BIO DATA

1) NAME 2) FATHERS NAME 3) ADDRESS : :

4) CONTACT NO. & Email ADDRESS : 5) DATE OF BIRTH :

6) EDUCATIONAL QUALIFICATION : 7) EXTRA QUALIFICATION :

8) NATIONALITY 9) RELIGION 10) CASTE 11) SEX 12) EXPERIENCE

: : : : :

SIGNATURE OF THE CANDIDATE PLACE : DATE :

To The Branch Manager, State Bank of India, ADB Pandua, Pandua, Hooghly.
Sub : Refund of SBI Life Super Suraksha Money against the Housing Loan A/C No. - 30418799674. Dear Sir, This is for your kind information that I Shri Abhijit Kumar Saha was a housing loan account holder of your Branch vide loan A/C No.-30418799674 and this housing loan of the U/S was protected by SBI Life-Super Suraksha vide Serial No. HL/378104. This housing loan has been liquidated on 12.04.2011 and taken over the loan by LIC Housing Finance Ltd. with upto date interest. After taking the liabilities of the loan by LIC HFL this SBI Life became invalid & no life coverage is covering after 12.04.2011. So, in these context U/S is requesting you to arrange to refund the SBI life Premium amount after deducting any necessary charges(if required as per rule) immediately. Looking forwarded for your kind co-operation & n/a please. Thanking You. Dated at Pandua the 16.08.2011. _____________________ ABHIJIT KUMAR SAHA D.C.R. ROAD(BOSE PARA) P.O. CHANDANGNAGAR, DIST. HOOGHLY, PIN. 712136. SBI Life Serial No.-HL/378104.

Encl : Submitted h/w original copy of SBI Life-Super Suraksha Certificate of insurance. .