CLAIM FORM FOR MATURITY VALUE OF POSTALI RURAL POSTAL LIFE INSURANCE POLICY
(Please fill in the columns in CAPITAL letters)
1. Name of Insurant (Mr./Mrs./ Ms.)
First Name
Middle Name
STANDEEP SINGH
Last Name
come
2. Occupation
1 1 1
1
1
3. Communication Address
Village SHEIKHA
City GIURD ASIPIL
State PUNJAB
7
Taluka
District
Country
District
LRDASPOR
ND A PIN U413 5
4. Particulars of Policy
i. Policy No.
APSI-151988-
L
D
ii. Sum Assured
iii. Date of Acceptance
IV. Date of Survival Benefit Due (AEA Policy)
1000001
15/03/2010 5
V. Date of Matunity
5. (Designation and Address of Drawing and Disbursing Officer during last six months
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Red boxes are meant for mails which are to not to be delivered locally. Blue boxes are for mails that needs to be delivered to metro cities. Green boxes are for mails that has to be delivered locally. Yellow boxes are for mails that needs to be sent to to every capital cities.
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