Sample
Template Example of Request Letter to Insurance Company / Banks/ School for Refund
letter Payment / Cash Refund in India in word / .doc
FROM :
Neetu Singh,
14/1 Barah Khamba Raod,
P.O : New Delhi ,
New Delhi – 102 021
MOB: -----------------
To Dt. 29.11.2013
The Branch Manager,
Life Insurance Corporation of India Ltd
………………………………………….Branch
ADDRESS
Dear Sir,
Sub: My Proposal for a
Term Insurance.
I am to inform you that though my permanent resident is in Mumbai,
I am working in Delhi for last six years.
In last March, 2013 when I visited Mumbai I have submitted a
proposal for a Term Insurance to your
office after filling in the required form alongwith one cheque for Rs.9700.00 ( Rs nine thousand
seven hundred only ) for the initial premium
on the proposed policy.
Since I left Mumbai, the medical required for acceptance of
the policy could not be done in Mumbai . I was told that medical could be done
from Delhi and your local office at Delhi will contact me.
The cheque handed over to LICI representative alongwith the
proposal application was realized by you on 28.04.2013 from my SBI Bank ( a/c
no ------------- ) Delhi before any medical test . As your Delhi office has not
contacted me, the medical test could not be completed for acceptance of my proposal and no policy has been issued by you. Meanwhile
as I am desirous to have such policy I have already obtained a Term Insurance
from other Insurer.
So, I request you for immediate refund of the amount lying
with you. For your ready reference I enclose herewith a photo copy of my account statement showing
therein the said amount of Rs.9070.00 , cheque no --------- ( which I handed
over to you ) and date of your
realization i.e. 28.04.2013.
I shall deem it a favour, if you please arrange for issue of
a cheque in my favour to my above mentioned Mumbai address by registered post.
Thanking you,
Yours faithfully,
( Neetu Singh )
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