From, Noel I. Singh, 15, Rishikesh Society, Near Novino Batteries, Makarpura Road, Baroda – 390 010 November 29, 2004 To, United India Insurance Co., 1st Floor, Vrajbhushanji Complex, Opp. S.T. Bus Stand, Halol EXTRA LOADING OF PREMIUM IN MEDICLAIM POLCY RS. 7430/- MENTAL TENSION, AGONY & FINANCIAL LOSS.

N.I. SINGH
15, RISHIKESH SOCIETY,
NEAR NOVINO BATTERIES,
MAKARPURA ROAD,.