Hi Sir/ Madam, I had been an insurance advisor with ICICI LOMBARD GENERAL INSURANCE since 2013 however i did no policy during my tenure with ICICI LOMBARD GENERAL INSURANCE as an agent. because i received no guidance or directions during the course of my tenure with ICICI LOMBARD GENERAL INSURANCE . my agent contract gets over automatically in the year, however i want to sever my relationship with ICICI LOMBARD GENERAL INSURANCE . Hence I am requesting ICICI LOMBARD GENERAL INSURANCE to provide me form 1c or change the status to resigned or surrendered in the Licensing portal please . please do the needful. Kindly delete my URN from IRDA Portal at ICICI LOMBARD GENERAL INSURANCE I have already raised requested at branch office.I don’t want to work with ICICI LOMBARD GENERAL INSURANCE MAHESHKUMAR SOMAJI PADHIYAR Mo No 9426012985,9825014123 Applicant Information Applicant Name MAHESHKUMAR SOMAJI PADHIYAR Father Name SOMAJI A PADHIYAR Date Of Birth 27 Jul 1987 URN ILGI1605130008 License No 9452829 Certificate No – Type Individual Business Information Insurer Name ICICI LOMBARD GENERAL INSURANCE CO. LTD. Agent ID GUU100613GIILGILG003 Category General

Regards
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