21/5/2024

From,
T.M.Vasudevan,
1802, Almond Tower,
PRAGNYA EDEN PARK PH-II,
Pudupakkam Road
Siruseri
Kanchipuram (Dist.)
Tamilnadu - 603103

TO,
The Director,
C.R.R.I
Delhi Mathura Road,
Okhala
New Delhi 110020

Sub:- Submission of Life Certificate for CGHS Benefit

Ref:- Let No. F.No. Z - 15025/23/2023/DIR/CGHS. Dt - 28/3/2024

Sir,
As per the notification issued by the DIR CGHS, I am submitting the Life Certificate to
you. Please do the needful. As I am residing in Chennai, I am availing the CGHS facility from
CLRI, Adyar Chennai CGHS Card No. - R - 973 Date Sep - 15. I am enclosing the copy of my
CGHS Card.and life certificate.

My Old address is:-

T.M. Vasudevan,
1163, Tower 1
DLF Garden City
OMR Road
Chennai - 603103

Yours sincerely,

(T.M. Vasudevan)