ASEGO Date To, Aditya Birla Health insurance Company Limited Dear Sir / Madam, Lam Mee/ Mrs. /Miss._ AIiguize Sriagnia holding the Overseas Mediclaim Policy of vide Insurance Certificate no_ 30654406 which is issued for 10 _ Days. i wouid jike to inform you thai i have extended my stay beyond tie existing poiicy period, due to vensel's schedule (nob cuitable pont fer sium of) Hence, | would request you to extend my aforementioned Insurance policy for further 40_ days. | assure you that | am in good health and there is elaim-/ no claim in the existing policy period. Pre-existing illness declaration: {confirm that Hr @¥€ nn BS MRK nb S OVE, ©: //do not have past medicai condition(s} and i am currentiy under / not under treatment for the same. i am fully aware and agree that any medical assistance / disease / injury / alignment and symptoms contracted by me during the old policy period or expired period would be excluded from the extended policy. Deiaiis of Ciainis, if any: i. Diagnosis: None Thereby declare that the information provided by me is true to the best of my knowledge. Thanks & Regards, flucniea SHARMA ago”