Dear Sir/ Madam, This is to inform you that I had given a written request to cancel my licence to Life Insurance Corporation of India Jevan Beema Nagar Branch on 30/06/2014 and in return they have given me an acknowledgment for the same. But till date they have not cancelled my Licence from Agent portal which is effecting my professional Progress. Please check and do the needful as soon as possible. Applicant Information Applicant Name SRIHARI G S Father Name SHAMASUNDARARAJAN Date Of Birth 08 Jan 1978 URN LICI1607120205 License No 9140268 Certificate No – Type Individual Business Information Insurer Name LIFE INSURANCE CORPORATION OF INDIA Agent ID KAU060812 LILIC086003 Category Life

Regards
sriharirajan4523@gmail.