1. That, I have one policy (No. 2555249829) which commenced on 31/3/2010 (801-Wealth Plus). After reply of my RTI application dt. 17/07/2014 I came to know that my Policy No. 2555249829 was surrendered on 21/02/2014 by doing my forged signature and the surrendered amount recycled against Policy Nos 257776112 & 257776113 in favour of Smt. Manju Singhal. 2. That, I got photocopy of Discharge Voucher by which surrender application was made by doing my fake/forged signature on 19/02/2014 at Meerut (Attached with this application) and more important it was verified/attested by Mr Surendra Kumar Dhingra (Agent- LIC Of India, Broker’s Code-0049325K) as a WITNESS. 3. That, Applicant is a Central Government Employee and posted in Pune (Maharshtra). On 19/02/2014 and on suffix-prefix both days applicant was in Pune and had attested her Govt. Job full time and it is not possible to complete to & fro journey form Pune to Meerut (Approx 1600Km) in 15 hrs. So I want to assure you that signature on that Discharge Voucher is fully fake/forged and done for forgery.( Affidavit for clarification that signature on Discharge Voucher was not done by me and it is completely fake/forged is attached) . Applicant may also submit photocopy of her signed muster roll for the month of Feb’2014 (if required). 4. Applicant has filed FIR against Manju Singhal on 02/01/2014 in Pune U/S 498A,406,323,325,504 IPC and matter is in Court so there is no cause that Applicant had given any kind of consent for providing any financial benefit to Manju Singhal by recycling her Policy in favour OF Manju singhal without getting any amount. So it is quite oblivious that Mrs. Manju Singhal did this to put me in Financial loss by doing my fake signature. 5. That, all this forgery cannot be executed without involvement of LIC employee and in my case it was done by Mr Surendra Kumar Dhingra , Agent- LIC Of India, Broker’s Code-0049325K which is clear from attached Discharge Voucher,,may be because of some personal benefit given by Manju Singhal . So Its very clear that MANJU SINGHAL and LIC Agent Mr Surendra Kumar Dhingra both has did this Forgery together to put me in financial loss . When I complaint about this to LIC and IRDA then Mr. Narendra Chaoudhry(Marketting manager),Divisional Office meerut called me and told me that he is investigating my case. Later on he told me that LIC agent Surendra Kr. Dhingra has accepted his mistake and said that He had committed that mistake. (Phone call recording between me and Marketting Manager Narendra Chaoudhry is available with me). He said he will make arrangement to deposit surrendered value of the Policy which was surrendered in a forged way. Before I could make any decision he asked my Bank details and I mailed him my Bank A/c no. After some days no money was credited in my account then I rang up Mr Narendra Chaoudhry and requested by mail that instead of crediting any amount please revive my Policy as it was not surrendered by

1. Revival of my Policy(if possible) or justified compensation along with my all expenditures. 2. FIR should be lodged by LIC against Mnaju Singhal and LIC agent Surendra Kr. Dhingra. 3. Departmental action should be taken against Mr. surendra kr, Dhingra and Mr. narendra Chaoudhry for saving culprits.

Email Id: anshikasinghal05@gmail.