3AGAON DViSIONAL OFFICE

JEEVAN PRAKASH, MAIN ROAD, BARPARA

PO &DIST- ONGAIGAON- P-783380
Ph: 036 2S6, 228305 atl: crm_beFngaigaa Ncinedla.cowt

Noteto Mar(M) Date: / 4 / 1

i a r Ref: CO/CR 220/23 dtd. 02.11.20200
e En/Surrender PEyment ( CRM Validation cases)

Poic details:

SA Loan/Surr. Amt: K 33o

Ks. Jevo c_Lo
Dnjan NLKa

L7 4uo067 FUP. 4/02 7

7/61/9dLU Mode Iy
T
e1s/14 EDMSAvailabie/Not Availebs msAvalabl
OCL 2nts Received fooan/sv Payment-

Original ooy Bond...Y

DVand other related forms of loan/surrender duly completed by LA &witnsessed S
NEFT documents duly compiied y S
KYC submitted
indemnity Bond on non judicial Stamp paper of Rs. 200/- duly cormpleted by LA al.with
questioner
Form duy cOmpieted for loss of policy bond
Specimen signature duly attached by the Competent Authority N

Reesiorvalidatica byMgr(CRM)
Duplicateicy
Loan/ea
Bond issued on
ed within 3 yrs from the date of isaue of Duplicaie Polioy Bond
in lieu of originai Fc A
Surrender reguesi is received with Indemnity Bond and surety
.oan/Surrender within 3 yrs of trarisier in of Policy irom other branc y s I102.202/ (
Request Docket are nE
E

Requesi ior Loan /Surrender for which þoth Ecms image and Folicy
AlatLI
CAmimaaLis
copies ofduly completed indemnity bond(forrmno.........)
and suret
The ached Photostr
c e e d herewith ur r ready reierar.ce.

3re found in order, licy is not assiied, prem

hisi
The v e documeni: ceived by us

gre his Loan/Sursnder may be paa inravour of .. dy a n Ve S S a

kind approv! & validation pleie.
Put o Mgr(CRiM). Eigaigaon DO fer his

I C : Darpelä B r a a c h