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UNITED INDIA INSURANCE COMPANY LTD

Divisional Office 010500 No.64, Armenian Street, `Catholic Centre, Chennai 600 001 T !" NO" 044 # $5%&'('% ) $5%&'('4 REF:010500/IB GPA/MISC./2012-13 1 /12/2012 // !"t#$%t P&e'%(")e // *n+ian ,anAth.alines ,ranch, Sho/ No.$%#$&, Corner 0oint Com/le1, O//.Se2al A/artment, Cit3 !i4ht, S5rat %65 00(. Sirs, Re: GPA POLICY NO.: *2/12/05/000000+ CLAIM NO.: *2/12/0000055 NA6 " M&,.-"&t" C.Ma#"(a - CAD7 " C./T/ - SR.NO: 2**30 ,7ANC8: At#0a."1e, D.O.A" 0 .02.2012 C*7C! O99*C " A3MEDABAD P.ea,e &e4e& $%& ea&."e& .ette& (ate( 31/10/2012 .ith re4ar+ to the

Date:

a:ove an+ -in+l3 f5rnish the follo.in4 for o5r f5rther action" 1. !eave a//lication of the em/lo3ee an+ leave santion letter in official format .ith +ate of 2oinin4 alon4.ith ,ranch office recommen+ation. $. 6e+ical c5m fitness certificate from the treatin4 +octor alone onl3. On recei/t of the a:ove re;5irements .e .ill :e /rocee+ f5rther at o5r en+.
Than-in4 3o5, <o5rs faithf5ll3,

SR.DI5ISIONAL MANAGER.

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