Name

Address:

Date: 14/10/2015
LIC OF INDIA
BR. No. ..
Address
Sub: Request for Change Of Address
Ref:. Policy No:.
Dear Sir,
I am writing this letter to inform you that I have moved from my apartment
to a new place and I would like you to put it in your records .Please forward
all the correspondences in future to the address given below
Name:
Address:
Phone No:
Kindly assist to change my address as per above in my LIC Policy No..& oblige.
Thanking you,
Sincerely

Name