the policy document numbered _________________________________________________
through the Agent/DO Mr/Ms. _______________________________________________________________
Thanking you.
Yours faithfully,
Signature of the Policy holder

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LIC policy document authorization letter

  • 1. DATE : NAME : ____________________________________________________ ADDRESS : ____________________________________________________ ____________________________________________________ ____________________________________________________ To, The Branch Manager, LIC of India, Branch _______, _________________________. Dear Sir, Re : Policy No. ________________________ I hereby authorise the Agent/DO Mr./Ms. ____________________________________________________ Agency Code No. __________________________________________________ to collect the above policy document on my behalf, whose signature is appended here in below. Please handover the same to him. Thanking you. Yours faithfully, Signature of the authorised person Signature of the Policy holder Agent/ DO code: ******************************************************************************************* DATE : NAME : ______________________________________________________ ADDRESS : ______________________________________________________ ______________________________________________________ ______________________________________________________ To, The Branch Manager, LIC of India, Branch _______, _________________________. Dear Sir, I have received the policy document numbered _________________________________________________ through the Agent/DO Mr/Ms. _______________________________________________________________ Thanking you. Yours faithfully, Signature of the Policy holder