Lic Of India Reassignment Form 3857 Jun 2026

I/We, , in consideration of the repayment of the loan, do hereby reassign to [Policyholder Name] (the Assignee) the Policy Number [Policy Number] dated [Date] for a Sum Assured of ₹ [Amount] , issued by the Life Insurance Corporation of India . Date: [Date] | Place: [Location] Signature of Assignee: _____________________ Signature of Witness: ______________________ Absolute Reassignment - Lic New Delhi

The Branch Manager, LIC of India, [Branch Code/Address] lic of india reassignment form 3857