To,

Royal Sundaram Alliance Insurance Co Ltd.

No. 45& 46
Whites Road
Chennai 600014

SUB: Insurance Name Transfer Request

Policy Number : ……………………………..

Vehicle Registration Number : …………………………...

Dear Sir,

I have purchased the subject vehicle from Mr/Mrs/M/s ......................……………..,

and wish to transfer the policy to my name.

The transfer has been amended in the Registration Certificate and hereby submitting
the below mentioned documents for the necessary endorsement.

1. Duly filled Proposal form

2. Amended Registration Certificate Copy
3. Original Certificate of Insurance
4. Insurance Transfer Letter
5. Other Documents, if any:

Yours sincerely

Proposer Name : ……………………………..

Signature :………………………………..

Email ID : …………………………...

Mobile Number : …………………………....

Date : …………………………....