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REVIVAL-WITHDRAWAL NOTICE
Date : January 15, 2020
Policy Number : 006893463
Dear Mrs. Sireesha Sudharani J
Thank you for choosing Aditya Birla Sun Life Insurance as your partner for securing your family’s future.
You would recall our earlier communication regarding the outstanding status of your premium. As your choice of insurance
provider, we believe it’s our responsibility to ensure that you extend continued benefits of your policy(ies) to your family. We
therefore wish to once again remind you that we have not received all due and unpaid premiums by the 04/01/2020 which was
the end of grace period.
You can however, still revive your policy by payment of all due and unpaid premiums by 23/02/2020. The overdue Net
Premium payable for the above mentioned policy is ` 5999.98.
Else, you also have the option to completely withdraw from the policy, informing us about the same by 23/02/2020.
Policy Number Plan Due Date Premium (`)
006893463 ABSLI Wealth Secure 2013 20/12/2019 5999.98
We would like to draw your attention to the fact that in case of non-receipt of due premium by, 23/02/2020 it shall be deemed
that you have exercised the option to completely withdraw from the policy and your policy status would be ‘discontinued’. On the
discontinuance date, the insurance cover will cease and the policy proceeds, if any, will be payable to you after completion of
five policy years as per the policy terms.
If you have already made the payment, kindly disregard this communication.
In case you require any information or assistance, our customer service executives would be glad to help you. Please feel free
to get in touch with us on the mentioned touch points.
It is our endeavour to enhance your financial future by providing you the best services at all times.
Your Sincerely,
Customer Service
Aditya Birla Sun Life Insurance Company Limited
Opt for NEFT (National Electronic fund transfer) to receive faster payments, Simply send duly filled and signed Profile Updation form
to any of our branches. To download the form and to locate the nearest branch, please visit www.adityabirlasunlifeinsurance.com
Important: As per Government of India , you are requested to update Aadhaar and PAN/Form 60 in all your policies immediately.
Note: Aditya Birla Sun Life Insurance Company Limited (ABSLI) will not be responsible in case of non credit to your account or if transaction is delayed or not effected at all for reasons of
incomplete/incorrect information provided or rejected by your bank. In case of requisite information for direct credit is not received or transaction rejected by bank the payout will be made vide cheque.
1. Are you holding citizenship of any other country? Yes No If yes, please provide country name/s: _____________________________________________
2. Are you a tax resident of any other country? Yes No If yes, please provide unique Tax Identification Number/s: ____________________________
Note: If the response to any of the above questions is yes, please submit a detailed NRI questionnaire available with our branch office.
Mandatory Requirements
• Please submit Original Cancelled Cheque with pre printed name & account number
• Please submit pass book copy / Bank Statement bearing pre printed name, residence address & account number; incase cancelled cheque does not have printed name
& account number, carry original for verification at branch
• In case the cancelled cheque carries pre-printed name and account number, but has "New Account" printed on it, kindly submit an attested copy of the passbook/bank
statement bearing preprinted name and account number. Please carry original passbook/bank statement to the branch for verification purposes
• Valid address KYC proof and valid id proof carry originals for verification at branch
• All documents needs to be self attested by the Policy owner & attested by ABSLI Authorized branch personnel.
Note: • Direct Transfers are not applicable for NRE accounts. • The bank account details will be linked to all your policies under your client id.
I hereby agree and confirm that the above details provided by me are true and correct. I request you to update above information in your records. I hereby provide my consent
to receive call from Aditya Birla Sun Life Insurance Company Limited (ABSLI) or its authorized Service Providers in connection with any matter related to my above Policy.
I hereby agree to have the given bank details to be linked to all my policies under my client id for any company initiated payments in future.
Acknowledgement slip
FOR/9/17-18/806
“The Trade Logo “Aditya Birla Capital” Displayed Above Is Owned By ADITYA BIRLA MANAGEMENT CORPORATION PRIVATE LIMITED (Trademark Owner) And Used By ADITYA BIRLA SUN LIFE INSURANCE COMPANY LIMITED
(ABSLI) under the License.”