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HTML Preview Insurance Company Complaint Letter page number 1.


ANNEX-VI-A
Complaint No: _________________
Date: _________________
To,
The Insurance Ombudsman,
________________________________
________________________________
________________________________
________________________________
________________________________
Re: Complaint against IndiaFirst Life Insurance Company Limited
Branch/Division: ________________________
Policy No. : ________________________
Name of Complainant: ___________________
Being aggrieved, I am lodging complaint against the above referred Insurance Company.
Details are given as under:-
1. Complainant’s full Name and Address-
i. Name: _________________________________
ii. Address: _________________________________
_________________________________
_________________________________
_________________________________
iii. Telephone no: ____________________________
iv. Landline no: ____________________________
v. Mobile No: ____________________________
Relationship to the Insured person: ___________________________
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