To,
__________ (Client Registration Unit/Manager),
______________ (Name of the Company),
______________ (Address)
Date: __ /__ /____ (Date)
From,
____________ (Name),
____________ (Address)
Subject: Addition ______ (Son/Daughter/Member) in the med claim policy
Respected Sir/Madam,
I want to bring in your notice that I am _________ (Name), holding a mediclaim policy worth ___________ (Amount) affiliated with your company having scheme __________ (family/floater) policy.
I am requesting approval of the addition of _____ (Son/Daughter/Member)in the policy. Here are all the details:
Policy Number:
Issue Date:
Expiry Date:
Name of the Policyholder:
Name of the Additional Member:
D.O.B.:
Current Address:
I hereby enclosing _________ (Cheque/DD/any other payment details) for the additional payment of the new member. I am also attaching the additional member’s birth certificate for reference.
I would be thankful for your corporation, I am providing my contact details below for your further reference.
Yours ___________ (Sincerely/Faithfully),
____________ (Name),
____________ (Contact Details),
____________ (Signature)