Reply of applying for nomination or assignment

UK LIFE INSURNACE CORPORATION LONDON

17th June, 20........

Mr. Mushtaq Ahmed,

111, Main Road,

LONDON

Sir,

Re: Policy No. 1873521 Sir,

With reference to your letter, dated 9th June, 20… we are enclosing nomination forms which please fill in and return the same to us.

Yours faithfully,

Manager

Encl: Nomination forms

Note: Either a separate nomination form may be filled in and pasted on the back of insurance policy or the subject matter may be typed on the insurance policy itself.