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Get India Bharti AXA Life Insurance Company Assignment Form

Larant’s Address: Pin Code D D M M Y Y Y Y Date of Birth: Declarant’s Signature: D D M M Y Y Y Y Date: Place: *"The person giving this declaration can be any person other than Introducing Advisor or MOA or MOM." INSTRUCTIONS / NOTICES: 1. All the information is to be filled in BLOCK LETTERS. 2. All fields are mandatory. 3. The term Assignor stands for the current Policyholder, who intends to assign the Policy, whereas the term Assignee stands for the person in whose favour the Policy.

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