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Adamjee

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0% found this document useful (0 votes)
31 views4 pages

Adamjee

Please check it

Uploaded by

00roshnikhan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Gq Adamiee Life Assurance Co.Ltd Page 1 of 1 adamjeelife — eee : Aamioe Lite Assurance Co. Ls Wendt Roe Kame 7460 PAKISTAN Date IE _potcy number? 4% CODUSEYP van Poncy Halen ptm 24 Ht feeb Safpnc - jncd Plan ce ¥ cy, Kasi 3 sx Fe 3 Ole [-S7S1724-3 contactNumber/ 41, 0 306 9977794 Email Adcress) 231 FS: Civile ngineet Soo © Sonat! Lot i Le Lo | Policy Surrender Financial Reasons At ‘Aahoe Surender > Uncatisfatory Returns ee foe Paral Poy Withdrawal ars Unsatsactoy Service ry Boon Parial Adhoe Withdrawal Sabre Sonso Others ‘ae ‘Amount PAR le ocr ‘Amount in wares pape a ess Do you want your Pay Out through; wade Direct Transtorin IBFT Account FUE wt 6 edad O cheque -& Account Status iat: CJActive 136 Dormant hes In case of account, status is inactive or dormant a cheque wil be _— oes fez Miafaralce dispatched at your provided correspondence address, WL dea ie 30 Si wer Stee Ha ae ‘Account Tile (2 Haseeh Sal tea ‘ecount Number 0 Bank Name J: WE ¥ For Partial Policy withdrawal the sum assured willbe reduced bythe same emoynt.as that of pata wihcrawal amount. Sab 200 S80 2 FF SEE BE oi § MERAH Eee BRT RE Ss Se 1 ecb Ss holding Poicy »_ boo / S697 with Adamjee Life hereby put forward the request of surrender [Withdrawal arom my policy and demand for payment of the resulting valve (If any) after adjusting forall ‘applicable charges” am aware of any financial loss that | might incur as a result! deciare thatthe information above is true to the best of my Paraigean ae i 12 bool? oy tonne lege? wept Gn SIV Lia S Fe Son 1S ge on bi I Po cata 6 ns ES Pasa ow uhihe Son SVL IRL he oy 0 Mr Pile banbalel EL i: 1s a Do you want Zag tobe deducted from your surender proceeds? OIF Yesu] Not nee tN ASEEMBABAR Woes eal eh EE MY BE Mranoset A Es Oph ogy Man sneer NRE emusic ie SRS ne prvcree ‘SenaturerTort impression of aan ppovat —haames Us Report Policy Holder ‘ we CAF AL AL iP SE ue Shit “Surender Foes of Rs.350/- applicable + Surrender Charges (See the atsches Surender Charges Sheet) Sou Sinks Phan bP Hie B08 ESiaer + Sa complete Original Policy Documents (For Complete Surender Cases) T)zekat Decoration Form (Tobe made ona stamp paper of PAR. 20/- duly noizec) Paine Ay Si ‘WW oeh L2)¢ Dickissi ISLAMIC REPUBLIC OF PAKISTAN Name Haseeb Sajjad “identity Numb ho seo, MONSTSATINS | 35.12.1905, 1829 ete 30.10.2022 hi F it ba? SGN oP ance MLSTSITAD e we? Pt Tiana ce ; wih fr L bat ) 406351310650 “iia evr of Pain Wodlit a Aa ehh E-STAME COVA 'S60-£0c98CD180005200 tow Denomination Amount Rs 100/- Description ‘ceanicaTe om otweR oocuMtent-19, Aoplant ASEEB SAJIAD[36101-5751724:3) ‘SALA AHMAD N Arent self adress SARGODKA 5 Issue Date, 6-Dee-2023 9:56:28 AM Gq Delsted Or/vatidity: 13-Dec-2023 . AmountinWords: One Hundred Rupees Only Reason FoR 250 Vendor formation: Abdul Rarag | PE-SGO-179 | Dist. Courts A Ae IAM Jalan eS ab he i a EON 8 en cb dateStanp Numbers a 8199 uted On jal Stamp Paper Of Rs.100/-) 1). Hahech Lad jad reaing computerized national identity eed no “Sulel- Non Su Tay-> ~esidont oF Sp ta ef slo

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