NOTICE OF ASSIGNMENT OF POLICY TO THE INSURANCE COMPANY





Name of the Insurance Company

Address

Dear Sir,

Please refer to policy of life insurance dated _____, effected by Mr. _____, S/o_______, R/o_______, with your corporation for the sum of Rs. Bearing No.___________. I wish to bring to your notice that by a deed of assignment dated _____, executed in my favour by the said Mr.____, all moneys assured by or to become payable under the said policy has been assigned to me. I therefore request you to note the same in your books and to acknowledge receipt of the notice.

Sd/-