NOTICE OF ASSIGNMENT OF POLICY TO THE INSURANCE COMPANY 

Name of the Insurance Company 

Address 

Dear Sir, 

Please refer to policy of life insurance dated ________________, effected by Mr. __________________________________, S/o_________________________________________, R/o________________________________________________________________, with your corporation for the sum of Rs. Bearing No.__________________________________. I wish to bring to your notice that by a deed of assignment dated ______________________, executed in my favour by the said Mr.__________________________________________________, all moneys assured by or to become payable under the said policy has been assigned to me. I therefore request you to note the same in your books and to acknowledge receipt of the notice. 

Sd/-